Target intelligence / Profile preview

Core 1 and extended core 1 O-glycans

Molecular classification
Glycan, Tumor-associated carbohydrate antigen (TACA)
01

Overview

Core 1 and extended core 1 O-glycans are truncated carbohydrate structures, such as the Thomsen-Friedenreich (T) antigen, that are aberrantly expressed on the surface of many solid and hematological tumor cells [1, 9]. These glycans are also found on specific immunosuppressive cell populations, including regulatory T cells (Tregs), granulocytic myeloid-derived suppressor cells (gMDSCs), and neutrophils [4, 11]. In malignant contexts, the normal elongation of O-glycans is disrupted, leading to the accumulation of these truncated forms which contribute to tumor progression and immune evasion by interacting with inhibitory receptors like Siglecs [6, 17]. Therapeutic agents like the monoclonal antibody NEO-201 specifically bind to these glycans to eliminate both the tumor cells and the immunosuppressive cells in the tumor microenvironment through antibody-dependent cell-mediated cytotoxicity (ADCC) and complement-dependent cytotoxicity (CDC) [11, 15]. This dual targeting approach is designed to reduce the immunosuppressive burden and enhance the activity of other immunotherapies, such as PD-1 inhibitors [9, 15].

Other names
T antigenThomsen-Friedenreich antigenTruncated O-glycansNEO-201 targetCore 1 O-glycansExtended core 1 O-glycans
02

Mechanism of action

Monoclonal antibody-mediated depletion of target-expressing cells via antibody-dependent cell-mediated cytotoxicity (ADCC) and complement-dependent cytotoxicity (CDC).

03

Biological functions

Immune evasionCell-cell interactionLeukocyte homingSignal transductionCell adhesion
04

Disease associations

CancerColorectal cancerPancreatic cancerBreast cancerNon-small cell lung cancerHead and neck squamous cell carcinoma
05

Safety considerations

NeutropeniaInfusion-related reactionsPotential for off-target effects on healthy hematopoietic cells expressing similar glycan profiles
06

Interacting drugs

NEO-201
07

Biomarkers

Circulating regulatory T cells (Tregs)Granulocytic myeloid-derived suppressor cells (gMDSCs)Soluble MICA (sMICA)Neutrophil count

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