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Junctional adhesion molecule A and Sialic acid (tumor cell surface) (JAM-A and Sialic acid)

Target
JAM-A and Sialic acid
Molecular classification
Receptor (JAM-A: Immunoglobulin superfamily, cell adhesion molecule), Other (Sialic acid: monosaccharide/glycan, cell-surface modification)
01

Overview

Junctional adhesion molecule A (JAM-A) is a cell-surface adhesion molecule of the immunoglobulin superfamily, concentrated at intercellular junctions in epithelial and endothelial cells but expressed in various tumor types. Sialic acids are a family of nine-carbon acidic monosaccharides present as terminal residues on surface glycans, frequently upregulated or aberrantly structured in many tumors. Both JAM-A and sialic acid serve as co-receptors for oncolytic viruses such as reovirus, with sialic acid engagement facilitating subsequent high-affinity JAM-A binding and resultant viral entry into tumor cells[1][5][8]. Beyond viral infection, tumor cell surface sialylation is an established mechanism of immune escape and is associated with cancer progression, metastasis, and resistance to immune effector mechanisms[3][4][6][7]. Targeting these molecules or their glycans is a promising strategy in cancer immunotherapy and oncolytic virotherapy, but presents challenges due to the presence of these molecules in normal tissues and their roles in basic physiological processes.

Other names
JAM-A (for Junctional adhesion molecule A)F11 receptor (F11R)Sialic acidSA (short for sialic acid)Neu5AcNeu5Gc
02

Mechanism of action

Inhibition of sialylation disrupts tumor cell immune evasion, enhances phagocytosis by macrophages[3][6]; Oncolytic viruses (reovirus) exploit JAM-A and sialic acid attachment for tumor-selective killing[1][5][8]; Blockade of JAM-A can affect tumor cell-cell adhesion and metastasis (preclinical models); Sialyltransferase inhibition reduces tumor cell surface sialic acid, increasing susceptibility to immune attack[3]

03

Biological functions

Cell adhesion (JAM-A)Modulation of cell-cell junctions (JAM-A)Viral entry and attachment (interaction of both, notably for reovirus)Immune modulation/immune evasion (Sialic acid)Regulation of cell signaling (both)Modulation of phagocytosis (Sialic acid)
04

Disease associations

Cancer (highly expressed or abnormally distributed on tumor cell surfaces)Infection (reovirus uses these for cell entry)Inflammation (roles for both)Other: immune escape by tumors
05

Safety considerations

Widespread physiological roles for JAM-A in epithelial and endothelial junctions; potential for off-tumor effects if targetedSialic acids are ubiquitous, complicating selectivity for tumor over normal tissueOff-tumor toxicity (e.g., inflammation or autoimmunity from blocking widely-expressed sialic acid structures)
06

Interacting drugs

No approved small molecules or antibodies currently directly targeting JAM-A for cancer; exploratory agents exist

3 more in the full profile.

07

Biomarkers

Cell surface expression of JAM-A (predicts susceptibility to reovirus infection/oncolytic therapy)[1][5][8]Tumor cell surface sialylation patterns (biomarker for immune evasion, prognosis)[6][7]Anti-Neu5Gc antibodies (humoral response marker, potential cancer biomarker)[4]

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