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Sialylated glycan receptor

Molecular classification
Receptor (general for both endogenous lectins and pathogen receptors), Lectin (specifically for endogenous receptors like Siglecs), Glycan-binding protein, Other (pathogen receptor, when referring to viral or bacterial proteins binding sialylated glycans)
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Overview

Sialylated glycan receptors are molecular structures—usually proteins or glycoproteins—that specifically recognize and bind sialic acid residues present on the terminal positions of cell-surface glycan chains. In mammals, the main family of endogenous sialylated glycan-binding receptors are the Siglecs, which function as immune checkpoints and participate in cellular signaling by distinguishing self from non-self[1][6][7]. Conversely, various pathogens (including viruses and bacteria) use specialized receptor proteins (e.g., viral hemagglutinins) to bind sialylated glycans on host cells, mediating infection[5][6]. Sialylated glycan–mediated interactions regulate numerous biological functions, including signal transduction, immune response, cell adhesion, cell migration, proliferation, and apoptosis[2][3][5][7]. Changes in cell-surface sialylation are associated with disease states such as cancer (hypersialylation as a tumor marker), infection (sialic acid dependence for viral entry), and inflammatory diseases[1][3][5][7]. Drugs targeting these receptors primarily aim to block pathogen attachment or modulate immune activity[5][6]. Common therapeutic challenges include balancing immune modulation with unintended effects on normal physiological sialylation[1][5].

Other names
Sialic acid binding receptorSialic acid binding proteinSialic acid-binding immunoglobulin-like lectin (Siglec, specifically for the protein family)Sialic acid-binding lectin
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Mechanism of action

Inhibition of sialic acid–receptor binding (preventing viral/bacterial entry) - Modulation of immune checkpoint via Siglec targeting - Disruption of sialylation chemistry (e.g., by sialidase, affecting cell–cell interactions)

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Biological functions

Signal transduction (e.g., via Siglecs, TGF-β, EGF receptor modulation)Immune response (regulation by Siglecs, masking/self/non-self recognition)Host–pathogen interaction (viral and bacterial binding)Cell adhesion (selectin/E-selectin interactions)Cell proliferationApoptosisCell migrationProtein stability/protectionRegulation of complement activation
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Disease associations

Infection (mediates viral/bacterial entry, e.g., influenza, coronaviruses)Cancer (altered sialylation, tumor markers such as Sialyl Lewis X/A)Cardiovascular disease (involvement in glomerular filtration barrier integrity, blood plasma filtration)Inflammation (selectin-mediated cell adhesion)Neurodegenerative disease (roles in neural cell adhesion, ganglioside biology)Other (diabetes, hypertension—altered sialylation profiles)
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Safety considerations

Off-target effects altering normal immune recognition (risk of autoimmunity if masking disrupted)Disrupted selectin signaling (potential for inflammatory side effects)Interference with neural functions (in cancer treatment, impact on adhesion/migration)
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Interacting drugs

Neuraminidase inhibitors (e.g., oseltamivir, zanamivir; target viral sialic acid–receptor interactions)

2 more in the full profile.

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Biomarkers

Sialyl Lewis X, Sialyl Lewis A (tumor antigens)Polysialic acid (PolySia, marker for some cancers and neural development)Sialylation level (circulating sialic acids in serum for disease status)

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