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ST3 beta-galactoside alpha-2,3-sialyltransferase 4 (ST3GAL4) is an enzyme responsible for catalyzing the transfer of sialic acid from CMP-Neu5Ac onto galactose-terminated glycoconjugates, specifically the Galβ1,3-GalNAc and Galβ1,4-GlcNAc motifs on glycoproteins and glycolipids[3]. It is the primary human sialyltransferase controlling the biosynthesis of selectin ligands and the Sialyl Lewis X (sLeX) epitope on leukocyte N- and O-glycans, which are required for leukocyte adhesion and rolling during immune surveillance and vascular inflammation[1]. In acute myeloid leukemia (AML), ST3GAL4 synthesizes ligands for the inhibitory immune receptor Siglec-9, driving immune evasion by cancer cells[2]. Knockdown or inhibition of ST3GAL4 disrupts selectin ligand and Siglec-9 ligand expression and sensitizes cells to immune attack. The enzyme is considered a promising therapeutic target in cancer, with ongoing investigation of selectin and Siglec-9 targeting therapies[1][2][3].
Inhibition of ST3GAL4 reduces synthesis of Sialyl Lewis X and Siglec-9 ligands, attenuating immune evasion and leukocyte adhesion. Blocking ST3GAL4 can sensitize AML cells to macrophage phagocytosis
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