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ST8 alpha-N-acetyl-neuraminide alpha-2,8-sialyltransferase 2 (ST8SIA2)

Target
ST8SIA2
Molecular classification
Enzyme, Glycosyltransferase (specifically, sialyltransferase family 29), Type II membrane protein
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Overview

ST8 alpha-N-acetyl-neuraminide alpha-2,8-sialyltransferase 2 (ST8SIA2) is a type II membrane-bound glycosyltransferase enzyme responsible for catalyzing the transfer of sialic acid residues from CMP-sialic acid onto glycoproteins and N-linked oligosaccharides, playing a crucial role in the formation of polysialic acid chains[1][7]. Its key biological function is to add polysialic acid to neural cell adhesion molecule 1 (NCAM1), thereby regulating cell adhesion, neuronal migration, synaptic plasticity, and neural network formation during development[1][4][5][7]. Genetic variants or expression changes in ST8SIA2 are associated with an increased risk for neurodevelopmental and neuropsychiatric disorders, including schizophrenia, autism spectrum disorder, and epilepsy[4][5][7]. The enzyme is primarily expressed in the brain and is vital for proper nervous system development and function, with critical implications for cognition, behavior, and potentially cardiac physiology[1][2][4][5][7]. There are currently no known therapeutics that directly target ST8SIA2, though its pathway is modulated by certain psychiatric drugs and through genetic manipulation in research models[4]. Safety concerns center on its essential developmental role—alterations can result in significant neurodevelopmental abnormalities[4][5].

Other names
Alpha-2,8-sialyltransferase 8BSIAT8BST8SIA-IISTXSialyltransferase 8BSialyltransferase XSialyltransferase St8Sia II
02

Mechanism of action

Drugs can indirectly modulate the expression of polysialylated NCAM via altering ST8SIA2 expression (e.g., some antipsychotics in animal studies modulate PSA-NCAM levels). Genetic interventions (e.g., knockout or gene editing) in research settings. Not a direct pharmacological target as of current knowledge.

03

Biological functions

Catalyzes transfer of sialic acid from CMP-sialic acid to N-linked oligosaccharides and glycoproteinsPolysialylation of neural cell adhesion molecule (NCAM1), modulating cell adhesionInvolved in neuronal migration, synaptic plasticity, and nervous system developmentGlycosylation processesRegulation of cell-cell interactions (particularly in the brain)Protection against oxidative stress
04

Disease associations

Autism spectrum disorderSchizophreniaEpilepsyImplicated in other neurodevelopmental disorders and behavioral phenotypesPotential role in cardiac dysfunction via polysialylation of SCN5A in cardiomyocytesPossibly affected during infectious diseases, such as Chagas disease (*Trypanosoma cruzi* infection)
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Safety considerations

Insufficient knowledge of safety regarding therapeutic modulation; likely concern for neurological and cognitive functions due to the central role in brain developmentGenetic disruptions associated with cognitive and behavioral deficits in animal models and humansPossible impact on cardiac function (inferred from effects on cardiomyocytes in infection models)
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Interacting drugs

No specific drugs directly targeting ST8SIA2 are currently approved or well-described in the literature
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Biomarkers

Expression or activity of ST8SIA2 may serve as a biomarker for neuropsychiatric disease risk (schizophrenia, autism)Polysialylated NCAM1 levels in brain tissue or fluids as an indirect marker

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