Target intelligence / Profile preview

Tumor-associated glycan

Molecular classification
Other (cell-surface glycan/carbohydrate moiety), Biomarker, Ligand (for immune lectin receptors)
01

Overview

Tumor-associated glycans are abnormal carbohydrate structures found on glycoproteins or glycolipids at the surface of cancer cells, most notably in epithelial-derived tumors (carcinomas)[5][1][3]. These aberrant glycans arise from altered glycosyltransferase expression in cancer and are typically represented by incomplete or truncated O-glycans (like Tn, sialyl-Tn, and TF antigens), or by increased fucosylation and sialylation (such as sialyl-Lewis antigens)[5][1]. Unlike their fully processed counterparts in healthy tissues, these tumor-associated glycans exhibit increased immunogenicity and play key roles in cancer progression by altering cell–cell and cell–matrix interactions, promoting cell motility and metastasis, and modulating the anti-tumor immune response, frequently contributing to immune evasion[1][4][5]. Tumor-associated glycans serve as clinically relevant biomarkers for diagnosis, prognosis, and monitoring, and represent promising but challenging targets for immunotherapy and vaccine development in oncology[3][5][8][6].

Other names
Tumor-associated carbohydrate antigenTumor-associated O-glycanTumor glycanTACA (Tumor-associated carbohydrate antigen)
02

Mechanism of action

Antibody-mediated targeting and immune activation (antibodies bind tumor glycans to induce tumor cell death or alter immune response)[5]. Blocking glycan–lectin interactions to inhibit metastasis or immune evasion[1][5].

03

Biological functions

Cell adhesionImmune response modulationSignal transductionCell proliferationCell migrationCell–extracellular matrix interaction
04

Disease associations

CancerImmune evasion in cancerTumor progressionMetastasis
05

Safety considerations

Potential off-tumor expression leading to "on-target, off-tumor" toxicities (some glycans present at low levels in healthy tissues)[5].Immunogenicity of carbohydrate antigens is sometimes low, limiting vaccine efficacy[5].Heterogeneity among tumor glycan expression complicates patient selection and uniform response[3][5].Possible induction of autoimmunity when targeting widely-present glycans[5].
06

Interacting drugs

None specific (glycan-targeting immunotherapies and experimental drugs exist, e.g., anti-Tn, anti-STn, anti-Lewis antigen antibodies, glycan-mimicking vaccines, but no broadly FDA-approved drugs with this explicit molecular target as of 2024)[5].

1 more in the full profile.

07

Biomarkers

Tn antigen (CD175)Sialyl-Tn antigen (CD175s)Thomsen-Friedenreich antigen (TF, CD176)Sialyl-Lewis^a^ (sLe^a^) and Sialyl-Lewis^x^ (sLe^x^)

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