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Updated: Feb 16, 2026

Metabolic Glycoengineering of Sialic Acid Using N-acyl-modified Mannosamines
Published on: November 25, 2017
Targeting sialic acid-Siglec interactions to reverse immune suppression in cancer
Olivia Joan Adams1, Michal A Stanczak2, Stephan von Gunten1
1Institute of Pharmacology, University of Bern, Inselspital INO-F, Bern, Switzerland.
Abstract:
Changes in sialic acids in cancer have been observed for many years. In particular, the increase of sialoglycan density or hypersialylation in tumors has been described. Recent studies have identified mechanisms for immune evasion based on sialoglycan interactions with immunoregulatory Siglec receptors that are exploited by tumor cells and microorganisms alike. Siglecs are mostly inhibitory receptors similar to known immune checkpoints including PD-1 or CTLA-4 that are successfully targeted with blocking antibodies for cancer immunotherapy. Here, we summarize the known changes of sialic acids in cancer and the role Siglec receptors play in cancer immunity. We also focus on potential ways to target these Siglec receptors or sialoglycans in order to improve anti-cancer immunity.
Insights
Cancer cells increase sialic acids, a sugar coating, to evade the immune system by interacting with Siglec receptors. Targeting these interactions offers a new avenue for cancer immunotherapy.
Area of Science:
- Biochemistry
- Immunology
- Oncology
Background:
- Sialic acids, particularly increased sialoglycan density (hypersialylation), are observed in tumors.
- Tumor cells and microorganisms exploit sialoglycan-Siglec interactions for immune evasion.
- Siglec receptors function as inhibitory immune checkpoints, similar to PD-1 and CTLA-4.
Purpose of the Study:
- To summarize alterations in sialic acids within cancer.
- To elucidate the role of Siglec receptors in cancer immunity.
- To explore therapeutic strategies targeting Siglec receptors or sialoglycans for enhanced anti-cancer immunity.
Main Methods:
- Literature review of studies on sialic acids in cancer.
- Analysis of sialoglycan-Siglec interactions in tumor immune evasion.
- Review of current and potential immunotherapeutic approaches targeting these pathways.
Main Results:
- Hypersialylation is a common feature of tumors, facilitating immune evasion.
- Siglec-mediated immune suppression by cancer cells is a significant challenge in immunotherapy.
- Targeting Siglecs or sialoglycans presents a promising strategy for improving cancer treatment.
Conclusions:
- Understanding sialic acid modifications and Siglec receptor roles is crucial for cancer immunology.
- Targeting the sialoglycan-Siglec axis holds potential for novel cancer immunotherapies.
- Further research into these mechanisms could lead to more effective anti-cancer treatments.
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