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Updated: Feb 13, 2026

Author Spotlight: MAPP Protocol – Advancing Glycan Analysis
Published on: September 29, 2023
Cancer glycan epitopes: biosynthesis, structure and function
1Centre for Cancer & Inflammation, Barts Cancer Institute, Queen Mary University of London, Charterhouse Square, London, UK.
Abstract:
Aberrant glycan epitopes are a classic hallmark of malignant transformation, yet their full clinical potential in cancer diagnostics and therapeutics is yet to be realized. This is partly because our understanding of how these epitopes are regulated remains poorly understood. In this review cancer glycan epitopes for the major glycan classes are summarized with a focus on their biosynthesis, structure and role in cancer progression. Their application as cancer biomarkers, in particular the more recent work on cancer glycoforms, and the advantages these offer over the glycan or protein alone are discussed. Finally, emerging concepts which expand on the current view of the cancer glycan epitope beyond the single structure, to patterns and the whole glycocalyx, are described. These new approaches that consider the cancer glycan epitope as a glycoform, or as a pattern of many epitope structures, are providing new targets both for cancer biomarkers and therapeutics currently in development at the bench and the clinic.
Insights
Aberrant cancer glycan epitopes are key to malignancy. Understanding their regulation and exploring glycoforms and patterns offers new diagnostic and therapeutic targets for cancer.
Area of Science:
- Biochemistry
- Glycobiology
- Cancer Biology
Background:
- Aberrant glycan epitopes are hallmarks of cancer, but their regulatory mechanisms and clinical utility are not fully understood.
- Current understanding of cancer glycan epitopes is limited, hindering their application in diagnostics and therapeutics.
Purpose of the Study:
- To review cancer glycan epitopes, focusing on biosynthesis, structure, and role in cancer progression.
- To discuss the application of cancer glycan epitopes and glycoforms as biomarkers and therapeutic targets.
- To introduce emerging concepts of glycan patterns and the glycocalyx in cancer.
Main Methods:
- Literature review of major glycan classes in cancer.
- Analysis of glycan biosynthesis, structure, and function in malignancy.
- Discussion of current and emerging applications in cancer diagnostics and therapeutics.
Main Results:
- Cancer glycan epitopes are diverse, with specific structures linked to malignant transformation.
- Cancer glycoforms offer advantages over individual glycans or proteins for biomarker development.
- New approaches consider glycan patterns and the entire glycocalyx for novel targets.
Conclusions:
- A comprehensive understanding of cancer glycan epitope regulation is crucial for clinical translation.
- Glycoforms and glycan patterns represent promising avenues for developing advanced cancer biomarkers and therapeutics.
- Emerging concepts in cancer glycobiology are expanding the scope of targets for bench and clinical development.
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