Dysregulated Sialylation in Cancer: From Immunosuppressive Microenvironment to Siglec-Targeted Therapeutics

Yuecheng Zhang1, Zhengyao Gao2, Yuhan Zhang2

  • 1Key Laboratory of Analytical Technology and Detection of Yan'an, College of Chemistry and Chemical Engineering, Yan'an University, Yan'an 716000, China.

Biomolecules
|October 29, 2025
PubMed

Insights

Targeting sialic acid metabolism offers a novel strategy for cancer therapy. This review explores aberrant sialylation in cancer, the sialic acid-Siglec axis in immunotherapy, and nanomaterial-based therapeutic platforms for precision medicine.

Area of Science:

  • Biochemistry
  • Cell Biology
  • Oncology

Background:

  • Sialic acid is crucial for cell recognition and signaling, and its aberrant expression is linked to cancer development.
  • Dysregulated sialylation disrupts cell communication and promotes oncogenic signaling, making it a key factor in carcinogenesis.

Purpose of the Study:

  • To review the physiological biosynthesis and pathological dysregulation of sialic acid.
  • To examine the sialic acid-Siglec axis as an immune checkpoint in cancer immunotherapy.
  • To synthesize current therapeutic strategies targeting the sialic acid-Siglec axis, including nanomaterial-based platforms.

Main Methods:

  • Literature review of sialic acid biosynthesis, metabolism, and its role in cancer.
  • Analysis of the sialic acid-Siglec axis in comparison to PD-1/PD-L1 immune checkpoints.
  • Synthesis of therapeutic strategies and clinical translation of nanomaterial-based platforms.

Main Results:

  • Aberrant sialylation is a driver of malignant transformation and disrupted cell communication.
  • The sialic acid-Siglec axis presents functional similarities and differences with the PD-1/PD-L1 pathway in cancer immunity.
  • Nanomaterial-based platforms show promise for clinical translation in targeting the sialic acid-Siglec axis.

Conclusions:

  • Targeting sialic acid metabolism is a promising strategy for cancer diagnosis and therapy.
  • Understanding the sialic acid-Siglec axis can inform novel cancer immunotherapy approaches.
  • Nanomaterial-based interventions offer potential for glycobiology-guided precision medicine in oncology.

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