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Updated: Apr 2, 2026

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Relationship Between Regulation of Polysialic Acid Expression and Brain Diseases
Masaya Hane1,2, Chikara Abe1, Ken Kitajima1
1Integrated Glyco-Biomedical Research Center (iGMED), Institute for Glyco-core Research (iGCORE), Nagoya University, Nagoya, Japan.
Advances in Experimental Medicine and Biology
|March 31, 2026
Summary
Polysialic acid (polySia) and its enzyme ST8SIA2 are linked to psychiatric and neurodegenerative brain diseases. Inflammation
Area of Science:
- Neuroscience
- Biochemistry
- Pathology
Background:
- Polysialic acid (polySia) is a post-translational modification of neural cell adhesion molecules.
- Aberrant polySia expression is implicated in various neurological and psychiatric conditions.
- ST8SIA2 is the primary enzyme responsible for polySia biosynthesis.
Purpose of the Study:
- To review the intricate relationship between polySia, its biosynthetic enzyme ST8SIA2, and brain disorders.
- To explore the role of inflammation and the polySia degradation enzyme, sialidase (neuraminidase), in these diseases.
Main Methods:
- Literature review of studies investigating polySia, ST8SIA2, sialidase, and brain diseases.
- Analysis of the molecular mechanisms linking these components to disease pathogenesis.
Main Results:
- PolySia and ST8SIA2 dysregulation are associated with schizophrenia, bipolar disorder, autism spectrum disorders, Alzheimer's, Parkinson's, and Huntington's diseases.
- Inflammation significantly impacts polySia levels through modulation of sialidase activity.
Conclusions:
- PolySia and its metabolic enzymes are critical players in brain health and disease.
- Targeting polySia pathways may offer novel therapeutic strategies for neurological and psychiatric disorders.
- The interplay between inflammation and polySia metabolism warrants further investigation.
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