Siglec Explained

Siglecs (Sialic acid-binding immunoglobulin-type lectins) are cell surface proteins that bind sialic acid. They are found primarily on the surface of immune cells and are a subset of the I-type lectins. There are 14 different mammalian Siglecs, providing an array of different functions based on cell surface receptor-ligand interactions.

History

The first described candidate Siglec was Sialoadhesin (Siglec-1/CD169) a lectin-like adhesion protein on macrophages.^[1] Parallel studies by Ajit Varki and colleagues on the previously cloned CD22 (a B cell surface protein involved in adhesion and activation) showed direct evidence for sialic acid recognition. The subsequent cloning of Sialoadhesin by Crocker revealed homology to CD22 (Siglec-2), CD33 (Siglec-3) and myelin-associated glycoprotein (MAG/Siglec-4), leading to the proposal for a family of "Sialoadhesins". Varki then suggested the term Siglec as a better alternative and as a subset of I-type (Ig-type) lectins. This nomenclature was agreed upon and has been adopted by almost all investigators working on these molecules (by convention, Siglecs are always capitalised.) Several additional Siglecs (Siglecs 5–12) have been identified in humans that are highly similar in structure to CD33 and so are collectively referred to as "CD33-related Siglecs".^[2] Further Siglecs have been identified including Siglec-14 and Siglec-15. Siglecs have been characterized into two distinct groups: the first and highly conserved-across-mammals group composed of Sialoadhesins, CD22, MAG, and Siglec-15, and a second group comprising Siglecs closely related to CD33.^[3] Others such as Siglec-8 and Siglec-9 have homologues in mice and rats (Siglec-F and Siglec-E respectively in both). Humans have a higher number of Siglecs than mice and so the numbering system was based on the human proteins.^[4]

Structure

Siglecs are Type I transmembrane proteins where the NH₃⁺-terminus is in the extracellular space and the COO⁻-terminus is cytosolic.^[5] Each Siglec contains an N-terminal V-type immunoglobulin domain (Ig domain) which acts as the binding receptor for sialic acid. These lectins are placed into the group of I-type lectins because the lectin domain is an immunoglobulin fold. All Siglecs are extended from the cell surface by C2-type Ig domains which have no binding activity. Siglecs differ in the number of these C2-type domains. As these proteins contain Ig domains, they are members of the Immunoglobulin superfamily (IgSF).

Most Siglecs, such as CD22 and the CD33-related family, contain ITIMs (Immunoreceptor tyrosine-based inhibitory motifs) in their cytosolic region. These act to down-regulate signaling pathways involving phosphorylation, such as those induced by ITAMs (Immunoreceptor tyrosine-based activation motifs).^[6] Some, however, like Siglec-14, contain positive amino acid residues that help dock ITAM-containing adaptor proteins such as DAP12.^[7]

Ligand binding

Due to the acidic nature of sialic acid, Siglec active sites contain a conserved arginine residue which is positively charged at physiological pH. This amino acid forms salt bridges with the carboxyl group of the sugar residue. This is best seen in Sialoadhesin, where arginine at position 97 forms salt bridges with the COO⁻ group of the sialic acid, producing a stable interaction.^[8] Each lectin domain is specific for the linkage that connects sialic acid to the glycan. Sialic acid contains numerous hydroxyl groups which can be involved in the formation of glycosidic linkages, which are observed at carbons number 2, 3, 6, and 8 of the sugar backbone. The binding specificity of each Siglec is due to different chemical interactions between the sugar ligand and the Siglec amino acids. The position in space of the individual groups on the sugar and the protein amino acids affects the sialic acid linkage to which each Siglec binds. For example, Sialoadhesin preferentially binds α2,3 linkages over α2,6 linkages.

Function

The primary function of Siglecs is to bind glycans containing sialic acids. These receptor-glycan interactions can be used in cell adhesion, cell signalling and others. The function of Siglecs is limited to their cellular distribution. For example, MAG is found only on oligodendrocytes and schwann cells whereas Sialoadhesin is localised to macrophages.

Most Siglecs are short and do not extend far from the cell surface. This prevents most Siglecs from binding to other cells as mammalian cells are covered in sialic acid-containing glycans. This means that the majority of Siglecs only bind ligands on the surface of the same cell, so called cis -ligands, as they are "swamped" by glycans on the same cell. One exception is Sialoadhesin which contains 16 C2-Ig domains, producing a long, extended protein allowing it to bind trans-ligands, i.e. ligands found on other cells. Others, such as MAG, have also been shown to bind trans-ligands.

Signalling

The members of the siglec family are paired receptors with opposing intracellular signaling functions.^{[9] [10]} Due to their ITIM-containing cytoplasmic regions, most Siglecs interfere with cellular signalling, inhibiting immune cell activation. Once bound to their ligands, Siglecs recruit inhibitory proteins such as SHP phosphatases via their ITIM domains.^[11] The tyrosine contained within the ITIM is phosphorylated after ligand binding and acts as a docking site for SH2 domain-containing proteins like SHP phosphatases. This leads to de-phosphorylation of cellular proteins, down-regulating activating signalling pathways.

Examples of negative signalling:

• CD22 is found on B cells. B cells become active when the B-cell receptor (BCR) binds to its cognate ligand. Once the BCR is bound to its ligand, the receptor auto-phosphorylates its cytoplasmic region (cytoplasmic tail). This leads to phosphorylation of the three ITIMs in CD22's cytoplasmic tail, leading to the recruitment of SHP-1 which negatively regulates BCR-based cellular activation. This creates an activation threshold for B cell activation whereby transient activation of B cells is prevented.^[12] CD22 inhibition of BCR signalling was originally thought to be sialic acid-binding-independent, but evidence suggests α2,6 sialic acid ligands are required for inhibition.^[13]
• Siglec-7 is found on Natural Killer cells (NK cells). Siglec-7 leads to cellular inactivation once bound to its sialic acid-containing cognate ligand and is found in high levels on NK cell surfaces. It is used in cell-cell contacts, binding to sialylated glycans on target cells leading to inhibition of NK cell-dependent killing of the target cell. Mammalian cells contain high levels of sialic acid and so when NK cells bind so called "self-cells", they are not activated and do not kill host cells.

Siglec-14 contains an arginine residue in its transmembrane region.^[14] This binds to the ITAM-containing DAP10 and DAP12 proteins. When bound to its ligand, Siglec-14 leads to activation of cellular signalling pathways via the DAP10 and DAP12 proteins. These proteins up-regulate phosphorylation cascades involving numerous cellular proteins, leading to cellular activation. Siglec-14 appears to co-localise with Siglec-5, and as this protein inhibits cellular signalling pathways, co-ordinate opposing functions within immune cells.

Phagocytosis and adhesion

Siglecs that can bind trans-ligands, such as Sialoadhesin, allow cell-cell interactions to take place. These glycan-Siglec interactions allow cells to bind one another, allowing signalling in some cases, or in the case of Sialoadhesin, pathogen uptake. Sialoadhesin's function was originally thought to be important in binding to red blood cells. Sialoadhesin lacks a cytosolic ITIM or a positive residue to bind ITAM-containing adaptors and so is thought not to influence signalling. Studies show that this protein is involved in phagocytosis of bacteria that contain highly sialylated glycan structures such as the lipopolysaccharide of Neisseria meningitidis.^[15] Binding to these structures allows the macrophage to phagocytose these bacteria, clearing the system of pathogens.

Siglec-7 is also used in binding to pathogens such as Campylobacter jejuni. This occurs in a sialic acid-dependent manner and brings NK cells and monocytes, on which Siglec-7 is expressed, into contact with these bacteria.^[16] The NK cell is then able to kill these foreign pathogens.

Knock-out studies

Knock-out studies are often used to uncover the function proteins have within a cell. Mice are often used as they express orthologous proteins of ours, or extremely similar homologues.

Some examples of knock-out Siglecs include:

• CD22: Walker & Smith conducted experiments with CD22 knock-outs and deletion mutants to discern CD22's function.^[17] These mutant B cells did not infer any autoimmune disease, but they did see an increased production of autoantibodies due to the lack of BCR signalling inhibition, usually conducted by CD22. Autoantibodies are specific for self proteins and can lead to harm in the host. CD22 is normally up-regulated by lipopolysaccharide binding to Toll-like receptors. The mutant B cells can not up-regulate the mutant protein and so become hyper-sensitive in the presence of lipopolysaccharide. This means that the B cells overproduce antibodies when antibodies would not normally have been produced.
• MAG (Myelin-associated glycoprotein) is expressed on cells that form myelin sheaths (schwann cells and oligodendrocytes) around neurons. MAG binds to sialylated ligands on the neuron. Knock-out of MAG in the peripheral nervous system leads to decreased myelination of neurons. Knock-out of MAG in the central nervous system of mice does not appear to affect myelination, but the interaction between the myelin and the neuron does deteriorate with age. This leads to neurological defects as the action potential can not pass so rapidly down the length of the axon during neural stimulation. Removing the ligand for MAG, by knocking-out the GalNAc transferase gene required for ligand formation, has similar effects to that of the MAG knock-out mice^[18]

Human/Primate Siglecs

Name	Cellular distribution ! Sialic acid linkage specificity	No. of C2-Ig domains ! ITIM or positive residue
Siglec-1 (Sialoadhesin)	Macrophages	α2,3>α2,6	16	None
Siglec-2 (CD22)	B cells	α2,6	6	ITIM
Siglec-3 (CD33)	Myeloid progenitors, Monocytes	α2,6>α2,3^[19]	1	ITIM
Siglec-4 (MAG)	Myelin	α2,3>α2,6	4	None
Siglec-5 (CD170)	Neutrophils, Monocytes	α2,3	3	ITIM
Siglec-6 (CD327)	Trophoblasts, Mast cells	α2,6	2	ITIM
Siglec-7 (CD328)	NK cells	α2,8>α2,6>α2,3	2	ITIM
	Eosinophils, Mast cells	α2,3>α2,6	2	ITIM
Siglec-9 (CD329)	Monocytes, Neutrophils, Dendritic cells	α2,3=α2,6 (prefers sulfated residues)	2	ITIM
	B cells	α2,3=α2,6	4	ITIM
Siglec-11	B cells	α2,8	4	ITIM
Siglec-12^[20]	Macrophages	No binding	2	ITIM
Siglec-13^[21]	Chimpanzee monocytes
Siglec-14	Unknown	α2,6	2	Arginine
Siglec-15	Osteoclasts, Macrophages, DCs ^[22] ^[23]	α2,6^[24]	1	Lysine
Siglec-16^[25]	Tissue macrophages
Siglec-17	NK cells

This table briefly summarises the cellular distribution of each human/primate Siglec; the linkage specificity each has for sialic acid binding; the number of C2-Ig domains it contains; and whether it contains an ITIM or a positive residue to bind ITAM-containing adaptor proteins. References in the column headings correspond to all information displayed in that column, unless other references are shown. Siglec-12 information is referenced by only, excluding the linkage specificity.

Mimetics

Many pathologies have been linked to the spontaneous interactions between sialic acid and the immunosuppressive sialic acid-binding immunoglobulin-like lectin (Siglec) receptors on immune cells such as cancer,^[26] HIV-1^[27] and Group B Strep Infection.^{[28] [29]} The sialic acid family branches from glycans, sugar chains comprising various monosaccharides that cover the membrane of every living cell and display a staggering structural diversity. Sialic acids function in protein folding, neural development, cellular interactions, among many other physiological processes. As sialic acids are abundantly expressed in vertebrates and not in microorganisms, they are considered self-antigens or self-structures that play major role in inhibiting harmful immune system activity by regulating neutrophils and B cell tolerance.^[30]

Within the immune system, Siglecs, especially those related to CD33, sialic acid and Siglec-binding pathogens are subjected to the runaway Red Queen co-evolution phenomenon by a selection pressure that maintains innate immune system's capacity for self-recognition and ensures prevention of autoimmunity diseases.^{[31] [32]} This evolutionary chain and incessant mutations have made Siglecs one of the most rapidly evolving gene, evidenced by both intra- and inter-species differences. The polymorphism of human-unique Siglec-12, -14 and -16 suggests that the selection pressure is ongoing.

As Siglecs feature distinct binding preferences for the sialic acid and its modifications, several attempts have been made to chemically modify natural sialic acid ligands and eventually led to the creation of sialic acid mimetics (SAMs) with enhanced binding capacity and selectivity towards Siglecs.^[33]

Synthesis

SAMs can be used to target Siglecs and modulate Siglec-expressing cells by modifying the sialic acid backbone at various positions, from C-2 to C-9.^{[34] [35]} The carboxylic acid, however, must be left intact. The first attempts were made to develop high-affinity sialic acid mimetics for Siglec-2, which led to the discovery that increased binding affinity came hydrogen bonding and lipophilic interactions between SAMs and Siglec-2. Several separate modifications have been made at the C-2, C-5 and C-9 positions, leading Mesch et al. to hypothesizing that the simultaneous modification at all three positions could lead to optimization of binding.^[36]

Success in drastically enhanced binding of SAMs to Siglec 2 suggests that a similar approach can work on other members of the family. Some modifications have included an additional simultaneous modification at the C-4 position on the sialic acid backbone. The development of (copper) I-catalyzed azide alkyne cycloaddition (CuAAC) click chemistry has expedited the identification of new SAMs and allowed for the creation of novel SAMs with high binding to Siglec-3, -5, -6, -7 and -10.^[37] As of 2017, SAMs for most Siglecs have been reported, except for Siglec -6, -8, -11, -14, -15 and -16.

Clustering of receptors and high-avidity binding, collectively known as multivalent binding, can enhance the effectiveness of SAMs in human body. Currently, advancements in glycoengineering have made use of SAM-decorated nanoparticles, SAM-decorated polymers and on-cell synthesis of SAMs to present SAMs to Siglecs. Liposomes crosslinked with SAMs also have been shown to aid in presenting antigens to antigen-presenting cells via the Siglec-1 or -7 pathways.^[38] Moreover, human cells, engineered with sialic acids carrying Ac₅NeuNPoc incorporated into its sialoglycans and 3-bromo-benzyl azide, showed hyperactivity towards Siglec-2.^[39]

External links

• Functional Glycomics Gateway, a collaboration between the Consortium for Functional Glycomics and Nature Publishing Group
• I-type Lectins (Siglecs) Research conducted at Imperial College London providing another overview of I-type Lectins

Notes and References

1. Crocker PR, Gordon S . Properties and distribution of a lectin-like hemagglutinin differentially expressed by murine stromal tissue macrophages . The Journal of Experimental Medicine . 164 . 6 . 1862–75 . December 1986 . 3783087 . 2188478 . 10.1084/jem.164.6.1862 .
2. Crocker PR, Varki A . Siglecs in the immune system . Immunology . 103 . 2 . 137–45 . June 2001 . 11412300 . 1783234 . 10.1046/j.0019-2805.2001.01241.x .
3. Macauley MS, Crocker PR, Paulson JC . Siglec-mediated regulation of immune cell function in disease . Nature Reviews. Immunology . 14 . 10 . 653–66 . October 2014 . 25234143 . 4191907 . 10.1038/nri3737 .
4. Varki A, Angata T . Siglecs--the major subfamily of I-type lectins . Glycobiology . 16 . 1 . 1R–27R . January 2006 . 16014749 . 10.1093/glycob/cwj008 . free .
5. Crocker PR, Paulson JC, Varki A . Siglecs and their roles in the immune system . Nature Reviews. Immunology . 7 . 4 . 255–66 . April 2007 . 17380156 . 10.1038/nri2056 . 26722878 . free .
6. Daëron M, Jaeger S, Du Pasquier L, Vivier E . Immunoreceptor tyrosine-based inhibition motifs: a quest in the past and future . Immunological Reviews . 224 . 11–43 . August 2008 . 18759918 . 10.1111/j.1600-065X.2008.00666.x . 24902428 .
7. Pillai S, Netravali IA, Cariappa A, Mattoo H . Siglecs and immune regulation . Annual Review of Immunology . 30 . 357–92 . 2012 . 22224769 . 3781015 . 10.1146/annurev-immunol-020711-075018 .
8. Hartnell A, Steel J, Turley H, Jones M, Jackson DG, Crocker PR . Characterization of human sialoadhesin, a sialic acid binding receptor expressed by resident and inflammatory macrophage populations . Blood . 97 . 1 . 288–96 . January 2001 . 11133773 . 10.1182/blood.V97.1.288 .
9. Lenza . María Pia . Atxabal . Unai . Oyenarte . Iker . Jiménez-Barbero . Jesús . Ereño-Orbea . June . Current Status on Therapeutic Molecules Targeting Siglec Receptors . Cells . 2020-12-15 . 9 . 12 . 2691 . 10.3390/cells9122691. 33333862 . 7765293 . free .
10. Akkaya . Munir . Barclay . A. Neil . How do pathogens drive the evolution of paired receptors?: HIGHLIGHTS . European Journal of Immunology . February 2013 . 43 . 2 . 303–313 . 10.1002/eji.201242896. 23280392 . 677081 . free .
11. Avril T, Floyd H, Lopez F, Vivier E, Crocker PR . The membrane-proximal immunoreceptor tyrosine-based inhibitory motif is critical for the inhibitory signaling mediated by Siglecs-7 and -9, CD33-related Siglecs expressed on human monocytes and NK cells . Journal of Immunology . 173 . 11 . 6841–9 . December 2004 . 15557178 . 10.4049/jimmunol.173.11.6841 . free .
12. Nitschke L, Carsetti R, Ocker B, Köhler G, Lamers MC . CD22 is a negative regulator of B-cell receptor signalling . Current Biology . 7 . 2 . 133–43 . February 1997 . 9016707 . 10.1016/S0960-9822(06)00057-1 . free . 1997CBio....7..133N .
13. Nitschke L, Tsubata T . Molecular interactions regulate BCR signal inhibition by CD22 and CD72 . Trends in Immunology . 25 . 10 . 543–50 . October 2004 . 15364057 . 10.1016/j.it.2004.08.002 .
14. Angata T, Hayakawa T, Yamanaka M, Varki A, Nakamura M . Discovery of Siglec-14, a novel sialic acid receptor undergoing concerted evolution with Siglec-5 in primates . FASEB Journal . 20 . 12 . 1964–73 . October 2006 . 17012248 . 10.1096/fj.06-5800com . free. 13740587 .
15. Jones C, Virji M, Crocker PR . Recognition of sialylated meningococcal lipopolysaccharide by siglecs expressed on myeloid cells leads to enhanced bacterial uptake . Molecular Microbiology . 49 . 5 . 1213–25 . September 2003 . 12940982 . 10.1046/j.1365-2958.2003.03634.x . 22620398 .
16. Avril T, Wagner ER, Willison HJ, Crocker PR . Sialic acid-binding immunoglobulin-like lectin 7 mediates selective recognition of sialylated glycans expressed on Campylobacter jejuni lipooligosaccharides . Infection and Immunity . 74 . 7 . 4133–41 . July 2006 . 16790787 . 1489752 . 10.1128/IAI.02094-05 .
17. Walker JA, Smith KG . CD22: an inhibitory enigma . Immunology . 123 . 3 . 314–25 . March 2008 . 18067554 . 2433339 . 10.1111/j.1365-2567.2007.02752.x .
18. Book: Taylor . Maureen E. . Drickamer . Kurt . vanc . Introduction to Glycobiology . 3rd . . 2011 . 228–235 . Chapter 12: Glycobiology and Development . 978-0-19-956911-3.
19. Razi N, Varki A . Cryptic sialic acid binding lectins on human blood leukocytes can be unmasked by sialidase treatment or cellular activation . Glycobiology . 9 . 11 . 1225–34 . November 1999 . 10536038 . 10.1093/glycob/9.11.1225 . free .
20. Mitra N, Banda K, Altheide TK, Schaffer L, Johnson-Pais TL, Beuten J, Leach RJ, Angata T, Varki N, Varki A . SIGLEC12, a human-specific segregating (pseudo)gene, encodes a signaling molecule expressed in prostate carcinomas . The Journal of Biological Chemistry . 286 . 26 . 23003–11 . July 2011 . 21555517 . 3123068 . 10.1074/jbc.M111.244152 . free .
21. Wang X, Mitra N, Secundino I, Banda K, Cruz P, Padler-Karavani V, Verhagen A, Reid C, Lari M, Rizzi E, Balsamo C, Corti G, De Bellis G, Longo L, Beggs W, Caramelli D, Tishkoff SA, Hayakawa T, Green ED, Mullikin JC, Nizet V, Bui J, Varki A . Specific inactivation of two immunomodulatory SIGLEC genes during human evolution . Proceedings of the National Academy of Sciences of the United States of America . 109 . 25 . 9935–40 . June 2012 . 22665810 . 10.1073/pnas.1119459109 . 3382539 . 2012PNAS..109.9935W . free .
22. Kameda . Yusuke . Takahata . Masahiko . Komatsu . Miki . Mikuni . Shintaro . Hatakeyama . Shigetsugu . Shimizu . Tomohiro . Angata . Takashi . Kinjo . Masataka . Minami . Akio . Iwasaki . Norimasa . Siglec-15 regulates osteoclast differentiation by modulating RANKL-induced phosphatidylinositol 3-kinase/Akt and Erk pathways in association with signaling Adaptor DAP12 . Journal of Bone and Mineral Research . 28 . 12 . 2463–2475 . 10.1002/jbmr.1989 . 23677868 . December 2013. 36545506 . free .
23. Angata . T . Tabuchi . Y . Nakamura . K . Siglec-15: an immune system Siglec conserved throughout vertebrate evolution . Glycobiology . Aug 2007 . 17 . 8 . 838–46. 10.1093/glycob/cwm049 . 17483134 . free .
24. Angata T, Tabuchi Y, Nakamura K, Nakamura M . Siglec-15: an immune system Siglec conserved throughout vertebrate evolution . Glycobiology . 17 . 8 . 838–46 . August 2007 . 17483134 . 10.1093/glycob/cwm049 . free .
25. Cao H, Lakner U, de Bono B, Traherne JA, Trowsdale J, Barrow AD . SIGLEC16 encodes a DAP12-associated receptor expressed in macrophages that evolved from its inhibitory counterpart SIGLEC11 and has functional and non-functional alleles in humans . European Journal of Immunology . 38 . 8 . 2303–15 . August 2008 . 18629938 . 10.1002/eji.200738078 . free .
26. van Rees DJ, Szilagyi K, Kuijpers TW, Matlung HL, van den Berg TK . Immunoreceptors on neutrophils . Seminars in Immunology . 28 . 2 . 94–108 . April 2016 . 26976825 . 10.1016/j.smim.2016.02.004 . 7129252 .
27. Martinez-Picado J, McLaren PJ, Telenti A, Izquierdo-Useros N . Retroviruses As Myeloid Cell Riders: What Natural Human Siglec-1 "Knockouts" Tell Us About Pathogenesis . Frontiers in Immunology . 8 . 1593 . 2017-11-21 . 29209326 . 5702442 . 10.3389/fimmu.2017.01593 . free .
28. Surolia I, Pirnie SP, Chellappa V, Taylor KN, Cariappa A, Moya J, Liu H, Bell DW, Driscoll DR, Diederichs S, Haider K, Netravali I, Le S, Elia R, Dow E, Lee A, Freudenberg J, De Jager PL, Chretien Y, Varki A, MacDonald ME, Gillis T, Behrens TW, Bloch D, Collier D, Korzenik J, Podolsky DK, Hafler D, Murali M, Sands B, Stone JH, Gregersen PK, Pillai S . Functionally defective germline variants of sialic acid acetylesterase in autoimmunity . Nature . 466 . 7303 . 243–7 . July 2010 . 20555325 . 10.1038/nature09115 . 2900412 . 2010Natur.466..243S .
29. Chen W, Han C, Xie B, Hu X, Yu Q, Shi L, Wang Q, Li D, Wang J, Zheng P, Liu Y, Cao X . Induction of Siglec-G by RNA viruses inhibits the innate immune response by promoting RIG-I degradation . Cell . 152 . 3 . 467–78 . January 2013 . 23374343 . 10.1016/j.cell.2013.01.011 . free .
30. Nitschke L . CD22 and Siglec-G regulate inhibition of B-cell signaling by sialic acid ligand binding and control B-cell tolerance . Glycobiology . 24 . 9 . 807–17 . September 2014 . 25002414 . 10.1093/glycob/cwu066 . free .
31. Book: Biochemical Roles of Eukaryotic Cell Surface Macromolecules. 842. Schwarz. Flavio. Fong. Jerry J.. Varki. Ajit . Human-Specific Evolutionary Changes in the Biology of Siglecs . vanc . 2015. Springer, Cham. 9783319112794. Advances in Experimental Medicine and Biology. 1–16. en. 10.1007/978-3-319-11280-0_1. 25408333.
32. Varki A . Are humans prone to autoimmunity? Implications from evolutionary changes in hominin sialic acid biology . Journal of Autoimmunity . 83 . 134–142 . September 2017 . 28755952 . 10.1016/j.jaut.2017.07.011 .
33. Büll C, Heise T, Adema GJ, Boltje TJ . Sialic Acid Mimetics to Target the Sialic Acid-Siglec Axis . Trends in Biochemical Sciences . 41 . 6 . 519–531 . June 2016 . 27085506 . 10.1016/j.tibs.2016.03.007 . 2066/166259 . free .
34. Angata T, Nycholat CM, Macauley MS . Therapeutic Targeting of Siglecs using Antibody- and Glycan-Based Approaches . Trends in Pharmacological Sciences . 36 . 10 . 645–660 . October 2015 . 26435210 . 4593978 . 10.1016/j.tips.2015.06.008 .
35. Hudak JE, Bertozzi CR . Glycotherapy: new advances inspire a reemergence of glycans in medicine . Chemistry & Biology . 21 . 1 . 16–37 . January 2014 . 24269151 . 4111574 . 10.1016/j.chembiol.2013.09.010 .
36. Mesch S, Lemme K, Wittwer M, Koliwer-Brandl H, Schwardt O, Kelm S, Ernst B . From a library of MAG antagonists to nanomolar CD22 ligands . ChemMedChem . 7 . 1 . 134–43 . January 2012 . 21990163 . 10.1002/cmdc.201100407 . 28028027 .
37. Rillahan CD, Schwartz E, Rademacher C, McBride R, Rangarajan J, Fokin VV, Paulson JC . On-chip synthesis and screening of a sialoside library yields a high affinity ligand for Siglec-7 . ACS Chemical Biology . 8 . 7 . 1417–22 . July 2013 . 23597400 . 10.1021/cb400125w . 3751994 .
38. Chen WC, Kawasaki N, Nycholat CM, Han S, Pilotte J, Crocker PR, Paulson JC . Antigen delivery to macrophages using liposomal nanoparticles targeting sialoadhesin/CD169 . PLOS ONE . 7 . 6 . e39039 . 2012-06-19 . 22723922 . 3378521 . 10.1371/journal.pone.0039039 . 2012PLoSO...739039C . free .
39. Büll C, Heise T, Beurskens DM, Riemersma M, Ashikov A, Rutjes FP, van Kuppevelt TH, Lefeber DJ, den Brok MH, Adema GJ, Boltje TJ . Sialic Acid Glycoengineering Using an Unnatural Sialic Acid for the Detection of Sialoglycan Biosynthesis Defects and On-Cell Synthesis of Siglec Ligands . ACS Chemical Biology . 10 . 10 . 2353–63 . October 2015 . 26258433 . 10.1021/acschembio.5b00501 . 2066/152725 . free .