Cancer is a deadly disease that encompasses numerous cellular modifications. Among them, alterations in glycosylation are a proven reliable hallmark of cancer, with most biomarkers used in the clinic detecting cancer-associated glycans. Despite their clear potential as therapy targets, glycans have been overlooked in drug discovery strategies. The complexity associated with the glycosylation process, and lack of specific methodologies to study it, have long hampered progress. However, recent advances in new methodologies, such as glycoengineering of cells and high-throughput screening (HTS), have opened new avenues of discovery. We envision that glycan-based targeting has the potential to start a new era of cancer therapy. In this article, we discuss the promise of cancer-associated glycosylation for the discovery of effective cancer drugs.
What Are We Still Missing in Cancer Treatment?Cancer is one of the leading causes of global mortality. According to the World Health Organization, cancer was responsible for an estimated 9.6 million deaths in 2018. The traditional methods of cancer management are chemotherapy, radiation therapy, and surgery. The success of such strategies relies on several factors, such as the type of tumor and stage of the disease. Unfortunately, the majority of tumors are detected in an advanced stage, leading to treatment failure. This therapeutic failure often results in tumor recurrence and metastasis, which accounts for approximately 90% of cancer deaths [1].
HighlightsCancer is a leading cause of death, mainly due to the lack of efficacy of existing cancer treatments, such as chemotherapy and radiotherapy.Aberrant protein glycosylation is a hallmark of cancer and specific glycans actively drive tumor development and progression.