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Comprehensive Profiling Reveals Sialyl-Tn Upregulation and Prognostic Value in Prostate Cancer

Lookup NU author(s): Dr Kirsty HodgsonORCiD, Libby Blencoe, Erin Smith, Dr Aswini Sasikumar Sasikumar, Jess Peng, Maggie Orozco MorenoORCiD, Dr Jennifer MunkleyORCiD

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Abstract

© 2026 The Author(s). Pathology International published by Japanese Society of Pathology and John Wiley & Sons Australia, Ltd. Prostate cancer is a common cancer in males and there is an urgent unmet clinical need to identify new therapies for advanced disease. Aberrant glycosylation is a hallmark of prostate cancer and plays a functional role in disease progression. The sialyl-Tn antigen (sTn) has been widely studied in cancer, yet its involvement in prostate cancer remains relatively unexplored. Here, we utilise a novel anti-sTn antibody (L2A5) to comprehensively monitor sTn expression levels in clinical prostate cancer tissues encompassing normal, benign, primary, metastatic castration-resistant prostate cancer (CRPC), and in patient-derived xenograft (PDX) tissues. We show that while sTn is detected at low or negligible levels in normal prostate tissues, it is expressed in 44% of prostate tumours, and prostate cancer patients with high sTn levels have significantly poorer survival times. Analysis of metastatic therapy-resistant prostate-derived tumours growing in the liver and bone shows sTn is expressed in 37.5% of cases. Furthermore, sTn is expressed in nearly half of the PDX models tested and was found to be broadly androgen-regulated. These findings identify sTn as a potential prognostic biomarker and therapeutic target in prostate cancer and lay the groundwork for the development of sTn-targeted precision therapies for advanced disease.


Publication metadata

Author(s): Hodgson K, Blencoe L, Smith E, Sasikumar A, Peng Z, Orozco-Moreno M, Beatson R, Videira PA, Munkley J

Publication type: Article

Publication status: Published

Journal: Pathology International

Year: 2026

Volume: 76

Issue: 6

Online publication date: 22/06/2026

Acceptance date: 09/06/2026

ISSN (print): 1320-5463

ISSN (electronic): 1440-1827

Publisher: John Wiley and Sons Inc.

URL: https://doi.org/10.1111/pin.70140

DOI: 10.1111/pin.70140


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Funding

Funder referenceFunder name
Bob Willis Fund
Department of Defense Prostate Cancer Biorepository Network (PCBN) (W81XWH-14-2-0183)
FCT - Fundação para a Ciência e Tecnologia, I.P.
Institute for Prostate Cancer Research (IPCR)
Medical Research Council [MR/R015902/1]
Mark Foundation for Cancer Research (grant references 6961 and 6974)
Prostate Cancer UK
Research Innovation Awards [RIA16-ST2-011 and RIA21-ST2-006]
Pacific Northwest Prostate Cancer SPORE (P50CA97186)
Prostate Cancer Foundation
Prostate Cancer Research

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