ST6GALNAC5 (ST6 N-acetylneuraminic Acid Alpha-2,6-Sialyltransferase 5) <table class="infobox infobox-protein"> <tr> <th class="infobox-header" colspan="2">st6galnac5-protein</th> </tr> <tr> <td class="label">Gene Symbol</td> <td>ST6GALNAC5 (SIAT7B)</td> </tr> <tr> <td class="label">UniProt</td> <td>[Q9UNP4](https://www.uniprot.org/uniprot/Q9UNP4)</td> </tr> <tr> <td class="label">Molecular Weight</td> <td>~50 kDa</td> </tr> <tr> <td class="label">Length</td> <td>450 amino acids</td> </tr> <tr> <td class="label">Subcellular Localization</td> <td>Golgi apparatus (membrane-bound)</td> </tr> <tr> <td class="label">Protein Family</td> <td>CAZy family GH29 (alpha-N-acetylgalactosaminidases) + GT38 (alpha-2,6-sialyltransferases)</td> </tr> <tr> <td class="label">Chromosome</td> <td>1p31.3</td> </tr> <tr> <td class="label">Approach</td> <td>Status</td> </tr> <tr> <td class="label">AAV-mediated knockdown</td> <td>Preclinical</td> </tr> <tr> <td class="label">Small molecule inhibitors</td> <td>Early discovery</td> </tr> <tr> <td class="label">Antibody-based approaches</td> <td>Theoretical</td> </tr> <tr> <td class="label">Gene therapy</td> <td>Preclinical</td> </tr> <tr> <td class="label">KG Connections</td> <td><a href="/atlas" style="color:#4fc3f7">2 edges</a></td> </tr> </table>
Overview bfe67bb53c3c532ef4237fa3323691ae27404769
Structure ...
ST6GALNAC5 (ST6 N-acetylneuraminic Acid Alpha-2,6-Sialyltransferase 5) <table class="infobox infobox-protein"> <tr> <th class="infobox-header" colspan="2">st6galnac5-protein</th> </tr> <tr> <td class="label">Gene Symbol</td> <td>ST6GALNAC5 (SIAT7B)</td> </tr> <tr> <td class="label">UniProt</td> <td>[Q9UNP4](https://www.uniprot.org/uniprot/Q9UNP4)</td> </tr> <tr> <td class="label">Molecular Weight</td> <td>~50 kDa</td> </tr> <tr> <td class="label">Length</td> <td>450 amino acids</td> </tr> <tr> <td class="label">Subcellular Localization</td> <td>Golgi apparatus (membrane-bound)</td> </tr> <tr> <td class="label">Protein Family</td> <td>CAZy family GH29 (alpha-N-acetylgalactosaminidases) + GT38 (alpha-2,6-sialyltransferases)</td> </tr> <tr> <td class="label">Chromosome</td> <td>1p31.3</td> </tr> <tr> <td class="label">Approach</td> <td>Status</td> </tr> <tr> <td class="label">AAV-mediated knockdown</td> <td>Preclinical</td> </tr> <tr> <td class="label">Small molecule inhibitors</td> <td>Early discovery</td> </tr> <tr> <td class="label">Antibody-based approaches</td> <td>Theoretical</td> </tr> <tr> <td class="label">Gene therapy</td> <td>Preclinical</td> </tr> <tr> <td class="label">KG Connections</td> <td><a href="/atlas" style="color:#4fc3f7">2 edges</a></td> </tr> </table>
Overview bfe67bb53c3c532ef4237fa3323691ae27404769
Structure ST6GALNAC5 is a type II transmembrane protein with the following structural organization: [@huang2022]
Domain organization:
N-terminal transmembrane domain : Anchors the enzyme in the Golgi membrane
Stem region : Short region connecting TM to catalytic domain
Catalytic domain : Contains the sialyltransferase active site with a DXH motif and a second histidine for donor substrate binding
ST6GALNAC5 differs from the related ST6GAL1 (widely expressed in liver and many tissues) in its cell type specificity, substrate preference, and brain-enriched expression pattern. [@boscher2021]
bfe67bb53c3c532ef4237fa3323691ae27404769
Under physiological conditions, ST6GALNAC5 participates in glycosylation remodeling that supports normal astrocyte function: [@voss2023]
Astrocyte-Neuron Communication Astrocytes use sialylated glycoproteins to communicate with neurons:
Surface signaling : Sialylated proteins on astrocyte surface interact with siglec receptors on neurons
Synaptic support : Normal astrocyte sialylation contributes to synaptic maintenance and function
Ion regulation : Astrocyte sialylated proteins participate in potassium siphoning
Brain Development During development, ST6GALNAC5 is involved in:
Neuronal migration (sialylated proteins on glial cells guide migrating neurons)
Synaptogenesis (astrocyte-derived sialylated factors promote synapse formation)
Axon guidance (glycosylation patterns create molecular cues)
Glycosylation Homeostasis The enzyme maintains the balance of sialylated glycoconjugates in the brain:
Modifies surface proteins of astrocytes with alpha-2,6-linked sialic acid
Sialylated proteins can regulate complement activation and immune recognition
Contributes to the glycocalyx of astrocyte end-feet at the neurovascular unit
Role in Alzheimer's Disease
Astrocyte Reactivity In AD, astrocytes become reactive (astrogliosis) and ST6GALNAC5 expression is significantly upregulated: [@stgalnac2024]
Aβ exposure response : Exposure to amyloid-beta oligomers induces ST6GALNAC5 transcription
Synaptic toxicity mechanism : Elevated ST6GALNAC5 in astrocytes drives synaptic loss through a non-cell-autonomous mechanism
Sialic acid accumulation : Increased ST6GALNAC5 leads to hyper-sialylation of astrocyte surface proteins, altering their signaling properties
A 2024 Nature Neuroscience study demonstrated: [@stgalnac2024]
ST6GALNAC5 is specifically upregulated in reactive astrocytes in AD brains
Astrocyte-specific knockdown of ST6GALNAC5 improves spatial memory in 5xFAD AD mouse models
Synaptic integrity is preserved in the hippocampus when ST6GALNAC5 is reduced
Neuroinflammation is reduced through modulation of astrocyte activation state
Astrocyte-to-neuron signaling is normalized when ST6GALNAC5 is silenced
Mechanism The current model proposes: [@li2023]
Mermaid diagram (expand to render)
Downstream Pathways
Siglec receptor dysregulation : Sialylated astrocyte proteins engage inhibitory Siglec receptors on neurons, suppressing survival signaling
Cytokine dysregulation : ST6GALNAC5 knockdown reduces IL-1β, TNF-α, and IL-6 release from astrocytes
Synaptic protein loss : Presynaptic markers (synaptophysin, vGLUT1) are preserved when ST6GALNAC5 is reduced
Connection to Other AD Pathologies
Amyloid-Beta
ST6GALNAC5 expression is induced by Aβ oligomers through NF-κB pathway activation
Sialylated proteins may facilitate Aβ aggregation or its effects on glia
Reduction of ST6GALNAC5 protects against Aβ-induced synaptic loss
Tau Pathology
Indirect effects through neuroinflammation
Synaptic protection appears partially independent of tau pathology
May affect tau spread by modulating astrocyte-mediated phagocytosis
Therapeutic Potential ST6GALNAC5 is an attractive therapeutic target because: [@kremer2021]
Astrocyte-specific expression provides tissue/cell type selectivity
Knockdown shows clear benefit in animal models of AD
Astrocyte-targeting is feasible with AAV vectors (e.g., GFAP promoter-driven shRNA)
Glycosylation in Neurodegeneration ST6GALNAC5 is part of a broader picture linking glycosylation to neurodegeneration: [@boscher2021]
Altered glycosylation is observed across neurodegenerative diseases
Siglec receptors (sialic acid-binding immunoglobulin-type lectins) are key mediators of glia-neuron cross-talk
Sialic acid metabolism is increasingly recognized as a modulator of neuroinflammation
Other sialyltransferases implicated in brain function include:
ST3GAL1/ST3GAL2 : Alpha-2,3-sialylation; roles in synaptic gangliosides
ST6GAL1 : Systemic sialylation; linked to inflammation
ST8SIA1/ST8SIA2 : Polysialic acid synthesis; neural plasticity
See Also
[Astrocytes in Alzheimer's Disease](/cell-types/astrocytes-alzheimers)
[Neuroinflammation](/mechanisms/neuroinflammation)
[Synaptic Dysfunction in AD](/mechanisms/synaptic-dysfunction-hypothesis)
[Amyloid-Beta Oligomers](/proteins/amyloid-beta)
[Glycosylation in Neurodegeneration](/mechanisms/glycosylation-neurodegeneration)
[Siglec Receptors](/mechanisms/siglec-receptors)
External Links bfe67bb53c3c532ef4237fa3323691ae27404769
Show full description