How Siglec-2/CD22 Is Rewriting the Therapeutic Landscape of B-Cell Malignancies

This article describes the mechanism of action of Siglec-2/CD22, expounds the expression roles of Siglec-2/CD22 in the development, activation, and functional regulation of B cells, and illustrates their importance.

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Recent Advances

From CAR-T to ADC,How Siglec-2/CD22 Is Rewriting the Therapeutic Landscape of B-Cell Malignancies

  

Siglec-2/CD22, a key member of the sialic acid-binding immunoglobulin-like lectin (Siglec) family, belongs to the immunoglobulin gene superfamily. As a type I transmembrane protein, Siglec-2/CD22 plays a central role in B-cell development, activation, and functional regulation. Its aberrant expression is closely associated with various malignant and autoimmune diseases, emerging as a hot target in biomedical research.

  

I. Molecular Characteristics and Functional Mechanisms of Siglec-2/CD22

Figure. Structure and signaling pathway of Siglec-2/CD22

  

Siglec-2/CD22 has a molecular weight of 135 kDa, with its extracellular domain composed of seven immunoglobulin-like domains that specifically bind α2,6-linked sialic acid (α2,6Sia) ligands. This binding regulates B-cell functions through two modes:

 

  • Cis-interaction: Siglec-2/CD22 binds to self-sialylated ligands on B-cell surfaces, forming nanoscale clustered structures sequestered in clathrin-rich membrane microdomains to inhibit B-cell receptor (BCR) signaling.
  • Trans-interaction: Siglec-2/CD22 binds to sialylated ligands on other cells, regulating B-cell migration and BCR signaling thresholds. When crosslinked with BCR, its intracellular immunoreceptor tyrosine-based inhibitory motifs (ITIMs) are phosphorylated, recruiting tyrosine phosphatase SHP-1 to dephosphorylate downstream signaling proteins, ultimately suppressing B-cell activation.

 

This dual regulatory mechanism establishes Siglec-2/CD22 as a key molecule for maintaining humoral immune homeostasis. Siglec-2/CD22-deficient mice exhibit excessive B-cell activation, increased autoantibody production, and systemic autoimmune symptoms, confirming its core role in preventing autoimmune diseases.
  

II. Aberrant Expression and Pathogenic Mechanisms of Siglec-2/CD22 in Diseases

B-Cell Malignancies
Siglec-2/CD22 is highly expressed on the surface of over 90% of acute lymphoblastic leukemia (B-ALL), non-Hodgkin lymphoma (NHL), and hairy cell leukemia (HCL) cells, while lost in plasma cells. Its expression pattern correlates with disease progression:

 

  • Drug resistance mechanism: Approximately 30% of relapsed patients after CD19 CAR-T therapy show CD19 loss, while Siglec-2/CD22 CAR-T overcomes this resistance. However, some patients escape treatment through downregulated Siglec-2/CD22 expression (Siglec-2/CD22−/dim disease).
  • Prognostic marker: The endocytic property of Siglec-2/CD22 makes it an ideal target for antibody-drug conjugates (ADCs). Tumor cells with high Siglec-2/CD22 expression efficiently internalize ADCs, releasing cytotoxic drugs (e.g., ozogamicin) for precise tumor cell killing.
  
Autoimmune Diseases
Siglec-2/CD22 functional deficiency is linked to the pathogenesis of systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), and other autoimmune diseases:

 

  • Signaling pathway dysregulation: Siglec-2/CD22 suppresses BCR signaling to prevent autoreactive B-cell activation. Siglec-2/CD22 deficiency leads to excessive B-cell responses to self-antigens, producing autoantibodies like antinuclear antibodies.
  • Microglia regulation: In Alzheimer’s disease (AD), Siglec-2/CD22 is expressed on microglia, and its binding to sialylated ligands inhibits microglial phagocytosis of β-amyloid (Aβ). Elevated plasma soluble Siglec-2/CD22 (sSiglec-2/CD22) levels positively correlate with brain Aβ deposition and cognitive decline in AD patients, suggesting Siglec-2/CD22 as a potential biomarker and therapeutic target for AD.

   

III. Development and Application of Siglec-2/CD22-Targeted Drugs

Antibody-Drug Conjugates (ADCs)
ADCs deliver cytotoxic drugs to tumor cells via antibody-specific binding to Siglec-2/CD22:

 

  • Inotuzumab ozogamicin: The first global ADC approved for relapsed/refractory B-ALL, achieving a complete response rate (CR) of 58% and a median overall survival (OS) of 7.7 months.
  • Moxetumomab pasudotox: A Siglec-2/CD22 ADC for hairy cell leukemia, inhibiting protein synthesis through catalytic pseudotoxin, with a CR rate of 41% and good tolerability.
  
CAR-T Cell Therapy
Siglec-2/CD22 CAR-T modifies T cells to express chimeric antigen receptors targeting Siglec-2/CD22, demonstrating significant efficacy:

 

  • Clinical data: In a phase I trial, 58 Siglec-2/CD22+ B-cell malignancy patients received Siglec-2/CD22 CAR-T therapy, achieving a CR rate of 70% and median OS of 13.4 months. However, two grade 5 adverse events (related to cytokine release syndrome) occurred in the high-dose group (3×10⁶/kg), indicating the need to optimize dosing regimens.
  • Combination strategy: Combining Siglec-2/CD22 CAR-T with CD19 CAR-T overcomes antigen escape, achieving a 93% CR rate in relapsed/refractory B-ALL.
  
Monoclonal Antibodies
  • Suciraslimab: The world’s first Siglec-2/CD22 monoclonal antibody (mAb) filed for 上市 (marketing), used to treat rheumatoid arthritis. It restores B-cell signaling regulation by blocking Siglec-2/CD22 binding to sialylated ligands, reducing autoantibody production.
  • Epratuzumab: An immunomodulatory Siglec-2/CD22 mAb that induces Siglec-2/CD22 phosphorylation and downregulates BCR expression, significantly reducing disease activity scores (SLEDAI) in SLE patients.

 

Research on Siglec-2/CD22 not only deepens our understanding of B-cell immune regulation but also provides innovative solutions for treating malignant and autoimmune diseases. With continuous advancements in targeting technologies, Siglec-2/CD22 is poised to become a key therapeutic target in more disease areas.
  

Related Products Recommendation

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Expression System

UA011196

Alexa Fluor 647-Labeled Siglec-2/CD22 His Tag Protein, Human

HEK293

UA011227

PE-Labeled Siglec-2/CD22 Fc&Avi Tag Protein, Human

HEK293

UA011228

PE-Labeled Siglec-2/CD22 His&Avi Tag Protein, Human

HEK293

UA010426

Biotinylated Siglec-2 Fc&Avi Tag Protein, Human

HEK293

UA011007

Biotinylated Siglec-2 His&Avi Tag Protein, Human

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UA010679

Siglec-2/CD22 His Tag Protein, Human

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Siglec-2/CD22 Fc Chimera Protein, Human

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Siglec-2/CD22 His Tag Protein, Mouse

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Siglec-2/CD22 His Tag Protein, Rat

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Partial Data Presentation:

Alexa Fluor 647-Labeled Siglec-2/CD22 His Tag Protein, Human Product Number: UA011196

5e5 of transient transfected anti-Siglec-2 ScFv CAR-293 cells were stained with 0.1ug Alexa Fluor 647 Labeled-Siglec-2 His Tag Protein, Human, (Cat. No. UA011196) and unlable respectively (Fig. C and B), and non-transfected 293 cells were used as a control (Fig. A). Alexa Fluor 647 signal was used to evaluate the binding activity.

5e5 of transient transfected anti-Siglec-2 ScFv CAR-293 cells were stained with 0.1ug Siglec-2 His Tag Protein, Human (Cat. No. UA010679) and competitor respectively (Fig. D and E). APC signal was used to evaluate the binding activity.

  

Biotinylated Siglec-2 Fc&Avi Tag Protein, Human Product Number:UA010426


2e5 of transient transfected anti-Siglec-2 ScFv CAR-293 cells were stained with 0.1ug Biotinylated Siglec-2 Fc&Avi Tag Protein, Human, (Cat. No. UA010426) and unlabel respectively (Fig. C and B), and non-transfected 293 cells were used as a control (Fig. A). PE signal was used to evaluate the binding activity. 2e5 of transient transfected anti-Siglec-2 ScFv CAR-293 cells were stained with competitor respectively (Fig. D). APC signal was used to evaluate the binding activity. 2e5 of transient transfected anti-Siglec-2 ScFv CAR-293 cells were stained with isotype and Whitlow/218 Linker-Alexa Fluor® 488 (Fig. E and F). Alexa Fluor® 488 signal was used to evaluate the binding activity.


Immobilized Anti-Human CD22 Monoclonal Antibody(Pinbio) at 1.0μg/mL (100μL/well) can bind Biotinylated Siglec-2 Fc&Avi Tag Protein, Human (Cat. No. UA010426) with EC50 of 1.92-2.95ng/mL.

  
Click on the product catalog numbers below to access detailed information on our official website.
  

 

This article is reviewed and published by the technical expert team of UA

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Reference
  1. Amandeep Aujla; Ravijot Aujla; Delong Liu. Inotuzumab ozogamicin in clinical development for acute lymphoblastic leukemia and non-Hodgkin lymphoma.Biomarker Research.2019.
  2. Evangelia Kokalaki; Bin Ma; Mathieu Ferrari; Thomas Grothier; Warren Hazelton; et al. Dual targeting of CD19 and CD22 against B-ALL using a novel high-sensitivity aCD22 CAR. Molecular Therapy.2023.
  3. Lijun Zhao; Shuhong Li; Xiaoyi Wei; Xuexiu Qi; Qiaoru Guo; et al.A novel loop-structure-based bispecifc CAR that targets CD19 and CD22 with enhanced therapeutic effcacy against B-cell malignancies. Protein & Cell.2024.
  4. Carolin S. Escherich; Zhenhua Li; Kelly R. Barnett; Yizhen Li; Megan Walker; et al. Differentiation-dependent EBF1 Activity Determines CD22 Transcription and Leukemia Sensitivity to Inotuzumab Ozogamicin. Blood.2025.
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