Oligosaccharides play a pivotal role in human biology, influencing a myriad of processes across
physiology and pathology. Among them, the tetrasaccharide sialyl Lewis-X (sLeX) is particularly
noteworthy for its critical role in the immune response, especially in mediating the rolling and
adhesion of leukocytes along the endothelium through its interaction with the E-selectin lectin. This
rolling mechanism is essential for the recruitment of immune cells to sites of inflammation,
underscoring the therapeutic potential of targeting this interaction.
LeX, a trisaccharide subunit of sLeX, exhibits a highly preorganized conformation that intriguingly
lacks conventional hydrogen bonding. However, due to the poor drug-likeness, converting
oligosaccharides like sLeX into viable therapeutics requires a comprehensive understanding of their
molecular characteristics. This includes not only identifying key structural features but also finetuning
existing stabilization forces, that govern their bioactive conformations.
This presentation will demonstrate how advanced structure-based modeling and computational
methods can be utilized to decipher and optimize the key intra- and intermolecular interactions in
carbohydrate leads. By refining our ability to manipulate the conformational pre-organization and
stabilization forces within oligosaccharides, we can enhance their binding affinity and specificity.
Recent successes and ongoing challenges in the development of oligosaccharide-based antagonists
targeting E-selectin will be presented, paving the way for novel therapeutic strategies in the
treatment of inflammatory and related diseases.