Xenotransplantation is a potential solution to the shortage of human organ donors, yet acute and chronic rejection remain major barriers. This study examined the role of human Sialoadhesin (Siglec-1/CD169), a sialic acid-binding receptor, in recognizi...
Xenotransplantation is a potential solution to the shortage of human organ donors, yet acute and chronic rejection remain major barriers. This study examined the role of human Sialoadhesin (Siglec-1/CD169), a sialic acid-binding receptor, in recognizing porcine cells due to glycan incompatibility, and assessed candidate molecules targeting hSiglec-1 for their ability to suppress macrophage-driven inflammation and phagocytosis. An AI-based protein structure prediction model was used to screen 1,615 candidate molecules for hSiglec-1 binding. THP-1 monocytes were differentiated into high Siglec-1-expressing M1 macrophages via PMA, LPS, and IFN-γ stimulation. Cells were treated with anti-hSiglec-1 antibody or candidate molecules, then co-cultured with porcine endothelial cells (PECs) or triple-knockout porcine red blood cells (pTKO RBCs) to evaluate cytokine production and phagocytic activity. hSiglec-1 was identified as a key mediator of M1 macrophage responses to PECs. Three candidate molecules markedly reduced pro- inflammatory cytokines (TNF-α, IL-6, IL-12) and coagulation factors (Tissue factor, Thrombospondin-1, PAR-1). Two also significantly suppressed phagocytosis of pTKO RBCs. In this study, we nominated hSiglec-1 as a promising therapeutic target for mitigating macrophage-mediated inflammation and phagocytosis in xenotransplantation. Leveraging molecules with hSiglec-1-binding potential may offer a practical strategy to improve graft survival and reduce rejection risk.