Contract for a DESIGN STUDY Implemented as a SPECIFIC SUPPORT ACTION EuroCarbDB http://www.eurocarbdb.org/ Design Studies related to the development of distributed, Web-based European Carbohydrate Data Bases Life Sciences, Genomics and Biotechnology for Health RIDS Contract number 011952 Design Study DS1: Definition of standards, rules and formats for the biological and analytical data to be collected. Definition of good practice, recommendations of procedures for quality control. Task Title: Recommendations for standards, digital formats and quality measures Deliverable DS1-SUB1: Report: “Survey structural complexity of carbohydrates and their profiles of occurrence in various tissues, species and cells”. Dissemination: PU Partners : 4, SUB Due date of deliverable: 31.03.2006 Actual submission date: 31.03.200 Start date of project: 01.03.2005 Duration: 48 months Organisation name of lead contractor for this deliverable: EBI-EMBL, European Molecular Biology Laboratory, European Bioinformatics Institute, Hinxton (Cambridge),United Kingdom Author: Dr. Tony Merry Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 2 of 50 Survey of the structural complexity of carbohydrates and their profiles in disease and in various tissues, species and cells. Tony Merry, Glycosciences Consultancy, Charlbury, OXON OX7 3HB UK Abstract Glycoconjugates are undoubtedly complex and it is difficult to present a summary of data in a condensed form without omitting some structures but this report contains a review of the available data whilst trying to provide a comprehensive summary. The major classes of glycoconjugate are listed along with the non carbohydrate moiety . It should be noted that since the biosynthetic machinery is not generally specific for the glycoconjugate particularly in the terminal parts of the molecule, it is frequently found that these areas have a sequence which is common to different glycoconjugates. In contrast to this some glycoconjugates have structures which may be unique even down to a single species level. This is particularly true for bacteria where there are conjugates of lipid or protein that have a carbohydrate moiety which may be unique to that particular bacterium. The glycophosphatidylinositol (GPI) types of glycoconjugate also may have very individual structures particularly those found in parasites. All these considerations need to be taken into account in compiling databases of carbohydrate related data particularly if they are to be related to other databases. This is in contrast to databases of other types of macromolecule such as the nucleic acid or proteins. Here the macromolecule will be characteristic of the species or organism but will always have the same general structural characteristics. That is to say they have the same basic monomer residues and have the same type of linkage. There is another feature of glycoconguates which separates them from the other macromolecules, in that their sequence is not template derived. Nucleic acids and proteins are both derived from a universal genetic code. The sequence of monosaccharides in any glycan is a product of many factors. The biosynthetic machinery comprises the enzymes involved in monosaccharide addition to the polymer, the glycosyltransferases, the activated monosaccharide donors and a whole host of environmental factors as well as the cellular localisation and compartmentalisation of the enzymes. The main aim of this survey is to consider the degree of structural complexity that needs to be considered in designing the databases EUROCarbDB. 2 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 3 of 50 Contents Abstract ...............................................................................................................................................................2 1. Introduction................................................................................................................................................4 2. Nomenclature.............................................................................................................................................5 3. Diversity of complex carbohydrates in nature ............................................................................................7 Which residues occur in which species ?.....................................................................................7 3.1. Human .........................................................................................................................................7 3.2. Mammalian...................................................................................................................................7 3.3. Plants...........................................................................................................................................7 3.4. Bacteria .......................................................................................................................................7 3.5. Viruses.........................................................................................................................................7 3.6. Sialic Acids ..................................................................................................................................7 3.7. Linkages present in glycoconjugates...........................................................................................8 4. Distribution of Glycans ...............................................................................................................................9 4.1. By Species ...................................................................................................................................9 4.2. By Tissue ...................................................................................................................................10 5. Glycosyltransferases................................................................................................................................11 6. Disease related changes in glycosylation .................................................................................................11 6.1. Genetic Disorders (Congenital Disorders of Glycosylation – CDG) ............................................12 6.2. Genetic Disorders (Abnormal catabolism of glycoconjugates - Lysosomal Storage Diseases) ..14 6.3. Inflammatory Diseases...............................................................................................................15 6.4. Infectious Diseases....................................................................................................................16 6.4.1. Bacterial ....................................................................................................................................17 6.4.2. Viral ...........................................................................................................................................17 6.4.3. HIV .............................................................................................................................................18 6.4.4. Parasitic.....................................................................................................................................18 6.5. Cancer and Metastasis ..............................................................................................................19 6.6. Other Diseases ..........................................................................................................................19 References.........................................................................................................................................................21 A Bacterial Lipopolysaccharide (Lipid A) ...........................................................................................................25 B Bacterial Lipopolysaccahride O-antigen .........................................................................................................26 d Bacterial Peptidoglycan ..................................................................................................................................27 e Eukaryote GPI anchor .....................................................................................................................................27 f Plant cell wall cellulose ....................................................................................................................................28 g Plant lipochito-oligosaccharides NOD factors .................................................................................................29 h Plant glycoprotein N Glycan ............................................................................................................................29 i Plant glycoprotein O Glycan .............................................................................................................................30 j Sulphated fucans..............................................................................................................................................31 Amphibian muins................................................................................................................................................32 l Reptilian venom and toxins .................................................................................... Error! Bookmark not defined. m Insect polysaccharide chitin...........................................................................................................................32 n Human hyaluronic acid ....................................................................................................................................33 o Human glycolipids ...........................................................................................................................................35 p Human glycoprotein N Glycans ............................................................................ Error! Bookmark not defined. q Human glycoprotein O Glycan .........................................................................................................................37 r Human GPI anchors .........................................................................................................................................38 s Human mucins .................................................................................................................................................39 t Human GAG Heparan Sulphate ........................................................................................................................40 u Human GAG Keratan Sulphate ........................................................................................................................41 Appendix B Some Examples of Disease Related Changes in Glycosylation and Disease ...................................42 1. Respiratory Tract Mucin Genes and Mucin Glycoproteins in Health and Disease ......................42 Tumour-cell fusion as a source of myeloid traits in cancer ............................................................................42 2. Advanced Glycation end products and disease .........................................................................43 3. Glycans In Cancer And Inflammation .........................................................................................43 4. Role of O-GlcNAc play a in neurodegenerative diseases ...........................................................44 5. Prion protein glycosylation ........................................................................................................45 6. Muscular dystrophies caused by abnormal glycosylation. .........................................................45 7. Cancer related changes in O-glycosylation................................................................................45 8. Glycosylation and HIV infection - Mannose binding lectin (MBL) and HIV...................................46 9. Glycosylation and Influenza virus infection and transmission. Influenza virus entry and infection require host cell N-linked glycoprotein..........................................................................................................46 10. Human influenza virus recognition of sialyloligosaccharides.....................................................46 11. Human-specific regulation of alpha 2-6-linked sialic acids.........................................................47 12. Receptor determinants of human and animal influenza virus isolates: differences in receptor specificity of the H3 hemagglutinin based on species of origin......................................................................47 Appendix C Current On-line resources ..............................................................................................................50 3 Last printed 25/04/2006 08:55:00 1. DS1-SUB1 Page 4 of 50 Introduction Chemically, complex carbohydrates are the most diverse of all biological macromolecules, a fact often overlooked by many scientists. Not only are there a very large number, running into thousands, of possible monomers but they may also be linked together in a variety of way and also in branched chains. This is in contrast to nucleic acids and proteins where they are a relatively small number of monomers and they are always in the same linkage in linear chains. In addition complex carbohydrates are most often found in combination with other molecules where a generic term of glycans is now commonly used for carbohydrates attached to proteins or lipids although the term oligosaccharide is also used. A consequence of this is that the reference and cataloguing of complex carbohydrates is an immense task and construction of databases not a trivial matter. This complexity is undoubtedly a factor in the generally poor understanding of glycans and the lack of suitable databases contributes in a large way to this. Relating structure to function in glycans is even more problematic as it is very difficult to obtain glycoconjugates in a single form as there diverse configurations lead to structures with very similar physical properties. Added to this is the fact that they are not template driven so that the exact type of glycocongugates produced in any organism depend on many factors in addition to genetic makeup. In fact there are several factors which limit this potentially vast range of structures. Firstly, the biosynthetic enzymes, glycosyltransferases generally have a very high degree of specificity and frequently will make only one type of linage of a monosaccharide to a glycan chain. Secondly the biosynthetic processes of many complex carbohydrates are such that some common ‘core’ region adjacent to the attachment point of the glycan is present. Finally the availability of the activated monosaccharide building blocks is limited to generally around 10 monosaccharides. 4 DS1-SUB1 Last printed 25/04/2006 08:55:00 2. Page 5 of 50 Nomenclature The classification of glycconjugates tends to be much more confused than other macromolecules for historical reasons [1]. The glycoconjugates were named according to their occurrence before much structural data was available and generally this nomenclature has been retained for consistency. It should also be noted that non-enzymatic glycosylation (glycation) plays an important role in many illnesses such as diabetes. Indeed the advanced glycation end products (AGE) are very important in the development and symptoms of many human diseases. This is probably beyond the scope of the EuroCarbDB project as different techniques tend to be employed but it should be noted that this is a very important aspect of glycosylation. Glycans The nomenclature and way in which glycans are represented are the subject of a separate report . Glycoconjugates – the features of the major glycoconjugates are as follows and are summarised in Table 1 Glycoproteins • N-Glycans – 1 type of linkage GlcNAc to Asn • O-Glycans – Several core structures GalNAc to Ser or Thr • Species-specific and unusual types of protein glycosylation e.g. O-GlcNAc, O-xyl, Pro-OH-Glu • Glycospingolipids – glycan chain attached to lipid core • GPI-anchors – N-terminal linkage of glycan through PI Glycolipids Proteoglycans and Glycosaminoglycans • Monomer units – usually 2 types but may be changed e.g. IdA • Modifications – commonly O- and N- sulphation Polysaccharides • Homo polysaccharides – single monomer • Polysaccharides with more than 1 residue – may be disaccharide repeat • Cell wall polysaccharides • Bacterial polysaccharides • Lipopolysaccharides Common structural motifs • Core Structures – common N glycan, different O-glycan • Antigens – some monosaccharides antigenic e.g. α-gal • Epitopes – often found in terminal parts of chains e.g. SLex 5 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 6 of 50 Table 1 The Major Types of Glycoconjugate and Complex Carbohydrates GLYCOCONJUGATE CONSTITUENTS GLYCAN TYPE OCCURRENCE EXAMPLES POLYSACCHARIDE Repeating monosaccharide units – may have core peptide Branched or linear chain 1 (usually 1 or 2 types) GLYCOLIPID O-linked glycan In most organisms Globoside Lipid component chain through –most frequently derivative of glycerol glucose GLYCOSPHINGOLIPID As above O-linked glycan Predominantly in chain through nervous tissue glucose GLYCOPROTEIN Peptide, N- (Asn) or O-linked glycans N- , O- O-Fuc, O man, O Xyl MUCIN In many secretions Muc-1 Peptide with multiple O-linked O-inked glycans through serine but also found on cell surfaces or threonine COLLAGEN Always linked to hydroxyproline Glucose, galactose PROTEOGLYCAN May have several glycosaminoglycan chains always Olinked to peptide GAG Frequently charged In most organisms Starch, cellulose inulin Sphingomyelin In all cells and secretions Mainly in connective tissue but also in basement membrane Very commonly in intracellular matrix but also on cell surfaces Type 1 collagen Type IV collagen Heparan Sulphate Different glycoconjugates are located in different cellular or extracellular compartments [1] as shown below 6 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 7 of 50 All the factors of the different types of glycoconjugate of need to be taken into consideration when designing a database of the functional activity of glycans. The work performed during the current year has been to examine the range and diversity of glycans found in living organisms and the range of the glycosyltransferase enzymes (see below) responsible for their biosynthesis on a cell by cell basis as far as possible. 3. Diversity of complex carbohydrates in nature - Which residues occur in which species ? The following list is of residues found in glycoconjugates. There are several other monosaccharide residues or derivatives of them which play important roles in metabolism such as fructose or in other biological conjugates such as ribose in RNA or 2deoxyribose in DNA but they are not listed here. 3.1. Human Glc, Gal, Man, Fuc, GalNAc, GlcNAc, GlcA, IdA, Neu5Ac (NOT Neu5Gc) , Xyl 3.2. Mammalian Glc, Gal, Man, Fuc, GalNAc, GlcNAc, GlcA, IdA, Neu5Ac, Neu5Gc, Xyl 3.3. Plants Lyx Alt , Man , Ara, Ara-ol,Fru,Rha, Rha3,4Me2, GalN, GalNAc,Rib, Glc, Rib5P, GlcN, Rul, GlcN3N, Sor, Glc-ol ,GlcNAc,Tal,GlcA , Xyl, Xul, Xyl2Cme 3.4. Bacteria Abe, IdoA , All, Lyx Alt , Man , Api , Mur,Ara, Ara-ol, ,Fru, Neu5Gc, Kdo, Fuc-ol,Rha, Rha3,4Me2, GalN, Psi ,GalNAc,Qui,b-D-Galp4S,Rib Glc Rib5P,GlcN,Rul,GlcN3N,Sor, Glcol ,Tag GlcNAc,Tal,GlcA , Xyl, GlcpA6Et , Xul,Gul, Xyl2Cme,Ido 3.5. Viruses Depends on the host cell biosynthetic capabilities 3.6. Sialic Acids The sialic acids are especially important in considering the biological functions of glycans especially in humans. It has been pointed out by Varki [2] that the sialic acids are the only major change in the constituents of glycoconjugates from apes to man [3, 4] and they probably represent the most recent evolutionary change in glycosylation in our evolution. They are the most complex of the monosaccharides found in mammals and exist in a variety of linkages and with modification such as O-acetylation [5-7]. Chemically they are based on a nine carbon backbone as shown below ; 7 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 8 of 50 5-N-acetyl-neuraminic acid (Neu5NAc) Linkages are to the anomeric carbon (C2 in this case) and are found to positions 2,6, and 8 of the molecule. 3.7. Linkages present in glycoconjugates Linkages are from the anomeric carbon on one monosaccharide (generally C1 although C2 in sialic acids) to a carbon on another monosaccharide. Linkage is found to C2, C3, C4, C6 and C8 in sialic acids. The anomericity of the linkage may be either alpha or beta however some monosaccharides are only linked in one way Numbering of carbon atoms in a hexasaccharide Example of α-linkage (α-gal 1,4 glc) Example of β- linkage (β -gal 1,4 glc) 8 Last printed 25/04/2006 08:55:00 4. DS1-SUB1 Page 9 of 50 Distribution of Glycans 4.1. By Species Table 2 shows the major classes of organisms, and of these the viroids and viruses are the only ones which have no glycosylation machinery. Viruses are however commonly glycosylated as they use the glycosylation biosynthetic pathways of their host to produce glycoconjugates such as the cell surface glycoproteins. In the eukaryotes there are generally some common biosynthetic pathways, quite often to build a core which is then extended in ways that may be species specific [8-10]. There are considerable differences in glycosylation between plants and animals [11] but a range of complex carbohydrates and glycoconjugates is found in both. The most diverse and unusual glycosylation is seen in bacteria and in general there is no common pathway of biosynthesis for bacterial complex carbohydrates The major glycoconjugates in different species are shown in Table 2 along with some representative structures ; In view of the complexity and different types of glycosylation found in bacteria a diagrammatic representation of the bacterial cell wall is given below ; Diagrammatic Structure of gram positive bacterial cell wall 9 DS1-SUB1 Last printed 25/04/2006 08:55:00 Page 10 of 50 TABLE 2 Occurrence of Glycoconjugates in Different Species POLYSACCHARIDES GLYCOLIPIDS GLYCOPROTEINS PROTEOGLYCANS Membrane derived oligosaccharides (a) Capsular polysaccharide (c, K antigens) Lipopolysaccharide (Lipid A) and endotoxin (b) O-antigen. (c) (GPI) Glycosyl Phosphatidyl Inositol very rare GPI anchors in all species (e) lipochitooligosaccharide s (g, Nod factors,) Peptidoglycan (d) N- and Oglycans in some species None as such N- linked glycans (h) O-linked None as such Glycosphinolipids, gangliosides N- and O-linked glycans, Glycogen Hyaluronic acid Gangliosides N- and O-linked glycans, Insects Chitin (m) Several types present Birds Glycogen, hyaluronic acid Several anchors Fish Glycogen Ganglioside, glycospingolpids Some examples with diverse functions e.g. hyaluronic acid (n) Several types often in Glycoproteins with N- (p) and Heparan sulphate (t) cell walls and tissue O-linked (q) glycans and GPI keratan sulphate (u) anchors (r) Mucins (s) specific (o) and many other forms BACTERIA EUCARYOTA Many examples e.g. cellulose (f) Plants Amphibia Suphated fucans (j) Reptiles Mammals Man VIRUSES glycans (i) mucins (k) venoms and toxins (l) types, N- linked glycans GPI N and O-linked glycans, oligomannose, IgY Sevaer types present N- and O-linked glycans Most cell surface proteins glycosylated – may have N- or O-linked glycans 4.2. Several types present including heparan sulphate, sydecan Proteoglycans By Tissue The distribution of glycan in different tissues has not been studied systematically but it has been apparent for some time that certain carbohydrate epitopes only occur on one cell type. It was also found that when glycoproteins were produced from cells grown in culture that the same gene product when expressed in different cells lines gave rise to a number of quite differently glycosylated proteins. Although most cells in humans produce glycoconjugates with the same core structures either the N-and O-linked glycans, glycolipids or proteoglycans the extent and nature of the glycosylation can vary considerably. These differences are partly due to the levels of glycosyltransferase expression (see below) but glycosylation is also influenced by growth factors [12], hormones [13, 14] or environmental factors [15, 16]. This makes prediction of the nature of cell-specific glycosylation difficult [17]. Studies in related cell types which perform different functions have shown that there is structural diversity and specific distribution of O-glycans in normal human mucins along the intestinal tract. [18] It has also been shown that different glycoforms of the human GPI-anchored antigen CD52 associate differently with lipid microdomains in leukocytes and sperm membranes. [19] 10 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 11 of 50 There is evidence for regulatory function of different types of glycosylation such as a proposed regulatory mechanism for beta1 integrins. [20] Cell type specific glycosylation is often seen in neural tissue and a comparison of Nglycosylation patterns of HSA/CD24 from different cell lines and brain homogenates showed that some types of glycoosylatiuon were related to certain cell types and that this could be correlated with different function of cells in nervous tissue [21] The mechanisms by which this diversity are not well understood and cannot be accounted for solely by the presence of certain transferase genes in different cell or even in the level of their expression. It seems that special distribution of the transferases may be very important and the roles of enzyme localization and complex formation in glycan assembly within the Golgi apparatus have been studied. [22] Studies in the area of development have shown how glycosylation changes are very much related to development and some very good examples of developmental genes that are either transferases in their own right [23] or are involved in transferase level regulation [24] now exist. Another area where changes in glycosylation have been carefully studied is in the immune system where considerable changes in glycosylation have been found upon T cell activation [25]. 5. Glycosyltransferases The enzymes which are involved in the biosynthesis of glycans, those making the lipid donor precursors, those involved in nucleotide sugar biosynthesis and those which modify glycans such as sulphotransferases and epimerases are all closely regulated. The glycosyltransferases are highly specific, both in terms of the monosaccharide added to the glycan but generally in the anomeric configuration of the linkage created. They may also be specific for some features of the glycan chain to which the monosaccharide is to be attached and in the case of the GalNAc transferase family responsible for the intitiation of O-glycan chain for the peptide sequence as well. Most types of glycosyltransferase have now been characterised and expressed. They are identified by the monosaccharide which they transfer and a number which indicate the specificity of the linkage. It is now apparent that there may be several different genes coding for transferases with the same activity but they are often expressed in a tissue specific manner. A total of almost 150 different glycosyltransferases have now been identified along with a number of sulphotransferases and N-glycan transferases. Databases exist where all the known transferases are recorded notably in CAZy (www.cazy.org ) Several examples of all of these genes are available in the gene microarray from the Glycomics consortium in the US and studies now underway on the tissue distribution of all these genes which will provide an invaluable resource in future. 6. Disease related changes in glycosylation There are a growing number of diseases where some change in glycosylation of glycoconjugates has been observed. The changes are sometimes difficult to interpret in terms of the factors which have changed the glycosylation pattern. There is even more difficulty in relating the change in glycosylation to the symptoms of the disease and to know how it may effect disease progression. The importantance of glycosylation in disease can be highlighted in two examples which are currently in the public eye and which both involve viral infection. Firstly the outbreak 11 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 12 of 50 of avian flu and the possibility of transmission of the virus to the human population is very much concerned with glycobiology. Recent studies of the specificity of the virus for glycoconjugates in strains from the 1918 out break have shown crucial differences in the specificity when the strain crossed from avian to human subjects. However this important observation is largely overlooked and there are less than 20 references to work in this area ! The second example is of HIV infection where it is frequently forgotten that the surface of the HIV virus is largely covered by glycans. It is the interaction of these with cells of the human immune system that are responsible for the transmission of this devastating disease but again the number of research groups who are actively looking at this aspect is disappointingly small despite several excellent papers showing the importance of glycosylation. There is obviously a big gap in knowledge in this area. Reviewing the literature at present will reveal a wide variety of changes in glycosylation reported in various diseases but after examination it may be found that many of these are unconfirmed, may rest on dubious or unproven approaches, and are often frankly contradictory. A thorough review of the literature has been performed for this report and some of the better understood and substantiated examples of diseased related changes in glycosylation will be discussed. Frequently, with a few notable exceptions, these reports are from those groups who are not very familiar with glycoscience and details of the changes may not be clear. This is an area where there is a need for much better bioinformatics to support this area Much better knowledge and understanding of these changes will be required to realise the full potential of glycotherapeutics and this highlights the role of bioinformatics and the need for appropriate databases and links between them. This will be a goal for the EuroCarbDB design study. However a summary of some existing data is now presented. 6.1. Genetic Disorders (Congenital Disorders of Glycosylation – CDG) These are the best characterised examples of disease-related changes in glycosylation. They are inherited conditions where specific enzymes involved in the biosynthesis or degradation of complex carbohydrates are either missing or defective. These conditions affect the biosynthesis of N- and O-linked glycans glycolipids and glycosaminoglycans. The changes in the structures found can generally be related to the defective enzymes although sometimes studies of such disorders has led to the recognition of alternative biosynthetic pathways that can compensate to some degree for the deficiency. The term CDG is generally more specifically applied to the defects in N- and O-glycan biosynthetic pathways of which some 18 different types have been described at the present time Another genetic disorder which has recently received a lot of attention is that related to muscular dystrophies. One particular aspect of this which deserves mention is that of the changes in glycosylation of an important muscle glycoprotein alpha-dystroglycan which has been the subject of intense investigations in recent years. This glycoprotein is important in the development of muscle tissue and the interaction of muscle fibres with the extracellular matrix [26]. It has been shown that there is a particular type of Oglycosylation in which glycans like NeuAcα 2,3Galβ1,4GlcNAcβ 1,2Man are O-linked to ser or thr [27] It has been shown that there are changes in activity of several transferases during the progression of some neuromuscular diseases such as Walker-Warberg disease and muscle-eyebrain disease, although the precise nature of the changes in glycan structures and their significance in the progression of these serious developmental diseases remains to be fully elucidated. 12 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 13 of 50 Table 3 Causes and symptoms of CDG. CDG Gene Enzyme Typical symptoms Mental retardation (MR), hypotonia, esotropia, lipodystrophy, cerebellar hypoplasia, seizures Hepatic fibrosis, protein-losing enteropathy (PLE), coagulopathy, hypoglycemia CDG-Ia PMM2 Phosphomannomutase II CDG-Ib MPI CDG-Ic ALG6 CDG-Id ALG3 CDG-Ie DPM1 CDG-If MPDU1 CDG-Ig ALG12 CDG-Ih ALG8 CDG-Ii ALG2 CDG-Ij DPAGT1 CDG-Ik ALG1 CDG-IL ALG9 Phosphomannose isomerase Dol-P-Glc: Man9GlcNAc2-PP-Dol glucosyltransferase MR, hypotonia, epilepsy Dol-P-Man: Man5GlcNAc2-PP-Dol mannosyltransferase Severe MR, optic nerve atrophy Dol-P-Man synthase I GDP-Man: Severe MR, epilepsy, hypotonia, mildly Dol-P-mannosyltransferase dysmorphic, coagulopathy Mannose-P-dolichol utilization defect 1/Lec35 Short stature, icthyosis, MR, retinopathy Dol-P-Man: Man7GlcNAc2-PP-Dol Hypotonia, MR, facial dysmorphism, microcephaly, frequent infections mannosyltransferase Dol-P-Glc: Glc1Man9GlcNAc2-PPHepatomegaly, coagulopathy, PLE, renal failure Dol glucosyltransferase GDP-Man: Man1GlcNAc2-PP-Dol Normal at birth, hepatomegaly, coagulopathy, MR, hypomyelination, mannosyltransferase UDP-GlcNAc: dolichol phosphate N acetylglucosamine-1 phosphate Severe MR, hypotonia, seizures, transferase microcephaly Severe MR, hypotonia, acquired GDP-Man: GlcNAc2-PP-Dol microcephaly, intractable seizures, fever, coagulopathy, nephrotic syndrome mannosyltransferase Dol-P-Man: Man6 and 8 GlcNAc2-PP- Severe microcephaly, hepatomegaly, hypotonia, seizures Dol mannosyltransferase CDG-IIa MGAT2 GlcNAcT-II CDG-IIb GLS1 Glucosidase I CDG-IIc SLC35C1/FUCT1 GDP-fucose transporter CDG-IId B4GALT1 β1,4-galactosyltransferase CDG-IIe COG7 COG complex, subunit 7 CDG-IIf SLC35A1 CMP-sialic acid transporter MR, facial dysmorphism, seizures Dysmorphism, hypotonia, seizures, hepatomegaly, hepatic fibrosis (death at 2.5 months), normal Tf Recurrent infections, neutrophilia, MR, microcephaly, hypotonia, normal Tf Hypotonia and myopathy, spontaneous hemorrhage Fatal in infancy, dysmorphism, hypotonia, intractable seizures, hepatomegaly, progressive jaundice, recurrent infections, cardiac failure Thrombocytopenia, abnormal platelet glycoproteins, but no neurologic symptoms and normal Tf What is more difficult is to correlate the changes in glycan structure to the observed symptoms. These conditions are frequently serious and affect development so are observed in childhood . The most common aspect of CDGs involving biosynthetic enzymes for glycan chains is in impaired neural or neuromuscular development although other changes are also observed such is in the immune system. 13 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 14 of 50 6.2. Genetic Disorders (Abnormal catabolism of glycoconjugates Lysosomal Storage Diseases) The defects in glycolipids storage associated with impaired ability to break down glycolipids have been well described such as in Gaucher, Fabry and other conditions. There are other conditions affecting polysaccharides (inulin) and glycosaminoglycans (such as hyaluronic acid). These have been collectively called the lysosomal storage disorders and several have been linked to specific diseases as shown below (from [28, 29] Table I. Known lysosomal disorders. Mucopolysac charidoses (MPS) MPS I Glycoproteinoses Sphingolipidoses Aspartylglucosa minuria Fabry's disease Other lipidoses NiemannPick disease type C Lysosomal transport defects Cystinosis MPS II Fucosidosis Farber's disease Wolman's disease Sialic storage disease MPS IIIA α-Mannosidosis Gaucher's disease Neuronal ceroid lipofuscinosi s Other disorders due to defects in lysosomal proteins MPS IIIB α -Mannosidosis GM1 gangliosidosis Glycogen storage disease Danon disease Hyaluronidase deficiency MPS IIIC Mucolipidosis (sialidosis) Tay-Sachs disease Glycogen storage disease type II (Pompe's disease) MPS IIID Schindler disease Sandhoff's disease Multiple enzyme deficiency MPS IVA Krabbe's disease Multiple sulphatase deficiency MPS IV B Metachromatic leucodystrophy Galactosiali dosis MPS VI Niemann-Pick disease, types A and B Mucolipidos is II/III MPS VII acid Mucolipidos is IV 14 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 15 of 50 There are diverse symptoms of all these diseases ranging from mild to very severe and life threatening and they affect many different systems in the body 6.3. Inflammatory Diseases Studies of glycosylation in inflammatory diseases provided one of the first examples of a disease related change in a glycosylation profile. It was noted that not only the amount but also the glycosylation of several acute phase reactant proteins present in serum changed following injury [30-35]. The best characterised of these changes is in the highly glycosylated acute phase protein alpha-1 acid glycoprotein. Alpha 1-acid glycoprotein (AGP) is a serum acute phase glycoprotein which possesses five N-linked complex type heteroglycan side chains which may be present as bi-, tri- and tetraantennary structures. Depending upon the content of biantennary structure on AGP, up to four glycoforms of AGP are present in serum. These glycoforms can be easily estimated in body fluids by means of crossed affinity-immunoelectrophoresis (CAIE) with the lectin, Concanavalin A (Con A). Con A selectively binds biantennary structures; the more biantennary structures on AGP, the stronger the binding. In acute inflammation, a relative increase of AGP glycoforms with biantennary units is observed-a type I glycosylation change. In some chronic inflammatory states there is an relative decrease of AGP glycoforms with biantennary heteroglycans-a type II glycosylation change. Moreover, in certain other states such as pregnancy, oestrogen administration or liver damage, type II glycosylation changes are also seen. A detailed analysis of the clinical applications of the assessment of AGP glycoforms in sera of patients with rheumatic diseases, AIDS and various types of cancers has been performed [34]. The data showed that AGP glycoforms may be very useful in the detection of intercurrent infections in the course of rheumatoid arthritis, systemic lupus erythematosus, or myeloblastic leukaemia, and in the detection of secondary infections in human immunodeficiency virus infected individuals. The occurrence of differences in acute-phase response, with respect to concentration and glycosylation of alpha 1-acid glycoprotein (AGP) was studied in the sera of patients, surviving or not from septic shock [32]. Crossed affino-immunoelectrophoresis was used with concanavalin A and Aleuria aurantia lectin for the detection of the degree of branching and fucosylation, respectively, and the monoclonal CSLEX-1 for the detection of sialyl Lewisx (SLeX) groups on AGP. Septic shock apparently induced an acute-phase response as indicated by the increased serum levels and changed glycosylation of AGP. In the survivor group a transient increase in diantennary glycan content was accompanied by a gradually increasing fucosylation and SLeX expression, comparable to those observed in the early phase of an acute-inflammatory response. In the non-survivor group a modest increase in diantennary glycan content was accompanied by a strong elevation of the fucosylation of AGP and the expression of SLeX groups on AGP, typical for the late phase of an acute-phase response. These results suggest that changes in glycosylation of AGP can have a prognostic value for the outcome of septic shock. In another experimental study with injection to stimulate the acute phase (AP) response in rats, the N-acetylneuraminic acid content of plasma proteins increases and that of fucose was found to decrease by about 60%.[32]. The NeuAc/Gal ratio increased from the normal 0.75 to 1.0 on day 2 of the AP.. This indicated that NeuAc caps the normally Gal-terminated chains. Study of alpha1-Acid glycoprotein (a positive AP protein), alpha1macroglobulin (a non-AP protein), and alpha1-inhibitor3 (a negative AP protein) also showed similar alterations in NeuAc/Gal ratio and decreases in Fuc. alpha2Macroglobulin, which arises only during the AP, does not contain significant amounts of Fuc. Sambucus nigra agglutinin (alpha2,6-linked NeuAc-specific) binds a majority of plasma proteins, and binding was increased during the AP response. Maackia amurensis lectin (alpha2,3-linked NeuAc-specific) binds only three proteins in normal plasma and three additional proteins in AP plasma. The Fuc-specific Aleuria aurantia agglutinin and Lens culinaris agglutinin each detect five proteins in normal plasma. Their binding decreased during the AP response. The authors concluded that these results show that: (1) sialylation and defucosylation of preexisting plasma proteins occur rapidly in the AP response; (2) sialylation caps the preexisting Gal-terminating oligosaccharides; and (3) 15 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 16 of 50 the oligosaccharides of even the non-AP and negative AP proteins are modified. These changes are distinct from the elevation in the levels of protein-bound monosaccharides and the altered concanavalin A-binding profile the oligosaccharides of AP proteins acquire in diseases Thus the glycosylation of alpha-1 acid glycoprotein is changed in inflammatory conditions [34, 36, 37] where decreased branching and increased α,3 fucosylation is found [38] When the Immunoglobulin IgG was investigated in rheumatoid arthritis a consistent change in that reduced galactosylation was present on the bi-antennary glycans of IgG and this was observed by many investigators [39-41]. This has been found to revert to normal following remission from the disease [42]. It was found that the percentage of IgG-associated agalactosyl N-linked oligosaccharides (G0) falls during normal human pregnancy and rises to values higher than before conception following delivery (n = 10, 39-55 days after delivery). Serial bleeds from a normal pregnant woman showed a fall in the percentage G0 during gestation and a rapid rise post-partum. A similar study on a pregnant arthritic woman with a pathologically elevated percentage G0 also showed a fall in percentage G0 during pregnancy and a rapid rise post-partum. The changes in IgG glycosylation in the pregnant arthritic woman occurred simultaneously with the pregnancy-induced remission and post-partum recurrence of disease. A further seven pregnant women with rheumatoid arthritis were studied and analysis of their G0 values pre- and post-partum confirmed the result. In a further series of experiments using an animal model of rheumatoid arthritis, DBA/1 mice with collagen-induced arthritis were found to have elevated G0 levels compared with control mice. The percentage G0 was found to fall simultaneously with pregnancy-induced remission to the same value as nonarthritic pregnant mice. Post-partum recurrence of arthritis in these mice was also accompanied by a simultaneous and rapid rise in percentage G0. Pseudopregnancy did not result in a change in the percentage G0, confirming the effect of true pregnancy. Since the proportion of agalactosyl IgG is abnormally high in the serum of patients with rheumatoid arthritis these changes in IgG glycoform levels, or the factors which control them, may be related to the mechanisms underlying remission of arthritis in humans during pregnancy. 6.4. Infectious Diseases There are many reports of changes in host glycosylation following various types of infection which go back many years and report a wide variety of changes. This are is particularly confusing in the literature as a large number of different techniques are employed and sometimes the conclusions drawn from the studies is not justified by the observations. This is important in considering the database requirement as the relationship between host and infectious agent glycosylation do present good potential routes for immunisation, diagnostic or therapeutic approaches but frequently lack of knowledge of glycoscience means these are not properly exploited. One example which is particularly relevant at present is that of the avian flu virus H5N1 strain and the possibility of its spread to human hosts with possible emergence of a major flu pandemic as in 1918. Studies have been made which show the major influenza virus serotype components haemagluttinin (H) and neuraminidase (N) have been shown to have undergone subtle changes in glycan specificity in the transmission from birds to humans. There is some excellent research which is available on this aspect but there seems to have been little exploitation of these basic findings. The neuraminidase inhibitor drugs as famous for their antiviral activities but detailed knowledge of the specificities of the H and N should allow the design of much more specific and relevant inhibitors of viral activity and entry into cells. Further details of glycosylation and its relevance to influence virus infection in humans and in its transmission from birds may b may be found in Appendix B page 47 16 Last printed 25/04/2006 08:55:00 6.4.1. DS1-SUB1 Page 17 of 50 Bacterial There are many references to the role of the complicated and variable glycosylation found on bacterial cells walls (see above) in the interaction in infection. It has been shown that the carbohydrate and pathogen-specificity of DC-SIGN identifies this lectin to be central in pathogen-DC interactions.[43] Indigenous microbes and their soluble factors differentially modulate intestinal glycosylation steps in vivo. A "lectin assay" has been used to survey in vivo glycosylation changes. [44-46] Mutations in the srf-3 locus in C. elegans confer resistance to infection by Microbacterium nematophilum and Yersinia pseudotuberculosis. The srf-3 gene has been cloned and shown to encode a multitransmembrane hydrophobic protein homologous to mammalian Golgi-localized nucleotide-sugar transporters [34••]. The srf-3 gene is exclusively expressed in secretory cells, consistent with its proposed function in cuticle/surface modification, and encodes a UDP-Gal/UDP-GlcNAc transporter. It is suggested that bacterial resistance in srf-3 mutant worms is due to absence of a glycan required for binding of bacteria to the nematode cuticle. This study is an example of using an invertebrate organism as a model for studying vertebrate innate immunity and infection by an organism that forms a biofilm (defined as a community of bacteria enclosed in a self-produced exopolysaccharide matrix that adheres to a biotic or abiotic surface). Biofilm formation by pathogens is of great clinical importance because bacteria embedded in biofilms have been shown to be more resistant to antibiotics, to components of the host immune system and to removal by mechanical forces [35]. A report of a new form of complete IFNR2 deficiency, characterized by surfaceexpressed nonfunctional receptors has recently appeared [47]. The T168N IFNR2 mutation results in a protein carrying an N-linked carbohydrate moiety attached at Asn168. This polysaccharide is both necessary and sufficient to account for the pathological effect of the T168N mutation. Despite this glycosylation, the T168N IFNR2 molecules have the same intracellular localization as wild-type molecules. Similar complete deficiencies due to nonfunctional receptors expressed at the cell surface have been reported in other individuals with inherited defects of the IL12/23-IFN axis involving the other two known receptor defects: complete deficiencies of IFNR1 and IL-12R1 Surface-expressed nonfunctional IFNR1 and IL-12R1 molecules have been associated with missense mutations and in-frame small and large deletions; the mutant molecules fail to bind their natural ligands, IFN and IL-12/2, respectively9, 11. By contrast, the mechanism by which the T168N-associated neoglycosylation of IFNR2 affects IFN signaling is still unknown. The T168N mutation in IFNR2 is the first reported germline mutation for which a causal relationship has been unequivocally established between the gain of glycosylation and the loss of function. Six other previously described missense mutations associated with a primary immunodeficiency are also characterized by gains of glycosylation. Such mutations are not confined to primary immunodeficiencies, as indicated by the 16 pathogenic mutations in 11 genes previously shown to involve gains of glycosylation. Moreover, among 577 genes bearing missense mutations and encoding proteins that migrate through the secretory pathway, up to 77 (13.3%) may be subject to potential gains of glycosylation (corresponding to 1.4% of pathogenic missense mutations found in the 577 genes; Gain-of-glycosylation mutations may therefore affect many thousands of individuals worldwide. 6.4.2. Viral Since viruses do not have any glycosylation machinery the glycosylation seen reflects that of the host they have infected. Glycosylation is important in several ways. Firstly most of the viral coat proteins are glycoprotein and many of the recognition elements involve the coat glycoproteins. They are also important for viris assembly and transport from infected cells. They may also bring about some change in host glycosylation as a 17 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 18 of 50 result of infection. Changes in fucosylation of glycoproteins following HBV infection in the development of primary hepatocellular carcinoma have been reported. [48] An example of the importance of glycosylation in recognition of virus is that of the involvement of the collectins. Collectins are secreted collagen-like lectins that bind, agglutinate, and neutralize influenza A virus (IAV) in vitro [49]. Surfactant proteins A and D (SP-A and SP-D) are collectins expressed in the airway and alveolar epithelium and could have a role in the regulation of IAV infection in vivo. Previous studies had shown that binding of SP-D to IAV is dependent on the glycosylation of specific sites on the HA1 domain of hemagglutinin on the surface of IAV, while the binding of SP-A to the HA1 domain is dependent on the glycosylation of the carbohydrate recognition domain of SPA. In this report, using SP-A and SP-D gene-targeted mice on a common C57BL6 background, it was shown that viral replication and the host response as measured by weight loss, neutrophil influx into the lung, and local cytokine release are regulated by SP-D but not SP-A when the IAV is glycosylated at a specific site (N165) on the HA1 domain. SP-D does not protect against IAV infection with a strain lacking glycosylation at N165. With the exception of a small difference on day 2 after infection with X-79, we did not find any significant difference in viral load in SP-A(-/-) mice with either IAV strain, although small differences in the cytokine responses to IAV were detected in SP-A(-/-) mice. Mice deficient in both SP-A and SP-D responded to IAV similarly to mice deficient in SP-D alone. Since most strains of IAV currently circulating are glycosylated at N165, SPD may play a role in protection from IAV infection. 6.4.3. HIV Changes in T cell surface glycosylation in HIV-1 infection with increased susceptibility to galectin-1-induced cell death. [50] The mechanisms by which HIV virus evades the immune system are unclear but he surface glycoprotein GP 120 is extensively glycosylated with oligomannose structures which may make it resemble a ‘self’ antigen and thus be undetected by the immune system. The envelope protein (gp120/gp41) of HIV-1 is highly glycosylated with about half of the molecular mass of gp120 consisting of N-linked carbohydrates. While glycosylation of HIV gp120/gp41 provides a formidable barrier for development of strong antibody responses to the virus, it also provides a potential site of attack by the innate immune system through the C-type lectin mannose binding lectin (MBL) (also called mannan binding lectin or mannan binding protein). A number of studies have clearly shown that MBL binds to HIV. Binding of MBL to HIV is dependent on the high-mannose glycans on gp120 while host cell glycans incorporated into virions do not contribute substantially to this interaction. It is notable that MBL, due to its specificity for the types of glycans that are abundant on gp120, has been shown to interact with all tested HIV strains. While direct neutralization of HIV produced in T cell lines by MBL has been reported, neutralization is relatively low for HIV primary isolates. However, drugs that alter processing of carbohydrates enhance neutralization of HIV primary isolates by MBL. Complement activation on gp120 and opsonization of HIV due to MBL binding have also been observed but these immune mechanisms have not been studied in detail. MBL has also been shown to block the interaction between HIV and DC-SIGN. Clinical studies show that levels of MBL, an acute-phase protein, increase during HIV disease. The effects of MBL on HIV disease progression and transmission are equivocal with some studies showing positive effects and other showing no effect or negative effects. Because of apparently universal reactivity with HIV strains, MBL clearly represents an important mechanism for recognition of HIV by the immune system. However, further studies are needed to define the in vivo contribution of MBL to clearance and destruction of HIV, the reasons for low neutralization by MBL and ways that MBL anti-viral effects can be augmented. Further details of glycosylation in relation to HIV may be found in Appendix B page 46 6.4.4. Parasitic Glycosylation is also important in recognition of parasites. A review of glycan-lectin interactions in schistosomiasis showed that serum levels of soluble adhesionmolecules 18 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 19 of 50 including E-selectin are correlated with the differentpathological manifestations of schistosomiasis. It may be expected that the glycoconjugates expressed by schistosomes interact with host lectins, most notably of the selectin family which have LeX-related oligosaccharides as their ligands . Selectins have also been shown to interact strongly with LDNF [139]. Indeed it has been demonstrated that host-soluble Lselectin enters tissue-trapped eggs and binds to glycosylated antigens on the surface of miracidia [140], but that E- and Pselectin do not. This implies that miracidia express L-selectin ligands and potentially directly influence Lselectin-mediated processes. In parallel with the selectin-mediated endotheliumleukocyte interaction [141], it has been shown that adhesion of eggs to endothelial cells under flow conditions is E-selectin mediated, and that process could be blocked by an anti-LeX antibody [142]. Even more remarkable in this parallel between host and parasite adhesion molecules is the finding that S. mansoni itself expresses selectin-like molecules with affinity for LeX and sialyl-LeX [143]. These schistosome lectins and their human glycan counterparts, as well as the opposite combination of human selectins and LeX-containing schistosome glycoconjugates are all required as coreceptors in the antibody-dependent cell-mediated cytotoxicity of macrophages and eosinophils to schistosomula [143,144]. Interestingly, other helminths also express Ctype lectins homologous to human lectins involved in immunological events [145]. Parasitic infections have also been reported as changing host glycosylation . This seems to take place in the site of infection following exposure to the parasite. Alterations of mouse intestinal mucins were found after infection caused by the parasite Nippostrongylus brasiliensis. [51]. Experimental studies of infection with Trichinella spiralis where there was an enteric mucin-related response resulting in changes in Oglycosylation in conventional and SPF pigs.[52, 53] The changes that have been found in glycosylation following exposure to infectious diseases may result from a number of factors. Firstly they may be a result of glycosidase activity of the infectious agent. Secondly they may result fro the immunological response to the infection such as the activation of T cells. Thirdly they may result from some other factor which has then increased susceptibility to infection. Modification of glycosylation of the host lymphocytes following T cell activation are well documented and involves changes in the degree of sialylation and the size of the glycan chains. An example of such a change is the changes recognised by CD22 (Siglec-2) [54] a well-known regulator of B cell signalling Other changes in glycosylation undoubtedly take place upon activation of the immune systems and are subject of intense investigations. 6.5. Cancer and Metastasis There are many reports of changes in glycosylation in cancer patients, however in many cases no rigorous investigations of the actual nature of the change or how it has brought about have been made. The evidence suggests that glycosylation can play a key role in controlling tissue growth and development so it is not surprising that glycosylation changes are found in many cancers. Of particular importance may be the attachment of cells in metastasis. Changes in gastric epithelium in cancer have been reported [55] There are also some consistent and well documented examples such as the change of the O-linked mucin glycan in breast cancer [56]. Further details of glycosylation changes in cancer may be found in Appendix B pages 43 and 45 6.6. Other Diseases A number of other diseases have now been associated with specific changes in glycosylation. One well characterised example is IgA nephropathy where there are 19 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 20 of 50 specific changes in the glycosylation of O-glycans on IgA1 [57-59] where there is a defect in galactosylation caused by a mutant in a protein folding chaperone Cosmc [58] which may lead to complement activation and the subsequent nephropathy. Another condition which has recently been linked to a glycosylation change is in muscular dystrophy [6065], where there is a change in the O-glycosylation of alpha-dystroglycan. Changes is glycosylation have also been reported in diabetes although this is primary non-enzymatic in nature [66] and as mentioned above such modifications are termed advanced glycation end products (AGE). A specific receptor has been shown to be present (RAGE) which recognises the glycosylation and is responsible for the symptoms of the diseases. More details are given on page 43 It is certain that many more diseases involve glycosylation but it is often difficult to obtain conclusive evidence for this in light of the relative scarcity of reliable data on glycocongugate analysis that has, until recently, not been available. To quote from ‘Essential of Glycobiology’ by Varki et al (2005) [1] ‘”Available data indicate that considerable diversity of glycan structure and expression exists in nature. However, partly because of the inherent difficulties in studying glycan structure, relatively little is known about the details of this diversity (there are very few published reviews on this subject).” “Approaches taken to understand the biological roles of glycans include the prevention of initial glycosylation, alteration of oligosaccharide processing, enzymatic or chemical deglycosylation of completed chains, genetic elimination of glycosylation sites, and the study of naturally occurring variants and genetic mutants in glycosylation. In reviewing many such studies, the consequences of altering glycosylation range from being essentially undetectable to the complete loss of particular functions, or even loss of the entire glycoprotein itself. Even within a particular class of proteins (e.g., cell surface receptors), the effects of altering glycosylation are highly variable and unpredictable. Moreover, the same glycosylation change can have markedly different effects when studied in vivo or in vitro. The answer obtained may depend on the structure of the glycan, the biological context, and the specific biological question being asked. Overall, it is difficult to predict a priori the functions that a given oligosaccharide on a given glycoconjugate might mediate or its relative importance to the organism.” In conclusion this report shows that there are a wide range of gyconjugate structures that should be represented in the EurocarbDB databases. However the proposed scheme for design of the databases should be able to encompass all of these and provide a resource that is readily searchable, validated by experimental data and is in a format that is exchangeable with other databases. The need for reliable data on the biological function and disease relationship of glycosylation is certainly apparent and should provide an invaluable resource for understanding the complex relationships. At present much of the data available is confused and it is difficult to get a clear idea of how glycosylation relates to many diseases. This is a clear role for the bioinformatics project which should help greatly in the more general understanding of glycoscience. 20 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 21 of 50 References 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. Ajit Varki, R.C., Jeffrey Esko, Hudson Freeze, Gerald Hart, Jamey Marth,, Essentials of Glycobiology. Essentials of Glycobiology, ed. L.J. The Consortium of Glycobiology Editors, California. 1999, New york: Cold Spring Harbor Laboratory Press. Angata, T. and A. Varki, Chemical diversity in the sialic acids and related alphaketo acids: an evolutionary perspective. Chem Rev, 2002. 102(2): p. 439-69. Brinkman-Van der Linden, E.C., et al., Loss of N-glycolylneuraminic acid in human evolution. Implications for sialic acid recognition by siglecs. J Biol Chem, 2000. 275(12): p. 8633-40. Varki, A., Loss of N-glycolylneuraminic acid in humans: Mechanisms, consequences, and implications for hominid evolution. Am J Phys Anthropol, 2001. Suppl 33: p. 54-69. Lewis, A.L., et al., The group B Streptococcal sialic acid o-acetyltransferase is encoded by neuD, a conserved component of bacterial sialic acid biosynthetic gene clusters. J Biol Chem, 2006. Manzi, A.E., et al., Biosynthesis and turnover of O-acetyl and N-acetyl groups in the gangliosides of human melanoma cells. J Biol Chem, 1990. 265(22): p. 13091103. Higa, H.H., et al., O-acetylation and de-O-acetylation of sialic acids. O-acetylation of sialic acids in the rat liver Golgi apparatus involves an acetyl intermediate and essential histidine and lysine residues--a transmembrane reaction? J Biol Chem, 1989. 264(32): p. 19427-34. Li, E., I. Tabas, and S. Kornfeld, The synthesis of complex-type oligosaccharides. I. Structure of the lipid-linked oligosaccharide precursor of the complex-type oligosaccharides of the vesicular stomatitis virus G protein. J Biol Chem, 1978. 253(21): p. 7762-70. Tabas, I. and S. Kornfeld, The synthesis of complex-type oligosaccharides. III. Identification of an alpha-D-mannosidase activity involved in a late stage of processing of complex-type oligosaccharides. J Biol Chem, 1978. 253(21): p. 7779-86. Kornfeld, S., E. Li, and I. Tabas, The synthesis of complex-type oligosaccharides. II. Characterization of the processing intermediates in the synthesis of the complex oligosaccharide units of the vesicular stomatitis virus G protein. J Biol Chem, 1978. 253(21): p. 7771-8. Lerouge, P., et al., N-glycoprotein biosynthesis in plants: recent developments and future trends. Plant Mol Biol, 1998. 38(1-2): p. 31-48. Mackiewicz, A., et al., Leukemia inhibitory factor, interferon gamma and dexamethasone regulate N-glycosylation of alpha 1-protease inhibitor in human hepatoma cells. Eur J Cell Biol, 1993. 60(2): p. 331-6. Easton, R.L., et al., Pregnancy-associated changes in the glycosylation of tammhorsfall glycoprotein. Expression of sialyl Lewis(x) sequences on core 2 type Oglycans derived from uromodulin. J Biol Chem, 2000. 275(29): p. 21928-38. Medvedova, L., J. Knopp, and R. Farkas, Steroid regulation of terminal protein glycosyltransferase genes: molecular and functional homologies within sialyltransferase and fucosyltransferase families. Endocr Regul, 2003. 37(4): p. 203-10. Andersen, D.C., et al., Multiple cell culture factors can affect the glycosylation of Asn-184 in CHO-produced tissue-type plasminogen activator. Biotechnol Bioeng, 2000. 70(1): p. 25-31. Werner, R.G., et al., Appropriate mammalian expression systems for biopharmaceuticals. Arzneimittelforschung, 1998. 48(8): p. 870-80. Brockhausen, I., F. Vavasseur, and X. Yang, Biosynthesis of mucin type Oglycans: lack of correlation between glycosyltransferase and sulfotransferase activities and CFTR expression. Glycoconj J, 2001. 18(9): p. 685-97. Robbe, C., et al., Structural diversity and specific distribution of O-glycans in normal human mucins along the intestinal tract. Biochem J, 2004. 384(Pt 2): p. 307-16. 21 Last printed 25/04/2006 08:55:00 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. DS1-SUB1 Page 22 of 50 Ermini, L., et al., Different glycoforms of the human GPI-anchored antigen CD52 associate differently with lipid microdomains in leukocytes and sperm membranes. Biochem Biophys Res Commun, 2005. 338(2): p. 1275-83. Bellis, S.L., Variant glycosylation: an underappreciated regulatory mechanism for beta1 integrins. Biochim Biophys Acta, 2004. 1663(1-2): p. 52-60. Ohl, C., et al., N-glycosylation patterns of HSA/CD24 from different cell lines and brain homogenates: a comparison. Biochimie, 2003. 85(6): p. 565-73. de Graffenried, C.L. and C.R. Bertozzi, The roles of enzyme localisation and complex formation in glycan assembly within the Golgi apparatus. Curr Opin Cell Biol, 2004. 16(4): p. 356-63. Blair, S.S., Notch signaling: Fringe really is a glycosyltransferase. Curr Biol, 2000. 10(16): p. R608-12. Baron, M., et al., Multiple levels of Notch signal regulation (review). Mol Membr Biol, 2002. 19(1): p. 27-38. Baum, L.G., Developing a taste for sweets. Immunity, 2002. 16(1): p. 5-8. Martin, P.T., Dystroglycan glycosylation and its role in matrix binding in skeletal muscle. Glycobiology, 2003. 13(8): p. 55R-66R. Grewal, P.K., et al., Mutant glycosyltransferase and altered glycosylation of alpha-dystroglycan in the myodystrophy mouse. Nat Genet, 2001. 28(2): p. 151-4. Vellodi, A., Lysosomal storage disorders. Br J Haematol, 2005. 128(4): p. 413-31. Beesley, C.E., et al., Identification of 12 novel mutations in the alpha-Nacetylglucosaminidase gene in 14 patients with Sanfilippo syndrome type B (mucopolysaccharidosis type IIIB). J Med Genet, 1998. 35(11): p. 910-4. Fassbender, K., et al., Glycosylation of alpha 1-acid glycoprotein in relation to duration of disease in acute and chronic infection and inflammation. Clin Chim Acta, 1991. 203(2-3): p. 315-27. van Dijk, W., et al., Inflammation-induced changes in expression and glycosylation of genetic variants of alpha 1-acid glycoprotein. Studies with human sera, primary cultures of human hepatocytes and transgenic mice. Biochem J, 1991. 276 ( Pt 2): p. 343-7. Turner, G.A., N-glycosylation of serum proteins in disease and its investigation using lectins. Clin Chim Acta, 1992. 208(3): p. 149-71. Elliott, H.G., et al., Chromatographic investigation of the glycosylation pattern of alpha-1-acid glycoprotein secreted by the HepG2 cell line; a putative model for inflammation? Biomed Chromatogr, 1995. 9(5): p. 199-204. Mackiewicz, A. and K. Mackiewicz, Glycoforms of serum alpha 1-acid glycoprotein as markers of inflammation and cancer. Glycoconj J, 1995. 12(3): p. 241-7. van Dijk, W., E.C. Havenaar, and E.C. Brinkman-van der Linden, Alpha 1-acid glycoprotein (orosomucoid): pathophysiological changes in glycosylation in relation to its function. Glycoconj J, 1995. 12(3): p. 227-33. van Dijk, W., alpha 1-Acid glycoprotein. A natural occurring anti-inflammatory molecule? Adv Exp Med Biol, 1995. 376: p. 223-9. Poland, D.C., et al., Specific glycosylation of alpha(1)-acid glycoprotein characterises patients with familial Mediterranean fever and obligatory carriers of MEFV. Ann Rheum Dis, 2001. 60(8): p. 777-80. Higai, K., et al., Glycosylation of site-specific glycans of alpha1-acid glycoprotein and alterations in acute and chronic inflammation. Biochim Biophys Acta, 2005. 1725(1): p. 128-35. Parekh, R.B., et al., Association of rheumatoid arthritis and primary osteoarthritis with changes in the glycosylation pattern of total serum IgG. Nature, 1985. 316(6027): p. 452-7. Tomana, M., et al., Abnormal glycosylation of serum IgG from patients with chronic inflammatory diseases. Arthritis Rheum, 1988. 31(3): p. 333-8. Kobata, A., et al., Function and pathology of the sugar chains of human immunoglobulin G. Ciba Found Symp, 1989. 145: p. 224-35; discussion 235-40. Rook, G.A., et al., Changes in IgG glycoform levels are associated with remission of arthritis during pregnancy. J Autoimmun, 1991. 4(5): p. 779-94. Appelmelk, B.J., et al., Cutting edge: carbohydrate profiling identifies new pathogens that interact with dendritic cell-specific ICAM-3-grabbing nonintegrin on dendritic cells. J Immunol, 2003. 170(4): p. 1635-9. 22 Last printed 25/04/2006 08:55:00 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59. 60. 61. 62. 63. 64. 65. 66. 67. DS1-SUB1 Page 23 of 50 Schachter, H., Protein glycosylation lessons from Caenorhabditis elegans. Curr Opin Struct Biol, 2004. 14(5): p. 607-16. Schachter, H., et al., Functional post-translational proteomics approach to study the role of N-glycans in the development of Caenorhabditis elegans. Biochem Soc Symp, 2002(69): p. 1-21. Schachter, H., The joys of HexNAc. The synthesis and function of N- and O-glycan branches. Glycoconj J, 2000. 17(7-9): p. 465-83. Vogt, G., et al., Gains of glycosylation comprise an unexpectedly large group of pathogenic mutations. Nat Genet, 2005. 37(7): p. 692-700. Comunale, M.A., et al., Proteomic analysis of serum associated fucosylated glycoproteins in the development of primary hepatocellular carcinoma. J Proteome Res, 2006. 5(2): p. 308-15. Hawgood, S., et al., Pulmonary collectins modulate strain-specific influenza a virus infection and host responses. J Virol, 2004. 78(16): p. 8565-72. Lanteri, M., et al., Altered T cell surface glycosylation in HIV-1 infection results in increased susceptibility to galectin-1-induced cell death. Glycobiology, 2003. 13(12): p. 909-18. Holmen, J.M., et al., Two glycosylation alterations of mouse intestinal mucins due to infection caused by the parasite Nippostrongylus brasiliensis. Glycoconj J, 2002. 19(1): p. 67-75. Theodoropoulos, G., et al., Trichinella spiralis: enteric mucin-related response to experimental infection in conventional and SPF pigs. Exp Parasitol, 2005. 109(2): p. 63-71. Theodoropoulos, G., et al., The role of mucins in host-parasite interactions: Part II - helminth parasites. Trends Parasitol, 2001. 17(3): p. 130-5. Collins, B.E., et al., Masking of CD22 by cis ligands does not prevent redistribution of CD22 to sites of cell contact. Proc Natl Acad Sci U S A, 2004. 101(16): p. 6104-9. de Bolos, C., F.X. Real, and A. Lopez-Ferrer, Regulation of mucin and glycoconjugate expression: from normal epithelium to gastric tumors. Front Biosci, 2001. 6: p. D1256-63. Sewell, R., et al., The ST6GalNAc-I sialyltransferase localizes throughout the Golgi and Is responsible for the synthesis of the tumor-associated sialyl-Tn Oglycan in human breast cancer. J Biol Chem, 2006. 281(6): p. 3586-94. Xu, L.X. and M.H. Zhao, Aberrantly glycosylated serum IgA1 are closely associated with pathologic phenotypes of IgA nephropathy. Kidney Int, 2005. 68(1): p. 167-72. Ju, T. and R.D. Cummings, Protein glycosylation: chaperone mutation in Tn syndrome. Nature, 2005. 437(7063): p. 1252. Coppo, R. and A. Amore, Aberrant glycosylation in IgA nephropathy (IgAN). Kidney Int, 2004. 65(5): p. 1544-7. Blake, D.J., et al., Glycosylation defects and muscular dystrophy. Adv Exp Med Biol, 2005. 564: p. 97-8. Lamperti, C., et al., Congenital muscular dystrophy with muscle inflammation alpha dystroglycan glycosylation defect and no mutation in FKRP gene. J Neurol Sci, 2005. Saito, F., et al., Aberrant glycosylation of alpha-dystroglycan causes defective binding of laminin in the muscle of chicken muscular dystrophy. FEBS Lett, 2005. 579(11): p. 2359-63. Saito, Y., et al., Altered glycosylation of alpha-dystroglycan in neurons of Fukuyama congenital muscular dystrophy brains. Brain Res, 2006. Muntoni, F., Journey into muscular dystrophies caused by abnormal glycosylation. Acta Myol, 2004. 23(2): p. 79-84. Haliloglu, G. and H. Topaloglu, Glycosylation defects in muscular dystrophies. Curr Opin Neurol, 2004. 17(5): p. 521-7. Miyata, T., M. Yamamoto, and Y. Izuhara, From molecular footprints of disease to new therapeutic interventions in diabetic nephropathy. Ann N Y Acad Sci, 2005. 1043: p. 740-9. Sergeyev, I. and G. Moyna, Determination of the three-dimensional structure of oligosaccharides in the solid state from experimental 13C NMR data and ab initio chemical shift surfaces. Carbohydr Res, 2005. 340(6): p. 1165-74. 23 Last printed 25/04/2006 08:55:00 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. 81. DS1-SUB1 Page 24 of 50 Rose, M.C. and J.A. Voynow, Respiratory tract mucin genes and mucin glycoproteins in health and disease. Physiol Rev, 2006. 86(1): p. 245-78. Pawelek, J.M., Tumour-cell fusion as a source of myeloid traits in cancer. Lancet Oncol, 2005. 6(12): p. 988-93. Dennis, J.W., et al., Beta 1-6 branching of Asn-linked oligosaccharides is directly associated with metastasis. Science, 1987. 236(4801): p. 582-5. Lefebvre, T., et al., Does O-GlcNAc play a role in neurodegenerative diseases? Expert Rev Proteomics, 2005. 2(2): p. 265-75. Lawson, V.A., et al., Prion protein glycosylation. J Neurochem, 2005. 93(4): p. 793-801. Park, H.U., et al., Aberrant expression of MUC3 and MUC4 membrane-associated mucins and sialyl Le(x) antigen in pancreatic intraepithelial neoplasia. Pancreas, 2003. 26(3): p. e48-54. Carvalho, F., et al., Mucins and mucin-associated carbohydrate antigens expression in gastric carcinoma cell lines. Virchows Arch, 1999. 435(5): p. 47985. Ji, X., H. Gewurz, and G.T. Spear, Mannose binding lectin (MBL) and HIV. Mol Immunol, 2005. 42(2): p. 145-52. Chu, V.C. and G.R. Whittaker, Influenza virus entry and infection require host cell N-linked glycoprotein. Proc Natl Acad Sci U S A, 2004. 101(52): p. 18153-8. Gambaryan, A., et al., Receptor specificity of influenza viruses from birds and mammals: new data on involvement of the inner fragments of the carbohydrate chain. Virology, 2005. 334(2): p. 276-83. Gambaryan, A.S., et al., Differences between influenza virus receptors on target cells of duck and chicken and receptor specificity of the 1997 H5N1 chicken and human influenza viruses from Hong Kong. Avian Dis, 2003. 47(3 Suppl): p. 115460. Gagneux, P., et al., Human-specific regulation of alpha 2-6-linked sialic acids. J Biol Chem, 2003. 278(48): p. 48245-50. Rogers, G.N. and B.L. D'Souza, Receptor binding properties of human and animal H1 influenza virus isolates. Virology, 1989. 173(1): p. 317-22. Stevens, J., et al., Structure and Receptor Specificity of the Hemagglutinin from an H5N1 Influenza Virus. Science, 2006. 24 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 25 of 50 Appendix A Examples of Structures from Table 1 A Bacterial Lipopolysaccharide (Lipid A) b-D-Galp-(1-3)-b-D-GalNAc(1-4)-b-D-Galp- (1-3) -b-D-Galp (1-3) -a- D-Hep- (1-3) -a- DHep-(1-5)-Kdo-(2-2)+ | a-D-Neup5Nac-(2-3)+ | a-D-Galp-(1-2)+ | b-D-Glc-(1-2)+ | b-D-Glc-(1- From Campylobacter Jejuni NCTC 11168 25 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 26 of 50 B Bacterial Lipopolysaccahride O-antigen -4-b-D-Glcp-(1-3)-a-D-GalNAc-(1-2)-a-D-Rha4NAc-(1-3)-a-L-Fuc(1- E.Coli O157 H7 Salmonella O30 Serogroup N C Bacterial Capsular Polysaccharide (K antigen) a-D-Neup5Nac-(2-8)-a-D-Neup5Nac-(2-8)-a-D-Neup5Nac-(2-8)-a-D-Neup5Nac-(2-8)- 26 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 27 of 50 d Bacterial Peptidoglycan Major Staph A peptidoglycans GlcNAc)n glycan (GlcNAc-[ -1,4]-MurNAc)n or (MurNAc-[ -1,4]- b-D-GlcNAc-(1-4)-b-D-MurNAc-(1,4)-b-D-GlcNAc-(1-4)-b-D-MurNAc-(1,4)reduced muropeptide N-acetylglucosamine (GlcNAc or "G") ß-1,4–linked to N-acetylmuramic acid (MurNAc or "M"), substituted with a tripeptide group e Eukaryote GPI anchor a-D-Manp-(1-2)-a-D-Manp-(1-6)-a-D-Manp-(1-4)-b-D-GlcN-(1-6)-inositol 27 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 28 of 50 f Plant cell wall cellulose [b-D-Glcp-(1-4)-b-D-Glcp-(1-4)-] n Celluose (n>100) [a-D-Glcp-(1-4)-a-D-Glcp-(1-4)-] n Amylose (n>100) (a) Superposition of cellohexaose and cellulose II 3D models derived using 13C chemical shifts constraints (blue) and a cellulose II polymorph structural model. (b) Lowest energy conformer for cellohexaose obtained through SA when chemical shift constraints are omitted [67] 28 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 29 of 50 g Plant lipochito-oligosaccharides NOD factors Nod factors Most Nod factors consist of a backbone of three, four, or five ß-1,4-linked Nacetylglucosaminyl residues, N-acylated at the nonreducing-terminal residue by either a "common" fatty acid, such as vaccenic (C18:1) and stearic (C18:0) acid, or by a (poly)unsaturated fatty acid, such as C20:1 (Mesorhizobium loti NZP2213) or C18:4 (R. leguminosarum bv. viciae A1) (Table I). Often, N-methyl, O-acetyl, and O-carbamoyl groups are found at the nonreducing-terminal residue and L-fucosyl, 2-O-Me-fucosyl, 4-OAc-fucosyl, acetyl, and sulfate ester at the reducing-terminal residue b-D-GlcNAc-(1-4)-b-D-GlcNAc-(1-4)-b-D-GlcNAc-(1-4)-b-D-GlcNAc-(1-4)| N-acylation with fatty acid h Plant glycoprotein N Glycan a-D-Fuc-(1-4)-b-D-GlcNAc (1-2)-a-D-Manp-(1-6)+ | | b-D-Galp-(1-3)+ | | a-L-Fucp-(1-3)+ | a-D-Fuc-(1-4)-b-D-GlcNAc (1-2)-a-D-Manp-(1-4)--b-D-Manp-(1-4)-b-D-GlcpNAc-(1-4)-b-D-GlcpNAc-(1-4)-Asn | | b-D-Galp-(1-3)+ b-D-Xyl-(1-2)+ 29 DS1-SUB1 Last printed 25/04/2006 08:55:00 Page 30 of 50 i Plant glycoprotein O Glycan Structures of veracylglucan A (1), B (2), C (3) and malic acid (4). 6- O-(1-L-maloyl)-alpha-,beta-D-Glcp (veracylglucan A), alpha-D-Glcp-(1-->4)-6-O-(1-Lmaloyl)-alpha,-beta,-D-Glcp (veracylglucan B) and alpha-D-Glcp-(1-->4)-tetra-[6-O-(1-Lmaloyl)-alpha-D-Glcp-(1-->4)]-6-O-(1-L-maloyl)-alpha,-beta-D-Glcp (veracylglucan C). b-Ara-(1-3)-b-Ara-(1-2)-b-Ara-(1-6)-b-D-Gal+ | b-D-Gal-O-HYP | b-D-Galp-(1-3)-b-D-Galp-(1-3)+ b-D-Galp-(1-3)+ | b-D-Galp-(1-6)+ b-Ara-(1-3)-b-Ara-(1-3)-b-Ara-(1-2)-b-Ara-b-1-O-HYP b-D-Galp-(1-3)-a-D-Gal-1-O-Ser 30 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 31 of 50 j Sulphated fucans (1-3)-a-L-Fucp+ | a-L-Fucp-(1-3)-a-L-Fucp-(1-3)-a-L-Fucp-(1-3)-a-L-Fucp-(1-3)-a-L-Fucp-(1-3)| | | (1-4)-a-L-Fucp+ 3OS+ 3OS+ 31 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 32 of 50 Amphibian muins m Insect polysaccharide chitin (1-6)b-D-GlcNAc+ | (1-3)-a-L-Fucp-(1-6)-b-L-GlcNAcp-(1-3)b-D-Galp-(1-3)-a-D-GalpNAc-(1-3)-Ser | ( 1-3)-b-D-GalpNAc-(1-3)-b-D-Galp-(1-4)+ [(1-4)-b-D-GlcpNAc-(1-4)-b-D-GlcNp-(1-4)-b-D-GlcpNAc-(1-4)-b-D-GlcNp-] N 32 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 33 of 50 n Human hyaluronic acid [(1-3)-b-D-GlcpNAc-(1-4)-b-D-GlcAp-(1-3)-b-D-GlcpNAc-(1-4)-b-D-GlcAp-] n 33 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 34 of 50 34 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 35 of 50 o Human glycolipids NeuAc 3Galß4GlcßCerGM3, 3s ganglioside Galß3GalNAcß4(NeuAc 3)Galß4GlcßCerGM1 NeuAc 3Galß3GalNAcß4(NeuAc 3)Galß4GlcßCerGD1a Galß3GalNAcß4(NeuAc 8NeuAc 3)Galß4GlcßCerGD1b NeuAc 3Galß3GalNAcß4(NeuAc 8NeuAc 3)Galß4GlcßCerGT1b NeuAc 3Galß4GlcNAcß3Galß4GlcßCerS-3-PG, NeuAc-3-paragloboside, sialyl-3-paragloboside,5s ganglioside NeuAc 6Galß4GlcNAcß3Galß4GlcßCerS-6-PG, NeuAc-6-paragloboside, sialyl-6-paragloboside,5s ganglioside NeuAc 3Galß4GlcNAcß3Galß4GlcNAcß3Galß4GlcßCer7-sugar NeuAc-3-neolacto ganglioside, 7s ganglioside NeuAc 6Galß4GlcNAcß3Galß4GlcNAcß3Galß4GlcßCer7-sugar NeuAc-6-neolacto ganglioside, 7s ganglioside NeuAc 3Galß4(Fuc 3)GlcNAcß–Sialyl-Lewis x epitope NeuAc 3Galß4GlcNAcß3Galß4(Fuc 3)GlcNAcß–"VIM-2" epitope (epitope reacting with CDw65/clone VIM-2 monoclonal antibody 35 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 36 of 50 p Human glycoprotein N Glycans May be oligomannose, complex or hybrid Oligomannose a-D-Manp-(1-2)+ | a-D-Manp-(1-2)-a-D-Manp-(1-6)+ | a-D-Manp-(1-6)+ | a-D-Manp-(1-6)+ | b-D-Manp-(1-4)-b-D-GlcpNAc-(1-4)-b-D-GlcpNAc-(1-4)-Asn | a-D-Manp-(1-3)+ | a-D-Manp-(1-2)+ Hybrid a-D-Manp-(1-2)+ | a-D-Manp-(1-2)-a-D-Manp-(1-6)+ | a-D-Manp-(1-6)+ | a-D-Manp-(1-6)+ | b-D-Manp-(1-4)-b-D-GlcpNAc-(1-4)-b-D-GlcpNAc-(1-4)-Asn | a-D-Manp-(1-3)+ | b-D-Galp-(1-4)-b-D-GlcNAcp-(1-2)+ complex 36 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 37 of 50 q Human glycoprotein O Glycan Core Structures Type 1 core a-D-Neup5Nac-(2-)6+ | b-D-Galp-(1-3)-a-D-GalpNAc-Ser | a-D-Neup5Nac-(2-3)+ a-D-Neup5Nac-(2-6)+ | b-D-GlcNAcp-(1-6)+ | b-D-Galp-(1-3)-a-D-GalpNAc-Ser | a-D-Neup5Nac-(2-3)+ 37 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 38 of 50 r Human GPI anchors 38 DS1-SUB1 Last printed 25/04/2006 08:55:00 Page 39 of 50 s Human mucins Proposed acidic oligosaccharide structures identified in human intestinal mucins by nano-ESI MS/MS [18] I, ileum; C, cecum; T, transverse colon; S, sigmoid colon; R, rectum; a, structures recovered from donor 2; b, structures recovered fro donor 1. The upper branch of the oligosaccharides is indicated in bold. I C T S R Oligosaccharides with one NeuAc residue NeuAc Gal 6GalNAc-ol 513 + + + + + + + + + + 3(NeuAc 6)GalNAc-ol 3GalNAc-ol 675 + + + + + + - - + + (NeuAc 3)Gal GalNAc 3(NeuAc 6)GalNAc-ol 716 + + + + + + + + + + GlcNAc 3(NeuAc 6)GalNAc-ol 716 + + + + + + + + + + (Fuc 2)Gal 3(NeuAc 3GlcNAc Gal 675 - - - - - - + + - - 6)GalNAc-ol 3(NeuAc 821 + - + - - - - - - - 6)GalNAc-ol 878 + + + + + + + + + + (NeuAc 3)Gal 3(GlcNAc (NeuAc 3)Gal 4GlcNAc 3GalNAc-ol 878 - - - - - - - + - - GlcNAc 3Gal 3(NeuAc 6)GalNAc-ol 878 + - + - + + + + + + 6)GalNAc-ol 878 - - - - - - - + - - Gal 3(Fuc 4)GlcNAc 3(NeuAc 6)GalNAc-ol Gal 4(Fuc 3)GlcNAc 3(NeuAc 6)GalNAc-ol 1024 + + + + + + + + + + 3)GlcNAc 3GalNAc-ol 1024 - - - - - - - + - - (NeuAc 3)Gal 4(Fuc HexNAc 3Gal 3(NeuAc 6)GalNAc-ol 1081 - + - + - - - - - - GalNAc 4(NeuAc 3)Gal 4GlcNAc 3GalNAc-ol 1081 - - - - + + + + + + GalNAc 4(NeuAc 3)Gal 3GlcNAc 3GalNAc-ol 1081 - - - - + + + + + + (Fuc 2)Gal HexNAc 3(Fuc 3(NeuAc 4)GlcNAc 2)Gal 3GlcNAc 4GlcNAc 3(Fuc 3Gal 4)GlcNAc 3(Fuc 3)Gal HexNAc NeuAc 3(Fuc 3Gal HexNAc (NeuAc 4GlcNAc 1024 + + + + + + + + + + 3Gal 2)Gal 6)GalNAc-ol 3(NeuAc 6)GalNAc-ol 3Gal 1227 + + + + + - - - - 1227 + - + - - - - - - - 3GalNAc-ol 4)GlcNAc 3)GlcNAc 1170 + + + + + - - - - - 3(NeuAc GlcNAc 3(Fuc 4(Fuc 6)GalNAc-ol 3(NeuAc 3[Gal 1243 - - - - - - + + - 6)GalNAc-ol 4(Fuc 3)GlcNAc 1373 + + + + - - - - - 6]GalNAc-ol 1697 - - - - - - + + + + Oligosaccharides wih one sulphate residue (SO3-)3Gal Gal 4GlcNAc 3GalNAc-ol 667 - - - + - - + + + + 4(SO3-)6GlcNAc 3GalNAc-ol 667 + - - + - - + + + + 4(SO3-)6GlcNAc 2)Gal (Fuc (SO3-)3Gal 3GalNAc-ol 813 + - - + - - - - - + 4(Fuc 3)GlcNAc 3GalNAc-ol 813 - - + + + + + + + + Gal 3[(SO3-)3Gal 4GlcNAc 6]GalNAc-ol 829 - - - - + - + + + + Gal 3[Gal 4(SO3-)6GlcNAc 6]GalNAc-ol (SO3-)3Gal 4GlcNAc 3[(SO3-)3Gal Gal 3Gal 4(Fuc 829 - - - - + - - - + + 3GalNAc-ol 3)GlcNAc 829 - - + + + - - - - - 6]GalNAc-ol (SO3-)3Gal 4(Fuc 3)GlcNAc 3Gal 3GalNAc-ol (SO3-)3Gal 4(Fuc 3)GlcNAc 3Gal 3[Gal 975 - - - + + + - + + + 975 - - - - + - + + + + 4(Fuc 3)GlcNAc 6]GalNAc-ol 1486 - - - - - - - + - - Oligosaccharides with two acidic residues (SO3-)3Gal (NeuAc 4GlcNAc 3)Gal (SO3-)3Gal 3 (SO )3Gal 3(NeuAc 3(NeuAc 3[(SO3-)3Gal 4(Fuc 4(Fuc 4GlcNAc 6]GalNAc-ol 1120 - - - - - - + - + + 3[(SO3-)3Gal 4GlcNAc 3)Gal 3(NeuAc 3)GlcNAc 4(Fuc 4GlcNAc 1055 - - - - - - - + - 1104 + + + + + + + + + + 3)Gal (NeuAc 6]GalNAc-ol 6)GalNAc-ol 3)Gal (SO3-)3Gal 3)GlcNAc 3(NeuAc (NeuAc 4(Fuc 958 - - - - + + + + + + 966 + + + + + + + + - - 3)GlcNAc (NeuAc (SO3-)3Gal 6)GalNAc-ol 6)GalNAc-ol 3Gal 3)GlcNAc 3Gal 6)GalNAc-ol 1169 + + - + + + + + + + 3(NeuAc 1266 - - - - + + - - - - 3(NeuAc 4GlcNAc 6)GalNAc-ol 6)GalNAc-ol 3(NeuAc 1315 - - + + + + + + + + 6)GalNAc-ol GalNAc 4(NeuAc 3)Gal 4GlcNAc 3(NeuAc 6)GalNAc-ol GalNAc 4(NeuAc 3)Gal 3GlcNAc 3(NeuAc 6)GalNAc-ol (SO3-)3Gal 4GlcNAc (SO3-)3Gal 4(Fuc 3Gal 3)GlcNAc 3[(SO3-)3Gal 3Gal 4(Fuc 4GlcNAc 1372 - - - + + + + + + + 1372 - - - + + + + + + + 3)GlcNAc 3(NeuAc 1323 - - - + - - - + - - 6]GalNAc-ol 6)GalNAc-ol 1420 - - - - - - - + - 1469 - - + + - - + + + - 3 Gal, 2 HexNac, NeuAc, SO3-, GalNAc-ol 1485 - - - - - - - - + - (SO3-)3Gal 4(Fuc 3)GlcNAc 3Gal 3[(SO3-)3Gal (SO3-)3Gal 4(Fuc 3)GlcNAc 3Gal 4(Fuc 2 Gal, 2 HexNAc, Fuc, 2 NeuAc, GalNAc-ol 4(Fuc 3)GlcNAc 3)GlcNAc 3(NeuAc 6]GalNAc-ol 1566 - - - + - - + + + + 6)GalNAc-ol 1615 - - + + + + + + + + 1680 - - + - - - - - - - 2Gal, 2 HexNAc, 2 Fuc, 2 NeuAc, GalNAc-ol 39 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 40 of 50 t Human GAG Heparan Sulphate FGFR4 binding heparan sulfate octasaccharide sequences. 40 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 41 of 50 u Human GAG Keratan Sulphate Biosynthesis of Keratan Sulphate Di saccharide repeat unit [b-D-Galp-(1-4)-b-D-GlcpNAc-(1-3)-] n 41 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 42 of 50 Appendix B Some Examples of Disease Related Changes in Glycosylation and Disease 1. Respiratory Tract Mucin Genes and Mucin Glycoproteins in Health and Disease [68] Chronic Obstructive Pulmonary Disorder (COPD) is defined clinically as a complex of diseases characterized by airflow obstruction due to chronic bronchitis or emphysema. It is the fourth leading cause of patient deaths in adults in the United States. Approximately 14 million people in the United States have COPD; the majority of these patients have chronic bronchitis Airway mucins from chronic bronchitis patients overall are similar in size and structure to mucus from healthy individuals, but appear to be less acidic. However, glycosylation patterns vary during acute exacerbations, as chronic bronchitis mucins are highly sialylated with increased sialylated and sulfated Lex structures. Despite biochemical characterization of the mucus gel, information about specific mucin glycoproteins in chronic bronchitis airway secretions is limited to a few studies. MUC5AC and MUC5B mucins are highly expressed constituents both in normal and chronic bronchitis mucus. The ratio of MUC5B:MUC5AC is increased, and MUC5B differs in charge in chronic bronchitis sputum compared with normal airway mucus . Several studies support altered glycosylation of CF mucins, although this remains to be conclusively demonstrated. Initially, studies focused on mucoprotein fractions from the duodenum, where increased levels of fucose and sulfate and decreased levels of sialic acid in CF samples relative to non-CF samples are observed . Increased sulfation in CF glycoconjugates has also been reported. The structures of several dozen neutral, sialylated and sulfated O-glycans from airway mucins of patients with CF or bronchitis have been determined. A consistent finding has been increased expression of sialyl-Lex epitopes in mucin-rich fractions isolated from patients with CF. However, a similar finding has also been observed in mucins isolated from patients with chronic bronchitis, leading to the suggestion that increased sialyl-Lex expression in airway mucins correlates with severe infection or inflammation Tumour-cell fusion as a source of myeloid traits in cancer .[69] One of the strongest associations of a specific type of glycosylation with disease is the finding that frequently there is an increased expression of complex type glycans with β1,6-branched oligosaccharides from the trimannosyl core associated with increased activity of the GlcNAc transferase GNT-V. Although an association between GNT-V, β1,6branched oligosaccharides, and tumour progression has been known for two decades, the nearly universal expression of β1,6-branched oligosaccharides in human solid tumours had not been recognised. Generation of these structures on N-glycans is initiated by ß1,6-N-acetylglucosaminyltransferase V and used by both myeloid cells and cancer cells in systemic migration. In summary, supported by two decades of research on GnT-V, aberrant glycosylation, and tumour progression, these studies firmly establish a role for ß1,6-branched oligosaccharides in breast carcinoma metastasis and their prognostic value as indicators of outcome, notably in primary tumours with no nodal involvement. Thus, ß1,6branched oligosaccharides, the enzymes regulating their synthesis and degradation, and their associated glycoprotein conjugates present new targets for diagnosis and therapy of this difficult and highly prevalent cancer. 42 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 43 of 50 In addition it has been reported that β 1-6 branching of Asn-linked oligosaccharides is directly associated with metastasis [70] Neoplastic transformation has been associated with a variety of structural changes in cell surface carbohydrates, most notably increased sialylation and beta 1-6-linked branching of complex-type asparagine (Asn)-linked oligosaccharides (that is, -GlcNAc beta 1-6Man alpha 1-6Man beta 1-). However, little is known about the relevant glycoproteins or how these transformation-related changes in oligosaccharide biosynthesis may affect the malignant phenotype. It has been reported that a cell surface glycoprotein, gp 130, is a major target of increased beta 1-6-linked branching [70] and that the expression of these oligosaccharide structures is directly related to the metastatic potential of the cells. Glycosylation mutants of a metastatic tumor cell line were selected that are deficient in both beta 1-6 GlcNAc transferase V activity and metastatic potential in situ. Moreover, induction of increased beta 1-6 branching in clones of a nonmetastatic murine mammary carcinoma correlated strongly with acquisition of metastatic potential. The results presented indicated that increased beta 1-6-linked branching of complex-type oligosaccharides on gp 130 may be an important feature of tumor progression related to increased metastatic potential. 2. Advanced Glycation end products and disease The AGE field sprung from the work of Louis Camille Maillard. The Maillard reaction begins with the reaction of the carbonyl (aldehyde or ketone) of a reducing sugar to form a reversible Schiff base with the amino group of a biomolecule The initial product is called a Schiff base; Schiff bases may undergo intramolecular rearrangements to form Amadori products. These Amadori products may undergo further rearrangements, such as dehydration and condensation, to form irreversible end products, called AGEs linked this pathway to diabetes in human subjects by the observation that a naturally occurring minor human hemoglobin, HbA1c, is a posttranslational adduct of glucose with the Nterminal valine amino group of the β chain of hemoglobin. Since then, a plethora of AGEs have been described in human tissues and fluids The initial Schiff base adducts formed from glucose and lysine and N-terminal amino-acid residues rearrange to form fructosamine. Fructosamine degradation and the direct reaction of -oxoaldehydes with protein form many AGEs. Oxidative reactions may be increased by oxidative stress arising from mitochondrial dysfunction and activation of NADPH oxidase. Some AGEs are cross-linked, for example, the bis(lysyl)imidazolium salts may denature proteins and confer resistance to proteolysis. When AGEs are formed at critical sites in enzymes or proteins, they may be associated with enzyme inactivation. Cross-linked AGEs, GOLD [glyoxal-derived lysine dimer, 1,3-di(N -lysino imidazolium salt], MOLD [methylglyoxal-derived lysine dimer, 1,3-di(N -lysino)-4-(methyl-imidazolium salt], DOLD [3-deoxyglucosone-derived lysine dimer, 1,3-di(N -lysino)-4 (2,3,4trihydroxybutyl)imidazolium salt], and pentosidine may alter protein structure and function 3. Glycans In Cancer And Inflammation Changes in glycosylation are often a hallmark of disease states. For example, cancer cells frequently display glycans at different levels or with fundamentally different structures than those observed on normal cells. This phenomenon was first described in the early 1970s, but the molecular details underlying such transformations were poorly understood. In the past decade advances in genomics, proteomics and mass spectrometry have enabled the association of specific glycan structures with disease states. In some cases, the functional significance of disease-associated changes in glycosylation has been revealed. This review highlights changes in glycosylation associated with cancer and chronic inflammation and new therapeutic and diagnostic strategies that are based on the underlying glycobiology. 43 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 44 of 50 Glycans, which decorate all eukaryotic cell surfaces, undergo changes in structure with the onset of diseases such as cancer and inflammation. This article highlights some examples of disease-associated glycans and the possibility of exploiting these glycans for therapeutic or diagnostic strategies. Cancer-associated changes in glycosylation include both the under- and overexpression of naturally-occurring glycans as well as neoexpression of glycans normally restricted to embryonic tissues. These structures most often arise from changes in the expression levels of glycosylating enzymes (glycosyltransferases and glycosidases) in cancerous versus healthy cells. To dissect the roles of glycans in metastasis and tumour formation, cellular glycans have been structurally perturbed in a number of ways. The general conclusion of these studies is that certain glycans seem to play a role in cancer progression. Given the functional link between aberrant glycosylation and malignancy, therapeutics that block the formation of cancer-associated glycans might have an effect on tumour progression. The immune system can be recruited to target cancer cells on the basis of their altered glycosylation. Several glycan-based vaccines are presently undergoing clinical evaluation with some encouraging preliminary results. Existing diagnostic methods used to monitor tumour-specific glycosylation require surgical biopsy followed by histological analysis with lectins or monoclonal antibodies. An interesting future direction in the field is to target aberrant glycosylation with probes for non-invasive imaging. Specific carbohydrate epitopes, such as 6-sulpho sialyl Lewis x, initiate leukocyte homing to sites of chronic inflammation by enabling leukocyte-endothelial cell adhesion via the leukocyte receptor L-selectin and are specifically expressed at disease sites. Drugs that block the selectins or the biosynthesis of their glycan ligands are under investigation in the pharmaceutical industry. In addition, there is an opportunity for the development of noninvasive diagnostics that might identify sites of chronic inflammation prior to the presentation of disease symptoms. 4. Role of O-GlcNAc play a in neurodegenerative diseases [71] There are several lines of evidence that the modification of proteins by cytosolic- and nuclear-specific O-linked N-acetylglucosamine (O-GlcNAc) glycosylation is closely related to neuropathologies, particularly Alzheimer's disease. Several neuronal proteins have been identified as being modified with O-GlcNAc; these proteins could form part of the inclusion bodies found, for example, in the most frequently observed neurologic disorder (i.e., Alzheimer's disease; Tau protein and beta-amyloid peptide are the well known aggregated proteins). O-GlcNAc proteins are also implicated in synaptosomal transport (e.g., synapsins and clathrin-assembly proteins). Inclusion bodies are partly characterized by a deficiency in the ubiquitin-proteasome system, avoiding the degradation of aggregated proteins. From this perspective, it appears interesting that substrate proteins could be protected against proteasomal degradation by being covalently modified with single N-acetylglucosamine on serine or threonine, and that the proteasome itself is modified and regulated by O-GlcNAc (in this case the turnover of neuronal proteins correlates with extracellular glucose). Interestingly, glucose uptake and metabolism are impaired in neuronal disorders, and this phenomenon is linked to increased phosphorylation. In view of the existence of the dynamic interplay between OGlcNAc and phosphorylation, it is tempting to draw a parallel between the use of glucose, O-GlcNAc glycosylation and phosphorylation. Lastly, the two enzymes responsible for O-GlcNAc dynamism (i.e., O-GlcNAc transferase and glucosaminidase) are both enriched in the brain and genes that encode the two enzymes are located in two regions that are found to be frequently mutated in neurologic disorders. The data 44 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 45 of 50 presented in this review strongly suggest that O-GlcNAc could play an active role in neurodegenerative diseases. 5. Prion protein glycosylation. [72] The finding of a unique glycoform ratio of PrPSc that provided a clue to the origin of vCJD and its links with BSE. How the degree of PrP glycosylation can influence the phenotype of TSE strains has yet to be determined. One possibility is that TSE strains target regions of the brain where the neurones express a compatible PrPC glycosylation pattern. This is supported by electrophoretic analysis, which has identified differences in PrPC glycosylation in different regions of the brains of Syrian hamstersand mice (and by the demonstration that the glycosylation pattern of PrPSc changes when a TSE strain replicates in different regions of the brain or in the lymphoreticular system It was recently proposed that TSE infection might even be able to perturb host cell glycosylation patterns and thus encode a strain-specific glycosylation pattern, following the observation that the glycosylation state of select cell glycoproteins are altered in infected (ScN2a) vs. uninfected (N2a) cells 6. Muscular dystrophies caused by abnormal glycosylation.[64] An increasing number of genes encoding for putative or demonstrated glycosyltransferases are being associated with muscular dystrophies of variable severity, ranging from severe congenital onset and associated structural eye and brain changes, to relatively mild forms with onset into adulthood. Five of these genes (POMT1; POMGnT1; FXRP; Fukutin; LARGE) encode for proteins involved in the glycosylation of alpha-dystroglycan and, indeed, abnormal glycosylation of this molecule is a common finding in all the respective conditions (Walker Warburg syndrome; Muscle-Eye-Brain disease; congenital muscular dystrophy type 1C and Limb girdle muscular dystrophy type 21; Fukuyama muscular dystrophy; congenital muscular dystrophy type 1D). A 6th gene, GNE, responsible for the hereditary form of inclusion body myositis, encodes for a glycosyltransferase the substrate(s) of which is, however, still unclear. This article provides an overview of the clinical, biochemical and genetic features of this group of disorders. 7. Cancer related changes in O-glycosylation There is a strong association with tuncated forms of the Type 1 core O-glycans structure Tn (GalNAc-Ser) or the sialyated form sTn. The sTn antigen is recognised by the mouse monoclonal antibody CC49, which is being extensively investigated for the development of radioimmunotherapeutic protocols. Alternatively, the Tn antigen can be elongated to form one of the eight distinct cores and terminated with sulphate, sialic acid, fucose, galactose, N-acetylglucosamine, and Nacetylgalactosamine. Depending on the physiologic conditions, the peripheral sugar may vary and gives rise to tumor-associated antigens, such as Lea (Lewisa), Leb, Lex, Ley, sLea, sLec, and sLex. The CA 19-9 described previously recognises the sLea and DUPAN-2 recognises the sLec. Aberrant expression of MUC3 and MUC4 membrane-associated mucins and sialyl lex antigen in pancreatic intraepithelial neoplasia has been reported [73, 74] MUC3 showed a progressive increase in expression in PanINs of increasing dysplasia and was also highly expressed in ductal adenocarcinoma. In contrast, neoexpression of MUC4 and sialyl Lex antigen was observed, mainly in PanIN-3 and ductal adenocarcinoma. In addition, a decrease in the expression of MUC3 and MUC4 was correlated with the degree of de-differentiation of the tumor. Aberrant expression of membrane mucins MUC3 and MUC4 and of a mucin-associated carbohydrate tumor antigen Sialyl Lex in PanINs and adenocarcinoma further supports the progression model for pancreatic adenocarcinoma. 45 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 46 of 50 8. Glycosylation and HIV infection - Mannose binding lectin (MBL) and HIV [75] The envelope protein (gp120/gp41) of HIV-1 is highly glycosylated with about half of the molecular mass of gp120 consisting of N-linked carbohydrates. While glycosylation of HIV gp120/gp41 provides a formidable barrier for development of strong antibody responses to the virus, it also provides a potential site of attack by the innate immune system through the C-type lectin mannose binding lectin (MBL) (also called mannan binding lectin or mannan binding protein). A number of studies have clearly shown that MBL binds to HIV. Binding of MBL to HIV is dependent on the high-mannose glycans on gp120 while host cell glycans incorporated into virions do not contribute substantially to this interaction. It is notable that MBL, due to its specificity for the types of glycans that are abundant on gp120, has been shown to interact with all tested HIV strains. While direct neutralization of HIV produced in T cell lines by MBL has been reported, neutralization is relatively low for HIV primary isolates. However, drugs that alter processing of carbohydrates enhance neutralization of HIV primary isolates by MBL 9. Glycosylation and Influenza virus infection and transmission. Influenza virus entry and infection require host cell N-linked glycoprotein. [76] HA is the surface glycoprotein through which virus particles bind to cell surface receptors containing sialic acid . The HA is synthesized as a polyprotein precursor (HA0) that is posttranslationally cleaved into two subunits. This cleavage step is necessary for virus infectivity. Major factors affecting tissue tropism, systemic spread, and pathogenicity of avian influenza viruses are the amino acids at the cleavage site of HA0 and the distribution of proteases in the host (reviewed in reference 32). The acquisition of virulence in the field correlates with changes in glycosylation patterns of HA and with addition of polybasic amino acids at the HA cleavage site. The presence of polybasic amino acids at the cleavage site of HA is characteristic of HP influenza A viruses of the H5 and H7 subtypes. This polybasic amino acid region is the target of not only trypsin-like proteases but also intracellular proteases, such as furin, which enable systemic spread of the virus and thereby increase its virulence. Several studies indicate that the NA plays some role in pathogenicity . The NA protein facilitates the mobility of virions by removing sialic acid residues from the viral HA during entry and release from cells. Virus particles with low NA activity cannot be efficiently released from infected cells. A balance in HA and NA activities is crucial: there must be enough HA activity to facilitate virus binding and enough NA activity to allow release of virus progeny. Studies showing a link between pathogenicity of influenza viruses and NA have been done mostly on the A/WSN/33 (H1N1) virus. 10. Human influenza virus recognition of sialyloligosaccharides. [77]. Sialic acids are essential components of cell-surface receptors utilized by influenza viruses. To evaluate the recognition of asialic sugar parts of the receptor, three representative strains of human influenza A and B viruses were tested for their binding of a panel of sialyloligosaccharides. The highest affinity binding carbohydrate determinants recognized by the viruses in a context of different core structures were Neu5Acα2-3Gal for the type B virus, Neu5Acα2-6Gal for the H3 subtype virus, and Neu5Acα2-6Ga/β14GlcNAc for the H1 subtype virus. Penultimate to these determinants parts of sialyloligosaccharides studied either contributed less significantly to the binding affinity, or interfered with the binding The specificity of the virus receptors also change on transmission of the virus from birds to humans. Differences have been shown between influenza virus receptors on target cells of duck and chicken and receptor specificity of the 1997 H5N1 chicken and human influenza viruses from Hong Kong. [78]. 46 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 47 of 50 Chicken cells contained Neu5Ac alpha(2-6)Gal-terminated receptors recognized by Sambucus nigra lectin and by human viruses. This finding explains how some recent H9N2 viruses replicate in chickens despite their human virus-like receptor specificity. Duck virus bound to gangliosides with short sugar chains that were abundant in duck intestine. Human and chicken viruses did not bind to these gangliosides and bound more strongly than duck virus to gangliosides with long sugar chains that were found in chicken intestinal and monkey lung tissues. Chicken and duck viruses also differed by their ability to recognize the structure of the third sugar moiety in Sia2-3Gal-terminated receptors. Chicken viruses preferentially bound to Neu5Ac alpha(2-3)Gal beta(14)GlcNAc-containing synthetic sialylglycopolymer, whereas duck viruses displayed a higher affinity for Neu5Ac alpha(2-3)Gal beta(1-3)GalNAc-containing polymer. The data indicate that sialyloligosaccharide receptors in different avian species are not identical and provide a potential explanation for the differences between the hemagglutinin and neuraminidase proteins of duck and chicken viruses. 11. Human-specific regulation of alpha 2-6-linked sialic acids. [79] Many microbial pathogens and toxins recognize animal cells via cell surface sialic acids (Sias) that are alpha 2-3- or alpha 2-8-linked to the underlying glycan chain. Human influenza A/B viruses are unusual in preferring alpha 2-6-linked Sias, undergoing a switch from alpha 2-3 linkage preference during adaptation from animals to humans. This correlates with the expression of alpha 2-6-linked Sias on ciliated human airway epithelial target cells and of alpha 2-3-linked Sias on secreted soluble airway mucins, which are unable to inhibit virus binding. Given several known differences in Sia biology between humans and apes, we asked whether this pattern of airway epithelial Sia linkages is also human-specific. Indeed, we show that since the last common ancestor with apes, humans underwent a concerted bidirectional switch in alpha 2-6-linked Sia expression between airway epithelial cell surfaces and secreted mucins. This can explain why the chimpanzee appears relatively resistant to experimental infection with human Influenza viruses. Other tissues showed additional examples of human-specific increases or decreases in alpha 2-6-linked Sia expression and only one example of a change specific to certain great apes. Furthermore, while human and great ape leukocytes both express alpha 2-6-linked Sias, only human erythrocytes have markedly up-regulated expression. These cell type-specific changes in alpha 2-6-Sia expression during human evolution represent another example of a human-specific change in Sia biology. Because the data set involves multiple great apes, we can also conclude that Sia linkage expression patterns can be conserved during millions of years of evolution within some vertebrate taxa while undergoing sudden major changes in other closely related ones. Receptor determinants of human and animal influenza virus isolates: differences 12. in receptor specificity of the H3 hemagglutinin based on species of origin.[80] The binding of influenza virus to erythrocytes and host cells is mediated by the interaction of the viral hemagglutinin (H) with cell surface receptors containing sialic acid (SA). The specificity of this interaction for 19 human and animal influenza isolates was examined using human erythrocytes enzymatically modified to contain cell surface sialyloligosaccharides with the sequence SA alpha 2,6Gal beta 1,4GlcNAc; SA alpha 2,3Gal beta 1,4(3)GlcNAc; SA alpha 2,3Gal beta 1,3GalNAc; or SA alpha 2,6GalNAc. Although none of the viruses agglutinated cells containing the SA alpha 2,6GalNAc linkage, differential agglutination of cells containing the other three sequences revealed at least three distinct receptor binding types. Several virus isolates exhibited marked receptor specificity, binding only to cells containing the SA alpha 2,6Gal or the SA alpha 2,3Gal linkage, while others bound equally well to cells containing either linkage. Moreover, some viruses could distinguish between two oligosaccharide receptor determinants containing the terminal SA alpha 2,3Gal linkage when present in the SA alpha 2,3Gal beta 1,4(3)GlcNAc sequence or the SA alpha 2,3Gal beta 1,3GalNAc sequence binding cells containing only the former. The observed receptor specificities were not significantly influenced by the viral neuraminidases as shown by the use of the 47 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 48 of 50 potent neuraminidase inhibitor 2-deoxy-2,3-dehydro-N-acetylneuraminic acid. Receptor specificity appeared, to some extent, to be dependent on the species from which the virus was isolated. In particular, human isolates of the H3 serotype all agglutinated cells containing the SA alpha 2,6Gal linkage, but not cells bearing the SA alpha 2,3Gal beta 1,3GalNAc sequence. In contrast, antigenically similar (H3) isolates from avian and equine species preferentially bound erythrocytes containing the SA alpha 2,3Gal linkage. This is of particular interest in view of the identification of the avian virus H3 hemagglutinin as the progenitor of the H3 hemagglutinin present on the current human Hong Kong viruses. Glycan microarray analysis of the hemagglutinins from modern and pandemic influenza viruses revealed different receptor specificities. [60] Avian viruses preferentially bind to alpha2-3-linked sialic acids on receptors of intestinal epithelial cells, whereas human viruses are specific for the alpha2-6 linkage on epithelial cells of the lungs and upper respiratory tract. To define the receptor preferences of a number of human and avian H1 and H3 viruses, including the 1918 H1N1 pandemic strains, their hemagglutinins were analyzed using a recently described glycan array. The array, which contains 200 carbohydrates and glycoproteins, not only revealed clear differentiation of receptor preferences for alpha2-3 and/or alpha2-6 sialic acid linkage, but could also detect fine differences in HA specificity, such as preferences for fucosylation, sulfation and sialylation at positions 2 (Gal) and 3 (GlcNAc, GalNAc) of the terminal trisaccharide. For the two 1918 HA variants, the South Carolina (SC) HA (with Asp190, Asp225) bound exclusively alpha2-6 receptors, while the New York (NY) variant, which differed only by one residue (Gly225), had mixed alpha2-6/alpha2-3 specificity, especially for sulfated oligosaccharides. Only one mutation of the NY variant (Asp190Glu) was sufficient to revert the HA receptor preference to that of classical avian strains. Thus, the species barrier, as defined by the receptor specificity preferences of 1918 human viruses compared to likely avian virus progenitors, can be circumvented by changes at only two positions in the HA receptor binding site. The glycan array thus provides highly detailed profiles of influenza receptor specificity that can be used to map the evolution of new human pathogenic strains, such as the H5N1 avian influenza. With this powerful glycan microarray technology, it is now possible to map the fine specificity of emerging influenza viruses and to revisit and complete the analyses on earlier human, pig and bird isolates. Changes in receptor specificity can now be quickly monitored and correlated with mutations in the receptor binding site to aid in prediction of new pandemics or epidemics. In-depth cellular studies will also now be needed to ascertain the range, levels and distribution of different carbohydrates on lung epithelial tissue and human airways, especially since HA specificities for sialylated sugars can be assessed not only for α2-3 or α2-6 linkages, but also can now include preferences for GalNAc versus GlcNAc at position 3 of sialylated sugars as well as for additional substituents, such as sulfate, fucose and extra sialic acid moieties. The structure and receptor specificity of the Hemagglutinin (HA) from an H5N1 Influenza Virus. [60] has now been studied at 2.9 angstrom resolution, from a highly pathogenic Vietnamese H5N1 influenza virus. This showed that it is more related to the 1918 and other human H1 HAs than to a 1997 duck H5 HA. Glycan microarray analysis of this Viet04 HA reveals an avian alpha2-3 sialic acid receptor binding preference. Introduction of mutations that can convert H1 serotype HAs to human alpha2-6 receptor specificity only enhanced or reduced affinity for avian-type receptors. However, mutations that can convert avian H2 and H3 HAs to human receptor specificity, when inserted onto the Viet04 H5 HA framework, permitted binding to a natural human alpha2-6 glycan that suggests a path for this H5N1 virus to gain a foothold in the human population. Proposed glycan binding site of Hemagglutinin (HA) from an H5N1 Influenza Virus . [60] 48 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 49 of 50 Histidine–rich patches in the 1918 H1 and H5 structures. (A) Tube representation of the Viet04 monomer with a box surrounding the vestigial esterase domain. This region is enlarged [box (B)] to show the histidine and lysine–rich patch. Equivalent regions for avian H5 (A/Duck/Singapore/3/1997; PDB: 1jsm) and the 1918 HA (A/South Carolina/1918; PDB: 1rd8) are shown in boxes (C) and (D), respectively. Of all the current H5 strains that have been isolated from infected humans, A/Vietnam/1203/2004, and A/Vietnam/1204/2004 are the only two to have a lysine mutation introduced at position 46, thus making this region even more basic compared to the other H5 sequences. (E ) Electrostatic surface representation of the Viet04 lysine/histidine–rich region with the internal ionizable HisA295 residue that is accessible through a cavity as indicated by the green ellipse. Taken from Stevens et al [81] 49 Last printed 25/04/2006 08:55:00 DS1-SUB1 Page 50 of 50 Appendix C Current On-line resources 1. ESSENTIALS OF GLYCOBIOLOGY http://www.ncbi.nlm.nih.gov/books/bv.fcgi?call=bv.View..ShowTOC&rid=glyco.TOC&dep th=2 2. CAZy - Carbohydrate-Active enzymes http://www.cazy.org/ 3. Japanese glycoforum web-pages www.glycoforum.gr.jp/ 4. Consortium for functional glycomics – USA www.functionalglycomics.org/static/consortium/ 5. Locus-Specific Mutation Databases (for congenital diseases) http://archive.uwcm.ac.uk/uwcm/mg/docs/oth_mut.html 6. KEGG: Kyoto Encyclopedia of Genes and Genomes www.genome.jp/kegg/ 7. Bacterial Carbohydrate Structure DataBase www.glyco.ac.ru/bcsdb/start.shtml 50