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Advanced Neurology                                                     HS-proteoglycans and brain function



            for their production. There are around 20,000      specialized form of HS, lacks these less-modified regions
            proteoglycan-associated genes listed in major human   and is the most heavily modified GAG. HS biosynthesis
            genome  databases  (GENCODE/Ensembl, RefSeq, and   is not a template-driven process; rather, it is guided
            UniProtKB).  Approximately 50 proteoglycans, including   by the activity of HS biosynthetic enzymes that are
                      1
            18 heparan sulfate (HS) proteoglycans (HSPGs), have   spatiotemporally expressed in tissues, contributing to the
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            been identified, and many excellent reviews have explored   diversity of HS functional forms.  HS is assembled from
            their properties.  These reviews highlight the diverse   at least 12 different disaccharides, which are variably
                         2-5
            roles of HSPGs in various biological processes, including   distributed along an HS chain.  The fine structure of HS
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            cell differentiation and proliferation, tissue development   is remarkably diverse, theoretically allowing for an infinite
            and morphogenesis, angiogenesis, skeletogenesis, and   number of protein-binding epitopes, with over 1,000,000
            extracellular matrix (ECM) remodeling during tissue   structural epitopes possible in an HS octasaccharide. 12,13
            repair. HSPGs also play critical roles in interactions with   Cummings  has calculated that for a typical interactive HS
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            growth factors and morphogens during tissue development,   pentasaccharide, based on repeat disaccharides containing
            matrix stabilization, and cell-matrix communication, all   GlcA, IdoA, and IdoA2S at position 1, and GlcNAc, GlcNS,
            of which are crucial for regulating tissue homeostasis.   GlcNAc6S, GlcNS6S, GlcNS3S, and GlcNS3S6S at position
            HS is an ancient glycocalyx molecule  that evolved   2, there are 972 (3 × 6 × 3 × 6 × 3) possible structural
                                              6
            over a 500-million-year period as a highly diverse and   combinations for one pentasaccharide and 1,944  (6 ×
            essential cell regulatory molecule.  Natural selection has   3 × 6 × 3 × 6) combinations for other, making a total of
                                        7
            favored HS for its versatility in molecular recognition,   2,916 possible pentasaccharide structural combinations.
            information storage, and information transfer.  The   The spatiotemporal expression of defined HS structures
                                                     8
            interactive properties of HSPG stem from the glycocode of   and the modular core protein components of HSPGs are
                                               9
            their glycosaminoglycan (GAG) side chains  and specific   tightly regulated during embryonic development, skeletal
            interactive modules within their core proteins, allowing   maturation, and the specific features of pathological tissues.
            them to interact with a wide range of cellular and structural
            proteins (the HS interactome). The aim of this review is   2. HS sulfation as a key functional
            to  elucidate  the  role  of  HSPGs  in  the  propagation  and   determinant of proteoglycans
            deposition of pathological protein aggregates in the brain,   A significantly higher 6O sulfation level in the HS chains
            which contribute to the development of neurodegenerative   of  syndecan  (SDC)-2  compared  to  those  of  SDC-4
            processes and diseases associated with cognitive decline.  correlates with increased reactivity of SDC-2 toward
            1.1. HS biosynthesis                               vascular endothelial cell growth factor (VEGF)-2, leading
                                                               to enhanced activation and elevated neovascularization.
            During the biosynthesis of HS, D-glucuronic acid (GlcA)   This  suggests  that  specific  HS sulfation  patterns
            and  N-acetylglucosamine (GlcNAc) are assembled in an   contribute to the regulation of distinct biological activities
            alternating fashion to form the repeating GlcA-GlcNAc   in situ.  Despite the importance of GAG multivalency in
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            disaccharide, which constitutes the backbone of HS.    proteoglycan function, only a few studies have examined
                                                         10
            The nascent HS chain undergoes further remodeling   its  biological  significance. Two studies  have proposed
            through the actions of several families of modifying   that dimerization or clustering of SDCs in focal adhesion
            enzymes, adding complexity to the HS structure. One of   complexes, along with the associated increase in charge
            the initial steps in this process is the removal of the acetyl   density, drives receptor activation and interactive processes
            group from GlcNAc, followed by the addition of sulfate   with fibroblast growth factor (FGF)2 and VEGF2. 15,16  This
            groups. D-glucuronic acid can undergo epimerization to   clustering increases FGF2-mediated cell signaling, cell
            L-iduronic acid (IdoA), and its uronic acid groups can   adhesion, and neovascularization. The diversity of GAG
            be  O-sulfated at the  C2  position.  Glucosamine can  also   side chain sequences attached to proteoglycan core proteins
            be  O-sulfated at the C6  position and less commonly at   at the cell surface contributes to their cell-instructive and
            the C3 position.  The spatial and temporal regulation of   ECM-interactive properties. These sequences modulate
                         10
            glycosyltransferases  and other HS-biosynthetic  enzymes   interactions with growth factors, chemokines, morphogens,
            within tissues accounts for the diversity in HS structure   proteases, and protease inhibitory proteins, acting as cell-
            observed during tissue development and in pathological   responsive cues delivered by the ECM.  The Wnt signaling
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            conditions. Sulfation along the HS chain is not uniform;   pathway plays an important role in regulating embryonic
            HS chains contain regions of high sulfation interspersed   tissue development and adult tissue homeostasis. Wnt
            with domains of high acetylation, non-sulfated regions,   proteins, which are secreted lipid-modified glycoproteins,
            and less-modified de-acetylated regions. Heparin, a   form morphogen gradients that direct cellular behavior.


            Volume 3 Issue 3 (2024)                         2                                doi: 10.36922/an.3812
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