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Advanced Neurology                                                     HS-proteoglycans and brain function



            as useful tools for better understanding HS interactions of   HS-ligand recognition  and interaction. In addition,
            physiological significance. Another novel approach in HS   artificial intelligence, deep machine learning, and neural
            glycomimetics involves the use of clickable disaccharide   network analysis have been applied in the development
            building  blocks  to  assemble  oligomers  that  mimic  the   of interactive algorithms for understanding HS structure
            disaccharide repeat units of native HS.  These HS-mimetic   and function, and these technologies are being used in the
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            oligomers also bind FGF-2 in a sulfation-dependent manner.   development of HS mimetics with potential therapeutic
            To further explore HS structure-function relationships and   applications. A  greater understanding of HS-protein
            harness the therapeutic potential of HS, a new class of four   interactions through these sophisticated techniques
            trisaccharide compounds derived from the aminoglycoside   will undoubtedly  further our understanding  of  the
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            tobramycin has been identified. These compounds mimic   complexities of this fascinating molecule.  However,
            natural HS,  exhibiting strong binding to heparanase   finding a means to control HS in pathological disorders
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            while displaying low affinity to off-target platelet factor-4,   without disrupting its roles in essential life processes will
            thereby demonstrating their potential as glycopolymers   be a challenging task. If successful, it could have profound
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            with specific modes of action. Some functions of HS   benefits for health and well-being.  Achieving this goal
            chains, such as receptor activation, require short sulfated   will require the utilization of next-generation, state-of-
            sequences separated by N-acetylated regions. Advances in   the-art technologies, but promising bioactive molecules
            HS sequencing, chemical synthesis, and  the elucidation   have already emerged. Ongoing work will hopefully
            of  3D  oligosaccharide-protein  complex  structures  have   continue to refine these developments, perfecting their
            significantly contributed to our understanding of HS   application in the challenging fields of pathobiology and
            structure-function interrelationships. These advancements   bioregulation.
            have led to the development of HS-inspired drugs with
            therapeutic applications in inflammation and cancer. 93  Acknowledgments
              HS-mimetic glycopolymers hold promise for regulating   We acknowledged the important contributions of the many
            protein aggregation processes and may prevent the   research scientists who have worked on various aspects of
            development  of  neurodegenerative  features  in  diseases   the pathobiology of amyloid.
            such as AD and PD.                                 Funding
            9. Conclusion                                      This study was funded by the Melrose Personal Research

            This review has highlighted the considerable complexity   Fund, Sydney, Australia.
            of HS in both normal and pathological tissues, which   Conflict of interest
            endows HSPGs with complex regulatory roles in
            pathophysiology as well as essential instructive regulatory   The authors declare no conflicts of interest.
            properties in normal cellular processes. In pathological   Author contributions
            conditions,  such  as  cancer  and  neurodegenerative
            diseases, HSPGs contribute to the propagation of   Conceptualization: All authors
            abnormal protein aggregates in neural tissues, leading   Writing – original draft: James Melrose
            to disrupted neuronal function. These disruptions have   Writing – review & editing: All authors
            long-term neurotoxic consequences, including neuronal
            death, cognitive decline, permanent memory loss, motor   Ethics approval and consent to participate
            impairment, and tissue dysfunction, as observed in AD   Not applicable.
            and PD.  Factors such as sulfation position, charge
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            density, chain flexibility, and length, and the planar 3D   Consent for publication
            geometric presentation of sulfate groups all contribute   Not applicable.
            to HS’s interaction and its role in these processes.
            Advanced techniques such as X-ray crystallography,   Availability of data
            in silico molecular docking, quantum semiconductor
            bio-affinity nanoprobes, sub-nanometer ultra-high   Not applicable.
            resolution live cell imaging, single-cell transcriptomics,   References
            neutron scattering, and electron detachment dissociation
            provide a sophisticated level of analysis. These techniques   1.   Xie C, Schaefer L, Iozzo V. Global impact of proteoglycan
            enhance our predictive capabilities in understanding   science on human diseases. iScience. 2023;26(11):108095.
            variations in HS conformation and their effects on      doi: 10.1016/j.isci.2023.108095

            Volume 3 Issue 3 (2024)                         12                               doi: 10.36922/an.3812
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