The role of mucin-type O-glycans on the cell surface glycocalyx of normal, wet-surfaced epithelia is poorly understood. We performed in vitro assays to examine whether apical, cell surface-associated O-glycans contribute to the modulation of adhesion on corneal epithelial surfaces. Our results using static and dynamic flow adhesion assays showed that the character of the cell surface of corneal epithelial cells producing O-glycans was more antiadhesive than that of cells with truncated mucin O-glycans and that negative charges on the cell surface were not involved in preventing adhesion. These data suggest that, under normal conditions, mucin-type O-glycans—which protrude high above the plasma membrane—play a role in preventing apical epithelial surface adhesion and may contribute to the boundary lubrication of opposite membranes in mucosal tissues.
The length of cell surface–associated mucins has been estimated to extend at least 200 to 500 nm above the cell membrane, far above other glycoproteins in the glycocalyx.
11 14 32 It is generally recognized that this extended mucin protein backbone on cell surface–associated mucins confers an antiadhesive character to cell surfaces. Transfecting both normal and tumor epithelial cells with MUC1 constructs containing increasing numbers of tandem repeats yields a reduction in the number of cell–cell interactions, indicating that the antiadhesive effect depends on the size and level of expression of the mucin.
12 13 14 The antiadhesive character of mucins has also been observed by atomic-force microscopy on mucins from human conjunctival tissue, where the number of mucin–mucin interactions is minimal compared with mucin–mica interactions.
33 O-linked carbohydrates are important in maintaining the highly extended and rigid structure of the mucin protein backbone. Clustered O-glycans induce the peptide core in mucin-type glycoproteins to adopt a stiff and extended conformation that prevents folding into a globular structure.
34 A study using MUC1 synthetic peptides with conformational and dynamic analyses showed that glycosylation at the central threonine within the PDTRP core epitope region shifts the conformational equilibrium away from a type I β-turn conformation toward a more rigid and extended state.
35 Consequently, densely packed O-glycan chains on cell surface–associated mucins have been postulated to induce the extended rodlike structure in native tissues. Our experiments showing increased cell surface adhesion after truncation of O-glycan chain elongation with benzyl-α-GalNAc are consistent with the concept that O-glycans contribute to the maintenance of an extended structure of the cell surface–associated mucin that prevents cell adhesion. After blocking the synthesis of the hydrophilic carbohydrate side chains, the extended structure of the membrane-associated mucins may collapse
36 and/or expose a more adhesive, hydrophobic protein backbone that facilitates cellular attachment.
37
In addition to their role in maintaining an extended structure, mucin O-glycans contain negatively charged sialic acids that may also prevent cell adhesion by giving glycoproteins a strong negative charge that would favor charge repulsion.
10 11 Glycoproteins with abundant levels of sialic acid, such as podocalyxin—a major membrane protein of the glomerular epithelium—or the polysialylated form of the neural cell adhesion molecule (N-CAM), have an antiadhesive function in the glycocalyx that is sialidase dependent.
30 38 Removal of sialic acid by neuraminidase in cells transfected with the cell surface–associated mucin MUC1 has, however, yielded controversial results in aggregation assays—showing that sialic acid residues are either not required for the antiadhesive effect of the mucin
13 or partially contribute to the modulation of cell adhesion.
12 In these experiments, the length of the mucin molecule seemed to determine the role of sialic acid. Consequently, Wesseling et al.
13 have proposed that sialic acid mediates cell adhesion by charge repulsion in mucin molecules containing a low number of tandem repeats (as shown in MUC1 transfectants containing eight repeats), whereas in a longer MUC1, the extended state of the mucin—and not charge repulsion—becomes the predominant factor in modulating cell adhesion. Our observations using native (full-length) mucin produced by human corneal epithelial cells are in line with this hypothesis—truncation of mucin O-glycans with benzyl-α-GalNAc treatment increased cell adhesion independent of sialidase treatment, suggesting that benzyl-α-GalNAc may compromise the extended structure of the native mucin and that sialic acid does not play a role in modulating adhesion in the surface-associated mucin. Increased adhesion after benzyl-α-GalNAc treatment that is independent of sialidase treatment has also been observed in hepatocarcinoma cells transfected with the carcinoma-associated glycoprotein dysadherin.
39 Determining the exact extent to which benzyl-α-GalNAc affects the elongation of O-glycans would be helpful in identifying carbohydrate structures that might be necessary to maintain the antiadhesive properties of the mucin. In our experiments, charge repulsion did not appear to contribute to the antiadhesive character of the cell surface, since the amount of negative charges increased after treatment with benzyl-α-GalNAc, perhaps by exposing negative residues on the plasma membrane that would otherwise have been hindered by the extended structure of the fully glycosylated mucin.
Cell surface–associated mucins and their O-glycans are constitutively expressed on apical membranes of epithelia that require a lumen and are, thus, antiadhesive. In mucosae that border the external environment, such as the ocular surface, oral cavity, and reproductive tract, dryness is a common and frequently chronic disorder characterized by adhesiveness of the apical surface. It is possible to speculate that altered biosynthesis of O-glycans in these tissues contributes to adhesion and lack of boundary lubrication. Altered mucin-type O-glycosylation has been demonstrated in drying diseases. In patients with dry eye, this altered state is evidenced in the lack of binding of the monoclonal antibody H185, which recognizes O-acetyl sialic acid on MUC16, to apical cell membranes on stratified squamous conjunctival epithelium.
7 Using antibodies specific to polypeptide GalNAc-transferases, a family of enzymes that initiate mucin-type O-glycosylation, we have also shown lack of binding to dry keratinized areas of the ocular surface in patients with ocular cicatricial pemphigoid.
6 Studies using a panel of lectins have shown that the degree of glycosylation is altered in the labial salivary glands of patients with Sjögren’s syndrome—a drying disease that affects both ocular and oral mucosae.
8 9 Although the specific structural changes in the mucin O-glycan chain in these patients have not yet been defined, the results suggest that alteration in mucin O-glycosylation may compromise the maintenance of a hydrated and antiadhesive epithelial surface. Conducting experiments on the role of mucin O-glycans in a dry chamber setting would also provide information and parameters that would more closely mimic clinical drying conditions.
In summary, our results in static and dynamic flow experimental conditions indicate that mucin O-glycans on corneal epithelial cells contribute to the prevention of apical cell surface adhesion and that this phenomenon is not mediated by charge repulsion. Alteration in the distribution of mucins and their O-glycosylation in drying diseases, such as dry eye, may result in adherence and damage to the epithelial surface by abrasive stress.