How Cell Surface Sugars Can Help Treat Disease and Injury
Heparan sulphate is a complex long chain sugar (a polysaccharide) strategically positioned at the cell surface (Pic 1 – top left). Heparan sulphate is critical for regulation of the growth and differentiation of stem cells by protein growth factors. It binds selectively to proteins such as growth factors and enzymes and controls their activities via a code of specific structures (Pic 2 – top right). It often acts as a “molecular matchmaker” that influences the assembly of multiple protein complexes. These mechanisms of action are central to a wide range of normal biological processes, and are relevant to many diseases and medical conditions. Recent studies have provided new insights into this area of biology, and have real potential for translation into novel treatments for diseases including neurodegeneration, cancer, inflammation, infections, and also for tissue repair. Chemical methods for synthesis of these complex sugars have recently been developed, including compounds found to be potent inhibitors of an enzyme central to causing Alzheimers disease (AD)1. These compounds could be developed to treat the underlying cause of AD for the first time. In spinal cord injury, such compounds have the potential to reduce scarring reactions which prevent nerve regrowth (Pic 3 – middle left), and improve the efficacy of cell transplantation therapies designed to aid nerve repair2. Mechanisms for natural repair of muscle injury depend on stem cells present in muscle tissue (Pic 4), and proper activation of these cells depends on heparan sulphate3. This has the exciting potential for development of drug-based therapies to enhance muscle repair, and for treatment of muscular dystrophies.
Pic 1 – top left - Mouse embryonic stem cells stained for cell surface heparan sulphate (green), with additional staining for a marker of stem cells, (red) and nuclei (blue).
Pic 2: top right - Heparan sulphate – a long chain sugar with specific protein binding sites that controls protein functions and regulates biological processes relevant to many disease processes.
Pic 3: middle left - Schwann cells, a supporting nerve cell type, can be transplanted at sites of spinal cord injury to enhance repair, but this can cause scarring reactions which prevent nerve regrowth. However, as this image shows, Schwann cells (green) and astrocytes (red), which normally form a distinct boundary between each other in the scarring response, can be induced to mingle freely after treatment with a low sulphated modified heparin. Such compounds have exciting potential for enhancing repair of spinal cord injuries.
Pic 4: middle right - Muscle stem cells are tiny cells normally resident in a dormant state attached to muscle fibres. In response to injury, these stem cells become activated, divide and then repair damaged muscle fibres. In this fluorescent picture the red staining identifies Syndecan-4, a protein with heparin sulphate side chains,expressed on the surface of muscle stem cells (indicated here by an arrow). The two muscle stem cells arrowed are the result of a recent cell division and are activated (as shown by green staining indicating high levels of phospho-tyrosine (note: the sum of red and green appears orange in fluorescence microscopy).
Pic 5: bottom - Muscle stem cells can be isolated from muscle tissue and grown in a petri dish. In this picture individual muscle stem cells are identified by the blue staining in the nucleus; they have proliferated and express on their surface Syndecan-4(stained in green), a protein with heparan sulphate side chains. Cultured muscle stem cells can also differentiate in a petri dish and fuse one to another to form large cells called myotubes, which eventually become mature muscle fibres. The nuclei in myotubes appear only blue, since they do not express Pax7 (stained in red, so that these nuclei become purple). Pax7 is only expressed by the non-differentiated progenitor cells, but still express Syndecan-4, which is now localized to special adhesion structures on the surface of myotube membranes called focal adhesions. In non-differentiated muscle stem cells Syndecan-4 controls and modulates growth factor signals through its heparin sulphate sugar chains, as well as mediating cell adhesion to the extracellular matrix.
Authors: Professor Jerry Turnbull and Dr Dada Pisconti, Liverpool University
References:
1. Schwörer, R; et al., Synthesis of a Targeted Library of Heparan Sulfate Saccharides as Inhibitors of b-Secretase: Potential Therapeutics for Alzheimer’s disease. Chemistry European Journal. 2013, DOI: 10.1002/chem.201204519
2. Higginson, J R; et al., Differential Sulfation Remodelling of Heparan Sulfate by Extracellular 6-O-sulfatases Regulates Fibroblast Growth Factor-induced Boundary Formation By Glial Cells: Implications for Glial Cell Transplantation, Journal of Neuroscience, 2012, 32, 15902-15912. DOI:10.1523/JNEUROSCI.6340-11.2012
3. Pisconti A., et al., Syndecan-3 and Notch cooperate in regulating adult myogenesis. Journal of Cell Biology, 2010, 190(3): 427-41. DOI:10.1083/jcb.201003081















