Glycomics and glycoproteomics focused on aging and age-related diseases — Glycans as a potential biomarker for physiological alterations

Glycomics and glycoproteomics focused on aging and age-related diseases — Glycans as a potential biomarker for physiological alterations

    Glycomics and glycoproteomics focused on aging and age-related diseases glycans as a potential biomarker for physiological alteration...

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    Glycomics and glycoproteomics focused on aging and age-related diseases glycans as a potential biomarker for physiological alterations Yuri Miura, Tamao Endo PII: DOI: Reference:

S0304-4165(16)00022-2 doi: 10.1016/j.bbagen.2016.01.013 BBAGEN 28371

To appear in:

BBA - General Subjects

Received date: Revised date: Accepted date:

4 November 2015 13 January 2016 14 January 2016

Please cite this article as: Yuri Miura, Tamao Endo, Glycomics and glycoproteomics focused on aging and age-related diseases - glycans as a potential biomarker for physiological alterations -, BBA - General Subjects (2016), doi: 10.1016/j.bbagen.2016.01.013

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Glycomics and Glycoproteomics focused on Aging and Age-related

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Diseases - Glycans as a Potential Biomarker for Physiological

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Alterations -

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Yuri Miura & Tamao Endo*

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Research Team for Mechanism of Aging, Tokyo Metropolitan Institute of Gerontology, Tokyo

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173-0015, Japan

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*Corresponding author: Tamao Endo

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Research Team for Mechanism of Aging, Tokyo Metropolitan Institute of Gerontology 35-2 Sakaecho, Itabashi-ku, Tokyo 173-0015, Japan

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Tel: +81 3 3964 3241; Fax: +81 3 3579 4776; E-mail: [email protected]

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Abstract

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Background: Since glycosylation depends on glycosyltransferases, glycosidases, and sugar

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nucleotide donors, it is susceptible to the changes associated with physiological and pathological conditions. Therefore, alterations in glycan structures may be good targets and biomarkers for monitoring health conditions. Since human aging and longevity are affected by

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genetic and environmental factors such as diseases, lifestyle, and social factors, a scale that

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reflects various environmental factors is required in the study of human aging and longevity. Scope of Review: We herein focus on glycosylation changes elucidated by glycomic and

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glycoproteomic studies on aging, longevity, and age-related diseases including cognitive impairment, diabetes mellitus, and frailty. We also consider the potential of glycan structures as

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biomarkers and/or targets for monitoring physiological and pathophysiological changes.

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Major Conclusions: Glycan structures are altered in age-related diseases. These glycans and glycoproteins may be involved in the pathophysiology of these diseases and, thus, be useful

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diagnostic markers. Age-dependent changes in N-glycans have been reported previously in cohort studies, and characteristic N-glycans in extreme longevity have been proposed. These findings may lead to a deeper understanding of the mechanisms underlying aging as well as the factors influencing longevity. General Significance: Alterations in glycosylation may be good targets and biomarkers for monitoring health conditions, and be applicable to studies on age-related diseases and healthy aging.

Keywords; glycomics, glycoproteomics, glycosylation, aging, longevity, biomarker

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Abbreviations;

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AD, Alzheimer’s disease; CGE-LIF, capillary gel electrophoresis with laser-induced fluorescence detection; CMP-SA, cytidine monophosphate-sialic acid; Con A, concanavalin A; CSF, cerebrospinal fluid; DS, Down syndrome; DSA-FACE, DNA sequencer-assisted,

FUT8,

-1,6-fucosyltransferase;

GAG,

glycosaminoglycan;

GDH,glutamate

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assay;

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fluorophore-assisted carbohydrate electrophoresis; ELISA, enzyme-linked immunosorbent

dehydrogenase; GFAP, glial fibrillary acidic protein; GnT-III, N-acetylglucosaminyltransferase

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III; GP96, glycoprotein 96; GWAS, genome-wide association study; HBP, hexosamine biosynthetic pathway; HILIC, hydrophilic interaction liquid chromatography; HNF1,

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hepatocyte nuclear factor 1 iNPH, idiopathic normal pressure hydrocephalus; LC-MS/MS,

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liquid chromatography-tandem mass spectrometry; MALDI-TOF, matrix-assisted laser desorption ionization time of flight; MCI, mild cognitive impairment; MS, mass spectrometry;

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PAP, placental anticoagulant protein; SSC, semisupercentenarian; T2DM, type 2 diabetes mellitus; UDP-GalNAc, uridine diphosphate-N-acetylgalactosamine; UDP-GlcNAc, uridine diphosphate-N-acetylglucosamine; WGA, wheat germ agglutinin; -1,4-GalT,-1,4-galactosyl transferase; 2D-PAGE, 2-dimensional polyacrylamide gel electrophoresis

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1. Introduction

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Aging is a complex biological process that has not yet been completely elucidated.

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Human aging and longevity are affected not only by genetic factors, but also by various environmental factors such as diseases, lifestyle, and social factors [1]. Social factors include various psychological factors, for example, personal relationships such as family, work, and

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various experiences, which may affect a number of biological functions, resulting in altered

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physiological and pathophysiological conditions (Fig. 1).

Cell-surface and secreted proteins are mostly decorated with sugar chains. Recent studies

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have suggested that glycans modify the functions of proteins and play important roles in intraand intercellular biological processes [2, 3]. In intercellular biological processes, glycans are

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involved in molecular recognition processes that occur in viral infections, cell adhesion in

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inflammation and tumor metastasis, and many other events. The sugar chains linked to proteins have been classified into 2 main groups: N-linked sugar chains, which are bound to the

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asparagine residue in a consensus sequence (Asn-X-Ser/Thr), and O-linked sugar chains, which are bound to the hydroxyl group of the serine or threonine residue. N-linked glycosylation (N-glycans) occurs in the endoplasmic reticulum, and involves the attachment of a lipid-linked precursor oligosaccharide to a protein, followed by the trimming of several monosaccharides by the actions of specific glycosidases and then further extension via a set of glycosyltransferases in the Golgi apparatus. O-linked glycosylation (O-glycans) also takes place in the Golgi apparatus

by the

stepwise

addition of

monosaccharides

via

a

different

set

of

glycosyltransferases. Glycosylation depends on the activities of glycosyltransferases and glycosidases in addition to the availability of sugar nucleotide donors [3]. Furthermore, glycan

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structures have a number of positional isomers and anomeric configurations including antennary

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branching. Therefore, glycan structures produced in the body are very diverse and

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heterogeneous.

A panel of glycosyltransferases, glycosidases, enzymes involved in sugar nucleotide biosynthesis, and nucleotide transporters participate in the biosynthesis of sugar chains. Since

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the activity and expression level of each enzyme are affected by pathological conditions,

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including cancer [4] and inflammatory diseases [5], the peripheral structures and branching of glycans are changed. Glycosylation is also affected by physiological conditions such as cell

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differentiation, cell morphogenesis, and tissue development; therefore, glycan structures may be good targets and biomarkers for monitoring health conditions and suitable as a scale to reflect

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human aging and longevity [6, 7].

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Technical difficulties are associated with obtaining precise structural information on glycans because their structures are very diverse and heterogeneous. However, several recently

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developed methods have allowed for the total spectrum of glycans in the serum and body fluids of a large number of individuals to be examined as described later. In order to address the potential of glycan structures as biomarkers of health conditions, Gornik et al. examined the stability of N-glycan structures (N-glycomics) in the plasma of healthy individuals [8]. Hydrophilic interaction liquid chromatography (HILIC)-HPLC revealed the stability of N-glycomics between different blood collection times within an individual. Accordingly, if changes are detected in glycomics, they may be as a consequence of physiological or pathological responses, suggesting the high diagnostic potential of glycomic studies for aging-related diseases and aging in humans.

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We herein review alterations in glycosylation with aging-related diseases, aging, and

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longevity as elucidated by glycomic and glycoproteomic analyses. We also discuss the potential

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of glycans as biomarkers of health conditions.

2. Glycomics and glycoproteomics

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“Glycomics” is defined as the comprehensive analysis of glycan structures released

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from glycoproteins (Fig. 2). N-glycomics is performed more frequently than O-glycomics because N-glycans are released from proteins by a treatment with PNGase F. The resulting free

2-aminobezoic

acid

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N-glycans are labeled with fluorescent reagents such as 2-aminopyridine (PA) [9], (2-AA)

[10],

2-aminobenzamide

(2-AB)

[11],

and

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8-aminopyrene-1,3,6-trisulfonic acid (APTS) [12], followed by high-throughput analyses

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including HILIC-HPLC [10, 11, 13-17] and DNA sequencer-assisted, fluorophore-assisted carbohydrate electrophoresis (DSA-FACE) [12, 18-23]. Other high-throughput analyses include

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mass spectrometry (MS)-equipped methods such as matrix-assisted laser desorption ionization time of flight-MS (MALDI-TOF/MS) [24] and liquid chromatography-tandem MS (LC-MS/MS) [25]. MS analyses of glycans with or without fluorescent labeling provide molecular mass and structural information. If several possible isomers are present, each one may be discriminated from the others using multistage analyses (MSn). Since the glycans released from proteins are analyzed in glycomic studies, it is impossible to determine which proteins these glycans are attached to. However, glycans frequently affect the function of carrier proteins; therefore, information on proteins is essential for understanding the role of their glycans. Taken together, these findings indicate that an

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analysis of glycans and proteins is important for establishing the functions of glycoproteins,

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defined as “Glycoproteomics” (Fig. 2). Lectins are invaluable for glycoproteomics and are very

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useful for grouping glycoproteins on the basis of glycan-binding specificities [26]; for example, concanavalin A (Con A) binds to -linked mannosyl and glucosyl glycans, wheat germ agglutinin (WGA) binds to GlcNAc and sialic acid, and Jacalin lectin binds to galactosyl

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moieties coupled to N-acetylgalactosamine (GalNAc) via a (1,3) linkage. A group of

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glycoproteins is enriched using lectin-affinity chromatography, followed by a proteomics analysis such as 2-dimensional polyacrylamide gel electrophoresis (2D-PAGE) [27-30]. The

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glycoprotein-specific gel and blot stain, ProQ®-Emerald, recently became commercially available. Therefore, 2D-PAGE has become a powerful tool in glycoproteomics and proteomics

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[31, 32]. Furthermore, LC-MS/MS is useful in glycoproteomics because the structures of

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glycans and identification of proteins are determined simultaneously [25, 32] (Fig. 2). On the other hand, a lectin microarray, in which a panel of lectins with different glycan-binding

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specificities is immobilized on a plate, is a useful tool for the rapid and highly sensitive analysis of glycoproteins [33-35].

3. Age-related diseases The relationship between glycan structures and diseases has been reviewed previously, for example, cancer [36-40]. We herein focus on glycomics and glycoproteomics in age-related diseases including cognitive impairment, diabetes mellitus, and frailty. 3.1 Cognitive impairment

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3.1.1 Alzheimer’s disease

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Alzheimer’s disease (AD) is the most common type of cognitive impairment in the

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elderly and is characterized by the accumulation of protein debris, namely, senile plaques and neurofibrillary tangles. The number of AD patients has reached 24 million worldwide, and diagnostic methods and preventive care are urgently required in addition to effective therapeutic

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approaches. Since the glycosylation of proteins is involved in proper protein folding, protein

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quality control, and the transport of proteins to specific organelles, glycosylation may be associated with the pathophysiology of AD and mild cognitive impairment (MCI). The glycosylation of several proteins involved in the pathology of AD such as the amyloid precursor

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protein (APP) [41, 42], -site APP-cleaving enzyme 1 (BACE-1) [43], nicastrin [44, 45], and

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Tau [46], has been investigated [47]. Alterations in the glycosylation of transferrin have also

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been reported in the serum of AD patients [48, 49]. However, studies on comprehensive glycomics and glycoproteomics with a focus on

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AD have been limited. Kanninen et al. performed a glycoproteomic study on cytosolic proteins in AD brains using 2D-PAGE, and found that glycosylation of the glial fibrillary acidic protein (GFAP) was enhanced in AD, while that of collapsin response mediator protein 2 (CRMP-2) was suppressed [31]. The glycosyl pattern of 1-antitrypsin was shown to be altered in the cerebrospinal fluid (CSF) of AD patients using LC-MS/MS [32]. Another method is the enrichment of glycoproteins by lectin chromatography followed by 2D-PAGE and protein identification with MS [27-29]. Butterfield and co-workers examined alterations in the Con Aand WGA-fractionated proteins of the hippocampus and inferior parietal lobule of AD patients and MCI patients. They found changes in the levels of several glycoproteins. For example,

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metabolic proteins (GDH and -enolase), chaperone proteins (HSP90 and GP96), cytoskeletal

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proteins (GFAP and 14-3-3 proteins), and synaptic proteins (-synuclein) were altered in the AD

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hippocampus. Since 14-3-3 proteins are known to interact with neurofibrillary tangles, they speculated that changes in the glycosylation of 14-3-3 proteins are associated with the pathogenesis of AD. On the other hand, the up-regulated expression of GFAP is a characteristic

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feature of reactive astrocytes that is associated with tangles, neuritic plaques, and A pathology

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[50]. Furthermore, the expression of GFAP was shown to be increased in the cerebrum of AD [51]. Glycosylated GFAP is known to be enhanced in AD [27, 31]; however, the effects of

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glycosylation on GFAP function and AD pathology currently remain unclear. Further studies are needed in order to address the pathological meaning of protein glycosylation changes in the AD

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brain.

3.1.2 Idiopathic normal pressure hydrocephalus

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Idiopathic normal pressure hydrocephalus (iNPH) is a cognitive impairment in the elderly that is caused by abnormal metabolism in the CSF. Since iNPH patients have dementia and ventriculomegaly, similar to AD patients, a useful index is required for a differential diagnosis between AD and iNPH. Futakawa et al. analyzed the glycosylation of transferrin in the CSF using a lectin microarray, and found two glycosylation isoforms of transferrin. Isoform 1 has a unique biantennary GlcNAc-terminated glycan, while isoform 2 has 2,6-sialylglycan, similar to serum transferrin. Since the ratio of isoform 2 to isoform 1 is higher in iNPH than in non-iNPH patients, including AD, they proposed this ratio as a pathogenic index, which may have the ability to distinguish iNPH from AD [52]. Further studies are needed in order to

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determine the relationship between changes in the ratio of isoform 2 to isoform 1 as well as its

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pathological implications.

3.2 Diabetes mellitus

Diabetes mellitus has been classified into 2 categories, type 1 and type 2. Type 2

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(T2DM) is a complex and heterogeneous disease that is characterized by chronic hyperglycemia,

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insulin resistance, and relative insulin-secreting defects. Although obesity and a sedentary lifestyle have been correlated with T2DM, many aspects of the biochemical pathways involved

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remain unknown. Ito et al. [53] reported that -1,6-fucosylated biantennary glycan levels were increased in the serum of db/db mice, which are a model of T2DM, and also found elevations in

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-1,6-fucosyltransferase (FUT8) mRNA levels in the livers of these mice. They subsequently

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analyzed serum N-glycan profiles in human subjects with T2DM and reported an increase in the levels of a biantennary N-glycan that contained an 1,6-fucose with a bisecting GlcNAc. Based

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on these findings, they speculated that changes in T2DM patients were caused, at least partially, by enhanced FUT8 levels in the liver. Elevations have also been reported in fucose in the glycoproteins of diabetic subjects; however, the fucosyl linkage was not determined [54]. Testa et al. [23] performed N-glycomics on serum proteins in T2DM and metabolic syndrome patients using DSA-FACE, and detected significant changes in the composition of N-glycans in serum between T2DM patients and non-diabetic controls. They found that the levels of the isomer, -1,6 or -1,3-monogalactosylated, core--1,6-fucosylated biantennary glycan (NG1(6)A2F or NG1(3)A2F), were significantly lower in T2DM patients, and that this decrease was enhanced in T2DM patients with complications such as neuropathy, nephropathy,

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or/and retinopathy. Regarding decreases in NG1(6)A2F in T2DM, they speculated the following.

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The activity of -1,4-galactosyltransferase (GalT) initially increases in diabetic patients with

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complications [55]. NG1(6)A2F is then galactosylated to form a digalactosylated glycan, which decreases NG1(6)A2F. Furthermore, this decrease in NG1(6)A2F has also been detected in patients with metabolic syndrome, suggesting that metabolic syndrome and T2DM are similar

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pathological conditions [23].

3.3 Frailty

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Frailty is a geriatric syndrome characterized by progressive physical decline including unintentional weight loss, muscle weakness, low activity levels, exhaustion, and a slow gait. Its

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pathology is widely observed in elderly people, even with individual differences, and ultimately

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increases the risk of disability, hospitalization, and mortality. Therefore, frailty is considered an important clinical and public health issue that needs to be resolved. The etiology of frailty

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requires further studies in order to identify high risk individuals. An epidemiological study revealed a correlation between frailty and inflammation markers (such as CRP and fibrinogen), metabolic markers (LDL cholesterol), and clotting process markers (including the D-dimer and the placental anticoagulant protein (PAP) complex). Sarcopenia, osteopenia, anorexia, immune dysfunction, and neuroendocrine dysregulation have also been implicated in frailty [56, 57]. Shamsi et al. focused on changes in glycoproteins with frailty, and performed a glycoproteomic study on plasma from frail subjects and age-matched controls using a lectin column and 2D-PAGE [30]. They enriched glycoproteins from plasma, which bound to Con A, WGA, or Jacalin, and found that seven glycoproteins (haptoglobin, transferrin, an isoform of

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the kininogen-1 variant, the hemopexin precursor, fibrinogen, leucin-rich -2-glycoprotein 1,

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and apolipoprotein E) differed by at least two-fold between the pre-frail group and non-frail

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group. They then validated the expression levels of these glycoproteins using ELISA, and suggested that inflammatory glycoproteins increased with frailty [58]. Furthermore, a comparison of the pre-frail and non-frail groups showed a decrease in Jacalin-bound hemopexin,

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no change in WGA-bound hemopexin, and an acidic shift in the isoelectric point of the

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Jacalin-bound kininogen-1 variant [30]. These findings suggest that the O-glycosylation (Gal3GalNAc) of hemopexin and the kininogen-1 variant change with frailty. A

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glycosylation biomarker of frailty will provide a useful means for identifying high risk

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individuals.

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4. Aging

Recent advances in glycan research on human aging including progeroid syndromes is

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described here.

4.1 Progeroid syndromes Progeroid-type Ehlers-Danlos syndrome was reported to be caused by defects in galactosyltransferase [59], which is involved in the synthesis of the common linkage region of glycosaminoglycans (GAGs). GAGs are sugar structures of different lengths, different types, and varying numbers of proteoglycan molecules. The synthesis of GAGs is initiated by the transfer of xylose on Ser in the core protein. The sequential addition of two galactoses, and a glucuronic acid forms a common tetrasaccharide core structure. Further elongation by GlcNAc or GalNAc to the common linkage structure leads to the formation of heparin sulfate or

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chondroitin sulfate/dermatan sulfate, respectively. Therefore, defects in the formation of the

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common linkage region may cause serious abnormalities in many tissues because proteoglycans

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play important roles in organogenesis and tissue development. Okajima et al. reported that mutations in the galactosyltransferase gene produced functional defects in proteins [60], indicating that GAGs are involved in the aging process. The relationship between glycans and

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other progeroid syndromes such as Hutchinson-Gilford progeria syndrome and Werner

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syndrome has not yet been elucidated.

Down syndrome (DS) is the most frequent chromosomal aberration in humans and is

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caused by trisomy of all or part of chromosome 21. DS is also characterized by a premature neurocognitive deficit and accelerated aging. Borelli et al. studied N-glycomics associated with

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the aging of DS and reported an overall decrease in galactosylation levels in plasma proteins

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similar to normal aging as described later. However, they found that this common change occurred markedly earlier in DS than in controls. On the other hand, they showed that the levels

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of -2,6-sialylated tri- and tetragalactosylated N-glycan were lower in DS than in controls. Based on these findings, they suggested that the progeroid nature of DS is detectable by analyzing plasma N-glycomics [61].

4.2 Age-dependent alterations in N-glycans of immunoglobulin Age-related alterations in the N-glycans of immunoglobulin have been reported by several groups. Parekh et al. analyzed the N-glycans of IgG and found that the levels of agalactosylated N-glycans began decreasing from birth to approximately 25 years of age, and thereafter increased with age [62]. They proposed the potential of the galactosylation of IgG as

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an age-related molecular parameter. Tsuchiya et al. also reported age-related increases in

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agalactosylated IgG from 20 to 70 years of age using Psathyrella velutina lectin, which

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preferentially interacts with agalactosylated moieties [63]. Shikata et al. and Yamada et al. performed glycan structural analyses using fluorescence labels and HPLC, and found positive and negative correlations between age and glycans with a bisecting GlcNAc or mono-sialylation,

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respectively [64, 65]. Age-related alterations in the N-glycomics of IgG or IgA were recently

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identified using high-throughput methods such as HILIC [17], MALDI-TOF/MS [66], DSA-FACE [19], and capillary gel electrophoresis with laser-induced fluorescence detection

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(CGE-LIF) [67]. These findings are consistent with the increases observed in agalactosylated and bisecting GlcNAc levels in IgG and decreases in sialylation with age. Bisecting GlcNAc

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levels were found to be lower in the offspring (age < 60 years) of nonagenarians, indicating the

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potential of bisecting GlcNAc in IgG N-glycans as a longevity marker [24]. A follow-up of individual offspring is awaited in order to determine whether they will also have long lifespans.

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Regarding IgA, age-related alterations have been weakly detected in N-glycans, with only core fucosylated biantennary glycans with bisecting GlcNAc increasing with age [67]. These findings indicate that age-dependent alterations in the N-glycans of immunoglobulin are different in each immunoglobulin class. Since structural changes in the N-glycans of IgG are associated with their functions, they may affect the immunoregulatory system in the elderly.

4.3 Age-dependent N-glycomic changes in plasma or serum glycoproteins N-glycomics derived from the total glycoprotein pool in plasma or serum were analyzed using high-throughput methods such as HILIC and DSA-FACE. Three groups have studied

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age-dependent N-glycomic changes in large cohorts using different methods of analyses.

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The Leiden Longevity Study consisted of Caucasian nonagenarian (age 90 years)

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sibling pairs, their offspring, and the partners of the offspring, who served as controls. Using the HILIC-HPLC-FL method, 26 peaks were detected in plasma glycoproteins, while increases were observed in agalactosylated glycans and decreases in core-fucosylated non- or

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mono-sialylated bigalactosylated glycans with age (between 30 and 80 years). Furthermore,

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triantennary trisialylated glycans decreased with age, whereas their fucosylated counterparts and several tetraantennary glycans increased. Since nonfucosylated biantennary glycans were

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significantly higher in the offspring of nonagenarians than in the controls [10], these glycans were proposed to be familial longevity-associated glycans.

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The Belgian and Italian cohort consisted of healthy individuals aged 20 to 90 years and

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centenarians (range: 91-105 years) [20, 68, 69]. Changes in total N-glycan profiles were analyzed in serum using DSA-FACE. They detected 10 peaks and suggested that

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agalactosylated glycans with (A) or without (B) bisecting GlcNAc increased, whereas digalactosylated glycans without bisecting GlcNAc (C) decreased with age up to centenarians. Similar findings were also obtained from Chinese cohorts [21]. Thus, as a biomarker to monitor age, Vanhooren et al. proposed the name of the GlycoAgeTest, which is calculated by the log value of the ratio of B/C and may be applicable to a larger population scale in cohorts [20]. The third cohorts were the Croatian Adriatic island of Vis and Korcula cohort and Chinese Han cohort. Knezevic et al. analyzed 33 peaks in N-glycans using HILIC, and examined the effects of age, gender, and various environmental determinants on plasma glycomics. Their findings of age-dependent alterations were consistent with those of other

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cohorts, namely, increases in biantennary agalactosylated or mono-galactosylated glycans with

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and without bisecting GlcNAc and/or fucosylation [11, 14, 70].

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Structural changes may occur as the result of alterations in the levels of glycosyltransferases, glycosidases, and sugar nucleotide donors. Age-dependent increases in agalactosylated glycans may be attributed to decreases in the activity of -1,4-galactosyl

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transferase (-1,4-GalT) or increases in that of -galactosidase during age [19]. Bisecting GlcNAc is generated by N-acetylglucosaminyltransferase III (GnT-III), which catalyzes the

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addition of GlcNAc through a -1,4-linkage to the -linked mannose of the trimannosyl core of

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N-linked sugar chains. Therefore, age-dependent increases in the bisecting GlcNAc of IgG [64, 65] suggest that GnT-III is up-regulated with age. Lauc et al. performed a genome-wide

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association study (GWAS) of glycosylation. They did not find a gene association between

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-1,4-GalT, -galactosidase, or GnT-III and human N-glycomics, but demonstrated that hepatocyte nuclear factor 1 (HNF1) and the fucosyltransferase genes, FUT6 and FUT8,

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influenced N-glycan levels in human plasma [71]. They extended their analyses further and identified three characteristic gene associations, MGAT5, B3GAT1, and SLC9A9 [72]. We will discuss this point later.

4.4 N-Glycomics relating to extreme longevity Shimizu et al. previously reported that blood type B was observed more frequently in centenarians living in the Tokyo area than in regionally matched controls [73]. This finding suggests that ABO blood glycans are closely related to human longevity; however, further studies are needed.

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We recently performed a N-glycomic study on plasma relating to longevity [25]. Plasma

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N-glycans in Japanese female semisupercentenarians (SSCs) (mean 106.7 years), aged controls

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(mean 71.6 years), and young controls (mean 30.2 years) were analyzed using LC-MS/MS, and 50 N-glycans containing multiple isomers were detected in the positive and negative ion modes. Using a multivariate analysis, orthogonal projections to latent structures (O-PLS), characteristic

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N-glycans in SSCs, were identified. These findings showed that multi-branched and highly

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sialylated N-glycans as well as agalacto- and/or bisecting N-glycans were increased in SSCs, whereas biantennary N-glycans were decreased. The increases observed in multi-branched and

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highly sialylated N-glycans in SSCs were not reported in other aging studies. Therefore, these changes may be associated with extreme longevity. Since multi-branched and highly sialylated

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N-glycans have been implicated in inflammation responses, these changes may play a role in

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responses to enhanced chronic inflammation in SSCs. However, further studies with a bigger cohort including male subjects are necessary because a limited number of female subjects were

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analyzed in the study.

Life is considered to always be associated with genes [74], and previous studies attempted to discover the genetic basis of extreme longevity [75, 76]. A GWAS of N-glycomes in human plasma revealed polymorphisms in several glycan-associated genes [72]; one was MGAT5, which codes for the enzyme involved in the generation of multi-branched N-glycans, while another was SLC9A9, which codes for a proton pump affecting Golgi pH linked to the sialylation of glycans. It is of interest that the glycosyltransferases implicated in the characteristic N-glycans in SSCs, multi-branched and highly sialylated N-glycans, were detected in the GWAS of N-glycomes in human plasma. Further studies are warranted in order to

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determine whether these genes show any polymorphisms in SSCs, the findings of which may

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contribute to a better understanding of the roles of glycans in human extreme longevity.

5. Future perspectives

Alterations in N-glycans occur with aging and age-related diseases. Therefore, some

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age-related glycans may be good targets and the most potent markers of aging and age-related

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diseases. Further studies are needed in order to establish and refine glycan markers, including the development of a convenient and high-throughput tool, which is important for analyzing a

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large number of samples instantly.

Glycosylation depends on the availability of sugar nucleotide donors as described

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already. Between 2 and 5% of all the glucose that enters a cell is known to be utilized in the

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hexosamine biosynthetic pathway (HBP) and many studies demonstrated that the HBP functions as a glucose sensor. UDP-GlcNAc is the final product of the HBP and is required in the

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biosynthesis of N- and O-glycans, glycolipids, hyaluronic acid, and GAGs. UDP-GlcNAc is also a precursor to CMP-SA, the sugar nucleotide donor utilized by sialyltransferases, and UDP-GlcNAc is interconverted with UDP-GalNAc. These findings suggest that the amount of sugar nucleotide donors is affected by glucose levels. Therefore, glycosylation may act as a nutrient sensor. UDP-GlcNAc is known to be a donor for O-GlcNAcylation, which occurs on many cytosolic and nuclear proteins, and actually O-GlcNAcylation is nutrient-responsive and plays multiple roles in metabolic regulation [77]. Additionally, N-glycan branching also regulates glucose homeostasis [78, 79]. Further studies are required in order to determine how O-GlcNAcylation, N-glycan processing, and the HBP interact during aging.

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The world is forecast to become an aging society in the near future. Therefore, the

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successful development of biomarkers for aging and age-related diseases will be useful for

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personalized medicine and resolving social issues in the ever-approaching aging society. Glycans have potential as biomarkers because they reflect the physiological and pathological conditions of individuals. Although aging is inevitable, the development of biomarkers for aging

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and age-related diseases may lead to improved treatments and the better management of care

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through the monitoring of individual vulnerabilities to adverse health outcomes in advance.

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Acknowledgments

Our cited studies in this review were partly supported by Challenging Exploratory

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Research (No. 24659141 to TE) from the Japan Society for the Promotion of Science, and partly

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by Mitsui Sumitomo Insurance Welfare Foundation (No. 18 to YM).

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Conflict of interest None

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Figure legends Fig. 1. Contributing factors to human aging and longevity.

Fig. 2. A concerted workflow of glycomics and glycoproteomics.

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Highlights max 85 characters including space Glycan changes in aging, longevity, and age-related diseases have been reviewed.



Glycomics and glycoproteomics are powerful tools for monitoring health conditions.



Changes in glycosylation are applicable to studies on human aging and longevity.

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