Recently, we reported that sialyl 6-sulfo LacNAc is complementarily synthesized by GlcNAc6ST2 and GlcNAc6ST3 in the mouse pleura. Here we show that R-10G-reactive KS/KS-related sulfated glycan is also present in the pleural mesothelium and that the R-10G glycan is synthesized essentially by GlcNAc6ST2 in the mouse pleura. We previously showed that synthesis of the R-10G epitope is GlcNAc6ST enzyme-dependent. In the developing brain, GlcNAc6ST1 is one of the major R-10G-reactive glycan synthases [
10]. In the adult brain, GlcNAc6ST3 is a major GlcNAc6ST [
4,
25]. This is the first time, as far as we know, to demonstrate that GlcNAc6ST2 is an enzyme for R-10G-reactive KS/KS-related glycans in vivo.
One possible explanation is that R-10G recognition is reduced to 50% in GlcNAc6ST3 KO mesothelium because of a partial elimination of sulfate group in the recognition epitope of R-10G. As we proposed and summarized in
Figure 6, there could be a variation in GlcNAc-6-sulfation of di-LacNAc in the lung pleura. GlcNAc-6-sulfation of the penultimate LacNAc may not be essential for R-10G antibody recognition [
6,
7]. However, the absence of which may significantly reduce its recognition. GlcNAc-6-sulfation of this penultimate LacNAc is carried by the complementary action of GlcNAc6ST2 and GlcNAc6ST3, whereas GlcNAc-6-sulfation of the non-reducing terminal LacNAc, which is essential for R-10G recognition, may be catalyzed by GlcNAc6ST2 alone (
Figure 6). This substrate specificity of GlcNAc6ST2 may explain the R-10G immunostaining phenotype of GlcNAc6ST2 KO and GlcNAc6ST1,3,4 TKO mice. As previously reported for in vitro substrate specificity, the GlcNAc6ST3 enzyme may utilize core 2-branched GlcNAc as a better substrate in the pleura [
26]. It is not known whether the glycosyltransferases involved in the synthesis of LacNAc repeats are dependent on this penultimate GlcNAc-6-sulfation. In mucin glycome analysis data, sulfated mono- or di-LacNAc is abundant in the mucin glycans [
27]. It is probable that R-10G positive glycan is GlcNAc-6-sulfated dimeric LacNAc without sialic acids at the non-reducing terminal end. The CL40-reactive sialyl 6-sulfo LacNAc may be present in the distinct glycan chains (
Figure 6).
KSGal6ST and C6st1 can catalyze Gal-6-sulfation of KS and related glycans in vivo [
9]. 5D4 recognizes KS oligosaccharide structures with absolute dependence on both Gal-6- and GlcNAc-6-sulfation modifications [
22,
29]. Reactivity of the 5D4 antibody was not observed in mouse lung lobes under physiological conditions, as indicated by biochemical or histological studies. This suggests that KS-containing LacNAc-repeating structures with both Gal-6-sulfation and GlcNAc-6-sulfation are absent or present in very small amounts in the lung mesothelium. One possible reason for the increased R-10G immunoreactivity in the KSGal6ST and C6st1 DKO pleura could be the elevated availability of adenosine 3′-phosphate 5′-phosphosulfate (PAPS; a sulfate donor), to GlcNAc6ST2 and GlcNAc6ST3 in the Golgi complex of mesothelial cells. This may have resulted in an enhanced GlcNAc-6-sulfation reaction and increased R-10G immunoreactivity. KSGal6ST and/or C6st1 may be primarily involved in Gal-6-sulfation of other glycans in mouse mesothelial cells. These glycans may include 6′-sulfo sLex and sialyl 6′-sulfo LacNAc, which can be recognized by mouse sialic acid-binding immunoglobulin-like lectin (Siglec)-F, a paralog of human Siglec-8 [
30,
31,
32,
33,
34,
35]. The mechanism of region-selective reduction of R-10G immunoreactivity in the GlcNAc6ST3 KO mesothelium is unknown. Whether R-10G-reactive sulfated molecules are different multiple proteins is still remained to be determined. Whether GlcNAc6ST3 is specific to some of the protein species is an issue to be addressed. The possible relationship between sulfated mucin / proteoglycan present in the airways and alveoli [
9,
36,
37,
38] and the mesothelial cell layer in GlcNAc6ST3 deficiency is totally unknown. Because Muc16 is a high binder to mesothelin [
39,
40] and the encoding gene,
Muc16, is selectively expressed in mesothelial cells shown by scRNA-seq, Muc16 is a candidate of the R-10G-reactive sulfated molecule in mouse pleura. The shed form of Muc16, known as CA125, promotes cell aggregation and binding to the peritoneal surface through its interaction with mesothelin [
39,
41]. The possible involvement of GlcNAc-6-sulfation in Muc16 proteolysis and its effect on mesothelin binding or on the recognition of other binding proteins [
42] are remained as important issues for the future. The molecular function of Muc16 requires binding partners such as mesothelin, galectin 1, galectin-3, E- and P-selectins [
43]. These Muc16-mediated molecular interactions depend on
N- or
O-linked glycans [
41,
43,
44]. Given that the R-10G epitope in mouse pleura is predicted to be contained in
O-linked glycans, our results support a role for the R-10G epitope in determining the interaction between Muc16 modified with R-10G-glycans and its binding partners. Furthermore, glycosylation of Muc16/CA125 is known to differ between physiological and pathological conditions [
45]. The regulation of R-10G epitope expression in physiological and disease states requires further elucidation. We found that multiple Hoechst-positive nuclei are abnormally layered in lung pleura of GlcNAc6ST2 KO and GlcNAc6ST3 KO mice. These staining patterns were not observed in WT, GlcNAc6ST1 KO, or GlcNAc6ST4 KO mouse pleural mesothelium. Sulfation modification by GlcNAc6ST2 and GlcNAc6ST3 may play an important role in normal mesothelial layer formation and mesothelial cell proliferation and differentiation. Involvement of these enzymes and enzyme genes in mesothelioma pathogenesis is an interesting topic of research [
46]. Exploring the functions of sulfated glycans synthesized by these enzymes, including R-10G and CL40 glycans, in disease states may lead to a better understanding of the pathogenesis of mesothelioma.