Heparan sulfate

# Overview
Heparan sulfate (HS) is a linear polysaccharide found in all animal tissues. It occurs as a proteoglycan (PG) in which two or three HS chains are attached in close proximity to cell surface or extracellular matrix proteins. It is in this form that HS binds to a variety of protein ligands and regulates a wide variety of biological activities, including developmental processes, angiogenesis, blood coagulation and tumour metastasis.

# Proteoglycans
The major cell membrane HSPGs are the transmembrane syndecans and the glycosylphosphatidylinositol (GPI) anchored glypicans. Other minor forms of membrane HSPG include betaglycan and the V-3 isoform of CD44 present on keratinocytes and activated monocytes.
In the extracellular matrix, especially basement membranes, the multi-domain perlecan, agrin and collagen XVIII core proteins are the main HS-bearing species.

# HS structure and differences from heparin
Heparan sulfate is a member of the glycosaminoglycan family of carbohydrates and is very closely related in structure to heparin. Both consist of a variably sulfated repeating disaccharide unit. The main disaccharide units that occur in heparan sulfate and heparin are shown below.
The most common disaccharide unit within heparan sulfate is composed of a glucuronic (GlcA) linked to N-acetyl glucosamine (GlcNAc) typically making up around 50% of the total disaccharide units. Compare this to heparin where IdoA(2S)-GlcNS(6S) makes up 85% of heparins from beef lung and about 75% of those from porcine intestinal mucosa. 
Problems arise when defining hybrid GAGs that contain both 'heparin-like' and 'HS-like' structures. It has been suggested that a GAG should qualify as heparin only if its content of N-sulfate groups largely exceeds that of N-acetyl groups and the concentration of O-sulfate groups exceeds those of N-sulfate.
Not shown below are the rare disaccharides containing a 3-O-sulfated glucosamine (GlcNS(3S,6S) or a free amine group (GlcNH3+). Under physiological conditions the ester and amide sulfate groups are deprotonated and attract positively charged counterions to form a salt. It is in this form that HS is thought to exist at the cell surface.
- GlcA-GlcNAc
- GlcA-GlcNS
- IdoA-GlcNS
- IdoA(2S)-GlcNS
- IdoA-GlcNS(6S)
- IdoA(2S)-GlcNS(6S)

## Abbreviations
- GlcA = -L-glucuronic acid
- IdoA = -L-iduronic acid
- IdoA(2S) = 2-O-sulfo--L-iduronic acid
- GlcNAc = 2-deoxy-2-acetamido--D-glucopyranosyl
- GlcNS = 2-deoxy-2-sulfamido--D-glucopyranosyl
- GlcNS(6S) = 2-deoxy-2-sulfamido--D-glucopyranosyl-6-O-sulfate

# HS biosynthesis
Many different cell types produce HS chains with many different primary structures. Therefore there is room for a great deal of variability in the way HS chains are synthesised. However, essential to the formation of HS regardless of primary sequence is a range of biosynthetic enzymes. These enzymes consist of multiple glycosyltransferases, sulphotransferases and an epimerase. These same enzymes also synthesise heparin a related polysacchride.
Many of these enzymes have now been purified, molecularly cloned and their expression patterns studied. From this and early work on the fundamental stages of HS/heparin biosynthesis using a mouse mastocytoma cell free system a lot is known about the order of enzyme reactions and specificity.

## Chain initiation
HS synthesis initiates with the transfer of xylose from UDP-xylose by xylotransferase (XT) to specific serine residues within the protein core. Attachment of two galactose (Gal) residues by galactosyltransferases I and II (GalTI and GalTII) and glucuronic acid (GlcA) by glucuronosyltransferase I (GlcATI) completes the formation of a core protein linkage tetrasaccharide
GlcA-1,3-Gal-1,3-Gal-1,4-Xyl.
Xylose attachment to the core protein is thought to occur in the endoplasmic reticulum (ER) with further assembly of the linkage region and the remainder of the chain occurring in the golgi apparatus.
The pathways for HS/heparin or chondroitin sulphate (CS) and dermatan sulphate (DS)  biosynthesis diverge after the formation of this common linkage structure. The next enzyme to act GlcNAcT-I or GalNAcT-I direct synthesis either to HS/heparin or CS/DS respectively.

## Chain elongation
After attachment of the first N-acetyl glucosamine (GlcNAc) residue elongation of the tetrasacchride linker is continued by the stepwise addition of GlcA and GlcNAc residues. These are transferred from their respective UDP-sugar nucleotides. This is carried out by one or more related enzymes whose genes are members of the exostoses (EXT) gene family of tumour supressors.
Mutations at the EXT1-3 gene loci in humans leads to an in-ability of cells to produce HS and to the development of the disease Multiple Hereditary Exostoses (MHE).
MHE is characterized by cartilage-capped tumours, known as osteochondromas or exostoses, which develop primarily on the long bones of affected individuals from early childhood until puberty. Although exostoses are in themselves benign, surgery may be required to alleviate secondary complications such as joint pain and restricted movement.
For further information on this disease see the dedicated web site here

## Chain modification
As the chain polymerises it undergoes a series of modification reactions carried out by four classes of sulfotransferases and an epimerase. The availability of the sulfate donor PAPS is crucial to the activity of the sulfotransferases.

## N-deacetylation/N-sulphation
The first polymer modification is the N-deacetylation/N-sulphation of GlcNAc residues into GlcNS. This is a prerequisite for all subsequent modification reactions and is carried out by one or more members of a family of four GlcNAc N-deacetylase/N-sulfotransferase enzymes (NDSTs). In early studies it was shown that modifying enzymes could recognize and act on any N-acetylated residue in the forming polymer. Therefore the modification of GlcNAc residues should occur randomly throughout the chain. However, in HS N-sulphated residues are mainly grouped together and separated by regions of N-acetylation where GlcNAc remains unmodified.

## Generation of GlcNH2
Due to the N-deacetylase and N-sulfotransferase being carried out by the same enzyme N-sulphation is normally tightly coupled to N-desulphation. GlcNH2 residues resulting from apparent uncoupling of the two activities have been found in heparin and some species of HS.

## Epimerisation and 2-O-sulphation
Epimerisation is catalysed by one enzyme, the GlcA C5 epimerase or heparosan-N-sulfate-glucuronate 5-epimerase (EC 5.1.3.17). This enzyme epimerises GlcA to iduronic acid (IdoA). Substrate recognition requires that the GlcN residue linked to the non-reducing side of a potential GlcA target be N-sulphated. Uronosyl-2-O-sulphotransferase (2OST) sulphates the resulting IdoA residues.

## 6-O-sulphation
Three glucosaminyl 6-O-transferases (6OSTs) have been identified that result in the formation of GlcNS(6S) adjacent to sulphated or non-sulphated IdoA. GlcNAc(6S) is also found in mature HS chains.

## 3-O-sulphation
At least five glucosaminyl 3-O-sulfotransferases (3OSTs) exist and result in the formation of the rare monosacchide GlcNS(3S,6S).

# Ligand binding

## Interferon-
The cell surface receptor binding region of Interferon- overlaps with the HS binding region, near the proteins C-terminal. Binding of HS blocks the receptor binding site and as a result, protein-HS complexes are inactive.
The HS-binding properties of a number of other proteins are also being studied:
- Antithrombin III
- Hepatocyte Growth Factor
- Interleukin-8
- Vascular Endothelial Growth Factor
- Wnt/Wingless
- Endostatin