O-GlcNAc on NOTCH1 EGF repeats regulates ligand-induced Notch signaling and vascular development in mammals

<jats:p>The glycosyltransferase EOGT transfers O-GlcNAc to a consensus site in epidermal growth factor-like (EGF) repeats of a limited number of secreted and membrane proteins, including Notch receptors. In EOGT-deficient cells, the binding of DLL1 and DLL4, but not JAG1, canonical Notch ligands was reduced, and ligand-induced Notch signaling was impaired. Mutagenesis of O-GlcNAc sites on NOTCH1 also resulted in decreased binding of DLL4. EOGT functions were investigated in retinal angiogenesis that depends on Notch signaling. Global or endothelial cell-specific deletion of Eogt resulted in defective retinal angiogenesis, with a mild phenotype similar to that caused by reduced Notch signaling in retina. Combined deficiency of different Notch1 mutant alleles exacerbated the abnormalities in Eogt−/− retina, and Notch target gene expression was decreased in Eogt−/−endothelial cells. Thus, O-GlcNAc on EGF repeats of Notch receptors mediates ligand-induced Notch signaling required in endothelial cells for optimal vascular development.</jats:p>

section_content: N-acetylglucosamine linked to Ser or Thr (O-GlcNAc) is a rare form of post-translational modification specifically modifying epidermal growth factor-like (EGF) domains in secreted or membrane proteins (Alfaro et al., 2012; Matsuura et al., 2008; Stanley and Okajima, 2010). In contrast to O-GlcNAc modification of nuclear and cytoplasmic proteins (Ma and Hart, 2014), EGF-specific O-GlcNAcylation occurs in the endoplasmic reticulum (ER) by the action of the EGF-domain-specific O-GlcNAc transferase, EOGT (Sakaidani et al., 2011). To date, only a small number of secreted or membrane proteins have been shown to be O-GlcNAcylated, including Notch receptors and their ligands (Alfaro et al., 2012; Mu ¨ller et al., 2013; Tashima and Stanley, 2014). Notch receptors are also modified by O-fucose and O-glucose glycans at independent consensus sites on EGF repeats (Figure 1A ), and both types of O-glycan regulate the strength of Notch signaling (Haltom and Jafar-Nejad, 2015). Loss of O-fucose, but not O-glucose glycans reduces binding of canonical Notch ligands to Notch receptors, and consequently Notch signaling. Removing one class of O-glycan will affect many EGF repeats but is not expected to affect modification of EGF repeats by unrelated O-glycans. In this paper, we report that Notch receptors lacking only O-GlcNAc glycans have reduced ligand-induced Notch signaling. 

The physiological importance of EOGT was revealed in patients with Adams-Oliver syndrome (AOS), a rare congenital disorder characterized by aplasia cutis congenita and terminal transverse limb defects, often accompanied by cardiovascular malformations and brain anomalies (Algaze et al., 2013; Piazza et al., 2004). Although the pathogenesis of AOS is broad, it could arise from small-vessel vasculopathy (Piazza et al., 2004). AOS is a heterogeneous disorder caused by mutation in one of at least six different genes. Among these, loss-of-function mutations of EOGT and DOCK6 were identified as the basis of an autosomal-recessive form of AOS (Shaheen et al., 2013 (Shaheen et al.,, 2011)). In addition, autosomal dominant mutations of NOTCH1, RBPJ, DLL4 and ARHGAP31 give rise to AOS (Aminkeng, 2015; Hassed et al., 2012; Meester et al., 2015; Southgate et al., 2015; Stittrich et al., 2014). Gain-of-function mutation of ARHGAP31 and loss-of-function mutation of DOCK6 suggested that inactivation of Cdc42/Rac1 functions underlies the molecular basis for AOS. In contrast, loss-of-function mutations of DLL4, RBPJ and NOTCH1 in AOS patients suggest that impaired Notch signaling is an alternative basis of the pathogenesis of AOS. Here, we investigate the hypothesis that loss of EOGT affects Notch signaling using cell-based Notch ligand binding and signaling assays and Eogt mutant mice. We show that EOGT-catalyzed NOTCH1 O-GlcNAcylation potentiates DLL1-and DLL4-NOTCH1 binding and Notch signaling, whereas JAG1-NOTCH1 binding remains unaffected. Using retinal angiogenesis as a sensitive assay of Notch signaling in vivo (Roca and Adams, 2007), we show that mice lacking EOGT have impaired retinal vascular development, with a phenotype characteristic of Notch pathway deficiencies in retina (Benedito et al., 2009). Moreover, we show that endothelial functions of EOGT are responsible for the retinal eLife digest As an embryo develops, its cells undergo a series of divisions and transformations until they specialize to form distinct cell types. These transformations are regulated by many molecules and signaling pathways. Often one cell will release signaling molecules that are then recognized by specialized receptor proteins on other cells that then trigger a reaction in the receiving cell. A signaling molecule that binds to a receptor is often referred to as a ligand. 

Specific chains of sugar molecules known as glycans are attached to receptor proteins and help to regulate the signaling pathways that control how cells develop in an embryo. One of these receptors is called the Notch receptor, which carries several types of glycans. Mutations that prevent the glycans from being attached to this receptor can lead to congenital diseases. For example, EOGT is an enzyme that attaches a sugar molecule onto the Notch receptor, and mutations in the gene that encodes EOGT are found in people with Adams-Oliver syndrome -a rare condition that causes their skin and limbs to fail to develop properly. However, it was not clear what exact role the attachment of the sugar molecule (referred to as O-GlcNAc) plays and if it regulates Notch signaling. 

Sawaguchi et al. studied animal cells grown in the laboratory to investigate ligand binding to Notch receptors and Notch signaling. The experiments showed that if the gene for the EOGT enzyme was deleted, some ligand molecules could not bind well to the Notch signaling receptor. This affected how the receptor became activated and how it triggered a signaling reaction in the receiving cell. In mutant mice that lacked EOGT, the blood vessels of the developing retina had reduced Notch signaling. Blood vessels are important for the normal development of the retina. Together, the results suggest that O-GlcNAc on Notch receptors are important for specific aspects of Notch signaling, including the signals that lead to the normal development of retinal blood vessels. 

A next step will be to identify other roles of the O-GlcNAc glycans on Notch receptors and to explore how they affect Notch signaling during development. A better understanding of these mechanisms will extend our knowledge of Adams-Oliver syndrome, which at the moment remains a poorly understood condition.
section_name: Introduction

section_name: Results

section_content: To address whether EOGT regulates physical interactions between Notch receptors and ligands, Notch ligand binding assays were performed on control and Eogt-siRNA Lec1 Chinese hamster ovary (CHO) cells. Eogt transcripts determined by quantitative RT-PCR were reduced by ~60%. Eogt-siRNA Lec1 cells exhibited reduced binding of soluble DLL1-Fc and DLL4-Fc (Figure 1B and Figure 1C ). However, binding of soluble JAG1-Fc was not altered by knockdown of Eogt (Figure 1B ). Overexpression of an EOGT cDNA rescued DLL1 and DLL4 binding (Figure 1D ). Moreover, cell surface expression of NOTCH1 was not reduced in Lec1 cells with reduced Eogt (Figure 1B ). 

A second ligand binding assay used soluble Notch ligands attached to Protein A Dynabeads via their Fc domain, and EOGT-and NOTCH1-null HEK293T cells generated by CRISPR/Cas9 gene editing (Figure 1 -figure supplement 1). Deletion of EOGT was verified using anti-EOGT antibody and by the lack of O-GlcNAc on a NOTCH1 extracellular domain fragment (Figure 1 -figure supplement 1). Both DLL4 and JAG1 beads/cell were decreased in NOTCH1-null cells (Figure 1E ), confirming that NOTCH1 mediates ligand biding in HEK293T cells. The residual binding capacity of NOTCH1-null cells implicated the contribution of other Notch receptors. Similar to Eogt-siRNA CHO Lec1 cells, EOGT-null HEK293T cells exhibited decreased binding to DLL4 beads, but not to JAG1 beads (Figure 1E ). 

To determine whether overexpression of EOGT potentiates DLL4-NOTCH1 binding, HEK293T cells or EOGT-null cells were transfected with Notch1 and Eogt cDNA individually or together, and the ligand binding assay was performed. Notch1 overexpression led to increased binding of both DLL4 and JAG1 beads to HEK293T cells (Figure 1F and G ). In addition, the effect of Notch1 overexpression on DLL4 bead binding was selectively impaired in EOGT-null cells (Figure 1F and G). Furthermore, simultaneous expression of Notch1 and Eogt enhanced DLL4 but not JAG1 bead binding, in both HEK293T and EOGT-null cells (Figure 1F and G ). The synergistic effect of Notch1 and Eogt on DLL4 bead binding provide strong evidence that EOGT potentiates DLL4-NOTCH1 physical interactions. As observed in Lec1 CHO cells (Figure 1B ), neither Eogt overexpression nor EOGT loss affected cell surface NOTCH1 expression (Figure 1H ). Thus, EOGT is not required for NOTCH1 trafficking to the plasma membrane.
section_name: EOGT regulates DLL1 and DLL4 binding to NOTCH1

section_content: To determine whether it is the O-GlcNAc transferred by EOGT to NOTCH1 that directly affects the binding of DLL4, we generated NOTCH1 site-specific mutants by Ala substitution of Ser/Thr in predicted O-GlcNAcylation sites. Alignment of previously reported O-GlcNAc-modified proteins including Notch and Dumpy in Drosophila, and Hspg2, Nell1, Lama5, and Pamr1 in mouse brain suggested that the potential consensus sequence is C 5 XXG(Y/F/L) (T/S)GX 2-3 C 6 (Alfaro et al., 2012; Sakaidani et al., 2011). A relatively small number of the EGF domains in mouse NOTCH1 contain the consensus sequence C 5 XXG(Y/F) (T/S)GXXC 6, and these are conserved among mouse, human, rat, Chinese hamster and zebrafish in EGF10, 14, 15, 17, 20, 23, 26, 27 and 29 (Figure 2 -figure supplement 1). Mutation of two or four Ser/Thr to Ala in EGF2, 10, 17 and 20 (Notch1 D2xO-GlcNAc ; Notch1 D4xO-GlcNAc ; Figure 2A ), outside the canonical ligand-binding region (EGF11 and 12), was performed. Cell surface expression of the NOTCH1 mutants was indistinguishable from wild-type NOTCH1 (Figure 2B ), consistent with unchanged NOTCH1 cell surface expression in EOGT-null HEK293T cells (Figure 1H ). Decreased O-GlcNAcylation of Notch1 D2xO-GlcNAc and Notch1 D4xO-GlcNAc mutants was confirmed by immunoblotting with CTD110. 6 O-GlcNAc antibody (Figure 2C ). Expression of Notch1 D4xO-GlcNAc in Eogt-transfected cells resulted in an ~80% decrease in O-GlcNAc immunostain signal (Figure 2D ). By contrast, Ala substitution in only EGF2 and 10 (Notch1 D2xO-GlcNAc ) removed ~60% of the signal in Eogt transfectants (Figure 2D ). Moreover, the number of DLL4 beads bound to NOTCH1 D4xO-GlcNAc transfectants was significantly decreased relative to wild-type NOTCH1 (Figure 2E ), similar to the decrease observed in EOGT-null cells (Figure 1E ). This suggests that O-GlcNAc in EGF2, 10, 17 and/or 20 are important contributors to DLL4/NOTCH1 interactions. When NOTCH1 D4xO-GlcNAc was simultaneously expressed with Eogt, Notch1 D4xO-GlcNAc /Eogt cotransfectants also exhibited impaired binding to DLL4 beads. These results demonstrate that DLL4/ NOTCH1 interactions mediated by EOGT require O-GlcNAc on sites that are located outside the canonical ligand-binding region. In contrast, the number of JAG1 beads bound to Notch1 transfectants was not reduced in Notch1 D4xO-GlcNAc transfectants, irrespective of Eogt overexpression (Figure 2E ). These results provide strong evidence that O-GlcNAc on NOTCH1 EGF2, 10, 17 and/or 20 selectively affect DLL4/NOTCH1 but not JAG1/NOTCH1 physical interactions. The substantial decrease in O-GlcNAc signal following removal of only four of the nine potential O-GlcNAcylation sites, suggests that a limited number of sites are O-GlcNAcylated in NOTCH1.
section_name: O-GlcNAc on NOTCH1 promotes DLL4-NOTCH1 interactions

section_content: To investigate effects of EOGT on Notch ligand-induced signaling, we analyzed NOTCH1 activation and signaling in HeLa and Lec1 CHO cells with reduced Eogt. HeLa cells stably expressing four different shRNA constructs targeted to the coding or 3'UTR region of human EOGT were co-cultured with L cells, or DLL1-expressing L cells (D1/L), in the presence and absence of a gamma-secretase inhibitor (GSI). Ligand-induced activation of NOTCH1 generates the release of NOTCH1 intracellular domain (ICD), identified by Western analysis using mAb Val1744 specific for the cleaved N-terminus of NOTCH1 ICD (Huppert et al., 2000). NOTCH1 cleavage was stimulated poorly, or not at all, by L cells (Figure 3A ). However, co-culture with D1/L cells caused robust NOTCH1 activation in cells expressing a GAPDH control shRNA (Figure 3A ). Importantly, NOTCH1 cleavage was inhibited in D1/L co-cultures containing the GSI (Figure 3A ). All four EOGT-targeted shRNA constructs specifically reduced NOTCH1 activation. These findings were replicated and also reproduced in an independent set of HeLa cell transductants. Because endogenous levels of EOGT were not readily detectable in HeLa cells by Western analysis, and reduced transcript levels do not reflect enzyme activity, knockdown efficiency was determined by Western blot detection of the O-GlcNAc product of EOGT. The TA197 and TA198 shRNAs that were most effective at reducing NOTCH1 activation (Figure 3A ), exhibited marked loss of O-GlcNAc on species comigrating with NOTCH1 (Figure 3B ; the lower band of the O-GlcNAc-positive doublet). HeLa cells express NOTCH2 and NOTCH3, which may also be modified by O-GlcNAc. Alternatively, the O-GlcNAc mAb may detect a glycoform of NOTCH1 that is not detected by the NOTCH1 extracellular domain (ECD) mAb. Image J analysis of immunoprecipitated Notch1-MycHis using CTD110. 6, NOTCH1 and Myc mAbs confirmed the reduction in O-GlcNAc on NOTCH1 in EOGT-knockdown HeLa cells. To investigate specificity, HeLa cells expressing GAPDH or TA197 shRNA against the 3'UTR of EOGT, were transfected with empty vector or a human EOGT cDNA, and DLL1-induced activation of NOTCH1 was determined. Overexpression of EOGT increased the amount of activated NOTCH1 induced by D1/L cells in control HeLa cells, including in the presence of the GSI (Figure 3C, D ). Partial rescue of EOGT knockdown by HeLa cells stably expressing shRNAs targeting GAPDH or EOGT (TA195, TA196, TA197, TA198) were co-cultured with L cells or D1/L (D1) cells in the presence and absence of 1 mM DAPT (GSI). After 6 hr, lysates were subjected to Western blot analysis using Abs to detect activated NOTCH1 (N1-act) and NOTCH1 full length (N1-FL) on the relevant section of the PVDF membrane. (B) Western blot analysis of samples from (A) using Ab to detect O-GlcNAc, followed after stripping by Ab to detect N1-FL. (C) HeLa cells stably expressing shRNA against GAPDH or EOGT (TA197) were transfected with vector control or a human EOGT cDNA. After 4 days, co-culture was performed with D1/L (D1) cells in the presence and absence of the DAPT. After ~7 hr, Ligand-induced Notch signaling was also investigated in CHO Lec1 Eogt-siRNA cells (Tashima and Stanley, 2014) using the NOTCH1 ICD-responsive TP1-luciferase reporter. Reduction of Eogt correlated with reduced Notch signaling (Figure 3E ) and transfection of a human EOGT cDNA largely rescued signaling in the Eogt knockdown cells. Taken together, the combined data provide strong evidence that EOGT regulates DLL1-induced Notch signaling.
section_name: Knockdown of EOGT reduces Notch signaling

section_content: To investigate biological functions of O-GlcNAc on EGF repeats in vivo, Eogt mutant mice were generated. A floxed Neo allele (Eogt flNeo ) with loxP sites flanking exon 10 and a Neo cassette flanked by loxP/FRT sites was constructed (Figure 4A ). Southern blotting showed successful homologous recombination in an Eogt flNeo mouse (Figure 4B ). Eogt flNeo mice were crossed to Flp-deleter mice to obtain an Eogt F mouse (Figure 4A ). Alternatively, Eogt flNeo mice were crossed to global Cre-deleter mice to delete exon 10 (Figure 4C ). The amino acid sequence encoded by exon 10 constitutes part of the putative catalytic domain, and Cre recombinase-mediated excision of the sequence between the loxP sites would cause a frame-shift mutation, generating a catalytically inactive protein (Figure 4 -figure supplement 1). RT-PCR detected low levels of aberrant transcripts lacking exon 10 (Figure 4D ) and quantitative RT (qRT)-PCR confirmed that Eogt transcripts were low, possibly due to nonsense-mediated mRNA decay (Figure 4E ). Therefore, the Eogt gene lacking exon 10 is effectively a null allele. Indeed, immunoblotting confirmed the absence of EOGT protein in the lungs of Eogt À/À mice (Figure 4F ). 

Previous studies revealed that Eogt is widely expressed in various tissues in the mouse, although specific cell types expressing Eogt were not identified (Sakaidani et al., 2012). We now show by in situ hybridization that Eogt is expressed in endothelial cells (EC) of retinal arteries, capillaries and veins at P5, and mainly in arteries and veins at P15 (Figure 4G ). At the P5 vascular front, Eogt signal was apparent in tip cells (Figure 4G ). These signals were absent in Eogt À/À retinas and control retinas stained with sense probes (Figure 4 -figure supplement 2A). To prove EC expression of Eogt, in situ hybridization was performed in retinas from conditional mutant mice in which Eogt expression was specifically eliminated in ECs. Tek-Cre;Eogt F/F retinas exhibited a marked decrease in vascular staining with the Eogt probe (Figure 4H and Figure 4 -figure supplement 2B). Consistently, double staining showed that Eogt signal partially overlaps with the signal from isolectin-B4 (IB4) that stains ECs (Figure 4H ), confirming Eogt expression in ECs. Residual staining in tissue surrounding the retinal vasculature suggested weaker Eogt expression in neuronal tissues. 

Eogt is required for optimal retinal angiogenesis Eogt À/À mice were obtained at the expected Mendelian ratio of ~25% (total n = 244), and did not exhibit obvious abnormalities. Since Eogt is highly expressed in ECs, and retinal angiogenesis requires Notch signaling (Roca and Adams, 2007), we focused our analysis on angiogenesis and vessel formation in the postnatal mouse retina. Retinal angiogenesis is induced just after birth in mice when a single layer of superficial retinal plexus grows from the center toward the periphery until P7. Although a vascular plexus was formed in P5 Eogt À/À retina, vascular progression toward the periphery was delayed (Figure 5A ). Vessel maturation measured by the association of blood vessels with mural cells was compromised, as evident by the reduced length of aSMA-positive vessels in P5 Eogt À/À retinas (Figure 5A ). However, the distribution of anti-NG2-positive pericytes was unaffected at P5 in Eogt À/À retinas (data not shown). By contrast, the density and number of branch points were increased in P5 Eogt À/À retinas (Figure 5B ). At the vascular front, the number of filopodia was also increased in P5 Eogt À/À retinas (Figure 5C ). An increase in vascular branching was also observed in P15 Eogt À/À retinas (Figure 5D ). While some variation in retinal angiogenesis was observed in heterozygote Eogt +/À retinas, the phenotype was not autosomal dominant. These data suggest that EOGT is required for optimal retinal vascular development. Moreover, the phenotype exhibited by Eogt À/À retinas is similar to, although weaker than, that observed in retinas of Notch pathway mutants (Benedito et al., 2009; Kofler et al., 2015; Phng and Gerhardt, 2009). 

Loss of Notch signaling specifically in ECs also results in an increase in vascular branching (Hellstro ¨m et al., 2007; Leslie et al., 2007; Lobov et al., 2007; Ridgway et al., 2006; Siekmann and Lawson, 2007; Suchting et al., 2007). To investigate Eogt functions in ECs, retinas with EC-specific deletion of Eogt were examined. In both P5 and P15 retinas, vessel branching was increased in Tek-Cre:Eogt F/F retinas compared with control Tek-Cre retinas (Figure 5 -figure supplement 1). Therefore, EOGT in ECs regulates vascular branching during retinal angiogenesis. Interestingly, however, the length of aSMA-positive vessels and vessel progression in P5 Tek-Cre:Eogt F/F retinas were not significantly changed compared with Tek-Cre control retinas (data not shown). Since Notch signaling in pericytes and macrophages also regulates retinal angiogenesis (Kofler et al., 2015; Outtz et al., 2011), this result suggests additional Eogt functions in other cell types that were not affected in the EC-specific knockout of Eogt.
section_name: Generation of Eogt-targeted mice

section_content: To investigate whether EOGT interacts with NOTCH1 to control retinal angiogenesis, we determined the effects of decreasing NOTCH1 or Notch signaling on the retinal vascular phenotype in an Eogt-null background. We chose mutant alleles of Notch1 and Rbpj for these analyses because their haploinsufficiency causes AOS, as does mutant EOGT homozygosity. As expected from previous reports (Hellstro ¨m et al., 2007; Kofler et al., 2015), Notch1 heterozygous retinas showed increased vessel branching at P5, and a higher number of filopodia (Figure 6A,B and C), similar to that observed in retinas of Eogt-null mice (Figure 5 ). These phenotypes were exaggerated in an Eogt À/À background. Enhanced vascular defects in Eogt À/À Notch1 +/À compound mutant retinas were also observed in P15 retinas (Figure 6D and E ). Similar to Notch1 heterozygotes, Rbpj +/À retinas exhibited elevated vessel branching at P5, which was further enhanced in Eogt À/À Rbpj +/À compound Figure 4 continued the recombinant allele (arrowhead). (C) Genomic DNA isolated from WT, Eogt +/À, and Eogt À/À mice was subjected to genotyping using 3rdloxFw, 3rdloxRv, and 25307Rv primers. (D) Semi-quantitative RT-PCR analysis of total RNA from WT or Eogt À/À brain ECs using primers targeting exons 9 and 11. Minor transcripts lacking exon 10 were detected in Eogt À/À mice (arrow). Gapdh was amplified as an internal control. (E) Quantification of Eogt transcripts in Eogt À/À and WT mouse. qRT-PCR analysis of brain ECs showed a marked decrease in Eogt transcripts. Data are mean ± S. D. from three independent experiments performed in triplicate. Each experiment analyzed pooled total RNA obtained from 10 mice. (F) Lack of EOGT protein expression in Eogt À/À mouse. Lung lysates prepared from adult WT or Eogt À/À mice were analyzed in parallel with cell lysates from HEK293T cells overexpressing Eogt. Immunoblotting was performed using anti-EOGT or b-tubulin antibodies. (G) Whole-mount in situ hybridization for Eogt in the P5 or P15 retina. Vascular staining of Eogt is evident in Eogt +/À retina. Eogt expression in vascular sprouts is indicated by arrows. mutant retinas (Figure 6A and B ). These results are consistent with EOGT and Notch signaling acting in the same or parallel pathways. However, heterozygotes expressing the hypomorphic alleles Notch1 12f and Notch1 lbd (Ge and Stanley, 2008, 2010) did not have a retinal phenotype and yet, they augmented the Eogt À/À phenotype at P5 and P15, respectively (Figures 6B, C, D and E ). The enhancement in the Eogt À/À retinal vascular phenotype in two different Notch1 hypomorphic backgrounds that do not themselves exhibit retinal defects, strongly suggests that the addition of O-GlcNAc by EOGT is important in regulating the Notch signaling pathway.
section_name: Loss of Eogt phenocopies Notch1 haploinsufficiency and compound mutants display an enhanced vascular phenotype

section_content: Notch is an essential contributor to vascular integrity (Hofmann and Iruela-Arispe, 2007). Increased vascular permeability is manifested by extravasation of plasma proteins such as plasminogen, fibrinogen and albumin. Immunostaining of P15 wild-type retina with anti-fibrinogen antibody detected sporadic signals in the vascular area, whereas no extravascular signal was observed. In contrast, Eogt À/À retina exhibited diffuse fibrinogen staining outside blood vessels, and prominent staining on vessel walls (Figure 7A and B ), showing the leakage of plasma proteins. Similar to the bloodbrain barrier, retinal vessels limit nonspecific transport between circulating blood and neural tissues of the retina (Campbell et al., 2009). Accordingly, perfused sulfo-NHS-LC-biotin remained within vessels in control P15 retinas, confirming an intact blood-retina barrier. In contrast, sulfo-NHS-LCbiotin was occasionally detected in extravascular spaces in perfused Eogt À/À retinas (Figure 7C ). Taken together, these data suggested a partly impaired vascular integrity in the absence of Eogt. 

Similar to Eogt À/À retinas, extravascular fibrinogen staining and extravasation of perfused sulfo-NHS-LC-biotin were observed in Notch1 +/À or Rbpj +/À retinas (Figure 7A and Figure 7 -figure supplement 1). Importantly, the combined loss of Eogt and a single Notch1 allele in compound mutant Eogt À/À Notch1 +/À retinas gave a synergistic increase in extravasation of sulfo-NHS-LC-biotin along vessels (Figure 7D ). The synergistic effect was also observed in Eogt À/À Rbpj +/À retinas (Figure 7D ). These results suggest that Eogt interacts with the Notch signaling pathway, thereby affecting retinal vascular integrity. 

It has been reported that Notch activity is required for coverage of mural cells and vascular integrity (Henshall et al., 2015; Liu et al., 2010; Wang et al., 2014). In particular, lack of Notch3 expression in mural cells results in decreased coverage of arteries with vascular smooth muscle cells (VSMC) (Henshall et al., 2015; Liu et al., 2010) and capillaries with pericytes (Kofler et al., 2015) in retinal vasculatures. Unlike Notch3 À/À retinas, aSMA staining revealed intact coverage of retinal arteries with VSMC in P15 Eogt À/À mice (Figure 7E ). Moreover, apparently normal pericyte investment was observed in P15 Eogt À/À retinas, regardless of the presence or absence of elevated fibrinogen staining (Figure 7F ), suggesting that sufficient Notch activity is maintained in mural cells. In contrast, inactivation of Eogt in ECs in P15 Tek-Cre:Eogt F/F retinas showed aberrant fibrinogen staining and sulfo-NHS-LC-biotin extravasation (Figure 7A and Figure 7 -figure supplement 1). Taken together, these results show that Eogt functions in ECs contribute to the integrity of retinal vessels by acting on Notch signaling activity.
section_name: EOGT is required for retinal vascular integrity

section_content: To investigate whether reduced EOGT directly impacts Notch target genes in ECs, brain ECs were isolated using anti-CD31 beads and gene expression was analyzed by qRT-PCR. Eogt À/À ECs showed reduced expression of Notch pathway targets (Shawber et al., 2003), including Hes1 and Hey1 (Figure 8A ). Given that Notch signaling positively regulates Dll4 expression (Sacilotto et al., 2013) (Figure 8 -figure supplement 1), loss of EOGT would disrupt a positive feedback loop sustaining Dll4 expression and Notch signaling. In fact, Dll4 expression was markedly decreased in Eogt À/À ECs, whereas expression of Jag1 and Notch receptors was maintained (Figure 8A ). Previous reports showed that Notch signaling represses expression of vascular endothelial growth factor receptors (VEGFR) in ECs (Ehling et al., 2013; Jakobsson et al., 2010; Suchting et al., 2007; Tammela et al., 2008), which have crucial roles in the formation, function and maintenance of the vasculature (Simons et al., 2016). In Eogt À/À ECs, expression of Vegfr2 and Vegfr3, but not Vegfr1, was slightly increased compared with wild-type ECs. In cerebral ECs, Notch and TGF-b signaling regulate the expression of N-cadherin, which is associated with maintaining vascular integrity (Li et al., 2011). Similarly, N-cadherin expression was relatively decreased in Eogt À/À ECs (Figure 8A ). 

To further investigate effects of EOGT on Notch target gene expression in ECs, DLL4-Fc or JAG1-Fc were coated on culture dishes and incubated with ECs derived from wild type or Eogt À/À lung. In unstimulated, control ECs, the expression level of Notch target genes including Hey1 and Hes1 was higher in wild type compared with Eogt-null cells (Figure 8B ). Upon DLL4 or JAG1 stimulation, a further increase in Hey1 and Hes1 expression was observed in wild-type ECs (Figure 8B ). In contrast, DLL4 failed to induce Hey1 and Hes1 expression in Eogt À/À ECs, whereas JAG1 induced a Sulfo-NHS-LC-biotin was perfused into P15 wild-type, Eogt À/À, Tek-Cre, Tek-Cre;Eogt F/F, Notch1 +/À, Rbpj +/À, Eogt À/À Notch1 +/ À, Eogt À/À Rbpj +/À mice and stained with CF488A-conjugated streptavidin (green) and Dylight594-conjugated IB4 (white) immediately after perfusion. DOI: 10. 7554/eLife. 24419. 020 robust induction of these genes (Figure 8B ). Taken together, these data suggest that EOGT acts as a positive regulator for DLL4-induced Notch signaling in EC cells.
section_name: Eogt regulates Notch pathway target genes in ECs and ligand-induced Notch signaling

section_content: It has been reported that Notch ligands are also modified with O-glycans, which could affect Notch signaling activity (Serth et al., 2015; Thakurdas et al., 2016). To address the possibility that EOGT regulates Notch ligand function, HEK293T and EOGT-null cells were transfected to express JAG1 or DLL4 for co-culture with wild-type or Eogt À/À ECs. Exogenously expressed DLL4 and JAG1 in EOGT-null cells were expressed at the cell surface similarly to control HEK293T cells (Figure 8C ). Thus, Notch ligands are presented on the cell surface in the absence of EOGT. 

To determine if Notch ligands lacking O-GlcNAc stimulate Notch receptors, control and EOGTnull cells expressing DLL4 or JAG1 (Sending cells) were cultured with WT or Eogt-null ECs (Receiving cells), and the expression of Notch target gene Hey1 was determined (Figure 8D ). Both DLL4 and JAG1 lacking O-GlcNAc induced upregulation of Hey1 in WT ECs similarly to controls. Thus, neither ligand needs O-GlcNAc to induce Notch signaling. Hey1 expression was reduced in Eogt À/À ECs that also failed to respond to DLL4 sending cells. By contrast, co-culture of Eogt À/À ECs with JAG1 sending cells induced mouse Hey1 expression to a level comparable with wild-type ECs (Figure 8D ). Thus, Notch receptors in Eogt-null cells responded similarly to controls to JAG1 sending cells. These results suggest that EOGT is dispensable for DLL4 and JAG1 as inducers of Notch signaling, and that O-GlcNAc on Notch receptors is required for optimal DLL-but not JAG-induced Notch activation.
section_name: Eogt acts on Notch receptors to regulate ligand-induced Notch signaling

section_content: Here, we show that O-GlcNAc on Notch EGF repeats is a functional modification of Notch receptors that regulates Notch signaling and is required for optimal stimulation by DLL ligands. DLL4 constitutes the critical Notch ligand in regulating angiogenesis and vascular development (Benedito et al., 2009; Hellstro ¨m et al., 2007). By contrast, JAG1 antagonizes Notch signaling during vasculogenesis (Benedito et al., 2009; Pedrosa et al., 2015). We show here that EOGT-catalyzed O-GlcNAc modification potentiates DLL1-and DLL4-mediated NOTCH1 signaling in co-culture assays and is required in vivo during retinal angiogenesis and the maintenance of retinal vascular integrity in mice. Site-directed mutagenesis of O-GlcNAc consensus sites in mouse NOTCH1 revealed that O-GlcNAc on EGF repeats located outside the canonical ligand-binding region affects DLL4-NOTCH1 binding. This O-GlcNAc in one or more EGF repeats may function directly in the binding of DLL4. Alternatively, O-GlcNAcylation may induce a conformational change of NOTCH1 that promotes DLL4 binding. Future structural analysis of O-GlcNAcylated NOTCH1 in complex with DLL4 will reveal how Hey1 in wild type or Eogt À/À lung EC cells following stimulation with immobilized DLL4-Fc or JAG1-Fc. Gene transcripts were normalized to Gapdh. Data are mean ± S. D. from three independent experiments performed in triplicate. Each experiment analyzed total RNA obtained from a single mouse. Significance determined by Welch's t-test. *p<0. 05; **p<0. 01; # p<0. 05; ## p<0. 01 compared with the left-most Hes1 (*) or Hey1 (#) histogram. (C) Cells were transfected to express Dll4 or Jag1 and subjected to flow cytometry using DLL4 or JAG1 antibody, respectively. Comparison with mocktransfected cells indicated the amount of exogenously expressed DLL4 and JAG1 on the cell surface in wild-type or EOGT-null HEK293T cells. Mocktransfected HEK293T cells were labeled without primary antibody (Cont. ). (D) Dll4/Jag1-transfected cells or Mock transfectants (signal-sending cells) were co-cultured with wild type or Eogt À/À lung EC cells (signal-receiving cells). qRT-PCR analysis of mouse Hey1 expression suggested that EOGT is required for the ability to receive DLL4-mediated Notch signaling, and that EOGT is dispensable for DLL4 and JAG1 as inducers of Notch signaling. O-GlcNAc potentiates DLL4-NOTCH1 interactions. Such a study revealed that DLL4 makes specific contacts with the O-fucose glycan in the ligand binding domain (EGF11 and 12) of NOTCH1 (Luca et al., 2015). O-fucose glycans on EGF12 affect both Delta and Jagged ligand-induced signaling as evidenced by the EGF12 O-fucosylation site mutant of NOTCH1 which has reduced signaling in response to DLL1 and JAG1 ligands (Rampal et al., 2005; Shi et al., 2007). An O-GlcNAc consensus site is present in EGF11, but not EGF12 in mammals, but the EGF11 site is not conserved among vertebrates. 

The ability of EOGT to potentiate Delta ligands is similar to that of Fringe, a glycosyltransferase that transfers GlcNAc to O-fucose on Notch receptors (Bru ¨ckner et al., 2000; Moloney et al., 2000). In mammals, three Fringe genes, Mfng, Lfng, and Rfng, are expressed in endothelial cells (Benedito et al., 2009). Lfng À/À mice exhibit enhanced sprouting and increased density of the vascular area in retinal angiogenesis (Benedito et al., 2009), a similarly mild phenotype to that in Eogt À/À retina. Thus, Fringe and Eogt might play complementary functions during retinal angiogenesis. However, Mfng inhibits JAG1-Notch signaling (Benedito et al., 2009), whereas we found no effect on JAG1-induced Notch signaling in assays using Eogt-deficient or Eogt-overexpressing cells. Thus, the distinct effects of the different GlcNAc modifications of Notch receptors indicate that EOGT and Fringe glycosyltransferases possess different physiological functions. Indeed, we observed no obvious abnormality in the skeleton (data not shown) of Eogt-null mice, making them phenotypically distinguishable from Lfng À/À mice (Evrard et al., 1998; Zhang and Gridley, 1998). 

The phenotypic similarity and genetic interaction between Eogt and Notch1 in retinas suggest that decreased Notch signaling caused by Eogt mutation is mediated by impaired O-GlcNAcylation of Notch1. However, we cannot formally exclude the possibility of involvement of other Notch receptors as EOGT substrates. In fact, all Notch receptors are potentially modified with O-GlcNAc and NOTCH2 was reported to be O-GlcNAcylated in mouse cerebrocortical tissue (Alfaro et al., 2012). Although roles for Notch2 in vascular morphogenesis are not reported, Notch1 and Notch4 have partially overlapping roles (Krebs et al., 2000). However, a recent report revealed that DLL4 and JAG1 may fail to activate NOTCH4 (James et al., 2014). A detailed analysis will be required to address the contribution of other Notch receptors to EOGT-dependent regulation of Notch signaling. 

The GlcNAc transferred by Fringe or EOGT can be extended with galactose (Chen et al., 2001; Sakaidani et al., 2012). Interestingly, inactivation of galactosyltransferase B4galt1 in Lec20 CHO cells abrogated the effects of LFNG on Notch signaling (Hou et al., 2012). Consistent with roles for galactose in Notch regulation, embryos lacking B4galt1 exhibit subtle Notch signaling defects during somitogenesis (Chen et al., 2006). It would be of interest to investigate roles for galactose in retinal angiogenesis and vascular integrity. 

Our prediction of O-GlcNAc sites on Notch receptors relied on the consensus sequence C 5 XXG (Y/F/L) (T/S)GX 2-3 C 6 derived from previously reported O-GlcNAcylated sequences (Alfaro et al., 2012; Sakaidani et al., 2011). In the course of preparation of this manuscript, a study in Drosophila Notch revealed that a Y/F/L residue at the À1 site is not absolutely required for the modification (Harvey et al., 2016). Therefore, C 5 XXGX(T/S)GX 2-3 C 6 can be proposed as a broad consensus site. Nonetheless, removing only four modification sites (EGF2, 10, 17, 20) out of 11 C 5 XXG(Y/F) (T/S) GXXC 6 sequences drastically decreased the O-GlcNAc level on NOTCH1 (Figure 2 ). These results suggest that preferred O-GlcNAcylation requires additional constraints. Consistent with this view, five domains (EGF4, 11, 12, 14 and 20) out of 15 Drosophila Notch EGF repeats containing the C 5 XXG(Y/F) (T/S)GXXC 6 consensus were found to be major O-GlcNAcylation sites in embryos (Harvey et al., 2016) (Figure 2 -figure supplement 1). It is also noteworthy that Drosophila Eogt mutants fail to display an obvious loss of Notch signaling phenotypes (Mu ¨ller et al., 2013; Sakaidani et al., 2011). Nevertheless, Notch pathway mutations were found to suppress the wing blistering phenotype in Eogt knockdown flies (Mu ¨ller et al., 2013). Thus, Eogt may affect Notch signaling in a tissue-specific manner. However, O-GlcNAc consensus sites on EGF repeats are poorly conserved between Drosophila Notch and mammalian NOTCH1. Moreover, the elongation of O-GlcNAc by galactose is not observed in Drosophila embryos (Harvey et al., 2016). It would be of interest to determine whether the O-GlcNAc Notch-ligand interaction we report here is conserved in Drosophila. 

The combined data on roles for O-glycans in Notch signaling suggest that each of the responsible glycosyltransferases may have different effects on Notch receptor functions. Thus, POFUT1 (Ofut1 in Drosophila) and POGLUT1 (Rumi in Drosophila), which catalyze O-fucosylation and O-glucosylation, respectively, regulate the strength of Notch activation. Genetic inactivation of Pofut1/ofut1 in Drosophila results in diminished ligand binding to Notch and Poglut1/rumi mutation results in impaired Notch processing (Haltom and Jafar-Nejad, 2015; Stanley and Okajima, 2010). Subsequent additions to O-fucose and O-glucose regulate subcellular localization or change the affinity toward Notch ligands. In Drosophila, xylose on O-glucose negatively regulates Notch signaling by reducing cell surface expression of Notch (Lee et al., 2013). The distinct effects of O-glycans on Notch receptors, coupled with differential expression of the relevant glycosyltransferases explain why different human diseases arise from mutation of POFUT1 (Dowling-Degos disease), LFNG (Spondylocostal Dysostosis) and EOGT (AOS) (Basmanav et al., 2014). Unexpectedly, Eogt-null mice do not exhibit abnormalities predicted from the symptoms of AOS patients. This was also the case in Eogt-null mice homozygous for Eogt gene disruption by a neo cassette (H. Yagi and K. Kato, personal communication). However, the vascular defects observed in Eogt À/À mice are consistent with the view that small-vessel vasculopathy may be a basis for pathologies in AOS. [11-426-338-910] ), FITC-conjugated IB4 (Vector Labs [FL-1201] ), and Dylight594-conjugated IB4 (Vector Labs [DL-1178] ). A new antibody was raised in rabbit against mouse EOGT lacking the first 19 amino acids (aa 20-527), produced in E. coli. For the purification of IgG, the rabbit serum was subjected to affinity chromatography on Protein A-Sepharose CL-4B (GE Healthcare Life Science).
section_name: Discussion

section_name: Materials and methods

section_name: Antibodies

section_content: A mouse Notch1 expression plasmid (pTracer-CMV/Notch1) encoding full-length native Notch1 (nucleotide numbers from À82 to 9378) was obtained from S. Chiba. For generating in situ hybridization probes, full length mouse Eogt cDNA created by PCR was cloned into pBluscript II SK(-) vector. For transfection of Eogt, the cDNA was cloned into pSectag2-IRES-GFP and pEF1 vectors (Sakaidani et al., 2012). A human EOGT cDNA in pCR3. 1 was previously described (Tashima and Stanley, 2014). Notch1 with O-GlcNAc site mutations were generated by the Site-Directed Mutagenesis Kit (Stratagene [200518] ) to introduce the following mutations: 280TfiG (S94A in EGF2); 1213AfiG (T405A in EGF10); 2011AfiG (T671A in EGF17); 2350AGfiGC (S784A in EGF20). An expression vector for Dll4 (pSport6-DLL4) and Jag1 (pBOB-Jag1) were obtained from DNAFORM (Clone ID: 4017786) or provided by Gerry Weinmaster, respectively.
section_name: Plasmids

section_content: HEK293T cells were kindly provided by Professor Tsukasa Matsuda (Nagoya University) and maintained in Dulbecco's modified Eagle's medium (DMEM) supplemented with 7. 5% fetal bovine serum (FBS). Transfection into HEK293T cells was performed using polyethylenimine, MW 4000 (Polysciences [24885] ). In brief, 4 mg of plasmid DNA was diluted in 200 ml of Opti-MEM I medium (Gibco [31985] ), which was then mixed with 12 mg of polyethylenimine and incubated for 30 min. Prior to transfection, HEK293T cells cultured in 6-well dish were pretreated with 800 ml of Opti-MEM I medium and supplemented with the DNA/ polyethylenimine mixture. After 4 hr of incubation, the medium was replaced with 2 ml of FBS in DMEM containing penicillin/streptomycin followed by incubation for 48 hr before analysis. HeLa and CHO Lec1 cells were maintained in a-MEM containing 10% FBS. Transfection into HeLa and CHO Lec1 cells was performed using X-treme Gene 9 (Roche [06365779001]) as described by the manufacturer. Absence of mycoplasma contamination was confirmed upon receipt of the cell lines, and all the experiments were completed within 6 months from the contamination test. 

Generation of knockout cells using CRISPR/Cas9 and knockdown cells using shRNA EOGT targeted by CRISPR/Cas9 HEK293T cells were transiently transfected with GFP-Cas9 and guide RNA (gRNA) expression plasmid (Sigma), encoding a single gRNA (5'-GCCAGCATCCGCTTGCCAGAGG-3') targeting the fourth coding exon of EOGT. Single Cas9-GFP-positive cells were obtained by limiting dilution in 96-well plates. GFP-positive clones were expanded and analyzed for deletion of the targeted genomic region by PCR (forward primer: 5'-CCATTTGCTAACGTGGTGCC-3', reverse primer: 5'-GCAGAACC TGTAAGCCACCT-3') and sequencing. Absence of EOGT was demonstrated by immunoblotting with CTD110. 6 O-GlcNAc antibody and our new rabbit Eogt antibody.
section_name: Cell culture and transfection

section_content: HEK293T cells were transiently transfected with GFP-Cas9 together with gRNA expression plasmid encoding a single gRNA (5'-GGTTGGGGTCCTGGCATCGCGG-3'), which targets the third exon of NOTCH1. Individual clones were screened for deletion of the target sequence by PCR (forward primer: 5'-CCGCGATGCCAGGACCCCAACC-3', reverse primer: 5'-GTCAGGCAGAGGGGCCCA-GAGA-3'). Genomic sequence at Notch locus was analyzed by sequencing of a PCR-amplified fragment (forward primer: 5'-GGCATGTGTCTGGTTCCAGA-3', reverse primer: 5'-CCCGCCAAGTACC TCAAGTT-3').
section_name: Notch1 targeted by CRISPR/Cas9

section_content: Four shRNA constructs targeting human EOGT were prepared in Lentivirus for transduction of HeLa cells. TA197 and TA198 shRNAs in pGIPZ were from the GIPZ Lentiviral Human shRNAmir library (Open Biosystems, ThermoScientific), and TA195 and TA196 shRNAs in pLKO. 1 were from the TRC Lentiviral Human Genome shRNA library (RNAi Consortium). The EOGT sequences target the coding region (TA196 and TA198) or the 3'UTR (TA195 and TA197) as follows: TA195: AGAGTGTTCCAAC TTGTTT; TA196: AGACCTATAGAAGATGCTA; TA197: GCATGAAAGTATTCCAGTCTT; TA198: GACAGATTTAAGGAGGACTTT. HEK293T cells on a 10 cm dish were transfected with 10 mg shRNA plasmid, 3 mg ENV plasmid (VSV-G), 5 mg pMDLg/pRRE (Packaging plasmid III Gen. Pack) and 2. 5 mg REV plasmid combined in a calcium phosphate precipitate as described (Follenzi and Naldini, 2002). Plasmids were obtained from Ana Maria Cuervo, Albert Einstein College Medicine. After incubation at 37 ˚C in 5% CO 2 for 12-14 hr, DMEM medium (Life Technologies [11965-092]) contain- ing 10% heat-inactivated fetal calf serum (FCS; Gemini [100-800]) was added. After 36 hr, medium containing Lentivirus was collected, centrifuged at 2000 rpm for 10 min, filtered through a 0. 45 mm filter, and frozen at À80 ˚C in 1 ml aliquots. For transduction, HeLa cells on a 60 mm dish were incubated with 1 ml virus diluted with 5 ml RPMI medium (GIBCO [11875-093] ) containing 10% FCS, 8 mg/ml Polybrene (Sigma [10768-9]) and penicillin and streptomycin (GIBCO [15140-122] ). After 2 hr at 37 ˚C, medium was removed and fresh Lentivirus in Polybrene was added. After 2 hr at 37 ˚C, the medium was replaced with fresh RPMI, 10% FCS with antibiotics, and incubation continued for 44 hr. To select stable cell populations, the transduced HeLa cells were trypsinized and replated in 1-2 mg/ ml puromycin (Sigma [P8833] ). Puromycin-resistant cell populations were expanded and stored frozen in medium containing 10% FCS and 10% dimethylsulfoxide (DMSO; Fisher Scientific [D128-500]) at À135 ˚C. Three independent preparations of HeLa cells expressing the GAPDH shRNA, or each of the four EOGT-targeting shRNAs, were used in experiments. Lec1 CHO cells expressing siRNAs targeting hamster Eogt were previously described (Tashima and Stanley, 2014). Eogt transcript levels in Lec1 and HeLa cells were determined by qRT-PCR using the Super Script First Strand synthesis kit (Invitrogen [11904-018] ) for reverse transcription and SYBR green (Thermo Scientific [AB-1453] ) for real time PCR, following the manufacturer's instructions.
section_name: EOGT targeted by shRNA or siRNA

section_content: Cells were washed with ligand binding buffer (Hanks' buffered salt solution, pH 7. 4, 1 mM CaCl 2, 1% (w/v) BSA (Gemini [700-100P]), 0. 05% NaN 3 ), fixed in 4% PFA in PBS-CMF at RT for 10 min and stored in ligand binding buffer at 4 ˚C. Fixed cells (2 Â 10 5 ) were incubated with 50 ml ligand binding buffer containing 100-750 ng/ml DLL1-Fc, DLL4-Fc or JAG1-Fc at 4 ˚C for 1 hr. Soluble ligands were prepared as described previously (Stahl et al., 2008; Song et al., 2016). After incubation, cells were washed twice with 0. 5 ml ligand binding buffer and incubated with phycoerythrin (PE)-conjugated goat anti-human IgG (Fc-specific) antibody, 1:100 in ligand binding buffer) at 4 ˚C for 30 min in the dark. The cells were then washed twice with 1 ml of ligand binding buffer and analyzed in a FACSCalibur flow cytometer. For detection of NOTCH1 at the cell surface, fixed cells were incubated with sheep anti-mouse NOTCH1 antibody AF5267 (1:50 in ligand binding buffer) at 4 ˚C for 1 hr, washed and incubated with Rhodamine Red-X-conjugated donkey anti-sheep IgG (1:100 in ligand binding buffer) at 4 ˚C for 30 min in the dark. Cells were washed twice with 1 ml of ligand binding buffer, and analyzed using a FACSCalibur flow cytometer. The Notch ligand binding flow cytometry assay is described in detail in Bio-protocol (Varshney and Stanley, 2017).
section_name: Notch ligand binding assays Flow cytometry assay

section_content: A Notch1 expression vector (pTracer-CMV/Notch1) was transfected alone or together with a vector expressing mouse Eogt (pSecTag2/Hygro/Eogt) into wild type or EOGT-null HEK293T cells. The detailed protocol is available in Bio-protocol (Sawaguchi et al., 2017). To identify transfected cells, a GFP-expression vector (pMX-GFP) was included at 1/8 the total DNA transfected. After 48 hr, 20 ml Protein A Dynabeads (Veritas [10002D]) pre-coated with 500 ng of DLL4-Fc (Invitrogen [10171 H02H]) or JAG1-Fc (Invitrogen [11648 H02H]) were added to the culture media, and incubated for 2 hr at 37 ˚C. Transfected cells were rinsed 10 time with PBS, and fixed with 4% PFA in PBS for 20 min at RT. The number of beads bound per 50 GFP-positive cells was counted for quantification.
section_name: Dynabead assay

section_content: HEK293T cells were fixed with 4% paraformaldehyde in PBS for 20 min and ice-cold methanol for 5 min. After washing with PBS, cells were blocked with 5% FBS in PBS for 30 min. Immunostaining was performed overnight at 4 ˚C by incubation with anti-O-GlcNAc mAb CTD110. 6 (1:1000) and anti-NOTCH1 ECD Ab 8G10 (1:200) diluted in 5% FBS/PBS. After washing with cold PBS, cells were incubated with Alexa Fluor 555-conjugated goat anti-Mouse IgM heavy chain antibody (2 mg/ml; Invitrogen [A21426]) and DyLight 488-conjugated goat anti-rabbit IgG antibody (3 mg/ml; Vector Labs [DI-1488] ) diluted in 5% FBS/PBS for 2 hr at RT, washed with cold PBS. Cells were mounted on slides using ) for observation with a FSX 100 fluorescent microscope (Olympus).
section_name: Immunofluroescence microscopy

section_content: Cultured HEK293T cells were detached by pipetting 10 times. After washing with cold PBS, cells were incubated with hamster anti-Notch1 (8G10; 4 mg/ml) antibody, goat anti-DLL4 (0. 1 mg/ml), or hamster anti-JAG1 (0. 5 mg/ml) antibody diluted in 5% FBS in PBS on ice for 30 min. After washing with cold PBS, cells were incubated with FITC-labeled anti-hamster IgG (40 mg/ml) or FITC-labeled anti-goat IgG (10 mg/ml) antibody in 5% FBS in PBS on ice for 30 min, washed with cold PBS, and subjected to flow cytometry using a FACSCalibur cytometer (Becton Dickinson).
section_name: Flow cytometry

section_content: For immunoprecipitation of mouse NOTCH1 from transfected HEK293T cells, cells were lysed in Cell Lysis Buffer (Cell signaling [9803S]). Cell lysates were incubated with 8G10 Notch1 antibody at the concentration of 2 mg/ml for 2 hr at 4 ˚C, and incubated with Protein G Sepharose ) for 2 hr at 4 ˚C. After extensive wash with 50 mM Tris-HCl, pH 7. 4, 150 mM NaCl, and 0. 25% Triton X-100, NOTCH1 was eluted with SDS-PAGE sample buffer containing 2% SDS and 70 mM 2-mercaptoethanol. Immunoblotting for the detection of O-GlcNAc on NOTCH1 was performed using CTD110. 6 O-GlcNAc (1:2000) or 8G10 NOTCH1 (1:500) antibodies, followed by HRP-conjugated anti-mouse IgM (1:4000) or anti-hamster IgG antibodies (1:1000), respectively, and enhanced chemiluminescence as described previously (Ogawa et al., 2015). 

For purification of NOTCH1 EGF repeats (Notch1-EGF1-36-MycHis) from cell lysates, cells were transfected with pSegtag2/Hygro/Notch1-EGF:mycHis (Hou et al., 2012) alone or together with pSecTag2/Hygro/Eogt. Cell lysates were added with 2 mg of anti-Myc antibody (4A6). After incubation for 2 hr at 4 ˚C, Protein G Sepharose was added to the lysates, which were then incubated for 2 hr at 4 ˚C. Immunoprecipitates were washed and eluted with SDS-PAGE sample buffer as described above. Immunodetection was performed using anti-Myc antibody (1:1000) or CTD110. 6 (1:2000) antibodies, followed by HRP-conjugated anti-mouse IgM (1:4000) or anti-mouse IgG antibodies (1:2000), respectively, and enhanced chemiluminescence.
section_name: Immunoprecipitation

section_content: HeLa cells stably expressing Lentivirus with an shRNA targeted against EOGT or GAPDH were plated in 6-well plates at 2 Â 10 5 cells/well in RPMI containing 10% FCS. After 24 hr, the medium was replaced with 2 ml medium containing either DMSO (vehicle) or gamma-secretase inhibitor (GSI) in DMSO for 1 hr. The GSIs L-685,458 (Sigma [L1790]) or N-[N-(3,5-difluorophenacetyl)-L-alanyl]-Sphenylglycine t-butyl ester (DAPT; Sigma [D5942]) were used at 1-2 mM for HeLa. Co-culture was initiated by overlaying puromycin-resistant HeLa cells with 2. 4 Â 10 6 L cells, or L cells expressing DLL1 (D1/L) in medium containing vehicle or GSI, as described previously (Lu et al., 2010). After 6-8 hr at 37 ˚C, less adherent L cells were partially removed by washing twice with 2 ml PBS containing 1 mM CaCl 2 and 1 mM MgCl 2, pH 7. 2. Remaining cells were lysed in 0. 5 ml RIPA buffer ) containing 0. 1% SDS and Complete mini, EDTA-free protease inhibitors (Roche [11836170001]), and scraped into a microfuge tube. After centrifugation at 15,000g for 15 min at 4 ˚C, the supernatant was added to 120 ml glycerol, mixed and frozen at À80 ˚C in 100 ml aliquots. For SDS-PAGE, SDS gel loading buffer with fresh dithiothreitol (DTT, 30 mM) was added, and the samples heated at 80 ˚C for 15 min prior to separation on a 7. 5% SDS-PAGE gel. Proteins were transferred to polyvinylidene fluoride (PVDF) membranes in transfer buffer containing 10% methanol. Membranes were blocked in 5% non-fat dry milk in 0. 05% Tween-20% and 1% Thimerosal (Sigma [T5125]), and washed twice in TBS/Tween (10 mM Tris HCl, 0. 15 M NaCl, 0. 05% Tween 20). Membranes were cut into three sections and incubated in primary antibodies to detect NOTCH1 full length (~280 kDa), activated, cleaved NOTCH1 (~110 kDa) and EOGT (~52 kDa). Antibody against NOTCH1 ECD (AF5267) was used at 1:250 in TBS containing 3% cold fish gelatin, 1% BSA and 1% Thimerosal and incubated overnight at 4 ˚C. After four washes in TBS/Tween, the membrane was incubated in rabbit anti-sheep IgG conjugated to HRP diluted 1:5000 in blocking solution. All buffer reagents were from Sigma. Antibodies to detect activated NOTCH1 (Val1744) and EOGT were incubated in the same manner at ~1:1000 dilution. Secondary Ab was 1:2000-10,000 goat anti-rabbit IgG-HRP. Detection of O-GlcNAc was performed after stripping NOTCH1 mAb using mAb CTD110. 6 diluted ~1:1000-1:5000, incubated as above and detected by 1:5000 goat anti-mouse IgM-HRP. After four washes in TBS/Tween, membranes were treated with ECL reagent from Pierce or ) for 5 min, the membrane sections reassembled, and exposed for various times to film (Denville Scientific [E3018]). Stripping for reprobing membranes was performed as described (Yeung and Stanley, 2009).
section_name: Ligand-induced Notch signaling assays NOTCH1 activation assay

section_content: To assay ligand-induced stimulation of the Notch reporter gene TP1-luciferase, co-culture assays using Lec1 CHO cells stably expressing siRNA targeted against Eogt (Tashima and Stanley, 2014) overlaid with L cells or L cells expressing DLL1, were performed as described previously (Lu et al., 2010; Stahl et al., 2008). TP1-luciferase activity was normalized against co-transfected Renilla luciferase. Cultures were performed in duplicate with and without 12. 5 mM GSI IX (Calbiochem [565784] ) in DMSO. Rescue of Eogt knockdown was performed by inclusion of a human EOGT cDNA in the transfection mix.
section_name: Notch reporter assay

section_content: To assay ligand-induced activation of Notch target genes, each well of a 96-well MicroWell plate (Thermo Scientific, [442404] ) was coated with 500 ng of DLL4-Fc or JAG1-Fc in PBS and incubated for 16-18 hr at 4 ˚C. Lung ECs (1 Â 10 5 ) from wild-type or Eogt À/À mice were plated into each well in 200 ml complete HuMedia-EG2. After 16 hr incubation at 37 ˚C in a 5% CO 2 incubator, total RNA was isolated from the stimulated ECs using TRIzol Reagent (Ambion, [15596018] ) for qRT-PCR analysis.
section_name: Notch target gene assay with solid-phase ligand

section_content: Wild type or EOGT-null HEK293T cells were transiently transfected with pSport6-Dll4 or pBOB-Jag1 plasmid. After 24 hr, 1. 0 Â 10 5 ligand-expressing cells were added onto wild type or Eogt À/À lung ECs plated in 96-well dish and incubated for 24 hr at 37 ˚C in a 5% CO 2 incubator. Total RNA was isolated using PureLink RNA Mini Kit (Ambion, [12183020]) for qRT-PCR analysis.
section_name: Notch target gene assay by co-culture

section_content: BAC clone RP24-388B15 derived from C57BL/6J mice and containing a genomic region that encodes Eogt was obtained from the BACPAC Resource Center. Conditional knockout (cKO) targeting vector (pDT-loxP-loxP-FRT-PGKneo-loxPFRT) was obtained from Satoru Takahashi (Tsukuba University). 

Mouse genomic DNA fragments including Eogt exon 10, a 7. 8 kb upstream region (long arm), or 1. 9 kb downstream region (short arm) were amplified by PCR with PrimeSTAR Max polymerase (Takara [R045A]). Each fragment was cloned into the PmlI site, PmeI/KpnI sites, or the XhoI site of the cKO vector, respectively, using the In-Fusion Advantage PCR Cloning Kit (Clontech [639619] ). All insert sequences were confirmed by DNA sequencing. 

Eogt-targeting vector DNA was linearized with AscI, and introduced into C57BL/6J ES cells (Tanimoto et al., 2008) by electroporation. Genomic DNA isolated from G418-resistant clones was subjected to PCR screening to confirm homologous recombination using KOD FX polymerase (Toyobo [KFX-101]), followed by a second screening to confirm the position of the third loxP sequence using LA Taq polymerase (Takara [RR002A]). Selected ES clones were subjected to Southern blotting using long-arm (900 bp) or short-arm (1 kb) probes radiolabelled with [ 32 P]dCTP using the Megaprime Kit (GE Healthcare [RPN1606]). Genomic DNA was digested with KpnI/SalI and hybridized with the long-arm probe, or digested with HindIII and hybridized with the short-arm probe. Two clones were microinjected into blastocysts that were implanted into pseudopregnant female mice in the Tsukuba University transgenic core facility using standard methodologies. Primers used for PCR are shown in Table 1.
section_name: Eogt targeting vector

section_content: Eogt floxed/neo mice were crossed with Ayu1-Cre (Niwa et al., 1993) or FLPe mice (B6;SJL-Tg (ACTFLPe)9205Dym/J backcrossed more than nine times to C57BL/6J) to generate mice carrying floxed or exon 10-deleted Eogt alleles, respectively, in collaboration with Satoru Takahashi (Moriguchi et al., 2006). Mice with a floxed Rbpj allele or a Tek-Cre transgene were obtained from T. Honjo (Han et al., 2002) and M. Yanagisawa (Kisanuki et al., 2001), respectively, and provided by the RIKEN BRC through the National Bio-Resource Project of the MEXT, Japan. Rbpj-null mice were generated by mating Rbpj F/F mice with Ayu1-Cre deleter mice. Tek-Cre: Eogt F/F mice were generated in collaboration with Kenji Uchimura (Nagoya University). Notch1 null mice (Notch1 tm1- Con /J) (Conlon et al., 1995) were obtained from the Jackson laboratory. Mice with a ligand binding domain mutation in Notch1 (Notch1 lbd ) and mice lacking the O-fucose site in EGF12 of Notch1 PBS-CMF, retinas were mounted using prolong diamond anti-fade mounting medium (Life Sciences, [1664835]) for observation using a TiE-A1R-KT5 microscope (Nikon) or a P250 High Capacity Slide Scanner (Perkin Elmer [1S10OD019961-01]). Whole mount staining for NG2+ pericytes was performed following the procedure described above using rabbit anti-NG2 antibody (1:200) or rat anti-NG2 antibody (1:1000), and DyLight488-conjugated anti-rabbit IgG (1:200) or CF640R-conjugated anti-rat IgG (1:200) as primary and secondary antibodies, respectively. Whole mount staining of extravasated fibrinogen was performed as described above using rabbit anti-fibrinogen antibody (1:200) as a primary antibody and DyLight488-conjugated anti-rabbit IgG (1:200) as a secondary antibody.
section_name: Mice

section_content: The length of aSMA + blood vessels was calculated by determining the average of the 3-4 longest aSMA + vessels per retina. The number of vascular branch points was measured by analyzing 3-8 fields of 500 Â 500 mm per retina which were chosen randomly to cover the region under the vascular front for P5, or central regions for P15 retinas. AngioTool (Zudaire et al., 2011) was used to calculate branch points. For counting the number of filopodia, 4-12 random fields of 250 Â 250 mm per retina at the vascular front, and the number of filopodia were counted by eye and marked with a red dot in NIH ImageJ (Schneider et al., 2012).
section_name: Quantification of retinal angiogenesis

section_content: Eyes from newborn mice were fixed with 4% PFA/PBS for 15 min at RT. Retinas were dissected in 4% PFA in PBS. Flat retinas were prepared by dropping cold methanol onto the retina and stored in methanol at À20 ˚C. In situ hybridization was performed as described previously (Powner et al., 2012) with modifications. In brief, flat retinas were washed with PBS, incubated with 1 ml of FITClabeled probe in diluted in 1 ml of hybridization buffer overnight at 65 ˚C, washed with formamide wash buffer for 15 min 3 times at 65 ˚C, followed by PBS containing 0. 1% Tween-20 for 20 min, twice at RT. Retinas were incubated in 500 ml IHC blocking buffer (3% Triton X-100, 0. 5% Tween-20, 1% FBS in 2x PBS) for 20 min at RT, followed by AP-conjugated anti-FITC antibody (1:200 dilution) in IHC blocking buffer. Counter staining was performed by incubating retinas in Dylight 594-conjugated IB4 (2. 5 mg/ml) in IHC blocking buffer. After incubation overnight at 4 ˚C on a slow shaker, retinas were washed with PBS containing 0. 1% Tween-20 (PTW) for 20 min twice at RT, and incubated with BCIP/NBT solution (Roche [11681460001]) at RT. Light field images were acquired using FSX100 (Olympus).
section_name: In situ hybridization

section_content: Deeply anesthetized P15 mice were perfused with 0. 75 mg/g (mouse weight) of Sulfo-NHS-LC-biotin (Thermo Fisher Scientific [21335] ) dissolved in 10 ml PBS-CMF for 10 min, followed immediately by 10% formalin in sodium phosphate, pH7. 4. Eyes were post-fixed in 4% PFA in PBS for 15 min on ice, washed with PBS, and soaked in 2xPBS for 15 min on ice. Dissected retina were flattened by dropping cold methanol and kept at À20 ˚C. The flat retinas were washed with PBS, incubated with Perm/ Block solution including 5% goat serum prior to immunostaining with CF488A-conjugated streptavidin (10 mg/ml) and Dylight594-conjugated IB4 (2. 5 mg/ml) for 4 hr at RT or overnight at 4 ˚C. After four washes with PBS, retinas were mounted and observed using confocal microscope A1R-TiE (Nikon).
section_name: Sulfo-NHS-LC-biotin perfusion in retina

section_content: Brain microvascular ECs were isolated as described previously (Ruck et al., 2014). In brief, 10 mice at P14 were sacrificed, and brains were isolated and transferred to 5 ml of PBS. Cerebellum and brainstem were removed with forceps. Meninges were detached by rolling the brains on sterile blotting paper. Meninges-free brains were transferred to a 50 ml Falcon tube filled with 13. 5 ml of DMEM, minced first with a 25 ml pipette, then with a 10 ml pipette until the medium became milky. Tissue homogenates were digested by adding 0. 6 ml of 10 mg/ml collagenase type 2 (Worthington [4174] ) in DMEM and 0. 2 ml of 1 mg/ml DNase I (Boehringer Mannheim [104159] ) in PBS for 1 hr at suspension was centrifuged at 1000 x g for 10 min at 4 ˚C. The pellet was resuspended using a 25 ml pipette in 25 ml of 20% (w/v) BSA in DMEM approximately 25 times, and centrifuged at 1000 x g for 20 min at 4 ˚C. The pellet was resuspended in 9 ml of DMEM and supplemented with 1 ml of 10 mg/ ml collagenase type 2 and 0. 1 ml of 1 mg/ml DNase. After digestion for 1 hr at 37 ˚C, 15 ml of 20% FBS in DMEM containing penicillin/streptomycin was added to stop digestion. After centrifugation at 400x g for 5 min, the pellet was resuspended with 3 ml of 0. 1% BSA in PBS, mixed with 22. 5 ml of Dynabeads Biotin Binder (Veritas [11047]) precoated with 5 mg of biotin-labeled anti-CD31 antibody (clone 390; Biolegend [102404] ). The mixture was incubated with rotation at RT for 15 min. Beads with bound ECs were collected using a magnet, washed with PBS, and subjected to total RNA isolation using PureLink RNA Mini Kit (Ambion [12183020] ). Quantitative RT (qRT)-PCR was performed using M-MLV Reverse Transcriptase (Invitrogen [28025-013] ) for reverse transcription, and SsoAdvanced Universal SYBR Green Supermix ) for real-time PCR analysis according to the manufacturer's instructions. Primers used for PCR are shown in Table 2. 

Lung microvascular ECs were isolated as described previously (Ruck et al., 2014) unless otherwise noted. In brief, mice at 3 months were sacrificed, and lungs were minced and digested with 1 mg/ ml of collagenase/dispase (Roche [10 269 638 001]) in DMEM for 45 min at 37 ˚C. A single cell suspension was passed through a 70 mm cell strainer, collected by centrifugation, and resuspended in 1 ml 0. 1% BSA/PBS. ECs were isolated using Dynabeads Biotin Binder precoated with biotinlabeled anti-CD31 antibody (clone 390; Biolegend [102404] ). Beads were resuspended in HuMedia-EG2 (Kurabou, [KE-2150S]) containing 2% FCS and 10 ng/ml hEGF, 5 ng/ml hFGF-b, 1. 34 mg/ml hydrocortisone hemisuccinate, 10 mg/ml heparin, 50 mg/ml gentamycin, 50 ng/ml Amphotericin B, and then, plated on CellBIND Surface Culture Dish (Corning, [3295] ). After reaching 70-80% confluent, cells were detached using 0. 05% Trypsin/EDTA, collected by centrifugation, and resuspended in 1 ml 0. 1% BSA/PBS. ECs were subsequently purified using Dynabeads Biotin Binder precoated with biotin-labeled anti-CD102 antibody (clone 3C4; Biolegend [105604] ). Beads were resuspended with complete HuMedia-EG2 media, and cultured onto CellBIND Surface Culture Dish.
section_name: Isolation of murine brain and lung microvascular endothelial cells and qRT-PCR

section_name: Acknowledgements

section_content: We thank T Honjo for providing Rbpj mice, M Yanagisawa and RIKEN BioResource Center for providing Tek-Cre mice, K Uchimura for collaborative work, N Hattori for technical assistance, K Furukawa for supporting and supervising the project, M Nakakura and T Kawai for experiments in the initial phase of the project.
section_name: Acknowledgements

section_name: Funding

section_content: Grant reference number
section_name: Funder

section_name: Author contributions

section_content: The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.