Glycoproteomic characterization of carriers of the CD15/Lewisx epitope on Hodgkin's Reed-Sternberg cells

Background The Lewisx trisaccharide, also referred to as the CD15 antigen, is a diagnostic marker used to distinguish Hodgkin's lymphoma from other lymphocytic cancers. However, the role of such fucosylated structures remains poorly understood, in part because carriers of Lewisx structures on Hodgkin's Reed-Sternberg cells have not been identified. Methods GalMBP, an engineered carbohydrate-recognition protein that binds selectively to oligosaccharides with paired terminal galactose and fucose residues, has been used in conjunction with proteomic and glycomic analysis to identify glycoprotein carriers of Lewisx and related glycan structures in multiple Hodgkin's Reed-Sternberg cell lines. Results Multiple glycoproteins that bind to GalMBP and carry CD15/Lewisx have been identified in a panel of six Reed-Sternberg cell lines. The most commonly identified Lewisx-bearing glycoproteins are CD98hc, which was found in all six cell lines tested, and intercellular adhesion molecule-1 and DEC-205, which were detected in five and four of the lines, respectively. Thus, several of the most prominent cell adhesion molecules on the lymphomas carry this characteristic glycan epitope. In addition, the Hodgkin's Reed-Sternberg cell lines can be grouped into subsets based on the presence or absence of less common Lewisx-bearing glycoproteins. Conclusions CD98 and intercellular adhesion molecule-1 are major carriers of CD15/Lewisx on Reed-Sternberg cells. Binding of DC-SIGN and other glycan-specific receptors to the Lewisx epitopes on CD98 and intercellular adhesion molecule-1 may facilitate interaction of the lymphoma cells with lymphocytes and myeloid cells in lymph nodes.


Background
The Lewis x blood group epitope, also referred to as the CD15 antigen, has been reported on many different cancers and cancer cell lines including Hodgkins lymphomas, a common form of lymphocytic cancer. The presence of Lewis x has been used as a marker for the neoplastic tumour cells of Hodgkins lymphoma, referred to as Hodgkins Reed-Sternberg (HRS) cells. HRS cells form a relatively small population of the tumour mass, with the remaining cells consisting of non-neoplastic reactive cells including T lymphocytes, granulocytes, macrophages and plasma cells [1,2]. Crosslinking of HRS cell-surface molecules containing Lewis x , using anti-Lewis x antibodies, stimulates cellular signaling through the tyrosine phosphorylation of proteins including c-Cbl [3], suggesting that identification of protein carriers of Lewis x on HRS cells may provide insight into how cellular activation is achieved.
The C-type (Ca 2+ -dependent) carbohydrate-recognition domain of serum mannose-binding protein, which normally binds to mannose-containing oligosaccharides characteristic of pathogens, can be re-engineered to bind galactose-containing glycans [4,5]. Glycan array analysis reveals that the modified protein, referred to as galactose-specific mannose-binding protien (GalMBP), binds preferentially to oligosaccharides in which terminal galactose residues are adjacent to terminal fucose residues, as in the Lewis x blood group epitope [6]. The specificity of GalMBP indicated that it would be a useful tool for probing the way that Lewis x is presented on the surface of Reed-Sternberg cells.
By combining affinity purification on immobilized GalMBP with glycomics and proteomics, several cell surface molecules on HRS cells have been found to bear the Lewis x epitope, with the heavy chain of CD98 being a common carrier on multiple HRS cell lines.

Gel analysis of GalMBP ligands
Samples were analyzed on 15% SDS-polyacrylamide gels that were electroblotted onto Protran nitrocellulose membranes (Whatman Plc, Kent, UK) [7]. For probing with 125 I-GalMBP [8], membranes were blocked overnight at 4°C with 2% hemoglobin in binding buffer (150 mM NaCl; 25 mM Tris-Cl, pH 7.8; 2 mM CaCl 2 ) and incubated with 125 I-GalMBP for 2 h at room temperature with gentle shaking in the same buffer. Following four washes with binding buffer, radioactivity on membranes was detected using a Phosphorimager SI from Molecular Dynamics (Sunnyvale, USA). Probing with anti-Lewis x antibodies MCS-1 (Quest Biomedicals Ltd, West Midlands, UK) and FC-2.15 was performed as previously described [9].

Glycan analysis
N-linked glycans released from tryptic peptides by digestion with peptide:N-glycosidase F were purified using a Sep-Pak C18 reverse phase cartridge and permethylated using the anhydrous sodium hydroxide method [10]. Following a further round of Sep-Pak purification, permethylated glycans were dissolved in 10 μl of methanol: H 2 O (4:1), mixed with an equal volume of 2,5-dihydroxybenzoic acid matrix and subjected to matrix-assisted laser desorption ionization mass spectrometry (MALDI MS) profiling with further tandem mass spectrometry (MS/MS) analysis of selected ions [11].

Proteomic analysis
Proteins resolved on SDS-polyacrylamide gels were excised, and subjected to proteomic analysis by in-gel trypsin digestion [6] using MALDI MS profiling complemented with MS/MS sequencing of the ten most abundant ions in each sample on an Applied BioSystems 4800 MALDI tandem time-of-flight mass spectrometer. For in-solution trypsin digestion, fractions were precipitated with trichloroacetic acid, dissolved in 8 M urea containing 10 mM HEPES, pH 8.0, reduced, alkylated, and digested in solution with trypsin [12]. Tryptic peptides were dried, desalted, and purified by nano-liquid chromatography using a 15 μm × 15 cm Pepmap analytical C18 nanocapillary column on an Ultimate 3000 liquid chromatography system (LC Packings, Dionex, Sunnyvale, USA) eluted with a gradient from 8-45% acetonitrile over 60 min at a flow rate of 0.3 μl/min [6]. Eluted peptides were detected by MALDI MS profiling and sequenced by MS/MS.

Results
Affinity purification of glycoproteins that bear Lewis x structures on HRS cells L-428 cells, which are model HRS cells on which Lewis x expression has been documented using monoclonal antibodies [3], were used to test the utility of GalMBP for purification of glycoproteins that carry Lewis x . Glycoproteins in detergent extracts of L-428 cell that bound to immobilized GalMBP in the presence of Ca 2+ were eluted with EDTA and analyzed by SDS-polyacrylamide gel electrophoresis, demonstrating the presence of multiple potential ligands covering a broad distribution of molecular weights ranging from 48 kDa to well over 175 kDa ( Figure 1A). Probing of western blots confirmed that these eluted glycoproteins bind to radiolabelled GalMBP ( Figure 1B) and the presence of glycans containing Lewis x was also demonstrated by probing the blots with two anti-Lewis x antibodies ( Figure 1C,D).
MALDI MS analysis of N-glycans released from the pool of glycoproteins eluted from the GalMBP column revealed the presence of glycans containing up to 3 fucose residues ( Figure 2A) and MS/MS analysis of the major molecular ions led to identification of bi-, tri-and tetra-antennary complex glycans that are terminally fucosylated ( Figure 2B). These glycans gave fragment ions at m/z 660, corresponding to terminal FucHexHexNAc, which would represent terminal Lewis a or Lewis x trisaccharides ( Figure 2B). The MS/MS fragmentation also provided evidence that a portion of these termini are in the form Lewis x epitopes, consistent with the antibody binding data. Comparing related glycan structures indicates that a substantial proportion of each class of branched structure contains terminal fucosylated structures. For example, the relative intensities of the molecular ions at m/z 2416 and 2591, which correspond to bi-antennary glycans containing two and three fucose residues, is comparable to that of the molecular ion m/z 2243, corresponding to a bi-antennary glycan without terminal fucosylation. Larger glycans present include tetra-antennary structures that contain one or two fucosylated branches and glycans with poly-Nacetyllactosamine extensions, many of which also bear terminal fucose residues.

Proteomic identification of GalMBP ligands on L-428 cells
The identity of glycoproteins that bear this spectrum of Lewis x -containing glycans was initially investigated by proteomic analysis of proteins fractioned by SDS-polyacrylamide gel electrophoresis. Despite the presence of overlapping bands, probably due to heterogeneity of glycans present on individual glycoproteins, multiple glycoproteins were identified, including the dendritic and epithelial cell receptor DEC-205 (CD205) and intercellular adhesion molecule 1 (ICAM-1) (Figure 3 and Additional file 1). DEC-205 and ICAM-1 are both heavily glycosylated proteins known to be expressed in HRS cells [13,14]. The heavy chain of the cell surface molecule CD98 (CD98hc) was identified across a region of the gel between approximately 75 and 100 kDa and the accompanying small chain LAT1 was also detected, but below confidence levels for the analysis (Additional file 1). Both LAT1 and the ATB(0) protein, which was detected just above the confidence threshold, are amino acid transporters. The average distance between glycosylated asparagine residues in CD98hc is approximately 26 Å, so that terminal galactose residues on N-linked glycans attached at these sites could bridge the distance between binding sites in a GalMBP trimer [15], which may contribute to the effectiveness with which CD98hc can be isolated from multiple HRS cell lines using GalMBP.
In an alternative approach to the proteomic analysis, glycoproteins purified on GalMBP were identified directly by trypsin digestion of the pooled elution fractions. The resulting peptides were purified by liquid chromatography and individual peptides were identified by MALDI MS analysis and sequenced by collisioninduced dissociation followed by tandem mass spectrometry. In agreement with the in-gel analysis, CD98hc, DEC-205 and ICAM-1 were identified with the highest levels of confidence (Additional file 2), thus validating the batch digestion approach as a means of glycoprotein identification. Because of the increased sensitivity and reduced background of the batch analysis, several additional glycoproteins not detected by the in-gel analysis, including cell-surface receptors CD70, CD86, CD147 and HLA-DR, were also identified in the elution fractions.

Identification of common GalMBP ligands on HRS cell lines
Based on the results of the glycomic and proteomic analysis of the L-428 cells, fractionation on GalMBP followed by batchwise proteomic analysis was used for screening multiple cell lines to characterize the spectrum of glycoprotein carriers of Lewis x in Hodgkin's lymphoma. Analysis of a panel of five further HRS cell lines showed a pattern of common Lewis x carrier glycoproteins found in the majority of the cell lines ( Figure 4 and Additional file 2). The most commonly identified glycoproteins were CD98hc, identified in all of the cell lines, ICAM-1, found in all except one line and DEC-205, detected in four of the six lines. These results suggest that these proteins often present Lewis x structures and may indicate a potential role for the glycan structure in The presence of unfucosylated glycans that are suboptimal ligands for GalMBP, as well as high-mannose oligosaccharides that do not bind GalMBP at all, is presumed to reflect the presence of heavily glycosylated glycoproteins that also contain complex-type glycans bound by GalMBP as previously observed for breast cancer cells [6].
the function of these proteins on HRS cells. However, the data also indicated that there is variability between cell lines and that they can be grouped based on the presence of different sets of carrier glycoproteins in the GalMBP elution fractions (Figure 4), although each cell line appears to have some unique characteristics.

Discussion
Glycoproteins identified in HRS cells by GalMBP affinity chromatography provide potential clues about the role of Lewis x -containing glycans in the pathology of Hodgkin's lymphoma. Two of the major ligands identified, CD98hc and ICAM-1, participate in integrin-mediated adhesion [16]. Binding of Lewis x -bearing glycans on these molecules by glycan-specific receptors on the surfaces of lymphocytes and myeloid cells may facilitate their binding to counter-receptors on target cells by bringing them into close proximity to their ligands. For example, DC-SIGN binding to Lewis x -containing glycans [17], could initiate interactions between HRS cells and dendritic cells. The lysosome-associated membrane proteins LAMP1 and LAMP2 bind to the GalMBP columns. These heavily glycosylated proteins predominantly reside in lysosomes, but have also been implicated in adhesion of activated lymphocytes to endothelial cells [18].
Identification of ICAM-1 and CD98hc as major carriers of Lewis x structures may explain, in part, why antibodies specific to Lewis x structures are able to activate tyrosine kinase signaling pathways in HRS cell lines [3], because both of these receptors can transmit activation signals following binding by extracellular ligands [19,20]. Lewis x -containing glycoproteins on HRS cells could act in a manner analogous to the way that Lewis x structures on parasites such as Schistosoma mansoni induce a Th2 response by binding to C-type lectins and modulating cytokine production [21]. For example, the presence of Lewis x -bearing glycans on glycoproteins that are involved in co-stimulation of CD4 + T cells could facilitate polarization of activated T cells towards a Th2 response [22], thus maintaining an inflammatory microenvironment within the tumor and suppressing potential anti-tumor activity of Th1 cells.
The ability to purify both major and minor populations of Lewis x -containing glycoproteins on immobilized GalMBP has revealed differences in the panel of glycoproteins purified from each cell line. These variations define subsets of HRS cell lines and suggest that GalMBP may be used to classify HRS cell lines into subgroups that present Lewis x on specific protein scaffolds.

Conclusions
Affinity purification on immobilized GalMBP combined with glycomics and proteomics has been validated as a means of characterizing glycoproteins on HRS cells that bear the Lewis x epitope. These glycoproteins, including CD98 and ICAM-1, are potential targets for both anti-