N-Linked glycosylation is a post-translational event whereby carbohydrates are added to secreted proteins at the consensus sequence Asn-Xaa-Ser/Thr, where Xaa is any amino acid except proline. Some consensus sequences in secreted proteins are not glycosylated, indicating that consensus sequences are necessary but not sufficient for glycosylation. In order to understand the structural rules for N-linked glycosylation, we introduced N-linked consensus sequences by site-directed mutagenesis into the polypeptide chain of the recombinant human erythropoietin molecule. Some regions of the polypeptide chain supported N-linked glycosylation more effectively than others. N-Linked glycosylation was inhibited by an adjacent proline suggesting that sequence context of a consensus sequence could affect glycosylation. One N-linked consensus sequence (Asn 123 -Thr 125 ) introduced into a position close to the existing O-glycosylation site (Ser 126 ) had an additional O-linked carbohydrate chain and not an additional Nlinked carbohydrate chain suggesting that structural requirements in this region favored O-glycosylation over N-glycosylation. The presence of a consensus sequence on the protein surface of the folded molecule did not appear to be a prerequisite for oligosaccharide addition. However, it was noted that recombinant human erythropoietin analogs that were hyperglycosylated at sites that were normally buried had altered protein structures. This suggests that carbohydrate addition precedes polypeptide folding.Secreted proteins are often glycosylated during transit through the secretory apparatus in eukaryotic cells. These carbohydrates can be attached to the hydroxyl group on a serine or threonine (O-linked glycosylation) or the amine of an asparagine via an N-glycosidic bond (N-linked glycosylation). The addition of carbohydrate chains to the polypeptide backbone of a protein may have an impact on the structure, solubility, antigenicity, folding, secretion, and stability of the protein (1-8). The carbohydrate may also affect the clearance rate and in vivo activity of the protein (9 -12).The nature of the signal for carbohydrate addition is partially understood. N-Linked carbohydrate addition is mediated by oligosaccharide transferase and occurs at asparagine residues that are part of the consensus sequence Asn-Xaa-(Ser/ Thr), where Xaa can be any amino acid, except proline (13-16). The observation that not all consensus sequences are glycosylated suggests that there are additional sequence or conformational requirements essential for efficient carbohydrate attachment (17,18). Although at least 12-14 amino acids must be synthesized and have entered the luminal surface of the endoplasmic reticulum for carbohydrate addition, the synthesis of the protein need not be completed for glycosylation to take place (19,20). This suggests that the structures for carbohydrate addition are recognized in partially folded molecules. The sequence context of the glycosylation site has also been shown to influence the efficiency of glycos...