Glycosylation is critical for a wide range of biological processes across both normal and disease states. Carbohydrate antigens, for example, are polymeric chains of diverse monomeric sugar molecules that play a fundamental role in the pathogenicity and virulence of many organisms. Moreover, these pathogen‐associated glycan structures can also be found in association with other types of cells, including tumours. These types of glycan commonalities have helped generate critical discoveries in terms of glycan structure, allowing for the development of working hypotheses for their functions, in addition to the development of agents that target or mediate their expression levels. Therefore, through discussion of glycans as antigens, new insights of key molecular and cellular interactions between them and immune cells can be discerned, and the implication of these interactions in health and disease is enhanced. Numerous reviews and even this ELS series have described the structure of carbohydrates and glycans in general.
Key Concepts
Glycosylation is the most abundant post‐translational modification of proteins.
Glycans expand the chemical diversity of the genetic code.
Antigens are a collection of epitopes that affects recognition by the immune system.
Antigens and immunogens are very different.
Molecular mimicry of glycans profoundly affects the pathophysiology of infection and neoplasia.
Lectin‐family receptors and antibodies have been used to define carbohydrate antigens.
Clustering of epitopes defines glycan antigens better than nonclustered epitopes.
Carbohydrate antigens can define danger signals to the immune system through pattern recognition receptors.
Clustering associates with different B‐cell populations for processing as immunogens.
MHC and T‐cell receptors see atoms in particular arrays, not as a single molecular species – hence cross‐reactivity with zwitterionic carbohydrate structures.
While carbohydrate‐based vaccines have been developed, as cancer vaccines they are not as effective.
Metabolism is the next frontier to understanding glycan expression patterns.