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Tn and sialyl-Tn antigens,aberrant O-glycomics as human disease markers
Authors:Tongzhong Ju  Yingchun Wang  Rajindra P Aryal  Sylvain D Lehoux  Xiaokun Ding  Matthew R Kudelka  Christopher Cutler  Junwei Zeng  Jianmei Wang  Xiaodong Sun  Jamie Heimburg-Molinaro  David F Smith  Richard D Cummings
Affiliation:1. Department of Biochemistry, Emory University School of Medicine, Atlanta, GA, USA

Correspondence: Dr. Richard D. Cummings, Department of Biochemistry, Emory University School of Medicine, 1510 Clifton Road, Room 4001, Atlanta, GA 30322, USA

E-mail:rdcummi@emory.edu

Fax: +1-404-727-2738

Additional corresponding author: Dr. Tongzhong Ju,

E-mail: tju@emory.edu;2. Department of Biochemistry, Emory University School of Medicine, Atlanta, GA, USA

Abstract:In many different human disorders, the cellular glycome is altered. An interesting but poorly understood alteration occurs in the mucin-type O-glycome, in which there is aberrant expression of the truncated O-glycans Tn (GalNAcα1-Ser/Thr) and its sialylated version sialyl-Tn (STn) (Neu5Acα2,6GalNAcα1-Ser/Thr). Both Tn and STn are tumor-associated carbohydrate antigens and tumor biomarkers, since they are not expressed normally and appear early in tumorigenesis. Moreover, their expression is strongly associated with poor prognosis and tumor metastasis. The Tn and STn antigens are also expressed in other human diseases and disorders, such as Tn syndrome and IgA nephropathy. The major pathological mechanism for expression of the Tn and STn antigens is compromised T-synthase activity, resulting from alteration of the X-linked gene that encodes for Cosmc, a molecular chaperone specifically required for the correct folding of T-synthase to form active enzyme. This review will summarize our current understanding of the Tn and STn antigens in terms of their biochemistry and role in pathology.
Keywords:Cancer  Disease  Glycosylation  IgA nephropathy  Tn antigen
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