1. Evolutionary conservation of human ketodeoxynonulosonic acid production is independent of sialoglycan biosynthesis
- Author
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Kawanishi, Kunio, Saha, Sudeshna, Diaz, Sandra, Vaill, Michael, Sasmal, Aniruddha, Siddiqui, Shoib S, Choudhury, Biswa P, Sharma, Kumar, Chen, Xi, Schoenhofen, Ian C, Sato, Chihiro, Kitajima, Ken, Freeze, Hudson H, Münster-Kühnel, Anja, and Varki, Ajit
- Subjects
Biochemistry and Cell Biology ,Biomedical and Clinical Sciences ,Biological Sciences ,Atherosclerosis ,HEK293 Cells ,Human Umbilical Vein Endothelial Cells ,Humans ,Kidney Failure ,Chronic ,N-Acetylneuraminic Acid ,Polysaccharides ,Glycobiology ,Metabolism ,Nephrology ,Medical and Health Sciences ,Immunology ,Biological sciences ,Biomedical and clinical sciences ,Health sciences - Abstract
Human metabolic incorporation of nonhuman sialic acid (Sia) N-glycolylneuraminic acid into endogenous glycans generates inflammation via preexisting antibodies, which likely contributes to red meat-induced atherosclerosis acceleration. Exploring whether this mechanism affects atherosclerosis in end-stage renal disease (ESRD), we instead found serum accumulation of 2-keto-3-deoxy-d-glycero-d-galacto-2-nonulosonic acid (Kdn), a Sia prominently expressed in cold-blooded vertebrates. In patients with ESRD, levels of the Kdn precursor mannose also increased, but within a normal range. Mannose ingestion by healthy volunteers raised the levels of urinary mannose and Kdn. Kdn production pathways remained conserved in mammals but were diminished by an M42T substitution in a key biosynthetic enzyme, N-acetylneuraminate synthase. Remarkably, reversion to the ancestral methionine then occurred independently in 2 lineages, including humans. However, mammalian glycan databases contain no Kdn-glycans. We hypothesize that the potential toxicity of excess mannose in mammals is partly buffered by conversion to free Kdn. Thus, mammals probably conserve Kdn biosynthesis and modulate it in a lineage-specific manner, not for glycosylation, but to control physiological mannose intermediates and metabolites. However, human cells can be forced to express Kdn-glycans via genetic mutations enhancing Kdn utilization, or by transfection with fish enzymes producing cytidine monophosphate-Kdn (CMP-Kdn). Antibodies against Kdn-glycans occur in pooled human immunoglobulins. Pathological conditions that elevate Kdn levels could therefore result in antibody-mediated inflammatory pathologies.
- Published
- 2021