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  • Maria Christina Tabone | Diandra Mifsud

    Lecture 12: Extracellular Matrix

    From Lippincots:

    The extracellular matrix (ECM) is the extracellular part of animal tissue that usually provides

    structural support to the animal cells in addition to performing various other important

    functions. Due to its diverse nature and composition, the ECM can serve many functions, such

    as providing support, segregating tissues from one another, and regulating intercellular

    communication. The ECM regulates a cell's dynamic behavior. In addition, it sequesters a wide

    range of cellular growth factors, and acts as a local depot for them.

    Components of the extracellular matrix:

    Collagen forms 90 % of the total weight of bone matrix proteins. It consists mainly of collagen

    type I, although trace amounts of other types, such as collagen III, V, XI and XIII have also been

    found. Elastin is also found in the extracellular matrix. Non-collagenous proteins are often

    thought to be a minor component, because they constrain only ten percent of the bone protein

    mass. On the structural basis, four main groups of NCPs are found:

    1.) proteoglycans, 2.) g-carboxylated (gla) -proteins, 3.) Glycoproteins and 4.) Others,

    including e.g. proteins affecting growth.

    GLYCOSAMINOGLYCANS

    Glycosaminoglycans are large complexes of negatively charged hetero-polysaccharide chains.

    They are generally associated with a small amount of protein, forming proteoglycans, which

    typically consist of over 95% carbohydrate. This is in comparison to the glycoproteins, which

    consist primarily of protein with a small amount of carbohydrate. Glycosaminoglycans have the

    special ability to bind large amounts of water, thereby producing the gel-like matrix that forms

    the basis of the bodys ground substance, which, along with fibrous structural proteins such as

    collagen and elastin, and adhesive proteins such as fibronectin, make up the extracellular

    matrix (ECM). The hydrated glycosaminoglycans serve as a flexible support for the ECM,

    interacting with the structural and adhesive proteins, and as a molecular sieve, influencing

    movement of materials through the ECM. The viscous, lubricating properties of mucous

    secretions also result from the presence of glycosaminoglycans, which led to the original

    naming of these compounds as mucopolysaccharides.

  • Maria Christina Tabone | Diandra Mifsud

    Structure of glycosaminoglycans.

    Glycosaminoglycans (GAGs) are long, unbranched, hetero polysaccharide chains generally

    composed of a repeating disaccharide unit [acidic sugaramino sugar]n. The amino sugar is

    either D-glucosamine or D-galactosamine, in which the amino group is usually acetylated, thus

    eliminating its positive charge. The amino sugar may

    also be sulfated on carbon 4 or 6 or on a

    nonacetylated nitrogen. The acidic sugar is either D-

    glucuronic acid or its C-5 epimer, L-iduronic acid. A

    single exception is keratan sulfate, in which galactose

    rather than an acidic sugar is present. These acidic

    sugars contain carboxyl groups that are negatively

    charged at physiologic pH and, together with the

    sulfate groups, give GAGs their strongly negative

    nature.

    A. Relationship between glycosaminoglycan structure and function

    Because of their large number of negative charges, these heteropolysaccharide chains tend to

    be extended in solution. They repel each other, and are surrounded by a shell of water

    molecules. When brought together, they slip past each other, much as two magnets with the

    same polarity seem to slip past each other. This produces the slippery consistency of mucous

    secretions and synovial fluid. When a solution of glycosaminoglycans is compressed, the water

    issqueezed out and the glycosaminoglycans are forced to occupy a smaller volume. When the

    compression is released, the glycosaminoglycans spring back to their original, hydrated volume

  • Maria Christina Tabone | Diandra Mifsud

    because of the repulsion of their negative charges. This property contributes to the resilience of

    synovial fluid and the vitreous humor of the eye.

    B. Classification of the glycosaminoglycans : The six major classes of glycosaminoglycans are

    divided according to monomeric composition, type of glycosidic linkages, and degree and

    location of sulfate units.

  • Maria Christina Tabone | Diandra Mifsud

    C. Structure of proteoglycans

    All of the glycosaminoglycans, except hyaluronic acid, are found covalently attached to protein,

    forming proteoglycan monomers.

    1. Structure of proteoglycan monomers:

    A proteoglycan monomer found in cartilage consists of a

    core protein to which the linear glycosaminoglycan chains

    are covalently attached. These chains, which may each be

    composed of more than 100 monosaccharides, extend out

    from the core protein, and remain separated from each

    other because of charge repulsion. The resulting structure

    resembles a bottle brush.

    In cartilage proteoglycan, the species of glycosaminoglycans

    include chondroitin sulfate and keratan sulfate. Proteoglycans are now grouped into gene

    families that code for core proteins with common structural features. The aggrecan family

    (aggrecan, versecan, neurocan, and brevican), abundant in cartilage, is an example.

    2. Linkage between the carbohydrate chain and the protein:

    This linkage is most commonly through a trihexoside (galactose-

    galactose-xylose) and a serine residue, respectively. An O-

    glycosidic bond is formed between the xylose and the hydroxyl

    group of the serine.

    3. Proteoglycan aggregates:

    The proteoglycan monomers associate with a molecule of hyaluronic acid to form proteoglycan

    aggregates. The association is not covalent, but occurs primarily through ionic interactions between

    the core protein and the hyaluronic acid. The association is stabilized by additional small proteins

    called link

    proteins.

  • Maria Christina Tabone | Diandra Mifsud

    III. SYNTHESIS OF GLYCOSAMINOGLYCANS

    The polysaccharide chains are elongated by the sequential addition of alternating acidic and

    amino sugars donated by their UDP-derivatives. The reactions are catalyzed by a family of

    specific glycosyl transferases. The synthesis of the glycosaminoglycans is analogous to that of

    glycogen except that the glycosaminoglycans are produced for export from the cell. Their

    synthesis occurs, therefore, primarily in the Golgi, rather than in the cytosol.

    A. Synthesis of amino sugars

    Amino sugars are essential components of glycosaminoglycans, glycoproteins, glycolipids, and

    certain oligosaccharides, and are also found in some antibiotics. The synthetic pathway of

    amino sugars is very active in connective tissues, where as much as 20% of glucose flows

    through this pathway.

    1. N-Acetylglucosamine (GlcNAc) and N-acetylgalactosamine(GalNAc):

    The monosaccharide fructose 6-phosphate is the pre-cursor of GlcNAc, GalNAc, and the sialic

    acids, including N-acetyl neuraminic acid (NANA, a nine-carbon, acidic monosaccharide). In each

    of these sugars, a hydroxyl group of the precursor is replaced by an amino group donated by

    glutamine. [The amino groups are then almost always acetylated.] The UDP-derivatives of

    GlcNAc and GalNAc are synthesized by reactions analogous to those described for UDP-glucose

    synthesis. These nucleotide sugars are the activated forms of the monosaccharides that can be

    used to elongate the carbohydrate chains.

  • Maria Christina Tabone | Diandra Mifsud

    2. N-Acetylneuraminic acid:

    N-Acetylneuraminic acid (NANA) is a member of the family of sialic acids, each of which is

    acylated at a different site. These compounds are usually found as terminal carbohydrate

    residues of oligosaccharide side chains of glycoproteins, glycolipids, or, less frequently, of

    glycosaminoglycans. The carbons and nitrogens in NANA come from N-acetyl mannosamine

    and phosphoenolpyruvate (an intermediate in the glycolytic pathway). Before NANA can be

    added to a growing oligosaccharide, it must be converted into its active form by reacting with

    cytidine triphosphate (CTP). The enzyme CMP-NANA synthetase catalyzes the reaction. This is

    the only nucleotide sugar in human metabolism in which the carrier nucleotide is a

    monophosphate.

    B. Synthesis of acidic sugars

    D-Glucuronic acid, whose structure is that of glucose with an oxidized carbon 6 (CH2OH

    COOH), and its C-5 epimer, L-iduronic acid, are essential components of glycosaminoglycans.

    Glucuronic acid is also required in detoxification reactions of a number of insoluble compounds,

    such as bilirubin, steroids, and several drugs, including morphine. In plants and mammals (other

    than guinea pigs and primates, including humans), glucuronic acid serves as a precursor of

    ascorbic acid (vitamin C). The uronic acid pathway also provides a mechanism by which dietary

    D-xylulose can enter the central metabolic pathways.

    2. Glucuronic acid:

    Glucuronic acid can be obtained in small amounts from the diet. It can also be obtained from

    the intracellular lysosomal degradation of glycosaminoglycans, or via the uronic acid pathway.

    The end product of glucuronic acid metabolism in humans is D-xylulose 5-phosphate, which can

    enter the

    hexosemonophosphate pathway and produce the glycolytic intermediates glyceraldehyde 3-

    phosphate and fructose 6-phosphate.

  • Maria Christina Tabone | Diandra Mifsud

    The active form of glucuronic acid that donates the sugar in

    glycosaminoglycan synthesis and other glucuronylating reactions is UDP-

    glucuronic acid, which is produced by oxidation of UDP-glucose.

    2. L-Iduronic acid synthesis:

    Synthesis of L-iduronic acid residues occurs after D-glucuronic acid has been incorporated into

    the carbohydrate chain. Uronosyl 5-epimerase causes epimerization of the D-to the L-sugar.

    C. Synthesis of the core protein

    The core protein is synthesized on and enters the rough endoplasmic reticulum (RER). The

    protein is then glycosylated by bound glycosyl transferases located in the Golgi.

    D. Synthesis of the carbohydrate chain

    Carbohydrate chain formation begins by synthesis of a short linkage region on the core protein

    on which carbohydrate chain synthesis will be initiated. The most common linkage region is

    formed by the transfer of a xylose from UDP-xylose to the hydroxyl group of a serine (or

    threonine) catalyzed by xylosyl transferase. Two galactose molecules are then added,

    completing the trihexoside. This is followed by sequential addition of alternating acidic and

    amino sugars, and epimerization of some D-glucuronyl to L-iduronyl residues.

  • Maria Christina Tabone | Diandra Mifsud

    E. Addition of sulfate groups

    Sulfation of the carbohydrate chain occurs after the

    monosaccharide to be sulfated has been incorporated into the

    growing carbohydrate chain. The source of the sulfate is 3'-

    phosphoadenosyl-5'-phospho-sulfate (PAPS, a molecule of

    AMP with a sulfate group attached to the 5'-phosphate).

    Sulfotransferases cause the sulfation of the carbohydrate

    chain at specific sites. PAPS is also the sulfur donor in

    glycosphingo lipid synthesis.

    A defect in the sulfation of the growing glycosaminoglycan

    chains results in one of several autosomal recessive disorders

    (chondrodystrophies) that affect the proper development and

    maintenance of the skeletal system.

    IV. DEGRADATION OF GLYCOSAMINOGLYCANS

    Glycosaminoglycans are degraded in lysosomes, which contain

    hydrolytic enzymes that are most active at a pH of

    approximately 5. Therefore, as a group, these enzymes are

    called acid hydrolases. The low pH optimum is a protective

    mechanism that prevents the enzymes from destroying the

    cell should leakage occur into the cytosol where the pH is

    neutral. With the exception of keratan sulfate, which has a

    half-life of greater than 120 days, the glycosaminoglycans have

    a relatively short half-life, ranging from about 3 days for

    hyaluronic acid to 10 days for chondroitin and dermatan

    sulfate.

    A. Phagocytosis of extracellular glycosaminoglycans

    Because glycosaminoglycans are extracellular or cell-surface

    compounds, they must first be engulfed by an invagination of the cell membrane

    (phagocytosis), forming a vesicle inside of which the glycosaminoglycans are to be degraded.

    This vesicle then fuses with a lysosome, forming a single digestive vesicle in which the

    glycosaminoglycans are efficiently degraded.

  • Maria Christina Tabone | Diandra Mifsud

    B. Lysosomal degradation of glycosaminoglycans

    The lysosomal degradation of glycosaminoglycans requires a large number of acid hydrolases

    for complete digestion. First, the polysaccharide chains are cleaved by endoglycosidases,

    producing oligosaccharides. Further degradation of the oligosaccharides occurs sequentially

    from the non-reducing end of each chain, the last group (sulfate or sugar) added during

    synthesis being the first group removed.

    MUCOPOLYSACCHARIDOSES

    The mucopolysaccharidoses are hereditary diseases caused by a deficiency of any one of the

    lysosomal hydrolases normally involved in the degradation of heparan sulfate and/or dermatan

    sulfate. They are progressive disorders characterized by accumulation of glycosaminoglycans in

    various tissues, causing a range of symptoms, such as skeletal and extracellular matrix

    deformities, and mental retardation. Children who are homozygous for any one of these

    diseases are apparently normal at birth, then gradually deteriorate. In severe cases, death

    occurs in childhood. All are autosomal recessive diseases except Hunter syndrome, which is X-

    linked. Incomplete lysosomal degradation of glycosaminoglycans results in the presence of

    oligosaccharides in the urine. These fragments can be used to diagnose the specific

    mucopolysaccharidosis by identifying the structure present on the nonreducing end of the

    oligosaccharide, as that residue would have been the substrate for the missing enzyme.

    Diagnosis is confirmed by measuring the patients cellular level of the lysosomal hydrolases .

    Bone marrow and cord blood transplants have been used to treat Hurler and Hunter

    syndromes. Here the transplanted macrophages produce the enzymes needed to degrade

    glycosaminoglycans in the extracellular space. Enzyme replacement therapy (ERT) is currently

    available for both syndromes. In addition to the degradation of glycosaminoglycans, lysosomal

    endo - and exoglycosidases are also involved in the degradation of glycoproteins and

    glycolipids. Deficiencies in these enzymes result in the accumulation of partially degraded

    carbohydrates in the lysosomes, leading to cell and tissue damage.

  • Maria Christina Tabone | Diandra Mifsud

  • Maria Christina Tabone | Diandra Mifsud

    From Marks:

  • Maria Christina Tabone | Diandra Mifsud

  • Maria Christina Tabone | Diandra Mifsud

  • Maria Christina Tabone | Diandra Mifsud

  • Maria Christina Tabone | Diandra Mifsud

  • Maria Christina Tabone | Diandra Mifsud

    From Garys notes:

    The basal lamina is actually the basement

    membrane i.e. layers of epithelial cells

    resting on the extracellular matrix.

    The production and assembly of all these

    components is responsible for the correct

    functioning of cells and tissues such as in

    differentiation and motility, and the

  • Maria Christina Tabone | Diandra Mifsud

    maintenance of the tissue phenotype. Problems in some components have been implicated and

    proven in some forms of disease as diverse as:

    1. Muscular dystrophy

    2. Dwarfism

    3. Renal diseases associated with incorrect filtration

    4. Lysosomal storage diseases (severe and rare)

    Example:

    Type IV collagen is a non-fibrillar, network-forming

    collagen which forms part of the extracellular matrix. The

    lattice, shown in part D in the diagram, provides structural

    support to the basal lamina. The basic protomer retains a

    carboxyl terminal globular domain (in the case of fibrous

    collagens have this removed). Other important collagens

    are transmembrane proteins, helping to secure the cell to

    the extracellular matrix surrounding it.

    Laminins

  • Maria Christina Tabone | Diandra Mifsud

  • Maria Christina Tabone | Diandra Mifsud

    Laminins are a component of the basement membrane too. They are abundant in the basal

    lamina. They bind to multiple components of the cell and for the extracellular matrix. They can

    form long polymers bound by the short arms. They usually bind to collagen IV. Since laminin is

    composed of three chains; there are the different possibilities of 5 alpha chains, 3 beta chains

    and 3 gamma chains. There are 45 different laminins altogether but only 12 have been

    discovered yet. Mutations in laminin, usually laminin 5 and laminin 6, cause the disease,

    junctional epidermolysis bullosa; which consists of extreme blistering of the skin. This disease

    can be fatal; JEB gravis. Other mutations, in laminin 2, cause congenital muscular dystrophy.

    Fibronectin domains

    It is similar to fibrillin in terms of multiple binding domains throughout the sequence. It looks

    like a string of beads. It is found in the extracellular matrix and in the plasma. There are 20

    different types produced by alternative splicing. Which splice sites are used is determined by

    tissue, wound healing, development and oncogenesis. Loss of fibronectin from tumour cell

    surfaces may help metastasis; as cells can then penetrate the extracellular matrix. Fibronectin s

    capable of binding to fibrin, collagen, heparin and cell surfaces as weel as intracellular

    components.

    Note: PXSRN and RGD in the diagram above refer to amino acid codes.

    Glycosaminoglycans

    They are types of heteropolysaccharides, which means that they are complex

    carbohydrates formed by combining carbohydrates with non-carbohydrates or carbohydrate

    derivatives; examples include pectin, lignin, glycoproteins, glycolipids, and

    mucopolysaccharides.

  • Maria Christina Tabone | Diandra Mifsud

    They are made up of acid-amino sugar residues in the repeat unit. They

    are negatively charged at physiological pH and they bind a lot to water.

    These glycosaminoglycans exhibit resilience due to its hydrophillicity. This

    is the ability to return to its original form after being stretched or

    compressed. The biophysical properties are more important then

    biochemical properties. They exibit both viscous and elastic properties

    therefore referred to as viscoelastic.

  • Maria Christina Tabone | Diandra Mifsud

    There are several classes of glycosaminoglycans:

    1. Hyaluronate

    They are not sulfated. They form large polymers.

    They act as lubricant and shock absorber. Found in

    synovial fluid, vitreous humour, umbillical cord and

    cartilage.

    2. Chondroitin sulfates

    They are the most abundant

    glycosaminoglycans. They are

    found in aggregates such as

    proteoglycans and with

    hyaluronate. Found in cartilage,

    tendons, ligaments, aorta. They

    can bind to collagen.

    3. Dermatan sulfates

    Found in skin, blood vessels, and heart valves. L-Iduronate

    is an important component; mostly its carboxylic acid

    group at carbon 6.

  • Maria Christina Tabone | Diandra Mifsud

    4. Keratan sulfate

    They are very heterogeneous as they contain other

    monosaccharides. Found in connective tissues,

    proteoglycans and the cornea. Keratan is also

    found in bones. It is made also in the brain in

    response to damage. Galactose is an important

    component.

    5. Heparin

    They are highly sulfated. They are found

    intracellularly such as in mast cells. They interact

    with antithrombin III. Heparin activates

    antithrombin III which inactivates thrombin

    therefore an anticoagulant action. Antithrombin III

    is a serpin. It does not dissolve clots. It binds to

    various proteins electrostatically when it is found

    on the outer surface of some cells.

    Most glycosaminoglycans are sulfated, except hyaluronate. Errors in the sulphation step in the

    synthesis of these glycosaminoglycans can result in chondrodystrophies which are autosomal

    recessive disoders of cartilage development. This will lead to an error in the development of the

    skeletal system. Synthesis occurs in the golgi so that they can be exported from the cell.

    Their negative charges help to maintain an extended conformation of the polysaccharides and

    help polysaccharide molecules to slide pass each other. This gives mucus and synovial fluid their

    viscous and lubricating properties.

    Proteoglycans

    Proteoglycans are any of a group of

    polysaccharide-protein conjugates

    present in connective tissue and

    cartilage, consisting of a polypeptide

    backbone to which many

    glycosaminoglycan chains are

    covalently linked; they form the

  • Maria Christina Tabone | Diandra Mifsud

    ground substance in the extracellular matrix of connective tissue and also have lubricant and

    support functions. Negative charges help to maintain the structure by their mutual repulsion.

    Linkage Region of Proteoglycans

    O-linked sugars join the

    glycosaminoglycans to the

    core protein covalently.

    Various protein cores imply

    that they are not just a

    scaffold for the

    glycosaminoglycans but play

    an essential role in cell

    growth and differentiation.

    The core proteins have

    domains with particular

    biological activities.

    In this diagram above what is shown is non-covalent bonds joining the core protein to

    hyaluronic molecule to form an aggregate. Link protein help to maintain the structure. This is

    about 10 million daltons and contains about 10000 neg. charges. The charges require counter

    ions which help draw water into the extracellular matrix. The osmotic pressure which results

    then increases the stiffness. Hyaluronic acid is synthesised by the cells, the plasma membrane

    not the ER; which then extrudes into the extracellular matrix space directly as its being made.

  • Maria Christina Tabone | Diandra Mifsud

    Proteoglycan aggregates: Aggrecan

    The bottlebrush

    structure form the

    aggrecan.

    Extracellular Matrix

    Proteins of the extracellular

    matrix bind other components

    as well as the cells embedded

    within it. They act very like

    reinforced concrete in

    buildings with collagen acting

    as the steel reinforcing bars

    while aggrecans are the

    cement. Integrins are the

    major cell surface proteins

    which bind to the ECM

    components.

  • Maria Christina Tabone | Diandra Mifsud

    Cartilage

    Tissue remodeling:

    The reorganization

    or renovation of

    existing tissues.

    This process can

    either change the

    characteristics of a

    tissue such as in

    blood vessel

    remodeling, or

    result in the

    dynamic

    equilibrium of a

    tissue such as in

    bone remodeling.

    This is an example of how extracellular components are continuously synthesized and

    degraded. In addition, matrix metalloproteinases, which are zinc-containing proteases, are used

    to degrade proteins of the ECM. One class of matrix metalloproteinases are collagenases. These

    are required for tissue remodeling. Many of the proteins of the ECM have domains

    corresponding to growth factors, which can be released by the action of metalloproteases. This

    then encourages tissue growth. Metalloproteases are therefore vital for the on-going process of

    tissue remodeling.

    Lysosomal degradation of

    glycosaminoglycans.

    This diagram shows an example of a group

    of degradative enzymes of

    glycosaminoglycans. This is showing

    degradation of dermatan sulfate.

  • Maria Christina Tabone | Diandra Mifsud

    Mucopolysaccharides

    They are any of a group of complex polysaccharides composed of repeating units of two sugars,

    one of which contains an amino group.

    Degradation of Heparan sulfate

  • Maria Christina Tabone | Diandra Mifsud

    Note: This is the same diagram from Lippincotts found further up in the notes. Just to show

    that GJH put it in his notes and therefore emphasize it.

    Objectives

    1. Know and name the components of the extracellular matrix.

    Pages: 1,4,9,12,15,16,17,19,24

    2. Describe the general structure of glycosaminoglycans and proteoglycans

    Pages: 2,3,4,12,20,21,22,23,24

    3. Explain the biophysical properties of glycosaminoglycans and proteoglycans.

    Pages: 3-9, 13,14,20, 21-26

    4. Know how enzyme defects result in mucopolysaccharidoses

    Pages: 26,27


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