![]()
|
|
||||||||
J. Biol. Chem., Vol. 282, Issue 5, 3221-3230, February 2, 2007
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||


1
From the
Division of Biomedical Sciences, Imperial College London, London SW7 2AZ and
Cancer Research UK, Department of Medical Oncology, University of Manchester, Christie Hospital NHS Trust, Manchester M20 4BX, United Kingdom
Received for publication, May 23, 2006 , and in revised form, November 24, 2006.
| ABSTRACT |
|---|
|
|
|---|
14 sugar residues were required for optimal inhibition. The presence of N-sulfated glucosamine in the HS was essential, whereas 2-O-sulfation of uronic acid or 6-O-sulfation of glucosamine had marginal effects. In the more complex response of focal adhesion formation through syndecan-4, N-sulfates were again required and also glucosamine 6-O-sulfate. The significance of polymer N-sulfation and sulfated domains in HS was confirmed by studies with mutant Chinese hamster ovary cells where heparan sulfation was compromised. Finally, focal adhesion formation was absent in fibroblasts synthesizing short HS chains resulting from a gene trap mutation in one of the two major glucosaminoglycan polymerases (EXT1). Several separate, specific properties of cell surface HS are therefore required in cell adhesion responses to the fibronectin HepII domain. | INTRODUCTION |
|---|
|
|
|---|
5
1 (4), but this integrin-ligand interaction is only sufficient for attachment and spreading. Additional signaling through the cell surface proteoglycan syndecan-4 is required for focal adhesion formation and rearrangement of the actin cytoskeleton into bundled stress fibers (5, 6). Focal adhesions are stable points of contacts that occur between cells and the extracellular matrix. Signaling from focal adhesions contributes not only to cell adhesion but to dynamic changes in gene expression, apoptosis regulation, and control of the cell cycle (7). Syndecan-4 is a ubiquitous vertebrate transmembrane heparan sulfate proteoglycan (HSPG),2 which localizes to focal adhesions and acts as a co-receptor with
5
1 integrin (1, 8, 9). Syndecan-4 interacts with the HepII domain of fibronectin through its heparan sulfate chains and contributes to additional signals by activating protein kinase C-
(10) in the presence of inositol phospholipids (reviewed in Refs. 11 and 12).
Heparan sulfate binding occurs primarily via the HepII domain (containing the FN type III repeats 12-14) in the C-terminal region of fibronectin. Solution interaction studies have shown that this domain may contain two distinct HS/heparinbinding sites (13) of which the III13 module is the main binding site for the initiation of focal adhesion formation (6) with the III14 module possibly providing a secondary binding site (14-16). Molecular modeling studies with mutational analysis of III13 suggested the existence of a cluster of six positively charged residues that form a "cationic cradle" binding site for heparin (17), and this has been confirmed in the crystal structure of the FN type III repeats 12-14 (18). Since then, NMR studies have shown that the dominant binding site of heparin in HepII is within the first 29 residues of the III13 module (19). Heparan sulfate, unlike its structural analogue heparin, displays a high degree of structural heterogeneity. The HS polysaccharide has alternating hexuronic acid (D-glucuronic acid or L-iduronic acid) and D-N-acetylglucosamine residues. The two major heparan sulfate polymerases (EXT1 and -2) combine together to synthesize the heparan sulfate polysaccharide (20), which is subsequently modified by sulfation and uronic acid epimerization. The first modification is mediated by N-deacetylase/N-sulfotransferases but in a block pattern and not to completion so that there are regions of N-sulfate groups (NSO3) inter-spersed with those rich in N-acetyl groups (NAc). Disaccharides can be further O-sulfated at the C-6 and/or C-3 positions of the D-glucosamine and at the C-2 position of the iduronic acid (21) but predominantly in N-sulfated regions. The HS domain structure then results in sulfate-rich regions (S-domains) interspersed with relatively unsulfated N-acetyl-rich sequences (NAc-domains); transition zones of intermediate sulfation lie at the interface of the S- and NAc-domains (22). The length of the S-domains in HS and its pattern of sulfation are critical for optimum binding to protein ligands and their subsequent biological functions (23, 24). For example, an octasaccharide library subjected to affinity chromatography for interactions with various fibroblast growth factors suggested that FGF-10 required 6-O-sulfate but not 2-O-sulfate groups (25). Another study reported with x-ray scattering using regioselectively desulfated heparin samples that high affinity FGF-2 interactions required 2-O sulfation (26).
A previous in vitro study demonstrated that the interaction between fibroblast-derived HS and the HepII region of fibronectin occurred within the S-domains and that the smallest S-domain length with measurable affinity at physiological ionic strength was an octasaccharide (27). Since then, a further cell-free study of the structural features of HS in this interaction indicated that there was a prominent role for N-sulfate groups, but the presence of 6-O-sulfate groups enhanced affinity as did increasing the oligosaccharide length to a tetradecasaccharide (28). However, cell adhesion experiments examining the specificity of sulfation in interactions with the HepII domain have been lacking. The hypothesis here was that cell attachment and focal adhesion formation in response to the fibronectin HepII domain depend on specificity of sulfation and that the two cellular events may not be equivalent in their requirements.
It is now shown that although N-sulfation of glucosamine residues is essential for both responses, focal adhesion formation has an additional glucosamine 6-O sulfation requirement. Furthermore, there are minimal oligosaccharide length requirements for cell adhesion, and focal adhesion formation also depends on a substantial chain length, indicative of complex specific and multiple interactions with the HepII domain of fibronectin.
| EXPERIMENTAL PROCEDURES |
|---|
|
|
|---|
The polyclonal chicken anti-syndecan-4 antibody (Harlan Sera-Lab, UK) was raised against 20 amino acids of the N-terminal human syndecan-4 ectodomain sequence, and antibodies were affinity-purified from plasma using standard procedures. This antibody together with Alexa Fluor 488-conjugated goat anti-chicken IgY (Invitrogen) was used for FACS analysis.
Cell CultureRat embryo fibroblasts (29) were cultured in
-minimum Eagle's medium (Cambrex, Wokingham, UK) containing 5% fetal calf serum (Biowest, Ringmer, UK) and 1% glutamine (Invitrogen). Wild type and syndecan-4 knock-out mouse embryo fibroblasts (30) were also cultured in
-minimum Eagle's medium but with 10% fetal calf serum and 1% glutamine. CHO-K1, CHO-761 (31), and CHO-606 (32) cells were cultured in Ham's F-12 medium supplemented with 10% fetal calf serum and 1% glutamine. Wild type and exon-1 gene trap (EXT1) mouse embryo fibroblasts (kindly donated by Dr. Marion Kusche-Gullberg (33)) were cultured in Dulbecco's modified Eagle's medium (containing high glucose and glutamine) with 10% fetal calf serum. All cell lines were tested for mycoplasma and were negative.
Preparation of Selectively Desulfated Heparin/HS SpeciesChemically desulfated heparin oligosaccharides and heparan sulfate polymers were essentially prepared as described previously (34). Briefly, these oligosaccharides and polymers were prepared from low molecular weight heparin (Innohep) or heparan sulfate produced by partial heparinase cleavage. The saccharides were then separated by high resolution gel filtration on Bio-Gel P-10 and subjected to the various chemical desulfations. The selectively desulfated heparan sulfates (desulfated at the N-, 2-O, and 6-O positions) were prepared as described previously (28). Based on disaccharide compositions, the de-N-sulfated HS lost 93% of its N-sulfates; the de-2-O sulfated lost 84% of its 2-O-sulfates, and 55% of the 6-O-sulfates were lost from the 6-O-desulfated material. There was negligible unspecific loss of sulfates in these preparations.
Preparation of Fibronectin and 110-kDa FragmentFibronectin was purified by adapting the protocol of Meikka et al. (35). Briefly, fresh human plasma was treated with citrate and 0.1 M
-aminocaproic acid to inactivate plasminogen. Tandem columns of Ultrogel and Ultrogel-gelatin agarose were equilibrated with 50 mM Tris-HCl (pH 7.5), 50 mM
-aminocaproic acid, 20 mM sodium citrate, 2 mM EDTA (Buffer A). After spinning at 14,000 rpm for 1 h at 4 °C, plasma supernatant was loaded onto the first column and directly onto the affinity matrix. The gelatin column was washed with 1 M NaCl in Buffer A and then eluted with 3 M urea in Buffer A.
The 110-kDa fragment of fibronectin, representing repeats III3-III11, was isolated as described previously (36). Purified human fibronectin was digested with
-chymotrypsin, and fragments were passed through gelatin and heparin-agarose columns in tandem. Columns were previously equilibrated with column buffer: 10 mM Tris-HCl (pH 7.4), 0.1 M NaCl, 2 mM EDTA, 5 mM 2-mercaptoethanol, 2 mM phenylmethylsulfonyl fluoride. Pass through fractions were collected and passed over a DEAE ion exchange column equilibrated with 50 mM phosphate buffer (pH 6.0) 50 mM NaCl, 2 mM EDTA, 5 mM 2-mercaptoethanol, and 2 mM phenylmethylsulfonyl fluoride. The 110-kDa polypeptide was eluted with increasing concentrations of NaCl.
Purification of Recombinant HepII DomainThe recombinant His-tagged HepII (FN repeats III12-15) domain in plasmid pQE30 (a kind gift from Dr. J. Schwarzbauer, Princeton University) was expressed in Escherichia coli SURE and purified with TALON resin (BD Biosciences) according to the manufacturer's instructions. The purity of the protein was confirmed by separation on 10% SDS-polyacrylamide gels with Coomassie Blue staining.
Cell Adhesion Assay24-Well plates (Fisher) were coated overnight with fibronectin (10 µg/ml), HepII (10 µg/ml), or 5% BSA at room temperature. Thereafter, wells were blocked with BSA and in some cases treated for 10 min at 37 °C with 0-1000 ng/ml heparin, 0-1000 µg/ml heparan sulfate, 1-100 µg/ml chondroitin sulfate, or size-defined heparin oligomers serially diluted in serum-free medium. Cells were detached with trypsin/EDTA, then trypsin-inactivated with soybean trypsin inhibitor (Sigma) in serum-free medium with 0.1 mg/ml BSA, and seeded on substrates for 1 h at 37 °C. The plates were then washed with PBS and incubated with 15 µM of the fluorescent dye calcein (Invitrogen) diluted in serum-free medium for 30-45 min at 37 °C. After washing, cell-bound fluorescence (indicating relative cell number) was measured in a Fluostar Galaxy plate reader (BMG Labtechnologies, Aylesbury, UK) at 485 nm excitation and 520 nm emission.
Focal Adhesion Assembly AssaysSubstrates were coated and blocked as for cell adhesion assays. For fibronectin-coated coverslips, cells were detached as above and seeded for 2 h in the presence or absence of heparin or heparin oligomers. In other experiments, coverslips were coated with the 110-kDa integrin-binding domain of fibronectin (10 µg/ml), and cells were allowed to adhere for 2 h. Then the HepII fragment of fibronectin preincubated ± heparin or heparin oligomers (for 15 min) was added for a further 30 min. The cells were fixed with 4% paraformaldehyde in PBS and permeabilized with 0.1% Triton-X-100 in PBS. The cells were then stained with Alexa Fluor 568-conjugated phalloidin (1:200) and vinculin (1:200), followed by Alexa Fluor 488-conjugated goat anti-mouse IgG (1:1000). Cells were visualized on an Olympus AX70 epifluorescence microscope at x60 magnification (PlanApo 60x/1.40 oil). The images were captured using the Spot Advanced software and processed in Photoshop 7.0. A minimum of 50 treated and nontreated cells were analyzed for focal adhesions. Cells containing more than five distinct focal adhesions were deemed positive.
Flow Cytometry AnalysesCells were detached from flasks with Hanks'-based, enzyme-free, cell dissociation buffer (Invitrogen), washed, resuspended in 1 x 106 cells/ml of FACS buffer (PBS containing 2 mM EDTA and 0.5% BSA), and incubated with 14 µg/ml chicken anti-syndecan-4 polyclonal antibody for 20 min at 4 °C. After washing with FACS buffer, the cells were stained with secondary antibody Alexa Fluor 488-conjugated goat anti-chicken IgY (1:1000). Cells were also incubated with secondary antibody only as negative controls. The cells were then analyzed on FACSCalibur, and the CellQuest software (both from BD Biosciences) was used for acquisition and analysis of the data.
| RESULTS |
|---|
|
|
|---|
4
1 integrin (37), this was not a factor in these assays because the primary fibroblasts lack this receptor (not shown). This is consistent with the high sensitivity of cell attachment to HepII in the presence of heparin alone.
|
Cell Adhesion to the HepII Domain Requires Heparan N-SulfationSulfation of glucosamine and uronate residues in heparan sulfate is not random but is regulated in a complex manner (38). Binding studies with HS and heparin have shown that the pattern of sulfation in turn can determine the affinity of interactions with fibronectin and its isolated HepII domain. To determine whether sulfation position also regulates cell surface heparan sulfate-HepII interactions, we examined a range of mono-desulfated 14-mer heparin oligomers deficient in N-sulfates (DNS and a reacetylated derivative DNRAc), the 6-O-sulfates of the glucosamine residue (DE6S), or 2-O-sulfate groups of the iduronic acid residue (DE2S) (see "Experimental Procedures"). In addition a fully desulfated oligomer (CompDes) was also used. As expected, this CompDes heparin oligomer was unable to compete with the fibroblast HS chains for adhesion to the HepII domain (Fig. 3A). In comparison to normal heparin 14-mers (Fig. 2B), the DE2S and DE6S heparin oligomers also decreased cell adhesion to the HepII substrate in a similar dose-dependent manner and with similar IC50 values (Table 1). This suggests that 2-O- and 6-O-sulfates were not critical for inhibition of cell attachment to HepII. However, the DNRAc heparin oligomer was a significantly weaker inhibitor than either the DE2S or DE6S species, and in the absence of reacetylation, the N-desulfated oligomer (DNS) containing N-unsubstituted amines was unable to compete with cell surface HS for attachment to HepII (Fig. 3A and Table 1). These inhibition studies indicate that the N-sulfates are the key functional groups for recognition of the HepII substrate by adherent cells, and they are consistent with previous affinity chromatographic data showing that N-sulfates play a predominant role in heparin interaction with the HepII domain of fibronectin (28).
|
Heparan N- and 6-O-Sulfation Are Required for Focal Adhesion FormationIt is well documented that focal adhesion formation in primary fibroblasts in response to fibronectin requires both integrin and syndecan-4 heparan sulfate proteoglycan (1, 8, 9). In particular, syndecan-4 is recruited in response to the HepII domain of fibronectin (7, 9, 12, 30). The
5
1 integrin interacts with repeats III9-10, including the RGD tripeptide motif, whereas syndecan-4 interacts with III12-14, comprising the HepII domain (14). This system was further studied to determine whether a common pattern of sulfation is required for both cell attachment to HepII and HepII-mediated formation of focal adhesions. Wild type (WT) and syndecan-4 knock-out (S4KO) mouse fibroblasts were seeded on HepII domain substrates in the presence of competing heparin. Both cell types showed dose-dependent decreases in attachment (IC50 for WT, 0.05 µg/ml; for S4KO, 0.04 µg/ml; Fig. 1D). Interestingly, spreading of S4KO cells on HepII was limited compared with wild type cells (data not shown). Therefore, attachment to the HepII domain can be mediated by HSPGs other than syndecan-4. However, as shown previously (30), whereas the HepII fragment promoted focal adhesion formation in WT cells pre-spread on the-110 kDa integrin-binding domain of fibronectin, S4KO were unable to do so (supplemental Fig. 1). Having established the essential role of syndecan-4, and its HS chains in focal adhesion formation, rat embryo fibroblasts were spread on fibronectin (Fig. 3C) alone or in the presence of 10 µg/ml heparin or 30 µg/ml 14-mer heparin oligomer or the variously desulfated heparin oligomers. Two hours after cell seeding, double staining for F-actin and the focal adhesion protein vinculin showed that although cells spread on FN efficiently formed focal adhesions and stress fibers (Fig. 3C), the formation of these structures was compromised by the presence of heparin and the 14-mer heparin oligomer in that only a mean of 14 and 25% of cells were able to form focal adhesions, respectively.
|
57% of cells had focal adhesions. 74% of cells in the presence of DNRAc or 75% of cells in the presence of DE6S assembled focal adhesions (Table 1), suggesting once again that there maybe a hierarchical importance of the various sulfate groups with the N-sulfates being the most essential, 6-O-sulfates being of intermediate importance, and 2-O-sulfates being least critical. Fibroblasts spread on the proteolytically derived 110-kDa fragment for 2 h developed some thin microfilament bundles but few focal adhesions (Fig. 3D). Following the addition of the HepII fragment for a further 30 min, bundling of the stress fibers and focal adhesions was visible (as indicated by the appearance of vinculin in these adhesions). However, when the HepII fragment was preincubated with either heparin or heparin 14-mer (Fig. 3D) and added to cells pre-spread on the 110-kDa integrin-binding domain of fibronectin, focal adhesion formation was blocked (Table 1). This is consistent with syndecan-4-heparan sulfate interactions with the HepII domain to promote focal adhesion assembly.
When cells pre-spread on the 110-kDa domain were incubated with the HepII domain in the presence of desulfated heparin 14-mers, only cells that had the addition of either Comp-Des or DNS and to a lesser extent DNRAc were able to bundle their stress fibers and form focal adhesions. Analysis of focal adhesion formation showed that in the presence of HepII and CompDes and DNS or DNRAc, 78, 72, and 62% of cells, respectively, had focal adhesions. Those exposed to HepII in the presence of DE2S could not establish mature focal adhesions, with only 10% of the cells having some small focal complexes. However, 55% of cells exposed to HepII with DE6S assembled focal adhesions (Table 1). All this suggests that N-sulfation is required in syndecan-4 for signaling focal adhesion assembly, but a secondary requirement for glucosamine 6-O-sulfate was also clear.
CHO Cells Deficient in N-Sulfates Cannot Form Focal AdhesionsA series of Chinese hamster ovary cell mutants has been well characterized (reviewed in Ref. 39), including one (CHO-761) totally deficient in heparan and chondroitin sulfate (40). This line is defective in galactosyltransferase that catalyzes the addition of galactose to xylose in the stem or linkage tetrasaccharide. The CHO-761 cell line cannot assemble focal adhesions (31). Also characterized is the CHO-606 line, defective in N-deacetylase/N-sulfotransferase 1 (NDST-1). This is the most widespread of the four vertebrate N-deacetylase/N-sulfotransferases, and in this cell line N-sulfation is 2-3-fold less than wild type CHO-K1 cells with reduced length of the S-domains (32). However, because of the sequential nature of heparan sulfate modification in vivo, there is also a reduction in 2-O- and 6-O-sulfation (41).
|
Heparan Sulfate Chain Size Is Critical to Cellular Responses through Surface HSPGEXT1 and EXT2 genes encode glycosyltransferases that are involved in heparan sulfate polymerization. Analysis of heparan sulfate synthesized by mouse primary fibroblast cultures (MEF), with a gene trap mutation in the Ext1 gene, showed not only smaller amounts of heparan sulfate than wild type but a significant difference in the molecular size of their heparan sulfate (33). The average chain mass of heparan sulfate in the wild type was estimated to be 70 kDa compared with 20 kDa in the mutant. However, although the size and the spacing of the S-domains in the gene trap cells are unknown, the overall pattern of sulfation was observed to be similar between the wild type and mutant (33).
|
|
| DISCUSSION |
|---|
|
|
|---|
Syndecan-4 has been shown to bind the HepII domain of fibronectin, and this is part of a process, in concert with
5
1 integrin, of focal adhesion formation (11, 12, 30). This is likely to be important in wound healing and tissue repair, because equivalent structures are abundant in granulation tissue for example (52). The crystal structure of HepII domain of fibronectin has been resolved (18), but not the interactions with heparan sulfate, although a cationic cradle has been identified that would approximately accommodate the 14-mer of heparan sulfate. Chromatographic studies of heparin interactions with HepII indicate that high affinity interactions require a 14-mer, although smaller oligosaccharides will bind. Our cell adhesion studies also indicate that oligosaccharides larger than a 14-mer have very high competitive abilities for cell surface heparan surface in cell adhesion assays. Here too, however, smaller oligosaccharides are able to compete, but more weakly.
There are several major conclusions from this study of cell adhesion and signaling mediated by the HepII domain of fibronectin. The previous cell-free experiments examining the interactions of heparan sulfate and HepII domain of fibronectin can be extrapolated to cell attachment. Not only is the size of the optimal heparin oligomer in competition assays equivalent to that seen in vitro for maximal binding, but there is a shared central importance of N-sulfation and long (14 or more sugar residues) HS S-domains. Thus full occupancy of the HS-binding site in HepII seems necessary for optimal cell attachment and triggering of focal adhesions. However, the 2-O-sulfate residues in HS are not required for the effects studied here despite the relative abundance of these substituents in the S-domains of fibroblast heparan sulfate (24). This observation distinguishes heparan sulfate binding to fibronectin from its interactions with the fibroblast growth factors that are strongly dependent on 2-O-sulfate groups (24). It was notable that focal adhesion formation is not entirely equivalent to cell attachment with respect to heparan sulfation requirements. Although N-sulfation is important for focal adhesion formation in fibroblasts, there is a secondary role for 6-O-sulfation that is more significant than in cell attachment. The reasons for the difference in sulfation requirements may be complex. Possibly, several cell surface heparan sulfate proteoglycans can take part in cell attachment, whereas syndecan-4 is the only cell surface proteoglycan known to contribute to focal adhesion formation (1). On the other hand, a previous study of the same cell type indicated no marked differences in the overall pattern of sulfation between syndecans and glypicans on the surface of the cells (53). Because syndecan-4 signaling is likely to involve clustering, it may be that multiple interactions are important between heparan sulfate and HepII domain of fibronectin, and these may require a more complex pattern of sulfation.
Finally, our findings clearly indicate that heparan sulfate chain length is a critical factor in focal adhesion formation. The gene trap cells used here, with a mutation in the Ext1 gene, one of the two major heparan polymerases, show that chains of around 20 kDa are not sufficient to promote focal adhesion assembly even though they mediate cell attachment, albeit with less efficiency than the normal fibroblast heparan sulfate chains that are about 70 kDa in size. The lack of focal adhesion formation in the gene trap cells was not because of the lack of syndecan-4 expression on the cell surface but rather a specific defect associated with short heparan sulfate chains. Although there may be disruption of heparan sulfate modifications in the mutant cells, overall, sulfation is similar in the gene trap mutants as to the wild type (33). In principle, based on current knowledge of heparan sulfate organization (24), a 20-kDa heparan sulfate chain is large enough to contain at least one 14-mer S-domain capable of interacting with the HepII. Therefore, the data further suggest that multiple interactions between heparan sulfate and HepII domain of fibronectin are important in focal adhesion formation. However, these cells may provide important clues for understanding the relationship of matrix molecule binding to cell surface carbohydrates that trigger cytoplasmic signaling events. A detailed molecular study is certainly warranted because there is no understanding of the precise molecular interactions of heparan sulfate and the HepII domain on the cell surface or subsequent recruitment to focal adhesions. These studies represent a first step in understanding the requirement in heparan sulfate fine structure that is necessary in cell adhesion signaling.
| FOOTNOTES |
|---|
The on-line version of this article (available at http://www.jbc.org) contains supplemental Fig. 1. ![]()
1 To whom correspondence should be addressed: Division of Biomedical Sciences, Imperial College London, Sir Alexander Fleming Bldg., Exhibition Road, London SW7 2AZ. Tel.: 44-20-7594-3190; Fax: 44-20-7594-3100; E-mail: j.couchman{at}imperial.ac.uk.
2 The abbreviations used are: HSPG, heparan sulfate proteoglycan; HS, heparan sulfate; BSA, bovine serum albumin; MEF, mouse embryo fibroblast; DNS, de-N-sulfated; DNRAc, de-N-sulfated, re-acetylated; WT, wild type; FACS, fluorescence-activated cell sorter; CHO, Chinese hamster ovary; REF, rat embryo fibroblast; FN, fibronectin; WT, wild type; PBS, phosphate-buffered saline; NAc, N-acetyl; S4KO, syndecan-4 knock-out; CompDes, completely desulfated; DE6S, de-6-O-sulfated; DE2S, de-2-O-sulfated. ![]()
| ACKNOWLEDGMENTS |
|---|
| REFERENCES |
|---|
|
|
|---|
This article has been cited by other articles:
![]() |
M. Schuksz, M. M. Fuster, J. R. Brown, B. E. Crawford, D. P. Ditto, R. Lawrence, C. A. Glass, L. Wang, Y. Tor, and J. D. Esko Surfen, a small molecule antagonist of heparan sulfate PNAS, September 2, 2008; 105(35): 13075 - 13080. [Abstract] [Full Text] [PDF] |
||||
![]() |
M. Gotte, D. Spillmann, G. W. Yip, E. Versteeg, F. G. Echtermeyer, T. H. van Kuppevelt, and L. Kiesel Changes in heparan sulfate are associated with delayed wound repair, altered cell migration, adhesion and contractility in the galactosyltransferase I (ss4GalT-7) deficient form of Ehlers-Danlos syndrome Hum. Mol. Genet., April 1, 2008; 17(7): 996 - 1009. [Abstract] [Full Text] [PDF] |
||||
| |||||||||||||||||||||