7th Jenner Glycobiology and Medicine Symposium Sunday5-W Wednesday 8 September 2004 John S. Axford StGeorge's, University of London, UK The potential for glycobiology to improve the practice of medicine has been well recognised, which is why biannual meetings concerning the association have been taking place for the last 14 years. The science of glycobiology has matured rapidly, and with it the far reaching clinical implications are becoming understood. The next decade is going to see this ?nal frontier of science conquered. The impact this understanding of glycobiology will have upon our practice of medicine is going to be exciting. The 7th Jenner Glycobiology and Medicine Symposium was designed tore?ecttheseadvances.Allthemajorclinicalareaswereinvolved,withcontributions from pivotal players in science and medicine. As with our previous meetings, junior scientists were involved as we recognise that at the end of the next decade they will be in the driving seat. This introduction serves as a taster to whet your appetite. From embryogenesis to pathogenesis, glycosylation plays a pivotal role. Complex and hybrid N-glyans and O-fucose glycans are critical in oocyte devel- ment and function. This area must surely be a fertile ground for glycosylation research.

Lyme Borreliosis is a worldwide infectious disease causing a multisystem illness with considerable morbidity, particularly in North America and Europe. The causative agent is the spirochaete Borrelia burgdorferi, which is usually transmitted by the ixodid tick from animal reservoirs. This book is formed by contributions from the Second European Symposium on Lyme Borreliosis, held at St George's Hospital Medical School, London in 1993, which reviewed the current state of knowledge of the condition with regard to clinical manifestations, diagnosis, treatment, ecology, epidemiology, biology and immunopathogenesis. In this book, important data is reviewed concerning the clinical manifestations of Lyme Borreliosis. It seems that strain variation of the spirochaete is the main cause of regional differences seen in the clinical presentation of patients. One striking example of this, is the relatively high incidence of Lyme arthritis in the USA and apparent rarity of this manifestion in some areas of Europe. These important studies open the way for exciting new research that focuses on the immunological and molecular mechanisms that result in disease. A full insight into the ecology of Borrelia burgdorferi is essential to a balanced understanding of the disease and a number of excellent reviews on this subject are included. Significant advances with regard to the biology of Borrelia burgdorjeri and the immunopathogenic mechanisms that result in disease have been made, enabling the role of the Band T lymphocytes in disease to be established and the development of sophisticated phenotyping methods, improved diagnostic tests and effective vaccines.

Glycoimmunology, the studyofthe oligosaccharide components ofglycoconjugates as an integral component ofthe immune system, has opened up a rapidly evolving field. It draws from a broad spectrum of technologies, ranging from classical synthetic organic chemistry, to molecular biology and beyond. The structural microheterogenity ofoligosac- charides found on glycoproteins and glycolipids is immense and reflects the enormous inherent structural diversity of these carbohydrate side chains and their ability to encode information. In this respect glycoimmunology represents an exciting and significant oppor- tunity for both biotechnology and pharmaceutical research. This book summarizes the proceedings of the Third Jenner International Glycoim- munology meeting, held at IL Ciocco Tuscany in October 1994, which was co-ordinated underthe auspicesofEUROCARB, the EuropeanCommunityConcertedAction forArthritis and Carbohydrate Research. This meeting brought together leading academic and commer- cial researchers at the forefront ofglycosylation and immunology, with the aimofreviewing and focusing on applied and basic research relating to glycoimmunology and its clinical implications.

Over the past decade significant advances in technology have opened up the field of glycobiology. In particular, improved methods for carbohydrate analysis have led to important biochemical observations demonstrating that sugars play crucial roles in human physiology. It is clear that many diseases are associated with characteristic changes in glycosylation and furthermore, the possibility of modulating glycan processing to treat disease is beginning to be realised. This volume summarises some of the important recent developments in "glycobiology and medicine. " We highlighted some of the numerous areas in which there are glycosylation dependant pathological mechanisms causing common diseases. The next decade will undoubtedly see novel diagnostic and therapeutic techniques originating from these observations. This will significantly enhance our ability to combat infection and diseases such as bacterial and viral infections, some cancers, glycolipid storage disorders, systemic autoimmune disease and disorders that involve cytokine related inflammatory mechanisms. These topics were discussed at the 6th Jenner Glycobiology and Medicine meeting. This meeting received a European Commission Education grant (No. HPCF-2002-00250). CONTENTS Glycosylation Dependent Bacterial Infections 1. A Sweet Coating-How Bacteria Deal with Sugars ...3 Anthony P. Corfield, Rebecca Wiggins, Cathryn Edwards, Neil Myerscough, Bryan F. Warren, Peter Soothill, Michael R. Millar, and Patrick Horner 2. The Glycosylation of Airway Mucins in Cystic Fibrosis and Its Relationship with Lung Infection by Pseudomonas aeruginosa ...17 . Philippe Roussel and Genevieve Lamblin 3. Structural Basis for Bacterial Adhesion in the Urinary Tract...33 . . Jenny Berglund and Stefan D.

The Jenner International Glycoimmunology Meetings have charted the rapid devel opment of glycobiology within the field of inflammation. In less than a decade, the science has grown from basically being involved in carbohydrate analysis to the understanding of how sugars are associated with inflammation and how they have potential as anti inflammatory therapeutics. The 4th Jenner International Glycoimmunology Meeting was re cently held in Loutraki, Greece, and set the scene for what promises to be an exciting future for the speciality. Discussion reflected the rapid advances glycobiology is making and ranged from the basic biochemistry of carbohydrate physiology to therapeutic trials utilizing synthetic sugars designed to block inflammatory responses. The meeting is summarized in considerable detail in this book which will provide the interested scientist and clinician with the essential up-to-date facts within the field of glyco immunology. Acknowledgments Many people have been involved in ensuring the success of the Jenner Glycoimmu nology Meetings but none more so than my secretary Susan Henderson who has borne the brunt of all four meetings and is currently preparing for the 5th.

This text contains the Proceedings of the Sixth Jenner Glycobiology and Medicine Symposium, held 14-17 September, 2002, in Seillac, France. It highlights the most up-to-date developments in glycoimmunology, including glycosylation-dependent bacterial and viral infections, lectin and proteoglycan-dependent interactions in leukocyte homing processes to lymphoid tissues and inflamed tissues, congenital defects in glycosylation of glycoproteins and glycolipids, and the role of carbohydrates in tumour development and neuropathology, including Creutzfeldt-Jakob disease.

Glycobiology: The Basics: Novel Pathways in Complex-Type Oligosaccharide Synthesis: New Vistas Opened by Studies in Invertebrates; D.H. Van den Eijnden, et al. Defective Glycosyltransferases Are Not Good for Your Health; H. Schachter, et al. Probing CarbohydrateProtein Interactions by HighResolution NMR Spectroscopy; S.W. Homans, et al. Oligosaccharides and Protein Recognition: The Structure of a Human Rheumatoid Factor Bound to IgG Fc; B.J. Sutton, et al. Carbohydrate Recognition Systems in Innate Immunity; T. Feizi. Biosynthesis of Sulfated LSelectin Ligands in Human High Endothelial Venules (HEV); J.P. Girard, F. Amalric. Endothelial Sialyl Lewis x as a Crucial Glycan Decoration on LSelectin Ligands; R. Renkonen. Role of LectinGlycoconjugate Recognitions in CellCell Interactions Leading to Tissue Invasion; C. Kieda. Oligosaccharides and Biological Function: Protein OGlcNAcylation: Potential Mechanisms for the Regulation of Protein Function; B.K. Hayes, G.W. Hart. A Longitudinal Study of Glycosylation of a Human IgG3 Paraprotein in a Patient with Multiple Myeloma; M. Farooq, et al. The Role of The Lectin Calnexin in Conformation Independent Binding to NLinked Glycoproteins and Quality Control; J.J.M. Bergeron, et al. Glycosylation and Inflammation: Immunodetection of Glycosyltransferases: Prospects and Pitfalls; E.G. Berger, et al. Cytokine and Protease Glycosylation as a Regulatory Mechanism in Inflammation and Autoimmunity; P. Van den Steen, et al. Occurrence and Possible Function of InflammationInduced Expression of Sialyl Lewis-X on Acute-Phase Proteins; W. Van Dijk, et al. Glycosylation and Disease: The Glycosylation of the Complement Regulatory Protein, Human Erythrocyte CD59; P.M. Rudd, et al. Glycosylation and Rheumatic Disease; J.S. Axford. IgA Glycosylation in IgA Nephropathy; A. Allen, J. Feehally. Oligosaccharide Profiling of Acute-Phase Proteins: A Possible Strategy towards Better Markers in Disease; G.A. Turner, M.T. Goodarzi. The Role of NLinked Glycosylation in the Secretion of Hepatitis B Virus; A. Mehta, et al. Role of Glycan Processing in Hepatitis B Virus Envelope Protein Trafficking; T.M. Block, et al. Glycotherapeutics: Combinatorial Carbohydrate Chemistry; Z.G. Wang, O. Hindsgaul. Bacterial Lipopolysaccharides: Candidate Vaccines to Prevent Neisseria meningitidis and Haemophilus influenzae Infections; E.R. Moxon, et al. Development of Double Copy Dicistronic Retroviral Vectors for Transfer and Expression of Glycosyltransferase Genes; D. Izycki, et al. Oligosaccharide Epitope Diversity and Therapeutic Potential; E.F. Hounsell, D.V. Renouf. The Group B Streptococcal Capsular Carbohydrate: Immune Response and Molecular Mimicry; R.G. Feldman, et al. Index.

Glycoprotein Analysis: A Review of the Biological Significance of Carbohydrates on Glycoproteins and Methods for Their Analysis; R. Dennis The Different FACES of Diseases; J. Klock, C.M. Starr The Glycosyltransferases: Control and Function of Complextype Oligosaccharide Synthesis: Novel Variants of the LAcNAc Pathway; D.H. van den Eijnden, et al. The Regulation of Cell and Tissuespecific Expression of Glycans by Glycosyltransferases; A. Dinter, E.G. Berger Oligosaccharides and Biological Function: Olinked Nacetylglucosamine: The 'YinYang' of Ser/Thr Phosphorylation? G.W. Hart, et al. Heparan Sulphate and Protein Recognition: Binding Specificies and Activation Mechanisms; J.T. Gallagher Glycosylation and Disease: An Introduction to Glycosylation and Rheumatic Disease: What Is the Current State of Play? J.S. Axford, A. Alavi Abnormalities in the Glycosylation of IgG-Its Clinical Utility; D.A. Isenberg Carbohydrates and Therapeutics: Synthesis and Biological Activity of Oligosaccharide Libraries; Y. Ding, et al. In vivo Targeting Function of Nlinked Oligosaccharides; K.G. Rice, et al. 23 additional articles. Index.

Clinical Manifestations and Treatment: Clinical Manifestations of Lyme Borreliosis in an Italian Endemic Region; G. Bianchi. Lyme Borreliosis in Children; H.J. Christen, F. Hanefield. Ecology and Epidemiology: Lyme Borreliosis in Australia; R.D. Barry, et al. Geographic Diversity of Lyme Borreliosis; G. Bianchi. Role of Host Density in the Ecology of Lyme Disease; T.E. Awerbuch, A. Spielman. Biology of Immunopathogenesis: Expression of Public Idiotypes in Patients with Lyme Arthritis; J.S. Axford, et al. Lyme Disease in an Experimental Model; M.D. Gibson, et al. Chemotaxonomy of Borrelia; M.A. Livesley, P.A. Nuttall. Diagnosis: Detection of Lyme Disease Spirochaete DNA in Clinical Samples; K.J. Cann, et al. Clinical and Serological Study of Lyme Borreliosis in a Population of Neurological Patients; E. Capello. Pitfalls in the Laboratory Diagnosis of Lyme Borreliosis; S.J. Cutler. 36 additional articles. Index.