Le(X) and related structures as adhesion molecules.

Summary and conclusion Le^x (13 fucosylated type 2 chain) functions as an adhesion molecule capable of Ca²⁺-mediated homotypic binding. Cells with high surface expression of Le^x therefore exhibit strong self-aggregation (based on Le^x-Le^x interaction) in the presence of Ca²⁺. In this review, I have summarized several lines of supporting data for this concept, and the role of Le^x-Le^x interaction in the process of embryo compaction and autoaggregation of F9 teratocarcinoma cells. In general, cell adhesion events based on Le^x-Le^x interaction may be followed and reinforced by integrin- or Ig receptor-based adhesion systems.SLe^x, the 23 sialosyl derivative of Le^x, and its positional isomer SLe^a, have been identified as the target molecules for selectin-dependent cell adhesion. Adhesion of leukocytes or tumour cells to ECs or platelets, which express E-selectin and P-selectin respectively, is initiated by this process. The target epitopes SLe^x and SLe^a are presented mainly on transmembrane glycoproteins having many clusters of O-linked carbohydrate chains. Therefore, inhibition of O-glycosylation may be effective for blocking selectin-mediated cell adhesion. The abundant presence of Le^x epitope in the central nervous system, and the physiological changes of Le^x expression as described in this monograph, reflect the adhesive properties of this molecule and its sialyosylated and/or fucosylated derivatives.