Carbohydrate (N-acetylglucosamine 6-O) sulfotransferase 4 (CHST4) is a Golgi-resident enzyme that catalyzes the transfer of sulfate groups to the 6-hydroxyl position of N-acetylglucosamine residues on glycoproteins, particularly O-linked mucin-type glycans. This post-translational modification is critical for the biosynthesis of specific sulfated carbohydrate ligands, such as sialyl 6-sulfo Lewis X, serving as binding domains for selectins, especially L-selectin, and thereby enabling lymphocyte homing and trafficking through high endothelial venules. CHST4 is regulated by inflammatory cytokines and its altered expression is implicated in cancer progression, inflammation, immunological diseases, and mucosal barrier function. It serves as both a functional enzyme in glycan biology and a potential disease biomarker, especially in cancer and immune-related disorders. No targeted therapeutics are currently approved for CHST4, but its roles in immunology and oncology continue to make it of interest for translational research
No approved drugs directly target CHST4. Hypothetical approaches might include enzyme inhibition or modulation affecting glycan sulfation, but this is not documented in a clinical context.
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Biological functions
6-O-sulfation of N-acetylglucosamine residues on glycoproteinsModification of glycan structures, especially O-linked mucin-type glycans (formation of sialyl 6-sulfo Lewis X determinant, a key L-selectin ligand)Regulation of lymphocyte adhesion and homing (immune cell trafficking)Immune response regulation and leukocyte migrationInflammatory response modulationTumor suppression in certain contextsParticipation in the biosynthesis of glycoproteinsRegulation of glycan sulfation patterns on mucins in mucosal barriers
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Disease associations
Cancer (aberrantly expressed in several tumor types: hepatocellular carcinoma (especially HBV-associated), mucinous adenocarcinoma, colon mucinous adenocarcinoma, uterine corpus and cervical cancer, gastric cancer, bladder carcinoma, cholangiocarcinoma, glioma, pancreatic tumors)Inflammation (involved in inflammatory signaling in epithelial tissues)Autoimmune pathology (thymoma-associated myasthenia gravis)Immune-related diseases (impacts lymphocyte trafficking and immune surveillance)Other (potentially in viral infections such as HBV)
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Biomarkers
CHST4 expression is a potential prognostic biomarker in several cancers, especially HBV-related hepatocellular carcinomaSerum CHST4 may outperform traditional markers (CA125, SCC antigen) in certain early-stage cancersCHST4 expression may indicate tumor immune infiltration and lymphocyte recruitmentGlycan motifs generated by CHST4 (e.g., MECA-79 epitope, sulfated Lewis X) are used as immunological markers
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