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Journal of Virology, June 2007, p. 5573-5578, Vol. 81, No. 11
0022-538X/07/$08.00+0 doi:10.1128/JVI.02562-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
Functional Effects of Coxsackievirus and Adenovirus Receptor Glycosylation on Homophilic Adhesion and Adenoviral Infection
Katherine J. D. Ashbourne Excoffon,
Nicholas Gansemer,
Geri Traver, and
Joseph Zabner*
Department of Internal Medicine, University of Iowa, Iowa City, Iowa 52242
Received 20 November 2006/
Accepted 9 March 2007

ABSTRACT
The coxsackievirus and adenovirus receptor (CAR) is both a viral
receptor and homophilic adhesion protein. The extracellular
portion of CAR consists of two immunoglobulin (Ig)-like domains,
each with a consensus sequence for N-glycosylation. We used
chemical, genetic, and biochemical studies to show that both
sites are glycosylated and contribute to the function of CAR.
Although the glycosylation of CAR does not alter cell surface
levels or junctional localization, it affects both adhesion
and adenovirus infection in unique ways. CAR-mediated adhesion
appears to require at least one site of glycosylation since
cells expressing CAR without glycosylation do not cluster with
each other. In contrast, glycosylation of the Ig-like domain
proximal to the membrane is key to the cooperative behavior
of adenovirus binding and infection. Contrary to the hypothesis
that cooperativity improves viral infection, our data show that
although glycosylation of the D2 domain is required for adenovirus
cooperative binding, it has a negative consequence upon infection.
This is the first report dissecting the adhesion and receptor
activities of CAR, revealing that factors other than the binding
interface play a significant role in the function of CAR. These
data have important implications for both cancers with altered
glycosylation states and cancer treatments using oncolytic adenovirus.

INTRODUCTION
Protein glycosylation plays important roles in protein folding,
conformation, localization, stability, and cellular interactions
(
17,
19). Additionally, many physiological activities are affected
by glycosylation, such as cell adhesion, migration, ligand recognition,
and binding to receptors (
9,
20,
24). Thus, it is not surprising
that protein glycosylation levels are implicated in many disease
states. In particular, the effects of N- and O-linked glycosylation
on viral-host cell interactions have been studied, focusing
predominantly on the glycosylated viral coat proteins of enveloped
viruses or viruses utilizing sialic acid as a receptor (
7,
12,
22,
23,
29). Adenovirus (Ad) is a nonenveloped virus that has
been reported to contain glycosylated proteins (
15,
30,
31)
including a mono-GlcNac addition to the fiber knob protein (
6).
The effect of this glycosylation on Ad infection is unclear.
In contrast, glycosylation has never been described for any
coxsackievirus proteins.
The coxsackievirus and Ad receptor (CAR) is the primary receptor for most Ads and coxsackie B viruses (2). CAR is also involved in many biological processes such as homophilic adhesion, neutrophil transmigration, protein trafficking, and modulation of cellular growth and motility (4, 5, 8, 10, 14, 27, 28, 32). CAR is often called a glycoprotein and contains two putative glycosylation sites, one on each of its two extracellular immunoglobulin (Ig)-like domains (N106 in D1 and N201 in D2) (1, 2). Detection of CAR by Western blotting reveals two bands, one at approximately 40 kDa (the predicted molecular mass) and one at 46 kDa. Honda et al. demonstrated that an overnight incubation in the presence of peptide N-glycosidase F (PNGase F) reduces the 46-kDa band to 40 kDa, suggesting that this shift in molecular size is due to deglycosylation (14). Additionally, the solved cryoelectron microscopy structure of full-length CAR interacting with coxsackievirus shows an irregular mass on the D1 loop, consistent with glycosylation (13). Together, these data suggest that CAR may be a glycoprotein. However, whether only one or both predicted sites are glycosylated and whether there are additional cryptic sites remain unclear. Moreover, the relevance of glycosylation to the biology of CAR, either as a viral receptor or in its endogenous function as a homophilic adhesion protein, remains to be tested.

MATERIALS AND METHODS
Antibodies, cells, and viruses.
FLAG M2 antibody (Ab) was purchased from Sigma (F3165; St. Louis,
MO); Alexa-488- and Alexa-568-conjugated goat anti-mouse or
anti-rabbit Abs were from Molecular Probes (Eugene, OR). The
CAR Ab RmcB (CRL-2379; ATCC, Manassas, VA) was produced by the
University of Iowa Hybridoma Core. Rabbit anti-CAR-1605 was
produced in rabbits immunized with a glutathione
S-transferase
fusion to the intracellular C terminus (amino acids 261 to 365).
COS-7 cells (ATCC) were maintained under standard culture conditions
(Dulbecco's modified Eagle's medium [DMEM] with 10% fetal calf
serum [FCS], penicillin, and streptomycin). CHO-K1 cells (BD
Biosciences, Franklin Lakes, NJ) were maintained under standard
culture conditions (DMEM and FCS supplemented with tetracycline
L-glutamine, penicillin, and streptomycin). Ad serotype 5 containing
the ß-galactosidase (Ad-ß-Gal), green fluorescent
protein (peGFP-N1; Clontech, Mountain View, CA), or CAR gene
has previously been described (
10,
11). All recombinant Ads
were generated by the University of Iowa Gene Transfer Vector
Core.
Cell transfection.
COS-7 cells were electroporated as previously described (10). Briefly, 10 million cells were mixed with 20 µg of plasmid DNA, 400 µl of cytomix (120 mM KCl, 0.15 mM CaCl2, 10 mM K2HPO4, 10 mM KH2PO4, 25 mM HEPES, 2 mM EGTA, 5 mM MgCl2, 2 mM ATP, and glutathione) and put in an electroporation cuvette (Bio-Rad Laboratories, Hercules, CA) for 30 min on ice. After electroporation, cells were seeded onto 10-cm dishes or collagen-coated glass chamber slides and studied 2 days later. CAR-deficient CHO-K1 cells were seeded into six-well or 24-well dishes (n = 6 replicates) and transfected using Lipofectamine 2000 according to the manufacturer's standard protocol (Invitrogen). We routinely achieve approximately 70 to 90% transfection efficiency with these protocols (10).
Tunicamycin, PNGase F, biotinylation, immunoprecipitation, and Western blotting.
Twenty-four hours after electroporation, COS cells were either treated with 0.5 µg/ml tunicamycin for 24 h at 37°C (catalog no. T7765; Sigma) or placed on ice, washed once with ice-cold phosphate-buffered saline ([PBS] catalog no. 14287; Invitrogen, Carlsbad, CA), biotinylated with 3 ml of 1 mg/ml EZ-Link sulfo-NHS-SS-biotin ([sulfosuccinimidyl 2-(biotinamido)-ethyl-1,3-dithiopropionate] catalog no. 21331; Pierce, Rockford, IL) for 45 min, quenched with 100 mM glycine, and washed three times with PBS prior to lysis; alternatively, PNGase F enzyme solution (P7367; Sigma) was added directly to the lysates and incubated for 1 h at 37°C. For lysis, cells were placed on ice, washed once with ice-cold PBS, lysed (50 mM Tris-HCl, pH 7.5, 137 mM NaCl, 1% Triton X-100, 5 mM EDTA, and 1 mM EGTA with protease inhibitors [10 µg/ml] leupeptin, aprotinin, and pepstatin and 1 mM phenylmethylsulfonyl fluoride), sonicated (5 s), and spun in a microcentrifuge (16,000 x g) for 10 min. For immunoprecipitation, supernatant, normalized to equal protein, was incubated with CAR Ab RmcB or FLAG Ab and immunoprecipitated with protein G-Sepharose (catalog no. 17061801; GE Healthcare Life Sciences, Pittsburgh, PA) or incubated with Ultralink Immobilized NeutrAvidin Biotin Binding Protein (catalog no. 53150; Pierce, Rockford, IL) or CAR Ab 1605 cross-linked to protein G Dynabeads (Invitrogen) using the standard manufacturer's protocol (23). Beads were suspended in loading buffer (4% sodium dodecyl sulfate, 100 mM dithiothreitol, 20% glycerol, 65 mM Tris, pH 6.8, 0.005% bromophenol blue), and proteins were separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis. Gels were transferred to a polyvinylidene difluoride membrane (Millipore, Bedford, MA), blocked with 5% bovine serum albumin, washed, and probed with primary FLAG Ab, followed by washing and incubation with anti-mouse or rabbit conjugated to horseradish peroxidase (Pierce). Bands were detected with enhanced chemiluminescence reagents (catalog no. 34080; Pierce).
Site-directed mutagenesis.
Site-directed mutagenesis of CAR was performed according to the manufacturer's standard protocol (Stratagene, Cedar Creek, TX) with the following primers: N115Q, 5'-AATCTGGTGATGCATCAATACAGGTAACGAATTTACAACTGTCAG; N210Q, 5'-CATCTGTTATATCTGTAAAACAGGCCTCTTCTGAGTACTCTGGG.
Immunofluorescence staining.
Electroporated COS cells grown on collagen-coated chamber slides were washed, fixed with methanol plus 1% paraformaldehyde at 20°C, and blocked with 2% bovine serum albumin in SuperBlock (Pierce). Cells were incubated with primary Ab, washed extensively, and then incubated with goat anti-mouse Alexa-568 secondary Ab. Nuclei were stained with TO-PRO3 (Molecular Probes), and samples were cover-slipped with Vectashield mounting medium (Vector Laboratories, Inc., Burlingame, CA). Images were acquired with a Bio-Rad MRC-1024 laser scanning confocal microscope (Hercules, CA) mounted on a Nikon E600 microscope (Melville, NY) using a 60x oil immersion lens.
Adhesion.
Transfected cells were washed once with Ca2+-free Hanks balanced salt solution ([HBSS] catalog no. 14170-112; Invitrogen) and incubated with 1 mM EDTA in HBSS until they were released from the plate. Cells were pelleted and washed twice with HBSS, resuspended at 2 x 106 cells/ml in HBSS supplemented with HBSS-dialyzed FCS (2%), and placed on a rotor for 1 h at 37°C. Equal volumes of cells were then gently plated out and supplemented with a small volume of growth medium. Clumps consisting of more than 6 cells were counted after 1 h at 37°C in at least 10 separate fields of view at a magnification of x10 on a light microscope (Nikon Eclipse TS100).
Labeling of Ad with [methyl-3H]thymidine.
Ad5GFP (where Ad5 is Ad serotype 5) was labeled with [methyl-3H]thymidine as previously described (18). Briefly, 150-mm2 dishes were seeded with 2.5 x 107 HEK 293 cells in 15 ml of DMEM-10% FCS. Twenty-four hours later, these cells were infected with recombinant Ad at a multiplicity of infection (MOI) of 50 or higher. Ten hours postinfection, 1 mCi of [methyl-3H]thymidine (TRK758, 3.15 TBq/mmol, 85.0 Ci/mmol; GE Healthcare) was added to the medium, and cells were further incubated at 37°C until
30 h postinfection. Cells were then harvested, pelleted, washed once with PBS, and resuspended in 2 ml of PBS. Virus was released from the cells by three freeze-thaw cycles. Cell debris was removed by centrifugation, and viral material was subjected to ultracentrifugation in two sequential CsCl gradients and subsequent dialysis against PBS-3% sucrose. Virion-specific radioactivity, measured by liquid scintillation (Packard Tri-Carb 1500 liquid scintillation analyzer), ranged from 6 x 106 to 4 x 105 cpm per virion.
Ad infection.
Transfected CHO-K1 cells were infected with Ad-ß-Gal (MOI as indicated in figures) for 1 h at 37°C and lysed after 24 h. ß-Gal expression per milligram of protein was determined, as previously described (10). Binding of Ad was determined by 3H-labeled Ad as previously described (11). Briefly, cells were transfected as above, washed twice with either ice-cold or room temperature (RT) PBS, incubated with 3H-labeled Ad at various MOIs for 1 h on ice or at RT. A sample of inoculum was put directly into scintillation vials to determine unbound virus. Cells were washed two times with ice-cold or RT PBS and lysed with 1% Triton X-100. Lysate (bound virus) was put into scintillation vials and measured in a liquid scintillation counter. Data analysis and nonlinear regression were performed using Origin, version 7.5, software (OriginLab Corp., Northampton, MA).

RESULTS
CAR is an N-glycosylated protein.
In order to investigate whether CAR is exclusively N-glycosylated,
24 h after transfection with CAR, COS cells were incubated with
tunicamycin, an antibiotic that blocks the reaction of UDP-GlcNAc
and dolichol phosphate in the first step of glycoprotein synthesis,
thus inhibiting the synthesis of all N-linked glycoproteins.
In the absence of tunicamycin, CAR-expressing COS cells show
a 46-kDa band (Fig.
1A). Tunicamycin treatment 24 h after transfection
results in an additional 40-kDa band, consistent with the complete
inhibition of glycosylation of newly synthesized CAR. The presence
of the 46-kDa band even after 24 h of tunicamycin treatment
suggests that CAR has a turnover of more than 24 h. These data
suggest that either CAR is glycosylated or a glycosylated protein
modifies CAR. To directly evaluate whether CAR itself is glycosylated,
lysates from CAR-expressing COS cells were incubated with increasing
doses of PNGase F for 2 h (Fig.
1B). When no PNGase F was added,
a single band of 46 kDa was observed. The addition of 2.5 mU
of PNGase F resulted in a more robust 40-kDa band relative to
the 46-kDa band, consistent with the idea that CAR is a glycoprotein.
However, these data do not define whether one or both possible
N-glycosylation sites are glycosylated.
CAR has independent glycosylation sites in each extracellular Ig-like domain.
CAR is predicted to be N-glycosylated at amino acids N106 and
N201; thus, we created single and double glycosylation-deficient
CAR constructs by site-directed mutagenesis (CAR
N106Q, CAR
N201Q,
and CAR
N106Q/N201Q). Both of these residues are in the extracellular
domain of CAR, with residue 106 in the first D1 domain and 201
in the second or D2 domain (Fig.
2A). To confirm the size and
expression of these constructs, we transfected them into COS
cells and analyzed cell lysates by Western blotting (Fig.
2B).
The resulting bands reflected the loss of glycosylation in a
stepwise manner such that wild-type (wt) CAR was larger than
either CAR
N106Q or CAR
N201Q, which were of equivalent size,
but each was larger than CAR
N106Q/N201Q. This confirms that
CAR is glycosylated at both of these two sites to a similar
extent and that the 46-kDa form of CAR is the mature glycosylated
form of the protein.
Loss of glycosylation does not alter the cell surface or junctional localization of CAR.
CAR normally localizes to the junctions between cells, where
it behaves as a homophilic adhesion molecule (Fig.
3A). To ensure
that the glycosylation mutants localized to the cell surface
and in particular to cell-cell junctions, COS cells and CAR-deficient
CHO-K1 cells (data not shown) were transfected and analyzed
by immunocytochemistry. Despite some intracellular differences
in localization, all three of the glycosylation mutants localized
primarily to the cell-cell junctions in a similar manner to
wt CAR (Fig.
3B to D; CAR
N106Q, CAR
N201Q, and CAR
N106Q/N201Q,
respectively, are shown in green; nuclei are counterstained
in red). This is in contrast to mutations altering the asparagine
to alanine, which did not reach the cell surface (data not shown),
suggesting that the trafficking and cell surface junctional
localization were not altered by the absence of glycosylation
provided that the asparagine was replaced by a similar amino
acid. To confirm the cell surface expression of these constructs,
each was expressed in CHO-K1 cells and subjected to cell surface
biotinylation (
n = 4 experiments). All biotinylated proteins
were isolated using streptavidin-labeled beads and analyzed
by Western blotting using a CAR-specific Ab (Fig.
3E). Although
there appeared to be a small decrease in the amount of CAR
N106Q,
there were no statistically significant differences in the amount
of protein present at the cell surface in comparison to wt CAR
(Fig.
3F). In a manner similar to the unbiotinylated lysates
shown in Fig.
2B, the molecular mass of the cell surface protein
reflected a stepwise size difference in accordance with the
amount of glycosylation. In contrast, immunoblotting for GFP
showed that this cytoplasmic protein was not present after precipitation
using streptavidin (data not shown). These data suggest that
loss of glycosylation does not significantly affect cell surface
expression and cell-cell junctional localization. Interestingly,
Western blotting for endogenous CAR in several cell lines that
display junctional CAR localization and support Ad infection
(including HeLa, 293T, COS, and A549) reveals CAR-specific bands
that run with different electrophoretic mobilities, which is
consistent with differential glycosylation (data not shown).
Glycosylation of CAR affects cell adhesion.
To determine if glycosylation plays a role in CAR homophilic
adhesion, CAR-negative CHO-K1 cells were transfected with CAR,
CAR
N106Q, CAR
N201Q, CAR
N106Q/N201Q, or GFP. Approximately 48
h after transfection, monolayers of cells were harvested, resuspended
as a single cell suspension, and incubated for 1 h to allow
cell-cell clumping (Fig.
4; data are from 10 to 15 fields of
view in three replicate experiments). GFP-transfected cells
contained an average of approximately 2 clusters of 6 cells
per clump per field of 10 counted fields, whereas CAR normally
contained 3 to 4 large clumps containing 6 or more cells per
field. The complete loss of glycosylation in the CAR
N106Q/N201Q mutant abrogated clumping, suggesting that glycosylation is
important for CAR-mediated cell clumping. CAR
N106Q and CAR
N201Q behaved similarly and maintained clumping, indicating that glycosylation
of either the D1 or D2 domain is sufficient to maintain CAR-mediated
cell adhesion. To confirm CAR specificity, clumping was performed
in the presence of 0.5 mg/ml of anti-CAR RmcB monoclonal Ab.
As predicted, due to Ab bivalency, increased clumping was apparent
in CAR-expressing cells but not control cells (data not shown).
Glycosylation of the D2 domain on CAR decreases Ad infection.
We hypothesized that since Ad binds to the D1 domain of CAR,
lack of glycosylation of this domain may affect Ad interactions
with CAR. Alternatively, since crystal structures and footprint
mapping of the Ad-CAR interaction suggest that the glycosylation
site is on the opposite side of the structural Ad binding site,
it may have no effect on the interaction (
27). We further hypothesized
that the lack of glycosylation at D2 would have no effect on
Ad infection if the role of the D2 domain is strictly to position
the D1 domain at an appropriate distance from the membrane for
efficient Ad interaction (
26). CAR-negative CHO-K1 cells were
transfected with GFP, CAR, CAR
N106Q, CAR
N201Q, or CAR
N106Q/N201Q.
The cells were infected 48 h later with Ad-ß-Gal at
various MOIs (
n = 6 replicates) and lysed 24 h postinfection
to determine the ß-Gal expression per milligram of
protein (Fig.
5A). Transfection of these cells with GFP resulted
in very little Ad-ß-Gal infection even at high MOIs.
As expected, transient expression of CAR significantly increased
the ability of Ad to infect these cells. The CAR
N106Q mutant
behaved identically to wt CAR, suggesting that the D1 glycosylation
neither inhibits nor augments Ad binding or infection. Surprisingly,
mutation of the D2 domain glycosylation site either on its own
(CAR
N201Q) or in combination with the D1 mutation (CAR
N106Q/N201Q)
significantly increased Ad-mediated gene transfer. We hypothesized
that this increase in infection was simply due to an increase
in Ad binding. To test this, CHO-K1 cells transfected with CAR,
CAR
N210Q, CAR
N106Q/N201Q, or GFP were incubated for 1 h at 4°C
in the presence of
3H-labeled Ad at an MOI of 100 (i.e., 10,000
particles per cell). Figure
5B shows that the binding of Ad
to CAR
N210Q or CAR
N115Q/N201Q was reduced significantly in comparison
to wt CAR at an MOI where there was roughly twice as much infection
in cells expressing CAR D2 mutants (Fig.
5A). These experiments
suggest that, contrary to our hypotheses, D1 glycosylation does
not alter Ad binding or infection, while the lack of glycosylation
of the D2 domain paradoxically decreases Ad binding and increases
infection.
Glycosylation at the D2 domain increases the cooperativity of Ad-CAR binding.
Ad binding reflects both the multivalency of virus attachment
points (12 trimeric fiber knobs that can bind up to 36 CAR molecules)
and the ability of receptors to migrate within the membrane
(
21). Thus, we hypothesized that the lack of D2 glycosylation
results in increased cooperativity such that more receptors
bind a single virion (i.e., fewer virions bound), resulting
in improved infection. CHO-K1 cells were transfected with GFP,
CAR, or CAR
N106Q/N201Q. Cells were then incubated with
3H-Ad-GFP
over a large range of MOIs at RT, which is a temperature that
supports cooperative binding (
21). In order to determine unbound
and bound virus after 1 h, both the medium and cell lysates
were each counted in a scintillation counter. Figure
6 shows
one representative experiment plotted as the log of free particles
versus the log of bound virus/(number of receptor sites
number of bound particles) (Hill plot). The Hill coefficient
was determined by nonlinear regression. As expected, wt CAR
showed a Hill coefficient greater than 1 (1.20 to 1.54), indicating
positive cooperativity. In contrast, the Hill coefficient for
CAR
N115Q/N201Q was roughly 1 (0.93 to 1.06), indicating no cooperativity.
These data suggest that glycosylation of the D2 domain is important
for CAR cooperativity and, moreover, that the lack of cooperativity
augments Ad infection.

DISCUSSION
CAR is a glycoprotein with two N-glycosylation sites, one in
each of the two Ig-like extracellular domains. Although glycosylation
at each of these sites may not be identical, both are glycosylated
to a similar degree. The amount of glycosylation on CAR does
not affect either cell surface or junctional localization in
nonpolarized cells. Surprisingly, glycosylation affects both
the homophilic adhesion as well as viral receptor functions
of CAR differentially, thus separating the evolution of these
two functions and their dependence on extracellular domain glycosylation.
Both the CAR-CAR and CAR-Ad adhesion interfaces have been elucidated through crystal structure and genetic mutation studies (3, 16, 25-27). Although not identical in residue usage, the footprints of both interactions overlap each other and are roughly on the opposite side to the predicted D1 N-glycosylation site. This suggests that the presence of glycosylation on the D1 domain may not directly affect these interactions. Our data indicate that this is true for the Ad interaction but not for adhesion.
In cell monolayers, CAR localizes to the adhesion junctions regardless of glycosylation; however, this is in the presence of many other adhesion proteins. We tested the ability of the glycosylation mutants to mediate adhesion under dynamic conditions which limit the effects of major adhesion proteins such as cadherins (i.e., calcium free). Although simplistic, these conditions may expose the effect of altered CAR glycosylation during initiation of the cellular adhesion complex or, alternatively, during the alteration, modulation, or deregulation of that complex (i.e., metastasis, migration, blood flow, or transmigration). In the absence of glycosylation, cell-cell clumping is attenuated. There are at least two possible interpretations: the lack of glycosylation decreases CAR-CAR affinity, resulting in decreased adhesion, or the lack of glycosylation increases CAR-CAR affinity, resulting in cis interactions and thus preventing trans interactions. Conclusive determination of affinity for these interactions requires further investigations using plasmon resonance or sedimentation.
In contrast to the CAR-mediated cell-cell interaction, glycosylation of the D2 domain is key in the Ad-CAR interaction. We have previously shown that the D2 domain of CAR is important for Ad infection and that deletion of this domain reduces Ad binding and infection significantly (11). Additionally, we hypothesized that this domain played a role only in spacing the D1 domain appropriately from the membrane to facilitate an efficient interaction with the Ad fiber knob. In these experiments we could not rule out cis interactions or steric effects of the D2 domain on the Ad-CAR interaction. Here, we show that in spite of decreased binding and a loss of cooperativity, the lack of glycosylation at N201 results in increased infection. Thus, the D2 domain is not simply a structural "spacer"; it plays a key role in cooperativity, and this role is mediated by glycosylation. Cooperative binding, as shown by Persson et al., is thought to require the trimeric nature of the 12 fiber knobs on the Ad particle that can theoretically bind and cluster up to 36 CAR molecules, causing perturbations in the membrane and allowing more (or less) efficient Ad internalization (21). Our data, however, indicate that whereas cooperativity increases binding, it has the opposite effect on subsequent infection steps. Several potential mechanisms exist including the following: the cooperative retention of virus at the cell surface or endosomal compartment; stronger wt CAR-fiber knob interactions resulting in reduced receptor recycling; or loss of glycosylation that may alter coreceptor interactions, improving the efficiency of endocytosis or endosomal escape. Interestingly, although D2 glycosylation reduces Ad infection, the coxsackievirus interaction with CAR may actually require glycosylation since cell-expressed CAR successfully binds coxsackievirus while bacterially expressed (i.e., CAR lacking glycosylation) does not (13).
In summary, CAR is a glycosylated protein, and the sites of glycosylation differentially affect the CAR-CAR and CAR-Ad interactions, revealing an inherent difference between homophilic adhesion and Ad binding. These data have important implications both for cancers with altered glycosylation states and for cancer treatments using oncolytic Ad. It will be important to determine if Ad infection depends on not only the presence of CAR but also the specific degree of glycosylation in vivo.

ACKNOWLEDGMENTS
We thank Lisa Jorgensen for assistance with manuscript preparation,
Michael Welsh for discussions, the Gene Transfer Vector Core
(supported by the Roy J. Carver Charitable Trust, the NHLBI,
CFF, and NIDDK), the In Vitro Cell Models Core (supported by
the National Heart, Lung and Blood Institute and NIDDK [DK54759]),
and the Hybridoma/Tissue Culture Facility.
K.E. is supported by a fellowship from the Parker B. Francis Foundation. This work was supported by a PPG grant from the NIH (HL51670-11).

FOOTNOTES
* Corresponding author. Mailing address: University of Iowa, 440 EMRB, Iowa City, IA 52242. Phone: (319) 335-7608. Fax: (319) 335-7623. E-mail:
joseph-zabner{at}uiowa.edu 
Published ahead of print on 21 March 2007. 

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Journal of Virology, June 2007, p. 5573-5578, Vol. 81, No. 11
0022-538X/07/$08.00+0 doi:10.1128/JVI.02562-06
Copyright © 2007, American Society for Microbiology. All Rights Reserved.
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