Glycocalyx and Cardiovascular Health

 
 

The human body is like a building made of bricks in and around the cement. We will discuss the glycocalyx, which is the entity of the glycome.

The cell's health and redox depend on the glycoloclax's structure and semiconductor properties. Just as the river bed is tied to the rocks and plants that make it and influence the river's flow, the same is said for the endothelial cells lining our circulatory system through the interactions of glycocalyx.

The glycocalyx is a dense, gel-like mesh. It surrounds the cell and blocks entry like a spiderweb. For example, the glycocalyx prevents pathogens from entering the cell, which induces harm and causes long-term problems with cardiovascular diseases and events. The glycocalyx protects against leukocyte adhesion associated with elevated cholesterol for heart disease. The glycocalyx covers the endothelium and has riverbed-like projections. It senses flow and creates tension to send it inside - an actual semiconductor.

This analogy compares the bloodstream to "a river." It bends the proteoglycan "seaweed" of the glycocalyx. Cells generate and transfer this torque to their interiors, causing various intracellular responses. These include the release of nitric oxide, a vasodilator, actin cytoskeleton rearrangement, and cell polarization.

The endothelial glycocalyx as the endothelial gatekeeper

The glycocalyx is a secret organelle that provides the organizational structure. It is in every cell, including endothelial, immune, muscle, blood, and nerve cells.

The name glycocalyx comes from "sweet husk." It refers to its unique mix of sugars, proteins, and lipids. The sugars are like antennae. They scaffold the extracellular matrix outside the cell membrane. These sugars then connect to form a glycan (chain). This links them to other sugars or proteins. Thus, it forms glycoproteins or glycolipids. The glycocalyx is the umbrella term that comprises all these in and around the cell.

“Located between the bloodstream and the endothelium, the endothelial glycocalyx is an important determinant of vascular permeability.”

The glycocalyx has been involved in various fundamental cellular and organismic events such as blastocyst implantation, embryonic development, leukocyte adhesion, or viral and bacterial infections.

The scientific community only now recognizes the glycocalyx's role. Modern advances in detection and tools have made this possible. This random entity, this connective tissue, is vital to biology.

The synthesis of this organelle begins in the endoplasmic reticulum. It is the leading protein-building site in the cell. It responds to the demands of the mitochondria, reflecting how calcium works. Once made, the Golgi apparatus can further modify the glycocalyx (a mix of glycans, glycoproteins, and glycolipids).

You may have heard of hyaluronic acid, a skincare ingredient in the glycolic acid family.

Mitochondria regulate glycocalyx through metabolic processes and cellular reorganization. They regulate its synthesis. Cancer influences oncogenic pathways. It remodels cancer cell metabolism and allows for a hypoxic state due to Mucin Muc1.

The problem lies in penetrating the complexities of the glycocalyx.

  • The size is close to or below the light's 250 nm diffraction limit.

  • Epigenetic modification alters genes beyond genomic encoding. Genomic data lack structural information about proteins. Proteins come from many interdependent biosynthetic pathways. They also depend on the cell's metabolic state.

  • Two monosaccharides can differ by the orientation of a single functional group. But the impact is significant. It alters chemical and biological processes, making it hard to label the glycocalyx. Glycoconjugate distinction methods must ensure clear differentiation between two similar compounds.

The task of mapping the details to the glycocalyx is very complex. The proposed size of the glycocalyx:

"The estimation of the eGCX thickness extends from 0.2 to 0.5 μm in capillaries and venules, to 2–3 μm in small arteries; and 4.5 μm in conductance arteries."

In organs like the brain and heart, where the capillary endothelium is categorized as continuous (non-fenestrated), the endothelial eGCX appears denser than that in the lung, whose capillaries are also covered by continuous endothelium.

New studies show that the cell can be dynamic. The glycocalyx can respond by altering the cell surface area, which affects secretion and absorption. Membrane tubules affect transport. This connects to antigen surveillance, tissue development, and cell signaling.

 
 

The glycocalyx engages through physical interactions, often playing a primary role.

"Key phenomena in glycocalyx biology are steric, molecular crowding, and electrostatic effects. This includes the repulsion of sulfated sugars and counterion trapping."

This also includes multivalency effects and size exclusion.

Blood plasma transports energy from food and the environment (light/grounding). Endothelial tissue runs through your circulatory system. As discussed, the endothelium is like the riverbed. If it is unopposed by rocks, sediment, or vegetation, it can be more exposed, erode, and get injured. If the riverbed has vegetation, it can slow down the flow. However, it can also create mechanical energy and turn it into chemical energy, like semiconductors.

“Endothelial cells exposed to shear stress produce nitric oxide (NO), which is an important determinant of vascular tone. However, the molecule(s) responsible for translating biomechanical forces into biochemical signals (mechanotransduction) have not been identified yet. Recently, the glycocalyx has been added to the list of possible candidates.”

If we apply this to your biology, we can see that health suffers without an intact glycocalyx. It should repel red blood cells from sticking and clotting together. But, immune adhesion occurs. Then, endotoxins trigger immune responses, causing inflammation. LDL shows up to plug the hole, which is where it becomes associated with cardiovascular problems.

Our choices affect endothelial health. We can improve it by boosting nitric oxide from sunlight, nitrate-rich foods, and supportive nutrients like Folate, vitamin C, sulfur amino acids, DHA, CoQ10, and polyphenols.

Additionally, it is essential to regulate glucose levels, keep endotoxins low (leaky gut), reduce microplastics, avoid food allergies, and avoid mast cell activation.

The elephant in the room is your light exposure. Specifically, it's red and near-infrared light. It builds the charge to form the exclusion zone. This is a barrier, but it also acts like a battery everywhere in our body.

It enforces order in the glycocalyx and endothelial tissue, like the riverbed.

“With many glycosaminoglycan chains being highly sulfated, the glycocalyx presents a net negatively charged surface to the bloodstream.”

“Besides its capacity to restrict molecules from reaching the endothelium, the glycocalyx also influences blood cell–-vessel wall interactions. It repulses red blood cells from the endothelium. In the microcirculation, a red blood cell exclusion zone flanking the endothelium can be observed in vivo, which decreases upon the light dye-induced breakdown of the glycocalyx.“

The heart is pivotal for the cardiovascular system. But if our circulatory and endothelial tissues don't support it, the heart will work harder to compensate. So, its metabolism will change with factors like blood pressure, nervous system activity, insulin signaling from calcium, and lower ATP to reduce ROS as a feedback signal to prevent diseases and compensate.

For example, the Warburg effect rewires cellular metabolism. It changes the glycosylation of membrane proteins, which alters protein behavior. It increases membrane residence times by prolonging engagement with the galectin lattice, shifting cellular signaling, and ultimately modifying cellular behavior. Other studies found that the cancer glycocalyx is a mechanosensor in flow-regulated invasion.

There are associations between lowered albumin levels in the blood and sepsis (endotoxemia), which causes glycocalyx damage.

The glycocalyx is a fascinating melting pot of chemistry, physics, biology, and medicine.  Its complexity causes cellular effects that impact various areas of cell biology. These include signaling, metabolism, immunity, cell migration, adhesion, and proliferation. Finally, the glycocalyx's complexity often unites into one entity, transforming into a force that operates physically.

 
 

Dysfunction glycocalyx:

The glycocalyx is adaptive to demands and closely connected to ROS. Inflammation sets the stage for its remodeling.

Inflammatory mechanisms trigger extracellular glycocalyx degradation by activating specific enzymes such as metalloproteinases, heparanase, and hyaluronidase. These enzymes are activated by reactive oxygen species (ROS) and pro-inflammatory cytokines such as tumor necrosis factor-alpha (TNF-α) and interleukin-1 beta (IL-1β).

Fragments of the glycocalyx can be measured and are associated with several pathological conditions, such as sepsis.

Diabetes/metabolic syndrome

In diabetes or metabolic syndrome, the glycocalyx barrier is dysfunction-induced via hyperglycemia and impaired nitric oxide support with Glut4 uptake.

“The systemic glycocalyx volume of healthy volunteers, as assessed by comparing the intravascular distribution volume of a glycocalyx-permeable and a glycocalyx-impermeable tracer, was halved within 6 h after induction of acute hyperglycemia.”

“The systemic glycocalyx volume in type 1 diabetics was found to be about half that of healthy controls; it was further reduced in diabetics with microalbuminuria.”

Ischemia/Reperfusion:

Induced in the absence of oxygenation and blood flow or reperfusion (exaggerated restoration), it is a highly reactive oxidative stress event that causes shedding of the glycosaminoglycan chains associated with microvascular damage and swelling.

Atherosclerosis:

While high plasma levels of LDL are associated with this artery disease, it is also connected to disturbed flow profiles.  It is only when there is subendothelial retention of atherogenic lipoproteins and the resulting inflammatory response that subendothelial plaques are formed. The glycocalyx is being explored in terms of how it's involved in atherogenesis. Observations include:

"Loss of glycocalyx results in shedding of endogenous protective enzymes, such as extracellular SOD, and increases the oxidative stress on endothelial cells.

The glycocalyx is involved in the difference between health and disease. Promoting nutritional and lifestyle practices is critical to supporting a healthy glycocalyx, a forgotten organelle that is disregarded or not highlighted in cellular textbooks or cell images but is closely connected and epigenetically adapted to the demands of our environment and biology.

In conclusion

The glycocalyx is a vital, often overlooked, cell part that is critical to cell health and function. Its complex structure and diverse components form a barrier around cells, protecting and interacting with them. This barrier includes glycoproteins, glycolipids, and various sugars. It affects many processes, including pathogen defense, endothelial protection, and signaling.

New scientific tools have improved our understanding of the glycocalyx. It plays a complex role in cellular and systemic health. This is especially true for cardiovascular function, immune response, and cancer progression. Despite its complexity, the glycocalyx is vital to cell biology. It uses physical and biochemical interactions to regulate critical cellular activities.

References

Ando, Y., Okada, H., Takemura, G., Suzuki, K., Takada, C., Tomita, H., Zaikokuji, R., Hotta, Y., Miyazaki, N., Yano, H., Muraki, I., Kuroda, A., Fukuda, H., Kawasaki, Y., Okamoto, H., Kawaguchi, T., Watanabe, T., Doi, T., Yoshida, T. and Ushikoshi, H. (2018). Brain-Specific Ultrastructure of Capillary Endothelial Glycocalyx and Its Possible Contribution for Blood Brain Barrier. Scientific Reports, [online] 8, p.17523. doi:https://doi.org/10.1038/s41598-018-35976-2.

Fernández-Sarmiento, J., Hernández-Sarmiento, R., Salazar, M.P., Barrera, S., Castilla, V. and Duque, C. (2023). The association between hypoalbuminemia and microcirculation, endothelium, and glycocalyx disorders in children with sepsis. Microcirculation (New York, N.Y.: 1994), [online] 30(8), p.e12829. doi:https://doi.org/10.1111/micc.12829.

Goligorsky, M.S. (2022). Oscillators in the microvasculature: glycocalyx and beyond. AJP Cell Physiology, 323(2), pp.C432–C438. doi:https://doi.org/10.1152/ajpcell.00170.2022.

Marques, S.M., Campos, P.P., Castro, P.R., Cardoso, C.C., Mônica A.N.D. Ferreira and Andrade, S.P. (2011). Genetic background determines mouse strain differences in inflammatory angiogenesis. Microvascular Research, 82(3), pp.246–252. doi:https://doi.org/10.1016/j.mvr.2011.08.011.

Nieuwdorp, M., Mooij, H.L., Kroon, J., Atasever, B., Spaan, J.A.E., Ince, C., Holleman, F., Diamant, M., Heine, R.J., Hoekstra, J.B.L., Kastelein, J.J.P., Stroes, E.S.G. and Vink, H. (2006). Endothelial Glycocalyx Damage Coincides With Microalbuminuria in Type 1 Diabetes. Diabetes, 55(4), pp.1127–1132. doi:https://doi.org/10.2337/diabetes.55.04.06.db05-1619.

Reitsma, S., Slaaf, D.W., Vink, H., van Zandvoort, M.A.M.J. and oude Egbrink, M.G.A. (2007). The endothelial glycocalyx: composition, functions, and visualization. Pflügers Archiv - European Journal of Physiology, [online] 454(3), pp.345–359. doi:https://doi.org/10.1007/s00424-007-0212-8.

Remco T. A. Megens, Reitsma, S., Schiffers, P.H.M., Rob, Jo, Slaaf, D.W., Mirjam G.A. oude Egbrink and Marc (2006). Two-Photon Microscopy of Vital Murine Elastic and Muscular Arteries. Journal of Vascular Research, 44(2), pp.87–98. doi:https://doi.org/10.1159/000098259.

Rubanyi, G.M., Romero, J.C. and Vanhoutte, P.M. (1986). Flow-induced release of endothelium-derived relaxing factor. The American Journal of Physiology, [online] 250(6 Pt 2), pp.H1145-1149. doi:https://doi.org/10.1152/ajpheart.1986.250.6.H1145.

Rudd, P.M., Wormald, M.R., Stanfield, R.L., Huang, M., Mattsson, N., Speir, J.A., DiGennaro, J.A., Fetrow, J.S., Dwek, R.A. and Wilson, I.A. (1999). Roles for glycosylation of cell surface receptors involved in cellular immune recognition. Journal of Molecular Biology, 293(2), pp.351–366. doi:https://doi.org/10.1006/jmbi.1999.3104.

Vander Heiden, M.G., Cantley, L.C. and Thompson, C.B. (2009). Understanding the Warburg Effect: The Metabolic Requirements of Cell Proliferation. Science, 324(5930), pp.1029–1033. doi:https://doi.org/10.1126/science.1160809.

Villalba, N., Baby, S. and Yuan, S.Y. (2021). The Endothelial Glycocalyx as a Double-Edged Sword in Microvascular Homeostasis and Pathogenesis. Frontiers in Cell and Developmental Biology, [online] 9, p.711003. doi:https://doi.org/10.3389/fcell.2021.711003.

Yen, W., Cai, B., Yang, J., Zhang, L., Zeng, M., Tarbell, J.M. and Fu, B.M. (2015). Endothelial Surface Glycocalyx Can Regulate Flow-Induced Nitric Oxide Production in Microvessels In Vivo. Plos One, 10(1), pp.e0117133–e0117133. doi:https://doi.org/10.1371/journal.pone.0117133.

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