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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Immunol.</journal-id>
<journal-title>Frontiers in Immunology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Immunol.</abbrev-journal-title>
<issn pub-type="epub">1664-3224</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fimmu.2022.858894</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Immunology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Synthesis of Type-I and Type-II LacNAc-Repeating Oligosaccharides as the Backbones of Tumor-Associated Lewis Antigens</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Phang</surname>
<given-names>Riping</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1629201"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Lin</surname>
<given-names>Chun-Hung</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1287346"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Chemistry, National Taiwan University</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Institute of Biological Chemistry</institution>, <addr-line>Academia Sinica, Taipei</addr-line>, <country>Taiwan</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Institute of Biochemical Sciences, National Taiwan University</institution>, <addr-line>Taipei</addr-line>, <country>Taiwan</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Sachin Shivatare, The Scripps Research Institute, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Tiehai Li, Shanghai Institute of Materia Medica (CAS), China; Supriya Dey, Harvard University, United States</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Chun-Hung Lin, <email xlink:href="mailto:chunhung@gate.sinica.edu.tw">chunhung@gate.sinica.edu.tw</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Vaccines and Molecular Therapeutics, a section of the journal Frontiers in Immunology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>23</day>
<month>02</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>13</volume>
<elocation-id>858894</elocation-id>
<history>
<date date-type="received">
<day>20</day>
<month>01</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>04</day>
<month>02</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Phang and Lin</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Phang and Lin</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Type-I and Type-II LacNAc are Gal-GlcNAc disaccharides bearing a &#x3b2;1,3- or &#x3b2;1,4-linkage respectively. They exist as the backbones of Lewis antigens that are highly expressed in several cancers. Owing to the promise of developing carbohydrate-based anti-cancer vaccines, glycan synthesis at a large scale is indeed an important task. Synthesis of Type-I and Type-II tandem repeat oligomers has been hampered by the presence of GlcNAc residues. Particularly, <italic>N</italic>-protecting group plays a determining role in affecting glycosyl donor&#x2019;s reactivity and acceptor&#x2019;s nucleophilicity. This review discusses several representative studies that assembled desirable glycans in an efficient manner, such as chemoselective one-pot synthesis and chemoenzymatic methods. Additionally, we also highlight solutions that have been offered to tackle long-lasting problems, e.g., prevention of the oxazoline formation and change of donor/acceptor reactivity. In retrospect of scientific achievements, we present the current restrictions and remaining challenges in this less explored frontier.</p>
</abstract>
<kwd-group>
<kwd>aglycon transfer</kwd>
<kwd>chemoenzymatic</kwd>
<kwd>chemoselective</kwd>
<kwd>glycosylation</kwd>
<kwd>one-pot synthesis</kwd>
<kwd>oxazoline</kwd>
<kwd>relative reactivity value</kwd>
<kwd>tumor-associated carbohydrate antigen</kwd>
</kwd-group>
<contract-sponsor id="cn001">Academia Sinica<named-content content-type="fundref-id">10.13039/501100001869</named-content>
</contract-sponsor>
<counts>
<fig-count count="13"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="83"/>
<page-count count="14"/>
<word-count count="4833"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>Glycobiology has become a burgeoning field in cancer research in the past two decades (<xref ref-type="bibr" rid="B1">1</xref>&#x2013;<xref ref-type="bibr" rid="B4">4</xref>). In comparison with traditional methods for cancer therapy (including chemotherapy, radiation and surgery) which still suffer from major adverse effects (<xref ref-type="bibr" rid="B5">5</xref>, <xref ref-type="bibr" rid="B6">6</xref>), vaccine treatment to induce the self-immune system appears more beneficial because of its effective and safe approach (<xref ref-type="bibr" rid="B7">7</xref>&#x2013;<xref ref-type="bibr" rid="B9">9</xref>). Intensive efforts have been made to develop carbohydrate-based anti-cancer vaccines. Several glycan vaccines are currently examined for clinical evaluations (<xref ref-type="bibr" rid="B10">10</xref>&#x2013;<xref ref-type="bibr" rid="B12">12</xref>).</p>
<p>Cancer cells often display differential expression levels of unique carbohydrate epitopes that are not present in their normal counterparts. Noteworthily, altered glycosylation patterns in tumor cells have also been pinpointed as a hallmark of cancer (<xref ref-type="bibr" rid="B13">13</xref>&#x2013;<xref ref-type="bibr" rid="B15">15</xref>). Aberrantly expressed glycans on cancer cells are known as tumor-associated carbohydrate antigens (TACAs), recognized as biomarkers to distinguish between malignant and normal cells (<xref ref-type="bibr" rid="B16">16</xref>&#x2013;<xref ref-type="bibr" rid="B22">22</xref>). TACA can be classified into two classes: (i) glycoprotein antigens such as Tn, Thomsen-Friedenreich and sialyl-Tn; (ii) glycolipid antigens including Globo series, gangliosides and blood group determinants (e.g., Lewis X (Le<sup>x</sup>), Lewis Y (Le<sup>y</sup>), and their sialylated derivatives) (<xref ref-type="bibr" rid="B23">23</xref>).</p>
<p>Lewis-type antigens contain a fucosylated backbone composed of alternating galactose (Gal) and <italic>N</italic>-acetylglucosamine (GlcNAc) residues. Based on the glycosidic linkage between Gal and GlcNAc, Gal&#x3b2;1,4GlcNAc is defined as Type-II LacNAc, existing as the backbone of Le<sup>x</sup> and Le<sup>y</sup>. In contrast, Gal&#x3b2;1,3GlcNAc is called Type-I LacNAc (or Lacto-<italic>N</italic>-biose), constituting Le<sup>a</sup> and Le<sup>b</sup> (<xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B25">25</xref>). Significantly, these Lewis-type antigens also exist in glycosphingolipids, known to accumulate and overexpress in breast, prostate, lung, colon and ovary cancers (<xref ref-type="bibr" rid="B26">26</xref>).</p>
<p>TACA-based antitumor vaccines have shown great potential and high specificity in cancer immunotherapy. Initially, these carbohydrate antigens were isolated from tumor cells only, instead of normal cells (<xref ref-type="bibr" rid="B23">23</xref>, <xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>). To explore the biological significance of tumor-associated antigens or any endogenous glycans, acquiring a sufficient quantity of desirable carbohydrates represents an important task. However, the immense complexity and heterogeneity of most natural glycans has not only made it impossible to isolate/extract desirable glycans from natural sources, but also impeded investigations to understand their binding modes and related mechanisms. To produce desirable glycans at a reasonable level, it is a pivotal demand to develop efficient, economic and scalable synthetic methods. As a consequence, this minireview places an emphasis on the synthetic methodology for Type-I and Type-II Lewis antigens. Meanwhile, we also discuss encountered problems and challenges, as well as future aspects about how scientists can provide satisfying solutions by standing upon the shoulders of giants.</p>
</sec>
<sec id="s2">
<title>Synthesis of Type-II LacNAc-Repeating Oligosaccharides</title>
<p>Glycosphingolipids (GSLs) play a crucial role in cell growth, infections, immune response and cancers (<xref ref-type="bibr" rid="B29">29</xref>, <xref ref-type="bibr" rid="B30">30</xref>). Many GSLs containing the Le<sup>x</sup> structure also play a role as TACAs (<xref ref-type="bibr" rid="B26">26</xref>). These antigens are highly expressed in tumors and identified as useful cancer markers (<xref ref-type="bibr" rid="B7">7</xref>, <xref ref-type="bibr" rid="B24">24</xref>, <xref ref-type="bibr" rid="B31">31</xref>, <xref ref-type="bibr" rid="B32">32</xref>). To study potential applications for the prognostic and diagnostic usage, many GSLs of the Globo series that consist of the Type II backbone were synthesized, such as sialyl Le<sup>x</sup> ceramide (<xref ref-type="bibr" rid="B33">33</xref>&#x2013;<xref ref-type="bibr" rid="B35">35</xref>). The total synthesis of monomeric Le<sup>x</sup> was first reported in 1987. To form the linkage of Gal&#x3b2;1,4GlcNAc, the glycosylation employed an acceptor containing GlcNAc-3,4-diol (<xref ref-type="bibr" rid="B36">36</xref>). However, there were two existing problems, such as low regioselectivity (resulting from the similar reactivity of the diol) and the low coupling yield (caused by the disarmed nature of the glycosyl donor). Nicolaou and coworkers accomplished the total synthesis of the tumor-associated Le<sup>x</sup> family of GSLs in 1990 (<xref ref-type="fig" rid="f3">
<bold>Scheme 1</bold>
</xref>) (<xref ref-type="bibr" rid="B37">37</xref>). The monomeric, dimeric and trimeric Le<sup>x</sup> (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1</bold>
</xref>) were synthesized by using a two-stage activation approach. The synthesis began with glycosyl fluoride <bold>1</bold> that reacted with NPhth thioglucoside <bold>2</bold> to obtain disaccharide <bold>3</bold>. After selective deprotection of the allyl group, the resulting acceptor was subjected to the orthogonal glycosylation with fucosyl fluoride <bold>4</bold>, leading to the formation of &#x3b1;-fucosyl trisaccharide. Further transformation steps generated the key building block (<bold>5</bold>), including the first stage activation&#x2013; anomeric fluorination, removal of the benzyl groups by hydrogenation and the subsequent acetylation.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>Structure of monomeric, dimeric and trimeric Le<sup>x</sup>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-858894-g001.tif"/>
</fig>
<fig id="f3" position="float">
<label>Scheme 1</label>
<caption>
<p>Nicolaou&#x2019;s two-stage activation strategy for total synthesis of the tumor-associated Lex family of glycosphingolipids.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-858894-s001.tif"/>
</fig>
<p>To avoid the aforementioned low glycosylation yield arising from a ceramide acceptor, Schimidt&#x2019;s procedure using 2-azidosphingosine was applied for the preparation of acceptor <bold>6</bold>. The azide was found effective to prevent the formation of intramolecular hydrogen bonding (<xref ref-type="bibr" rid="B38">38</xref>). Further glycan elongation from the reducing end to nonreducing end was accomplished by glycosylation of <bold>6</bold> with <bold>5</bold> to produce pentasaccharide 7. Product 7 was elongated to give octasaccharide 8 after the removal of monochloroacetate and the subsequent glycosylation with 5. Likewise, undecasaccharide 9 was generated in the same manner. Interestingly, although 3- and 4-hydroxyl groups at the nonreducing Gal of 7 and 8 were unmasked at the same time, the next step of glycosylation occurred at 3-OH with exclusive regioselectivity, which was attributed to the steric hindrance of the axial 4-OH. Products 7-9 were subjected to the same procedure to give monomeric, dimeric and trimeric Le<sup>x</sup>, respectively, in excellent overall yields. The procedure was to remove all the protecting groups installed in hydroxyl groups, to convert the azide (in the ceramide moiety) to the desirable acyl amide, and transform the NPhth (at C2 of Gal) to NHAc.</p>
<p>Koeller reported a chemoenzymatic approach to prepare sialyl-trimeric-Le<sup>x</sup> (<xref ref-type="fig" rid="f4">
<bold>Scheme 2</bold>
</xref>) (<xref ref-type="bibr" rid="B39">39</xref>). Glycosylation of acceptor 10 with glycosyl donor 11 was promoted by trimethylsilyl trifluoromethanesulfonate (TMSOTf) to give &#x3b2;1,4-linked disaccharide 12 (50%) and the &#x3b2;1,3-linked regioisomeric product (8%). Notably, no &#x3b1;-linked product was isolated because of the neighboring group participation of 2-OAc of donor 11. Moreover, several steps were carried out to produce disaccharide donor 13-D, including deacetylation of 12, silylation of the Gal 6-OH, deprotection of the anomeric TBS ether, and the subsequent conversion to the trichloroacetimidate (13-D). The two following steps, attachment of 13-D with allyl alcohol and incomplete Zemplen deacetylation (NaOMe in MeOH), led to the formation of acceptor 13-A. The coupling of 13-D and 13-A afforded tetrasaccharide product that was subjected to acetylation for the purpose of product purification and characterization. The tetrasaccharide product (14) was obtained after incomplete Zemplen deacetylation. A similar approach was conducted to yield tri-LacNAc hexasaccharide 15, including [2 + 4] glycosylation between donor 13-D and acceptor 14, peracetylation, and global deprotection.</p>
<fig id="f4" position="float">
<label>Scheme 2</label>
<caption>
<p>Koeller&#x2019;s chemoenzymatic synthesis of Sialyl-Trimeric-Lex 16 (TCAI, trichloroacetimidate; TBS, tert-butyldimethylsilyl; TBDPS, tert-butyldiphenylsilyl; Troc, 2,2,2-trichloroethoxycarbonyl).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-858894-s002.tif"/>
</fig>
<p>To prepare sialyl-trimeric-Le<sup>x</sup>, the remaining glycosylation steps utilized an enzymatic method to incorporate the necessary sialic acid and L-fucose residues. Enzymatic sialylation was performed by using recombinant human &#x3b1;2,3-sialyltransferase in the presence of CMP-NeuAc to introduce sialic acid to 3-OH of the nonreducing Gal. Human &#x3b1;1,3-fucosyltransferase VI was applied to attach L-fucose to 3-OH of three GlcNAc units where 3 equivalents of GDP-fucose were present. This combination of chemical and enzymatic synthesis greatly simplified the preparation of this complex decasaccharide.</p>
<p>Furthermore, Wong and coworkers established relative reactivity values (RRVs) to index the reactivity of glycosyl donors (<xref ref-type="bibr" rid="B40">40</xref>). The measurement relied on an HPLC-based competition assay. The resulting database collects the RRVs of hundreds of various thioglycosides. The computer software &#x201c;OPTIMER&#x201d; was thus developed to dissect glycan synthesis, which appeared useful to design an efficient one-pot synthesis. That is to say, a desirable glycan is analyzed by OPTIMER to come up with a plausible, high-yielding one-pot synthesis where the glycan can be assembled by consecutive coupling of suitable thioglycosides (their RRVs listed in the database). However, the capability of the OPTIMER is confined by the limited number of verified RRV&#x2019;s building blocks. In 2018, Wong and coworkers further developed an algorithm for hierarchical one-pot synthesis called &#x201c;Auto-CHO&#x201d; (<xref ref-type="bibr" rid="B41">41</xref>). Based on the machine learning, Auto-CHO can predict more than 50,000 virtual building blocks (with predicted RRVs) from 50 to 154 real building blocks (with verified RRVs). Both OPTIMER and Auto-CHO have made glycan synthesis to be performed in a designed and analytical manner. In the synthesis, the most reactive thioglycoside reacts with the second most reactive thioglycoside and this process can be repeated by coupling of the resulting product (that then serves as the donor) with another thioglycoside (acceptor) in the order of decreasing anomeric reactivity (reducing RRV), elongating glycans from the nonreducing to the reducing end (<xref ref-type="fig" rid="f5">
<bold>Scheme 3</bold>
</xref>). This development has several advantages. One is to simplify typically tedious procedures in carbohydrate synthesis without purification of intermediate products. The operation of one-pot synthesis greatly speeds up the synthesis and increases the overall yield.</p>
<fig id="f5" position="float">
<label>Scheme 3</label>
<caption>
<p>General scheme for reactivity-based one-pot glycosylation.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-858894-s003.tif"/>
</fig>
<p>Wong and Mong then applied the reactivity-based chemoselective glycosylation strategy to synthesize Le<sup>y</sup> hexasaccharide 21 (<xref ref-type="fig" rid="f6"><bold>Scheme 4</bold>
</xref>) (<xref ref-type="bibr" rid="B42">42</xref>). Through the retrosynthetic analysis and consultation of the RRV database, Le<sup>y</sup> 21 can be divided into three basic units: thiotoluenyl fucoside 17 (RRV = 7.2 x 10<sup>4</sup>), thiotoluenyl disaccharide 18 (RRV = 1.2 x 10<sup>4</sup>) and disaccharide 19 containing a linker in the reducing end (RRV = 0). Sequential one-pot synthesis was carried out by coupling 17 of the highest RRV with the less reactive acceptor 18, followed by reaction with the least reactive reducing-end acceptor 19. Fully protected Le<sup>y</sup> hexasaccharide 20 was obtained in 44% yield.</p>
<fig id="f6" position="float">
<label>Scheme 4</label>
<caption>
<p>Wong&#x2019;s and Mong&#x2019;s reactivity-based one-pot synthesis of Ley hexasaccharide 21.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-858894-s004.tif"/>
</fig>
<p>Another representative example of Wong&#x2019;s programmable one-pot synthesis was to integrate chemical and enzymatic glycosylations. The target glycan contained three Type-II LacNAc-repeating units that were attached with an additional mannose at the reducing end and sialic acid at the nonreducing end (<xref ref-type="fig" rid="f7">
<bold>Scheme 5</bold>
</xref>) (<xref ref-type="bibr" rid="B43">43</xref>). Three thioglycoside building blocks (22&#x2013;24) with RRVs of 263, 51 and 0, respectively, were prepared for the subsequent [2 + 2 + 2] one-pot synthesis, leading to the formation of fully protected hexasaccharide 25 in 60% yield. Further global deprotection steps afforded compound 26, including sequential removals of all of the <italic>N</italic>-phthaloyl groups, acetyl groups and benzyl ethers, and acetylation of the resulting amines. Lastly, the enzymatic incorporations of galactose and sialic acid residues were successfully achieved by using &#x3b2;1,4-galactosyltransferase and &#x3b1;2,3-sialyl transferase to give 27 and both reactions were carried out in good yields.</p>
<fig id="f7" position="float">
<label>Scheme 5</label>
<caption>
<p>Preparation of octasaccharide 27 by the combined programmable one-pot synthesis and enzymatic extension of galactose and sialic acid.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-858894-s005.tif"/>
</fig>
<p>The RRV database covers a wide range of thioglycosides with various protecting groups, thus paving the way for simplifying complex carbohydrate synthesis in a one-pot manner. When using Gal&#x3b2;1,3/4GlcNAc-derived disaccharides to assemble Type-I or Type-II LacNAc-repeating glycans, the effect of neighboring group participation plays a role in forming &#x3b2;-glycosidic linkage exclusively. Therefore, <italic>N</italic>-protecting group installed at glucosamine residues appears to be crucial to determine the reactivity and stereoselectivity at the same time. In addition to the factor of donor reactivity, the acceptor&#x2019;s nucleophilicity also plays an important role in impacting the stereoselectivity and glycosylation yield. Generally, an electron-rich glycosyl acceptor (protected by electron-donating groups) favors &#x3b2;-glycosylation, whereas an electron-poor acceptor (protected by electron-withdrawing groups) tends to display &#x3b1;-selectivity (<xref ref-type="bibr" rid="B44">44</xref>). Moreover, to match between donor&#x2019;s reactivity and acceptor&#x2019;s nucleophilicity is another challenging issue. Once the donor&#x2019;s glycosidic bond is cleaved in a typical glycosylation reaction, the acceptor needs to react with the resulting intermediate and form a new glycosidic linkage. If the donor is highly active or the acceptor is a weak nucleophile, the reaction usually gives a low yield or no formation of the desired product. Romano reported an interesting investigation towards the glycosylation reactivity of lactosamine disaccharides by using various <italic>N</italic>-protecting groups in the donors and protecting groups in the acceptors (<xref ref-type="fig" rid="f8">
<bold>Scheme 6</bold>
</xref>) (<xref ref-type="bibr" rid="B45">45</xref>).</p>
<fig id="f8" position="float">
<label>Scheme 6</label>
<caption>
<p>Investigations of Roman&#xf2; and coworker on the glycosylation reactivity that was affected by different N-protecting groups of lactosamine disaccharides.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-858894-s006.tif"/>
</fig>
<p>The NHTroc-protected lactosamine showed the lowest yield (20% by 1<sup>st</sup> generation acceptors and 78% by 2<sup>nd</sup> generation acceptors), assuming acceptors 31 and 32 had the same reactivity (i.e., the remote <italic>N</italic>-protecting group in the reducing glucosamine residue did not affect the reactivity). Likewise, acceptors 33 and 34 were considered to be equally reactive. In contrast, the NHTFA-protected lactosamine displayed the highest glycosylation reactivity (40% by 1<sup>st</sup> generation acceptors and 94% by 2<sup>nd</sup> acceptors) with no oxazoline formation. Moreover, the benzylated acceptors (the 2<sup>nd</sup> generation) significantly produced higher yields, as compared to the peracetylated acceptors (the 1<sup>st</sup> generation). Gratifyingly, the result was well explained by the fact that benzylated acceptor has higher reactivity than the acetylated ones, which was in agreement with that obtained by Wang and coworkers (<xref ref-type="bibr" rid="B46">46</xref>). Owing to the electron-withdrawing feature of ester-type protecting groups, the reduced nucleophilicity indeed decreased the glycosylation yields (see the reactions using acceptors 31 and 32, vs. 33 and 34 in <xref ref-type="fig" rid="f8">
<bold>Scheme 6</bold>
</xref>). As a consequence, to optimize glycosylation conditions, selection of different protecting groups appears to be critical to tune donors&#x2019; reactivity and acceptors&#x2019; nucleophilicity.</p>
</sec>
<sec id="s3">
<title>Synthesis of Type-I LacNAc Repeating Oligosaccharides</title>
<p>In comparison with naturally prevalent Type-II LacNAc, Type-I LacNAc also exists in several antigens of Lewis blood groups, such as Le<sup>a</sup>, Le<sup>b</sup> and sialyl Lewis A (sLe<sup>a</sup>). These glycans are involved in many biological processes including tumor metastasis (<xref ref-type="bibr" rid="B47">47</xref>). Recent studies indicated that Type-I LacNAc-tandem repeats were isolated from SW1116 human colorectal carcinoma cell line (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B48">48</xref>, <xref ref-type="bibr" rid="B49">49</xref>) and shown as the specific ligands of the tumor-associated human galectin 3 (<xref ref-type="bibr" rid="B22">22</xref>, <xref ref-type="bibr" rid="B50">50</xref>). Type-I LacNAc-containing glycans can be utilized to gain novel insights about their functional roles, such as interactions with carbohydrate-binding proteins (e.g., galectin 3), fertilization, pathogen adhesion, and inhibitory activity against tumor cells. Therefore, there is a rising urge for chemists to develop efficient synthesis for these glycans or related glycoconjugates.</p>
<p>The first synthesis of Le<sup>a</sup>-tandem repeat was developed and reported by Ishida et&#xa0;al. in 2016 (<xref ref-type="fig" rid="f9">
<bold>Scheme 7</bold>
</xref>) (<xref ref-type="bibr" rid="B51">51</xref>). The fucose-containing trisaccharide 42 was derived from monosaccharide 41 through multiple protecting group manipulations, followed by two glycosylation steps. Next, 42 was converted to either the corresponding <italic>N</italic>-phenyl-trifluoroacetimidate donor (43) <italic>via</italic> anomeric desilylation and acetimidation, or the trisaccharide acceptor (44) <italic>via</italic> selective removal of the allyl group at C-4 of Gal residue. The Lewis acid (TMSOTf)-catalyzed [3 + 3] glycosylation resulted in the formation of hexasaccharide 45 in 93% yield. The same strategy was also applied to provide hexasaccharide donor 46 and hexasaccharide acceptor 47 that were subjected to [6 + 6] glycosylation with the same Lewis acid to produce dodecasaccharide 48. A linker was introduced at the reducing end of 48 to produce this Le<sup>a</sup>-tandem repeat oligosaccharide. Although there was a high or excellent yield in every step, this synthetic procedure was tedious and laborious, considering the number of reaction steps and multiple protecting groups employed. As a consequence, to develop a more convenient approach has drawn increasing attention.</p>
<fig id="f9" position="float">
<label>Scheme 7</label>
<caption>
<p>Synthesis of Lea-tandem repeat dodecasaccharide 48 by Ishida and coworkers (TBDPS, t-butyldiphenylsilyl; PTFAI, N-phenyltrifluoroacetimidate).</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-858894-s007.tif"/>
</fig>
<p>Elling and coworkers developed a one-pot and sequential approach to prepare Type-I LacNAc oligosaccharides by using two recombinant glycosyltransferases. The procedure started from chemically derivatized GlcNAc-linker-<italic>t</italic>Boc 49 (<xref ref-type="fig" rid="f10">
<bold>Scheme 8</bold>
</xref>). Two recombinant bacterial enzymes, were added to the reaction mixture alternatively, including <italic>E. coli</italic> O55:H7 &#x3b2;1,3-galactosyltranserase (&#x3b2;1,3GalT) and <italic>H. pylori</italic> &#x3b2;1,3-<italic>N</italic>-acetylglucosaminyltransferase (&#x3b2;3GlcNAcT). Di-, tri-, tetra- and pentasaccharides were synthesized in high overall yields. However, &#x3b2;Gal3T showed low activity towards longer Type-I LacNAc glycan acceptors, resulting in unsatisfying yields for hexa-, hepta- and octasaccharides. The problem was not solved albeit with extra additions of enzymes (&#x3b2;3GalT, alkaline phosphatase) and donor (UDP-Gal).</p>
<fig id="f10" position="float">
<label>Scheme 8</label>
<caption>
<p>Enzymatic synthesis of Type-I LacNAc oligomers by Elling and coworkers.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-858894-s008.tif"/>
</fig>
<p>In comparison with the alternative enzyme usage, the one-pot, simultaneous usage of &#x3b2;3GalT and &#x3b2;3GlcNAcT was examined with different activity-based enzyme ratios (<xref ref-type="fig" rid="f10">
<bold>Scheme 8</bold>
</xref>) (<xref ref-type="bibr" rid="B52">52</xref>, <xref ref-type="bibr" rid="B53">53</xref>). Varying ratios led to different product distributions. Interestingly, when the ratio of &#x3b2;3GalT/&#x3b2;3GlcNAcT was 5/1, acceptor 49 was consumed completely, generating disaccharide 50 (~80%) as the main product and tetrasaccharide 52 (14%) after 72 h. Nevertheless, this one-pot procedure was restricted towards the synthesis of trisaccharide and longer glycans. The method usually produced a mixture of products, representing another problem in purification of desirable glycans. Additionally, several challenges are associated with enzymatic methods. For instance, most glycosyltransferases and related enzymes are not commercially available. To prepare any of them for the synthetic purpose is time-consuming and may not be cost-effective. At this stage, it is not feasible to synthesize long Type-I oligomers by using &#x3b2;3GalT and &#x3b2;3GlucNAcT unless superior enzymes or/and reaction conditions are identified.</p>
<p>Moreover, inspired by Wong&#x2019;s success of the reactivity-based one-pot synthesis in Type-II LacNAc oligosaccharides, Lin and coworkers demonstrated a one-pot [1 + 1 + 2] glycosylation. The procedure started with a high-RRV galactoside 54 as the donor (RRV = 16500) to couple with a low-RRV, trichloroacetamide (NHTCA)-protected glucosamine acceptor 55 (RRV = 126), as shown in <xref ref-type="fig" rid="f11">
<bold>Scheme 9</bold>
</xref>. In the presence of <italic>N</italic>-iodosuccinimide (NIS) and TMSOTf as the promoter, the glycosylation produced disaccharide 56 as a mixture of &#x3b1;/&#x3b2; isomers (ratio of &#x3b1;/&#x3b2; = 1/7) (<xref ref-type="bibr" rid="B54">54</xref>). The loss of the exclusive stereoselectivity was mainly due to the bulky <italic>O</italic>3-<italic>t</italic>-butyldimethylsilyl group of 54 that caused a distorted chair conformation. The next glycosylation utilized NIS/AgOTf as the milder promoter after donor 54 and acceptor 55 were completely consumed. Although 56 existed as a mixture of &#x3b1;/&#x3b2; isomers, the coupling with disaccharide 57 produced tetrasaccharide 58 of the desired &#x3b2;,&#x3b2;,&#x3b2;-stereochemistry in a total 45% yield, without detection of the isomeric &#x3b1;,&#x3b2;,&#x3b2;-product. To explain the stereochemistry outcome, 57 was glycosylated with either pure &#x3b1;-isomer (Gal-&#x3b1;1,3-GlcNHTCA, 56&#x3b1;) or &#x3b2;-isomer (Gal-&#x3b2;1,3-GlcNHTCA, 56&#x3b2;). Interestingly, 56&#x3b1; was activated faster than 56&#x3b2; and thus rapidly hydrolyzed without forming the expected tetrasaccharide of &#x3b1;,&#x3b2;,&#x3b2;-stereochemistry.</p>
<fig id="f11" position="float">
<label>Scheme 9</label>
<caption>
<p>One-pot [1 + 1 + 2] glycosylation to synthesize tetrasaccharide 58 by Lin and coworkers.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-858894-s009.tif"/>
</fig>
<p>The idea of performing the one-pot synthesis of tetrasaccharide 58 can be further extended to synthesize Type-I LacNAc oligosaccharides in an efficient and convenient way, but there were problems to be resolved. First, the methoxy group at the reducing end of acceptor 57 eliminated the possibility for further glycan elongation. More importantly, the issue of &#x3b2;-selectivity in the first glycosylation has to be addressed, otherwise the formation of undesired disaccharide 56&#x3b1; unavoidably decreases the overall yield, making it impractical to prepare elongated glycans.</p>
<p>Because the reactivity difference between glycosyl donors and acceptors is critical in chemoselective glycosylation, it is indispensable for identifying suitable donor-acceptor pairs which can be accomplished by using different protecting groups to tune their reactivities. Hence, with the systematic investigation on the reactivities of thiotoluenyl-linked disaccharide donors and acceptors (shown as RRVs), Lin and coworkers synthesized various tetrasaccharides by performing chemoselective coupling of these glycosyl donors and acceptors in the presence of NIS and TMSOTf (0.2 equiv), as shown in <xref ref-type="fig" rid="f12">
<bold>Scheme 10</bold>
</xref>. To provide a useful guideline obtaining maximal yields, they plotted a graph between the tetrasaccharide yields and the corresponding RRV difference (RRV<sub>D</sub>, between the donors and acceptors) (<xref ref-type="fig" rid="f12">
<bold>Scheme 10</bold>
</xref>) (<xref ref-type="bibr" rid="B55">55</xref>). They concluded that the RRV<sub>D</sub> threshold, sufficient RRV<sub>D</sub> equal to or higher than 6311 (i.e., RRV<sub>D</sub> &#x2265; 6311 or ln(RRV<sub>D</sub>) &#x2265; 8.75), is required to afford Type-I LacNAc tetrasaccharides in good yields (&gt; 60%). The idea of RRVD threshold can not only significantly prevent aglycon transfer, but also additionally help to design synthetic procedures for Type-I LacNAc oligosaccharides with satisfying yields.</p>
<fig id="f12" position="float">
<label>Scheme 10</label>
<caption>
<p>The importance of exceeding the RRVD threshold for efficient synthesis of Type-I oligomers demonstrated by Lin and coworkers.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-858894-s010.tif"/>
</fig>
</sec>
<sec id="s4">
<title>Synthesis of Other Related Glycans</title>
<p>The solutions improving the synthesis of Type-I/II glycans are beneficial to the preparation of other glycans that contains similar structural motifs (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). For instance, bacterial peptidoglycans contain the repeating unit of GlcNAc-&#x3b2;1,4-MurNAc(pentapeptide) (see the structure of 80 in <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2</bold>
</xref>). Since MurNAc is a GlcNAc derivative, GlcNAc-&#x3b2;1,4-MurNAc can be considered as the modified version of Type-II LacNAc. Human milk oligosaccharides are known to contain &#x3b2;-1,3/4-linkage sugar residues, including Gal-&#x3b2;1,4-Glc, Gal-&#x3b2;1,3-GlcNAc and Gal-&#x3b2;1,4-GlcNAc (e.g., Lacto-<italic>N</italic>-tetraose 81). Likewise, Globo-H hexasaccharide (82), one of TACAs, has the moieties of Gal-&#x3b2;1,3-GalNAc and Gal-&#x3b2;1,4-Glc. Preparation of these glycans or glycoconjugates unavoidably encounter various problems, like what we previously discussed. As a consequence, the aforementioned ideas and approaches are presumably useful, such as the concept of RRV threshold and the ways to prevent the formation of stable oxazoline side-products, making it possible to produce these oligosaccharides at a suitable scale with high efficiency. With continuing advances in the field of carbohydrate synthesis, the expansion of these developed methods and related applications will serve as an important stepping stone toward a foreseeable promise for efficient glycan synthesis operated with a rational design and analysis.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Glycans containing &#x3b2;-1,3/4 glycosidic bonds (indicated as red color). Disaccharides marked by rectangles are analogous to Type-I or Type-II LacNAc.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-858894-g002.tif"/>
</fig>
</sec>
<sec id="s5">
<title>Challenges and Future Perspectives</title>
<p>In the past two decades, tremendous efforts have been made to develop an efficient methodology for preparing complex oligosaccharides. To assemble complicated glycan structures in a more rapid, efficient and massive way, many strategies have been studied, including protecting group manipulation, one-pot glycosylation, chemoenzymatic synthesis, or even the combination of these strategies (e.g., protecting-group controlled enzymatic glycosylation) (<xref ref-type="bibr" rid="B56">56</xref>). Additionally, a solid-phase oligosaccharide synthesizer, enabling automated glycan assembly, was developed by Seeberger to prepare desired glycans in a fast and reproducible fashion. Through the resin equipped with a photolabile linker as a solid support, a set of Lewis, Type-I/II oligosaccharides (Le<sup>a</sup>, Le<sup>b</sup>, Le<sup>x</sup>, Le<sup>y</sup>, lactotetraosyl, neolactetraosyl) were synthesized successfully by using a large quantity of glycan building blocks (5&#x2013;8 equiv) (<xref ref-type="bibr" rid="B57">57</xref>). However, the assembly of Type-I and Type-II LacNAc-tandem repeat glycans still represents a long-lasting challenge due to several limiting factors shown as follows.</p>
<p>Firstly, the intrinsic low nucleophilicity of 3/4-OH of glucosamine acceptor has impeded the synthesis of Gal&#x3b2;1,3GlcNAc and Gal&#x3b2;1,4GlcNAc disaccharide precursors at the very beginning (<xref ref-type="bibr" rid="B44">44</xref>, <xref ref-type="bibr" rid="B58">58</xref>, <xref ref-type="bibr" rid="B59">59</xref>). Both hydroxyl groups are easily affected by adjacent protecting groups. The latest discovery by Wang and coworkers also pinpointed the deactivating effect of electron-withdrawing group (e.g. benzoate) to reduce the hydroxyl nucleophilicity that is indexed in terms of acceptor nucleophilic constant (Aka) (<xref ref-type="bibr" rid="B46">46</xref>). Although it seems feasible to compensate the poor nucleophilicity of acceptor by increasing the donor reactivity, the effort usually leads to rapid hydrolysis before formation of a desired glycosidic linkage. The problem of preparing Type-I LacNAc is more serious than preparing Type-II LacNAc because 3-OH is less reactive than 4-OH (<xref ref-type="bibr" rid="B58">58</xref>). This is in agreement with the analysis of Wang&#x2019;s Aka values (perbenzylated glucoside&#x2019;s Aka value of 4-OH is 2.68, whereas that of 3-OH is 1.62), as well as the results of Lin&#x2019;s (<xref ref-type="bibr" rid="B50">50</xref>, <xref ref-type="bibr" rid="B54">54</xref>, <xref ref-type="bibr" rid="B55">55</xref>) and Madsen&#x2019;s work (<xref ref-type="bibr" rid="B58">58</xref>). The nucleophilicity is known to be influenced by steric effect (e.g., primary vs. secondary alcohol) and electronic effect (electron-withdrawing vs. electron-donating group) as mentioned previously. Additionally, other effects were reported to influence acceptor&#x2019;s reactivity, such as hydrogen bonding and conformational change. To enhance the acceptor reactivity is thus a complex issue.</p>
<p>The reactivity-based chemoselective glycosylation represents an effective strategy by tuning and matching the RRVs of donors and acceptors. However, this strategy is usually accompanied by aglycon transfer of the acceptor, especially when the nucleophilicity of the hydroxyl group is much lower than the anomeric thio-moiety (<xref ref-type="bibr" rid="B60">60</xref>&#x2013;<xref ref-type="bibr" rid="B64">64</xref>). To circumvent this problem, Glidersleeve et&#xa0;al. surveyed a series of thio-aglycon groups and discovered that thio-2,6-dimethylphenyl (SDMP) can block the aglycon transfer completely because of the corresponding steric hindrance (<xref ref-type="bibr" rid="B65">65</xref>). Therefore, a SDMP-based RRV database may possibly provide a satisfying solution for chemoselective one-pot glycosylation.</p>
<p>Another concern is how to select <italic>N</italic>-protecting group of glucosamine acceptors. Various amide- or carbamate-type <italic>N</italic>-protecting groups have been utilized for the purpose of the neighboring group participation to produce &#x3b2;-stereoselectivity (<xref ref-type="bibr" rid="B66">66</xref>&#x2013;<xref ref-type="bibr" rid="B71">71</xref>). However, most of them still display limitations during glycosylation. For example, the synthesis of <italic>O</italic>-sulfated sLe<sup>x</sup> antigens by Chen et&#xa0;al. started from <italic>N</italic>-phthalimido-3,4-diol glucosamine derivatives as glycosyl acceptors. The glycosylation exhibited good regioselectivity towards 4-OH, owing to the differential steric hindrance of the two hydroxyl groups. The C3-hydroxyl group is near the bulky <italic>N</italic>-phthalimide and thus hindered for reaction (<xref ref-type="bibr" rid="B72">72</xref>). In comparison with <italic>N</italic>-phthalimide, 2,2,2-trichloroethoxycarbarmate (NHTroc) is less bulky, but it has to be removed either under harsh conditions (e.g., Zn and acidic condition under a high temperature) (<xref ref-type="bibr" rid="B73">73</xref>), or by a radical method which often results in a significant amount of a dichloroethoxycarbonylated byproduct (<xref ref-type="bibr" rid="B74">74</xref>). Although trichloroacetamide (NHTCA) or trifluoroacetamide (NHTFA) have been widely used and can be easily deprotected (<xref ref-type="bibr" rid="B75">75</xref>&#x2013;<xref ref-type="bibr" rid="B78">78</xref>), the formation of TCA-oxazoline as a stable side product is known to be problematic (<xref ref-type="bibr" rid="B55">55</xref>, <xref ref-type="bibr" rid="B79">79</xref>). For example, the chemical synthesis of a hyaluronic acid decasaccharide by Huang et&#xa0;al. was hampered by the substantial formation of TCA-derived oxazoline side products (<xref ref-type="bibr" rid="B79">79</xref>). Despite the addition of TMSOTf to suppress their formation by shifting the equilibrium from oxazoline to oxazolinium ion (<xref ref-type="bibr" rid="B80">80</xref>), a significant amount of the oxazoline species was still detected during the elongation of longer saccharides (<xref ref-type="bibr" rid="B55">55</xref>, <xref ref-type="bibr" rid="B79">79</xref>).</p>
<p>Moreover, when a relatively acidic oxazolinium accumulates to a high level in glycosylation reactions, it would possibly activate NIS and then thioglycosides, with concomitant formation of a deprotonated yet stable oxazoline (<xref ref-type="bibr" rid="B81">81</xref>). Therefore, to resolve this issue, Henrik and coworkers demonstrated the importance of balancing the rate between the oxazoline formation (rate constant <italic>k<sub>1</sub>
</italic> in <xref ref-type="fig" rid="f13">
<bold>Scheme 11</bold>
</xref>) and the subsequent glycosylation (<italic>k<sub>2</sub>
</italic>), which can be achieved by tuning the amount and Lewis acidity of the catalyst (e.g., Bi(OTf)<sub>3</sub>, Fe(OTf)<sub>3</sub>&#xb7;DMSO). The glycosylation yield was thus improved significantly by maintaining a low concentration of the oxazoline under the reaction condition. This approach was found useful to obtain good yields for the acceptors containing a primary hydroxyl group, but the reactions for those containing a secondary hydroxyl still gave moderate yields. Meanwhile, Hashimoto and coworkers used triflimide to convert glycosyl diethylphosphite to &#x3b1;-glycosyl triflimide for the subsequent glycosylation, which successfully avoided the oxazoline formation (<xref ref-type="bibr" rid="B82">82</xref>, <xref ref-type="bibr" rid="B83">83</xref>).</p>
<fig id="f13" position="float">
<label>Scheme 11</label>
<caption>
<p>General scheme for the glycosylation with a GlcNAc-derived donor where an oxazoline is formed as a stable intermediate.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fimmu-13-858894-s011.tif"/>
</fig>
<p>Even though these aforementioned methods were established to overcome the oxazoline formation, their efficacy is usually dependent on promoters, donors or acceptors. There is still lack of systematic investigations that are expected to offer a universal solution to the majority of glycosylation reactions. The examination of <italic>N</italic>-protecting groups likely shows a great promise when taking account of the fact that <italic>N</italic>-protecting groups are essential for controlling the glycosylation stereoselectivity and tuning the saccharide reactivity at the same time. If <italic>N</italic>-protecting groups are able to form corresponding oxazolines, they can also alter the reactivity of oxazoline and thus shift the oxazoline/oxazolinium equilibrium. If the past is any indication of the future, undoubtedly, the development of an advanced methodology will be mostly emphasized on chemoselective one-pot synthesis with prior analysis on the reactivity of donors and acceptors.</p>
</sec>
<sec id="s6" sec-type="author-contributions">
<title>Author Contributions</title>
<p>Writing, figures, and original draft preparation, RP. Writing, reviewing, and editing, C-HL. Both authors contributed to the article and approved the submitted version.</p>
</sec>
<sec id="s7" sec-type="COI-statement">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s8" sec-type="disclaimer">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgments</title>
<p>This work was supported by Academia Sinica (AS-GC-110-04) and (AS-GC-110-MD04).</p>
</ack>
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