Tamm-Horsfall glycoprotein (THP) is a major glycoprotein associated with human urine that binds proinflammatory cytokines and also inhibits in vitro T cell proliferation induced by specific antigens. THP derived from human pregnancy urine (designated uromodulin) has previously been shown to be 13-fold more effective as an inhibitor of antigen-induced T cell proliferation than THP obtained from other sources. Structural analysis of human THP and uromodulin has for the first time revealed that these glycoproteins are O-glycosylated. THP from nonpregnant females and males expresses primarily core 1 type O-glycans terminated with either sialic acid or fucose but not the sialyl Lewis x epitope. By contrast, the O-glycans linked to uromodulin include unusual core 2 type glycans terminated with one, two, or three sialyl Lewis x sequences. The specific association of these unusual carbohydrate sequences with uromodulin could explain its enhanced immunomodulatory effects compared with THP obtained from males and nonpregnant females. Analysis of THP from one of the pregnant females 2 months postpartum showed a reversion of the O-glycan profile to that found for a nonpregnant female. These data suggest that the glycosylation state of uromodulin could be under the regulation of steroidal hormones produced during pregnancy. The significant physiological implications of these observations are discussed.
Tamm-Horsfall glycoprotein (THP)1 is the most abundant glycoprotein in human urine (1, 2). The precise physiological role of THP remains enigmatic, despite considerable investigation of this glycoprotein over the past 50 years. THP was shown to block hemagglutination induced by influenza, mumps, and Newcastle disease viruses (1, 2). THP has been postulated to be essential for protecting the kidneys from bacterial infections (3, 4). THP has also been implicated as a potential component necessary for maintenance of the electrolyte balance in the nephron (5). In addition, THP may also play a significant role in several pathological conditions involving the kidney, including acute renal failure, urinary tract infection, stone formation, and interstitial nephritis (6).In 1973, two studies (7, 8) suggested that human chorionic gonadotropin isolated from pregnancy urine suppressed specific immune activities in vitro. However, this immunosuppressive activity turned out to be due to a contaminant of the human chorionic gonadotropin preparation (9, 10). Muchmore and Decker (11) later used lectin affinity chromatography, gel separation, and isoelectric focusing to purify a glycoprotein from human pregnancy urine that mediated this immunosuppressive activity. They designated this glycoprotein "uromodulin" to account for its origin and its immunomodulatory activities. Amino acid sequence analysis (12, 13) revealed that uromodulin represented THP glycoforms produced during pregnancy.Uromodulin was initially shown to inhibit antigen-induced T cell proliferation at relatively low concentrations (11). Subsequent investigations by Muchmore and ...