Neoplastic T cells in
mycosis fungoides (MF) are resistant to apoptotic agents, including
galectin-1 that is abundant in skin. Although MF cells are typically CD7-, and thus
galectin-1 resistant, CD7+ HH cells, derived from a patient with MF, were also resistant to
galectin-1. HH cells demonstrate altered cell surface glycosylation, with loss of core 2 O-
glycan ligands for
galectin-1 created by core 2 beta1,6-N-acetylglucosaminyltransferase (C2GnT-I). Loss of core 2 O-
glycans on
tumor cells was also seen in primary CD7+ MF lesions. Surprisingly, HH cells are heterozygous for a C2GnT-I point mutation, yet this mutation resulted in a dramatic reduction in cellular
glycosyltransferase activity. Expression of wild-type C2GnT-I in human HH cells, or murine
lymphoma cells that lack C2GnT-I, restored core 2 O-
glycan expression and susceptibility to
galectin-1, whereas mutant
enzyme lacked activity and did not restore core 2 O-
glycan expression or susceptibility to
galectin-1. Mutant
enzyme did not have a dominant negative effect by affecting dimerization or activity of wild-type
enzyme; rather, C2GnT-I haploinsufficiency is sufficient for loss of core 2 O-
glycan expression and
galectin-1 resistance. Thus,
glycosyltransferase haploinsufficiency results in altered cellular glycosylation and resistance to cell death, identifying a new survival mechanism for T-
lymphoma cells.