Aberrant expression of immature truncated O-
glycans is a characteristic feature observed on virtually all epithelial
cancer cells, and a very high frequency is observed in early epithelial premalignant lesions that precede the development of
adenocarcinomas. Expression of the truncated O-
glycan structures Tn and sialyl-Tn is strongly associated with poor prognosis and overall low survival. The genetic and biosynthetic mechanisms leading to accumulation of truncated O-
glycans are not fully understood and include mutation or dysregulation of
glycosyltransferases involved in elongation of O-
glycans, as well as relocation of
glycosyltransferases controlling initiation of O-glycosylation from Golgi to endoplasmic reticulum. Truncated O-
glycans have been proposed to play functional roles for
cancer-cell invasiveness, but our understanding of the
biological functions of aberrant glycosylation in
cancer is still highly limited. Here, we used exome sequencing of most
glycosyltransferases in a large series of primary and metastatic
pancreatic cancers to rule out somatic mutations as a cause of expression of truncated O-
glycans. Instead, we found hypermethylation of core 1 β3-Gal-T-specific
molecular chaperone, a key chaperone for O-
glycan elongation, as the most prevalent cause. We next used gene editing to produce isogenic cell systems with and without homogenous truncated O-
glycans that enabled, to our knowledge, the first polyomic and side-by-side evaluation of the
cancer O-glycophenotype in an organotypic tissue model and in xenografts. The results strongly suggest that truncation of O-
glycans directly induces oncogenic features of cell growth and invasion. The study provides support for targeting
cancer-specific truncated O-
glycans with immunotherapeutic measures.