RT Journal Article SR Electronic T1 Heparan Sulfate-dependent RAGE oligomerization is indispensable for pathophysiological functions of RAGE JF bioRxiv FD Cold Spring Harbor Laboratory SP 2021.06.17.448852 DO 10.1101/2021.06.17.448852 A1 Miaomiao Li A1 Chih Yean Ong A1 Christophe J Langouët-Astrié A1 Lisi Tan A1 Ashwni Verma A1 Yimu Yang A1 Xiaoxiao Zhang A1 Dhaval K. Shah A1 Eric P. Schmidt A1 Ding Xu YR 2021 UL http://biorxiv.org/content/early/2021/08/04/2021.06.17.448852.abstract AB RAGE, a druggable inflammatory receptor, is known to function as an oligomer but the exact oligomerization mechanism remains poorly understood. Previously we have shown that heparan sulfate (HS) plays an active role in RAGE oligomerization. To understand the physiological significance of HS-induced RAGE oligomerization in vivo, we generated RAGE knock-in mice (RageAHA/AHA) by introducing point mutations to specifically disrupt HS–RAGE interaction. The RAGE mutant demonstrated normal ligand-binding but impaired capacity of HS-binding and oligomerization. Remarkably, RageAHA/AHA mice phenocopied Rage−/− mice in two different pathophysiological processes, namely bone remodeling and neutrophil-mediated liver injury, which demonstrates that HS-induced RAGE oligomerization is essential for RAGE signaling. Our findings suggest that it should be possible to block RAGE signaling by inhibiting HS-RAGE interaction. To test this, we generated a monoclonal antibody that targets the HS-binding site of RAGE. This antibody blocks RAGE signaling in vitro and in vivo, recapitulating the phenotype of RageAHA/AHA mice. By inhibiting HS-RAGE interaction genetically and pharmacologically, our work validated an alternative strategy to antagonize RAGE. Finally, we have performed RNA-seq analysis of neutrophils and lungs and found that while Rage−/− mice had a broad alteration of transcriptome in both tissues compared to wild-type mice, the changes of transcriptome in RageAHA/AHA mice were much more restricted. This unexpected finding suggests that by preserving the expression of RAGE protein (in a dominant-negative form), RageAHA/AHA mouse might represent a cleaner genetic model to study physiological roles of RAGE in vivo compared to Rage−/− mice.Competing Interest StatementThe authors have declared no competing interest.