This white paper originated from a Working Group meeting convened by the National Heart Lung and Blood Institute on April 15, 2015. It incorporates contributions by the participants as well as other thought leaders who represent research fields relevant to all NIH Institutes. The group was deliberately composed not just of individuals with a current interest in the glycosciences, but also included many experts from other fields, who evinced a strong interest in being involved in the discussions. The objective was to discuss the value and mechanisms for creating centers of excellence for training the next generation of biomedical investigators in the glycosciences, with the goal of bringing glycoscience into the mainstream of biology by generating a critical sustainable workforce that will advance the translation of glycosciences in biology and medicine, and to integrate glycoscience education into the curricula of medical and graduate schools.
Background and Current Status
Every living cell in nature that has emerged from more than 3 billion years of biological evolution is composed of nucleic acids, proteins, lipids, metabolites and glycans. Each of these components remains essential to all life forms. Until the 1970s, the study of glycans, both their chemistry and biology (together now termed “glycosciences”), was an integral part of the exploration of all biological systems, generating major advances in fields as diverse as hematology, microbiology, metabolism and material sciences. With the rapid advent of new insights and powerful tools, the study of nucleic acids and proteins came to dominate the molecular biology revolution of subsequent decades. While similar revolutions in the biological exploration of lipids and metabolites have now followed, the study of glycans has been left far behind. The reasons for this omission are many, but can be broadly ascribed to the far greater complexity and diversity of this class of molecules, and the related lack of comparable tools for their exploration. Analogous to the situation in cosmology, the “standard model” for approaching biological systems now largely excludes glycans, which have effectively become the “dark matter” of the biological universe: critical for a full understanding of biology, and yet routinely ignored. While a small number of scientists persisted in the in-depth study of glycans (resulting in a specialized field called “Glycobiology”), an entire generation of mainstream biologists has been trained with little knowledge of the structures, analysis or functions of glycans, or even in the terminology required for discussing them. This anomaly in the history of the biological sciences has since trickled down to all levels of education, resulting in lost opportunities for a more complete understanding of the biology and pathology of living systems, which would also greatly benefit therapeutic development and medical practice. Today very few scientists are trained in understanding glycosciences and studies of glycans have also lost prominent attention from major journals and grant review groups, or recognition by honors and awards.
Recognizing this stark deficiency, the NIH, NSF, DOE, FDA and HHMI commissioned an enquiry into the situation by the National Research Council of the National Academies. The resulting 2012 report entitled “Transforming Glycoscience: A Roadmap for the Future” noted that:
“Glycoscience is a highly interdisciplinary field that aims to better understand the structures and functions of glycans and how they can be used. It is a global field with a dedicated community of researchers in the United States and abroad. Glycoscientists do not have a single training/ education background. They come from various fields, including physiology and developmental biology, where glycans are involved in processes such as cell movement and tissue development. They are in medicine, where glycans are involved in the development and progression of chronic and infectious diseases. In microbiology, glycans are key players in interactions among and between microbes and host cells. Glycoscientists are chemists developing new synthetic and analytical methods for glycans, and biochemists working to understand glycan synthesis and metabolism. In materials science, glycans can be used as polymeric materials having a wide range of properties. In computational science and informatics, modeling studies and the effective analysis of large amounts of experimental data are also necessary to better understanding glycans.”
In the area of human health, the NRC Report also noted that:
*Glycans are directly involved in the pathophysiology of every major disease.
*Additional knowledge from glycosciences will be needed to realize the goals of personalized medicine and to take advantage of the substantial investments in human genome and proteome research and its impact on human health.
*Glycans are increasingly important in pharmaceutical development.
Among the resulting Roadmap Goals in the NRC report were specific comments and recommendations regarding enhanced training in the Glycosciences:
“… the committee notes that there is widespread lack of understanding and appreciation of glycoscience in the scientific and medical communities and among the general public. Glycans are integral components of living organisms, whether human, animal, plant, or microbe, and glycan products have applications in health, energy, and materials science. The committee concludes that integrating glycoscience into relevant disciplines in high school, undergraduate, and graduate education, and developing curricula and standardized testing for science competency would increase public as well as professional awareness.”
“Within 10 years, glycoscience will be integrated and taught at every level wherever it is relevant to understand the scientific content.”
In response to the overall NRC report, the NIH Office of Strategic Coordination via The NIH Director’s Common Fund released a series of Requests for Applications (RFA) with the following program initiatives:
*Facile Methods and Technologies for Synthesis of Biomedically Relevant Carbohydrates (U01) (RFA-RM-15-007)
*Novel and Innovative Tools to Facilitate Identification, Tracking, Manipulation, and Analysis of Glycans and their Functions (R21) (RFA-RM-15-008)
*Novel and Innovative Tools to Facilitate Identification, Tracking, Manipulation, and Analysis of Glycans and their Functions (U01) (RFA-RM-15-009)
*Planning grants for Data Integration and Analysis tools: Accessible resources for integration and analysis of carbohydrate and glycoconjugate structural, analytical, and interaction data in the context of comparable gene and protein data (R34) (RFA-RM-14-012)
Notably lacking in these RFAs is any direct reference to training in glycosciences. It was the charge of this Working Group to consider and make recommendations for mechanisms to address this unmet need. The broad theme that emerged from the meeting was the urgent need to bring the glycosciences back into the mainstream of biology by integrating relevant education into the curricula of medical, graduate and post-graduate training programs, thus generating a critical sustainable workforce who will advance the much-needed translation of glycosciences into a more complete understanding of biology and the enhanced practice of medicine.
Definition of needs and opportunities
There is increasing recognition of the diverse roles and uses of glycans in biology and medicine. Yet glycoscience has not gained much attention in the mainstream of biology, and is viewed as a niche research area with relatively few qualified researchers. While high school, undergraduate and graduate students learn about nucleic acids, proteins, lipids and metabolites, their competency in understanding the chemistry and biology of glycans is now conspicuously deficient. Also, compared to the NIH investments made to understand other major components of life, glycans have received very little attention. This chasm needs to be addressed by training a new generation of biomedical researchers for whom glycans are an integral part of their mainstream thinking.
The Working group discussed the role of glycosciences in the discovery process. One theme that repeatedly arose was that the field is indeed poorly represented among researchers and lecturers at most biomedical research institutions. Despite this, some great advances in biomedical discovery in several areas including hematology, immunology, infectious diseases, genetic diseases, cancer, and neuroscience have been facilitated by the coincidental proximity of key investigators to colleagues who understood the glycoscience aspects of their research and also had the motivation and tools to apply this understanding to the biomedical challenges at hand. Without such serendipitous input, the discoveries would have been delayed or not been made at all. Furthermore, without knowledgeable faculty in many biomedical educational institutions there is a striking absence of lectures and seminars in the area. This creates a feed-forward self-perpetuating deficit of knowledge in the field. Glycosciences are not taught (or barely taught) at academic institutions, resulting in a generation of otherwise superbly trained physicians and biomedical scientists who are nonetheless unfamiliar with language and basic knowledge in this key aspect of all biological systems. When such individuals enter the biomedical workforce, whether in academia, science administration, or the drug discovery and diagnostics industries, they are unlikely to grasp the implications of glycosciences for their own work, or that of others. They are also unlikely to sufficiently emphasize glycoscience training in the curricula they develop. Generation after generation, we are now losing ground with regard to the potential of this discipline.
For those few who do make glycosciences their career, the rewards of discovery are hard fought, often against a headwind of resistance from editorial boards, grant review committees, and biomedical investment groups who lack the basic knowledge of glycosciences necessary to understand the goals and opportunities at hand. Despite these challenges, significant advances have been translated from glycoscience discovery to the clinic. For example, many groundbreaking biologicals now in the clinic such as cytokines like erythropoietin and all monoclonal antibodies are glycoproteins that are expressly dependent on their glycan for pharmacodynamic and pharmacokinetic properties, stability and function. Important vaccines have been developed based on microbial glycans such as pneumococcus and haemophilus polysaccharides. In addition, glycomimetic compounds developed to target glycan-binding sites on functional glycan binding proteins are now showing promise for syndromes such as sickle cell crises, with more under development by the biotech and pharmaceutical industries.
A consensus arose on the committee that the basic and therapeutic significance of glycosciences has already been well established, with more progress on the way. But maintaining and accelerating translation in glycosciences will require a reversal of the ongoing year-over-year deficit of knowledge in this area among most biomedical scientists. One solution will be to populate major academic research centers, research institutes, government laboratories and drug development companies with colleagues who have experience and knowledge in the glycosciences. But the pool of such individuals is currently very small. Potential resources that will help correct this situation are discussed further below. Major ideas to bring more of our trainees and colleagues on board include:
*Add basic knowledge of glycoscience to national standardized tests to encourage inclusion of the discipline in teaching.
Include more key concepts of glycoscience in undergraduate and graduate level textbooks in the biomedical sciences (e.g. cell biology, biochemistry).
*Encourage opportunities for hands-on training in glycoscience experimentation and discovery.
*“Democratize” glycoscience for non-specialists. Train life scientists and clinicians to be conversant in the discipline, even if they never become experts.
*Encourage glycoscientists to seek opportunities to lecture outside of the field in order to disseminate knowledge, break down barriers, and motivate others to embrace glycoscience within their biomedical world-view.
*Integrate glycosciences in their appropriate place in all major chemical and biomedical disciplines, instead of as a field apart. Make glycobiology integral to biology and glycochemistry integral to biochemistry and organic chemistry.
*Emphasize the attractive biological functional aspects of the field to motivate students and colleagues to delve more deeply into its details.
*Promote existing resources (textbooks, online content) to help established faculty expand glycoscience teaching.
*Leverage opportunities from successful pharmaceuticals that have been highlighted online and in popular press whose development depended on the positive effects of glycosciences.
*Encourage training of those at regulatory and governmental bodies in the opportunities of glycosciences.
Specific Recommendations on developing resources for glycoscience training
It is the consensus of the working group that bottom-up rebuilding of the glycoscience enterprise with a long-range perspective will enhance all aspects of biology and medicine. In particular, investing resources to populate the biomedical research enterprise at all levels with individuals trained in the discipline will have out-sized positive effects on discovery. The presence of trained glycoscientists as researchers, faculty members, science administrators, reviewers, journal editors, biomedical investors, patent officers, and consultants will reverse the “glycoscience desert” at many institutions and levels, and begin to reinfuse knowledge about glycans into teaching, research, and the knowledge base of physicians and scientists.
As demonstrated by the successes of the current NHLBI-sponsored Programs of Excellence in Glycosciences, a quick way to achieve this goal in the short term is to develop programs of supervised research training and bring more young investigators at the postdoctoral and starting faculty level into the field. This type of intensive immersion training of those late in their training careers has been shown to have a significant positive outcome in keeping trainees in the field when they embark on independent careers. A number of ideas along this line were proffered including:
*Create centers of excellence for training the next generation of biomedical investigators in the glycosciences. As an example, establish new K12 and K01 mechanisms to support supervised transition of biomedical scientists late in training to independent careers with full integration of the glycosciences. It is anticipated that such awards would incentivize established experts to recruit and mentor young colleagues, and to expand the presence of independent glycoscience-knowledgeable investigators across the biosciences.
*Provide independent support for those with recent glycoscience-related doctorates to pursue glycoscience-related postdoctoral research collaboratively in laboratories that are not traditionally glycoscience focused. This support will encourage those with glycoscience needs to access expertise and expand the knowledge base of their laboratories in this discipline.
*Create a collaborative research award for a laboratory in need of glycoscience expertise to work with an established glycoscience laboratory. This could perhaps take the form of supplements to existing R01 grants of the two labs in question. This mechanism should be considered by all NIH institutes whose portfolios are relevant to glycosciences.
*Support fellowships for undergraduate and medical students to perform summer projects in glycoscience laboratories.
*Encourage NIH institutes to include glycoscience training in the form of special-emphasis training grants.
*Expand upon the few existing immersive glycoscience training courses to bring investigators who are not in the field up to speed in basic knowledge of glycosciences. A Gordon Conference or Woods Hole/Cold Spring Harbor-style week-long or multi-week format, already successful in advanced glycoscience courses in Europe, could be models. Multidisciplinary meetings or workshops emphasizing the roles of glycans in fields such as neuroscience, cancer, immunity, infectious diseases, blood and vascular systems etc. would also be of value.
*Encourage established glycoscientists to get more involved in basic undergraduate and graduate courses, ranging from organic chemistry to structural biology, physiology, and molecular and cellular biology.
Glycans are ubiquitous in all living cells and organisms, where they serve essential functions, ranging from structural components to regulation of physiological and pathological processes. Evidence clearly indicates that glycans represent a largely untapped resource for biological discovery as well as unanticipated therapeutic opportunities. However, among the major classes of biomolecules, glycans have generally received the least attention and resources, in part due to a self-perpetuating under-appreciation of their biologic impact, their inherent structural complexity, and the lack of tools to synthesize and analyze them. This is changing, with new capabilities and new resources focused on enhancing research tools in glycosciences. While current investments are very worthwhile, they will fall short of their promise unless the stark deficit in training and knowledge in the field is vigorously addressed. The committee recommends using a bottom-up approach that emphasizes training in glycosciences and incentivizing young investigators to explore its potential. This approach will begin to reverse the self-perpetuating underutilization of glycosciences in biomedical sciences and result in out-sized benefits towards enhancing knowledge and tools in the discipline, thus more effectively meeting the mandates of the NHLBI in particular and the biomedical research enterprise in general.
NHLBI website; publication in a scientific journal
The meeting was attended by members of the Division of Blood Diseases and Resources as well as members from the Division of Extramural Research Activities
Rita Sarkar, NHLBI, NIH
Working Group Chairs
Chairs: Ronald Schnaar, Ph.D., Johns Hopkins School of Medicine
Ajit Varki, M.D., University of California, San Diego
Kevin Campbell, Ph.D., University of Iowa
Richard Cummings, Ph.D., Emory University
Umesh Desai, Ph.D., Virginia Commonwealth University
Terence Flotte, M.D., University of Massachusetts
Guy Fogleman, Ph.D., FASEB
David Ginsburg, M.D., University of Michigan
Jeffrey Gordon, M.D., Washington University at St. Louis
Gerald Hart, Ph.D., Johns Hopkins University
Vincent Hascall, Ph.D., Cleveland Clinic Foundation
John Lowe, M.D., Genentech, Inc.
John Magnani, Ph.D., Glycomimetics, Inc.
Lara Mahal, Ph.D., New York University
Robert Sackstein, M.D., Ph.D., Harvard University
Ronald Schnaar, Ph.D., Johns Hopkins School of Medicine
Rita Sarkar, Ph.D., National Heart, Lung, and Blood Institute
Nancy Schwartz, Ph.D., University of Chicago
Ajit Varki, M.D., University of California, San Diego
David Walt, Ph.D., Tufts University
Irving Weissman, M.D., Stanford University
Peter Agre, M.D., Johns Hopkins University
Carolyn Bertozzi, Ph.D., Stanford University
Mina Bissell, Ph.D., Lawrence Berkeley Labs
Mary Estes, Ph.D., Baylor College of Medicine
Fred Gage, Ph.D., Salk Institute, La Jolla
Laura Kiessling, Ph.D., University of Wisconsin
Stuart Kornfeld, M.D., Washington University at St. Louis
Ruslan Medzhitov, Ph.D., Yale University
Richard Roberts, Ph.D., New England Biolabs
Henry Chang, M.D
Beckie Chamberlin, M.S
Donna DiMichele, M.D
Andrei Kindzelski, M.D., Ph.D
Dana Phares, Ph.D
Andre Walker, M.S
Ronald Warren, Ph.D