A vital sugar code for ricin toxicity

Ricin is one of the most feared bioweapons in the world due to its extreme toxicity and easy access. Since no antidote exists, it is of paramount importance to identify the pathways underlying ricin toxicity. Here, we demonstrate that the Golgi GDP-fucose transporter Slc35c1 and fucosyltransferase Fut9 are key regulators of ricin toxicity. Genetic and pharmacological inhibition of fucosylation renders diverse cell types resistant to ricin via deregulated intracellular trafficking. Importantly, cells from a patient with SLC35C1 deficiency are also resistant to ricin. Mechanistically, we confirm that reduced fucosylation leads to increased sialylation of Lewis X structures and thus masking of ricin-binding sites. Inactivation of the sialyltransferase responsible for modifications of Lewis X (St3Gal4) increases the sensitivity of cells to ricin, whereas its overexpression renders cells more resistant to the toxin. Thus, we have provided unprecedented insights into an evolutionary conserved modular sugar code that can be manipulated to control ricin toxicity.


Introduction
Ricin is a naturally occurring plant toxin produced in the seeds of Ricinus communis, the castor oil plant [1]. The toxin consists of two polypeptide chains, ricin toxin A chain (RTA) and ricin toxin B chain (RTB). Mediated by RTB with lectin properties, ricin binds to certain carbohydrate residues on the cell surface, and is internalized via retrograde transport into the Golgi and the ER. In the ER, the cytotoxic RTA dissociates and translocates across the ER membrane into the cytosol, where it irreversibly inactivates ribosomes [2]. Due to its potent tox-icity and broad availability, ricin has been classified as a bioweapon [3]. Since no antidote exists and the toxin was found in the hands of extremists and terrorists, it is of paramount importance to uncover its mode of action and elucidate novel therapeutic avenues by identifying the pathways underlying ricin toxicity [4]. Although multiple cellular factors that are required for ricin toxicity have been identified, they often depend on cell type and organism of origin, as well as duration and amount of ricin exposure [5][6][7]. β1,4 galactoses and N-acetylgalactosamine carbohydrate epitopes have been described as the major factors that ricin binds on the cell surface and mediate its toxicity. Shielding of terminal galactoses, e.g., through increased terminal sialylation, or the ablation of cellular galactosylation, results in a reduction of ricin binding and toxicity, consistent with ricin being a galactose-binding lectin [8][9][10]. Absence of fucosylation has also been suggested by us and others to increase resistance to the toxin [11,12]. Early reports have described that overexpression of an α1,3-fucosyltransferase in mutant hamster CHO cells makes them highly sensitive to ricin and other lectins [10,13]. In stark contrast to these observations, overexpression of a putative GDP-fucose transporter, Slc35c2, has been shown to suppress α1,3-fucosylation and increase resistance to ricin [11]. An explanation or further detailed analysis on these conflicting phenotypes has not been provided. Moreover, a potential interplay between galactosylation, fucosylation and sialylation has been implied in the context of ricin toxicity, but never studied in detail [14]. Thus, a thorough examination of the relevance and the exact role of fucosylation in ricin toxicity in different cell types and the underlying mechanistic principles are of paramount importance.
We here provide, for the first time, a detailed study of the role of the GDP-fucose transporter Slc35c1 and the α1,3-fucosyltransferase Fut9 in ricin toxicity, in diverse cellular backgrounds and human patient cells. The use of small-molecule inhibitors allowed us to study the effect of fucosylation, sialylation and their potential interplay, specifically in the context of the plant toxin. Our data led us to identify an evolutionary conserved druggable sugar code that can be manipulated to control ricin toxicity.

Loss of Fut9 and Slc35c1 increases ricin resistance in different cell types
We and others previously identified Fut9 and Slc35c1 as candidate host factors required for ricin toxicity, without any further characterization or validation [11,12]. Both genes are involved in fucosylation: Slc35c1 encodes a GDP-fucose transporter residing in the Golgi and Fut9 encodes a Golgi α1,3-fucosyltransferase (Supplementary information, Figure S1A) [15,16]. To investigate potential roles of these genes and of fucosylation in ricin toxicity, we generated mouse embryonic stem cells (mESCs, haploid state) harboring a reversible gene trap in the first exon of Fut9 or Slc35c1 (Supplementary information, Figure S1B). Mutant clones harboring the gene trap in the sense orientation (knockout, KO) were GFP-positive (GFP+). Their respective wild-type (WT) sister clones, generated by infection with a virus encoding both mCherry and Cre recombinase, which reverses the gene trap and reconstitutes WT gene expression, were mCherry+. Loss of Fut9 or Slc35c1 in diploid murine ESCs did not affect embryonic stem cell identity, pluripotency (Supplementary information, Figure S1C), growth rates or survival, as indicated by constant ratios of GFP+/mCherry+ cells in culture. Upon treatment with ricin, however, multiple independently targeted Fut9 and Slc35c1 KO clones (GFP+) showed a survival advantage over reverted WT sister clones (mCherry+; Figure 1A and Supplementary information, Figure S2A). In line with previous findings [10,11], Fut9 and Slc35c1 KO single-cell clones (diploid) showed an ~10-fold increase in the LD 50 of ricin compared to their WT sister clones ( Figure 1B and 1C). A comparable phenotype of increased resistance was observed when we used the ricin homologue RCA 120 (Supplementary information, Figure  S2B).
Slc35c1 and Fut9 are required to generate the Lewis X epitope (SSEA-1, CD15; Supplementary information, Figure S1A), a prominent stem cell marker [17]. Indeed, Fut9 and Slc35c1 KO mESC clones lacked the fucose-containing SSEA-1 epitope on their cell surfaces (Supplementary information, Figure S2C). Loss of fucosylation was validated by reduced staining with Aleuria aurantia Lectin (AAL; Supplementary information, Figure S2D), which selectively binds fucose. Next, we generated mixed cell populations of Slc35c1 (or Fut9) KO and repaired WT cells (diploid state), derived from the same parent clones, and monitored survival of SSEA-1-positive and SSEA-1-negative sister cells in response to ricin exposure. Loss of SSEA-1 conferred a selective survival advantage of cells in response to ricin treatment ( Figure 1D and Supplementary information, Figure S2E). Thus, mESCs lacking SSEA-1, via loss of Fut9 or Slc35c1, are highly resistant to ricin.
To determine whether Slc35c1 influences ricin toxicity in other cell types, we evaluated how ricin treatment affected the survival of mouse embryonic fibroblasts (MEFs) isolated from Slc35c1 WT (Slc35c1 +/+ ) and KO (Slc35c1 −/− ) embryos [18]. Mutant cells harbor a disruptive neomycin resistance cassette in the first exon of the Slc35c1 gene. Loss of Slc35c1 activity strongly protected MEFs from various concentrations of ricin, even at late time points (Figure 2A and 2B; Supplementary information, Figure S3A). Notably, Slc35c1 KO MEFs completely lacked fucosylated structures ( Figure 2C). As ricin ingestion can lead to accidental intoxication [19], we investigated intestinal organoid cultures (mini-guts) generated from Slc35c1 WT and KO mice (Supplementary information, Figure S3B). As expected, ricin treatment of WT organoids triggered pronounced morphological changes and loss of regenerative capacity compared to untreated controls. However, in the presence of ricin, Slc35c1 KO organoids showed improved morphological integrity and increased survival compared to WT controls ( Figure 2D and 2E; Supplementary information, Figure  S3B). Moreover, splenocytes isolated from Slc35c1 KO mice survived significantly higher doses of ricin than those from WT mice (Supplementary information, Figure  S3C). Finally, Slc35c1 homozygous KO mice that were exposed to sub-lethal dosages of ricin showed decreased weight loss compared to WT littermates (Supplementary information, Figure S3D). Thus, Slc35c1 plays a broad role in ricin toxicity.

Mutation of human SLC35C1 confers resistance to ricin
Mouse and human glycosidic modification patterns can vary substantially [20], therefore we investigated whether our observations in rodents extended to human cells. We assayed dermal fibroblasts isolated from a patient carrying a deficient SLC35C1 [15]. Patients lacking SLC35C1 suffer from diverse symptoms, including severe immunological deficiencies; however, SLC35C1 mutant human fibroblasts are virtually indistinguishable from control fibroblasts [15]. Upon treatment of these cells with ricin, control fibroblasts showed massive cell death, whereas SLC35C1 mutant fibroblasts showed no morphological alterations and no signs of cell death ( Figure 3A and 3B). Thus, genetic ablation of human SL-C35C1 confers resistance to ricin. l-Fucose administration to SLC35C1-CDG (congenital disorders of glycosylation) patients via their daily food intake reduces immunological and other clinical symptoms, potentially by allowing the utilization of the external source of sugar through a poorly characterized salvage pathway [21]. Remarkably, l-fucose supplementation of SLC35C1 mutant human fibroblasts not only reconstituted the expression of fucose, but also restored ricin sensitivity in these cells ( Figure 3A and 3B; Supplementary information, Figure S3E). Similarly, Slc35c1 KO MEFs acquired fucose-containing epitopes together with ricin sensitivity upon treatment with l-fucose ( Figure  3C and Supplementary information, Figure S3F). These results confirm a fucose-dependent role of Slc35c1 in ricin toxicity.

Inhibition of cellular fucosylation is sufficient to confer ricin resistance
To test whether acute, pharmacological inhibition of fucosylation is sufficient to confer ricin resistance, we utilized 2F-peracetyl-fucose, a fucosyltransferase inhibitor that ablates fucosylation [22]. Treatment of the human cell line HL-60 with 2F-peracetyl-fucose led to a dose-dependent loss of fucose-containing Lewis X structures, as indicated by reduced SSEA-1 immunostaining ( Figure 3D) and an increased resistance to ricin ( Figure  3E). Furthermore, treating murine gut organoids with a similar pharmacological inhibitor of fucosylation (2-deoxy-2-fluorofucose) [23] also increased resistance to ricin ( Figure 3F and 3G). Thus, pharmacological inhibition of fucosylation is sufficient to confer ricin resistance.

Slc35c1 is required for shuttling of ricin to the Golgi
To explore the mechanisms of ricin resistance, we tested whether cell surface binding or intracellular trafficking of ricin is altered in Slc35c1-deficient cells. While the RTB of ricin is essential for binding, internalization and trafficking, the catalytically active RTA can be modified to monitor ricin transport and quantify the amount of the modified toxin within different subcellular compartments ( Figure 4A) [24]. Using this method, we did not observe a difference in ricin uptake between Slc35c1 WT or KO cells, as determined by the total amount of intracellular RTA ( Figure 4B and 4C). Loss of Slc35c1 expression, however, markedly reduced the amount of ricin present in the Golgi and the ER, as indicated by the amount of sulfated and mannosylated RTA ( Figure 4B and 4C). This suggests that fucosylation is required for targeted transport of ricin to the Golgi. Functionally, ricin-treated Slc35c1 mutant cells displayed higher rates of protein synthesis than ricin-treated WT cells ( Figure 4D), confirming reduced ricin-mediated ribosomal poisoning. Thus, loss of Slc35c1 expression does not affect binding and uptake of ricin, but impairs transfer from endosomes to the Golgi, and further to the ER, where ricin is ultimately processed for ribosomal poisoning.

Fucosylation and sialylation play opposite roles in ricin toxicity
As Fut9 and Slc35c1 are required for the synthesis Figure 1 Loss of Slc35c1 and Fut9 protects cells from ricin toxicity. (A) Randomly mutagenized single-cell mESC clones were exposed to ricin (2 ng/ml) for 10 days and ratios of GFP+/mCherry+ cells were measured. Isolated, ricin-resistant, mutant clones were then analyzed via inverse PCR and their integration sites were determined. All clones were found to harbor the gene trap in sense orientation at the indicated intronic sites (green arrows) of either Fut9 (asterisks) or Slc35c1 (black triangles). (B) Survival of mESCs harboring a gene trap in either Fut9 or Slc35c1 in sense (KO) or antisense (WT) orientation in the presence of the indicated concentrations of ricin. Alamar Blue cell viability assay was used to determine cell survival. Data are representative of three independent experiments. (C) Independent Fut9 and Slc35c1 mutant (KO) and reverted WT mESC sister clones were grown in the presence or absence of ricin (8 ng/ml). Representative images are shown. Scale bar, 100 μm. (D) Mixed populations of unlabeled Slc35c1 WT and mutant (KO) mESCs were exposed to different concentrations of ricin for 3 days. The amount of fucose (detected by AAL) and Lewis X (SSEA-1, CD15) expressing cells was monitored by immunofluorescence microscopy (upper panels) and flow cytometry (lower panels). Scale bar, 50 μm. of both Lewis X (SSEA-1 positive) and sialyl Lewis X epitopes (SSEA-1 negative; Supplementary information, Figure S1A), we hypothesized that the protective effect of impaired fucosylation arises from a reduced display of β1,4 galactose-terminated Lewis X structures within host cells. We generated mutant mESCs that lack the β1,4-galactosyltransferase B4Galt1, which is involved in Lewis X biosynthesis. Upon treatment with ricin, B4Galt1 KO (GFP+) mESCs showed markedly enhanced survival compared to their WT sister clones (mCherry+, Cre; Supplementary information, Figure S4A). This confirms that reduction of β1,4-galactosylation enhances resistance to ricin [10]. To test whether Lewis X itself is in principle susceptible to ricin binding, we added soluble, terminally galactosylated Lewis X tri-saccharide, galactose or fucose to cells and treated them with ricin. Addition of Lewis X or galactose (but not fucose) is sufficient to interfere with ricin toxicity and positively affect ESC survival in the presence of the toxin ( Figure 4E). Previous studies suggested that fucosylation impedes the extent of sialylation of Lewis X and related structures [25] (Supplementary information, Figure S1A). Thus, we reasoned that fucosylation promotes the exposure of otherwise masked (i.e., sialylated) terminal galactose residues in WT cells. In contrast, Slc35c1 KO cells would lack fucosylation and thus all terminal galactoses could be sialylated, resulting in resistance to ricin. In line with previous findings [8], our model predicts that inhibiting sialylation in cells would not only lead to increased amounts of Lewis X (SSEA-1 positive), but also deprive terminal galactoses of sialic acids [9,14] and thus increase sensitivity to ricin ( Figure 5A).

Ablation of the α2,3-sialyltransferase St3Gal4 increases susceptibility to ricin
To uncover the sialyltransferase that is required for ricin resistance, we generated mESC mutants and their respective repaired sister clones for the three potential α2,3-sialyltransferase candidate genes, namely St3Gal3, St3Gal4 and St3Gal6. These enzymes can catalyze the generation of sialyl Lewis X (Supplementary information, Figure S1A), but differ in their expression patterns and catalytic efficiencies [27]. We exposed mixed populations of mutant and repaired, WT mESCs (diploid state) to ricin and observed increased ricin sensitivity in cells lacking St3Gal4 ( Figure 6A), similar to previous reports [28,29]. As expected, ricin sensitivity correlated with a reduced level of sialyl Lewis X in these cells (Supplementary information, Figure S5A). No or minor changes, respectively, were observed in St3Gal3 and St3Gal6 mutants ( Figure 6A and Supplementary information, Figure  S5A). St3Gal4 mutant mESCs were also more sensitive to RCA 120 (Supplementary information, Figure S5B).
To confirm our findings in human cells, we used CRISPR/Cas9 to disrupt ST3GAL4 in the near haploid leukemic cell line KBM7 [30]. We identified two independently targeted single-cell clones that showed a partial deletion of exon 6 at the ST3GAL4 genomic locus ( Figure 6B) and confirmed loss of sialyl Lewis X in these two KO cell lines compared to control cells ( Figure 6C). Both ST3GAL4-mutated KBM7 clones showed higher Lewis X levels (Supplementary information, Figure  S5C) as well as markedly increased sensitivity to ricin relative to the control ( Figure 6D). To further explore WT mouse intestinal organoids were pretreated with FI-2 and exposed to ricin (8 ng/ml) for 5 days. Representative images of organoids are shown. Scale bar, 50 μm. the role of α2,3-sialylation and St3Gal4 in ricin toxicity, we generated mESC with a doxycycline-inducible ST3GAL4 gene linked to mCherry. Mixed populations of infected and uninfected cells, as well as vehicle-treated control cells, were treated with doxycycline and ricin or RCA 120. A selective enrichment of cells that expressed ST3GAL4-mCherry and lacked SSEA-1 could be observed over time ( Figure 6E; Supplementary information, Figure S5D and S5E). These results were confirmed in isolated mESC clones that overexpress ST3GAL4 ( Figure  6F). Thus, St3Gal4 is indeed the key sialyltransferase involved in ricin toxicity in mESCs, and loss of St3Gal4 renders mESCs hypersensitive to ricin killing.

Discussion
The plant toxin ricin is one of the most poisonous naturally occurring substances known [1]. Ricin has been researched and used as an agent of biological warfare for more than 100 years, and has recently been found in the hands of terror organizations [3]. Here, we firmly establish that fucosylation is crucial for ricin toxicity through its inhibitory effects on cellular sialylation patterns, specifically in the context of Lewis X. Ablation of the GDP-fucose transporter Slc35c1 or inhibition of cellular fucosylation is sufficient to increase resistance to the toxin in different cell types. Absence of sialylation, or more specifically inactivation of α2,3-sialyl transferase St3Gal4, increases sensitivity to ricin and is sufficient to reverse resistance. Of note, absence of fucosylation does not affect binding or uptake of the toxin, but specifically decreases the amount of ricin that is shuttled to the Golgi and the ER. Our data corroborate that only a small (5%) fraction of ricin that is transported to the Golgi [31] accounts for ricin toxicity. We hypothesize that although ricin binds to a plethora of galactose displaying proteins or lipids on the cell surface, only a specific fraction of those factors is internalized into a cell and can mediate trafficking of ricin into endosomes or the Golgi. A more detailed understanding of the specific, fucosylation-dependent targets that ricin binds to and orchestrate intracellular shuttling of the toxin, is required.
Our data for the first time identifies an exquisite specificity of ricin for defined glycosidic structures that determine cellular fate upon exposure to the toxin. Although protein glycosylation vastly differs between species [20], we reveal that this vital sugar code for ricin toxicity is conserved from mouse to human and acts as an essential and evolutionary conserved switch between sensitivity and resistance to the toxin. Drugs affecting this sugar code impact the survival of cells exposed to ricin, and may be of therapeutic relevance for this bioweapon.

Figure 4 Fucosylation controls ricin toxicity via intracellular trafficking. (A)
A modified version of the ricin toxin that harbors one specific sulfation (RS1) and three mannosylation (RS2) sites in the catalytically active RTA subunit allows for quantification of the amount of intracellular toxin trafficking to the Golgi and the ER, using radioactively-labeled isotopes. (B, C) Slc35c1 WT and KO mESCs were incubated with engineered RTA (see scheme in A) to quantify ricin trafficking. The total amount of ricin (total RTA), as well as the amount of the sulfated, or sulfated and mannosylated form, was determined by western blot or autoradiography, respectively (C), and quantified (B). Data are shown as mean ± SD (n = 3). Each data set is representative of two independent experiments. *P < 0.05, **P < 0.01, ***P < 0.001 (Student's t-test). (D) The rate of protein synthesis was determined after 3 h of ricin exposure in Slc35c1 control (WT) and Slc35c1 mutant (KO) sister mESCs, using radioactively-labeled isotopes. Data are shown as mean ± SD of triplicate cultures. and Fut9 (chr4:25795404, GRCm38/mm10), as well as B4Galt1 (chr4:40843768, GRCm38/mm10), St3Gal3 (chr4:118076419, GRCm38/mm10), St3Gal4 (chr9:35110455, GRCm38/mm10) and St3Gal6 (chr16:58511873, GRCm38/mm10) were generated as described [1]. For the reversion of the gene trap, clones were infected with retroviruses carrying mCherry together with Cre recombinase.
Retroviruses carrying GFP alone were used to label KO cells. For single-cell clones, cells were transiently transfected with a plasmid encoding Cre recombinase as well as GFP, and single-cell clones were sorted and then analyzed using PCR. The orientation of the splice acceptor was determined using a three-primer-containing amplification system, consisting of a fragment binding 1st forward Proposed sugar code for ricin toxicity. α1,3-fucose residues of Lewis X structures (SSEA-1 (+) ) impair α2,3-sialylation of terminal galactoses (i.e., sialyl Lewis X formation, SSEA-1 (−) ), leading to enhanced exposure of terminal galactoses and ricin binding. Absence of fucosylation allows more efficient sialylation of terminal galactoses and thus is assumed to inhibit ricin binding. GlcNAc (N-acetylglucosamine), Gal (Galactose), NeuNAc (N-Acetylneuraminic acid, one type of sialic acid). (B) Slc35c1 mutant and WT MEFs were stained for α2,3-sialic acid using MALII and counterstained with DAPI to image nuclei. Scale bar, 50 μm. (C) HL-60 cells were treated with the fucosylation inhibitor 2F-peracetyl fucose (FI-1, 100 μM) or the sialylation inhibitor 3Fax-peracetyl Neu5Ac (SI, 250 μM) for 3 days. The amount of the fucose containing, un-sialylated epitope SSEA-1 (CD15) was determined via flow cytometry. SSEA-1 expression of vehicle-treated cells (control) as well as an isotype-matched control (isotype control) is shown. (D) HL-60 cells were pretreated with inhibitors of fucosylation (FI-1, 100 μM) or sialylation (SI, 250 μM) and exposed to different amounts of ricin thereafter. The survival of the cells was determined using Alamar Blue. Data are representative of three independent experiments. (E, F) Slc35c1 wild type (WT) and mutant (KO) mESCs (E) and MEFs (F) were treated with SI (250 μM) and their sensitivity to ricin was assessed using Alamar Blue. Data in D-F are shown as mean ± SD of triplicate cultures. Experiments were repeated three times with similar results. *P < 0.05, **P < 0.01, ***P < 0.001; NS, not significant (Student's t-test).
primer or the inverse forward primer. In general, haploid ESCs were used for mutagenesis and the generation of homozygous KO cell lines; subsequently, these cells diploidize via endo-replication and hence carry the mutation at both alleles; these cells were used for all experiments. The following set of primers was applied (5′-3′): GT 1st Fwd TCGACCTCGAGTACCACCACACT GT inverse Fwd AAACGACGGGATCCGCCATGTCA GT common Rev TATCCAGCCCTCACTCCTTCTCT

CRISPR/Cas9 mutagenesis
Human ST3GAL4 exon 6 in near haploid KBM7 cells was mutated using a lentiviral expression vector encoding the respective sgRNA (sgRNA: fwd 5′-CACCGATTGAACAATGCCCCAG-3′, rev 5′-AAACCTGGGGCATTGTTCAATC-3′) as well as Cas9, together with a GFP marker gene. After infection with the vector, GFP-positive cells were sorted via FACS and single-cell clones were generated. Control as well as mutated genomic loci of engineered cell lines were Sanger sequenced and the integrity of the respective loci was assessed.

Generation of overexpression cells
Human ST3GAL4 cDNA was amplified using the following primers: 5′-gttggatccaccATGTGTCCTGCAGGCTGGA-3′, and 5′-gcggaattcgtcgacTCAGAAGGACGTGAGGTTCTTG-3′, and cloned into a doxycyclin-inducible retroviral expression vector using either BamHI or EcoRI similar to previous reports [32]. Insertion of the vector was monitored using Venus fluorophore; induction of gene expression following doxycycline treatment was examined by mCherry expression.

Competitive growth assays
Diploid murine ESCs harboring a gene trap in introns of the respective genes were seeded at low density in normal ESC growth medium and infected for 12 h with two viruses, one encoding mCherry plus Cre recombinase and the other coding for GFP, both together with puromycin (Invivogen, ant-pr-1). Infected cells were selected (final concentration of puromycin, 1 μg/ml) after 24 h and expanded. Ratios of GFP-to mCherry/Cre-expressing cells in the presence and absence of ricin were determined using high-throughput flow cytometry (BD LSRFortessa HTS cell analyzer).

Ricin toxicity assays
Ricin crude extracts in PBS were generated as described [33]. To assess ricin toxicity in different cellular systems, cells were plated at low density (5-10 cells/well in 96-well plates) in growth medium. Different concentrations of ricin were added to the cells upon seeding for at least 24 h in triplicate cultures. The cell viability at different time points was determined using the Alamar Blue Cell viability assay (according to the manufacturer's protocols) or automated quantification of viable cells using flow cytometry (BD LSRFortessa cell analyzer). Both types of analysis showed comparable results and were thereafter used interchangeably for most cell types. Cell death was confirmed using multiple other assays such as Fixable Viability Dye eFluor 780 (FVD eFluor 780, Affimetrix Biosciences, 65-0865-14) and DAPI (4,6-diamidino-2-phenylindole, dilactate; Invitrogen, D357) stainings.

Intracellular ricin toxin trafficking
For detection of sulfation, cells were washed twice in sulfate-free medium supplemented with 2 mM l-glutamine, followed by incubation with 0.2 mCi/ml H235SO4 in sulfate-free medium for 2.5 h at 37 °C. The cells were then incubated with ricin-sulf-1 (RS1, 6 µg/ml) or ricin-sulf-2 (RS2, 6 µg/ml) for an additional 2 h. RS1 and RS2 proteins have been described previously [34]. The cells were then washed twice for 5 min with 0.1 M lactose in HEPES-buffered medium, and once in ice-cold PBS before addition of 400 µl lysis buffer (0.1 M NaCl, 10 mM Na 2 HPO 4 , 1 mM EDTA, 1% Triton X-100, 60 mM octyl glucopyranoside) supplemented with complete protease inhibitors (Roche Diagnostics, Mannheim, Germany). Cell lysates were centrifuged for 10 min at 6 000 rpm at 4 °C to remove the nuclear fraction. Toxin constructs were immunoprecipitated overnight at 4 °C using protein A sepharose beads (Amersham Biosciences, Buckinghamshire, UK), coated with rabbit anti-ricin antibody (Sigma-Aldrich, R1254). Beads were washed twice in 0.35% Triton X-100/1× PBS and re-suspended in sample buffer. Proteins were separated on a SDS-PAGE gel, blotted onto a PVDF membrane (Immobilon-P, Millipore, Billerica, MA, USA) and analyzed by autoradiography using the PharosFX scanner and Quantity One 1-D Analysis Software 4.6.5 (Bio-Rad Laboratories, CA, USA). The amount of mannosylated RS2 was determined from the upper band of the RS2 sulfation blot, representing RS2 containing both sulfation and mannosylation modifications. The total amount of sulfated proteins was determined by trichloroacetic acid (TCA) precipitation of all 35 S-labeled proteins in the lysates, and the total amount of internalized ricin (total RTA) was determined by western blot, using an anti-RTA antibody (clone CP75, Abcam, ab20968, 1:1 000).

Protein synthesis
Cells grown in 24-well plates were incubated with increasing concentrations of ricin (0, 1-100 ng/ml) for 3 h at 37 °C. The medium was then replaced with leucine-free HEPES-buffered medium containing 2 µCi/ml [ 3 H]Leucine and the cells were incubated further for 20 min. Proteins were precipitated with 5% (w/v) TCA, washed once in 5% (w/v) TCA, and dissolved in 0.1 M KOH. The incorporation of radioactively-labeled leucine was quantified, and IC 50 was calculated as the concentration of toxin giving a 50% reduction in protein synthesis. Fold protection was then calculated as the ratio between IC 50 for inhibitor-treated cells compared to control cells.

Mouse experiments
Slc35c1 KO mice have been previously described [18]. Genotypes were assessed by PCR. Only age-and sex-matched littermates (male) from respective breedings were used for experiments. Mice were injected intravenously with a sub-lethal dose of ricin (0, 53 µg/kg). The body weight of mice before the treatment was determined, and the weight loss over the indicated period of time was monitored. Mice were maintained in temperature-controlled conditions. Of note, we gave sub-lethal doses of ricin because death experiments as an end point are not allowed, due to ethical regulations and new Austrian legislature. All animal experiments were carried out in agreement with the ethical animal license protocol in accordance with the current laws of Austria.

Intestinal organoid cultures
Intestinal organoid cultures were isolated and cultivated as described previously [35]. In brief, intestines were isolated from Slc35c1 +/+ and littermate Slc35c1 −/− mice, flushed with PBSO medium (Ca-Mg free), and the mucosal layer was scraped off using a hemocytometer coverslip. The crypt harboring intestinal basal lamina was minced, washed rigorously with PBSO and disintegrated using EDTA (2 mM, 30 min, on ice). Intestinal fragments were dissociated through continuous pipetting and addition of 10% FBS in PBSO, and passed through a cell strainer (70 µm). Isolated crypts were washed twice, embedded in matrigel and plated into 24-well cell culture plates. After solidification of the matrigel, complete growth medium for small intestine organoids was added (Advanced DMEM/F12 supplemented with GlutaMax, Pen/ Strep, Hepes, N2 supplement, B27 supplement, n-Acetylcysteine, R-spondin, 100 ng/ml Noggin, 50 ng/ml mEGF). Intestinal organoids were passaged every 7 days using mechanical disruption (21-G needle) and the growth medium was changed every other day.

Ricin toxicity in intestinal organoids
Murine intestinal organoids were passaged as described [35], and treated with or without ricin at the indicated concentration after 3 days. After another 3 days, organoids were analyzed for overall survival using light and fluorescence microscopy. Control organoids (vehicle treated) developed well-defined luminal structures surrounded by an epithelial monolayer with budding cryptlike domains on the outside. Ricin treatment of WT organoids caused substantial cell death, a lack of integrity of the outer epithelial monolayer and a loss of distinctive crypt-like domains. This overall damage eventually led to rupture of the intestinal organoids. The number of intact, compact organoids after exposure to the toxin is determined and quantified, relative to vehicle-treated control structures of WT and mutant organoids.

Statistics
All values in the paper are given as means ± SD, unless stated otherwise. All experiments were reproduced 2-7 independent times. GraphPad Prism was used to generate figures and perform statistical analyses (GraphPad Software). An a priori sample size estimation was not performed. Data were analyzed by using the unpaired two-tailed Student's t-test, as indicated. P < 0.05 was accepted as statistically significant.