Protein 
C-Mannosylation is unique in that an α-mannose attaches directly to the indole C2 carbon atom of a Trp residue through a C-C bond.  
C-Mannosylation usually occurs at the first tryptophan in the consensus amino acid sequence Trp-x-x-Trp (W-x-x-W) through an enzymatic reaction with a specific mannosyltransferase, which has yet to be identified.  Most substrates for 
C-mannosylation are part of either the thrombospondin type-1 repeat (TSR) superfamily or cytokine receptor family, suggesting a functional role for 
C-mannosylation in specific substrates.  Site-directed mutagenesis in the W-x-x-W motif has revealed 
C-mannosylation to be important in the folding or targeting of substrate proteins, such as mucins and ADAMTS-like 1, in the cell.  Furthermore, using chemically synthesized 
C-mannosylated TSR-derived peptides, Hsc70 was identified as a protein bound to 
C-mannosylated peptides, and the interaction enhanced the TNF-α-producing signaling by Hsc70 in macrophage-like cells.  These recent findings suggest that the 
C-mannosylation of specific target proteins plays pivotal functional roles in the cell.
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