1. Characteristics of purified anti-β2GPI IgG N-glycosylation associate with thrombotic, obstetric and catastrophic antiphospholipid syndrome
- Author
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Wen Gong, Yue Sun, Hui Shi, Chengde Yang, Jianxin Gu, Jialin Teng, Tingting Liu, Yi Shi, Xiaobing Cheng, Zihan Tang, Rongrong Zhang, Gang Yi, Qiongyi Hu, Jing Han, Junna Ye, Honglei Liu, Shifang Ren, Liyan Wan, and Yutong Su
- Subjects
0301 basic medicine ,Glycosylation ,Catastrophic antiphospholipid syndrome ,Proinflammatory cytokine ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Rheumatology ,N-linked glycosylation ,Pregnancy ,Antiphospholipid syndrome ,Humans ,Medicine ,Pharmacology (medical) ,Fucosylation ,030203 arthritis & rheumatology ,biology ,business.industry ,Thrombosis ,Igg subclasses ,Antiphospholipid Syndrome ,medicine.disease ,Pregnancy Complications ,030104 developmental biology ,chemistry ,beta 2-Glycoprotein I ,Immunoglobulin G ,Immunology ,Antibodies, Antiphospholipid ,biology.protein ,Female ,Antibody ,business - Abstract
Objective Anti-β-2 glycoprotein I (anti-β2GPI) antibodies, defined as primary pathogenic antibody in antiphospholipid syndrome (APS). It has been reported that IgG Fc N-glycosylation affects IgG effector, we aim to investigate the association of Fc glycosylation profiles of purified anti-β2GP1 IgG with clinical features of APS. Methods We purify anti-β2GPI IgG and total IgG from 82 APS patients including nine catastrophic antiphospholipid syndrome (CAPS) patients, as well as total IgG from 103 healthy controls to quantitatively analyse all detectable Fc N-glycanforms of all IgG subclasses with Multiple Reaction Monitoring (MRM) method based on UPLC-ESI-QqQ mass spectrometry. Results Both purified anti-β2GPI IgG and APS total IgG showed altered N-glycan profiles when compared with healthy control (HC) IgG. Anti-β2GPI IgG presented with lower galactosylation, increased bisection and core fucosylation compared with APS total IgG and HC IgG. We found higher galactosylation of aβ2GPI IgG2 in thrombotic APS compared with the obstetric APS, and lower galactosylation of aβ2GPI IgG2 associated with late pregnancy morbidity. Moreover, low galactosylation of all anti-β2GPI IgG subclasses, increased bisection and core fucosylation of anti-β2GPI IgG1/2 were strongly associated with CAPS and triple positivity of antiphospholipid antibodies (aPLs). Conclusion We comprehensively characterize the N-Glycans landscape of both anti-β2GP1 and total IgG in APS. Altered N-glycan profiles of anti-β2GPI IgG enables enabled the antibodies with proinflammatory properties. Furthermore, we associated levels of IgG Fc-glycosylation with clinical features antiphospholipid syndrome. These findings could increase our understanding of anti-β2GPI antibody mediated mechanisms in APS and be used to develop diagnostics and new target treatments.
- Published
- 2021
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