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The changes in monosaccharide composition of immunoglobulin G in the course of rheumatoid arthritis

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Abstract

The objective of this study was to determine whether galactosylation of immunoglobulin G (IgG) in patients with rheumatoid arthritis (RA) correlates with severity and duration of illness. Serum IgG glycosylation from 50 patients with RA in comparison with 30 healthy controls was analyzed. IgG from sera was isolated and monosaccharide composition was determined by means of gas chromatography. Ratio of galactose to mannose content was calculated. Patients were divided into groups according to three different criteria: disease duration, severity of RA (disease activity score index), and radiological degree of advancement of illness according to Steinbrocker. In patients with RA, significant decrease (p<0,01) of galactose ratio was observed in comparison with healthy control. In patients with long duration of RA (more than 15 years), significant decrease of galactose (p<0.05) ratio in comparison with patients who have had arthritis for less then 5 years was observed. For the group of patients with severe RA, we found reduction of galactose (p<0.001) ratio vs the group of patients in remission. For those patients who had radiological stage IV according to Steinbrocker, IgG galactose (p<0.01) content per oligosaccharide chain were also more decreased than in those patients who had stage I RA. Decreased galactosylation and of IgG in RA was observed. The lack of this carbohydrate component of IgG correlates with severity and duration of RA and could be used in monitoring the progression in early arthritis.

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References

  1. Mackiewicz S, Hrycaj P (1995) Rheumatoid arthritis. In: Mackiewics S, Zimmermann-Gorska I (eds) Reumatologia, PZWL, Warsaw pp 87–101

  2. Berger E (1996) How are oligosaccharides synthesized? Eur J Biochem 25–27

  3. Watson M, Rudd PM, Bland M, Dwek RA, Axford J (1999) Sugar printing rheumatic diseases. A potential method for disease differentiation using immunoglobulin G oligosaccharides. Arthritis Rheum 42:1682–1690

    Article  PubMed  CAS  Google Scholar 

  4. Palamarczyk G (1987) Heterogennoœæ struktury reszt cukrowych N-glikoprotein jako wynik procesów kotranslacyjnych. Post Bioch 33:297–307

    CAS  Google Scholar 

  5. Alavi A, Arden N, Spector TD, Axford JS (2000) Immunoglobulin G glycosylation and clinical outcome in rheumatoid arthritis during pregnancy. J Rheumatol 27:1379–1385

    PubMed  CAS  Google Scholar 

  6. Bond A, Alavi A, Axford JS, Bourke BE, Brukner FE, Kerr MA, Maxwell JD, Youinou P, Hay FC (1997) A detailed lectin analysis of IgG glycosylation, demonstrating disease specific changes in terminal galactose and N-acetyloglucosoamine. J Autoimmun 10:77–85

    Article  PubMed  CAS  Google Scholar 

  7. Dwek RA (1995) Glycobiology: more functions for oligosaccharides. Science 269:1234–1235

    Article  PubMed  CAS  Google Scholar 

  8. Axford JS, Sumar N, Alavi A, Isenberg DA, Young A, Bodman KB, Roitt IM (1992) Changes in normal glycosylation mechanism in autoimmune rheumatic disease. J Clin Invest 89:1021–1031

    Article  PubMed  CAS  Google Scholar 

  9. Bond A, Alavi A, Axford JS, Youinou P, Hay FC (1996) The relationship between exposed galactose and N-acetylglucosamine residues on IgG in rheumatoid arthritis, juvenile chronic arthritis and Sjögren’s syndrome. Clin Exp Immunol 105:99–103

    Article  PubMed  CAS  Google Scholar 

  10. Tomana M, Schrohenloher RE, Koopman WJ, Alarcon GS, Paul WA (1998) Abnormal glycosylation of serum IgG from patients with chronic inflammatory diseases. Arthritis Rheum 31:418–419

    Google Scholar 

  11. Axford JS, Lydyard PM, Isenberg DA, Mackenzie L, Hay FC, Roitt IM (1987) Reduced B-cell galactosyltransferase activity in rheumatoid arthritis. Lancet 26:1186–1192

    Google Scholar 

  12. Axford JS (1997) The importance of oligosaccharides to rheumatic disease: a personal perspective. Glycoconj J 14:863–866

    Article  PubMed  CAS  Google Scholar 

  13. Dwek R (1995) Glycobiology: more functions for oligosaccharides. Science 269:1234–1235

    Article  PubMed  CAS  Google Scholar 

  14. Dwek RA (1996) Glycobiology: towards understanding the function of sugars. Chem Rev 96:638–720

    Article  Google Scholar 

  15. Klama K, Lacki JK, Müller W, Mackiewicz SH (1996) The abnormalities in the glycosylation of IgG. Reumatologia 34:26–30

    Google Scholar 

  16. Madhok R, Cappell HA (1988) Galactose residues in chronic inflammatory disease (letter). Lancet 8582:418

    Article  Google Scholar 

  17. Axford JS, Mackenzie L, Lydyard PM, Hay FC, Isenberg DA, Roitt IM (1988) Galactose residues in chronic inflammatory (reply). Lancet 8582:418

    Google Scholar 

  18. Lucey MD, Newkirk BM, Roitt IM, Dwek RA, Rademacher TW (2000) Association between IgM response to IgG damaged by glyoxidation and disease activity in rheumatoid arthritis. J Rheumatol 27:319–323

    PubMed  CAS  Google Scholar 

  19. Parekh RB, Isenberg DA, Ansell BM, Roitt IM, Dwek RA, Rademacher TW (1988) Galactosylation of IgG associated oligosaccharides: Reduction in patients with adult and juvenile onset rheumatoid arthritis and relation to disease activity. The Lancet 1(8592):966–969 (April 30)

    Article  CAS  Google Scholar 

  20. Young A, Sumar N, Bodman K, Goyal S, Sinclair H, Roitt I, Isenberg D (1991) Agalactosyl IgG: an aid to differential diagnosis in early synovitis. Arthritis Rheum 34:1425–1429

    Article  PubMed  CAS  Google Scholar 

  21. Lacki JK, Porawska W, Mackiewicz U, Mackiewicz S, Muller W (1996) Changes in agalactosyl IgG levels correlate with radiological progression in early rheumatoid arthritis. Ann Med 28:265–269

    PubMed  CAS  Google Scholar 

  22. Tsuchiya N, Endo T, Shiota M, Kochibe N, Ito N, Kobata A (1994) Distribution of glycosylation abnormality among serum IgG subclasses from patients with rheumatoid arthritis. Clin Immunol Immunopathol 70:47–50

    Article  PubMed  CAS  Google Scholar 

  23. Van Gestel AM, Haagsma CJ, van Riel PL (1998) Validation of rheumatoid arthritis improvement criteria that include simplified joint counts. Arthritis Rheum 41:1845–1850

    Article  PubMed  Google Scholar 

  24. Saha SK, Brewer CF (1994) Determination of the concentration of oligosaccharides, complex type carbohydrates and glycoproteins using the phenolsulfuric acid method. Carbohydr Res 254:157–167

    Article  PubMed  CAS  Google Scholar 

  25. Tang W, Matsumoto A, Shikata K, Takeuchi F, Konishi T, Nakata M, Mizuochi T (1998) Detection of disease-specific augmentation of abnormal immunoglobulin G in sera of patients with rheumatoid arthritis. Glycoconj J 15:929–934

    Article  PubMed  CAS  Google Scholar 

  26. Leader KA, Lastra GC, Kirwan JR, Elson CJ (1996) Agalactosyl IgG in aggregates from the rheumatoid joints. Br J Rheumatol 35:335–341

    Article  PubMed  CAS  Google Scholar 

  27. Soltys AJ, Hay FC, Bond A, Oxford JS, Jonem MG, Randek I, Thompson KM, Natvig JB (1994) The binding of synovial tissue-derived human monoclonal immunoglobulin M rheumatoid factor to immunoglobulin G preparations of differing galactose content. Scand J Immunol 40:135–143

    Article  PubMed  CAS  Google Scholar 

  28. Van Zeben D, Rook GA, Hazes JM, Zwinderman AH, Zhang Y, Ghelani S, Rademacher TW, Breedveld FC (1994) Early agalactosylation of IgG is associated with a more progressive disease course in patients with rheumatoid arthritis: results of follow-up study. Br J Rheumatol 3:36–43

    Article  Google Scholar 

  29. Bond A, Sumar N, Bodman K, Colacos CB, Young A, Hay FC (1994) Relationship of IgG glycosylation, soluble IL-2 receptors and IL-6 to disease activity in rheumatoid arthritis. Br J Rheumatol 33:992–993

    Article  PubMed  CAS  Google Scholar 

  30. Wormald MR, Rudd PM, Harvey DJ, Chang SC, Scragg IG, Dwek RA (1997) Variations in oligosaccharide–protein interactions in immunoglobulin G determine the site-specific glycosylation profiles and modulate the dynamic motion of the Fc oligosaccharides. Biochemistry 36:1370–1380

    Article  PubMed  CAS  Google Scholar 

  31. Krotkiewski H (1999) Carbohydrate moiety of immunoglobulins in health and pathology. Acta Biochim Pol 46:341–350

    PubMed  CAS  Google Scholar 

  32. Youings A, Chang SC, Dwek RA, Scragg IG (1996) Site-specific glycosylation of human immunoglobulin G is altered in four rheumatoid arthritis patients. Biochem J 314:621–630

    PubMed  Google Scholar 

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Correspondence to Ewa Gindzienska-Sieskiewicz.

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Gindzienska-Sieskiewicz, E., Klimiuk, P.A., Kisiel, D.G. et al. The changes in monosaccharide composition of immunoglobulin G in the course of rheumatoid arthritis. Clin Rheumatol 26, 685–690 (2007). https://doi.org/10.1007/s10067-006-0370-7

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