Review articleQuantitation of the oligosaccharides of human serum IgG from patients with rheumatoid arthritis: a critical evaluation of different methods
Introduction
Although oligosaccharides only account for 2–3% of the total mass of the IgG molecule, it has been shown that glycosylation of the Fc region is essential for optimal activation of effector mechanisms leading to the clearance and destruction of pathogens. This suggests that occupancy of the glycosylation sites of recombinant IgG antibody molecules by naturally occurring oligosaccharides will be an essential requirement for production of antibodies with biological effector activities. In addition, numerous studies have shown that while the defining biological activity of a glycoprotein molecule may not be dependent on its glycosylation, other essential characteristics may be compromised in unnaturally glycosylated forms, e.g., stability, pharmacokinetics and antigenicity (Gahmberg and Tolvanen, 1996; O'Connor and Imperiali, 1996; Bagriaçik et al., 1996; Sapan, 1997).
Human antibody molecules of the IgG class have N-linked oligosaccharide attached at the amide side chain of Asn-297 in both of the CH2 domains of the Fc region (Deisenhofer, 1981). The oligosaccharide moiety is of the complex biantennary type having a heptasaccharide `core' structure (GlcNAc2Man3GlcNAc2) and variable outer arm `non-core' sugar residues, such as fucose, bisecting GlcNAc, Gal and NeuAc (Fig. 1). Thus, at least 36 structurally unique oligosaccharide chains may be attached at each Asn-297 residue. Analysis of monoclonal and polyclonal IgG demonstrates the presence of all the oligosaccharide species predicted in Fig. 1 (Parekh et al., 1985; Takahashi et al., 1995; Farooq et al., 1997), although more than 60% of normal human IgG oligosaccharides are accounted for by six main glycans (Wormald et al., 1997). In addition, it has been reported that 15–30% of polyclonal IgG molecules bear a complex N-linked oligosaccharide in the Fab region (Abel et al., 1968; Rudd et al., 1991; Youings et al., 1996; Wormald et al., 1997). It is apparent, therefore, that glycosylation is a post-translational modification that can introduce a significant structural and, possibly, functional heterogeneity into the IgG molecule (Dwek et al., 1995).
Changes in the profile of oligosaccharides attached to the Fc region of IgG isolated from the sera of patients with rheumatoid arthritis (RA) and some other inflammatory diseases has been reported (Parekh et al., 1985; Youings et al., 1996). The main finding is a reduction in galactosylation and consequently an increase in Fc oligosaccharides devoid of Gal, referred to as G0. This is mirrored in the IgG produced in lymphocytes of patients with RA (Bodman et al., 1992) and the IgG of lpr/lpr mice (Mizuochi et al., 1990) that spontaneously develop an RA-like disease. Aggregated agalactosyl IgG has been shown to be able to activate complement in vitro via an oligosaccharide-mediated interaction with mannose-binding protein (Malhotra et al., 1995a, Malhotra et al., 1995b). On the other hand, chain-terminating galactose has been shown to be important in binding of IgG by C1q (Tsuchiya et al., 1989) and Fc receptors (Lund et al., 1995). Furtherance of our understanding of the role and/or significance of differing Fc glycosylation patterns relies on the availability of accurate and sensitive techniques for the analysis of glycosylation. There remains much discussion about which system provides the best compromise between accuracy, sensitivity, ease of use and cost. This debate has been joined by the authors of the present study as a result of a collaborative EU-funded project (EUROCARB2), within which a panel of IgG preparations were analysed using different techniques. The purpose of this report is to present a critical evaluation of the protocols employed including isolation and characterisation of the IgG proteins and release of the oligosaccharide and their analysis.
Section snippets
Isolation of IgG
Sera from rheumatoid patients with RA (from St. George's Hospital Medical School, Rheumatological clinic with ethical permission) were dialysed against 0.01 M sodium phosphate buffer, pH 7.0 and passed over a column of diethyl–ammonium–ethyl–cellulose (DEAE; Whatman, Harrow) equilibrated in the same buffer. The unbound fraction was collected and bound protein eluted with 2×PBS. The fractions were analysed by agarose gel electrophoresis and SDS-PAGE to establish purity. Quantitation of the IgG
Patients
Serum was obtained from RA patients who satisfied the American College of Rheumatology (ACR) criteria for diagnosis (R) attending the clinic at St. George's Hospital, London (Arnett et al., 1988).
IgG isolation and characterisation
The IgG was recovered in the flow-through fraction from the DEAE column with apparent yields within the range 66–88%. However, when the column was stripped of bound protein, by elution with PBS, the IgG content was below the level of quantitation by the nephelometric protocol. This suggests that the
Discussion
It has been demonstrated that glycosylation of the Fc region of human and mouse IgG is necessary for recognition, binding and/or activation of ligands that initiate essential effector mechanisms (Tsuchiya et al., 1989; Rudd et al., 1991; Lund et al., 1995; Malhotra et al., 1995a, Malhotra et al., 1995b; Wormald et al., 1997). The oligosaccharide is always of the biantennary complex type, but exhibits heterogeneity with respect to the presence, or otherwise, of core fucose, bisecting N
Conclusion
Acceptable agreement in the determination of G0, G1 and G2 values for a panel of polyclonal IgG preparations isolated from the sera of patients with rheumatoid arthritis and for IgG paraproteins is reported. Reserves of the IgG preparations are in storage and may be acquired from the corresponding author for use as reference materials for calibration of other IgG preparations, and/or for comparison with new emerging techniques.
Acknowledgements
The authors wish to thank Mrs Gail Evans for secretarial duties and R. Tyler for technical assistance.
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Present address: Dept. of Biochemistry, Dundee University, Dundee DD1 4HN.