机构:[1]Guangzhou Univ Chinese Med, Affiliated Hosp 2, State Key Lab Tradit Chinese Med Syndrome, Guangzhou 510120, Peoples R China广东省中医院[2]Guangzhou Univ Chinese Med, Guangdong Hong Kong Macau Joint Lab Chinese Med &, Guangzhou 510000, Peoples R China[3]Peng Cheng Lab, Shenzhen 518055, Peoples R China[4]Jiangxi Univ Chinese Med, Natl Engn Res Ctr Chinese Med Solid Preparat Mfg T, Nanchang 330004, Peoples R China[5]Macau Univ Sci & Technol, State Key Lab Qual Res Chinese Med, Taipa 999078, Macao, Peoples R China[6]Macau Univ Sci & Technol, Macau Inst Appl Res Med & Hlth, Taipa 999078, Macao, Peoples R China[7]Peking Univ, Dept Rheumatol & Immunol, Peoples Hosp, Beijing 100044, Peoples R China[8]Guangdong Acad Med Sci, Guangdong Gen Hosp, Guangzhou 510080, Peoples R China广东省人民医院[9]Tianjin Univ Tradit Chinese Med, Teaching Hosp 1, Tianjin 300193, Peoples R China[10]Zhuhai Hosp Integrated Tradit Chinese & Western Me, Zhuhai 519020, Peoples R China
Systemic lupus erythematosus (SLE) is a debilitating autoimmune disorder characterized by unknown pathogenesis and heterogeneous clinical manifestations. The current existing serum biomarkers for SLE have limited sensitivity or specificity, making early and precise diagnosis difficult. Here, we identified two N-glycans on serum immunoglobulin G (IgG) as excellent diagnostic biomarkers for SLE based on in-depth glycomic analyses of 389 SLE patients and 304 healthy controls. These two N-glycan biomarkers are specific for diagnosing SLE, as no significant changes in these biomarkers were observed in other systemic autoimmune diseases that are easily confused with SLE, such as rheumatoid arthritis, primary Sjogren's syndrome, or systemic sclerosis. Notably, the two N-glycan biomarkers proved to be autoantibody-independent and all-stage patient suitable. The two N-glycan biomarkers are demonstrated to be located on the Fc region based on fragment-specific glycan analysis and glycopeptide analysis, suggesting their close correlation with disease activity. Enzyme analyses revealed dysregulation of a series of glycotransferases in SLE, which might be responsible for the observed glycan alteration. Our findings pro-vide insights into efficient population screening based on serum IgG glycosylation and potential new pathogenic factors of SLE.(c) 2023 THE AUTHORS. Published by Elsevier LTD on behalf of Chinese Academy of Engineering and Higher Education Press Limited Company. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
基金:
Zhuhai Hospital of Integrated Traditional Chinese and Western Medicine; Macau Science and Technology Development Fund [0003/2019/AKP, 0094/2018/A3, 0010/2020/A1]; Guangdong Basic and Applied Basic Research Foundation [2020B1515130005]; Guangdong- Hong Kong [2020B1212030006]
第一作者机构:[1]Guangzhou Univ Chinese Med, Affiliated Hosp 2, State Key Lab Tradit Chinese Med Syndrome, Guangzhou 510120, Peoples R China[2]Guangzhou Univ Chinese Med, Guangdong Hong Kong Macau Joint Lab Chinese Med &, Guangzhou 510000, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Guangzhou Univ Chinese Med, Affiliated Hosp 2, State Key Lab Tradit Chinese Med Syndrome, Guangzhou 510120, Peoples R China[2]Guangzhou Univ Chinese Med, Guangdong Hong Kong Macau Joint Lab Chinese Med &, Guangzhou 510000, Peoples R China[5]Macau Univ Sci & Technol, State Key Lab Qual Res Chinese Med, Taipa 999078, Macao, Peoples R China[6]Macau Univ Sci & Technol, Macau Inst Appl Res Med & Hlth, Taipa 999078, Macao, Peoples R China
推荐引用方式(GB/T 7714):
Pan Hudan,Wang Jingrong,Liang Yong,et al.Serum IgG Glycan Hallmarks of Systemic Lupus Erythematosus[J].ENGINEERING.2023,26:89-98.doi:10.1016/j.eng.2023.01.006.