Abstract

Immunoglobulin G (IgG) functionality can drastically change from anti- to proinflammatory by alterations in the IgG N-glycan patterns. Our previous studies have demonstrated that IgG N-glycans associated with the risk factors of dementia, such as aging, dyslipidemia, type 2 diabetes mellitus, hypertension, and ischemic stroke. Therefore, the aim is to investigate whether the effects of IgG N-glycan profiles on dementia exists in a Chinese Han population. A case–control study, including 81 patients with dementia, 81 age- and gender-matched controls with normal cognitive functioning (NC) and 108 non-matched controls with mild cognitive impairment (MCI) was performed. Plasma IgG N-glycans were separated by ultra-performance liquid chromatography. Fourteen glycan peaks reflecting decreased of sialylation and core fucosylation, and increased bisecting N-acetylglucosamine (GlcNAc) N-glycan structures were of statistically significant differences between dementia and NC groups after controlling for confounders (p < 0.05; q < 0.05). Similarly, the differences for these 14 initial glycans were statistically significant between AD and NC groups after adjusting for the effects of confounders (p < 0.05; q < 0.05). The area under the receiver operating curve (AUC) value of the model consisting of GP8, GP9, and GP14 was determined to distinguish dementia from NC group as 0.876 [95% confidence interval (CI): 0.815–0.923] and distinguish AD from NC group as 0.887 (95% CI: 0.819–0.936). Patients with dementia were of an elevated proinflammatory activity via the significant changes of IgG glycome. Therefore, IgG N-glycans might contribute to be potential novel biomarkers for the neurodegenerative process risk assessment of dementia.

RAS ID

32771

Document Type

Journal Article

Date of Publication

2021

Funding Information

National Key R&D Program of China

European Commission Horizon 2020

National Natural Science Foundation of China

China-Australian Collaborative Grant

School

School of Medical and Health Sciences

Grant Number

NHMRC Number : 1112767

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

Publisher

Springer Nature

Comments

Zhang, X., Yuan, H., Lyu, J., Meng, X., Tian, Q., Li, Y., ... Wang, Y. (2021). Association of dementia with immunoglobulin GN-glycans in a Chinese Han population. NPJ Aging and Mechanisms of Disease, 7, article 3. https://doi.org/10.1038/s41514-021-00055-w

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Diseases Commons

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Link to publisher version (DOI)

10.1038/s41514-021-00055-w