N-linked glycans on immunoglobulin G (IgG) have been associated with pathogenesis of diseases and the therapeutic functions of antibody-based drugs; however, low-abundance species are difficult to detect. Here we show a glycomic approach to detect these species on human IgGs using a specialized microfluidic chip. We discover 20 sulfated and 4 acetylated N-glycans on IgGs. Using multiple reaction monitoring method, we precisely quantify these previously undetected low-abundance, trace and even ultra-trace N-glycans. From 277 patients with rheumatoid arthritis (RA) and 141 healthy individuals, we also identify N-glycan biomarkers for the classification of both rheumatoid factor (RF)-positive and negative RA patients, as well as anti-citrullinated protein antibodies (ACPA)-positive and negative RA patients. This approach may identify N-glycosylation-associated biomarkers for other autoimmune and infectious diseases and lead to the exploration of promising glycoforms for antibody therapeutics.

The glycome of human serum IgGs were quantitatively profiled by using the established MRM method. The result showed that both neutral and acidic N-glycans presented in IgG of human serum were predominantly in complex type, only less than 0.1% N-glycans were in high mannose type and about 1.8% neutral N-glycans and 0.2% acidic N-glycans were in hybrid type. Among the complex N-glycans, bi-antennary N-glycans occupied the highest portion (90% of overall N-glycans), and most of them were fucosylated (more than 75%) and sialylated (more than 40%), trace acidic N-glycans were modified by a sulfate group (about 1%; Fig. 6, Supplementary Data 4). The quantitative glycomic profiling revealed remarkable depth in the concentration of individual N-glycans on human serum IgGs.


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Any changes in the structures or levels of even trace N-glycans can result in significant physiological/pathological events. By sharply increasing the glycome coverage and depth, our chip-based approach provides an early glimpse into the remarkable structural complexity of N-glycans resulting from microheterogeneity expressions, such as sulfation, phosphorylation and acetylation. Moreover, as all N-glycans share a common core sugar sequence, the TiO2-PGC chip-based glycomic approach is applicable for profiling N-glycans released from any single glycoprotein or total glycoproteins. N-glycosylation occurs on numerous secreted and membrane-bound glycoproteins12, and N-glycan components are often the crucial functional determinants of biological events. Therefore, our glycomic approach will rapidly position itself as one of the most important tools for addressing certain key biological and pathological questions. Furthermore, because of the conserved biosynthesis of N-glycans across metazoa, plants, yeast and even bacteria12, this on-chip glycomic approach can be further extrapolated to the quality control of antibody-based drugs1 and design of vaccines because antigen glycosylation, including N-glycosylation, has been increasingly appreciated as essential in adaptive immune activation36.

Our study represents the first glycomic method that enables the detection of low-abundance and even trace novel sulfated N-glycans on IgGs. Because of the conserved biosynthesis of N-glycans, the novel sulfated N-glycans are most likely present on other glycoproteins. It was believed that sulfation of N-glycans can significantly alter biological recognition and/or facilitate rapid clearance of the protein from the body37,38,39,40. Especially, N-glycans with sulfo-modifications constitute important recognition codes in cell adhesion, e.g., a glucosamine containing sulfate group in position O-6 and an N-acetyl group was the preferred epitope for the immune recognition31, 41,42,43. The effect of sulfated N-glycans on IgG is yet to be known. However, as terminal sugar of N-glycan may affect the function of IgG dramatically via altering the structure of C2 domain, we speculated that sulfated N-glycans on IgG may induce significant structural alterations in C2 domain, and subsequently change the ligand specificity and biological functions of IgG, which need to be studied in the future.

Next to the early-appreciated correlation between hypogalactosylation of serum total IgGs and the severity of RA, more attention have been made on the analysis of specific glycan profile of ACPA antibodies that is distinct from the profile of total serum IgGs44, 45. Furthermore, increasing experimental evidence points to a critical role of autoantibody-associated glycosylation of IgGs in RA. For instance, extensive glycosylation of ACPA-IgG variable domains were found to modulate binding to citrullinated antigens in RA3, while ACPA antibody itself were demonstrated to acquire a pro-inflammatory Fc glycosylation phenotype prior to the onset of RA46. In addition, agalactosyl glycoforms of IgG autoantibodies were suggested to be pathogenic for RA35, 47. Despite these findings, specific glycosylation-based biomarkers with diagnostic capabilities for autoantibody-negative RA are still absent48. In this context, the trace N-glycan biomarkers identified in our study, especially SGm1 and SGm2, could have important clinical implications for the diagnosis of RA as they are RF/ACPA-independent and RA-specific. In addition, as N-glycan biomarkers of total IgG rather than autoantibody-specific IgG, the on-chip method readily lends itself to clinical applications. Even though, for the discrimination of RA from other inflammatory arthritis which is a crucial clinical question49,50,51, further studies need to be performed to address the specificity of SGm1 and SGm2.

Elemental patterns of large cellular compartments in neuronal cell bodies in the substantia nigra were compiled from nano-XRF imaging. Distinct elemental compositions were measured for the cytoplasmic, nuclear, and nucleolar compartments. The elemental profiles measured across the neuronal cell body showed P enrichments and S depletions in the cytoplasmic and nuclear regions, compared with the extracellular region mainly composed of the neuropil (Fig. 3a). Levels of both P and S were lower in the nuclear compartment compared with the cytoplasm, whereas the perinuclear region was characterized by a P-rich contour (Fig. 3a, b). Based on these observations, the P and S raw fluorescence counts were used to delineate the boundaries of the cytoplasmic and nuclear compartments. Of note, elemental imaging of the nucleoli revealed granular structures highly enriched in Fe and P (Fig. 3c).

The method also displays RERs as particularly enriched in P and Ca, consistent with the role of this organelle in Ca storage, processing of nucleic acids and phospholipid synthesis. Moreover, similar P and Ca enrichments and expected higher Fe levels were observed in lipofuscin granules51. High Fe levels in lipofuscins may indicate a role similar to that of the neuromelanin pigment in human dopaminergic neurons, which binds Fe and inactivates toxic Fe cations52. By establishing trace metal compositions of the neuronal ultrastructure down to specified organelles, our correlative method provides a tool to further explore metal dyshomeostasis in brain tissue.

In addition, prior to deriving conclusions on comparison, several factors were required for consideration. As mentioned, age is the one of the first parameters that can significantly affect the body burden of trace elements [27]. In this study, we observed significant variations in serum trace elements between age intervals. Moreover, the concentrations of serum Se, Sr, Mo, Mn, V, As, Pb, and Cd have significant changes by residence. Therefore, economic factors might play an important role. Similarly, the levels of some serum trace elements are significantly different in different levels of anthropometric status. It was considered that the development and progression of obesity could be involved in the dysregulation of trace element metabolism via the increase in excretion and the decrease in bioavailability or redistribution among various pools [28]. With respect to the influence of pregnancy duration, the reasons might be multifactorial. Plasma volume expansion may explain why most trace elements show a decrease in concentration. However, regarding the increase in the concentration of serum Cu, Sr, and Co, we considered that metabolic changes might cause a certain amount of trace elements to be released into the blood. For example, the increase in serum Cu with the progression of pregnancy could be partly related to the synthesis of ceruloplasmin, a major Cu binding protein, as a result of elevated levels of maternal estrogen. Another potential reason is the decreased biliary Cu excretion induced by the hormonal changes that are typical during pregnancy [29]. Apart from the above reasons, other specific reasons could also include natural background conditions, such as geographical location, climate, the composition of soil, and element concentrations in water and food.

Until 1990 biokinetic studies of aluminium metabolism and biokinetics in man and other animals had been substantially inhibited by analytical and practical difficulties. Of these, the most important are the difficulties in differentiating between administered aluminium and endogenous aluminium-especially in body fluids and excreta and the problems associated with the contamination of samples with environmental aluminium. As a consequence of these it was not possible to detect small, residual body burdens of the metal following experimental administrations. Consequently, many believed aluminium to be quantitatively excreted within a short time of uptake in all, but renal-failure patients. Nevertheless, residual aluminium deposits in a number of different organs and tissues had been detected in normal subjects using a variety of techniques, including histochemical staining methods. In order to understand the origins and kinetics of such residual aluminium deposits new approaches were required. One approach taken was to employ the radioisotope (67)Ga as a surrogate, but this approach has been shown to be flawed-a consequence of the different biological behaviours of aluminium and gallium. A second arose from the availability, in about 1990, of both (26)Al-a rare and expensive isotope of aluminium-and accelerator mass spectrometry for the ultra-trace detection of this isotope. Using these techniques the basic features of aluminium biokinetics and bioavailability have been unravelled. It is now clear that some aluminium is retained in the body-most probably within the skeleton, and that some deposits in the brain. However, most aluminium that enters the blood is excreted in urine within a few days or weeks and the gastrointestinal tract provides an effective barrier to aluminium uptake. Aspects of the biokinetics and bioavailability of aluminium are described below. e24fc04721

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