Rheumatoid arthritis

Elevated Fab glycosylation of anti-hinge antibodies

Scand J RheumatolPublished Cross-sectional study

Authors' conclusion

AHA responses are characterized by elevated levels of Fab glycosylation and highly specific neoepitope recognition, not just in RA patients but also in HCs.

Study context

Population
Patients with early active rheumatoid arthritis (RA) and healthy controls
Participants
69 vs 97
Exposure
Early active RA vs healthy controls
  • RAn = 69
  • Healthy controls (HCs)n = 97reference
Outcome
AHA serum levels, specificity and Fab glycosylation for IgG1/4-hinge cleaved by matrix metalloproteinase-3, cathepsin G, pepsin or IdeS
Methodological detailsELISA and lectin affinity chromatography
  • ELISA and lectin affinity chromatography

Main finding

As reported in the abstract

  • AHA reactivity detected for all hinge neoepitopes in both RA and HCs
  • Reactivity against CatG-IgG1-F(ab´)2s and pepsin-IgG4-F(ab´)2s more prevalent in RA
  • All AHA responses showed increased Fab glycosylation levels in both RA and HCs

Observational data: associations, not effects.

Original publication

Elevated Fab glycosylation of anti-hinge antibodies. Scand J Rheumatol. Published 2 November 2021. doi:10.1080/03009742.2021.1986959

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