Lupus & antiphospholipid syndrome

Immunoglobulin G (IgG) glycosylation profiling of systemic lupus erythematosus using lectin microarray

Lupus Sci MedPublished Cross-sectional study

Authors' conclusion

Patients with SLE show disease-specific alterations in serum IgG glycosylation, and aberrant Galβ3GalNAc, galactose and GalNAc glycosylation may have diagnostic value for SLE and NPSLE.

Study context

Population
Patients with SLE, disease controls (primary Sjögren's syndrome (pSS), rheumatoid arthritis (RA)) and healthy controls
Participants
194 / 40 / 60 / 100
Exposure
SLE vs disease controls and healthy controls; SLE subgroups
  • SLEn = 194
  • pSSn = 40reference
  • RAn = 60reference
  • Healthy controls (HCs)n = 100reference
Outcome
Serum IgG glycosylation profile
Methodological detailslectin microarray (56 lectins), lectin blotting validation, ROC analysis
  • Lectin microarray (56 lectins)
  • Lectin blotting validation
  • ROC analysis

Main finding

As reported in the abstract

Serum IgG glycan levels, SLE vs DC and HC

Galβ3GalNAc significantly increased in SLE (binding Jacalin)

11.3%

Galβ3GalNAc significantly increased in SLE (binding Maclura pomifera lectin)

14.4%

Observational data: associations, not effects.

Further findings

IgG glycans in SLE subgroups

Elevated GalNAc and galactose patterns in neuropsychiatric SLE (NPSLE) vs without major organ involvement (WMOI)
Higher Galβ3GalNAc and galactose patterns in NPSLE and lupus nephritis (LN) vs HCs

ROC: SLE vs pSS

PNA levels might have moderate potential for discriminating SLE from pSS

Original publication

IgG glycosylation profiling of systemic lupus erythematosus using lectin microarray. Lupus Sci Med. Published 5 April 2025. doi:10.1136/lupus-2024-001413

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