PMID- 25259950 OWN - NLM STAT- MEDLINE DCOM- 20150610 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 9 DP - 2014 TI - Different IVIG glycoforms affect in vitro inhibition of anti-ganglioside antibody-mediated complement deposition. PG - e107772 LID - 10.1371/journal.pone.0107772 [doi] LID - e107772 AB - Intravenous immunoglobulin (IVIG) is the first line treatment for Guillain-Barre syndrome and multifocal motor neuropathy, which are caused by anti-ganglioside antibody-mediated complement-dependent cytotoxicity. IVIG has many potential mechanisms of action, and sialylation of the IgG Fc portion reportedly has an anti-inflammatory effect in antibody-dependent cell-mediated cytotoxicity models. We investigated the effects of different IVIG glycoforms on the inhibition of antibody-mediated complement-dependent cytotoxicity. Deglycosylated, degalactosylated, galactosylated and sialylated IgG were prepared from IVIG following treatment with glycosidases and glycosyltransferases. Sera from patients with Guillain-Barre syndrome, Miller Fisher syndrome and multifocal motor neuropathy associated with anti-ganglioside antibodies were used. Inhibition of complement deposition subsequent to IgG or IgM autoantibody binding to ganglioside, GM1 or GQ1b was assessed on microtiter plates. Sialylated and galactosylated IVIGs more effectively inhibited C3 deposition than original IVIG or enzyme-treated IVIGs (agalactosylated and deglycosylated IVIGs). Therefore, sialylated and galactosylated IVIGs may be more effective than conventional IVIG in the treatment of complement-dependent autoimmune diseases. FAU - Sudo, Makoto AU - Sudo M AD - Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. FAU - Yamaguchi, Yoshiki AU - Yamaguchi Y AD - Structural Glycobiology Team, RIKEN, Wako, Saitama, Japan. FAU - Spath, Peter J AU - Spath PJ AD - Institute of Pharmacology, University of Bern, Bern, Switzerland. FAU - Matsumoto-Morita, Kana AU - Matsumoto-Morita K AD - Structural Glycobiology Team, RIKEN, Wako, Saitama, Japan. FAU - Ong, Benjamin K AU - Ong BK AD - Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. FAU - Shahrizaila, Nortina AU - Shahrizaila N AD - Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia. FAU - Yuki, Nobuhiro AU - Yuki N AD - Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore; Department of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. LA - eng GR - Medical Research Council/United Kingdom PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140926 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Autoantibodies) RN - 0 (Gangliosides) RN - 0 (Immunoglobulin G) RN - 0 (Immunoglobulins, Intravenous) RN - 0 (Polysaccharides) RN - 9007-36-7 (Complement System Proteins) SB - IM MH - Autoantibodies/*immunology MH - Complement System Proteins/*immunology/*metabolism MH - Gangliosides/antagonists & inhibitors/*immunology MH - Glycosylation MH - Humans MH - Immunoglobulin G/immunology/metabolism/pharmacology MH - Immunoglobulins, Intravenous/*immunology/metabolism/pharmacology MH - In Vitro Techniques MH - Polysaccharides/metabolism PMC - PMC4178036 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/09/27 06:00 MHDA- 2015/06/11 06:00 PMCR- 2014/09/26 CRDT- 2014/09/27 06:00 PHST- 2014/04/09 00:00 [received] PHST- 2014/08/11 00:00 [accepted] PHST- 2014/09/27 06:00 [entrez] PHST- 2014/09/27 06:00 [pubmed] PHST- 2015/06/11 06:00 [medline] PHST- 2014/09/26 00:00 [pmc-release] AID - PONE-D-14-15446 [pii] AID - 10.1371/journal.pone.0107772 [doi] PST - epublish SO - PLoS One. 2014 Sep 26;9(9):e107772. doi: 10.1371/journal.pone.0107772. eCollection 2014.