PMID- 37260026 OWN - NLM STAT- MEDLINE DCOM- 20231229 LR - 20240106 IS - 1552-5279 (Electronic) IS - 1552-5260 (Linking) VI - 19 IP - 12 DP - 2023 Dec TI - Fc N-glycosylation of autoreactive Abeta antibodies as a blood-based biomarker for Alzheimer's disease. PG - 5563-5572 LID - 10.1002/alz.13124 [doi] AB - INTRODUCTION: Naturally occurring autoantibodies (nAbs) against the pathologic isoform of amyloid beta (Abeta(42) ) were found in body fluids and indicate a systemic B cell response that may prevent Alzheimer's disease (AD) onset. N-glycans attached to immunoglobulin G-Fab/Fc fragments are features that influence their mechanism of action. The aim was to study the role of N-glycans in nAbs-Abeta(42) . METHODS: nAbs-Abeta(42) were isolated from AD patients and age-/sex-matched controls (n = 40) and immunoglobulin preparations. Glycosylated/deglycosylated nAbs-Abeta(42) were analyzed for their effect on Abeta(42) 's aggregation, toxicity, and phagocytosis. Glycan structure was analyzed using matrix assisted laser desorption ionization time of flight mass spectrometry. RESULTS: Deglycosylation of nAbs-Abeta42 had a major impact on Abeta(42) 's aggregation/toxicity/phagocytosis. The glycan structure showed considerable differences between AD and controls. We were able to predict disease status with a sensitivity/specificity of 95% (confidence interval [CI]: 76.4-99.7%)/100% (CI: 83.9-100%). DISCUSSION: N-glycosylation has been identified as a critical attribute maintaining the beneficial effects of autoreactive Abeta antibodies. These data have consequences for the development of monocloncal Abeta antibodies and may open new avenues for diagnostics. CI - (c) 2023 The Authors. Alzheimer's & Dementia published by Wiley Periodicals LLC on behalf of Alzheimer's Association. FAU - Kronimus, Yannick AU - Kronimus Y AD - Chair of Geriatric Medicine and Center for Translational Neuro- and Behavioral Sciences, University Duisburg-Essen, Essen, Germany. FAU - Albus, Alexandra AU - Albus A AD - Chair of Geriatric Medicine and Center for Translational Neuro- and Behavioral Sciences, University Duisburg-Essen, Essen, Germany. FAU - Hasenberg, Mike AU - Hasenberg M AD - Imaging Center Essen (Electron Microscopy), University Hospital Essen, University Duisburg-Essen, Essen, Germany. FAU - Walkenfort, Bernd AU - Walkenfort B AD - Imaging Center Essen (Electron Microscopy), University Hospital Essen, University Duisburg-Essen, Essen, Germany. FAU - Seifert, Marc AU - Seifert M AD - Institute of Cell Biology (Cancer Research), Medical Faculty, University Duisburg-Essen, Essen, Germany. FAU - Budeus, Bettina AU - Budeus B AD - Institute of Cell Biology (Cancer Research), Medical Faculty, University Duisburg-Essen, Essen, Germany. FAU - Gronewold, Janine AU - Gronewold J AD - Department of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany. FAU - Hermann, Dirk M AU - Hermann DM AD - Department of Neurology, University Hospital Essen, University Duisburg-Essen, Essen, Germany. FAU - Ross, J Alexander AU - Ross JA AD - Chair of Geriatric Medicine and Center for Translational Neuro- and Behavioral Sciences, University Duisburg-Essen, Essen, Germany. FAU - Lochnit, Gunter AU - Lochnit G AD - Protein Analytics, Department of Biochemistry, Justus Liebig University Giessen, Giessen, Germany. FAU - Galuska, Sebastian P AU - Galuska SP AD - Institute of Reproductive Biology, Research Institute for Farm Animal Biology (FBN), Dummerstorf, Germany. FAU - Marcus, Katrin AU - Marcus K AD - Medizinisches Proteom-Center, Medical Faculty; Medical Proteome Analysis, Center for Proteindiagnostics (PRODI), Ruhr-University Bochum, Bochum, Germany. FAU - Sitek, Barbara AU - Sitek B AD - Medizinisches Proteom-Center, Medical Faculty; Medical Proteome Analysis, Center for Proteindiagnostics (PRODI), Ruhr-University Bochum, Bochum, Germany. AD - Klinik fur Anasthesiologie, Intensivmedizin und Schmerztherapie, Universitatsklinikum Knappschaftskrankenhaus Bochum, Bochum, Germany. FAU - Klotsche, Jens AU - Klotsche J AD - Epidemiology Unit, German Rheumatism Research Center Berlin - a Leibniz Institute (DRFZ), Berlin, Germany. FAU - Mengel, David AU - Mengel D AD - Chair of Geriatric Medicine and Center for Translational Neuro- and Behavioral Sciences, University Duisburg-Essen, Essen, Germany. AD - Laboratory for Neurodegenerative Research, Ann Romney Center for Neurologic Diseases, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA. FAU - Neumann, Sascha AU - Neumann S AD - Chair of Geriatric Medicine and Center for Translational Neuro- and Behavioral Sciences, University Duisburg-Essen, Essen, Germany. FAU - Dodel, Richard AU - Dodel R AD - Chair of Geriatric Medicine and Center for Translational Neuro- and Behavioral Sciences, University Duisburg-Essen, Essen, Germany. LA - eng GR - 233-1.08.03.03-031-68079/Protein research Unit Ruhr within Europe/ GR - Ernst und Margot Faber-Stiftung/ GR - SE1885/2-2/Deutsche Forschungsgemeinschaft/ GR - SE1885/4-1/Deutsche Forschungsgemeinschaft/ GR - 70112628/Deutsche Krebshilfe/ PT - Journal Article DEP - 20230601 PL - United States TA - Alzheimers Dement JT - Alzheimer's & dementia : the journal of the Alzheimer's Association JID - 101231978 RN - 0 (Amyloid beta-Peptides) RN - 0 (Autoantibodies) RN - 0 (Biomarkers) RN - 0 (Polysaccharides) RN - 0 (Peptide Fragments) SB - IM MH - Humans MH - *Alzheimer Disease/pathology MH - Amyloid beta-Peptides MH - Glycosylation MH - Autoantibodies MH - Biomarkers MH - Polysaccharides MH - Peptide Fragments OTO - NOTNLM OT - Alzheimer's disease OT - N-glycosylation OT - amyloid beta OT - autoantibodies OT - biomarker OT - immunoglobulin G OT - nAbs-Abeta42 OT - naturally occurring autoantibodies EDAT- 2023/06/01 13:09 MHDA- 2023/12/29 06:43 CRDT- 2023/06/01 07:03 PHST- 2023/01/22 00:00 [revised] PHST- 2022/10/19 00:00 [received] PHST- 2023/01/24 00:00 [accepted] PHST- 2023/12/29 06:43 [medline] PHST- 2023/06/01 13:09 [pubmed] PHST- 2023/06/01 07:03 [entrez] AID - 10.1002/alz.13124 [doi] PST - ppublish SO - Alzheimers Dement. 2023 Dec;19(12):5563-5572. doi: 10.1002/alz.13124. Epub 2023 Jun 1.