Significant Associations of IgG Glycan Structures With Chronic Graft-Versus-Host Disease Manifestations: Results of the Cross-Sectional NIH Cohort Study

Chronic graft-versus-host disease (cGvHD) is a systemic alloimmune and autoimmune disorder and a major late complication of allogeneic hematopoietic stem cell transplantation (alloHSCT). The disease is characterized by an altered homeostasis of the humoral immune response. Immunoglobulin G (IgG) gly...

Full description

Bibliographic Details
Main Authors: Ema Prenc, Drazen Pulanic, Maja Pucic-Bakovic, Ivo Ugrina, Lana Desnica, Milan Milosevic, Filip Pirsl, Sandra Mitchell, Jeremy Rose, Radovan Vrhovac, Damir Nemet, Gordan Lauc, Steven Z. Pavletic
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-07-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2021.633214/full
_version_ 1819101116086878208
author Ema Prenc
Ema Prenc
Drazen Pulanic
Drazen Pulanic
Maja Pucic-Bakovic
Ivo Ugrina
Ivo Ugrina
Lana Desnica
Milan Milosevic
Milan Milosevic
Filip Pirsl
Sandra Mitchell
Jeremy Rose
Radovan Vrhovac
Radovan Vrhovac
Damir Nemet
Damir Nemet
Gordan Lauc
Steven Z. Pavletic
author_facet Ema Prenc
Ema Prenc
Drazen Pulanic
Drazen Pulanic
Maja Pucic-Bakovic
Ivo Ugrina
Ivo Ugrina
Lana Desnica
Milan Milosevic
Milan Milosevic
Filip Pirsl
Sandra Mitchell
Jeremy Rose
Radovan Vrhovac
Radovan Vrhovac
Damir Nemet
Damir Nemet
Gordan Lauc
Steven Z. Pavletic
author_sort Ema Prenc
collection DOAJ
description Chronic graft-versus-host disease (cGvHD) is a systemic alloimmune and autoimmune disorder and a major late complication of allogeneic hematopoietic stem cell transplantation (alloHSCT). The disease is characterized by an altered homeostasis of the humoral immune response. Immunoglobulin G (IgG) glycoprotein is the main effector molecule of the humoral immune response. Changes in IgG glycosylation are associated with a number of autoimmune diseases. IgG glycosylation analysis was done by the means of liquid chromatography in the National Institutes of Health (NIH) cohort of 213 cGvHD patients. The results showed statistically significant differences with regards to cGvHD NIH joint/fascia and skin score, disease activity and intensity of systemic immunosuppression. ROC analysis confirmed that IgG glycosylation increases specificity and sensitivity of models using laboratory parameters and markers of inflammation associated with cGvHD (eosinophil count, complement components C3 and C4 and inflammation markers: albumin, CRP and thrombocyte count). This research shows that IgG glycosylation may play a significant role in cGvHD pathology. Further research could contribute to the understanding of the disease biology and lead to the clinical biomarker development to allow personalized approaches to chronic GvHD therapy.
first_indexed 2024-12-22T01:13:33Z
format Article
id doaj.art-a0fd4b0df3fd4e1889c4d135f7891ce1
institution Directory Open Access Journal
issn 1664-3224
language English
last_indexed 2024-12-22T01:13:33Z
publishDate 2021-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj.art-a0fd4b0df3fd4e1889c4d135f7891ce12022-12-21T18:43:55ZengFrontiers Media S.A.Frontiers in Immunology1664-32242021-07-011210.3389/fimmu.2021.633214633214Significant Associations of IgG Glycan Structures With Chronic Graft-Versus-Host Disease Manifestations: Results of the Cross-Sectional NIH Cohort StudyEma Prenc0Ema Prenc1Drazen Pulanic2Drazen Pulanic3Maja Pucic-Bakovic4Ivo Ugrina5Ivo Ugrina6Lana Desnica7Milan Milosevic8Milan Milosevic9Filip Pirsl10Sandra Mitchell11Jeremy Rose12Radovan Vrhovac13Radovan Vrhovac14Damir Nemet15Damir Nemet16Gordan Lauc17Steven Z. Pavletic18Fidelta Ltd., Translational Research and Alliances, Zagreb, CroatiaSchool of Medicine, University of Zagreb, Zagreb, CroatiaSchool of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Internal Medicine, Division of Hematology, University Hospital Centre Zagreb, Zagreb, CroatiaGenos Ltd., Zagreb, CroatiaGenos Ltd., Zagreb, CroatiaFaculty of Science, University of Split, Split, CroatiaDepartment of Internal Medicine, Division of Hematology, University Hospital Centre Zagreb, Zagreb, CroatiaSchool of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Environmental and Occupational Health and Sports, Andrija Stampar Teaching Institute of Public Health, Zagreb, CroatiaCenter for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, United StatesDivision of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, Bethesda, MD, United StatesCenter for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, United StatesSchool of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Internal Medicine, Division of Hematology, University Hospital Centre Zagreb, Zagreb, CroatiaSchool of Medicine, University of Zagreb, Zagreb, CroatiaDepartment of Internal Medicine, Division of Hematology, University Hospital Centre Zagreb, Zagreb, CroatiaGenos Ltd., Zagreb, CroatiaCenter for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, MD, United StatesChronic graft-versus-host disease (cGvHD) is a systemic alloimmune and autoimmune disorder and a major late complication of allogeneic hematopoietic stem cell transplantation (alloHSCT). The disease is characterized by an altered homeostasis of the humoral immune response. Immunoglobulin G (IgG) glycoprotein is the main effector molecule of the humoral immune response. Changes in IgG glycosylation are associated with a number of autoimmune diseases. IgG glycosylation analysis was done by the means of liquid chromatography in the National Institutes of Health (NIH) cohort of 213 cGvHD patients. The results showed statistically significant differences with regards to cGvHD NIH joint/fascia and skin score, disease activity and intensity of systemic immunosuppression. ROC analysis confirmed that IgG glycosylation increases specificity and sensitivity of models using laboratory parameters and markers of inflammation associated with cGvHD (eosinophil count, complement components C3 and C4 and inflammation markers: albumin, CRP and thrombocyte count). This research shows that IgG glycosylation may play a significant role in cGvHD pathology. Further research could contribute to the understanding of the disease biology and lead to the clinical biomarker development to allow personalized approaches to chronic GvHD therapy.https://www.frontiersin.org/articles/10.3389/fimmu.2021.633214/fullallogeneic hematopoietic stem cell transplantationchronic graft-versus-host diseaseimmunoglobulin Gglycansbiomarker
spellingShingle Ema Prenc
Ema Prenc
Drazen Pulanic
Drazen Pulanic
Maja Pucic-Bakovic
Ivo Ugrina
Ivo Ugrina
Lana Desnica
Milan Milosevic
Milan Milosevic
Filip Pirsl
Sandra Mitchell
Jeremy Rose
Radovan Vrhovac
Radovan Vrhovac
Damir Nemet
Damir Nemet
Gordan Lauc
Steven Z. Pavletic
Significant Associations of IgG Glycan Structures With Chronic Graft-Versus-Host Disease Manifestations: Results of the Cross-Sectional NIH Cohort Study
Frontiers in Immunology
allogeneic hematopoietic stem cell transplantation
chronic graft-versus-host disease
immunoglobulin G
glycans
biomarker
title Significant Associations of IgG Glycan Structures With Chronic Graft-Versus-Host Disease Manifestations: Results of the Cross-Sectional NIH Cohort Study
title_full Significant Associations of IgG Glycan Structures With Chronic Graft-Versus-Host Disease Manifestations: Results of the Cross-Sectional NIH Cohort Study
title_fullStr Significant Associations of IgG Glycan Structures With Chronic Graft-Versus-Host Disease Manifestations: Results of the Cross-Sectional NIH Cohort Study
title_full_unstemmed Significant Associations of IgG Glycan Structures With Chronic Graft-Versus-Host Disease Manifestations: Results of the Cross-Sectional NIH Cohort Study
title_short Significant Associations of IgG Glycan Structures With Chronic Graft-Versus-Host Disease Manifestations: Results of the Cross-Sectional NIH Cohort Study
title_sort significant associations of igg glycan structures with chronic graft versus host disease manifestations results of the cross sectional nih cohort study
topic allogeneic hematopoietic stem cell transplantation
chronic graft-versus-host disease
immunoglobulin G
glycans
biomarker
url https://www.frontiersin.org/articles/10.3389/fimmu.2021.633214/full
work_keys_str_mv AT emaprenc significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT emaprenc significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT drazenpulanic significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT drazenpulanic significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT majapucicbakovic significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT ivougrina significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT ivougrina significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT lanadesnica significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT milanmilosevic significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT milanmilosevic significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT filippirsl significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT sandramitchell significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT jeremyrose significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT radovanvrhovac significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT radovanvrhovac significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT damirnemet significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT damirnemet significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT gordanlauc significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy
AT stevenzpavletic significantassociationsofiggglycanstructureswithchronicgraftversushostdiseasemanifestationsresultsofthecrosssectionalnihcohortstudy