1. The architecture of the IgG anti-carbohydrate repertoire in primary antibody deficiencies
- Author
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Richard D. Cummings, Mai M. Abdelhafez, Bodo Grimbacher, Robert Rieben, Peter Jandus, Camilla Jandus, Stephan von Gunten, Hans-Uwe Simon, Dagmar Simon, Kayluz Frias Boligan, David F. Smith, Elisabeth de Graauw, Nicolai V. Bovin, and Alain Despont
- Subjects
Male ,Glycan ,Immunobiology and Immunotherapy ,Primary Immunodeficiency Diseases ,Immunology ,Carbohydrates ,610 Medicine & health ,medicine.disease_cause ,Autoantigens ,Biochemistry ,Immunoglobulin G ,Epitope ,Autoimmunity ,Epitopes ,Immune system ,Antibody Repertoire ,Antigen ,medicine ,Humans ,ddc:616 ,biology ,Repertoire ,Cell Biology ,Hematology ,biology.protein ,Female - Abstract
Immune system failure in primary antibody deficiencies (PADs) has been linked to recurrent infections, autoimmunity, and cancer, yet clinical judgment is often based on the reactivity to a restricted panel of antigens. Previously, we demonstrated that the human repertoire of carbohydrate-specific immunoglobulin G (IgG) exhibits modular organization related to glycan epitope structure. The current study compares the glycan-specific IgG repertoires between different PAD entities. Distinct repertoire profiles with extensive qualitative glycan-recognition defects were observed, which are characterized by the common loss of Galα and GalNAc reactivity and disease-specific recognition of microbial antigens, self-antigens, and tumor-associated carbohydrate antigens. Antibody repertoire analysis may provide a useful tool to elucidate the degree and the clinical implications of immune system failure in individual patients.
- Published
- 2019
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