A Novel N-Tetrasaccharide in Patients with Congenital Disorders of Glycosylation, Including Asparagine-Linked Glycosylation Protein 1, Phosphomannomutase 2, and Mannose Phosphate Isomerase Deficiencies.
A Novel N-Tetrasaccharide in Patients with Congenital Disorders of Glycosylation, Including Asparagine-Linked Glycosylation Protein 1, Phosphomannomutase 2, and Mannose Phosphate Isomerase Deficiencies.
复制标题
一种新型的N-四糖,用于先天性糖基化的患者,包括天冬酰胺连接的糖基化蛋白1,磷酸磷酸酶2和磷酸甘露糖异构酶缺乏症。
DOI:
10.1373/clinchem.2015.243279
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发表时间:
2016-01
影响因子:
9.3
通讯作者:
He M
中科院分区:
文献类型:
--
作者:
Zhang W;James PM;Ng BG;Li X;Xia B;Rong J;Asif G;Raymond K;Jones MA;Hegde M;Ju T;Cummings RD;Clarkson K;Wood T;Boerkoel CF;Freeze HH;He M
Primary deficiencies in mannosylation of N-glycans are seen in a majority of patients with congenital disorders of glycosylation (CDG). We report the discovery of a series of novel N-glycans in sera, plasma, and cultured skin fibroblasts from patients with CDG having deficient mannosylation. We used LC-MS/MS and MALDI-TOF-MS analysis to identify and quantify a novel N-linked tetrasccharide linked to the protein core, an N-tetrasaccharide (Neu5Acα2,6Galβ1,4-GlcNAcβ1,4GlcNAc) in plasma, serum glycoproteins, and a fibroblast lysate from patients with CDG caused by ALG1 (ALG1, chitobiosyldiphosphodolichol β-mannosyltransferase), PMM2 (phosphomannomutase 2), and MPI (mannose phosphate isomerase). Glycoproteins in sera, plasma, or cell lysate from ALG1-CDG, PMM2-CDG, and MPI-CDG patients had substantially more N-tetrasaccharide than unaffected controls. We observed a >80% decline in relative concentrations of the N-tetrasaccharide in MPI-CDG plasma after mannose therapy in 1 patient and in ALG1-CDG fibroblasts in vitro supplemented with mannose. This novel N-tetrasaccharide could serve as a diagnostic marker of ALG1-, PMM2-, or MPI-CDG for screening of these 3 common CDG subtypes that comprise >70% of CDG type I patients. Its quantification by LC-MS/MS may be useful for monitoring therapeutic efficacy of mannose. The discovery of these small N-glycans also indicates the presence of an alternative pathway in N-glycosylation not recognized previously, but its biological significance remains to be studied.