Immunoglobulin G N-Glycosylation Signatures in Incident Type 2 Diabetes and Cardiovascular Disease.

Immunoglobulin G N-Glycosylation Signatures in Incident Type 2 Diabetes and Cardiovascular Disease.
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DOI:
10.2337/dc22-0833
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发表时间:
2022-11-01
期刊:
影响因子:
16.2
通讯作者:
--
中科院分区:
医学1区
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--
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N-糖基化是免疫球蛋白(Ig)的功能性翻译后修饰。我们假设特异性IgG N-聚糖与2型糖尿病和心血管疾病(CVD)相关。我们在基于人群的欧洲癌症与营养前瞻性研究(EPIC)-波茨坦队列(2型糖尿病子队列2,127例[741例发病病例]; CVD子队列2,175例[417例心肌梗死和卒中病例])中进行了病例队列研究。超高效液相色谱法测定24个IgG N-聚糖峰(IgG-GPs)的相对丰度,并根据结构相似性推导出8个糖基化性状。用分数多项式预选终点相关IgG-GP,用混杂因素校正的考克斯模型估计前瞻性相关性。糖尿病风险相关性在三项独立研究中得到验证。校正混杂因素和多重检验校正后,IgG-GP 7、IgG-GP 8、IgG-GP 9、IgG-GP 11和IgG-GP 19与2型糖尿病风险相关。在EPIC-Potsdam和独立验证研究中,基于这些IgG-GP的评分与较高的糖尿病风险相关(总计843例病例,总计3,149例非病例,合并估计值每SD增加1.50 [95% CI 1.37-1.64])。IgG-GPs与CVD风险的关联在男性和女性之间存在差异。在女性中,IgG-GP 9与CVD风险呈负相关(风险比[HR]/SD 0.80 [95% CI 0.65-0.98])。在男性中,基于IgG-GP 19和IgG-GP 23的加权评分与较高的CVD风险相关(HR/SD 1.47 [95% CI 1.20-1.80])。此外,几个衍生性状与心脏代谢疾病的发病率相关。选定的IgG N-聚糖与经典风险因素(包括临床生物标志物)以外的心脏代谢风险相关。
N-glycosylation is a functional posttranslational modification of immunoglobulins (Igs). We hypothesized that specific IgG N-glycans are associated with incident type 2 diabetes and cardiovascular disease (CVD). We performed case-cohort studies within the population-based European Prospective Investigation into Cancer and Nutrition (EPIC)–Potsdam cohort (2,127 in the type 2 diabetes subcohort [741 incident cases]; 2,175 in the CVD subcohort [417 myocardial infarction and stroke cases]). Relative abundances of 24 IgG N-glycan peaks (IgG-GPs) were measured by ultraperformance liquid chromatography, and eight glycosylation traits were derived based on structural similarity. End point–associated IgG-GPs were preselected with fractional polynomials, and prospective associations were estimated in confounder-adjusted Cox models. Diabetes risk associations were validated in three independent studies. After adjustment for confounders and multiple testing correction, IgG-GP7, IgG-GP8, IgG-GP9, IgG-GP11, and IgG-GP19 were associated with type 2 diabetes risk. A score based on these IgG-GPs was associated with a higher diabetes risk in EPIC-Potsdam and independent validation studies (843 total cases, 3,149 total non-cases, pooled estimate per SD increase 1.50 [95% CI 1.37–1.64]). Associations of IgG-GPs with CVD risk differed between men and women. In women, IgG-GP9 was inversely associated with CVD risk (hazard ratio [HR] per SD 0.80 [95% CI 0.65–0.98]). In men, a weighted score based on IgG-GP19 and IgG-GP23 was associated with higher CVD risk (HR per SD 1.47 [95% CI 1.20–1.80]). In addition, several derived traits were associated with cardiometabolic disease incidence. Selected IgG N-glycans are associated with cardiometabolic risk beyond classic risk factors, including clinical biomarkers.
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