Profile of Immunoglobulin G N-Glycome in COVID-19 Patients: A Case-Control Study

Haifeng Hou1, Huan Yang2,3, Pengcheng Liu1

  • 1School of Public Health, Shandong First Medical University & Shandong Academy of Medical Sciences, Tai'an, China.

Frontiers in Immunology
|October 11, 2021
PubMed

Insights

Changes in IgG glycosylation impact COVID-19 severity. This study found decreased IgG fucosylation and sialylation in patients, affecting immune responses and disease pathogenesis.

Area of Science:

  • Immunology
  • Glycobiology
  • Infectious Diseases

Background:

  • Coronavirus disease 2019 (COVID-19) poses a global health challenge.
  • Alterations in immunoglobulin G (IgG) glycosylation patterns are linked to COVID-19 severity.

Purpose of the Study:

  • To compare IgG N-glycome profiles between COVID-19 patients and healthy controls.
  • To investigate the association between IgG glycosylation changes and COVID-19 pathogenesis.

Main Methods:

  • A case-control study involving 104 COVID-19 patients and 104 healthy controls.
  • Serum IgG N-glycome composition analyzed using hydrophilic interaction liquid chromatography with ultra-high-performance liquid chromatography (HILIC-UPLC).

Main Results:

  • COVID-19 patients exhibited decreased IgG fucosylation, potentially upregulating antibody-dependent cell cytotoxicity (ADCC).
  • Severe COVID-19 cases showed reduced IgG sialylation, contributing to ADCC-enhanced inflammatory cytokines.
  • Decreased IgG sialylation and galactosylation were implicated in COVID-19 pathogenesis via complement pathway activation.

Conclusions:

  • IgG N-glycosylation patterns are significantly altered in COVID-19 patients.
  • These glycosylation changes are associated with altered immune responses, including ADCC and complement activation.
  • IgG N-glycosylation plays a crucial role in the complex clinical manifestations of SARS-CoV-2 infection.

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