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Updated: Aug 9, 2026

Extraction of Tissue Antigens for Functional Assays
Published on: September 10, 2012
The expression of carbohydrate antigens in activated T cells and in autoimmune diseases
F Fortune1, J Walker, M Lefrancois
1UMDS Department of Immunology, Guy's Hospital, London, UK.
Insights
Cell surface carbohydrate antigens, like GalNAc, are involved in immune cell regulation. Their expression increased on lymphocytes in systemic lupus erythematosus (SLE) patients and upon activation in healthy individuals.
Area of Science:
- Immunology
- Glycobiology
- Cell Biology
Background:
- Cell surface carbohydrate antigens are crucial for cell differentiation, maturation, and immune regulation.
- Expression patterns of these antigens on peripheral blood lymphocytes (PBL) are not fully understood, particularly in autoimmune diseases.
Purpose of the Study:
- To investigate the expression of specific carbohydrate antigens (recognized by MoAbs CT1, CT2, and Vicia villosa lectin) on lymphocytes from patients with systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), Behcet's disease (BD), and IgA nephropathy.
- To explore the role of these carbohydrate antigens in lymphocyte activation and their relationship with N-acetylgalactosamine (GalNAc).
Main Methods:
- Double immunofluorescence flow cytometry was used to analyze PBL from healthy subjects and patients with autoimmune diseases.
- Monoclonal antibodies (MoAbs) CT1, CT2, and Vicia villosa (VV) lectin, specific for GalNAc, were employed.
- Lymphocyte activation was induced using phytohemagglutinin (PHA), anti-CD3 antibody, and a 65kDa heat shock protein.
Main Results:
- A significant increase in MoAbs CT1, CT2, and VV binding was observed on CD4+ or CD8+ T cells from SLE patients compared to other disease groups and healthy controls.
- Lymphocyte activation in healthy subjects led to a significant upregulation of MoAbs CT1, CT2, and VV binding.
- Inhibition studies confirmed that VV shares a binding site with MoAbs CT1/CT2 and that GalNAc is likely involved in the binding.
Conclusions:
- Increased expression of GalNAc-related carbohydrate antigens on T cells is a potential biomarker for systemic lupus erythematosus (SLE).
- These carbohydrate antigens are modulated during lymphocyte activation, suggesting a role in immune responses.
- Carbohydrate antigens on lymphocytes may play a significant role in immune regulation and activation processes in both health and disease.
Abstract:
Cell surface carbohydrate antigens have been implicated in cell differentiation and maturation and may play a role in immunoregulation. The expression of carbohydrates in peripheral blood lymphocytes (PBL) was studied by double immunofluorescence flow cytometry, using MoAbs CT1 and CT2 but only a small proportion of cells bound these MoAbs. MoAbs CT1, CT2 and the lectin vicia villosa (VV) which share specificity for Gal NAc were then used to examine lymphocytes from patients with systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), Behcet's disease (BD) and IgA nephropathy. A significant increase in MoAbs CT1 CT2 and VV binding CD4 or CD8 cells was found only with lymphocytes from patients with SLE. However, MoAbs CT or VV binding lymphocytes from healthy subjects were significantly up-regulated by activation with a mitogen (PHA), cross-linked anti-CD3 MoAb or a common antigen (65kDa heat shock protein), suggesting that an increased proportion of T cells expressing these carbohydrates results from any of the three types of lymphocyte activating agents. Inhibition studies were then carried out to determine the relationship between the MoAbs CT1 and CT2, VV and GalNAc. Indeed, VV binding to T cells was significantly inhibited by either MoAbs CT1 or CT2, or GalNAc but not GlucNAc, suggesting that VV shares a common binding site with MoAb CT and that GalNAc may constitute one of the sugar receptors. Investigations of lymphocytes from adult peripheral blood in health and disease suggest that carbohydrate antigens may play a role in activation and immunoregulation.
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