Evidence map›Paper›PMID 26683050›Full record

ArticleJournal of neuroinflammation2015

Pro-inflammatory pattern of IgG1 Fc glycosylation in multiple sclerosis cerebrospinal fluid.

Manfred Wuhrer, Maurice H J Selman, Liam A McDonnell, Tania Kümpfel, Tobias Derfuss, Mohsen Khademi, Tomas Olsson, Reinhard Hohlfeld, Edgar Meinl, Markus Krumbholz

Open access · goldAbstract read
In one paragraph

Article in Journal of neuroinflammation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed
6.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 97 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. IgG N-glycosylation in autoimmune diseases.Frontiers in immunology · 2026
    Review
  6. Article
  7. Review
  8. Review
  9. Antibody glycosylation in neuroimmune diseases.Journal of translational medicine · 2025
    Review
  10. PlasmaNeurology(R) neuroimmunology & neuroinflammation · 2025
    Article
  11. Review
  12. Article
  13. Review
  14. Review
  15. Review
  16. Article
  17. The Role of B Cell and T Cell Glycosylation in Systemic Lupus Erythematosus.International journal of molecular sciences · 2023
    Review
  18. Review
  19. Glycobiology of rheumatic diseases.Nature reviews. Rheumatology · 2023
    Review
  20. Article

3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 5 institutions in 4 countries.

Manfred WuhrerCenter for Proteomics and Metabolomics, Leiden University Medical Center, Leiden, The Netherlands. M.Wuhrer@lumc.nl.
Maurice H J SelmanCenter for Proteomics and Metabolomics, Leiden University Medical Center, Leiden, The Netherlands. mauriceselman@yahoo.com.
Liam A McDonnellCenter for Proteomics and Metabolomics, Leiden University Medical Center, Leiden, The Netherlands. l.a.mcdonnell@lumc.nl.
Tania KümpfelInstitute of Clinical Neuroimmunology, Biomedical Center (BMC) and University Hospital, Campus Martinsried-Grosshadern, LMU Munich, Munich, Germany. Tania.Kuempfel@med.uni-muenchen.de.
Tobias DerfussDepartments of Neurology and Biomedicine, University Hospital, Basel, Switzerland. Tobias.Derfuss@usb.ch.
Mohsen KhademiDepartment of Clinical Neuroscience, Neuroimmunology Unit, Karolinska University Hospital, Stockholm, Sweden. Mohsen.Khademi@ki.se.
Tomas OlssonDepartment of Clinical Neuroscience, Neuroimmunology Unit, Karolinska University Hospital, Stockholm, Sweden. Tomas.Olsson@ki.se.
Reinhard HohlfeldInstitute of Clinical Neuroimmunology, Biomedical Center (BMC) and University Hospital, Campus Martinsried-Grosshadern, LMU Munich, Munich, Germany. Reinhard.Hohlfeld@med.uni-muenchen.de.
Edgar MeinlInstitute of Clinical Neuroimmunology, Biomedical Center (BMC) and University Hospital, Campus Martinsried-Grosshadern, LMU Munich, Munich, Germany. Edgar.Meinl@med.uni-muenchen.de.
Markus KrumbholzInstitute of Clinical Neuroimmunology, Biomedical Center (BMC) and University Hospital, Campus Martinsried-Grosshadern, LMU Munich, Munich, Germany. markus.krumbholz@uni-tuebingen.de.
Ludwig-Maximilians-Universität München · DEKarolinska University Hospital · SELeiden University Medical Center · NLNetherlands Metabolomics Centre · NLUniversity Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmunoglobulin G (IgG) effector functions are regulated by the composition of glycans attached to a conserved N-glycosylation site in the Fc part. Intrathecal production of IgG, especially IgG1, is a hallmark of multiple sclerosis (MS), but nothing is known about IgG Fc glycosylation in MS and in cerebrospinal fluid (CSF) in general.

methodsWe applied mass spectrometry of tryptic Fc glycopeptides to analyze IgG Fc glycosylation (sialylation, galactosylation, fucosylation, and bisecting N-acetylglucosamine (GlcNAc)) in 48 paired CSF and serum samples from adult patients with MS or a first demyelinating event highly suggestive of MS (designated as MS cases), and from healthy volunteers and patients with other non-inflammatory diseases (control group). p values were adjusted for multiple testing.

resultsOur experiments revealed four main results. First, IgG1 glycosylation patterns were different in CSF vs. serum, in the MS group and even in control donors without intrathecal IgG synthesis. Second, in MS patients vs. controls, IgG1 glycosylation patterns were altered in CSF, but not in serum. Specifically, in CSF from the MS group, bisecting GlcNAc were elevated, and afucosylation and galactosylation were reduced. Elevated bisecting GlcNAc and reduced galactosylation are known to enhance IgG effector functions. Third, hypothesis-free regression analysis revealed that alterations of afucosylation and bisecting GlcNAc in CSF from MS cases peaked 2-3 months after the last relapse. Fourth, CSF IgG1 glycosylation correlated with the degree of intrathecal IgG synthesis and CSF cell count.

conclusionsThe CNS compartment as well as the inflammatory milieu in MS affect IgG1 Fc glycosylation. In MS, the CSF IgG1 glycosylation has features that enhance Fc effector functions.

Indexed as

AdultBiomarkersFemaleGlycosylationHumansImmunoglobulin GInflammation MediatorsMaleMiddle AgedMultiple SclerosisBiomarkersImmunoglobulin GInflammation Mediators

Identifiers

PMID26683050
PMCPMC4683913
OpenAlexW2217221998

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.