N-linked glycosylation of the M-protein variable region : glycoproteogenomics reveals a new layer of personalized complexity in multiple myeloma

© 2024 the author(s), published by De Gruyter, Berlin/Boston..

OBJECTIVES: Multiple myeloma (MM) is a plasma cell malignancy characterized by a monoclonal expansion of plasma cells that secrete a characteristic M-protein. This M-protein is crucial for diagnosis and monitoring of MM in the blood of patients. Recent evidence has emerged suggesting that N-glycosylation of the M-protein variable (Fab) region contributes to M-protein pathogenicity, and that it is a risk factor for disease progression of plasma cell disorders. Current methodologies lack the specificity to provide a site-specific glycoprofile of the Fab regions of M-proteins. Here, we introduce a novel glycoproteogenomics method that allows detailed M-protein glycoprofiling by integrating patient specific Fab region sequences (genomics) with glycoprofiling by glycoproteomics.

METHODS: Glycoproteogenomics was used for the detailed analysis of de novo N-glycosylation sites of M-proteins. First, Genomic analysis of the M-protein variable region was used to identify de novo N-glycosylation sites. Subsequently glycopeptide analysis with LC-MS/MS was used for detailed analysis of the M-protein glycan sites.

RESULTS: Genomic analysis uncovered a more than two-fold increase in the Fab Light Chain N-glycosylation of M-proteins of patients with Multiple Myeloma compared to Fab Light Chain N-glycosylation of polyclonal antibodies from healthy individuals. Subsequent glycoproteogenomics analysis of 41 patients enrolled in the IFM 2009 clinical trial revealed that the majority of the Fab N-glycosylation sites were fully occupied with complex type glycans, distinguishable from Fc region glycans due to high levels of sialylation, fucosylation and bisecting structures.

CONCLUSIONS: Together, glycoproteogenomics is a powerful tool to study de novo Fab N-glycosylation in plasma cell dyscrasias.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Clinical chemistry and laboratory medicine - (2024) vom: 09. Feb.

Sprache:

Englisch

Beteiligte Personen:

Langerhorst, Pieter [VerfasserIn]
Baerenfaenger, Melissa [VerfasserIn]
Kulkarni, Purva [VerfasserIn]
Nadal, Simon [VerfasserIn]
Wijnands, Charissa [VerfasserIn]
Post, Merel A [VerfasserIn]
Noori, Somayya [VerfasserIn]
vanDuijn, Martijn M [VerfasserIn]
Joosten, Irma [VerfasserIn]
Dejoie, Thomas [VerfasserIn]
van Gool, Alain J [VerfasserIn]
Gloerich, Jolein [VerfasserIn]
Lefeber, Dirk J [VerfasserIn]
Wessels, Hans J C T [VerfasserIn]
Jacobs, Joannes F M [VerfasserIn]

Links:

Volltext

Themen:

Glycoproteogenomics
Journal Article
M-protein
Multiple myeloma
N-glycosylation
Variable region

Anmerkungen:

Date Revised 14.02.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.1515/cclm-2023-1189

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368221725