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Sialylation of IgG Fc domain impairs complement-dependent cytotoxicity
Isaak Quast, Christian W. Keller, Michael A. Maurer, John P. Giddens, Björn Tackenberg, Lai-Xi Wang, Christian Münz, Falk Nimmerjahn, Marinos C. Dalakas, Jan D. Lünemann
Isaak Quast, Christian W. Keller, Michael A. Maurer, John P. Giddens, Björn Tackenberg, Lai-Xi Wang, Christian Münz, Falk Nimmerjahn, Marinos C. Dalakas, Jan D. Lünemann
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Research Article Immunology

Sialylation of IgG Fc domain impairs complement-dependent cytotoxicity

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Abstract

IgG molecules exert both pro- and antiinflammatory effector functions based on the composition of the fragment crystallizable (Fc) domain glycan. Sialylated IgG Fc domains have antiinflammatory properties that are attributed to their ability to increase the activation threshold of innate effector cells to immune complexes by stimulating the upregulation of the inhibitory Fcγ receptor IIB (FcγRIIB). Here, we report that IgG Fc sialylation of human monoclonal IgG1 molecules impairs their efficacy to induce complement-mediated cytotoxicity (CDC). Fc sialylation of a CD20-targeting antibody had no impact on antibody-dependent cellular cytotoxicity and did not change the affinity of the antibody for activating Fcγ receptors. In contrast, the presence of sialic acid abrogated the increased binding of C1q to Fc-galactosylated IgG1 and resulted in decreased levels of C3b deposition on the cell surface. Similar to monoclonal antibodies, sialic acid inhibited the increased C1q binding to galactosylated Fc fragments in human polyclonal IgG. In sera derived from patients with chronic inflammatory demyelinating polyneuropathy, an autoimmune disease of the peripheral nervous system in which humoral immune responses mediate tissue damage, induction of IgG Fc sialylation was associated with clinical disease remission. Thus, impairment of CDC represents an FcγR-independent mechanism by which Fc-sialylated glycovariants might limit proinflammatory IgG effector functions.

Authors

Isaak Quast, Christian W. Keller, Michael A. Maurer, John P. Giddens, Björn Tackenberg, Lai-Xi Wang, Christian Münz, Falk Nimmerjahn, Marinos C. Dalakas, Jan D. Lünemann

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Figure 2

IgG Fc sialylation impairs complement-dependent but not cell-mediated cytotoxicity.

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IgG Fc sialylation impairs complement-dependent but not cell-mediated cy...
(A) RTX and tetra-Fc–sialylated RTX mediated lysis of B cells (targets) by autologous NK cells (effectors). Representative experiment and quantification of 3 independent experiments. Statistics were performed by t test. (B) Binding of RTX and tetra-Fc–sialylated RTX to CHO cells either untransfected or transfected with the low-affinity (158F) or high-affinity (158V) variant of FcγRIIIA. (C) Complement-mediated lysis of the CD20+ Raji cells. Representative experiment and quantification of EC50 of 3 independent experiments. Statistics were performed by t test. (D) Complement-mediated lysis of CD20+ Raji cells (left) or MO3.13 MOG cells (right) with RTX and anti-MOG (hu8-18C5) or Fc-galactosylated and sialylated variants of the antibodies, representative of 3 independent experiments. 158F, Phenylalanine 158; 158V, Valine 158.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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