Genetic remodeling of protein glycosylation in vivo induces autoimmune disease

D Chui, G Sellakumar, RS Green… - Proceedings of the …, 2001 - National Acad Sciences
D Chui, G Sellakumar, RS Green, M Sutton-Smith, T McQuistan, KW Marek, HR Morris
Proceedings of the National Academy of Sciences, 2001National Acad Sciences
Autoimmune diseases are among the most prevalent of afflictions, yet the genetic factors
responsible are largely undefined. Protein glycosylation in the Golgi apparatus produces
structural variation at the cell surface and contributes to immune self-recognition. Altered
protein glycosylation and antibodies that recognize endogenous glycans have been
associated with various autoimmune syndromes, with the possibility that such abnormalities
may reflect genetic defects in glycan formation. We show that mutation of a single gene …
Autoimmune diseases are among the most prevalent of afflictions, yet the genetic factors responsible are largely undefined. Protein glycosylation in the Golgi apparatus produces structural variation at the cell surface and contributes to immune self-recognition. Altered protein glycosylation and antibodies that recognize endogenous glycans have been associated with various autoimmune syndromes, with the possibility that such abnormalities may reflect genetic defects in glycan formation. We show that mutation of a single gene, encoding α-mannosidase II, which regulates the hybrid to complex branching pattern of extracellular asparagine (N)-linked oligosaccharide chains (N-glycans), results in a systemic autoimmune disease similar to human systemic lupus erythematosus. α-Mannosidase II-deficient autoimmune disease is due to an incomplete overlap of two conjoined pathways in complex-type N-glycan production. Lymphocyte development, abundance, and activation parameters are normal; however, serum immunoglobulins are increased and kidney function progressively falters as a disorder consistent with lupus nephritis develops. Autoantibody reactivity and circulating immune complexes are induced, and anti-nuclear antibodies exhibit reactivity toward histone, Sm antigen, and DNA. These findings reveal a genetic cause of autoimmune disease provoked by a defect in the pathway of protein N-glycosylation.
National Acad Sciences