Glycomics Profile Analysis by MALDI TOF/MS in Human CSF Xueli Li, Ph.D., Children’s Hospital of Philadelphia Children’s Hospital of Philadelphia Introduction • Genetic defects in human glycome – 2-3% of the human genome encodes proteins for glycosylation – 50% of proteins are glycosylated in human – 10 distinct glycoprotein biosynthesis pathways – >100 disease causing genes discovered – Many still remain unknown Children’s Hospital of Philadelphia Why CSF glycome? • Glycoproteome and glycome in plasma are limited • Unique glycosylation type and glycogene expression pattern in brain • CSF glycome in human has not been well studied • Does CSF glycome provide us more diagnostic value for CDG ? Children’s Hospital of Philadelphia Project • • • • CSF free glycome CSF N-glycome CSF O-glycome Study cohort – 166 CSF from patients with undiagnosed neurological disease (NIH/UDP) – 10 CSF normal controls Children’s Hospital of Philadelphia Methods 400 μl CSF Filter Glycoprotein Free glycan N-Glycan PNGase F O-Glycan Reduced β-elimination Desalted & Purified by C18 column Desalted & purified by acetic acid – methanol & resin Permethylation Permethylation MALDI-TOF MALDI-TOF Children’s Hospital of Philadelphia “Undiagnosed” Cases Brother (MM, 11 year old) Encephalopathy/CP/Spast ic Paraparesis Congenital Hypotonia Global Developmental Delay Bilateral Hearing Loss Multiple Fractures Recurrent Pneumonias Low immunoglobulin level, low IgA Generalized Aminoaciduria CDG normal by CDT Sister (IM, 6 year old) Profound Global Developmental Delay Congenital Hypotonia Neonatal Seizures Cerebral atrophy, small corpus callosum History of recurrent UTIs CDG normal by CDT Children’s Hospital of Philadelphia 838.57 Sib’s Urine Free Glycan 48000 885.4 20000 Glu4 or Glu3Man1 patient 681.57 0 1742.86 Intensity 24000 1241.30 5000 885.92 1275.35 10000 Control 651.68 Intensity 15000 0 1000 1500 2000 m/z 2500 3000 800 1600 2400 3200 4000 m/z Children’s Hospital of Philadelphia Differential For Hex4 Pompe Disease acid alpha-1,4glucosidase (GAA), 17q25.2-q25.3 CDG IIb α1,2 glucosidase I (GCS1), 2p13-p12 Glucosidase I X Polyglucose Diet Glc(3)-Man(9)-GlcNAc(2) Children’s Hospital of Philadelphia Sib’s CSF Free Glycan Control Patient Children’s Hospital of Philadelphia Abnormal CSF Free Glycans m/z value Reference range 885.40 Hex4 (Glu4 or Glu3Man1) 43.21% H 1.37-8.59% 1538.697 Man6 GlcNAc1 or Glu3Man3GlcNAc1 0.41% H 0.0-0.13% 1742.86 Man7 GlcNAc1 or Glu3Man4GlcNAc1 17.07% H 0.0-0.0% 1946.96 Man8 GlcNAc1 or Glu3Man5GlcNAc1 0.32% H 0.0-0.0% 2151.06 Man9 GlcNAc1 or Glu3Man6GlcNAc1 0.14% H 0.0-0.0% 2355.06 Glu3Man7GlcNAc1 0.10% H 0.0-0.0% Children’s Hospital of Philadelphia Children’s Hospital of Philadelphia Freeze Nature Reviews Genetics advance online publication; published online 6 June 2006 | doi:10.1038/nrg1894 10 1241.4728 1601.8 2204.6 Mass (m/z) 2807.4 Children’s Hospital of Philadelphia 3410.2 3950.5535 3833.4614 3776.4980 3731.4783 3690.3521 3648.4072 3602.4058 3541.3098 3415.3765 3356.3542 3283.2417 3241.2546 3140.2556 3047.3540 2966.1733 3002.2876 2882.1362 2430.9685 2792.0989 90 2778.0840 2788.0940 2834.0967 2822.1096 2738.1023 2686.2212 2600.0334 2546.9954 2506.9702 2460.9790 30 2416.9443 2359.9280 2302.8977 100 2226.9016 2185.8855 2069.8403 2028.8046 1981.8041 1925.8187 1866.7703 1823.6553 1783.7192 1742.6985 1701.6742 1661.6952 1620.6633 1553.0438 1416.5986 1293.5281 20 1579.6453 1118.5491 1175.5707 0 999.0 1053.4089 1000.4803 % Intensity Sib’s Plasma N-glycan 4700 Reflector Spec #1 MC[BP = 2793.1, 11203] 12-17-2010-10BN09688 Glc3Man7 1.1E+4 80 70 60 50 40 4013.0 Sib’s CSF N-Glycan Compare with Control Patient CSF N-Glycan 3009.22 Wrong slides 2805.08 Control CSF N-Glycan Children’s Hospital of Philadelphia MOGS Seq • Affected male sibling Exon 1 c.65C>A, p.A22E; c.329G>A, p.110R>H; Exon 2 c.370C>T, p.124Q>X • Affected female sibling Exon 1 c.65C>A, p.A22E; c.329G>A, p.110R>H Exon 2 c.370C>T, p.124Q>X • Mother Exon 2 c.370C>T, p.124Q>X • Father Exon 1 c.65C>A, p.A22E; c.329G>A, p.110R>H; Children’s Hospital of Philadelphia GalNAc Type O-linked Protein Glycosylation Core1 Biosynthesis of Core 1 and Core 2 Core2 Essentials of Glycobiology Second Edition Children’s Hospital of Philadelphia Plasma O-glycan Profile 1200 Monosialyl T antigen 895.584 Intens. [a.u.] 1000 800 M-core 2 600 Disialyl T 400 1256.790 D-core 2 I.S. 200 * 1391.894 1344.874 0 800 1200 m/z 1705.983 1600 Children’s Hospital of Philadelphia CSF O-glycan Profiles • Control and abnormal CSF O-linked glycan Control CAD-Def Children’s Hospital of Philadelphia CAD Deficiency Children’s Hospital of Philadelphia Conclusion • CSF glycome is different and more complex than plasma glycome – Free glycome, N-glycome and O-glycome • CSF glycome may detect CNS-specific defect in protein glycosylation • CSF glycome provides additional information for the diagnosis of CDG Children’s Hospital of Philadelphia Acknowledgment He Research Lab Miao He, Ph.D. Mohd Raihan NIH/UDP Mariska Davids, Ph.D. Megan Kane, Ph.D. Lynne Wolfe Neal Boerkoel, MD. Ph.D. Bill Gahl, MD. Ph.D. Children’s Hospital of Philadelphia