Glycosylation, the attachment of sugar moieties to proteins, is a post-translational modification (PTM) that provides greater proteomic diversity than other PTMs.
Glycosylation, the attachment of sugar moieties to proteins, is a post-translational modification (PTM) that provides greater proteomic diversity than other PTMs.
Short intro epigenetics & nutrigenomics& the early impact of nutrition Norwich Research Park
Our “genes” are not fixed: “Plasticity” of the genotype by epigenetic mechanisms => important for the phenotypic impact of nutrition.
• Histone and DNA modifications have impact on gene transcription efficiency. Methylation (more stable) and acetylation (more flexible) have impact on chromatin
structures.
• Epigenetic modifications have impact on offspring, embryo development, ageing and disease development or prevention => example: Dutch Hunger Winter.
Health status of future parents are very important for the future health of children.
Early healthy nutrition & lifestyle essential for successful healthy life & “ageing”.
Proteoglycans are proteins that are heavily glycosylated*. The basic proteoglycan unit consists of a "core protein" with one or more covalently attached glycosaminoglycan (GAG) chain(s).
Large family of proteolytic enzymes
All have serine residue at their active site which plays a crucial part in the enzymatic activity.
All cleave peptide bonds, by a similar mechanism of action. They differ in their specificity and regulation.
Serine proteases include:
the pancreatic proteases: trypsin, chymotrypsin and elastase,
various tissue/intracellular proteases such as leukocyte elastase
enzymes of the blood clotting cascade
some enzymes of complement system
Many serine proteases are synthesized as inactive precursors (zymogens) which are activated by proteolysis
Presentation given by Dr. Karthikeyan at Department of Biochemistry, Maulana Azad Medical College.
Addition:
There are certain proteins which are degraded by proteasome without ubiquitin tag. one such example is ornithine decarboxylase - rate limiting enzyme of polyamine synthesis.
G Proteins - Dr. P. Saranraj, Assistant Professor, Department of Microbiology, Sacred Heart College (Autonomous), Tirupattur, Vellore District, Tamil Nadu, India.
The King Of Blood Sugar Offers Has Arrived
GlucoTru Is A Brand New Blood Sugar + Weight Loss Winner | Has A Fresh Angle & Unique Hook
INTRODUCING
GlucoTru
The King Of Blood Sugar Offers Has Arrived
Product Bottle.
GlucoTru is a brand new blood sugar offer with an aggressive weight loss hook and a fresh angle audiences haven’t heard or seen yet.
What makes GlucoTru destined to be a #1 offer is that it taps into two of the biggest health markets worldwide and has huge appeal for both men and women looking to support healthy blood sugar levels or lose weight or both.
Created by a team of diamond vendors with multiple first page offers, it’s no wonder super affiliates are already calling this the best new offer of 2023!
The Rundown
Killer EPCs (Earning Per Click)
With an average AOV over $220 affiliates are already seeing up to $4 EPC.
Insane Conversion Rate
GlucoTru converts like crazy on all traffic sources and has a 50% upsell take rate!
Broad Appeal
Diabetes and weight loss are 2 of the biggest health concerns in the world and GlucoTru taps into both of those concerns simultaneously which means it appeals to a huge and evergreen audience.
Low Refunds
We aren’t just selling people a dream. GlucoTru has been clinically proven to help people with high blood sugar and excess fat.
Email Swipes
Send our professionally written marketing emails to your subscribers and make BIG bucks!
NOTE: You may ONLY send to opted-in subscribers, these are not for spamming, you will be immediately blacklisted without warning if you send unsolicited emails.
Expert Tips:
Send to the VSL (default page) first for best conversions
Send to all unopens 24 hours after your first email.
Email #1
Subject: Breakfast Mixture Resets High Blood Sugar
Alt Subject: Mix This At Breakfast To Lower Blood Sugar
A team of medical researchers from Harvard University recently unearthed a 4,000-year-old “diabetes-reversing secret” in a remote and practically ancient Japanese mountain village.
They discovered that by simply mixing these two things every morning at breakfast you could immediately reset high blood sugar, skyrocket metabolism and burn an average of 6.5 lbs per week!
“It’s simple, potent, and requires no exercise, dieting or medication to be combined with it,” explained the team.
They even put together a short video showing their exact step-by-step method and what makes this morning mixture so effective.
Ps. Big pharma DOES NOT want you to watch this video and has been trying to get it taken down ever since they released it. So please watch it now while it’s still online...
COPY TO CLIPBOARD
Email #2
Subject: This + Breakfast = Perfect Blood Sugar
Alt Subject: One Scoop At Breakfast = Perfect Blood Sugar
The medical industry is in total shock right now after a team of scientists from Johns Hopkins University recently discovered something incredible in a tiny and isolated Japanese mountain village,
Short intro epigenetics & nutrigenomics& the early impact of nutrition Norwich Research Park
Our “genes” are not fixed: “Plasticity” of the genotype by epigenetic mechanisms => important for the phenotypic impact of nutrition.
• Histone and DNA modifications have impact on gene transcription efficiency. Methylation (more stable) and acetylation (more flexible) have impact on chromatin
structures.
• Epigenetic modifications have impact on offspring, embryo development, ageing and disease development or prevention => example: Dutch Hunger Winter.
Health status of future parents are very important for the future health of children.
Early healthy nutrition & lifestyle essential for successful healthy life & “ageing”.
Proteoglycans are proteins that are heavily glycosylated*. The basic proteoglycan unit consists of a "core protein" with one or more covalently attached glycosaminoglycan (GAG) chain(s).
Large family of proteolytic enzymes
All have serine residue at their active site which plays a crucial part in the enzymatic activity.
All cleave peptide bonds, by a similar mechanism of action. They differ in their specificity and regulation.
Serine proteases include:
the pancreatic proteases: trypsin, chymotrypsin and elastase,
various tissue/intracellular proteases such as leukocyte elastase
enzymes of the blood clotting cascade
some enzymes of complement system
Many serine proteases are synthesized as inactive precursors (zymogens) which are activated by proteolysis
Presentation given by Dr. Karthikeyan at Department of Biochemistry, Maulana Azad Medical College.
Addition:
There are certain proteins which are degraded by proteasome without ubiquitin tag. one such example is ornithine decarboxylase - rate limiting enzyme of polyamine synthesis.
G Proteins - Dr. P. Saranraj, Assistant Professor, Department of Microbiology, Sacred Heart College (Autonomous), Tirupattur, Vellore District, Tamil Nadu, India.
The King Of Blood Sugar Offers Has Arrived
GlucoTru Is A Brand New Blood Sugar + Weight Loss Winner | Has A Fresh Angle & Unique Hook
INTRODUCING
GlucoTru
The King Of Blood Sugar Offers Has Arrived
Product Bottle.
GlucoTru is a brand new blood sugar offer with an aggressive weight loss hook and a fresh angle audiences haven’t heard or seen yet.
What makes GlucoTru destined to be a #1 offer is that it taps into two of the biggest health markets worldwide and has huge appeal for both men and women looking to support healthy blood sugar levels or lose weight or both.
Created by a team of diamond vendors with multiple first page offers, it’s no wonder super affiliates are already calling this the best new offer of 2023!
The Rundown
Killer EPCs (Earning Per Click)
With an average AOV over $220 affiliates are already seeing up to $4 EPC.
Insane Conversion Rate
GlucoTru converts like crazy on all traffic sources and has a 50% upsell take rate!
Broad Appeal
Diabetes and weight loss are 2 of the biggest health concerns in the world and GlucoTru taps into both of those concerns simultaneously which means it appeals to a huge and evergreen audience.
Low Refunds
We aren’t just selling people a dream. GlucoTru has been clinically proven to help people with high blood sugar and excess fat.
Email Swipes
Send our professionally written marketing emails to your subscribers and make BIG bucks!
NOTE: You may ONLY send to opted-in subscribers, these are not for spamming, you will be immediately blacklisted without warning if you send unsolicited emails.
Expert Tips:
Send to the VSL (default page) first for best conversions
Send to all unopens 24 hours after your first email.
Email #1
Subject: Breakfast Mixture Resets High Blood Sugar
Alt Subject: Mix This At Breakfast To Lower Blood Sugar
A team of medical researchers from Harvard University recently unearthed a 4,000-year-old “diabetes-reversing secret” in a remote and practically ancient Japanese mountain village.
They discovered that by simply mixing these two things every morning at breakfast you could immediately reset high blood sugar, skyrocket metabolism and burn an average of 6.5 lbs per week!
“It’s simple, potent, and requires no exercise, dieting or medication to be combined with it,” explained the team.
They even put together a short video showing their exact step-by-step method and what makes this morning mixture so effective.
Ps. Big pharma DOES NOT want you to watch this video and has been trying to get it taken down ever since they released it. So please watch it now while it’s still online...
COPY TO CLIPBOARD
Email #2
Subject: This + Breakfast = Perfect Blood Sugar
Alt Subject: One Scoop At Breakfast = Perfect Blood Sugar
The medical industry is in total shock right now after a team of scientists from Johns Hopkins University recently discovered something incredible in a tiny and isolated Japanese mountain village,
Title: TropiSlim - A Refreshing Approach to Healthy Living
Introduction:
In a world where health and wellness have become paramount, finding a reliable and effective dietary supplement can be a game-changer. TropiSlim emerges as a unique contender in the market, offering a refreshing approach to healthy living. This review delves into the key aspects of TropiSlim, exploring its ingredients, benefits, and overall effectiveness.
Ingredients:
TropiSlim boasts a carefully curated blend of natural ingredients that work synergistically to support weight management and overall well-being. Green tea extract, Garcinia Cambogia, and tropical fruit extracts are among the key components. These ingredients are renowned for their metabolism-boosting properties and ability to curb cravings, making TropiSlim a promising choice for those seeking a holistic approach to weight management.
Benefits:
Natural Weight Management:
TropiSlim's formula is designed to target multiple facets of weight management. The green tea extract promotes fat oxidation, while Garcinia Cambogia helps control appetite and inhibits fat production. Together, they create a powerful combination for natural and sustainable weight loss.
Energy Boost:
Unlike some weight management supplements that may lead to energy crashes, TropiSlim includes ingredients that provide a steady and sustained energy boost. This can be particularly beneficial for individuals incorporating exercise into their weight loss journey.
Antioxidant Support:
The inclusion of tropical fruit extracts brings a rich source of antioxidants, contributing to overall health. Antioxidants play a crucial role in combating oxidative stress and supporting the body's immune system.
Mood Enhancement:
TropiSlim's formulation takes into account the emotional aspects of weight management. Some ingredients are known to have mood-enhancing properties, which can be beneficial for individuals navigating the challenges of a weight loss journey.
User Experience:
Customer reviews of TropiSlim generally highlight positive experiences. Many users report noticeable improvements in energy levels, reduced cravings, and, most importantly, gradual yet sustainable weight loss. The natural ingredients seem to resonate well with those seeking a supplement free from artificial additives.
It's important to note that individual responses to dietary supplements can vary. While TropiSlim appears to be effective for many, results may depend on factors such as diet, exercise, and individual metabolism.
Conclusion:
TropiSlim stands out in the crowded market of dietary supplements by offering a holistic approach to weight management. With its natural ingredients, energy-boosting properties, and positive user reviews, TropiSlim seems to be a valuable addition to a healthy lifestyle. As with any supplement, it's recommended to consult with a healthcare professional before incorporating TropiSlim into your routine, especially if you have pre-existing health c
The Essence of TropiSlim
TropiSlim is more than just a product; it’s a holistic approach to well-being that encapsulates the essence of tropical vitality. Crafted from a meticulous blend of natural ingredients, TropiSlim harnesses the power of exotic fruits, botanical extracts, and scientifically proven compounds to create a synergistic formula that promotes health and vitality.
Unveiling the Science Behind TropiSlim
At the heart of TropiSlim lies a fusion of cutting-edge scientific research and time-tested traditional wisdom. The formula is designed to address key aspects of wellness, including metabolism, energy levels, and mental clarity. Each ingredient is carefully selected based on its proven ability to support overall health, ensuring a comprehensive and effective approach to well-being.
Key Components of TropiSlim
Tropical Superfoods: TropiSlim incorporates the goodness of tropical superfoods like açai berries, guava, and passion fruit, known for their rich nutrient profiles and antioxidant properties. These superfoods play a crucial role in supporting cellular health and boosting the body’s natural defenses.
Metabolism Boosters: TropiSlim includes a blend of metabolism-boosting ingredients such as green tea extract and Garcinia Cambogia. These components work synergistically to enhance the body’s ability to burn calories, promoting weight management in a sustainable and healthy manner.
Adaptogens for Stress Relief: Recognizing the impact of stress on overall well-being, TropiSlim incorporates adaptogenic herbs like Rhodiola Rosea and Ashwagandha. These ingredients help the body adapt to stressors, promoting mental resilience and emotional balance.
Enhanced Hydration Complex: Staying true to its tropical inspiration, TropiSlim features a specialized hydration complex, including coconut water and electrolytes. Proper hydration is fundamental to maintaining energy levels, supporting digestion, and promoting radiant skin.
The TropiSlim Experience
TropiSlim isn’t just a supplement; it’s a lifestyle enhancer. Users can expect a range of benefits, including:
Elevated Energy Levels: TropiSlim provides a sustained energy boost, promoting vitality throughout the day without the jitters associated with traditional stimulants.
Improved Metabolic Function: The carefully curated blend of ingredients supports a healthy metabolism, aiding in weight management and promoting a leaner physique.
Enhanced Mental Clarity: The adaptogens and cognitive-supporting components contribute to improved focus and mental clarity, empowering individuals to tackle daily challenges with a clear mind.
Radiant Skin and Hydration: The hydration complex, combined with antioxidant-rich superfoods, contributes to skin health and overall hydration, reflecting the vitality within.
Transparency and Quality Assurance
TropiSlim is committed to transparency and quality assurance
To experience the full spectrum of benefits,it is recommended to take it as a part of a balanced lifestyle
Caribbean Flush Dissolves Fat While You Sleepkamin4381
TropiSlim is a tropical-inspired dietary supplement designed to support weight management and overall well-being. Packed with a blend of natural ingredients, this product aims to boost metabolism, reduce appetite, and enhance energy levels. Its formulation may include tropical fruits, botanical extracts, and other nutrients known for their potential benefits in promoting a healthy weight. TropiSlim is intended to complement a balanced diet and regular exercise, offering a convenient way for individuals to support their weight loss journey. As with any supplement, it's advisable to consult with a healthcare professional before incorporating it into your routine.
Caribbean Flush Dissolves Fat While You SleepTrendy Deal Hub
Caribbean Flush Dissolves Fat While You Sleep
"Caribbean Flush" is a cutting-edge, natural supplement designed to aid in fat dissolution while you sleep. Formulated with carefully selected ingredients known for their metabolism-boosting properties, this product supports weight management by targeting fat cells during the body's resting phase. By promoting gentle overnight fat burning, Caribbean Flush aims to assist individuals in achieving their wellness goals with ease and convenience.
TropiSlim
Deliverable
Caribbean Flush
Dissolves Fat While You Sleep
Ryan, D. H., & Yockey, S. R. (2017). Weight Loss and Improvement in Comorbidity: Differences at 5%, 10%, 15%, and Over. Current obesity reports, 6(2), 187.https://doi.org/10.1007/s13679-017-0262-y
Nolan, R., Shannon, O. M., Robinson, N., Joel, A., Houghton, D., & Malcomson, F. C. (2020). It’s No Has Bean: A Review of the Effects of White Kidney Bean Extract on Body Composition and Metabolic Health. Nutrients, 12(5).https://doi.org/10.3390/nu12051398
Santoro, N., Epperson, C. N., & Mathews, S. B. (2015). Menopausal Symptoms and Their Management. Endocrinology and metabolism clinics of North America, 44(3), 497.https://doi.org/10.1016/j.ecl.2015.05.001
Fenton, A. (2021). Weight, Shape, and Body Composition Changes at Menopause. Journal of Mid-Life Health, 12(3), 187-192.https://doi.org/10.4103/jmh.jmh_123_21
Chopra, S., Sharma, K. A., Ranjan, P., Malhotra, A., Vikram, N. K., & Kumari, A. (2019). Weight Management Module for Perimenopausal Women: A Practical Guide for Gynecologists. Journal of Mid-Life Health, 10(4), 165-172.https://doi.org/10.4103/jmh.JMH_155_19
Kodoth, V., Scaccia, S., & Aggarwal, B. (2021). Adverse Changes in Body Composition During the Menopausal Transition and Relation to Cardiovascular Risk: A Contemporary Review. Women's Health Reports, 3(1), 573-581.https://doi.org/10.1089/whr.2021.0119
It seems like there might be a small typo in your request. If you're referring to a "Meta Description" for a product or service called "TropiSlim," a meta description is a concise summary that provides a brief overview of the content on a web page. Here's a sample meta description for TropiSlim:
"Discover the natural way to wellness with TropiSlim. Our innovative product combines the power of tropical ingredients to support your health journey. Unleash the benefits of nature with TropiSlim - your path to a healthier, vibrant lifestyle."
Please provide more details if you have specific information you'd like to include in the meta description or if there's a different context you're referring to.
TropiSlim is a dietary supplement designed to support weight loss and appetite control. According to the makers of TropiSlim, it contains a blend of plant extracts and nutrients that target the root causes of weight gain to accelerate fat burning, reduce hunger cravings, and block fat production.
That I would use to effortlessly dissolve 72 lbs of deadly excess fat, boost energy levels, improve sleeping and balance my hormones within a few short weeks.
Ladies…
What if I told you that everything we’ve been made to believe about losing weight and getting fit after turning 40 was a complete lie?
That’s right, the real answer to your problem has nothing to do with exercising more, going on another diet, or giving up anymore of your favorite foods.
In fact, this ancient fat-melting technique is so simple you could be doing it right now, in your very own bed starting tonight.
A 4,000-year-old secret, unlike anything you’ve ever heard before, and discovered within the exotic habitat of a remote island chain in the middle of paradise. An all-natural Caribbean “flush” so bizarre yet so powerful that it will easily melt away 10, 20 and even 70 lbs of stubborn excess fat transforming your body and health in a matter of weeks without one second of dieting or exercise.
Group of women.
This is something that every woman over 40 desperately needs to try and can start doing right now to take back control over their waistline, hormones, body, and overall health.
And the best part is, this Caribbean flush is scientifically proven to supercharge metabolic rate while your body is resting. Meaning, whether it’s 10 pounds or 100 pounds of nagging fat, you’ll be unlocking your metabolism and turning your body into a furnace, melting away pound after pound while you lay in bed sleeping and without any effort.
You see, we’ve been lied to ladies and made to believe that our inability to lose weight and keep it off was somehow our fault but I’m here to tell you, that couldn’t be further from the truth because despite what you’ve been told by fitness “gurus” and internet doctors; Age, genetics, lifestyle, and all of the other common excuses you hear have absolutely nothing to do with getting skinny and staying that way.
It’s a groundbreaking discovery that was never supposed to have seen the light of day but because of one brave doctor from a tiny Caribbean island, the lid is being blown off of the big obesity lie.Sending the medical community into a frenzy and the $78 billion-dollar weight loss industry scrambling. A newly discovered compound found in 87% of all women that scientists are now calling the “menopause parasite” or K-40 compound, which has been proven by places like Harvard University, Oxford College in England, and Stanford Medical School to be the real root cause behind the rising obesity crisis, high blood sugar, lack of energy and other dangerous health afflictions in women.
It was found that once K-40 becomes active and starts multiplying, it also causes a chain reaction in other parts of your body and mimics the symptoms of menopause, hence the nickname scientists gave it.
A mysterious little compound that awakens and floods your body after the age of 40 and continues to multiply with each passing year causing your fat cells to swell up three times their normal size, forcing your body to store excess fat, slowing your metabolism to near turtle-like speed, causing your sleep to be interrupted,
Multiscale integrative data analytics in pharmacogenomicsDr. Gerry Higgins
This strategy for mapping drug networks provides insight into the mechanistic on- and off-target effects, laying a foundation for subsequent preclinical studies.
'Lo último en obesidad'. Este es el título del Simposio Internacional que organizamos en la Fundación Ramón Areces los días 1 y 2 de diciembre de 2015. En colaboración con la Fundación General CSIC, reunió a algunos de los mayores expertos en la materia para analizar cómo reducir este grave problema de salud pública.
Breve presentacion de las generalidades anatomicas esenciales para la evaluacion de los traumas raquimedulares y revision de los tipos de fracturas mas comunes en base a su prevalencia en la poblacion en general.
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5cl-adba precursor (semi finished )
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Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
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Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Glycosylation
1. Antony, P., & Vijayan, R. (2021). Role of SARS-CoV-2 and ACE2 variations in COVID-19. Biomedical Journal, 44(3), 235–244.
https://doi.org/10.1016/j.bj.2021.04.006
Protein Glycosylation
1 2 3 5
4 6
2. Glycosylation overview and linkage types
Reily, C., Stewart, T. J., Renfrow, M. B., & Novak, J. (2019). Glycosylation in health and disease. Nature Reviews Nephrology, 15(6), 346–366.
https://doi.org/10.1038/s41581-019-0129-4
1 2 3 5
4 6
4. N-linked glycosylation
Casas-Sanchez, A., Romero-Ramirez, A., Hargreaves, E., Ellis, C. C., Grajeda, B. I., Estevao, I. L., Patterson, E. I., Hughes, G. L., Almeida, I. C.,
Zech, T., & Acosta-Serrano, Á. (2022). Inhibition of Protein N-Glycosylation Blocks SARS-CoV-2 Infection. MBio, 13(1).
https://doi.org/10.1128/mbio.03718-21
1 2 3 5
4 6
6. N-glycosylation: Glycan trimming
Helenius, A., & Aebi, and M. (2001). Intracellular Functions of N-Linked Glycans. Science, 291(5512), 2364–2369.
https://doi.org/10.1126/science.291.5512.2364
1 2 3 5
4 6
7. N-glycosylation: Glycan folding
Słomińska-Wojewódzka, M., & Sandvig, K. (2015). The Role of Lectin-Carbohydrate Interactions in the Regulation of ER-Associated Protein
Degradation. Molecules, 20(6), 9816–9846. https://doi.org/10.3390/molecules20069816
1 2 3 5
4 6
8. N-glycosylation: Golgi maturation
Golgi maturation (Thermo Fisher Scientific)
Higel, F., Seidl, A., Sörgel, F., & Friess, W. (2016). N-glycosylation
heterogeneity and the influence on structure, function and
pharmacokinetics of monoclonal antibodies and Fc fusion proteins.
European Journal of Pharmaceutics and Biopharmaceutics, 100, 94–
100. https://doi.org/10.1016/j.ejpb.2016.01.005
1 2 3 5
4 6
11. O-glycosidic linkage example: O-GalNac
Wandall, H. H., Nielsen, M. A. I., King-Smith, S., Haan, N., & Bagdonaite, I. (2021). Global functions of O-glycosylation: promises and challenges
in O‐glycobiology. The FEBS Journal, 288(24), 7183–7212. https://doi.org/10.1111/febs.16148
1 2 3 5
4 6
12. O-glycosylation functions
Wandall, H. H., Nielsen, M. A. I., King-Smith, S., Haan, N., & Bagdonaite, I. (2021). Global functions of O-glycosylation: promises and challenges
in O‐glycobiology. The FEBS Journal, 288(24), 7183–7212. https://doi.org/10.1111/febs.16148
1 2 3 5
4 6
14. Glycogenomic workflow analysis
Schjoldager, K. T., Narimatsu, Y., Joshi, H. J., & Clausen, H. (2020). Global view of human protein glycosylation pathways and functions. Nature
Reviews Molecular Cell Biology, 21(12), 729–749. https://doi.org/10.1038/s41580-020-00294-x
1 2 3 5
4 6
19. Glycosylation functional studies tool-box
Wandall, H.H., Nielsen, M.A.I., King-Smith, S., de Haan, N. and Bagdonaite, I. (2021), Global functions of O-glycosylation: promises and challenges in
O-glycobiology. FEBS J, 288: 7183-7212. https://doi.org/10.1111/febs.16148
1 2 3 5
4 6
22. Glycosylation of IgG antibodies
Jennewein, M. F., & Alter, G. (2017). The Immunoregulatory Roles of Antibody Glycosylation. Trends in Immunology, 38(5), 358–372.
https://doi.org/10.1016/j.it.2017.02.004
1 2 3 5
4 6
23. IgG glycoprotein diversity
Jennewein, M. F., & Alter, G. (2017). The Immunoregulatory Roles of Antibody Glycosylation. Trends in Immunology, 38(5), 358–372.
https://doi.org/10.1016/j.it.2017.02.004
1 2 3 5
4 6
24. Role of Fc región and receptors
Jennewein, M. F., & Alter, G. (2017). The Immunoregulatory Roles of Antibody Glycosylation. Trends in Immunology, 38(5), 358–372.
https://doi.org/10.1016/j.it.2017.02.004
1 2 3 5
4 6
25. IgG glycoprotein diversity
Jennewein, M. F., & Alter, G. (2017). The Immunoregulatory Roles of Antibody Glycosylation. Trends in Immunology, 38(5), 358–372.
https://doi.org/10.1016/j.it.2017.02.004
1 2 3 5
4 6
30. Possibilities
1 2 3 5
4 6
Gerdes, C. A., Nicolini, V. G., Herter, S., van Puijenbroek, E., Lang, S., Roemmele, M., Moessner, E., Freytag, O., Friess, T., Ries, C. H., Bossenmaier, B., Mueller, H. J., & Umaña, P. (2013). GA201 (RG7160): A Novel,
Humanized, Glycoengineered Anti-EGFR Antibody with Enhanced ADCC and Superior In Vivo Efficacy Compared with Cetuximab. Clinical Cancer Research, 19(5), 1126–1138. https://doi.org/10.1158/1078-0432.CCR-12-0989
31. Possibilities
1 2 3 5
4 6
Gerdes, C. A., Nicolini, V. G., Herter, S., van Puijenbroek, E., Lang, S., Roemmele, M., Moessner, E., Freytag, O., Friess, T., Ries, C. H., Bossenmaier, B., Mueller, H. J., & Umaña, P. (2013). GA201 (RG7160): A Novel,
Humanized, Glycoengineered Anti-EGFR Antibody with Enhanced ADCC and Superior In Vivo Efficacy Compared with Cetuximab. Clinical Cancer Research, 19(5), 1126–1138. https://doi.org/10.1158/1078-0432.CCR-12-0989
32. Possibilities
1 2 3 5
4 6
Gerdes, C. A., Nicolini, V. G., Herter, S., van Puijenbroek, E., Lang, S., Roemmele, M., Moessner, E., Freytag, O., Friess, T., Ries, C. H., Bossenmaier, B., Mueller, H. J., & Umaña, P. (2013). GA201 (RG7160): A Novel,
Humanized, Glycoengineered Anti-EGFR Antibody with Enhanced ADCC and Superior In Vivo Efficacy Compared with Cetuximab. Clinical Cancer Research, 19(5), 1126–1138. https://doi.org/10.1158/1078-0432.CCR-12-0989
33.
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Editor's Notes
Definition
Glycosylation is defined as the enzymatic process that produces glycosidic linkages of saccharides to other saccharides, proteins or lipids.
Glycosylation is thought to be the most complex type of post-translational modification because of the large number of enzymatic processes it involves. The most common types of glycosylation are N-glycosylation and O-glycosylation (>90% of all glycosylations). Although glycosylation encompasses an important number of steps, the most common glycosidic linkages (Figure 1) include:
N-linked glycans attached to a nitrogen of asparagine or arginine side-chains. N-linked glycosylation requires participation of a special lipid called dolichol phosphate.
O-linked glycans attached to the hydroxyl oxygen of serine, threonine, tyrosine, hydroxylysine, or hydroxyproline side-chains, or to oxygens on lipids such as ceramide
C-linked glycans are a rare form of glycosylation where a sugar is added to a carbon on a tryptophan side-chain. Aloin is one of the few naturally occurring substances.
Glypiation is the addition of a GPI anchor that links proteins to lipids through glycan linkages.
Phosphoglycosylation includes a wide range of posttranslational modifications that further increase the diversity of glycoproteins in the proteome such as: Sulfation at Man and GlcNac residues in glycosaminoglycans (GAGs), acetylation of sialic acid and phosphorylation in the Golgi apparatus.
Functions
To monitor the status of protein folding, acting as a quality control mechanism for properly folded proteins to enter the Golgi trafficking.
To mediate cell attachment or stimulate signal transduction pathways through acting as ligands for receptors on the cell surface.
To facilitate or prevent proteins from binding to associated interaction domains by affecting protein-protein interactions.
To alter the solubility of a protein through hydrophilic interactions.
Glycosylation post-translational modifications provide as a result an unmatched increase of the proteome diversity which can be attained because almost every aspect of glycosylation can be modified by their enzymes.
Glycosidic linkage (site of binding glycan).
Glycan composition (types of sugars linked).
Glycan structure (branched or unbranched).
Glycan length.
This diversity is mediated principally by glycosyltransferases (Gtfs) and glycosidases, which bind specifically to particular donor and substrate sugars and act independently of their enzymatic counter-parts. Enzyme availability is highly dependant on enzyme concentrations which is conciliated by cells compartmental divisions (e.g. Golgi cisternaes). As proteins begin to fold, specific amino acids become inaccessible for glycosidic binding, thus only allowing conformationally accesible glycosylation to occur
Although most glycosylations patterns occur post-translationally, N-glycosylation takes place often co-translationally as the protein is being translated and transported in the endoplasmic reticulum (ER). It’s name denotes that this glycosylation type is covalently bound to carboxamido nitrogens on asparagine residues (Asn or N). While N-glycosylation initially occurs identically for all proteins, it’s diverse capacity occurs at the subsequent trimming and glycan maturation levels.
Precursor glycan assembly in the ER
Oligosaccharides attached by N-glycosylation linkages are derived from a 14-sugar precursor molecule made of N-acetylglucosamine (GlcNAc), mannose (Man) and glucose (Glc) which are consecutively added into dolichol (polyisoprenoid lipid carrier embedded in the E.R. membrane) in an orderly fashion.
In the cytoplasm, UDP- and GDP (sugar nucleotides) bound to dolichol vía pyrophosphate linkage (-PP-) donate the first 7 sugars.
When the Man5GlcNAc2-PP-dolichol intermediate is completed, the entire complex is flipped into the lumen of the ER.
The final 7 sugars are donated from Man- and Glc-P-dolichol molecules to make the Gcl3Man9GlcNAc2-PP-dolichol precursor glycan.
Glycan attachment
N- terminal protein synthesis transports the increasingly growing polypeptide into the E.R. and protein folding occurs as the polypeptide enters. As protein folding continues, OSTase is less able to access the consensual sequence for glycan transfer. Interestingly, not every Asn with in-silico predicted consensual sequences are glycosylated.
Glycan trimming
Oligosaccharides are trimmed in the endoplasmic reticulum and the Golgi apparatus by glycosidases vía hydrolysis.In the endoplasmic reticulum
Glucosidases I and II remove 2 terminal Glc from the precursor glycan.
Calnexin and calreticulin (membrane-bound and soluble sugar-binding lectins) bind to the nascent protein vía Glc and act as chaperones for protein folding.
Final Glc is hydrolyzed by glucosidase II releasing the protein from it’s chaperone for proper folding.
Non-correctly folded proteins are recognized by UDP-glucose glycoprotein glucosyltransferase which adds a Glc to the glycoprotein cyclically so the protein is bound to lectin chaperones until correct folding and transport to the Golgi apparatus.
Final glycan structure for all properly folded glycoproteins that enter the Golgi is: Man9GlcNAc2 in eukaryotes.
Incorrectly folded proteins in the endoplasmic reticulum
ER-resident mannosidase (ERManl) hydrolyzes mannose in a significantly slower rate, allowing proteins múltiple rounds of glycosylation to fold properly before ERManl identifies them as unable to fold.
Proteins that lost 3 to 4 mannose residues are transported out of the E.R. by the enzyme glycanase.
Delivery to the E.R-associated degradation system (ERADs).
Glycan maturation in the Golgi apparatus
Glycan maturation in the Golgi apparatus combines both trimming and adding sugars to diversy the glycans on individual glycoproteins in each cisternae. The final glycan structures can be separated into 3 groups:
Complex oligosaccharides (endo-H resistant)1.1. Trimmed by mannosidase I and II.1.2. Glycosylated by GlcNAc transferase in a common core región.1.3. Múltiple Gtfs transfer sugar moieties from sugar nucleotides to build variable GlcNAc chains, galactose (Gal), sialic acid (NANA) and fucose.
High mannose oligosaccharides (endo-H sensitive)Do not carry other sugar moieties but some Man residues are often trimmed by mannosidase I.
Hybrid oligosaccharidesCombination of complex and high mannose oligosaccharides.
Glycan maturation in the Golgi apparatus
Glycan maturation in the Golgi apparatus combines both trimming and adding sugars to diversy the glycans on individual glycoproteins in each cisternae. The final glycan structures can be separated into 3 groups:
Complex oligosaccharides (endo-H resistant)1.1. Trimmed by mannosidase I and II.1.2. Glycosylated by GlcNAc transferase in a common core región.1.3. Múltiple Gtfs transfer sugar moieties from sugar nucleotides to build variable GlcNAc chains, galactose (Gal), sialic acid (NANA) and fucose.
High mannose oligosaccharides (endo-H sensitive)Do not carry other sugar moieties but some Man residues are often trimmed by mannosidase I.
Hybrid oligosaccharidesCombination of complex and high mannose oligosaccharides.
Contrary to N-glycosylation, O-glycosylation occurs post-translationally by adding sugars one at a time to serine or threonine residues inside the Golgi’s apparatus cisternaes.
O-glycosylation can also occur on hydroxylysine and hydroxyproline and is essential in the biosynthesis of mucins and other core proteoglycans that form components of the extracellular matrix.
O-GalNac mechanism
Proteins trafficked into the Golgi are more often glycosylated by N-acetylgalactosamine (GalNac) transferase. These Gtfs are distributed in diferent expresión profiles according to each cisternae of each cell lineage, acting as a quality control. The build-up process for both N-linked and O-linked can be summarized in 4 processes: 1. Initiation 2. Core extensión 3. Elongacion 4. Capping.
O-GalNac transferase GALNT attaches an O-GalNac monosaccharide to a serine, threonine or a tyrosine.
Resulting glycan can follow on of 8 to 11 known pathways (core 1- to 4- are the most common).
Glycan termini is capped with sialic acid and fucose.
A. Provide shielding from pro-protease convertases in the trans-Golgi network.
B. Select proteins of the immune system that have lectin domains that recognize glycans.
C. Protect proteins from ectodomain shedding by ADAM-10 and -17.
D. Increase peptide-hormones half-life circulation.
E. Modulation of interaction with host surface receptors.
F. Effective barrier against pathogens.
G. Modulate uptake rate of cargo receptors.
H. Regulation of leukocyte extravasation.
The analysis of Gtfs orchestrating the glycome is currently more tractable than cataloguing the diversity of the glycan structures produced to predict the cellular glycome.
Single cell transcriptome and proteome data clearly offers opportunities to asses the repertoire of expressed glycotransferases in individual cells and use this to estimate the total cellular glycosylation capacities based on known glycosylation pathways, to model glycosylation constraints that may affect glycosylation efficiency and ultimately develop reliable predictions for the structural architecture of the cellular glycome, the nature of the glycoproteomes and the structure of glycans themselves.
Rainbow atlas of human glycosylation pathway maps with assigned functions of 173 glycosyltransferases.
Vertical representation of glycosynthesis based on full gene label names.
Transcriptionally active glycosylation genes and biosynthetic steps. RNAseq data obtained from 51 human tissues to generate a heatmap of the transcriptional regulation of the 173 glycosyltransferase genes, which produce a prediction for the tissue-level variation of each gene.
This tissue heatmap of gene regulation was overlaid upon the rainbow depiction with a blue-red scale for each gene. The blue-red heatmap scale indicates high (red) to low (blue) degree of overall organ variation based on the quantitative RNA sequence.
Vertical positional overlay of glycotransferases genes known to cause congenital disorders of glycosylation (CDGs) as well as their overlay in several databases (light green).
Genes known to underlie CDGs have little overlap with gene activity predicted by GWAS analysis, almost mirroring each other.
Genes implicated by GWAS overlap with genes exhibiting high tissue regulation in RNAseq analysis.
This findings correlate with prior evidence, suggesting that seemingly rare disorders affect fundamental glycosylation pathways that are found to be highly regulated in tissues, on the opposite, GWAS predicted traits associated with poorly -if none- regulated isoenzymes than more often than not have redundant functions.
GWAS analysis of mice glycosynthesis pathways based on 115 knockout models.
Current tool-box for N- and O- glycan functional studies
Glycoengineered cells used to express N- or O-glycoproteins with different glycan structures that can be isolated and screened in binding or functional assays.
Same studies can be performed on cells grown on 2D culture so that these functions can also be monitored directly.
Cells can be harvested and applied in cell-based glycan arrays where specific glycan binding patterns can be decrypted.
Cells can be grown in organotypic cultures, allowing for tissue-specific research questions and expression of distinct layers.
KI/KO animal models to evaluate glycan functions and their significance in disease models.
Over 90% IgG mAbs are N-glycosylated (>95% are N- or O- glycosylated). The antibody glycan precursor Glc3Man9GlcNAc2 is transferred onto the antibody polypeptide in the endoplasmic reticulum.
The glycosylated polypeptide is then transported by COPII to the Golgi apparatus where it’s trimmed and extended into a classical biantennary structure, first into Glc4Man3 precursor then extended by one of four gtfs: FUT8 (fucose), B4GALT1 (galactose), MGAT3 (b-GlcNAc) and ST6GAL1 (sialic acids).
Functional studies regarding glycosylation of mAbs are nevertheless obscured. Prior results have shown that total or partial glycan deficiencies will inevitably affect the addition of other sugars.
Galactose deficiency: Decrease syalation.
B-GalNAc: Decreases fucose levels because of hindrance of the enzyme.
Agalactosylation: Produces mannose-binding lectins directly to core 1 GlcNAc.
Hypergalactosylation: Drives ADCC vía enhanced FcgRIIIa binding.
Afucosylation: Increases ADCC by enhancing FcgRIIIa binding through the FcgRIIIa glycan.
IgG antibodies have a single N-linked glycan attached at asparagine 297 (Asn297) in the CH2 domain of each heavy chain which impacts confirmation through glycan-protein and glycan-glycan interactions.
The shape of the Fc región in mAbs defines the capacity of the antibody to interact with innate immune Fc receptors, which direct antibody functionality. Humans have six classical Fc receptors (Fc𝝲RI, Fc𝝲RIIa, Fc𝝲RIIb, Fc𝝲RIIc, Fc𝝲RIIIa, and Fc𝝲RIIIb), found in varied combinations on all immune cells.
Fc domains also interact with complement proteins (C1q and mannose-binding lectin), other C-type lectin receptors with effector and signaling functions, as well as the neonatal FcRn receptor involved in antibody recycling. Collectively, these interactions regulate numerous actions ranging from innate and adaptive immune cell responses (ADCP, ADCC, CDCC) as well as anti-inflammatory activity.
Humans possess four IgG subclasses and 36 possible antibody glycans, of which over 30 have been observed by mass spectrometry. The potential combinatorial diversity of the constant domains thus allows up to 144 possible combinations of Fc regions for each specificity and, theoretically, 144 functional states.
To further increase this proteomic diversity, IgG antibodies can be glycosylated asymmetrically, leading to a striking total of 288 possible efector combinations for IgG only (70% of IgG mAbs are asymmetrically glycosylated).
Glycosylation is actively modulated during inflammatory response, physiologically many cellular pathways shape antibody glycosylation such as:
Glycosyltransferase/glycosidase expression.
Monosaccharide availability.
Hormones.
Golgi’s pH.
Golgi’s organization.
Availability of vesicular transport machinery.
Age.
Pregnancy.
Sex.
Rheumatoid arthritis
Agalactosylated antibodies are present before early symptoms causing synovitis by accumulating within joints, activating FcgRIIa, TNF-alpha and IL-6.
HIV
Infection shows dramatic and persistent changes in antibody glycosylation. Hypergammaglobulinemia immune activation is linked to an enrichment of agalactosylated antibodies.
Contrary to RA where galactosylation levels normalize after flares resolve, HIV-infected patients with controlled antiretroviral therapy maintain their profile over time. These data suggests that B cells are permanently altered.
Furthermore, following vaccination with an HIV experimental vaccine across the globe, patients show nearly identical glycosylation profiles despite differences in the total glycosylation, suggesting pathogen-specific antibodies are regulated independently of overall inflammatory changes on total circulating antibodies.
These studies evidence immunological control in antibody glycosylation. This control is likely driven by regulation of antigen-specific B cells through antigen exposure at priming and recall.
Since each IgG posses only one N-glycosylated glycan per Fc independently of the IgG subclass.
Fc glycan edition will now be increasingly useful to obtain desired targeted aims (modulation of pro- or anti-inflammatory states by glycoengineered hybridomas).
As an example, recently developped glycoengineered IgG antibodies for cancer therapy eliminated fucose on the Fc glycans in order to improve efficacy in killing tumours.
Since each IgG posses only one N-glycosylated glycan per Fc independently of the IgG subclass.
Fc glycan edition will now be increasingly useful to obtain desired targeted aims (modulation of pro- or anti-inflammatory states by glycoengineered hybridomas).
As an example, recently developped glycoengineered IgG antibodies for cancer therapy eliminated fucose on the Fc glycans in order to improve efficacy in killing tumours.
Since each IgG posses only one N-glycosylated glycan per Fc independently of the IgG subclass.
Fc glycan edition will now be increasingly useful to obtain desired targeted aims (modulation of pro- or anti-inflammatory states by glycoengineered hybridomas).
As an example, recently developped glycoengineered IgG antibodies for cancer therapy eliminated fucose on the Fc glycans in order to improve efficacy in killing tumours.
Since each IgG posses only one N-glycosylated glycan per Fc independently of the IgG subclass.
Fc glycan edition will now be increasingly useful to obtain desired targeted aims (modulation of pro- or anti-inflammatory states by glycoengineered hybridomas).
As an example, recently developped glycoengineered IgG antibodies for cancer therapy eliminated fucose on the Fc glycans in order to improve efficacy in killing tumours.