Skip to main content
Top
Published in: Arthritis Research & Therapy 1/2010

01-02-2010 | Editorial

Is IgG galactosylation the relevant factor for pregnancy-induced remission of rheumatoid arthritis?

Authors: Frauke Förger, Monika Østensen

Published in: Arthritis Research & Therapy | Issue 1/2010

Login to get access

Abstract

During pregnancy, most patients with rheumatoid arthritis (RA) experience spontaneous improvement of their disease activity. Among the soluble candidates that have been investigated in search for the most relevant disease-remitting factor are the galactosylation levels of immunoglobulin G (IgG). In RA, a higher percentage of IgG lacking the terminal galactose residues, thought to play a pro-inflammatory role, is found. During pregnancy, however, IgG galactosylation levels increase and correlate with improved disease activity. The question remains whether the increase in IgG galactosylation during pregnancy is a mere epiphenomenon or a true remission-inducing factor.
Literature
1.
go back to reference Geijn van de FE, Wuhrer M, Selman MHJ, Willemsen SP, de Man YA, Deelder AM, Hazes JMW, Dolhain RJEM: Immunoglobulin G galactosylation and sialylation are associated with pregnancy-induced improvement of rheumatoid arthritis and the postpartum flare: results from a large prospective cohort study. Arthritis Res Ther. 2009, 11: R193-10.1186/ar2892.PubMedCentralCrossRefPubMed Geijn van de FE, Wuhrer M, Selman MHJ, Willemsen SP, de Man YA, Deelder AM, Hazes JMW, Dolhain RJEM: Immunoglobulin G galactosylation and sialylation are associated with pregnancy-induced improvement of rheumatoid arthritis and the postpartum flare: results from a large prospective cohort study. Arthritis Res Ther. 2009, 11: R193-10.1186/ar2892.PubMedCentralCrossRefPubMed
2.
go back to reference Hench PS, Kendall EC, Slocumb CH, Polley HF: The effect of a hormone of the adrenal cortex (17-hydroxy-11-dehydrocorticosterone: Compound E) and of pituitary adrenocorticotrophic hormone on rheumatoid arthritis. Preliminary report. Mayo Clin Proc. 1949, 24: 181-197. Hench PS, Kendall EC, Slocumb CH, Polley HF: The effect of a hormone of the adrenal cortex (17-hydroxy-11-dehydrocorticosterone: Compound E) and of pituitary adrenocorticotrophic hormone on rheumatoid arthritis. Preliminary report. Mayo Clin Proc. 1949, 24: 181-197.
3.
go back to reference Brink Van den HR, van Everdingen AA, van Wijk MJ, jcobs JW, Bijlsma JW: Adjuvant oestrogen therapy does not improve disease activity in postmenopausal patients with rheumatoid arthritis. Ann Rheum Dis. 1993, 52: 862-865. 10.1136/ard.52.12.862.PubMedCentralCrossRefPubMed Brink Van den HR, van Everdingen AA, van Wijk MJ, jcobs JW, Bijlsma JW: Adjuvant oestrogen therapy does not improve disease activity in postmenopausal patients with rheumatoid arthritis. Ann Rheum Dis. 1993, 52: 862-865. 10.1136/ard.52.12.862.PubMedCentralCrossRefPubMed
4.
go back to reference Unger A, Kay A, Griffin AJ, Panayi G: Disease activity and pregnancy associated alpha2-glycoprotein in rheumatoid arthritis during pregnancy. BMJ. 1983, 286: 750-752. 10.1136/bmj.286.6367.750.PubMedCentralCrossRefPubMed Unger A, Kay A, Griffin AJ, Panayi G: Disease activity and pregnancy associated alpha2-glycoprotein in rheumatoid arthritis during pregnancy. BMJ. 1983, 286: 750-752. 10.1136/bmj.286.6367.750.PubMedCentralCrossRefPubMed
5.
go back to reference Østensen M, Husby G: Pregnancy-associated alpha-glycoprotein, oral contraceptives, and rheumatoid arthritis. Lancet. 1983, 18: 1391-10.1016/S0140-6736(83)92180-3.CrossRef Østensen M, Husby G: Pregnancy-associated alpha-glycoprotein, oral contraceptives, and rheumatoid arthritis. Lancet. 1983, 18: 1391-10.1016/S0140-6736(83)92180-3.CrossRef
6.
go back to reference Rahman A, Isenberg D: Does it take sugar? A clinical role for measuring the glycosylation of IgG?. Ann Rheum Dis. 1995, 54: 689-691. 10.1136/ard.54.9.689.PubMedCentralCrossRefPubMed Rahman A, Isenberg D: Does it take sugar? A clinical role for measuring the glycosylation of IgG?. Ann Rheum Dis. 1995, 54: 689-691. 10.1136/ard.54.9.689.PubMedCentralCrossRefPubMed
7.
go back to reference Rook GA, Steele J, Brealy R, Whyte A, Isenberg D, Sumar N, Nelson JL, Bodman KB, Young A, Roitt IM, et al: Changes in IgG glycoform levels are associated with remission of arthritis during pregnancy. J Autoimmun. 1991, 4: 779-794. 10.1016/0896-8411(91)90173-A.CrossRefPubMed Rook GA, Steele J, Brealy R, Whyte A, Isenberg D, Sumar N, Nelson JL, Bodman KB, Young A, Roitt IM, et al: Changes in IgG glycoform levels are associated with remission of arthritis during pregnancy. J Autoimmun. 1991, 4: 779-794. 10.1016/0896-8411(91)90173-A.CrossRefPubMed
8.
go back to reference Alavi A, Arden N, Spector TD, Axford JS: Immunoglobulin G glycosylation and clinical outcome in rheumatoid arthritis during pregnancy. J Rheum. 2000, 27: 1379-1385.PubMed Alavi A, Arden N, Spector TD, Axford JS: Immunoglobulin G glycosylation and clinical outcome in rheumatoid arthritis during pregnancy. J Rheum. 2000, 27: 1379-1385.PubMed
9.
go back to reference Dube R, Rook GAW, Steele J, Brealey R, Dwek R, Rademacher T, Lennard-Jones J: Agalactosyl IgG in inflammatory bowel disease: correlation with C-reactive protein. Gut. 1990, 31: 431-434. 10.1136/gut.31.4.431.PubMedCentralCrossRefPubMed Dube R, Rook GAW, Steele J, Brealey R, Dwek R, Rademacher T, Lennard-Jones J: Agalactosyl IgG in inflammatory bowel disease: correlation with C-reactive protein. Gut. 1990, 31: 431-434. 10.1136/gut.31.4.431.PubMedCentralCrossRefPubMed
10.
go back to reference Agret F, Cosnes J, Hassani Z, Gornet JM, Gendre JP, Lemann M, Beaugerie L: Impact of pregnancy on the clinical activity of Crohn's disease. Aliment Pharmacol Ther. 2005, 21: 509-513. 10.1111/j.1365-2036.2005.02384.x.CrossRefPubMed Agret F, Cosnes J, Hassani Z, Gornet JM, Gendre JP, Lemann M, Beaugerie L: Impact of pregnancy on the clinical activity of Crohn's disease. Aliment Pharmacol Ther. 2005, 21: 509-513. 10.1111/j.1365-2036.2005.02384.x.CrossRefPubMed
11.
go back to reference Miranda S, Canellada A, Gentile T, Margni R: Interleukin-6 and dexamethasone modulate in vitro asymmetric antibody synthesis and UDP-Glc glycoprotein glycosyltransferase activity. J Reprod Immunol. 2005, 66: 141-150. 10.1016/j.jri.2005.04.001.CrossRefPubMed Miranda S, Canellada A, Gentile T, Margni R: Interleukin-6 and dexamethasone modulate in vitro asymmetric antibody synthesis and UDP-Glc glycoprotein glycosyltransferase activity. J Reprod Immunol. 2005, 66: 141-150. 10.1016/j.jri.2005.04.001.CrossRefPubMed
Metadata
Title
Is IgG galactosylation the relevant factor for pregnancy-induced remission of rheumatoid arthritis?
Authors
Frauke Förger
Monika Østensen
Publication date
01-02-2010
Publisher
BioMed Central
Published in
Arthritis Research & Therapy / Issue 1/2010
Electronic ISSN: 1478-6362
DOI
https://doi.org/10.1186/ar2919

Other articles of this Issue 1/2010

Arthritis Research & Therapy 1/2010 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.