Clinical mass spectrometry discovered human IgG sialylation as a potential biosignature for kidney function

Chih Chin Kao, San Yuan Wang, Yung Kun Chuang, Wei Yuan Lee, Wei Chiao Chang, Mai Szu Wu, Tai Chih Kuo, I. Lin Tsai*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

5 Scopus citations


Immunoglobulin G (IgG) N-glycosylation was discovered to have an association with inflammation status, which has the potential to be a novel biomarker for kidney diseases. In this study, we applied an ultra-high performance liquid chromatography–tandem mass spectrometry (UHPLC-MS/MS) method to plasma and urine samples from 57 individuals with different levels of kidney function. Natural abundances of total IgG, IgG1, IgG2, and IgG3 subclasses in plasma showed positive correlations to the estimated glomerular filtration rates (eGFRs). Eighteen IgG glycopeptides also showed positive correlations. In contrast, higher IgG amounts were found in urine samples from participants with lower eGFR values. After normalizing IgG glycopeptides from plasma to their respective protein amounts, H4N4F1S1-IgG1 (r = 0.37, p = 0.0047, significant) and H5N4F1S1-IgG1 (r = 0.25, p = 0.063, marginally significant) were the two glycopeptides that still had positive correlations with eGFRs. The results showed that the UHPLC-MS/MS method is capable of investigating IgG profiles, and monitoring IgG and glycosylation patterns is worthy of further clinical application for kidney disease.

Original languageEnglish
Article number761
JournalJournal of Personalized Medicine
Issue number8
StatePublished - 08 2021
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2021 by the authors. Licensee MDPI, Basel, Switzerland.


  • Estimated glomerular filtration rates
  • Glycosylation
  • IgG
  • Kidney function
  • Mass spectrometry


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