Ageing Research Reviews 12 (2013) 685–698
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Ageing Research Reviews
j ourna l h om epage: www.elsevier.com/locate/arr
Review
N-glycomic biomarkers of biological aging and longevity: A link with
inflammaging
Fabio Dall’Olio
a,∗
, Valerie Vanhooren
b,c
, Cuiying Chitty Chen
b,c
, P. Eline Slagboom
d
, Manfred Wuhrer
e
,
Claudio Franceschi
a,∗∗
a
Department of Experimental Pathology, University of Bologna, via S. Giacomo, 14 I-40126 Bologna, Italy
b
Department for Molecular Biomedical Research, VIB, Technologiepark 927, B-9052 Ghent, Belgium
c
Department of Molecular Biology, Ghent University, Technologiepark 927, B-9052 Ghent, Belgium
d
Section Molecular Epidemiology, Department of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands
e
Biomolecular Mass Spectrometry Unit, Department of Parasitology, Leiden University Medical Center, Leiden, The Netherlands
a r t i c l e i n f o
Article history:
Received 6 December 2011
Received in revised form 24 January 2012
Accepted 6 February 2012
Available online 14 February 2012
Keywords:
Inflammaging
Glycosylation
Autoimmune disease
Rheumatoid arthritis
Antibody glycosylation
High-throughput glycomic analysis
a b s t r a c t
Glycosylation is a frequent co/post-translational modification of proteins which modulates a variety of
biological functions. The analysis of N-glycome, i.e. the sugar chains N-linked to asparagine, identified
new candidate biomarkers of aging such as N-glycans devoid of galactose residues on their branches,
in a variety of human and experimental model systems, such as healthy old people, centenarians and
their offspring and caloric restricted mice. These agalactosylated biantennary structures mainly decorate
Asn297 of Fc portion of IgG (IgG-G0), and are present also in patients affected by progeroid syndromes
and a variety of autoimmune/inflammatory diseases. IgG-G0 exert a pro-inflammatory effect through dif-
ferent mechanisms, including the lectin pathway of complement, binding to Fc receptors and formation
of autoantibody aggregates. The age-related accumulation of IgG-G0 can contribute to inflammaging, the
low-grade pro-inflammatory status that characterizes elderly, by creating a vicious loop in which inflam-
mation is responsible for the production of aberrantly glycosylated IgG which, in turn, would activate
the immune system, exacerbating inflammation. Moreover, recent data suggest that the N-glycomic shift
observed in aging could be related not only to inflammation but also to alteration of important metabolic
pathways. Thus, altered N-glycans are both powerful markers of aging and possible contributors to its
pathogenesis.
© 2012 Elsevier B.V. All rights reserved.
1. Introduction
Enzymatic glycosylation (not to be confused with non-
enzymatic glycosylation, referred to as glycation) represents one of
the most frequently occurring co/postranslational modification of
proteins. A significant percentage of the human genes encode pro-
teins related with biosynthesis, function and degradation of sugar
chains. Protein-linked sugar chains play a variety of highly spe-
cific roles, acting as a “fine tuning” of the interactions between
cells and between molecules (Hart and Copeland, 2010; Ohtsubo
and Marth, 2006; Varki, 1993). A brief summary of some biolog-
ical functions played by the glycans of glycoproteins is reported
in Table 1. The sugar chains linked to glycoproteins are classified
∗
Corresponding author. Tel.: +39 0512094727; fax: +39 0512094746.
∗∗
Corresponding author. Department of Experimental Pathology, University of
Bologna, via S. Giacomo, 12 I-40126 Bologna, Italy. Tel.: +39 0512094727;
fax: +39 0512094746.
E-mail addresses: fabio.dallolio@unibo.it (F. Dall’Olio),
claudio.franceschi@unibo.it (C. Franceschi).
mainly as N-linked chains, which are bound to the amidic nitro-
gen of asparagine, and O-linked chains which are bound to the
hydroxyl group of serine or threonine. Glycosylation undergoes
profound changes in a variety of pathological conditions, includ-
ing cancer [reviewed in Dall’Olio et al., 2012a,b], inflammatory
and autoimmune diseases and in the pathophysiological process
of aging. Recently developed high-throughput methods of analysis
have allowed investigating the whole spectrum of N-linked glycans
(N-glycome) present in serum and body fluids of a large number
of individuals, revealing characteristic aging-associated N-glycome
changes which are reminiscent of those associated with inflamma-
tory and autoimmune diseases. These glycosylation changes appear
to be associated particularly with the sugar chains linked to Asn297
of immunoglobulin G. In turn, these aberrantly glycosylated anti-
bodies might be responsible for the activation and up-regulation
of the inflammatory response through different, although ill
defined, mechanisms. In this review, we will describe briefly the
basic biosynthetic and structural aspects of N-glycosylation and
the methods of N-glycome analysis. Then, we will discuss the
most relevant N-glycans associated with aging and inflammatory
1568-1637/$ – see front matter © 2012 Elsevier B.V. All rights reserved.
doi:10.1016/j.arr.2012.02.002