A Nested Case-Control Study to Explore the Association between Immunoglobulin G N-glycans and Ischemic Stroke

• Published in: Biomedical and environmental sciences Vol. 36; no. 5; pp. 389 - 396
• Main Authors: Bi Yan, WANG, Man Shu, SONG, Jie, ZHANG, Xiao Ni, MENG, Wei Jia, XING, You Xin, WANG
• Format: Journal Article
• Language: English
• Published: China Elsevier B.V 01.05.2023; Department of Health Management,the Second Affiliated Hospital,the Fourth Military Medical University,Xi'an 710003,Shaanxi,China%School of Medical and Health Sciences,Edith Cowan University,Perth WA 6027,Australia%Beijing Key Laboratory of Clinical Epidemiology,School of Public Health,Capital Medical University,Beijing 100069,China%School of Public Health,Shandong First Medical University&Shandong Academy of Medical Sciences,Jinan 250117,Shandong,China%Beijing Key Laboratory of Clinical Epidemiology,School of Public Health,Capital Medical University,Beijing 100069,China; Centre for Precision Medicine,Edith Cowan University,Perth WA 6027,Australia; Beijing Key Laboratory of Clinical Epidemiology,School of Public Health,Capital Medical University,Beijing 100069,China
• Subjects: Immunoglobulin G; Ischemic stroke; N-glycans; Nested case-control study; Ischemic stroke; N-glycans; Nested case-control study; Immunoglobulin G
• ISSN: 0895-3988; 2214-0190
• DOI: 10.3967/bes2023.048

This study prospectively investigates the association between immunoglobulin G (IgG) N-glycan traits and ischemic stroke (IS) risk. A nested case-control study was conducted in the China suboptimal health cohort study, which recruited 4,313 individuals in 2013–2014. Cases were identified as patients diagnosed with IS, and controls were 1:1 matched by age and sex with cases. IgG N-glycans in baseline plasma samples were analyzed. A total of 99 IS cases and 99 controls were included, and 24 directly measured glycan peaks (GPs) were separated from IgG N-glycans. In directly measured GPs, GP4, GP9, GP21, GP22, GP23, and GP24 were associated with the risk of IS in men after adjusting for age, waist and hip circumference, obesity, diabetes, hypertension, and dyslipidemia. Derived glycan traits representing decreased galactosylation and sialylation were associated with IS in men (FBG2S2/(FBG2 + FBG2S1 + FBG2S2): odds ratio (OR) = 0.92, 95% confidence interval (CI): 0.87–0.97; G1n: OR = 0.74, 95% CI: 0.63–0.87; G0n: OR = 1.12, 95% CI: 1.03–1.22). However, these associations were not found among women. This study validated that altered IgG N-glycan traits were associated with incident IS in men, suggesting that sex discrepancies might exist in these associations.