ORIGINAL RESEARCH article

Front. Immunol.

Sec. Autoimmune and Autoinflammatory Disorders : Autoimmune Disorders

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1538126

This article is part of the Research TopicThe pathogenesis and novel treatment options in AIBDsView all articles

Aberrant Glycosylation Patterns as Potential Biomarkers for Diagnosis and Disease Progression in Bullous Pemphigoid

Provisionally accepted
Haijun  MiaoHaijun MiaoJundan  YangJundan YangYaxing  BaiYaxing BaiShengxian  ShenShengxian ShenXia  LiXia LiLixin  YueLixin YueGang  WangGang WangErle  DangErle Dang*
  • Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China

The final, formatted version of the article will be published soon.

Objectives: Bullous pemphigoid (BP) is a prototypical autoimmune disease characterized by the production of autoantibodies against hemidesmosomal proteins BP180 and BP230. Aberrant glycosylation has emerged as a possible mechanism linked to the pathogenesis and progression of autoimmune diseases. However, the precise alterations in glycosylation in BP remain largely unknown. In this study, we explored the molecular mechanisms of abnormal glycosylation in BP pathogenesis.We systematically investigated the glycosylation changes in serum, blister fluid, and saliva from BP patients using lectin microarray assays and lectin-based enzyme-linked immunosorbent assays.Results: Our findings revealed increased glycosylation modifications of sialic acid, galactose, and fucose in serum proteins from BP patients, as well as enhanced fucosylation, galactosylation, and biantennary N-glycan glycosylation in blister fluid proteins. Notably, these abnormal modifications of monosaccharides correlated with the clinical indicators of BP. Furthermore, we observed that glycosylation patterns in saliva were associated with disease severity, suggesting their potential as valuable non-invasive diagnostic markers for BP.These discoveries indicate that aberrant glycosylation patterns may provide insights into the pathogenesis of BP and serve as potential biomarkers for diagnosing and monitoring the disease.

Keywords: Bullous pemphigoid, Glycosylation, sialic acid, Fucose, lectin/glyco-antibody microarrays

Received: 02 Dec 2024; Accepted: 29 Apr 2025.

Copyright: © 2025 Miao, Yang, Bai, Shen, Li, Yue, Wang and Dang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Erle Dang, Department of Dermatology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi Province, China

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