Antibodies are critical components of the adaptive immune system. While their simplest mechanism of action is
neutralization mediated by their hypervariable Fab domains, most of their functional effects are a result of their
constant Fc domains engaging host Fc receptors to recruit and stimulate the immune system. For IgG antibodies,
Fc domains engage Fc γ receptors (FcγRs) and complement C1q to induce antibody-mediated effector functions
that direct the immune response. A conserved N-linked glycan in the IgG Fc domain at residue Asn297 is
overwhelmingly the most important molecular determinant of Fc receptor binding and the induction of antibody-
mediated effector functions. IgG antibody glycosylation is: (1) heterogeneous – a range of glycan chemical
structures are appended to any given antibody and differentially glycosylated IgG antibodies, or glycoforms, each
bind with distinct affinities to Fc receptors to induce unique effector function signals in both substance and
strength; (2) commonly asymmetric – half or more of the IgG protein homodimers in a given antibody preparation
have chemically distinct glycans linked to the Asn297 residues on each of the two Fc protomers; and (3)
correlative to the time course and intensity of numerous diseases, including certain aspects of Alzheimer’s
Disease. Current, high-throughput methods to determine the glycosylation states of IgG antibodies rely on the
liberation of the glycans from the antibody protein. Thus, by these methods, it is impossible to determine which
IgG glycoforms, the immunologically-relevant molecules, and whether they are symmetrically or asymmetrically
glycosylated, exist in a mixture of antibodies; only the proportion of particular glycans in a sample can be
determined. IgG glycoforms, as intact heterogeneously and often asymmetrically glycosylated homodimeric
glycoproteins are the biologically-relevant molecule in the immune system. Accordingly, all information to date
correlating IgG glycosylation to disease and vaccine states is to glycan content in bulk. We have therefore
developed an approach to measure IgG antibody glycosylation using intact glycoprotein liquid chromatography-
mass spectroscopy (LC-MS) to quantify all IgG glycoforms, regardless of the content and symmetry of their
Asn297-linked glycans. We call our method WIgGWAM for Whole Immunoglobulin Glycoprofiling With
Asymmetric Monitoring and have demonstrated its proof-of-concept. We propose to decipher the glycosylation
code of Alzheimer’s Disease by applying our WIgGWAM workflow to cohorts of Alzheimer’s Disease patient
plasma and cerebrospinal fluid samples and age-, gender- and race-matched healthy control subjects. We will
also further advance our technology to overcome remaining technical challenges in order to realize its full
implementation and broad utility. This work is significant because it will provide the first ever technological tool
for comprehensive, spatially faithful glycoprofiling of IgG antibodies; and for its application to Alzheimer’s Disease
patient samples. The studies are innovative in that they will leverage intact glycoprotein mass spectrometry
techniques in unprecedented ways in order to decipher the glycosylation code of Alzheimer’s Disease.