Serum antibodies against such major glycolipids as GMI, GDlb, and LM1 have been reported in patients in the acute phase of Guillain-Barre syndrome (GBS). Because minor unidentified glycolipids also may be targets of antibodies in GBS sera, we assayed serum antibody against a crude ganglioside fracti
The First Total Synthesis of Ganglioside GalNAc-GD1a, a Target Molecule for Autoantibodies in Guillain–Barré Syndrome
✍ Scribed by Dr. Kohki Fujikawa; Shinya Nakashima; Miku Konishi; Tomoaki Fuse; Naoko Komura; Dr. Takayuki Ando; Dr. Hiromune Ando; Dr. Nobuhiro Yuki; Dr. Hideharu Ishida; Dr. Makoto Kiso
- Publisher
- John Wiley and Sons
- Year
- 2011
- Tongue
- English
- Weight
- 357 KB
- Volume
- 17
- Category
- Article
- ISSN
- 0947-6539
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✦ Synopsis
Abstract
The first synthesis of ganglioside GalNAc‐GD1a, featuring efficient glycan assembly and a cyclic glucosyl ceramide as a versatile unit for ganglioside synthesis is described. Although ganglioside GalNAc‐GD1a was first found as a brain ganglioside, IgG autoantibodies to GalNAc‐GD1a were subsequently found to be closely related to a human peripheral‐nerve disorder, Guillain–Barré syndrome, which is the commonest cause of acute flaccid paralysis worldwide. In this study, the characteristic hexasaccharide part carrying two sialic acid residues was synthesized efficiently by use of a readily accessible GM2‐core unit as a common unit. The potentially difficult coupling of the oligosaccharide and ceramide moieties was carried out by using a cyclic glucosyl ceramide as a coupling partner for the hexasaccharide part, thereby successfully providing the framework of the target compound. Global deprotection delivered the homogenous ganglioside GalNAc‐GD1a. An enzyme‐linked immunosorbent assay showed that sera from patients with Guillain–Barré syndrome reacted both with natural and with synthetic GalNAc‐GD1a.
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