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Fig. 4 | BMC Medicine

Fig. 4

From: Association between Neu5Gc carbohydrate and serum antibodies against it provides the molecular link to cancer: French NutriNet-Santé study

Fig. 4

Glycan microarray analysis shows high anti-Neu5Gc IgG specificity and increased levels and diversity with higher Neu5Gc intake. Human serum IgG (n = 120; 1/100 dilution) detected with Cy3-anti-human IgG by glycan microarrays (24-pairs Neu5Gc-/Neu5Ac-glycans, αGal; Additional file 1: Table S3, Additional file 3: Data file S2). Relative fluorescence units (RFU) normalized to IgG (ng/μl) against printed standard curve/array [30]. a Sum serum IgG response/individual against Neu5Gc-/Neu5Ac-glycans, per Neu5Gc intake quartile, showed specific anti-Neu5Gc IgG (mean ± sem; Friedman ANOVA, p < 0.0001), a trend of elevated anti-Neu5Gc IgG at higher Neu5Gc intake. b Serum IgG/individual against αGal showed no change in levels/Neu5Gc intake quartile. c Men 45–60 stratified according to total Neu5Gc intake (Q1–Q4), contributing dietary sources plotted, showing increased Neu5Gc intake between quartiles, red meat dominant. d Men 45–60, antibodies/quartile show increased anti-Neu5Gc IgG levels between Q1 and Q2–Q4 (sum mean IgG response/glycan across individuals; different colors/specific Neu5Gc-glycan). e Pie charts of sum anti-Neu5Gc IgG response (d) divided per quartile according to reactivity against Neu5Gc-glycans with different Sia-linkages (Siaα2–3/6/8 linkages: α3, α6, α8, respectively) or underlying glycans [Lac (lactose; Galβ3Glc), Gal (galactose), type 1 (Galβ3GlcNAc), GalNAc (N-acetylgalactoseamine), LacNAc (N-acetyllactoseamine; Galβ4GlcNAc), core 1 (Galβ3GalNAcα)]. Differences in diversity at higher Neu5Gc intake, characterized by increased levels of α3-linked-Neu5Gc and Lac underlying glycans. f Women aged 45–60 stratified according to total Neu5Gc intake (Q1–Q4), increase between quartiles, similar contributions of Neu5Gc intake from red meat and dairy cow, dominance for dairy cow. g Women 45–60, anti-Neu5Gc IgG reactivity per quartile increase in levels between Q1 and Q2–Q4. h Women 45–60, pie charts of sum anti-Neu5Gc IgG response (g) divided by characteristic Neu5Gc-glycans linkage/skeleton, differences in diversity, as in men

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