Synthesis of ganglioside epitopes for oligosaccharide specific immunoadsorption therapy of Guillian-Barré syndrome

Org Biomol Chem. 2004 Apr 21;2(8):1199-212. doi: 10.1039/b400029c. Epub 2004 Mar 15.

Abstract

Guillain-Barré syndrome is a postinfectious, autoimmune neuropathy resulting in neuromuscular paralysis. Auto-antibodies, often induced by bacterial infection, bind to human gangliosides possessing monosialoside and diasialoside epitopes and impair the function of nerve junctions, where these ganglioside structures are highly enriched. Truncated gangliosides representive of GD3, GQ1b and GM2 epitopes have been synthesized as methyl glycosides and as a glycosides of an eleven carbon tether. The synthetic oligosaccharide ligands are structural mimics of these highly complex ganglioside epitopes and via their ability to neutralize or remove auto-antibodies have the potential for therapy, either as soluble blocking ligands administered systemically, or as immuno-affinity ligands for use as extracorporeal immunoadsorbents.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antibodies, Monoclonal / immunology
  • Antigen-Antibody Reactions
  • Carbohydrate Sequence
  • G(M2) Ganglioside / chemical synthesis*
  • G(M2) Ganglioside / therapeutic use
  • Gangliosides / chemical synthesis*
  • Gangliosides / therapeutic use
  • Guillain-Barre Syndrome / immunology
  • Guillain-Barre Syndrome / therapy*
  • Humans
  • Immunosorbent Techniques
  • Immunosorbents / pharmacology
  • Ligands
  • Molecular Sequence Data
  • Neuromuscular Nondepolarizing Agents / chemical synthesis
  • Neuromuscular Nondepolarizing Agents / therapeutic use
  • Oligosaccharides / immunology*

Substances

  • Antibodies, Monoclonal
  • Gangliosides
  • Immunosorbents
  • Ligands
  • Neuromuscular Nondepolarizing Agents
  • Oligosaccharides
  • G(M2) Ganglioside
  • ganglioside, GD3
  • GQ1b ganglioside