K. Shimizu et al., COMPARISON OF CARBOHYDRATE STRUCTURES OF SERUM ALPHA-FETOPROTEIN BY SEQUENTIAL GLYCOSIDASE DIGESTION AND LECTIN AFFINITY ELECTROPHORESIS, Clinica chimica acta, 254(1), 1996, pp. 23-40
Serum alpha-fetoprotein (AFP) is a glycoprotein of which the sugar cha
in is considered to show structural changes with malignancies. Microhe
terogeneity of the serum AFP carbohydrate structure was studied in sam
ples from 35 patients with benign and malignant diseases. Sera were di
gested directly, extensively, and sequentially with sialidase, beta-ga
lactosidase and beta-N-acetylhexosaminidase. Before and after digestio
n, sera were examined by means of lectin affinity electrophoresis usin
g eight lectins. Relationships between AFP carbohydrate structures and
liver diseases were elucidated by the lectin-reactive profiles and th
e effect of glycosidase digestion. More than 94% of the AFP carbohydra
te structures found in patients with benign and malignant liver diseas
es were biantennary complex-type oligosaccharides. Changes in the AFP
carbohydrate structures al the early stage of hepatocellular carcinoma
revealed the addition of alpha 1-6 fucose to the reducing terminal N-
acetylglucosamine and monosialylated AFPs. In both advanced hepatocell
ular carcinoma and AFP producing extrahepatic malignancies, AFP carboh
ydrate structures were characterized as the further addition of beta 1
-4 N-acetylglucosamine and heterogeneity in the galactose and N-acetyl
glucosamine residues. Sequential glycosidase digestion and lectin affi
nity electrophoresis is useful for analysing the carbohydrate structur
es of serum glycoprotein.