Serum IgG and IgA are glycoprotein and significant glycoform abnormali
ties have been established in primary Sjogren's syndrome, The proporti
on of asialylated IgG is abnormally high in the patients, whereas IgA1
and IgA2 appear to be over-sialylated. This peculiarity might explain
the defective binding of IgA to asialoglycoreceptors. Furthermore, th
e activity of alpha 2,6 sialyl transferase is higher in the IgA-produc
ing B cells from the patients than in the controls, whereas the alpha
2,3 sialyl transferase operates in the former cells but not in the lat
ter, The mechanism of this enzyme dysregulation warrants elucidation.