g(m1)-ganglioside and Head-and-Neck-Neoplasms

The aim was to analyze humoral immune response against GM1 ganglioside expressed on the surface of melanocytic cells, and the possible correlation between the level of antibodies against GM1 IgG and IgM class and melanoma progression. The study included 128 adult patients with malignant melanoma, without paraneoplastic neurologic disorders, 48 adults with dysplastic nevi and 48 healthy volunteers. The presence of IgM and IgG antibodies against GM1 was demonstrated by Immunodot method. Automatic evaluation of strips marked with GM1 antigen was performed by EUROLineScan software. Lactate dehydrogenase (LDH) activity was evaluated by spectrophotometry. Serum concentration of gangliosides was determined using the method with resorcinol-HCl. IgG antibodies against GM1 gangliosides were identified in six patients with melanoma (4.68%) and in none of the subjects from other groups. AntiGM1 IgM class were observed in 20 (15.63%) melanoma patients, three (6.25%) dysplastic nevi patients and one healthy volunteer. No statistically significant difference was observed when serum profile of GM1 IgM antibodies in patients with localized melanoma was compared with that of other study subjects. The levels of IgM antibodies varied with clinical stage of tumor and histopathologic features. Moreover, a statistically significant positive correlation was found between IgM antibodies and LDH (r=0.87; p=0.01; IC=95%). In conclusion, antibodies against GM1 ganglioside are frequent in patients with melanoma. Dysplastic nevi and early melanoma cannot be differentiated using the antiGM1 antibody profile. The synthesis of these antibodies is characteristic for advanced stages of melanoma.

Topics: Adult; Aged; Aged, 80 and over; Antibodies, Anti-Idiotypic; Female; G(M1) Ganglioside; Head and Neck Neoplasms; Humans; Immunity, Humoral; Immunoglobulin M; Male; Melanoma; Middle Aged; Prospective Studies; Skin Neoplasms

In a recent study of the ganglioside profiles of human head and neck squamous cell carcinomas versus normal tissue, one unidentified GX ganglioside was found exclusively in tumor extracts, migrating between GM1 and GD3 by thin-layer chromatography. To determine the chemical structure of this ganglioside which accounted for 3-8% of the total gangliosides, the lipid samples were pooled and separated by high-pressure liquid chromatography to obtain individual ganglioside species purified to homogeneity. The tumor-associated GX ganglioside was analyzed by gas-liquid chromatography, mass spectrometry and immunostaining on thin-layer plates with mouse monoclonal antibodies after enzymatic cleavage. The data allowed the identification of GX ganglioside as GalNAc-GM1 that has been reported as a very minor brain ganglioside in humans. Thus, GalNAc-GM1 is a specific tumor-associated ganglioside in human head and neck squamous cell carcinomas that could be potentially valuable for clinicians.

Topics: Carcinoma, Squamous Cell; Chromatography, Gas; Chromatography, Thin Layer; G(M1) Ganglioside; Head and Neck Neoplasms; Humans; Mass Spectrometry; N-Acetylgalactosaminyltransferases; Neoplasm Proteins