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Cover Page

The handle

http://hdl.handle.net/1887/136520

holds various files of this Leiden University

dissertation.

Author: Hafkenscheid, L.

Title: Anti Citrullinated Protein Antibodies-IgG variable domain glycosylation in

rheumatoid arthritis

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Anti Citrullinated Protein Antibodies-IgG Variable

Domain Glycosylation in Rheumatoid Arthritis

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COLOFON

Anti Citrullinated Protein Antibodies-IgG Variable Domain Glycosylation in Rheumatoid Arthritis, Lise Hafkenscheid

ISBN: 978-94-6375-813-0

Anti Citrullinated Protein Antibodies-IgG Variable Domain Glycosylation in Rheumatoid Arthritis

© 2020 Lise Hafkenscheid, All rights reserved. No part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means without permission of the author or the journals holding the copyrights of the published manuscript. All published material was reprinted with permission.

The research described in this thesis was performed at the department of rheumatology at the Leiden University Medical Center, The Netherlands.

The research was supported by the Dutch Arthritis Foundation (NR 12-2-403), The Netherlands Organization for Scientific Research (project number 435000033) and the IMI funded project BeTheCure (contract no. 115142-2).

Cover design: Lise Hafkenscheid

Layout and design: Anna Bleeker | persoonlijkproefschrift.nl Printing: Ridderprint | www.ridderprint.nl

Binnenwerk Lise - V1.indd 2

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Anti Citrullinated Protein Antibodies-IgG Variable Domain Glycosylation in Rheumatoid Arthritis

Proefschrift

Ter verkrijging van de graad van Doctor aan de Universiteit Leiden, op gezag van Rector Magnificus Prof. mr. C. J. J. M. Stolker, volgens besluit van het

College voor Promoties te verdedigen op 8 september 2020 klokke 11:15 uur Door

Lise Hafkenscheid Geboren te Amsterdam

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Promotor: Prof. Dr. R. E. M. Toes

Co-promotores: Dr. H. U. Scherer

Dr. Y. Rombouts, (Institut de Pharmacologie et de Biologie Structurale, Université de Toulouse,

CNRS, Toulouse, France)

Leden promotiecommissie: Prof. Dr. T. W. J. Huizinga

Prof. Dr. Y. van Kooyk (Department of Molecular Cell Biology and Immunology, VU University medical center, Amsterdam, The Netherlands) Dr. G. Vidarsson (Department of Experimental

Immunohematology, Sanquin Research and

Landsteiner Laboratory, Amsterdam, The

Netherlands)

Binnenwerk Lise - V1.indd 4

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TABLE OF CONTENTS

Chapter 1 General introduction 8

Chapter 2 The emerging importance of IgG Fab glycosylation

in immunity 24

Chapter 3 Structural analysis of variable domain glycosylation of

anti-citrullinated protein antibodies in rheumatoid 44

Chapter 4 B-cell receptor sequencing of anti-citrullinated protein antibody (ACPA) IgG-expressing B cells indicates a selective advantage for the introduction of N-glycosylation sites during somatic hypermutation

66

Chapter 5 HappyTools: A software for high-throughput HPLC data

processing and quantitation 74

Chapter 6 N-linked glycans in the variable domain of ACPA-IgG predict

the development of rheumatoid arthritis 94

Chapter 7 The variable domain glycans of ACPA-IgG block the binding pocket for citrullinated antigen without influencing binding strength

112

Chapter 8 Summarizing discussion 134

Appendices Summary 151

Nederlandse samenvatting 157

Curriculum Vitae 163

List of Publications 165

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