Document 0713 DOCN M9650713 TI Structural modification of serum vitamin D3-binding protein and immunosuppression in AIDS patients. DT 9605 AU Yamamoto N; Naraparaju VR; Srinivasula SM; Laboratory of Cancer Immunology and Molecular Biology, Albert; Einstein Cancer Center, Philadelphia, Pennsylvania 19141, USA. SO AIDS Res Hum Retroviruses. 1995 Nov;11(11):1373-8. Unique Identifier : AIDSLINE MED/96159135 AB A serum glycoprotein, vitamin D3-binding protein (Gc protein), can be converted by beta-galactosidase of stimulated B lymphocytes and sialidase of T lymphocytes to a potent macrophage-activating factor (MAF), a protein with N-acetylgalactosamine as the remaining sugar moiety. Thus, Gc protein is a precursor for MAF. Treatment of purified Gc protein with immobilized beta-galactosidase and sialidase generates an extremely high-titered MAF (GcMAF). When peripheral blood monocytes/macrophages of 46 HIV-infected patients were treated with GcMAF (100 pg/ml), the monocytes/macrophages of all patients were efficiently activated. However, the MAF precursor activity of plasma Gc protein was low in 16 (35%) of of these patients. Loss of the MAF precursor activity appeared to be due to deglycosylation of plasma Gc protein by alpha-N-acetylgalactosaminidase found in the patient blood stream. Levels of plasma alpha-N-acetylgalactosaminidase activity in individual patients had an inverse correlation with the MAF precursor activity of their plasma Gc protein. Thus, precursor activity of Gc protein and alpha-N-acetylgalactosaminidase activity in patient blood can serve as diagnostic and prognostic indices. DE Acquired Immunodeficiency Syndrome/BLOOD/ENZYMOLOGY/*IMMUNOLOGY Galactosaminidase/*BLOOD Glycosylation Human Immunosuppression Leukocytes, Mononuclear/IMMUNOLOGY Lymphocytes/IMMUNOLOGY Macrophage Activation Macrophage-Activating Factors/*BLOOD Macrophages/IMMUNOLOGY Substrate Specificity Support, U.S. Gov't, P.H.S. Vitamin D-Binding Protein/*BLOOD/CHEMISTRY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).