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Clinical severity is not strictly related to titre and is more accurately predicted by the diagnostically\u2010applied monocyte\u2010based antibody\u2010dependent cellular cytotoxicity (\n                    <jats:styled-content style=\"fixed-case\">ADCC<\/jats:styled-content>\n                    ), a sensitive test with relatively low specificity. This suggests that other factors are involved in the pathogenesis of\n                    <jats:styled-content style=\"fixed-case\">HDFN<\/jats:styled-content>\n                    . Binding of\n                    <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>\n                    g\n                    <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                    to\n                    <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>\n                    c\u03b3\n                    <jats:styled-content style=\"fixed-case\">R<\/jats:styled-content>\n                    requires the\n                    <jats:styled-content style=\"fixed-case\">N<\/jats:styled-content>\n                    \u2010linked glycan at position 297 in the\n                    <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>\n                    g\n                    <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                    \u2010\n                    <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>\n                    c\u2010region, consisting of several different glycoforms. We therefore systematically analysed\n                    <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>\n                    g\n                    <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                    \u2010derived glycopeptides by mass spectrometry from 70 anti\u2010\n                    <jats:styled-content style=\"fixed-case\">D I<\/jats:styled-content>\n                    g\n                    <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                    1 antibodies purified from the plasma of alloimmunized pregnant women. This revealed a variable decrease in\n                    <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>\n                    c\u2010fucosylation in the majority of anti\u2010\n                    <jats:styled-content style=\"fixed-case\">D I<\/jats:styled-content>\n                    g\n                    <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                    1 (even down to 12%), whereas the total\n                    <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>\n                    g\n                    <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                    of these patients remained highly fucosylated, like in healthy individuals (&gt;90%). The degree of anti\u2010D fucosylation correlated significantly with\n                    <jats:styled-content style=\"fixed-case\">CD<\/jats:styled-content>\n                    16 (\n                    <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>\n                    c\u03b3\n                    <jats:styled-content style=\"fixed-case\">RIII<\/jats:styled-content>\n                    a)\u2010mediated\n                    <jats:styled-content style=\"fixed-case\">ADCC<\/jats:styled-content>\n                    , in agreement with increased affinity of defucosylated\n                    <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>\n                    g\n                    <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                    to human\n                    <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>\n                    c\u03b3\n                    <jats:styled-content style=\"fixed-case\">RIII<\/jats:styled-content>\n                    a. Additionally, low anti\u2010\n                    <jats:styled-content style=\"fixed-case\">D<\/jats:styled-content>\n                    fucosylation correlated significantly with low fetal\u2010neonatal haemoglobin levels, thus with increased haemolysis, suggesting\n                    <jats:styled-content style=\"fixed-case\">I<\/jats:styled-content>\n                    g\n                    <jats:styled-content style=\"fixed-case\">G<\/jats:styled-content>\n                    \u2010fucosylation to be an important pathological feature in\n                    <jats:styled-content style=\"fixed-case\">HDFN<\/jats:styled-content>\n                    with diagnostic potential.\n                  <\/jats:p>","DOI":"10.1111\/bjh.12965","type":"journal-article","created":{"date-parts":[[2014,6,7]],"date-time":"2014-06-07T03:27:19Z","timestamp":1402111639000},"page":"936-945","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":128,"title":["Low anti\u2010\n                    <scp>R<\/scp>\n                    h\n                    <scp>D I<\/scp>\n                    g\n                    <scp>G<\/scp>\n                    \u2010\n                    <scp>F<\/scp>\n                    c\u2010fucosylation in pregnancy: a new variable predicting severity in haemolytic disease of the fetus and newborn"],"prefix":"10.1111","volume":"166","author":[{"given":"Rick","family":"Kapur","sequence":"first","affiliation":[{"name":"Department of Experimental Immunohaematology, Sanquin Research, Amsterdam and Landsteiner Laboratory Academic Medical Centre University of Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luciana","family":"Della Valle","sequence":"additional","affiliation":[{"name":"Department of Experimental Immunohaematology, Sanquin Research, Amsterdam and Landsteiner Laboratory Academic Medical Centre University of Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Myrthe","family":"Sonneveld","sequence":"additional","affiliation":[{"name":"Department of Experimental Immunohaematology, Sanquin Research, Amsterdam and Landsteiner Laboratory Academic Medical Centre University of Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agnes","family":"Hipgrave Ederveen","sequence":"additional","affiliation":[{"name":"Centre for Proteomics and Metabolomics Leiden University Medical Centre Leiden The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Remco","family":"Visser","sequence":"additional","affiliation":[{"name":"Department of Experimental Immunohaematology, Sanquin Research, Amsterdam and Landsteiner Laboratory Academic Medical Centre University of Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Ligthart","sequence":"additional","affiliation":[{"name":"Erythrocyte Serology Sanquin Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masja","family":"de Haas","sequence":"additional","affiliation":[{"name":"Department of Experimental Immunohaematology, Sanquin Research, Amsterdam and Landsteiner Laboratory Academic Medical Centre University of Amsterdam Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manfred","family":"Wuhrer","sequence":"additional","affiliation":[{"name":"Centre for Proteomics and Metabolomics Leiden University Medical Centre Leiden The Netherlands"},{"name":"Division of BioAnalytical Chemistry VU University Amsterdam The Netherlands"},{"name":"Department of Molecular Cell Biology and Immunology VU University Medical Centre Amsterdam The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. 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