Glycosylation is a major pathway for posttranslational modification of tissue protein and begins with nonenzymatic addition of carbohydrate to the primary amino groups. Excessive glycation of tissue protein has been implicated in the pathogenesis of diabetes and ageing. While glycation of aminophospholipids has also been postulated, glycated aminophospholipids have not been isolated. Using normal phase HPLC with on-line electrospray mass spectrometry we found glycated ethanolamine phospholipids to make up 10-16% of the total phosphatidylethanolamine (PE) of the red blood cells and plasma of the diabetic subjects. The corresponding values for glycated PE of control subjects were 1-2%.Key words: Glucosylated aminophospholipid; Glucose; Phosphatidylethanolamine; Phosphatidylserine; Electrospray; Thin-layer chromatography; Liquid chromatography, mass spectrometry; Normal phase HPLC bovine brain phosphatidylinositol (PI) and sphingomyelin (SPH) were obtained from Sigma Chemical Co., St. Louis, MO. All chemicals were of reagent grade quality, while the solvents were of chromatographic purity and were obtained from local suppliers. The purity of the reference compounds was ascertained by thin-layer chromatography (TLC) [3,7].
Isolation of phospholipids from bloodBlood was obtained from six diabetic patients and six non-diabetic donors. The diabetics were selected for elevated blood glucose levels indicated by their content of glycosylated hemoglobin (9-15%). EDTA blood was centrifuged (2300xg for 10 min) in a swinging bucket rotor to separate the plasma from the red cells. The cells were washed three times with five volumes of phosphate buffered saline (150 mM NaC1, 50 mM sodium phosphate, pH 8.0) and centrifuged (2300xg for 10 min). The red blood cell phospholipids were extracted according to Rose and Oaklander [8]. The plasma phospholipids were extracted with chloroform-methanol 2:1 modified from Folch et al. [9]. Glucosylated PE could be stored at -20°C in neutral chloroform methanol for several days without decomposition. The Schiff base dissociated in dilute acetic acid.