Collection of CCP1-binding ACPA from RA serum Serum from RA patients. Serum from healthy donors (HDs) Ammonium sulfate cut.

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a! Collection of CCP1-binding ACPA from serum Serum from patients Serum from healthy donors (HDs) Ammonium sulfate cut Ammonium sulfate cut CCP1 column x2 Eluates Flow through fraction CCP1-binding Ab! (ACPA) Protein G column Protein G column Eluates Eluates IgG Total IgG b 1 4 1 4 c 1 3 1 2 1 1 IgG CCP1-binding IgG titer (U/ml) ACPA Arg-control peptide-binding IgG titer (U/ml) 1 3 1 2 1 1 IgG ACPA Relative CCP1-binding levels (%) 12 1 8 6 4 2 * CCP1 Arg-control peptide *** *** *** ***.49.148.444 1.333 4. Concentration of competitive peptide (µg/ml) Type: HD Type: HD Supplementary Figure 1. Purification of ACPA and flow through () IgG from patients and total IgG from healthy donors (HDs). (a) An experimental scheme for purification of three types of IgG fractions. (b) Antibody titers of fractionated IgG against CCP1 and Arg-control peptide are presented. Mean values were presented as bars. Each circle represents the result from an individual donor. (c) ELISA plates were coated with 2 µg/ml CCP1 peptide, and then the suboptimal dose of ACPAs were added to ELISA plates after pre-incubating with the indicated doses of competitive peptides. Plates were color-developed with anti-igg-hrp and results are presented as relative binding to those without competitive peptides. Data are shown as mean ± standard deviation [n=6 for both peptides]. Data were analyzed by two-tailed Student s t test (*P <.5; ***P <.1).!

a! Collection of CCP1-binding ACPA from serum Serum from ACPA-positive or -negative patients b 4 ** Ammonium sulfate cut CCP1 column x2 The amount of purified IgG (µg) per 1 ml of serum 3 2 1 Eluates Purified Ab Supplementary Figure 2. The amounts of IgGs recovered from ACPA-positive and -negative patients. (a) An experimental scheme for purification of CCP1-binding antibodies from ACPApositive and negative patients. (b) The amounts of IgGs recovered from each group are presented. [n=17 for ACPA-positive, n=5 for ACPA-negative ]. Data are shown as mean ± standard deviation. Data were analyzed by Mann-Whitney non-parametric test (**P <.1).!

9 G1FS1/G1F 8 G2FS1/G2F 1.6 G2FS2/G2F 8 7 1.4 % of peak area (per G1F) 7 6 5 4 3 2 1 % of peak area (per G2F) 6 5 4 3 2 1 % of peak area (per G2F) 1.2 1..8.6.4.2 Antibody: Type: Total HD ACPA ACPA Type: HD ACPA Type: HD Supplementary Figure 3. Ratios of sialylated IgG1 Fc to galactosylated IgG1 Fc in the total serum of HDs (Total/HD), of CCP columns (/) and CCP-binding ACPA (ACPA /) from patients. Ratios of sialylated IgG1 Fc to galactosylated IgG1 Fc in each group of serum were calculated and plotted as Figure 1. To normalize the variability, relative peak areas of G1F [11] or G2F [15] were deliberately set at 1%. Mean values were presented as bars. Each circle represents the result from an individual donor.!

a % of peak area (per GF) 4 3 2 1 Type: HD G1FS1/GF ** ** ACPA % of peak area (per GF) 9 8 7 6 5 4 3 2 1 Type: HD G2FS1/GF G2FS2/GF * 1. *** * **.8 ACPA % of peak area (per GF).6.4.2 Type: HD ACPA b % of peak area (per GF) 2 15 1 5 G1F/GF ** ** % of peak area (per GF) 14 12 1 8 6 4 2 G2F/GF * *** Type: HD c % of peak area (per G1F) 2 15 1 5 Type: HD G1FS1/G1F ACPA ACPA Type: HD % of peak area (per G2F) 8 7 6 5 4 3 2 1 Type: HD G2FS1/G2F ACPA ACPA % of peak area (per G2F).8.7.6.5.4.3.2.1 Type: HD G2FS2/G2F ACPA Supplementary Figure 4. LC-ESI-MS profiles of IgG2 Fc glycans in the total serum of HDs (Total/HD), of CCP columns (/) and CCP-binding ACPA (ACPA/) from patients. (a and b) Ratios of sialylated (a) and galactosylated (b) IgG Fc to agalactosylated IgG Fc in each group of serum were calculated and plotted. (c) Ratios of sialylated IgG Fc to galactosylated IgG Fc in each group of serum were calculated and plotted. Each circle represents the result from an individual donor. Data were analyzed by Steel-Dwass non-parametric test (*P <.5; **P <.1; ***P <.1).

a Collection of ACPA from serum Serum from ACPA-positive patients b Ammonium sulfate cut CCP1 column x2 Eluates Arg-control peptide column Flow through fraction c ACPA Supplementary Figure 5. LC-ESI-MS profiles of IgG1 and IgG2 Fc glycans in the ACPA (ACPA/) from patients. (a) An experimental scheme for purification of ACPA fractions to eliminate sticky molecules. (b) Mass spectrometry profiles in each group donors. Relative abundance of each peak was calculated from monoisotopic mass by setting the number of GF 4+ of IgG1 as 1%. pep, pep%de moiety (TKPREEQYNSTYR). (c) Peak area ratios of sialylated and galactosylated IgG1 and 2 Fc glycans to agalactosylated IgG1 and 2 Fc glycans (GF) in each group of serum were calculated and plotted. Each circle represents the result from an individual donor. Mean values were presented as bars. Data were analyzed by one-way analysis of variance (ANOVA) with Tukey-Kramer post hoc test (*P <.5; **P <.1).!

a 1 3 1 4 Anti-Col II IgG titer (U/ml) 1 2 1 Serum IgG concentration (µg/ml) 1 3 1 2 1 1 N.D. N.D. Naïve CFA 1 Naïve CFA b Collection of anti-col II Ab from serum Serum from! -induced DBA/1 mice Serum from! naïve and CFA-immunized DBA/1 mice c 5 Ammonium sulfate cut Col II column x2 Ammonium sulfate cut Anti-Col II IgG titer (U/ml) 4 3 2 1 Eluates Anti-Col II Ab Flow through fraction Protein G column Protein G column Antibody: Type: N.D. Total Naïve N.D. Total CFA av αcoll Eluates Eluates IgG Total IgG Supplementary Figure 6. Purification of total serum IgG from naïve or CFA-immunized DBA/ 1 mouse, and anti-col II IgG or IgG from -induced DBA/1 mouse. (a) Anti-Col II IgG titer and total serum IgG concentration in each group of serum is presented. Each circle represents the result from an individual mouse. N.D., not detectable. (b) An experimental scheme for purification of three types of IgG fractions. (c) Anti-Col II IgG titers are presented. N.D., not detectable. Data are shown as mean ± standard deviation [n=5 for αcol II/, n=5 for /, n=4 for Total/CFA, n=5 for Total/naïve].!

a G1FS1/GF G2FS1/GF G2FS2/GF * 6 * % of peak area (per GF) 2 15 1 5 % of peak area (per GF) 2 15 1 5 % of peak area (per GF) 5 4 3 2 1 Immunization: Naïve Total CFA αcol II Immunization: Naïve Total CFA αcol II Immunization: Naïve Total CFA αcol II b 2 G1F/GF 4 G2F/GF % of peak area (per GF) 16 12 8 4 % of peak area (per GF) 3 2 1 Immunization: Naïve Total CFA αcol II Immunization: Naïve Total CFA αcol II c % of peak area (per G1F) 16 12 8 4 G1FS1/G1F G2FS1/G2F * * 1 * % of peak area (per G2F) 8 6 4 2 * % of peak area (per G2F) 2 15 1 5 G2FS2/G2F * * Immunization: Naïve Total CFA αcol II Immunization: Naïve Total CFA αcol II Immunization: Naïve Total CFA αcol II Supplementary Figure 7. LC-ESI-MS profiles of IgG2a/b Fc in the serum of naïve (Total/ naïve) or CFA-immunized DBA/1 mouse (Total/CFA), and of Col II column (/) or anti-col II IgG (αcol II/) from -induced DBA/1 mouse. (a and b) Ratios of sialylated (a) and galactosylated (b) IgG Fc to agalactosylated IgG Fc from each group of serum were calculated and plotted. (c) Ratios of sialylated IgG Fc to galactosylated IgG Fc in each group of serum were calculated and plotted. Mean values were presented as bars. Each symbol represents the result from an individual mouse. Data were analyzed by Steel-Dwass non-parametric test (*P <.5).!

b a! -2 months Day HLA DR4 Tg mouse! (1) cfib / CFA (s.c.)! (2) None! (1) cfib / CFA (s.c.)! (2) None! 1 month Collection of serum (1) Positive (Swelling)! (2) Negative! OD 49nm 2.5! 2! 1.5! 1!.5! cfib imm Naïve! 1 2 1 4 1 6 1 Serum 1 dilution 1 (x) c Collection of anti-fib Ab from serum d Serum from cfib immunized HLA-DR4 Tg mice Ammonium sulfate cut Fib column x2 Serum from naïve HLA-DR4 Tg mice Anti-Fib IgG titer (U/ml) 16! 12! 8! 4! Anti-Fib IgG IgG Eluates Anti-Fib Ab Flow through fraction Protein G column! N.D. Naïve naïve cfib imm cfib imm Eluates IgG Total IgG Supplementary Figure 8. Purification of total serum IgG from naïve HLA-DR4 transgenic (Tg) mouse and anti-fibrinogen (Fib) IgG and IgG from citrullinated fibrinogen (cfib)- immunized HLA-DR4 Tg mouse. (a) An experimental scheme for cfib-induced arthritis in HLA- DR4 mice. Arthritis was induced by cfib immunization. (b) Anti-Fib IgG titers in naïve and cfibimmunized mice was compared by ELISA. (c) An experimental scheme for purification of three types of IgG fractions. (d) Anti-Fib IgG titers of purified IgGs are presented. N.D., not detectable. Data are shown as mean ± standard deviation [n=5 for all types of IgG].!

% of peak area (pre GF) % of peak area (pre GF) b % of peak area (pre GF) a % of peak area (pre GF) % of peak area (pre GF) c Supplementary Figure 9. LC-ESI-MS analysis of IgG1 Fc glycans in total serum from naïve HLA-DR4 Tg mouse (Total/naïve), and flow-through of Fib column (/cfib) or anti-fib IgG1 (Fib/cFib) from cfib-immunized HLA-DR4 Tg mouse. (a) Mass spectrometry profiles in each group mouse. Relative abundance of each peak was calculated from monoisotopic mass by setting the number of GF2+ as 1%. (b and c) Ratios of sialylated (b) or galactosylated (c) IgG Fc glycans to agalactosylated IgG Fc glycan (GF) in the indicated groups were calculated. Data are shown as mean ± standard deviation [n=5 for all types of IgG1]. Data were analyzed by one-way analysis of variance (ANOVA) with Tukey-Kramer post hoc test (*P <.5; **P <.1; ***P <.1).!

G1FS1/G1F G2FS1/G2F G2FS2/G2F 7 4 1 % of peak area (per G1F) 6 5 4 3 2 1 % of peak area (per G2F) 3 2 1 % of peak area (per G2F) 8 6 4 2 Antibody: Immunization: Total Naïve cfib αfib cfib Antibody: Immunization: Total Naïve cfib αfib cfib Antibody: Immunization: Total Naïve cfib αfib cfib Supplementary Figure 1. Ratios of sialylated IgG Fc to galactosylated IgG1 Fc in total serum from naïve HLA-DR4 Tg mouse (Total/naïve), and flow-through of Fib column (/ cfib) or anti-fib IgG1 (Fib/cFib) from cfib-immunized HLA-DR4 Tg mouse. To normalize the variability, relative peak areas of G1F 2+ or G2F 2+ were deliberately set at 1%. Data for ratios of glycosylation are shown as mean ± standard deviation [n=5 for all types of IgG1]. Data were analyzed by one-way analysis of variance (ANOVA) with Tukey-Kramer post hoc test (*P <.5; **P <.1; ***P <.1).!

5 5E-8 4 4E-8 3 3E-8 2 2E-8 1 1E-8 mst6gal1 mst6gal2 Cerebrum! Cerebellum! Spinal cord! Thymus! Lung! Heart! Liver! Kidney! Spleen! Pancreas! Stomach! Small intestine! Large intestine! Brown adipocyte! White adipocyte! Skeletal muscle! Bone marrow! Testis! Ovary! mrna expression levels (x1-8 nmol / 4 ng RNA) Supplementary Figure 11. Expression levels of mst6gal1 and mst6gal2 genes in major tissues of B6 mice. Expression levels of mst6gal1 and mst6gal2 genes were evaluated by realtime reverse transcription-polymerase chain reaction (RT-PCR) using mst6gal1 or mst6gal2 cdna vectors as standard. Data are shown as mean ± standard deviation [n=4 for both genes].

a 6.kb 1.2kb 2.8kb b mst6gal1 Locus Ex3 Ex4 Ex5 Targeting vector Targeted Allele NotI! DT! PmeI/SmaI! SacI! SalI! XhoI! AscI! Ex3 Ex4 Neo! Ex5 Ex3 Ex4 Neo! Ex5 mst6gal1 bp 587 458 434 298 Deleted allele Floxed allele WT allele Floxed Allele! (Cross to Flp mice) Ex3 Ex4 Ex5 AID-Cre 587 458 434 Deleted Allele! (Cross to AID-Cre mice) Ex3 Ex5 :loxp :FRT Supplementary Figure 12. Gene targeting of mst6gal1 gene in activated B cell. (a) A targeting vector included a floxed exon 4 encoding catalytic domain (L motif) of mst6gal1 and a floxed Neo cassette. The Neo cassette was also inserted between two FRT sites. Targeted allele-containing B6 mice were mated with Flp mice for deleting the Neo cassette, and subsequently crossed with AID-Cre mice for Cre-loxP recombination. Red arrows, genotyping primer sites. (b) PCR genotyping for the targeted mst6gal1 alleles and the AID-Cre-containing allele of B6, AID-Cre, ST6Gal1 f/f AID-Cre, ST6Gal1 f/+ and ST6Gal1 -/- (germline deletion) mice.

Intensity 3 2 1 1892.822 4.878 2216.93 ST6Gal1 -/- Intensity Intensity Intensity Intensity 5 4 3 2 1 3 2 1 4 3 2 1 4 3 2 1 1892.93 4.963 1892.878! 4.942 4.966 1892.96! 1892.919! 4.979 2217.2 2216.99 38.81 2376.2 2859.21 2217.35 38.124 2376.69 2859.5 2217.44 2376.19 38.178 2859.295 ST6Gal1 f/f AID-Cre ST6Gal1 f/f 2 3 35 4 45 m/z AID-Cre B6 Supplementary Figure 13. MALDI-TOF MS analysis of IgG1 Fc glycans from individual mice. IgG1 Fc glycans in total IgG (1 µg) from naïve ST6Gal1 -/- mice, and those in flow-through of Col II columns from -induced B6, AID-Cre, ST6Gal1 f/f AID-Cre or ST6Gal1 f/f mice were analyzed by MALDI-TOF MS.

Anti-Col II IgG2c! 1 3 Anti-Col II IgG2c titer (U/ml) 1 2 1 IgG2c 1 4 Serum IgG2c titer (U/ml) 1 3 1 2 1 * 1 N.D. N.D. AID-Cre ST6Gal1 f/f! AID-Cre AID-Cre ST6Gal1 f/f! AID-Cre AID-Cre ST6Gal1 f/f! AID-Cre 1 AID-Cre ST6Gal1 f/f! AID-Cre AID-Cre ST6Gal1 f/f! AID-Cre AID-Cre ST6Gal1 f/f! AID-Cre Naïve After 1st imm After 2nd imm Naïve After 1st imm After 2nd imm Supplementary Figure 14. IgG2c levels in AID-Cre and ST6Gal1 f/f AID-Cre mouse. Anti-Col II IgG2c and total IgG2c titers in serum were determined by ELISA after 1 st and 2 nd immunization. Mean values were presented as bars. Each circle represents the result from an individual mouse. N.D., not detectable. The data are representative of three independent experiments. Data were analyzed by two-tailed Student s t test (*P <.5; ***P <.1).!

ACC4 non-transfectant ACC4 mst6gal1 + mb4galt1 transfectant [ACC4 Sia (+)] M2139 non-transfectant M2139 mst6gal1 + mb4galt1 transfectant [M2139 Sia (+)] Supplementary Figure 15. LC-ESI-MS analysis of IgG Fc glycans in ACC4 and M2139 with or without overexpression of mst6gal1 + mb4galt1 cdna. Mass spectrometry profiles of ACC4 and M2139 (1 µg) are presented. The intensities of glycoforms with highest peak were deliberately set at 1%.!

SNA (Sia) ECL (Gal) GSLII (GlcNAc) α-mouse IgG kda Supplementary Figure 16. Glycoform analysis of ACC4 and M2139 by lectin blotting. Lectin blotting analysis of papain-digested ACC4 (left panel) and M2139 (right panel) was performed to detect terminal α2,6 sialic acid [SNA (Sia)], galactose [ECL (Gal)], and N-acetylglucosamine [GSL II (GlcNAc)]. The amount of loaded IgG was evaluated by western blotting analysis using antimouse IgG. ST6, mst6gal1; B4G, mb4galt1.

Transfected cdna PNGase F SNA (Sia) - - ST6 + - + ST6 & B4G - + kda Fc Fab Fc ECL (Gal) Fc GSLII (GlcNAc) ConA (αman) α-mouse IgG Fc Fc Fab Deglycosylated Fc Supplementary Figure 17. Altered lectin binding of ACC4 by PNGase F treatment. Lectin blotting analysis of papain-digested ACC4 was performed after PNGase F treatment following SDS (1%) denaturation to detect terminal sialic acid [SNA (Sia)], galactose [ECL (Gal)], Nacetylglucosamine [GSL II (GlcNAc)], and α-linked Mannose [ConA (αman)]. The amount of loaded IgG was evaluated by Western blotting analysis using anti-mouse IgG. ST6, mst6gal1; B4G, mb4galt1.!

Anti-Col II IgG at day 7 IgG at day 7 SNA (Sia) kda 46 H chain SNA(Sia) kda 46 H chain Anti-mIgG 46 H chain Anti-mIgG 46 H chain Supplementary Figure 18. Sialylation pattern of anti-col II IgG and flow through () IgG from serum of -induced DBA/1 mouse with or without the infusion of ACC4/M2139 or ACC4/M2139 Sia (+) antibodies. Lectin blotting analysis of anti-col II IgG and IgG in serum of mouse injected with or without ACC4/M2139 or ACC4/M2139 Sia (+) antibodies was performed to detect terminal sialic acid [SNA (Sia)]. The amount of loaded IgG was evaluated by Western blotting analysis using anti-mouse IgG. Purification of anti-col II IgG and IgG from serum of -induced DBA/1 mice were performed as Supplementary Figure 5b.!

a mst6gal1 & mb4galt1! kda 3 SNA (Sia) 3 ECL (Gal) 3 GSL II (GlcNAc) 3 α-mouse IgG ACC4 IgG1 - + 1E11 IgG1 - + Fc Fc Fc Fc Fab Fab b Relative complex type N-glycan levels of 1E11 IgG1 (%) 6 5 4 3 2 1 Non-transfectant mst6gal1 + mb4galt1 transfectant GF G1F G2F G1FS1 G2FS1 G2FS2 c Desialylated glycoforms Sialylated glycoforms 1E11 non-transfectant m/z 1E11 mst6gal1 + mb4galt1 transfectant [1E11 Sia(+)] m/z Supplementary Figure 19. Sialylation of irrelevant IgG1, 1E11 with or without overexpression of mst6gal1 + mb4galt1 cdna. (a) Lectin blotting analysis of the papaindigested 1E11 was performed to detect terminal sialic acid [SNA (Sia)], galactose [ECL (Gal)], and N-acetylglucosamine [GSL II (GlcNAc)]. The amount of loaded IgG was evaluated by Western blotting analysis using anti-mouse IgG. (b) LC-ESI-MS analysis of 1E11 was performed to detect desialylated glycoforms (GF, G1F, and G2F) and sialylated glycoforms (G1FS1, G2FS1, and G2FS2) of IgG Fc glycans. To normalize the variability, summation of peak areas of all complex type N-glycans were deliberately set at 1%. (c) Mass spectrometry profiles of 1E11 (1 µg) are presented. The intensities of glycoforms with highest peak were deliberately set at 1%.!

Figure2b kda 8 58 46 3 Long exposure kda kda 175 8 8 58 58 46 46 3 3 Figure3b kda 175 8 58 46 3 kda 8 58 46 3 Supplementary Figure 2. Original images of the Western blotting analyses in the main figures.

Supplementary Table 1. Glycoforms of human IgG1 Fc by mass spectrometry in Figure 1c. No. Glycoform Compositions 2+ m/z 3+ m/z 1 G1FS1* H4N4F1S1 1544.11 129.736 2 G2FS1 H5N4F1S1 16.127 183.754 3 GF-GlcNAc-Man H2N3F1 1134.96 756.976 4 G2FS2 H5N4F1S2 177.675 118.786 5 GF-GlcNAc H3N3F1 1215.987 81.994 6 G H3N4 1244.498 83.1 7 G1F-GlcNAc H4N3F1 1297.13 865.11 8 GF H3N4F1 1317.527 878.687 9 G1 H4N4 13.524 884.18 1 GB H3N5 1346.37 897.694 11 G1F H4N4F1 1398.553 932.74 12 G2 H5N4 146.55 938.36 13 GBF H3N5F1 1419.66 946.38 14 G1B H4N5 1427.64 951.712 15 G2F H5N4F1 1479.579 986.722 16 G1BF H4N5F1 15.93 1.398 17 G2BF H5N5F1 1581.119 154.415 * A sialic acid (S) in purified IgG from human is composed of Neu5Ac.

Supplementary Table 2. Glycoforms of DBA/1 mouse IgG1 Fc by mass spectrometry in Figure 2c. No. Glycoform Compositions 2+ m/z 3+ m/z 1 G1FS1* H4N4F1S1 1536.13 124.45 2 G2FS1 H5N4F1S1 1617.13 178.422 3 GF-GlcNAc-Man H2N3F1 1118.966 746.313 4 G2FS2 H5N4F1S2 177.675 118.786 5 GF-GlcNAc H3N3F1 1199.992 8.33 6 G H3N4 1228.53 819.338 7 G1F-GlcNAc H4N3F1 1281.18 854.348 8 GF H3N4F1 131.532 868.24 9 G1F H4N4F1 1382.558 922.41 1 G2F H5N4F1 1463.584 976.59 * A sialic acid (S) in purified IgG from mouse is composed of Neu5Gc.

Supplementary methods LC-ESI-MS analysis for IgG from patients and model mice (Figure 1 and 2) Aliquots of the collected IgG fractions (1 μg) were diluted to 5 μl with 2 mm ammonium acetate. The samples were supplemented with 2 μl of cold acetone, and kept at -2 C overnight, then centrifuged at 1, x g for 1 min at 4 C, and the supernatants were removed. The pellets were dissolved in 4 μl of 5% 1,1,1,3,3,3-Hexafluoro-2-propanol (Wako Pure Chemical Industries, Ltd.) containing 1 mm Tris-HCl, ph 8. and 5 mm EDTA. The solutions were added with 1 μl of 1 mm dithiothreitol (DTT), heated at 55 C for 3 min, and let cool to room temperature for 15 min. The solutions were added with 1.2 μl of mm iodoacetic acid, and incubated at 3 C for 3 min in dark. The solutions were supplemented with 19 μl of acetone - water- 2-isopropanol (1:3:2) containing 5 mm ammonium acetate and.5 mm DTT, vortexed for 1 sec, and centrifuged for 1 min at 1, x g at C. The supernatants were removed, and the pellets were dissolved in 18 μl of 4 mm ammonium bicarbonate. Two μl of.1 μg/l modified trypsin solution was added, and samples were incubated at 37 C for 5 hr. Tryptic digests were centrifuged at 1, x g for 1 min and 4 μl of aliquots were diluted to μl with.1% trifluoroacetic acid (TFA). Tryptic digests were analyzed by an LC-ESI-MS system consisting of a Paradigm MS4 HPLC system (Michrome Bioresources, Inc.) and Orbitrap Elite hybrid MS system

(Thermofisher Scientific, Inc.) equipped with a nanoesi ion source. Aliquots (.1 μg of IgG) of the digests were loaded onto a L-column ODS trapping column (.3 x 5 mm, Chemicals Evaluation and Research Institute), which were preconditioned with.1% TFA containing 2% acetonitrile, and desalted using 1 μl of.1% TFA containing 2% acetonitrile. Then, the trap column was inversely connected on-line in a series with the analytical column. Separation was achieved on a MonoCap C18 High Resolution 75(.2 x 75 mm, GL Sciences Inc.)using a flow rate of 2 μl/min with the following gradient of mobile phase A (.1% formic acid in 2% acetonitrile) and mobile phase B (.1% formic acid in 9 % acetonitrile): min 5 % B, 2 min 5 % B, 47 min 8 % B, 52 min 8 % B, 55 min 5 % B and 65 min 5 % B. The MS conditions were as follows: electrospray voltage of 2.4 kv in the positive ion mode; capillary temperature of 27 C; m/z range, 4-2; resolution 15,. Assignment of the detected glycopeptides was carried out on the basis of the deduced oligosaccharide compositions from mass spectrometry and knowledge of IgG N-glycosylation 1-3. Peak area of IgG tryptic glycopeptide was obtained from extracted ion chromatogram of first isotopic peak. LC-ESI-MS analysis for IgG from patients and Healthy donors (Supplementary figure 5)

Thirty μl of IgG fractions (5 μg) were added with 1 μl of 5 mm ammonium hydrogen carbonate and 2 μl of 5 mm dithiothreitol (DTT), heated at 6 C for 45 min, and let cool to room temperature for 15 min. The solutions were added with 2 μl of 5 mm iodoacetamide, and incubated for 3 min in dark. The solutions were supplemented with 1 μl of 5 mm DTT, vortexed for 1 sec, and added water to make 5 μl. Zero point five μl of trypsin solution (.5 μg/μl) was added, and samples were incubated at 37 C for over-night. The solutions were supplemented with μl of cold acetone, vortexed for 1 sec, and samples were incubated at - C for over-night. Tryptic digests were centrifuged at 12, x g at 2 C for 1 min. The supernatants were removed, and the pellets were dissolved in 12 μl of.1% formic acid. The digests were separated on a NANO HPLC CAPILLARY COLUMN, 75μm ID x 12mm, 3μm, C18 (Nikkyo Technos) at a flow rate of 3 nl/min in an LC-ESI-MS system consisting of an EASY-nLC 1 (Thermo Scientific). The mobile phases were.1 % formic acid (A buffer) and.1 % formic acid in acetonitrile (B buffer). The digests were eluted with a linear gradient of 32% of B buffer for 4 min followed by 32-1% of B buffer for 2 min. Mass spectrometric analysis was performed using Q Exactive mass spectrometer (Thermofisher Scientific, Inc.) equipped with Nanospray Flex Ion Source (Thermo Scientific). The electrospray voltage was 2. kv, the resolution was 7,, and the scan range was m/z 7 2,.

LC-ESI-MS analysis for IgG from ACC4, M2139 and 1E11 hybridomas Tryptic digests of IgG1 form ACC4 or ACC4 Sia (+), 1E11 or 1E11 Sia (+), and IgG2 from M2139 or M2139 Sia (+) were separated on a NANO HPLC CAPILLARY COLUMN, 75μm ID x 12mm, 3μm, C18 (Nikkyo Technos) at a flow rate of 3 nl/min in an LC-ESI-MS system consisting of an EASY-nLC 1 (Thermo Scientific). The mobile phases were.1 % formic acid containing 2% acetonitrile (A buffer) and.1 % formic acid containing 9% acetonitrile (B buffer). The digests were eluted with a linear gradient of 4% of B buffer for 1 min followed by 4 32% of B buffer for 59 min. Mass spectrometric analysis was performed using Orbitrap Fusion Tribrid mass spectrometer (Thermofisher Scientific, Inc.) equipped with Nanospray Flex Ion Source (Thermo Scientific). The electrospray voltage was 2. kv, the resolution was 12,, and the scan range was m/z 35 2,. MALDI-TOF MS analysis Ten μg of purified IgGs from -induced ST6Gal1 f/f AID-Cre, ST6Gal1 f/f, AID-Cre and C57BL/6j mice and total serum IgG from ST6Gal1 KO mice were dissolved in 1 mm ammonium bicarbonate buffer. The solutions (6 μl) were reduced by dithiothreitol (DTT)

for 3 min at 6 C followed by alkylation with 1 μl of 123 mm iodoacetamide (IAA) by incubation in the dark at room temperature for 6 min. The mixture was then treated with 1 μl of 4 units/μl trypsin for 6 min at 37 C, followed by heat inactivation of the enzyme for 1 min at 9 C. After being cooled to room temperature, N-glycans were enzymatically released from trypsin-digested glycol- peptides by incubation with 1 unit of PNGase F (Roche Applied Science, Basel, Switzerland) overnight at 37 C. PNGase F-treated samples were dropped onto BlotGlyco beads (Sumitomo Bakelite Co., Tokyo, Japan) in a filter plate, and followed by addition of 2% acetic acid/acetonitrile. After incubation for 6 min at 8 C, to covalently ligate glycans to beads, the beads were sequentially washed with 2 M guanidine hydrochloride, distilled water, and 1% triethylamine/methanol to remove nonspecifically bound impurities. After washing, the beads were treated with 1% acetic anhydride/methanol for 3 min at ambient temperature to quench the hydrazide groups. The beads were then washed serially with 1 mm hydrochloric acid, distilled water, methanol, and dimethyl sulfoxide (DMSO). On-bead methyl esterification was performed by the reaction with 5 mm 1-methyl-3-p-tolyltriazene/DMSO solution for 6 min at 6 C. After the beads were washed with methanol and distilled water, the immobilized glycans were finally released and recovered as N-α-((aminooxy)acetyl) -tryptophanylarginine methyl ester (aowr) derivatives by adding 2 mm aowr and 2% acetic acid/acetonitrile

and incubated for 1 hour at 8 C. The resulting aowr-labeled glycans were recovered by washing the beads with distilled water, and the collected solution was further purified with a solid-phase extraction column (Cleanup column, Sumitomo Bakelite Co., Ltd., Tokyo, Japan) to remove the excess aowr. The purified solution was mixed with 2,5-dihydroxybenzoic acid solution and subsequently subjected to MALDI-TOF analysis. All measurements were performed with an Autoflex III TOF/TOF mass spectrometer equipped with a reflector and controlled by the FlexControl 3. software package (Bruker Daltonics GmbH, Bremen, Germany). The peaks were detected generally as a formula of [M + H]+ ions. In MALDI-TOF MS reflector mode, ions generated by a Smartbeam (pulsed UV nitrogen laser, λ = 337 nm, 5 Hz) were accelerated to a kinetic energy of 23.5 kv. Masses were automatically annotated by using FlexAnalysis 2.. External calibration of MALDI mass spectra was carried out using singly charged monoisotopic peaks of a mixture of human angiotensin II (m/z 146.542), bombesin (m/z 1619.823), adrenocorticotropin (18 39) (m/z 2465.199), and somatostatin 28 (m/z 3147.472). All measurements were performed as follows: 1 ml of the sample solution was mixed with 1 ml of 2,5-dihydroxybenzoic acid (1 mg/ml in 3% ACN), and 1 ml of the resulting mixture was subjected to MALDI-TOF mass analysis. Structural identification of glycans was performed using of a database for glycan structures (http://web.expasy.org/glycomod/).

Supplementary References 1. Parekh, R.B., et al. Association of rheumatoid arthritis and primary osteoarthritis with changes in the glycosylation pattern of total serum IgG. Nature 316, 452-457 (1985). 2. Wuhrer, M., et al. Glycosylation profiling of immunoglobulin G (IgG) subclasses from human serum. Proteomics 7, 47-481 (27). 3. Harazono, A., et al. Simultaneous glycosylation analysis of human serum glycoproteins by high-performance liquid chromatography/tandem mass spectrometry. J. Chromatogr. B Analyt. Technol. Biomed. Life Sci. 869, 2-3 (28).