The human complement
C9 protein (∼65 kDa) is a member of
the complement pathway. It plays an essential role in the membrane
attack complex (MAC), which forms a lethal pore on the cellular surface
of pathogenic bacteria. Here, we charted in detail the structural
microheterogeneity of C9 purified from human blood serum, using an
integrative workflow combining high-resolution native mass spectrometry
and (glyco)peptide-centric proteomics. The proteoform profile of C9
was acquired by high-resolution native mass spectrometry, which revealed
the co-occurrence of ∼50 distinct mass spectrometry (MS) signals.
Subsequent peptide-centric analysis, through proteolytic digestion
of C9 and liquid chromatography (LC)-tandem mass spectrometry (MS/MS)
measurements of the resulting peptide mixtures, provided site-specific
quantitative profiles of three different types of C9 glycosylation
and validation of the native MS data. Our study provides a detailed
specification, validation, and quantification of 15 co-occurring C9
proteoforms and the first direct experimental evidence of O-linked glycans in the N-terminal region.
Additionally, next to the two known glycosylation sites, a third novel,
albeit low abundant, N-glycosylation site on C9 is
identified, which surprisingly does not possess the canonical N-glycosylation sequence N-X-S/T. Our data also reveal a
binding of up to two Ca2+ ions to C9. Mapping all detected
and validated sites of modifications on a structural model of C9,
as present in the MAC, hints at their putative roles in pore formation
or receptor interactions. The applied methods herein represent a powerful
tool for the unbiased in-depth analysis of plasma proteins and may
advance biomarker discovery, as aberrant glycosylation profiles may
be indicative of the pathophysiological state of the patients.