Abstract:Bispecific antibodies (bsAbs) combine the antigen specificities of two distinct Abs and demonstrate therapeutic promise based on novel mechanisms of action. Among the many platforms for creating bsAbs, controlled Fab-arm exchange (cFAE) has proven useful based on minimal changes to native Ab structure and the simplicity with which bsAbs can be formed from two parental Abs. Despite a published protocol for cFAE and its widespread use in the pharmaceutical industry, the reaction mechanism has not been determined… Show more
“…The pairing consistently allowed for >95% heterodimer formation when parental antibodies were combined with a reducing agent and exchanged. The rate constants have been determined for the mechanism of IgG1 BsAb formation [519].…”
Antibodies and antibody-derived macromolecules have established themselves as the mainstay in protein-based therapeutic molecules (biologics). Our knowledge of the structure–function relationships of antibodies provides a platform for protein engineering that has been exploited to generate a wide range of biologics for a host of therapeutic indications. In this review, our basic understanding of the antibody structure is described along with how that knowledge has leveraged the engineering of antibody and antibody-related therapeutics having the appropriate antigen affinity, effector function, and biophysical properties. The platforms examined include the development of antibodies, antibody fragments, bispecific antibody, and antibody fusion products, whose efficacy and manufacturability can be improved via humanization, affinity modulation, and stability enhancement. We also review the design and selection of binding arms, and avidity modulation. Different strategies of preparing bispecific and multispecific molecules for an array of therapeutic applications are included.
“…The pairing consistently allowed for >95% heterodimer formation when parental antibodies were combined with a reducing agent and exchanged. The rate constants have been determined for the mechanism of IgG1 BsAb formation [519].…”
Antibodies and antibody-derived macromolecules have established themselves as the mainstay in protein-based therapeutic molecules (biologics). Our knowledge of the structure–function relationships of antibodies provides a platform for protein engineering that has been exploited to generate a wide range of biologics for a host of therapeutic indications. In this review, our basic understanding of the antibody structure is described along with how that knowledge has leveraged the engineering of antibody and antibody-related therapeutics having the appropriate antigen affinity, effector function, and biophysical properties. The platforms examined include the development of antibodies, antibody fragments, bispecific antibody, and antibody fusion products, whose efficacy and manufacturability can be improved via humanization, affinity modulation, and stability enhancement. We also review the design and selection of binding arms, and avidity modulation. Different strategies of preparing bispecific and multispecific molecules for an array of therapeutic applications are included.
“…The selection of the 30 mg/kg dose used in the studies described earlier was based on pilot studies showing evidence of efficacy at this dose (data not shown). As the biAb (in TBTI format) used in these studies demonstrated lower affinity (due to steric hindrance) to laminin-211 than the parental Ab ( Figure S2 B, left panel), we elected to engineer an improved version based on the Duobody format 29 , 30 (biAb-2) with higher affinities to both laminin-211 and βDG. This biAb-2 was used in a separate dose-response study in LARGE myd-3J mice.…”
Patients with α-dystroglycanopathies, a subgroup of rare congenital muscular dystrophies, present with a spectrum of clinical manifestations that includes muscular dystrophy as well as CNS and ocular abnormalities. Although patients with α-dystroglycanopathies are genetically heterogeneous, they share a common defect of aberrant post-translational glycosylation modification of the dystroglycan alpha-subunit, which renders it defective in binding to several extracellular ligands such as laminin-211 in skeletal muscles, agrin in neuromuscular junctions, neurexin in the CNS, and pikachurin in the eye, leading to various symptoms. The genetic heterogeneity associated with the development of α-dystroglycanopathies poses significant challenges to developing a generalized treatment to address the spectrum of genetic defects. Here, we propose the development of a bispecific antibody (biAb) that functions as a surrogate molecular linker to reconnect laminin-211 and the dystroglycan beta-subunit to ameliorate sarcolemmal fragility, a primary pathology in patients with α-dystroglycan-related muscular dystrophies. We show that the treatment of LARGE
myd-3J
mice, an α-dystroglycanopathy model, with the biAb improved muscle function and protected muscles from exercise-induced damage. These results demonstrate the viability of a biAb that binds to laminin-211 and dystroglycan simultaneously as a potential treatment for patients with α-dystroglycanopathy.
“…(1) the ease of parental antibody production applying standard IgG production procedures; (2) the opportunity to evaluate affinity, epitope bin, cellular binding, internalization, physico-chemical properties such as thermal stability or hydrophobicity, polyspecificity or self-interaction in IgG format with the same material in advance or in parallel to an HTP screening; (3) the high degree of heterodimerization; (4) the applicability for bsAb, but also biparatopic, ADC screening as reported herein. cFAE has been identified in human IgG4 antibodies [26,[41][42][43], extended to therapeutic bsAb production applying MEA as a reducing agent [25] and extensively studied, including the evaluation of MEA versus DTT or cFAE kinetics [44] and already applied in focused combinatorial screens [27], leading, among others, to the recently approved bispecific antibody amivantamab [4]. Although this is illustrative of an elegant, educated screening cascade based on deep biological knowledge, many novel modes of action necessitate complex and high-throughput screening setups targeting unprecedented biology without an a priori definition of optimal epitope combinations or their respective paratopes.…”
The toolbox of modern antibody engineering allows the design of versatile novel functionalities exceeding nature’s repertoire. Many bispecific antibodies comprise heterodimeric Fc portions recently validated through the approval of several bispecific biotherapeutics. While heterodimerization methodologies have been established for low-throughput large-scale production, few approaches exist to overcome the bottleneck of large combinatorial screening efforts that are essential for the identification of the best possible bispecific antibody. This report presents a novel, robust and miniaturized heterodimerization process based on controlled Fab-arm exchange (cFAE), which is applicable to a variety of heterodimeric formats and compatible with automated high-throughput screens. Proof of applicability was shown for two therapeutic molecule classes and two relevant functional screening read-outs. First, the miniaturized production of biparatopic anti-c-MET antibody–drug conjugates served as a proof of concept for their applicability in cytotoxic screenings on tumor cells with different target expression levels. Second, the automated workflow enabled a large unbiased combinatorial screening of biparatopic antibodies and the identification of hits mediating potent c-MET degradation. The presented workflow utilizes standard equipment and may serve as a facile, efficient and robust method for the discovery of innovative therapeutic agents in many laboratories worldwide.
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