2011
DOI: 10.4161/mabs.3.6.18123
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A novel bispecific antibody format enables simultaneous bivalent and monovalent co-engagement of distinct target antigens

Abstract: Bispecific antibodies based on full-length antibody structures are more optimal than fragment-based formats because they benefit from the favorable properties of the Fc region. However, the homodimeric nature of Fc effectively imposes bivalent binding on all current full-length bispecific antibodies, an attribute that can result in nonspecific activation of cross-linked receptors. We engineered a novel bispecific format, referred to as mAb-Fv, that utilizes a heterodimeric Fc region to enable monovalent co-eng… Show more

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Cited by 94 publications
(86 citation statements)
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“…Mutations promoting H chain heterodimerization by various methods have been described previously by others (7,10,11,40,41). In those cases, however, multiple mutations in at least one of the H chains were required.…”
Section: Discussionmentioning
confidence: 99%
“…Mutations promoting H chain heterodimerization by various methods have been described previously by others (7,10,11,40,41). In those cases, however, multiple mutations in at least one of the H chains were required.…”
Section: Discussionmentioning
confidence: 99%
“…A number of alternative approaches for the same purpose have been developed recently. 9,10,11,12,13,14 Upon application of one of these methods alone, however, there still remains a mixture of 4 compounds except for cases where the chain association issue is circumvented by a common LC approach. 15 The LC mispairing problem is more difficult to address because a total of 4 possible pairings of heavy and light chains have to be considered.…”
Section: Introductionmentioning
confidence: 99%
“…Alternatively, replacing Fab with scFv or BiTE as the binding entity has been applied to overcome LC mispairing, resulting in scFv-knobs-into-holes (KIH)-Fc or BiTE-KIH-Fc. 4 Meanwhile, a number of engineering strategies in C H 3 domains have also significantly enhanced HC heterodimerization based on steric [36][37][38] or electrostatic complementarity. 39,40 Among them, the most successful and widely applied route is knobs-into-holes, in which a "knob" is created by replacing T366 with a bulky residue W on one HC, and the corresponding "hole" is made by triple mutations of T366S, L368A and Y407V on the partner HC.…”
Section: Introductionmentioning
confidence: 99%