Novel multivalent design of a monoclonal antibody improves binding strength to soluble aggregates of amyloid beta

Abstract Background Amyloid-β (Aβ) immunotherapy is a promising therapeutic strategy in the fight against Alzheimer’s disease (AD). A number of monoclonal antibodies have entered clinical trials for AD. Some of them have failed due to the lack of efficacy or side-effects, two antibodies are currentl...

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Main Authors: Fadi Rofo, Jos Buijs, Ronny Falk, Ken Honek, Lars Lannfelt, Anna M. Lilja, Nicole G. Metzendorf, Tobias Gustavsson, Dag Sehlin, Linda Söderberg, Greta Hultqvist
Format: Article
Language:English
Published: BMC 2021-09-01
Series:Translational Neurodegeneration
Subjects:
Online Access:https://doi.org/10.1186/s40035-021-00258-x
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author Fadi Rofo
Jos Buijs
Ronny Falk
Ken Honek
Lars Lannfelt
Anna M. Lilja
Nicole G. Metzendorf
Tobias Gustavsson
Dag Sehlin
Linda Söderberg
Greta Hultqvist
author_facet Fadi Rofo
Jos Buijs
Ronny Falk
Ken Honek
Lars Lannfelt
Anna M. Lilja
Nicole G. Metzendorf
Tobias Gustavsson
Dag Sehlin
Linda Söderberg
Greta Hultqvist
author_sort Fadi Rofo
collection DOAJ
description Abstract Background Amyloid-β (Aβ) immunotherapy is a promising therapeutic strategy in the fight against Alzheimer’s disease (AD). A number of monoclonal antibodies have entered clinical trials for AD. Some of them have failed due to the lack of efficacy or side-effects, two antibodies are currently in phase 3, and one has been approved by FDA. The soluble intermediate aggregated species of Aβ, termed oligomers and protofibrils, are believed to be key pathogenic forms, responsible for synaptic and neuronal degeneration in AD. Therefore, antibodies that can strongly and selectively bind to these soluble intermediate aggregates are of great diagnostic and therapeutic interest. Methods We designed and recombinantly produced a hexavalent antibody based on mAb158, an Aβ protofibril-selective antibody. The humanized version of mAb158, lecanemab (BAN2401), is currently in phase 3 clinical trials for the treatment of AD. The new designs involved recombinantly fusing single-chain fragment variables to the N-terminal ends of mAb158 antibody. Real-time interaction analysis with LigandTracer and surface plasmon resonance were used to evaluate the kinetic binding properties of the generated antibodies to Aβ protofibrils. Different ELISA setups were applied to demonstrate the binding strength of the hexavalent antibody to Aβ aggregates of different sizes. Finally, the ability of the antibodies to protect cells from Aβ-induced effects was evaluated by MTT assay. Results Using real-time interaction analysis with LigandTracer, the hexavalent design promoted a 40-times enhanced binding with avidity to protofibrils, and most of the added binding strength was attributed to the reduced rate of dissociation. Furthermore, ELISA experiments demonstrated that the hexavalent design also had strong binding to small oligomers, while retaining weak and intermediate binding to monomers and insoluble fibrils. The hexavalent antibody also reduced cell death induced by a mixture of soluble Aβ aggregates. Conclusion We provide a new antibody design with increased valency to promote binding avidity to an enhanced range of sizes of Aβ aggregates. This approach should be general and work for any aggregated protein or repetitive target.
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spelling doaj.art-e3112d378ac74be8899dc991771ba21a2022-12-21T21:29:04ZengBMCTranslational Neurodegeneration2047-91582021-09-0110111610.1186/s40035-021-00258-xNovel multivalent design of a monoclonal antibody improves binding strength to soluble aggregates of amyloid betaFadi Rofo0Jos Buijs1Ronny Falk2Ken Honek3Lars Lannfelt4Anna M. Lilja5Nicole G. Metzendorf6Tobias Gustavsson7Dag Sehlin8Linda Söderberg9Greta Hultqvist10Protein Drug Design, Faculty of Pharmacy, Uppsala UniversityDepartment of Immunology, Genetics and Pathology, Uppsala UniversityBioArctic ABBioArctic ABBioArctic ABBioArctic ABProtein Drug Design, Faculty of Pharmacy, Uppsala UniversityDepartment of Public Health and Caring Sciences, Uppsala UniversityDepartment of Public Health and Caring Sciences, Uppsala UniversityBioArctic ABProtein Drug Design, Faculty of Pharmacy, Uppsala UniversityAbstract Background Amyloid-β (Aβ) immunotherapy is a promising therapeutic strategy in the fight against Alzheimer’s disease (AD). A number of monoclonal antibodies have entered clinical trials for AD. Some of them have failed due to the lack of efficacy or side-effects, two antibodies are currently in phase 3, and one has been approved by FDA. The soluble intermediate aggregated species of Aβ, termed oligomers and protofibrils, are believed to be key pathogenic forms, responsible for synaptic and neuronal degeneration in AD. Therefore, antibodies that can strongly and selectively bind to these soluble intermediate aggregates are of great diagnostic and therapeutic interest. Methods We designed and recombinantly produced a hexavalent antibody based on mAb158, an Aβ protofibril-selective antibody. The humanized version of mAb158, lecanemab (BAN2401), is currently in phase 3 clinical trials for the treatment of AD. The new designs involved recombinantly fusing single-chain fragment variables to the N-terminal ends of mAb158 antibody. Real-time interaction analysis with LigandTracer and surface plasmon resonance were used to evaluate the kinetic binding properties of the generated antibodies to Aβ protofibrils. Different ELISA setups were applied to demonstrate the binding strength of the hexavalent antibody to Aβ aggregates of different sizes. Finally, the ability of the antibodies to protect cells from Aβ-induced effects was evaluated by MTT assay. Results Using real-time interaction analysis with LigandTracer, the hexavalent design promoted a 40-times enhanced binding with avidity to protofibrils, and most of the added binding strength was attributed to the reduced rate of dissociation. Furthermore, ELISA experiments demonstrated that the hexavalent design also had strong binding to small oligomers, while retaining weak and intermediate binding to monomers and insoluble fibrils. The hexavalent antibody also reduced cell death induced by a mixture of soluble Aβ aggregates. Conclusion We provide a new antibody design with increased valency to promote binding avidity to an enhanced range of sizes of Aβ aggregates. This approach should be general and work for any aggregated protein or repetitive target.https://doi.org/10.1186/s40035-021-00258-xMultivalent antibodiesAlzheimer’s diseaseAβAvidityOligomersProtofibrils
spellingShingle Fadi Rofo
Jos Buijs
Ronny Falk
Ken Honek
Lars Lannfelt
Anna M. Lilja
Nicole G. Metzendorf
Tobias Gustavsson
Dag Sehlin
Linda Söderberg
Greta Hultqvist
Novel multivalent design of a monoclonal antibody improves binding strength to soluble aggregates of amyloid beta
Translational Neurodegeneration
Multivalent antibodies
Alzheimer’s disease

Avidity
Oligomers
Protofibrils
title Novel multivalent design of a monoclonal antibody improves binding strength to soluble aggregates of amyloid beta
title_full Novel multivalent design of a monoclonal antibody improves binding strength to soluble aggregates of amyloid beta
title_fullStr Novel multivalent design of a monoclonal antibody improves binding strength to soluble aggregates of amyloid beta
title_full_unstemmed Novel multivalent design of a monoclonal antibody improves binding strength to soluble aggregates of amyloid beta
title_short Novel multivalent design of a monoclonal antibody improves binding strength to soluble aggregates of amyloid beta
title_sort novel multivalent design of a monoclonal antibody improves binding strength to soluble aggregates of amyloid beta
topic Multivalent antibodies
Alzheimer’s disease

Avidity
Oligomers
Protofibrils
url https://doi.org/10.1186/s40035-021-00258-x
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