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Table 2 Different masking theories of Ab locks

From: Ab locks for improving the selectivity and safety of antibody drugs

Ab lock (MW)

Masking theory

Example Ab (Refs)

Schematic

Spatial hindrance-based Ab lock

 Autologous hinge domain (3.5 kDa)

Human IgG1 hinge forms disulfide bond for sterically interfering with the antigen binding ability of Ab drugs

• Infliximab (anti-TNF-α mAb) [100]

 Coiled-coil (CC) domain (5 ~ 9.2 kDa)

Covalent and non-covalent CC domains and helix-turn-helix domains derived from de novo designs or native human proteins (e.g. c-Fos and c-Jun) can form a robust secondary structure and sterically block the CDRs of Ab drugs from binding antigen

• anti-CD19 Ab (clone hBU12) [176]

• Rituximab (anti-CD20 mAb) [176]

• Trastuzumab (anti-HER2 mAb) [176]

• h15H3 (anti-αVβ6 mAb) [176]

• 145-2C11 (anti-mouse CD3 mAb) [176]

 Non-Ab protein fragment (40 kDa)

Latency-associated peptide (LAP) derived from transforming growth factor-β (TGF-β) sterically interferes the antigen binding ability of Ab drugs

• Cetuximab (anti-EGFR Ab) [27]

• Infliximab [27]

 Ab fragment (26 kDa)

The outer disulfide-stabilized variable fragment (dsFv) or whole Ab, which against specific antigen, can shield the inner antigen binding domain of another Ab drug

• anti-c-Met dsFv [108]

• Infliximab

• Adalimumab (anti-TNF-α mAb) [124]

• anti-CTLA-4 Ab (clone 24H2) [125]

Affinity peptide-based Ab lock

 Affinity peptide (2.8 ~ 5 kDa)

Binding peptide from bacterial peptide display library that could specifically occupy the antigen-binding site of Ab drug

• Cetuximab [35]

• anti-VCAM-1 Ab [43]

• Panitumumab (anti-EGFR mAb) [193]

• Panitumumab-DM1 [93, 192]

• anti-HIV p17 Ab [70]

 Mutated antigen (23.3 kDa)

Point mutated soluble EGFR domain III (sEGFRdIII) can be bound by anti-EGFR Ab, thereby masking its antigen binding ability in the condition without protease presentation

• Cetuximab [36]

• Matuzumab (anti-EGFR mAb) [36]

  1. Ab antibody, IgG1 immunoglobulin G1, TNF-α tumor necrosis factor α, CD cluster of differentiation, HER2 human epidermal growth factor receptor 2, CDR complementary-determining region, c-Met mesenchymal epithelial transition factor, it is also called tyrosine-protein kinase Met or hepatocyte growth factor receptor (HGFR), CTLA-4 cytotoxic T-lymphocyte-associated protein 4, VCAM-1 vascular cell adhesion molecule 1, DM1 N2’-deacetyl-N2’-(3-mercapto-1-oxopropyl)-maytansine, HIV human immunodeficiency virus, EGFR epidermal growth factor receptor, MW molecular weight