AUTHOR=Iwasaki Yordkhwan W. , Tharakaraman Kannan , Subramanian Vidya , Khongmanee Amnart , Hatas Andrew , Fleischer Eduardo , Rurak Troy T. , Ngok-ngam Patchara , Tit-oon Phanthakarn , Ruchirawat Mathuros , Satayavivad Jutamaad , Fuangthong Mayuree , Sasisekharan Ram 

TITLE=Generation of bispecific antibodies by structure-guided redesign of IgG constant regions

JOURNAL=Frontiers in Immunology

VOLUME=13

YEAR=2023

URL=https://www.frontiersin.org/journals/immunology/articles/10.3389/fimmu.2022.1063002

DOI=10.3389/fimmu.2022.1063002

ISSN=1664-3224

ABSTRACT=<p>Bispecific antibodies (BsAbs) form an exciting class of bio-therapeutics owing to their multispecificity. Although numerous formats have been developed, generation of hetero-tetrameric IgG1-like BsAbs having acceptable safety and pharmacokinetics profiles from a single cell culture system remains challenging due to the heterogeneous pairing between the four chains. Herein, we employed a structure-guided approach to engineer mutations in the constant domain interfaces (C<sub>H</sub>1-C<sub>L</sub> and C<sub>H</sub>3-C<sub>H</sub>3) of heavy and κ light chains to prevent heavy-light mispairing in the antigen binding fragment (Fab) region and heavy-heavy homodimerization in the Fc region. Transient co-transfection of mammalian cells with heavy and light chains of pre-existing antibodies carrying the engineered constant domains generates BsAbs with percentage purity ranging from 78% to 85%. The engineered BsAbs demonstrate simultaneous binding of both antigens, while retaining the thermal stability, Fc-mediated effector properties and FcRn binding properties of the parental antibodies. Importantly, since the variable domains were not modified, the mutations may enable BsAb formation from antibodies belonging to different germline origins and isotypes. The rationally designed mutations reported in this work could serve as a starting point for generating optimized solutions required for large scale production.</p>