Why Antibodies?
Monoclonal antibodies are at the forefront of treating many diseases due to their high specificity and potency as compared to other drugs. For viral diseases, they can interrupt the pathogenic cycle at many steps. For Flaviviruses like Dengue, mAbs work by mechanisms like blocking viral attachment to cell surface receptors, interrupting viral membrane fusion, or calling for effector functions.
For a disease like Dengue, using monoclonal antibodies is a challenge due to the phenomenon of Antibody-dependent Enhancement, which may be because of sub-neutralizing concentrations of neutralising antibodies, and the presence of non-neutralizing antibodies that signal immune function. This serves to deliver the virus to one’s cells, and allows the virus to infect and proliferate in our cells. However, this does not mean that the favourable qualities of monoclonal antibodies cannot be utilised at all. In addition to their other properties, mAbs are also incredibly modular. Most aspects of their structure and function can be manipulated through protein engineering - which is what we decided to do.
Engineering the Antibody
We posited that our final drug should:
- Neutralise the virus
- Not cause antibody-dependent enhancement
Our first proposal was to synthesise an avian homolog of IgG antibodies: Immunoglobulin Y - targeted towards an appropriate epitope of the Dengue virus that ensures neutralisation. There is evidence that IgY antibodies targeted towards Dengue work as therapeutic agents and do not cause Antibody-dependent Enhancement. This would also be the first instance of production of an avian antibody in bacteria.
To be sure of what we were trying to do, we met immunologists Dr Satyajit Rath and Dr Vineeta Bal from our institute in April to discuss the proposal. They raised some concerns:
- IgY is from an avian system, and had the potential to be very immunogenic in humans, inducing an immune response against itself. Therefore, it would be fair to assume that the patient would have a strong humoral response against it upon second administration.
- It may be quite expensive to synthetically manufacture, compared to extracting it from chicken egg yolk, which, despite its problems, is quite simple and low-tech as a method.
We also met Dr Alexander Taylor, who has worked
extensively on IgY antibodies. At the time, we were thinking of an intravenous treatment,
and were advised that immunogenicity would be a major issue
that would arise for IV-delivered IgY. A usual immune response breaks down
the antigen to be processed by Antigen-presenting
cells (APC) using MHC Class II pathway. IgY, a foreign body, would be treated as an antigen
when introduced intravenously and hence dosing with IgY would generate an IgG response.
We then shifted to aglycosylated versions of IgG to achieve the same functionality as IgY: neutralisation, but no effector function, thus preventing Antibody-dependent Enhancement. Glycans in the CH2 domains of IgGs are critical for the immune effector function of IgG antibodies. Removing the glycan via mutation of glycosylation sites, or production in bacterial systems, would generate aglycosylated antibodies. Aglycosylated IgGs have been proven to be effective against Dengue in mouse models. Currently, some aglycosylated IgGs are even in clinical development for other diseases.
However, as we learnt more about antibody production over the summer, we realised that the production of our antibody - a large, complex, multimeric protein - would still be fairly costly. Dengue primarily affects poor tropical countries, so creating an expensive therapeutic would contribute close to nothing toward solving the problem.
We finally settled on a single chain antibody fragment called an scFv (single chain fragment variable). These are the isolated two variable regions (VH, VL) of the antibody connected with a short, flexible linker. They possess the same antigen binding properties and no effector function. They will act as purely neutralising agents, potentially with higher potency due their ability to access inaccessible epitopes. They are also simple, monomeric proteins, which would make them cheap and to produce in bacterial systems. Their small size would also reduce the immunogenic response they would trigger in the human body. The problem with scFvs, we realised, was their half-life. They are below the renal filtration limit, and can thus get filtered out of the body at very high rates, giving them a half-life of a few hours in mice. To combat this, we started investigating avenues to increase the half life of antibody fragments.
The half-life of both the long lived serum proteins - albumin and IgG - are governed by the neonatal Fc receptor (FcRn). Binding with the receptor occurs under conditions of low pH within proteolytic vesicles, and lets the protein be transported back to the surface of the cell, where the protein dissociates at physiological pH.
We found a small peptide that we could attach to our scFv
that would bind to the FcRn receptor in the same pH-dependent manner,
leading to the recycling of the scFv in the body. We
decided to call this assembly a NeoFv.
This molecule ticks all the boxes for a good therapeutic.
Choosing the Epitope
For our antibody therapeutic, we had to find an epitope linked to the dengue virus for it to target. We found that most neutralising antibodies target the E protein, or the envelope of the virus.
There are multiple domains of the E protein. Based on
our literature review, we found that we could target the
fusion loop epitope (FLE), which is highly conserved
across all dengue virus serotypes and strains,
and is vitally important for the virus to be able to escape
and infect cells. We also discovered Ab513, an antibody
that was engineered to target the third domain of the
E protein - EDIII - to obtain a cross-neutralising antibody.
We reached out to experts in Dengue virology to confirm
our findings. We met Dr Vidya Mangala Prasad from the
Indian Institute of Science, Bangalore, who works on
flaviviral structural virology.
She informed us that the FLE tends to be quite sequestered
on the surface of the virus, which might make it challenging
for the antibody to access it. She suggested that we target a
quaternary epitope on the Dengue virus: at the interface
of the dimer of the E protein. Antibodies that target
the E-dimer epitope (EDE) are rare, highly potent, and cross-neutralising.
We finalised the choice of epitope and antibody - EDE and
the EDE-targeting antibody, C10.
We took the variable regions of the C10 antibody
and designed an scFv construct from it, adding the
FcRn-binding peptide. We used the gene synthesis service
from IDT to synthesise the gene for expression in E.coli.
We also synthesised genes for Ab513-derived fragments
as a backup, in case we would only be able to access
the E-protein to assay our protein.
All these genes are available in the biobrick registry.
Chassis
For the purposes of this project, we decided to use
bacterial production for our antibodies. Bacteria
provide several advantages as compared to eukaryotic cells: a
shorter growth time, high genetic manipulability and cost-effectiveness.
Bacterial cytoplasmic expression is not generally suited
for large, multimeric disulfide-bonded proteins like antibodies
because of their reducing cytoplasm. Periplasmic
expression is usually preferred when making such
proteins, when bacteria are used at all.
We came across SHuffle E. coli. SHuffle is a strain of E.coli that has been engineered to be able to form stable disulfide-bonded proteins in the cytoplasm, by mutating various reductive pathways (trx-, gor-, ahPc*) and over-expressing disulfide bond isomerase cDsbC, creating an oxidising cytoplasm where complex proteins can be folded correctly. The inventors of SHuffle have successfully produced full-length antibodies in the cytoplasm of the cells.
scFvs are smaller and simpler than full-length antibodies, but they still have internal disulfide bonds, so SHuffle still offers the advantage of being able to produce a higher fraction of soluble protein, as compared to other strains of E.coli.
We reached out to Dr Mehmet Berkmen of New England Biolabs, the inventor of the strain. He very generously provided us with answers to our technical questions regarding the handling and functionality of the strain. He also went on to become our secondary PI and provided us with guidance and support throughout the iGEM cycle.
Construct
Guided by existing literature on full-length
antibodies in SHuffle E.coli, we created pET21b constructs,
with the heavy and light chain of full-length antibodies
in a single operon under a strong T7/Lac promoter.
We also used this same pET21b framework on the final
construct for our scFv and our NeoFv. All our proteins
had 6XHis-tags, so they could be purified by an Ni-NTA affinity column,
due to the ease of the method rather than any therapeutic concerns.
We attached the His-tags at the C-termini of our proteins. For
full-length antibodies, they were attached at the
C-terminus of the heavy chain, as has been done in literature before.
In-silico Screening of NeoFv Variants
The half-life modulating peptide on our scFv can be
arranged in multiple combinatorial possibilities. The
peptide itself can be mutated to
have a cyclising disulfide bond and to bind to the neonatal
receptor in a pH-dependent manner. It can be put at the N-terminus,
C-terminus, or within the linker of the scFv. We performed
Molecular Docking simulations on all the NeoFv (scFv-FcRn binding
peptide) variants generated through AlphaFold 2.0
against the FcRn receptor and identified the best variants
through the docking score.
To validate our results, we performed Molecular Dynamics simulations
of the complexed structures to calculate the energy of separation. A
detailed description of this is available on our modelling page.
Hence, we identified the best NeoFv variant to synthesise, clone and assay, which was - VH-linY12H-VL
This represents the scFv with the binding peptide within its linker. The peptide lacks the cyclising mutation, it is linear in conformation. It also has a tyrosine-to-histidine mutation at the 12th position in the peptide, which allows the formation of a salt-bridge at pH 6, leading to pH-dependent binding of the peptide to the receptor.
Optimising Parameters for Production
In order to obtain the maximum yield of our protein and make the process as efficient as possible, we designed experiments for multifactorial analysis of the values of the variables that govern the yield of production of our antibodies. A detailed description of this is available on our Modelling page.
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