<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1909-9762</journal-id>
<journal-title><![CDATA[Revista Ingeniería Biomédica]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. ing. biomed.]]></abbrev-journal-title>
<issn>1909-9762</issn>
<publisher>
<publisher-name><![CDATA[Fondo Editorial EIA, Escuela de Ingeniería de Antioquia EIA-, Universidad CES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1909-97622010000100009</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[ENGINEERING ANTIBODY FRAGMENTS: REPLICATING THE IMMUNE SYSTEM AND BEYOND]]></article-title>
<article-title xml:lang="es"><![CDATA[LA INGENIERÍA DE FRAGMENTOS DE ANTICUERPOS: IMITANDO Y EXPANDIENDO EL SISTEMA INMUNE]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Quiroz]]></surname>
<given-names><![CDATA[Felipe]]></given-names>
</name>
<xref ref-type="aff" rid="A02"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sinclair]]></surname>
<given-names><![CDATA[S. Michael]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Duke University Biomedical Engineering Department ]]></institution>
<addr-line><![CDATA[Durham North Carolina]]></addr-line>
<country>EE. UU</country>
</aff>
<aff id="A02">
<institution><![CDATA[,Duke University Biomedical Engineering Department ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2010</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2010</year>
</pub-date>
<volume>4</volume>
<numero>7</numero>
<fpage>74</fpage>
<lpage>86</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S1909-97622010000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S1909-97622010000100009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S1909-97622010000100009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Since genetic engineering of humanized murine monoclonal antibodies was first demonstrated over two decades ago, antibody engineering technologies have evolved based upon an increasing understanding of the mechanisms involved in antibody generation in vivo, and a constant search for alternative routes to evolve and exploit the characteristics of antibodies. As a result, antibody engineers have devised innovative strategies for the rapid evolution and selection of antibodies and novel antibody designs (i.e., antibody fragments). Phage display, cell display and ribosome display technologies, which comprise the core of the currently available technologies for the discovery and preparation of such antibodies, are reviewed herein. This article intends to communicate the state-of-the-art technology available for the engineering of antibodies to a general readership interested in this important field. Therefore, important immunology concepts are introduced before detailed descriptions of the three antibody engineering technologies are presented in later sections. A comparison of these methodologies suggests that despite the predominance of phage display for the engineering of antibody fragments in the past 20 years, cell display and ribosome display will likely gain importance in the selection and discovery of the antibody fragments in the future. Finally, these technologies are likely to play an important role in the production of the next generation of antibody-based therapeutics.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Las tecnologías para la ingeniería de anticuerpos han evolucionado durante las últimas dos décadas, desde la demostración de la posibilidad de humanizar anticuerpos monoclonales de ratón mediante ingeniería genética, apoyadas en el creciente entendimiento de los mecanismos involucrados en la generación de anticuerpos in vivo, y en una búsqueda constante de rutas alternativas para evolucionar y explotar sus características. Es así como los ingenieros de anticuerpos han desarrollado estrategias innovadoras para la evolución y selección de anticuerpos y de novedosos diseños de anticuerpos conocidos como fragmentos de anticuerpos. Esta revisión se enfoca en tres tecnologías que comprenden el núcleo de las tecnologías actualmente disponibles para el descubrimiento y preparación de tales anticuerpos: la presentación en fagos, la presentación en células, y la presentación en ribosomas. Este artículo busca presentar el estado del arte de estas tecnologías a un grupo general de lectores interesados en este campo, por lo que inicialmente se introducen importantes conceptos de inmunología requeridos para comprender en detalle las tecnologías discutidas. Una comparación de estas metodologías para la ingeniería de anticuerpos sugiere que a pesar del dominio de las tecnologías basadas en la presentación en fagos durante los últimos 20 años, en los próximos años la presentación en células y la presentación en ribosomas probablemente ganarán importancia para la selección y descubrimiento de fragmentos de anticuerpos. Finalmente, es probable que estas tecnologías jueguen un papel importante en la producción de la siguiente generación de terapéuticos basados en anticuerpos.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Antibody engineering]]></kwd>
<kwd lng="en"><![CDATA[Phase display]]></kwd>
<kwd lng="en"><![CDATA[Cell display]]></kwd>
<kwd lng="en"><![CDATA[Ribosome display]]></kwd>
<kwd lng="en"><![CDATA[Antibody humanization]]></kwd>
<kwd lng="es"><![CDATA[Ingeniería de anticuerpos]]></kwd>
<kwd lng="es"><![CDATA[Presentación en fagos]]></kwd>
<kwd lng="es"><![CDATA[Presentación en células]]></kwd>
<kwd lng="es"><![CDATA[Presentación en ribosomas]]></kwd>
<kwd lng="es"><![CDATA[humanización de anticuerpos]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[  <font face="verdana" size="2">          <p align="center"><font size="4"><b>ENGINEERING  ANTIBODY FRAGMENTS: REPLICATING THE IMMUNE SYSTEM AND BEYOND</b></font></p>     <p align="center"><font size="3"><b>LA INGENIER&Iacute;A DE FRAGMENTOS DE ANTICUERPOS: IMITANDO Y EXPANDIENDO EL SISTEMA INMUNE</b></font></p>     <p>&nbsp;</p>     <p><b>Felipe Garc&iacute;a Quiroz<sup>1,2</sup>, S. Michael Sinclair<sup>1</sup></b></p>          <p><i>1 Biomedical Engineering Department, Duke University, Durham, North Carolina, EE. UU.    <br> 2 Contact e-mail: <a href="mailto:felipe.garcia@duke.edu">felipe.garcia@duke.edu</a>.</i></p>     <p>Received May 25, 2010. Accepted June 29, 2010</p> <hr size="1" />              <p>&nbsp;</p>     <p><b><font size="3">ABSTRACT</font></b></p>     ]]></body>
<body><![CDATA[<p>Since genetic engineering of humanized murine monoclonal antibodies was first demonstrated over two decades ago, antibody engineering technologies have evolved based upon an increasing understanding of the mechanisms involved in antibody generation <i>in vivo</i>, and a constant search for alternative routes to evolve and exploit the characteristics of antibodies. As a result, antibody engineers have devised innovative strategies for the rapid evolution and selection of antibodies and novel antibody designs (i.e., antibody fragments). Phage display, cell display and ribosome display technologies, which comprise the core of the currently available technologies for the discovery and preparation of such antibodies, are reviewed herein. This article intends to communicate the state-of-the-art technology available for the engineering of antibodies to a general readership interested in this important field. Therefore, important immunology concepts are introduced before detailed descriptions of the three antibody engineering technologies are presented in later sections. A comparison of these methodologies suggests that despite the predominance of phage display for the engineering of antibody fragments in the past 20 years, cell display and ribosome display will likely gain importance in the selection and discovery of the antibody fragments in the future. Finally, these technologies are likely to play an important role in the production of the next generation of antibody-based therapeutics.</p>          <p><font size="3"><b>KEY WORDS</b></font>: Antibody engineering, Phase display, Cell display, Ribosome display, Antibody humanization.</p>  <hr size="1" />              <p>&nbsp;</p>     <p><font size="3"><b>RESUMEN</b></font></p>     <p>Las tecnolog&iacute;as para la ingenier&iacute;a de anticuerpos han evolucionado durante las &uacute;ltimas dos d&eacute;cadas, desde la demostraci&oacute;n de la posibilidad de humanizar anticuerpos monoclonales de rat&oacute;n mediante ingenier&iacute;a gen&eacute;tica, apoyadas en el creciente entendimiento de los mecanismos involucrados en la generaci&oacute;n de anticuerpos <i>in vivo</i>, y en una b&uacute;squeda constante de rutas alternativas para evolucionar y explotar sus caracter&iacute;sticas. Es as&iacute; como los ingenieros de anticuerpos han desarrollado estrategias innovadoras para la evoluci&oacute;n y selecci&oacute;n de anticuerpos y de novedosos dise&ntilde;os de anticuerpos conocidos como fragmentos de anticuerpos. Esta revisi&oacute;n se enfoca en tres tecnolog&iacute;as que comprenden el n&uacute;cleo de las tecnolog&iacute;as actualmente disponibles para el descubrimiento y preparaci&oacute;n de tales anticuerpos: la presentaci&oacute;n en fagos, la presentaci&oacute;n en c&eacute;lulas, y la presentaci&oacute;n en ribosomas. Este art&iacute;culo busca presentar el estado del arte de estas tecnolog&iacute;as a un grupo general de lectores interesados en este campo, por lo que inicialmente se introducen importantes conceptos de inmunolog&iacute;a requeridos para comprender en detalle las tecnolog&iacute;as discutidas. Una comparaci&oacute;n de estas metodolog&iacute;as para la ingenier&iacute;a de anticuerpos sugiere que a pesar del dominio de las tecnolog&iacute;as basadas en la presentaci&oacute;n en fagos durante los &uacute;ltimos 20 a&ntilde;os, en los pr&oacute;ximos a&ntilde;os la presentaci&oacute;n en c&eacute;lulas y la presentaci&oacute;n en ribosomas probablemente ganar&aacute;n importancia para la selecci&oacute;n y descubrimiento de fragmentos de anticuerpos. Finalmente, es probable que estas tecnolog&iacute;as jueguen un papel importante en la producci&oacute;n de la siguiente generaci&oacute;n de terap&eacute;uticos basados en anticuerpos.</p>     <p><font size="3"><b>PALABRAS CLAVE</b></font>: Ingenier&iacute;a de anticuerpos, Presentaci&oacute;n en fagos, Presentaci&oacute;n en c&eacute;lulas, Presentaci&oacute;n en ribosomas, humanizaci&oacute;n de anticuerpos.</p>  <hr size="1" />           <p>&nbsp;</p>       <p><font size="3"><b>I. INTRODUCTION</b></font></p>          <p>Most recent reviews in the field of antibody   engineering have examined in great detail   the dynamics of the clinical transfer of antibody   engineering technology developed for therapeutic   purposes. Substantial emphasis has been placed on the   characteristics of the antibodies being used, their targets   and mechanisms, and the opportunities and challenges   for the continuous progress of the field, particularly the   remaining limitations of the state-of-the-art technology   for antibody production &#91;<a href="#1">1</a>-<a href="#4">4</a>&#93;. Because of this emphasis,   previous reviews have been directed toward a relatively   specialized audience of antibody engineers in need of   constant feedback on the increasing number of antibody-based therapeutic strategies under clinical trials, since the   outcome of these trials significantly affects new research   initiatives and thus the evolution of the field. However, the   possibility to engineer human antibodies and novel related   proteins against virtually any target has broad biomedical   impact, providing for a means to neutralize (i.e., render   inactive through antibody binding) key soluble proteins or   receptors involved in the onset or progression of disease   (e.g., chronic inflammation, cancer), or develop a means   to target and release additional therapeutic cargos to   specific cell populations (e.g., cancer cells) in the body.   Hence, this short review article is aimed at a more general   readership, who may have an interest in this technology   but may not be acquainted with the immunology concepts   required for understanding the relevant literature in this   field. This review surveys the current technologies for   engineering antibodies with a focus on the methodologies   for developing antibody fragments and novel engineered   proteins inspired by the structural components of   complete antibodies. These novel technologies provide   an important alternative to traditional antibody-based   technologies and are often better suited for certain   biomedical applications than conventional monoclonal   antibodies.</p>     <p>&nbsp;</p>     ]]></body>
<body><![CDATA[<p><b><font size="3">II. KEY IMMUNOLOGY CONCEPTS</font></b></p>     <p>This section introduces important immunology   concepts essential to understanding antibody engineering   strategies, their rationale, relevance, challenges and   limitations. In some cases, the <i>in vivo</i> processes are   contrasted with their engineered counterparts, although   additional analogies will become evident throughout later   sections of the article. These concepts may lie in any of   three categories: (i) antibody structure and (ii) function,   and (iii) diversity of the immune repertoires. <a href="#fig1">Figure 1</a>  summarizes basic information regarding antibody structure   and function, and <a href="#fig2">Fig. 2</a> and <a href="#tab1">Table 1</a> detail the concepts   related to antibody diversity.</p>       <p align="center"><a name="fig1"></a><a href="img/revistas/rinbi/v4n7/v4n7a09fig1.gif" target="_blank">Figure 1</a></p>       <p align="center"><a name="fig2"></a><a href="img/revistas/rinbi/v4n7/v4n7a09fig2.gif" target="_blank">Figure 2</a></p>       <p align="center"><a name="tab1"></a><a href="img/revistas/rinbi/v4n7/v4n7a09tab1.gif" target="_blank">Table 1</a></p>     <p>Antibodies, or immunoglobulins, are heterodimers   composed of two identical light (L) chains and two   identical heavy (H) chains. One light chain is covalently   linked to one heavy chain by a disulfide bond, and the   resulting H-L structures are joined as a dimer of dimers   (i.e., H<sub>2</sub>L<sub>2</sub>) by additional disulfide bonds between   heavy chains (<a href="#fig1">Fig. 1A</a>). The heterodimeric structure is   further stabilized by non-covalent interactions, such   as hydrophobic interactions, hydrogen bonds, and   salt-linkages. Early investigations into the structure of   antibodies using enzymatic digestion helped to elucidate   the Y-shaped structure of antibodies. Digestion with   papain resulted into two antigen-binding fragments (Fab)   and one crystallizable fragment (Fc), while digestion   with pepsin resulted in a single antigen binding fragment   comprised of two antigen-binding domains (F(ab')<sub>2</sub>) &#91;<a href="#6">6</a>&#93;.</p>     <p>Genetic analysis of antibodies isolated from   human subjects provided further understanding of the   immunoglobulin structure and variability. The first   110 amino acids of the N-terminal segments of H and L   chains are highly variable sequences called the V<sub>L</sub> and   V<sub>H</sub> domains, which account for most of the differences   in specificity displayed by native antibodies &#91;<a href="#6">6</a>&#93;. The   unique sequences of the V<sub>L</sub> and V<sub>H</sub> for a given antibody   determine its idiotype (i.e., antigenic determinants). The   cleft between a V<sub>L</sub> and V<sub>H</sub> chain is the antigen binding   pocket, and the specificity of antibody-antigen binding is   predominantly controlled by 6 segmented, hypervariable   loops called the complementarity-determining regions   (CDRs) that extend from a highly ordered &beta;-pleated   structure characteristic of the immunoglobulin folding   (<a href="#fig1">Fig. 1B</a>). While the CDRs are primarily responsible for   antigen specificity, the whole variable domain serves as   a scaffold for the correct presentation of the binding site,   and mutations along its sequence also influence, to a minor   extent, antibody affinity &#91;<a href="#4">4</a>,<a href="#6">6</a>&#93;.</p>     <p>The remaining amino acids of the H and L chains are   highly conserved regions known as constant domains   (C<sub>H</sub> or C<sub>L</sub>). Heavy chains have 3 to 4 C<sub>H</sub> domains, whereas   L chains have a single C<sub>L</sub> domain (<a href="#fig1">Fig. 1</a>) encoded by one   of two light-chain genes, kappa (&kappa;) or lambda (&lambda;). The   class of an antibody is determined by its heavy chain, of   which there are five different chains or isotypes: &alpha;, &delta;, &epsilon;,   &gamma; and &micro;. Immunoglobulin G (IgG) is made up of two &gamma;   heavy chains and is the most abundant (~80% of total   serum immunoglobulin) and most studied immunoglobulin   class for antibody engineering (<a href="#fig1">Fig. 1A</a>). The structure and   functions of the other immunoglobulin classes (i.e., IgA,   IgD, IgE and IgM), which play important roles in adaptive   immunity, will not be discussed due to their minor role in   current antibody engineering applications. Subtle amino   acid differences encoded in the C<sub>H</sub> germ-line genes lead to   a further division of isotypes into subisotypes or subclasses.   In humans, for instance, there are four subisotypes of &gamma;   heavy chains (&gamma;1, &gamma;2, &gamma;3, and &gamma;4) with 90-95% homology   between their genes. Additionally, different members of the   same species may have multiple alleles for the same isotype   genes, which determine the antibody allotype.</p>     <p>The isotype and subisotype of an antibody strongly   impact the structure and effector functions of the Fc region.   Because of this, the selection of the isotype is relevant for   engineering antibodies, since different applications may   require the mediation of different effector functions or,   even more, their absence &#91;<a href="#4">4</a>,<a href="#5">5</a>&#93;. The existence of different   Fc regions modulates the binding to specific Fc receptors   found in immune effector cells; Fc gamma receptors   (Fc&gamma;R) in the case of IgG;, which trigger different effector   functions upon binding of the antibody-antigen complexes,   such as complement activation (component C1), antibody-dependent cell-mediated cytotoxicity (ADCC), opsonization   (phagocytosis by macrophages and neutrophils) and   transcytosis (crossing of epithelial layers). In the case of   IgG, the Fc region also has the ability to bind to the neonatal   Fc receptor (FcR<sub>N</sub>), which plays a critical role in the   regulation of IgG pharmacokinetics, since the binding to the   FcR<sub>N</sub> constitutes a salvage mechanism that recycles IgG and   therefore allows for prolonged serum half-lives. Despite the   importance of the Fc fragment in the modulation of effector   functions, and although it is amenable to tailoring antibody   pharmacokinetics (i.e., select antibodies with increased   affinity to FcR<sub>N</sub>) and has the ability to trigger specific   effector functions (i.e., ADCC to tumor cells expressing   the target antigen), the antibody engineering technologies   discussed in this article focus on the antibody-antigen   interaction, and are optimized and selected in formats   devoid of Fc regions &#91;<a href="#2">2</a>,<a href="#7">7</a>&#93;. However, it should be noted that   the modularity of the antibody structures also allows for the   grafting of Fc regions into optimized antibody fragments   (e.g., variable regions), although this usually requires   the expression of the antibody fragment in eukaryotic   expression systems &#91;<a href="#8">8</a>&#93;.</p>     <p>The ability of the immune system to generate antibodies   against virtually any antigen depends on its ability to   generate a sufficient number of antibodies that can be   selected based on their affinity for binding the antigen. The   mechanisms involved in the generation of such diversity   span different levels of cell physiology and are tightly   associated with the maturation and differentiation of B cells,   which are responsible for their production and secretion <i>in   vivo</i> &#91;<a href="#6">6</a>&#93;. The main mechanisms involved in the generation   of antibody diversity, as depicted in <a href="#fig2">Fig. 2</a>, are further   explained in <a href="#tab1">Table 1</a>, which account for the tremendous   diversity (&gt;10<sup>10</sup>) of the immune repertoire. In addition, the   role of these mechanisms or their analogues in generating   antibody diversity in existing antibody engineering   technologies is indicated.</p>     ]]></body>
<body><![CDATA[<p>&nbsp;</p>     <p><b><font size="3">III. ENGINEERING ANTIBODY FRAGMENTS</font></b></p>     <p>The modular structure of antibodies has enabled the   customization and engineering of high affinity binders   in a variety of ways. Before discussing the technologies   developed for the design and discovery of antibody   fragments, the available antibody fragment formats are   presented, since those technologies, as will be noted in   section IV, are only suited for particular antibody formats.</p>     <p><a href="#fig3">Figure 3</a> depicts the available battery of antibody   fragments derived from the parental IgG structure.   The seminal work on the engineering of these new sets   of antibody formats was conducted on Fab fragments   -comprised of one antigen binding site of an IgG (V<sub>H</sub>-C<sub>H</sub>+V<sub>L</sub>-C<sub>L</sub>)-, and on single-chain variable fragments   (scFv), a further simplification of the Fab structure   achieved by removing the constant domains and linking   the V<sub>H</sub> and V<sub>L</sub> fragments with a peptide linker &#91;<a href="#1">1</a>&#93;. The   scFv format rapidly popularized, and is probably the most   widely used antibody fragment today, mainly due to the   advantages of directly linking the heavy and light domain   genes. Linking these domains at the genetic level not only   simplified the recombinant DNA methods involved in their   processing, but significantly increased the stability of the   structure and eliminated the folding problems encountered   with prokaryotic expression systems (e.g., <i>E. coli</i>) during   selection and production of antibodies with disulfide bonds   &#91;<a href="#2">2</a>,<a href="#8">8</a>&#93;. Interestingly, the incorporation of the peptide linker   and the variation of its length has been found to control   the dimerization properties of the scFv fragments, with   shorter sequences resulting in increasing valency (diabody,   triabody and tetrabody formats have been produced). The   absence of linker, which prevents the self-folding of the   V<sub>H</sub> and V<sub>L</sub> domains of one scFv promotes the formation   of bispecific scFv by noncovalent interactions between the   variable domains of a second scFv &#91;<a href="#3">3</a>&#93;.</p>       <p align="center"><a name="fig3"></a><a href="img/revistas/rinbi/v4n7/v4n7a09fig3.gif" target="_blank">Figure 3</a></p>     <p>The maximum simplification of the antibody   structure, known as domain antibody (dAb), consists of   a single V<sub>H</sub> or V<sub>L</sub> domain (i.e., only 3 CDRs). The initial   attempts to derive high affinity binders using dAb were   not encouraging, resulting in the selection of fragments   displaying significant decreases in binding affinity,   but most importantly, poor stability and a tendency to   aggregate &#91;<a href="#1">1</a>&#93;. Nevertheless, the finding of dAb naturally   occurring in camels, which displayed high affinity and   stability, inspired the design of new dAb circumventing   these problems, in a process termed "camelization"   &#91;<a href="#12">12</a>&#93;. Despite the success of the camelization approach,   the therapeutic applications of such antibodies were   limited due to the potential immunogenicity associated   with using non-human scaffolds in the variable region   design &#91;<a href="#2">2</a>&#93;. Only recently, Winter and coworkers, in their   efforts to characterize a set of dAbs produced against hen   egg lysozyme (HEL), discovered an antibody domain   displaying similar properties to those found in camel and   llama V<sub>H</sub>H Abs but without recurring to camel-based   scaffolds (i.e., camelising mutations). The same group   also devised a methodology for the generation of equally   stable and aggregation-resistant domain antibodies &#91;<a href="#13">13</a>&#93;.   One important realization of this work was the increased   understanding of the role of the CDRs in determining   the thermodynamic stability, as well as expression and   purification yields, of antibodies &#91;<a href="#11">11</a>,<a href="#12">12</a>&#93;.</p>     <p>&nbsp;</p>     <p><b><font size="3">IV. ANTIBODY ENGINEERING TECHNOLOGIES</font></b></p>     <p>The discovery of the hybridoma technology in   1975 enabled the production of monoclonal antibodies   (mAbs) and paved the way for the evolution of the   Antibody Engineering field &#91;<a href="#14">14</a>&#93;. The therapeutic   potential of such technology became evident in 1984,   when Winter and collaborators demonstrated an ability   to form chimeric antibodies with murine antigen-binding   domains and complete human effector functions (i.e.,   Fc region). In 1986, the same group developed the   groundbreaking antibody humanization technology,   which involves transferring the CDR regions of a murine   monoclonal antibody into a human immunoglobulin   scaffold, significantly reducing the immunogenicity   issues associated with murine antibodies &#91;<a href="#15">15</a>&#93;. Current   antibody engineering technologies have surpassed many   of the challenges imposed by the selection of antibodies   using murine cell lines (i.e., hybridoma technology),   eliminating the need for humanization by enabling the   production of fully human antibodies in vitro or in other   engineered animal models. Hence, the technologies   presented in this section will focus on these alternative   methods for the selection and production of human   antibody fragments.</p>     <p><i><font size="3">4.1 Antibody libraries</font></i></p>     ]]></body>
<body><![CDATA[<p>As explained in section II, the diversity of the   immune repertoire is critical for the successful isolation   and production of high affinity antibodies &#91;<a href="#16">16</a>&#93;. Indeed,   library characteristics, such as size (overall diversity) and   quality (i.e., number of functional combinations), dictate   the ability to express relevant antibody fragments against   a particular antigen &#91;<a href="#1">1</a>,<a href="#17">17</a>,<a href="#18">18</a>&#93;. Therefore, the screening   technologies presented in the next section are strongly   dependent on the characteristics of the antibody library   being used.</p>     <p>Due to the complexity of the immune repertoire, the   initial approaches for the construction of antibody libraries   followed a simple strategy: the amplification of assembled   antibody genes after mice immunization by means of RT-PCR using a set of primers designed for the amplification   of all antibody genes and based on the variable region   frameworks (already known by the time and deposited in   data bases: Kabat and V-base database) &#91;<a href="#19">19</a>&#93;. However,   this approach still used mice for the generation of the   assembled antibody genes after immunization, therefore   presenting only partial advantages. An additional level of   complexity was included by applying a similar strategy   for the amplification of na&iuml;ve libraries (i.e., gene segments   before recombination) from non-immunized animals   followed by in vitro combinatorial assembly of the   antibody repertoire &#91;<a href="#10">10</a>&#93;.</p>     <p>Despite these significant advances, the antibody   fragment screening and production technologies relied on   non-mammalian systems, which suffer from inadequate   expression levels and other problems derived from   differences in codon usage. As a result, the development   of semisynthetic and later of fully synthetic human   antibody libraries represented an important achievement   for the antibody engineering field. These libraries can   now be optimized for expression according to the   selection technology and desired expression system, have   modular designs that allow relatively easy interconversion   between different antibody formats, and significantly   simplify laborious DNA manipulation steps. In addition,   synthetic libraries are not limited by the bias introduced   in germ-line repertoires throughout evolution, such as the   tolerance mechanism against selection of self-antigens,   and therefore enable, at least in theory, the discovery and   selection of antibodies with no representation in natural   immune repertoires &#91;<a href="#4">4</a>,<a href="#20">20</a>&#93;.</p>     <p><a href="#fig4">Figure 4</a> presents the designs of the most advanced   human synthetic libraries currently available, which are   known as Human Combinatorial Antibody Libraries   (HuCAL) &#91;<a href="#17">17</a>,<a href="#21">21</a>&#93;. Initially introduced in 2000, this   synthetic library implemented innovative concepts for   the generation of diversity, including diversity not only   in the CDRs but also in the framework regions, which   are known to play a role in CDR conformation. In   addition, the diversity introduced in the CDR libraries   is biased towards sequences predominant in the human   immune repertoire (by using trinucleotide cassette   mutagenesis), which facilitates the selection of antibody   fragments with minimal or no immunogenicity (human   anti-human antibody, HAHA) &#91;<a href="#9">9</a>,<a href="#16">16</a>&#93;. It is worth noting   that the diversity in the V<sub>H</sub> and V<sub>L</sub> gene families, as well   as the families selected, were carefully analyzed by   bioinformatics means to achieve sufficient diversity while   preventing excessive complexity of the library. Indeed,   this library only uses 7 master genes for heavy chains   and 7 genes for light chains corresponding to consensus   sequences for seven V<sub>H</sub> and seven V<sub>L</sub> germ-line families   which were found to account for more than 95% of the   human antibody diversity observed <i>in vivo</i>. The library   was initially developed in scFv format, but is now also   available for Fab fragments &#91;<a href="#10">10</a>&#93;. Some characteristics   of the newest versions of the HuCAL library (<a href="#fig4">Fig. 4B</a>  and <a href="#fig4">4C</a>), HuCAL Fab 1 and HuCAL GOLD, that require   special attention are: (i) the absence of cysteine residues in   the constant domains (eliminated to avoid problems during   expression), (ii) that only Fd (V<sub>H</sub> + C<sub>H</sub>) is covalently   attached to pIII (for phage display, reviewed in next   section), so that the system depends on the non-covalent   interactions with the light chain, and (iii) the absence   of cysteine residues in the CDR regions in the HuCAL GOLD library (to avoid problems with the CysDisplayTM   technology). Although (ii) may be complicated by light   chain exchange in a given phage preparation, thereby   losing the linkage of genotype to phenotype, the authors   claim that after extensive use of the library this non-covalent interaction proved very stable &#91;<a href="#20">20</a>,<a href="#21">21</a>&#93;.</p>       <p align="center"><a name="fig4"></a><a href="img/revistas/rinbi/v4n7/v4n7a09fig4.gif" target="_blank">Figure 4</a></p>     <p>Two powerful technologies for screening antibody   libraries and selecting antibodies of high affinity for a   particular antigen involve the display of one (monovalent)   or several (multivalent) antibody particles on the surface   of either phage virion, phage display (section 4.2), or   on the cell surface (i.e., cell wall, cell membrane) of a   prokaryotic or eukaryotic host, cell display (section 4.3).</p>     <p><i><font size="3">4.2 Phage display</font></i></p>     <p>Phage display is a powerful biomolecular engineering   technique for selecting high affinity binders to biologically   relevant targets by several rounds of affinity selection.   Foreign DNA encoding recombinant peptides or proteins   is fused to coat protein DNA of bacteriophage such   that recombinant molecules will be expressed and   displayed on the outer surface of the phage. This strategy   effectively links the protein phenotype and genotype (i.e.,   the corresponding DNA carried by the phage) thereby   enabling the simple identification of the selected proteins   at the DNA level. In the seminal publication of phage   display &#91;<a href="#22">22</a>&#93;, fragment genes of the endonuclease EcoRI   were fused to the gene III protein (g3p) of <i>fd</i> filamentous   phage to produce "fusion phage" capable of yielding   peptides with 1000-fold higher affinity for anti-EcoRI   antibody. Winter's group then demonstrated the possibility   to display functional antigen-binding sites on the surface   of these phage particles for their evolution &#91;<a href="#23">23</a>,<a href="#24">24</a>&#93;, and   subsequently contributed to the seminal work on the   construction of large phage antibody libraries &#91;<a href="#25">25</a>&#93;. By   linking phenotype to genotype, vast libraries of phage   (10<sup>9</sup>-10<sup>12</sup> clones) displaying different fusion proteins can   be assembled, selected for with simple affinity techniques   (<a href="#fig5">Fig. 5A</a>), and quickly identified by conventional DNA   sequencing &#91;<a href="#26">26</a>&#93;. Marks <i>et al</i>. (1991) prepared a library   of scFv genes from peripheral blood lymphocytes   isolated from unimmunized human donors by RT-PCR,   which contained randomly generated heavy and light   chain variable fragments. After affinity selection, phage   displaying scFv demonstrated affinity for their target on par with the affinity of native antibodies for the same   target, indicating the utility of phage display for bypassing   immunization and producing high affinity binders. Today,   phage display constitutes the most developed in vitro   system for the selection of antibody fragments &#91;<a href="#4">4</a>,<a href="#27">27</a>&#93;.</p>       <p align="center"><a name="fig5"></a><a href="img/revistas/rinbi/v4n7/v4n7a09fig5.gif" target="_blank">Figure 5</a></p>     <p>Filamentous phage (Ff), bacteriophage T4, and phage   &lambda; are the three general types of phage used for phage   display. Initial bacteriophage studies used filamentous   M13 phage to amplify and isolate single-stranded   DNA &#91;<a href="#28">28</a>&#93;, which led to M13-based plasmid constructs   (M13mp18/19) that have become the basis for most phage   display systems &#91;<a href="#29">29</a>&#93;. While M13-based systems are the   most developed, bacteriophage T4 and phage &lambda; systems   have shown equal promise. Bacteriophage T4 are able   to house significantly larger quantities of DNA &#91;<a href="#30">30</a>&#93;, and   phage &lambda; display has shown increased ability to incorporate   larger proteins and cDNA libraries compared with Ff   phage display &#91;<a href="#31">31</a>&#93;.</p>     ]]></body>
<body><![CDATA[<p>Phage display has also been used for epitope mapping   &#91;<a href="#32">32</a>&#93; and discovery &#91;<a href="#33">33</a>&#93;, identifying new receptor-ligand   pairs &#91;<a href="#34">34</a>&#93; and drug discovery &#91;<a href="#35">35</a>&#93;. In each case, multiple   rounds of selection with increasing stringency should yield   a small set of champion peptides. The hope, and ultimate   goal, of phage display is that a consensus sequence from   selected peptides will emerge. Often, the consensus   sequences are non-obvious amino acid sequences   that could not have been predicted by rational design   methods &#91;<a href="#22">22</a>&#93;. The success of phage display depends on   understanding phage biology, methods of display, random   peptide library limitations, and affinity selection schemes.</p>     <p>Phage display methods are named depending upon   which phage protein has been fused, how many copies of   the fusion are present in one phage particle, and what type   of phage vectors are employed, phage and/or phagemid   vectors &#91;<a href="#26">26</a>&#93;. One important characteristic of the phage   display technology is the control it offers over valency   of display, since this parameter determines the avidity-functional affinity determined by the number of binding   sites-of the selection strategy and significantly affects the   affinity of the selected clones. For instance, high valency   often results in antibodies with moderate affinity, since   the higher, uncontrolled avidity increases the stability   of the antigen-antibody complex independently of the   antibody affinity, whereas monovalent display ensures the   selection of the antibodies with the highest affinity for the   antigen &#91;<a href="#36">36</a>&#93;. Type 3 phage display uses phage vectors with   one copy of recombinant gene III protein (g3p) and will   generate phage that display 3 to 5 copies of a recombinant   p3. Type 33 phage display systems contain two copies of   g3p gene, one recombinant and one wild type and will   yield multivalent phage particles with recombinant and   wild-type p3 proteins displayed on the phage surface.   Type 3+3 phage display systems use two different vectors,   helper phage vectors and phagemid vectors. Phagemid   vectors are small plasmids with high transformation   efficiency that contain all the necessary components   for infection, house recombinant DNA encoding the   antibody-g3p fusion protein, but lack assembly and export   genes. Phagemid systems, therefore, require helper phage,   which retain the genes for packaging proteins and wild-type protein genes. Phagemid vectors are packaged in   preference to helper phage vectors, but both wild-type and   recombinant proteins will be displayed. In fact, more than   90% of the recovered phagemid particles do not display   antibodies. However, this mechanism ensures that phage   displaying recombinant g3p generally display a single   copy on the virion surface &#91;<a href="#16">16</a>,<a href="#36">36</a>&#93;.</p>     <p>Phage and phagemid vectors have been engineered   extensively and now include antibiotic resistance genes   for selection, a multiple cloning site (MCS) for easy   generation of libraries in frame, and optimal promoter   and packaging signals &#91;<a href="#22">22</a>,<a href="#37">37</a>&#93;. Phagemid systems are   generally more stable than phage vectors, which can   spontaneously delete foreign DNA fragments. Phagemid   systems are also more tolerant to larger peptide inserts   and generation of larger libraries is easier &#91;<a href="#38">38</a>&#93;. Phagemid   display, which presents a single copy of a recombinant g3p   protein, is required for optimal affinity maturation studies   like antibody engineering, as display of single proteins   results in the selection of fewer unique binders without   interference from the effects of avidity &#91;<a href="#24">24</a>&#93;. However,   phagemid display requires the addition of helper phage at   specific points of the bacterial growth cycle, and therefore   presents operational difficulties not characteristic of pure   phage display.</p>     <p>Recently, a variant of the traditional phage display   strategy, CysDisplay<sup>TM</sup> (<a href="http://www.morphosys.com/" target="_blank">http://www.morphosys.com/</a>),   was introduced that facilitates the recovery of antibody   fragments with ultra-high affinity &#91;<a href="#16">16</a>&#93;. In CysDisplay<sup>TM</sup>,   the antibody fragment is linked to the coat protein through   a disulfide bond instead of the direct peptide linkage   when expressed as a fusion protein. Because of this,   the recovery of the phage particles is easily achieved by   adding reducing agents and is rendered independent of the   antibody affinity to the antigen.</p>     <p><i><font size="3">4.3. Cell display</font></i></p>     <p>Cell display, on the other hand, uses an analogous   system wherein the antibody gene is fused to a protein   naturally displayed on the outer membrane of a cell, as   shown in <a href="#fig5">Fig. 5B</a>. Although cell display has been used with   prokaryotic cells, the most current technology mainly uses   eukaryotic systems such as yeasts and mammalian cells   &#91;<a href="#18">18</a>,<a href="#39">39</a>&#93;. This strategy, in opposition to phage display, only allows for multivalent display, whereby a large number of   antibody copies are displayed on the outer membrane of the   cell. While this strategy may be complicated by increased   avidity compared to monovalent display systems, it benefits   from existing technologies for studying eukaryotic cells,   such as flow-cytometry and fluorescence activated cell   sorting (FACS) ,which enable simultaneous selection   and characterization of antibody fragments kinetics &#91;<a href="#40">40</a>&#93;.   The basic strategy incorporates additional tags in the   fusion protein in order to quantify the expression levels   of the antibody fragment (i.e., the valency of the display),   thus allowing the normalization of the antigen-antibody   fluorescence signal to discriminate avidity effects, and also   for selecting antibody fragments already optimized for high   expression and the early removal of truncated products   during the selection process &#91;<a href="#40">40</a>&#93;.</p>     <p>The implementation of the cell display technology   in a yeast model may also offer additional advantages   compared with screening in prokaryotes by phage display.   For instance, expression biases and growth selection   introduced by bacteria can skew library diversity. In   contrast, yeast models have been shown to propagate full   library diversity along the selection process &#91;<a href="#18">18</a>&#93;. <a href="#fig5">Figure   5B</a> includes additional details about the construction of   the display system, and compares the design of the fusion   proteins involved in the two variants of the cell display   technology herein discussed with the phage display   method. In addition, a comprehensive comparison of the   phage display, cell display and ribosome display (reviewed   in next section) technologies is presented in <a href="#tab2">Table 2</a>.</p>     <p><i><font size="3">4.4 Ribosome display</font></i></p>     <p>The development of the ribosome display technology   by Hanes and Pl&uuml;ckthun in 1997, based on earlier work   by Mattheakis <i>et al</i>., 1994, represented a breakthrough in   the protein engineering field by demonstrating the ability   to screen libraries of unprecedented size in a cell-free   system &#91;<a href="#41">41</a>-<a href="#43">43</a>&#93;. The advantages and disadvantages of this   novel technology, in contrast with phage and cell display,   are presented in <a href="#tab2">Table 2</a>; cell-free systems, for instance,   overcome the basic limitation of library size imposed by   transformation efficiency for the previously discussed   methods &#91;<a href="#44">44</a>&#93;. Ribosome display, which has evolved over   the past 10 years, is now actively used for the development   of new antibody fragments in various applications   &#91;<a href="#17">17</a>,<a href="#45">45</a>,<a href="#46">46</a>&#93;.</p>       <p align="center"><a name="tab2"></a><a href="img/revistas/rinbi/v4n7/v4n7a09tab2.gif" target="_blank">Table 2</a></p>     ]]></body>
<body><![CDATA[<p>Although cell-free transcription and translation   systems were already established, applying cell-free   systems to screen antibody repertoires was only feasible   when Hanes and Pl&uuml;ckthun (1997) were able to form   stable mRNA-ribosome-antibody complexes by removing   the terminal stop codon in the mRNA, which prevented   the release of the nascent peptide from the ribosome   during protein synthesis &#91;<a href="#41">41</a>&#93;. By including a linker or   spacer sequence between the peptide and the ribosome,   they could correctly fold the protein and use stabilized   mRNA molecules (by modification of the 5' and 3' ends   loops) for a completely in vitro affinity selection process   &#91;<a href="#46">46</a>&#93;. <a href="#fig6">Figure 6</a> shows a detailed diagram of the ribosome   display strategy recently published by Pl&uuml;ckthun and   collaborators, depicting the major steps of the process and   important methodological aspects &#91;<a href="#46">46</a>&#93;.</p>       <p align="center"><a name="fig6"></a><a href="img/revistas/rinbi/v4n7/v4n7a09fig6.gif" target="_blank">Figure 6</a></p>     <p>Ribosome display has been developed using either   prokaryotic gene expression machinery (e.g., bacterial   extracts) &#91;<a href="#17">17</a>&#93; or eukaryotic systems &#91;<a href="#44">44</a>,<a href="#47">47</a>&#93;. In both cases,   the technologies are almost indistinguishable, although the   use of eukaryotic ribosome display allows direct cDNA   synthesis from the Antibody -Ribosome-mRNA (ARM)   complexes by <i>in-situ</i> RT-PCR, as demonstrated by He   and Taussig in 1997, and avoids some technical issues of   prokaryotic ribosome display related to ARM complex   disruption during elution of mRNA &#91;<a href="#44">44</a>,<a href="#48">48</a>&#93;. Hence,   this approach reduces loss of material during ribosome   disruption and mRNA recovery, which is critical to   maximize diversity.</p>     <p>In 2007, Contreras-Mart&iacute;nez and Delisa proposed a   variation of the ribosome display technology for the evolution   of intracellular antibodies &#91;<a href="#49">49</a>&#93;. Intracellular ribosome   display, which makes use of the recently discovered <i>E. coli</i>   SecM translation arrest mechanism to allow the formation of   mRNA-ribosome-antibody (fused to SecM signal), enables   stable stalling of the ribosome (intracellularly) at the SecM   sequence (serving also as spacer for appropriate folding)   and subsequent recovery of the complexes by centrifugation.   Additional selection steps proceed in a similar fashion to   standard ribosome display &#91;<a href="#49">49</a>&#93;.</p>     <p><i><font size="3">4.5 Other aspects of the antibody engineering process</font></i></p>     <p>The flexibility in the design of antibody fragments   (<a href="#fig3">Fig. 3</a>) and the variety of technologies available for their   discovery and optimization, as discussed in <a href="#tab2">Table 2</a>, allow   for myriad possibilities when tailoring the properties of   these unique proteins according to the design parameters   dictated by the intended application. The readers are   strongly encouraged to examine excellent recent review   articles discussing some important aspects of the   antibody engineering process that were not the subject   of this review, including: antibody characterization (i.e.,   quantification of kinetics, stability, immunogenicity,   etc.) &#91;<a href="#1">1</a>,<a href="#4">4</a>&#93;, pharmacokinetics of monoclonal antibodies   and antibody fragments (of particular relevance for   imaging applications and cancer therapy) &#91;<a href="#50">50</a>,<a href="#51">51</a>&#93;, current   expression systems for the production of antibody   fragments &#91;<a href="#8">8</a>,<a href="#52">52</a>&#93;, and finally, design of antibody-based   therapeutics, an active area of research that involves   engineering of the antibody fragments at all levels,   particularly tailoring the effector functions of the antibody   fragments which may involve the engineering of the Fc   region &#91;<a href="#3">3</a>,<a href="#53">53</a>-<a href="#55">55</a>&#93;.</p>     <p>&nbsp;</p>     <p><font size="3"><b>V. CONCLUSION</b></font></p>     <p>The ability to rapidly engineer antibodies against   virtually any antigenic biomolecule, from mRNA to small   haptens to big antigenic particles or even molecules with   cryptic epitopes (as in the case of dAb), with unprecedented   affinities, effector functions (i.e., bispecific antibodies,   catalytic antibodies, intrabodies, etc.) and stability, has been   the result of the powerful antibody discovery technologies   implemented in the past 20 years. Although phage display   has governed the production of antibody fragments since   its introduction, the new advances in ribosome display   technology and cell display will probably continue to gain   importance for the selection of the antibody fragments.   Expected improvements in cell sorting technology might   significantly increase the throughput of the cell display   system, its major limitation as of today, although the recent   demonstration of antibody maturation by mammalian cell   display may also stimulate the use of this technology in   combination with phage display in the late stages of the   antibody maturation process (i.e., stability, expression, etc.).   Finally, these technologies are likely to play an important   role in the production of the next generation of antibodybased   therapeutics.</p>     <p>&nbsp;</p>     ]]></body>
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