Trends in Biotechnology
Volume 35, Issue 8, August 2017, Pages 691-712
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Feature Review
Affibody Molecules in Biotechnological and Medical Applications

https://doi.org/10.1016/j.tibtech.2017.04.007Get rights and content

Trends

Affibody molecules are a class of versatile non-immunoglobulin affinity proteins generated by combinatorial protein engineering. Their small size, independence of disulfide bridges, and robust behavior make them attractive for a variety of medical applications, including intracellular applications and alternative administration routes.

Affibody molecules have reached clinical development for inflammation disorders and in vivo tumor imaging.

The primary modes of action currently being explored include blocking protein interactions, inhibition of peptide aggregation, and targeted delivery of various payloads.

In the future, the possibility to develop targeted therapies, together with a companion in vivo diagnostic agent based on the same affinity protein platform, will facilitate patient stratification and monitoring of treatment efficacy in a true theranostic fashion.

Affibody molecules are small (6.5-kDa) affinity proteins based on a three-helix bundle domain framework. Since their introduction 20 years ago as an alternative to antibodies for biotechnological applications, the first therapeutic affibody molecules have now entered clinical development and more than 400 studies have been published in which affibody molecules have been developed and used in a variety of contexts. In this review, we focus primarily on efforts over the past 5 years to explore the potential of affibody molecules for medical applications in oncology, neurodegenerative, and inflammation disorders, including molecular imaging, receptor signal blocking, and delivery of toxic payloads. In addition, we describe recent examples of biotechnological applications, in which affibody molecules have been exploited as modular affinity fusion partners.

Section snippets

In vitro Generation of Affinity Proteins

Fueled by the development of technologies enabling clonal selection-by-binding from vast libraries of in vitro generated genotype-phenotype-linked polypeptides, several groups have been inspired to develop novel binding proteins via protein-engineering routes. Bypassing the need for recruitment of an immune system for their generation, such binders have been developed and built on a diverse set of frameworks, differing in size and structural organization compared with the immunoglobulin

Affibody-Based Tracers in Medical Imaging

Molecular imaging in vivo has the potential to improve the diagnosis of many diseases by defining relevant aberrant cellular alterations and to indicate adequate treatment. In cancer diagnosis, molecular imaging can, in contrast to a biopsy, provide a global view of potentially all metastatic lesions in the body. Radionuclide molecular imaging of therapeutic targets is a non-invasive procedure that can be easily repeated multiple times to, for example, follow the effects of a treatment regimen

Affibody-Mediated Fluorescence-Guided Surgery

Guiding surgical incisions with fluorescent probes has been demonstrated in individual clinical trials for decades, but the scientific and commercial prerequisites have now reached a level that indicates a dramatic increase in its clinical value [53]. In a pioneering study, a fluorescently near-IR-labeled EGFR-binding affibody molecule was administered intravenously to nude rats with xenografted glioma tumors that were clearly visualized 1 h pi, providing excellent potential for increased

Affibody-Mediated Therapeutic Efforts Based on Blocking Protein–Protein Interactions

For therapeutic applications based solely on blocking the activity of disease-related target proteins as a mechanism of action (MOA), the Fragment crystallizable (Fc) portion of mAbs, mediating, for example, antibody-dependent cell-mediated cytotoxicity (ADCC) and complement activation, is not required and might even be undesired. Similar to non-Fc-containing antibody derivatives, such as scFv, Fab, Fv, and domain antibodies, affibody molecules with high affinity and specificity are attractive

Affibody-Targeted Payloads

Arming affibody molecules with a cytotoxic payload appears to be a seemingly straightforward and efficient way to direct the action of the payload to desired cell populations. The concept has been evaluated in different preclinical studies and, so far, the payload has been a cytotoxic substance (biologically derived toxin, cytotoxic drug, or therapeutic radionuclide) intended for cancer therapy.

One approach is to construct fusion proteins comprising a potent toxin of plant or bacterial origin

Strategies to Increase Selectivity in Therapy

It is a challenge to achieve sufficient therapeutic effect while maintaining off-target toxicity at a manageable level when potent cytotoxic agents or therapeutic radionuclides are used as payloads.

Lessons learned from in vivo imaging experiments have shown that, similarly to other scaffold proteins, affibody molecules may accumulate in kidneys and liver in addition to the tumor, and such off-target accumulation of cytotoxic molecules may cause off-target toxicity. One way to potentially reduce

Affibody Molecules and Nanoparticles

Affibody molecules conjugated to various nanoparticles have been evaluated for several different purposes, such as targeted drug delivery 115, 116, 117 and molecular imaging 47, 52, 118. One interesting application is theranostics, combining diagnostic imaging with the delivery of therapeutic drugs. Lu and colleagues engineered thioether-bridged organosilica nanoparticles conjugated with a near-IR dye and HER2-specific affibody molecules [119]. The particles were also loaded with doxorubicin.

Miscellaneous Biotechnological Applications Involving Affibody Molecules

The small size and module-like characteristics of affibody molecules has inspired several groups to use them as gene fusion or conjugation partners to obtain a variety of different molecular tools.

Using an in-house and highly complex (5 × 1013) mRNA-displayed affibody library, Wang and coworkers selected binders to LOV2, a photosensitive protein from Avena sativa (wild oats) [7]. Upon irradiation with light, LOV2 undergoes a change in conformation from the so-called ‘dark state’ to the ‘light

Concluding remarks

In conclusion, affibody molecules represent a class of affinity proteins that have been investigated for a multitude of applications over the past 20 years. Many binders have been explored for biotechnological use [130], and several affibody molecules with different specificities have been evaluated for in vivo purposes. By direct or chelator-mediated conjugation of suitable radionuclides, affibody-based PET and/or SPECT tracers have been generated and evaluated preclinically for imaging of

Disclaimer Statement

F.Y.F. is an employee of Affibody Medical AB. S.S., T.G., A.E.K., P-Å.N., and J.L. are members of the Technical Advisory Board at Affibody Medical AB.

Will small and disulfide-free affinity proteins become an alternative to conventional small organic drugs for certain intracellular therapeutic applications?

Is the affibody scaffold also suitable for the generation of binders to nonprotein targets, such as haptens, P-tyrosine peptides, and carbohydrates?

Is the small size of affibody molecules

Acknowledgments

We would like to thank Vladimir Tolmachev and Anna Orlova for valuable input on the section describing the use of affibody-based tracers in medical imaging.

Glossary

1,4,7,10-tetraazacyclododecane-1,4,7,10-tetraacetic acid (DOTA)
an organic compound that comprises a central 12-membered tetraaza ring; commonly used as a complexing agent for labeling with radionuclides, especially lanthanide ions.
ABD
a 46-amino acid albumin-binding domain engineered to femtomolar affinity and used for in vivo half-life extension.
Affibody library
a collection of a large number of affibody molecule variants, typically >109, generated via combinatorial protein-engineering

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