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Structure-function analysis of empasiprubart, a calcium- and pH-dependent clinical phase complement C2 blocking
Laura Bracke1, Heidi Gytz Olesen2, Erwin Pannecoucke1
1argenx BVBA, Zwijnaarde, Belgium.
Mabs
|May 4, 2026
Summary
Empasiprubart is a novel antibody that targets complement component C2, utilizing pH-dependent release for prolonged efficacy. Its mechanism involves framework residues influencing antibody complementarity-determining regions for unique target binding.
Area of Science:
- Immunology
- Structural Biology
- Biochemistry
Background:
- Empasiprubart (ARGX-117) is a humanized recycling antibody targeting complement component C2.
- It blocks classical and lectin complement pathways by preventing C2-C4b binding.
- The antibody's pH-dependent release mechanism and prolonged half-life are crucial for its function.
Purpose of the Study:
- To elucidate the molecular mechanism behind empasiprubart's pH-dependent binding and release from complement component C2.
- To provide a structural rationale for the antibody's unique properties and recycling capacity.
- To understand the role of framework residues in antibody complementarity-determining region (CDR) function.
Main Methods:
- X-ray crystallography of the empasiprubart fragment antigen-binding (Fab) complexed to a C2 fragment.
- Analysis of structural data to understand intramolecular interactions and pH-dependent effects.
- Investigation of the interplay between antibody framework residues and CDRs.
Main Results:
- The crystal structure reveals empasiprubart binds to the C2 CCP2 domain in a calcium- and pH-dependent manner.
- pH-dependent target release is mediated by subtle intramolecular CDR destabilization, not direct interface modulation.
- Framework residues play a pivotal role in orchestrating CDR function for specific target binding.
Conclusions:
- Empasiprubart's unique properties stem from a pH-dependent mechanism involving CDR destabilization.
- The study highlights the critical role of antibody framework residues in modulating CDR function.
- These findings enhance the understanding of empasiprubart's mode of action and antibody engineering principles.

