Tuning the Structural Properties of a Single-Domain Antibody Scaffold for Improved Fibroblast Activation Protein

Joseph P Gallant1,2, Kendahl L Ott1,2, Ohyun Kwon3

  • 1Molecular and Cellular Pharmacology Program, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin53705, United States.

Insights

Camelid single-domain antibodies targeting fibroblast activation protein (FAP) show promise for cancer theranostics. Engineering these antibodies into different formats (monomer, dimer, Fc-fusion) optimized tumor targeting and retention for improved imaging and potential therapy.

Area of Science:

  • Oncology
  • Immunology
  • Biotechnology

Background:

  • Fibroblast activation protein (FAP) is selectively expressed on cancer-associated fibroblasts (CAFs), making it a key target for cancer theranostics.
  • While small-molecule FAP inhibitors (FAPIs) exist, biologics for FAP targeting are less explored.
  • Camelid-derived single-domain antibodies (VHHs) offer high affinity and engineering flexibility for targeted delivery.

Purpose of the Study:

  • To develop and characterize novel anti-FAP VHH-based constructs for cancer theranostics.
  • To investigate the impact of valency and molecular weight on FAP-targeting VHHs' in vivo properties.
  • To evaluate the potential of engineered VHH formats for positron emission tomography (PET) imaging of FAP-positive tumors.

Main Methods:

  • Identification of a novel anti-FAP VHH (F7) using phage display.
  • Engineering F7 into monomer (F7), tethered dimer (F7D), and Fc-fusion (F7-Fc) formats.
  • In vivo evaluation using FAP-positive xenograft models and PET imaging, including pharmacokinetic analysis and absorbed dose calculations.

Main Results:

  • All three F7 formats demonstrated FAP specificity, with bivalent constructs achieving picomolar affinity.
  • PET imaging revealed distinct pharmacokinetic profiles: F7 showed rapid uptake/clearance, F7D offered high tumor-to-blood ratios, and F7-Fc provided the highest tumor uptake for longitudinal imaging.
  • Absorbed dose calculations indicated significantly higher radiation doses to tumors compared to normal tissues.

Conclusions:

  • Engineering VHH scaffold size and valency can significantly improve biodistribution and tumor retention for FAP-targeting agents.
  • F7-based constructs, particularly F7D and F7-Fc, represent promising targeting vectors for FAP-positive cancer theranostics.
  • This study highlights the potential of VHH engineering for optimizing targeted cancer therapies and diagnostics.