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The allosteric modulation of complement C5 by knob domain peptides #MMPMID33570492
Macpherson A; Laabei M; Ahdash Z; Graewert MA; Birtley JR; Schulze ME; Crennell S; Robinson SA; Holmes B; Oleinikovas V; Nilsson PH; Snowden J; Ellis V; Mollnes TE; Deane CM; Svergun D; Lawson AD; van den Elsen JM
Elife 2021[Feb]; 10 (ä): ä PMID33570492show ga
Bovines have evolved a subset of antibodies with ultra-long heavy chain complementarity determining regions that harbour cysteine-rich knob domains. To produce high-affinity peptides, we previously isolated autonomous 3-6 kDa knob domains from bovine antibodies. Here, we show that binding of four knob domain peptides elicits a range of effects on the clinically validated drug target complement C5. Allosteric mechanisms predominated, with one peptide selectively inhibiting C5 cleavage by the alternative pathway C5 convertase, revealing a targetable mechanistic difference between the classical and alternative pathway C5 convertases. Taking a hybrid biophysical approach, we present C5-knob domain co-crystal structures and, by solution methods, observed allosteric effects propagating >50 A from the binding sites. This study expands the therapeutic scope of C5, presents new inhibitors, and introduces knob domains as new, low molecular weight antibody fragments, with therapeutic potential.