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6 • From Deep Generative Models to Structure-Based Simulations 141
experiments and DMS, followed by deep sequencing. Notably, these studies succeeded in generating novel antibody sequences not found in the original libraries. However, experimental validation remains essential for ML‑generated antibody sequences to conrm their binding to target antigens and assess their developability. Although sev‑ eral other studies have also employed generative models and ML techniques, including LSTM,
165
GAN,
166
CNN/GAN,
167
hallucination,
168
and Bayesian optimization,
169,17 0
for optimizing antibody sequences, the evaluation of such ML‑generated sequences has frequently been conned to computational analyses. Given the current technological limitations and our partial understanding of sequence‑function relationships in antibod‑ ies, experimental validation remains an indispensable step in the optimization process.
6.3.6 Computer‑Aided Antibody Repositioning
Drug repositioning, also known as drug repurposing, is a strategic approach in pharma‑ ceutical development that seeks to identify new therapeutic uses for existing drugs.
179
This innovative strategy offers a promising pathway to accelerate the drug develop‑ ment process, signicantly reducing the time and costs associated with bringing a drug to market. Unlike traditional drug discovery, drug repositioning leverages the existing safety and pharmacokinetic proles of approved or investigational drugs and explores their potential applications beyond their original intended use, thereby uncovering valu‑ able novel therapeutic benets. This approach not only enhances the efciency of drug development but also opens new avenues for treating complex diseases, providing hope for patients with conditions that currently lack effective therapies.
This concept of drug repositioning is equally applicable to antibody drug discovery, where existing antibodies that bind to different antigens may be redesigned to target specic antigens. This process can be seen as an expansion of traditional specicity design. In this context, Nimrod etal. demonstrated the capability to redesign an exist‑ ing antibody to target a specic epitope. ZDOCK
181
and HEX,
182
molecular dynamics simulations, and antibody sequence design
180
They utilized rigid‑body docking programs
calculations through the Discovery Studio suite, followed by screening with a yeast surface display experiment. This study demonstrated the successful engineering of a functional antibody targeting the cytokine interleukin‑17A through computational “re‑epitoping” of an existing antibody.
180
The crystal structure of the antibody‑antigen complex conrms the targeted epitope, validating the accuracy of the computational design. A ML classier based on a random forest algorithm was also employed to pre‑ dict specic residue‑residue contacts between the antigen and antibody, contributing to the rational design of the functional antibody.
The study by Nimrod etal.
180
utilized a yeast surface display experiment to mature the initial hits of the repurposed antibody. In a more computationally focused study, Tam etal. repurposed nanobodies found in the PDB to bind to ELMO1‑RBD, a non‑cog‑ nate antigen of the original nanobodies. docking program PatchDock
184
to select initial binding poses for subsequent design cal‑
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They employed the shape‑based, rigid‑body
culations. The initial docking poses were further ltered based on their resemblance to the binding modes of known nanobodies and the quality of their docking energy
142 Biopharmaceutical Informatics
landscapes. Following this, rigid‑body docking and design calculations with Rosetta, based on the selected poses, identied a weakly binding nanobody. This was followed by a purely computational afnity maturation process, which involved rigid‑body dock‑ ing and design calculations with Rosetta using parameters different from those in the initial design step. This process enabled further renement of the docking poses and sequences. The nal selection was based on MM/PBSA calculations through MD simu‑ lations and Flex‑ddG calculations identied, was experimentally conrmed to exhibit improved binding afnity toward the target antigen and inhibit the target interaction effectively.
These results emphasize the innovative and impactful nature of the computational repositioning approach, offering new possibilities for the development of targeted anti‑ body therapies. In a potentially related approach, Schneider et al. proposed a deep learning framework, DLAB, for screening existing antibodies. ture‑based deep learning approach, specically a CNN model trained on rigid‑body docking decoys of antibody‑antigen complex structures. It includes components such as DLAB‑Re (rescoring) and DLAB‑VS (virtual screening) to improve pose selection in antibody‑antigen docking simulations and enable the classication of antibody‑antigen pairings as binders or non‑binders. Demonstrated to enrich binders against non‑binding sequences in realistic scenarios of predicting antibody escape in SARS‑CoV‑2 variants, DLAB effectively discriminated binding antibodies from non‑binders, enhancing the virtual screening process in antibody drug discovery. Although antibody‑non‑cognate antigen pairs would exhibit poor scores, making it more difcult to discriminate poten‑ tial binders from non‑binders, computational screening approaches like DLAB may still be useful for antibody repositioning studies.
185
in Rosetta. The best binder, as computationally
186
DLAB utilizes a struc‑
100
6.4 GEOMETRIC AND COMPUTATIONAL CONSIDERATIONS IN THE DESIGN
OF MULTISPECIFIC BIOLOGICS
Multispecic antibodies represent a signicant advancement in antibody engineering, designed to target two or more distinct antigens. therapeutic potential than traditional monospecic therapies. This section explores vari‑ ous antibody formats used in creating multispecic biologics and highlights the role of computational methods in their design.
6.4.1 Antibody Formats in Multispecic Biologics
The modular nature of antibodies enables the creation of various formats beyond tra‑ ditional IgG structures, illustrating the versatility and innovation in antibody engineer‑ ing. However, existing bispecic antibody (BsAb) formats encounter limitations, such as altered antibody geometry and the need for extensive engineering. Formats like
187,188
This capability offers a broader
6 • From Deep Generative Models to Structure-Based Simulations 143
diabodies, IgG‑single‑chain FV (scFV), and dual‑variable domain (DVD)‑Ig modify the native structure of antibodies to target multiple antigens, but this may affect stabil‑ ity and solubility. Furthermore, antibody fragments often require substantial modica‑ tion to stabilize variable domains outside their native context, adding complexity to the design process.
Among various immunotherapeutic agents, bispecic T‑cell engagers (BiTEs) are
innovative formats that harness the immune system to target cancer.
189
They function by linking two scFVs with a peptide linker: one targeting CD3 on T cells and the other targeting tumor cell antigens. This dual binding facilitates an immunological synapse, enabling direct cytotoxic signaling from T cells to tumor cells and resulting in targeted cancer cell destruction. BiTEs, therefore, offer a potent and specic strategy to enhance the immune system’s tumor cell recognition and elimination capabilities. A notable example of BiTEs in clinical use is blinatumomab,
190
which targets CD3 on T cells and CD19 on B‑cell malignancies. Future advancements of BiTEs may involve substituting the scFv component targeting CD19 with one aimed at different tumor‑associated anti‑ gens, potentially even employing T‑cell receptor (TCR)‑like antibodies. While TCRs and antibodies share structural similarities in antigen recognition through their CDRs, the specics of their interaction mechanisms and domain orientations—Vα/Vβ in TCRs and VL/VH in antibodies—are distinctively different.
191
This distinction illustrates the complexity of computationally designing TCR‑like antibodies and further BiTEs, pre‑ senting a challenging yet promising frontier in antibody engineering.
While computational methods could offer insights, their application in multispe‑ cic antibody design is nascent. MD simulations with explicit solvent can trace the dynamics of these modied formats, although their use is somewhat constrained by the large sizes of multispecic antibody formats. A noteworthy application is the study by Aertker etal., which utilized all‑atom MD simulations to elucidate the in vitro pharma‑ cokinetic proles of a BsAb.
192
In this study, the C‑terminal ends of an IgG1 were cova‑ lently linked to a single‑chain FV format targeting a distinct antigen via a peptide linker. The computational analysis began with a hypothesized complex between the BsAb and two neonatal Fc receptors (FcRn). This study unveiled interactions between the Fab and scFV regions of the BsAb with FcRn, potentially inuencing its pharmacokinetic behav‑ ior. Notably, these atomic contacts were not apparent in the initial model; they emerged only after 300 ns of simulation, underscoring the importance of extended simulations to capture the dynamic interactions that inuence the mechanism of action of BsAbs. Such interactions, revealed through all‑atom MD simulations, could serve as a foundation for enhancing the pharmacokinetic proles of BsAbs. The computational design strategies discussed in this chapter could then be applied to modify these interactions without compromising the antibody’s antigen recognition capabilities.
Another bispecic format is IgG BsAbs, which provide several advantages over con‑ ventional BsAb formats. They maintain the biophysical behavior and pharmacokinetic properties of native IgG, potentially enhancing stability and efcacy. Additionally, IgG BsAbs can be produced by directly combining parental mAbs, simplifying production compared to methods requiring separate expression and recombination. Consequently, IgG BsAbs represent a promising strategy for creating therapeutic molecules with enhanced properties and clinical potential.
144 Biopharmaceutical Informatics
However, the production of fully IgG BsAbs introduces its own set of challenges. A primary concern is the highly heterogeneous pairing of heavy and light chains when produced in mammalian cells, as achieving the desired quaternary structure requires specic combinations of these chains. Moreover, fully IgG BsAbs often rely on het‑ erodimeric Fc designs to facilitate the heterodimerization of different antibody heavy chains, further complicating the production process. Additionally, the design of fully IgG BsAbs that maintain desired specicity and afnity for both targets, while also pre‑ serving IgG‑like pharmacokinetics and effector functions, necessitates precise optimi‑ zation and validation. Overcoming these obstacles through sophisticated computational design and protein engineering is pivotal for the successful development of fully IgG BsAbs with optimal therapeutic properties.
6.4.2 Computational Multistate Design of
Bispecic IgG Antibodies
The challenge of heterodimerization in IgG BsAb production, recognized nearly three decades ago,
193
has been the persistent issue of light chain mispairing. Only recently have signicant advancements been made toward resolving this. Within this framework, multistate design (MSD) presents itself as a forward‑thinking approach.
129
It aims to simultaneously minimize the free energy across multiple protein conformations, each recognizing different targets, moving beyond the conventional focus on designing pro‑ teins for a single, static structure.
The primary goal in the design of IgG BsAb is to engineer an orthogonal Fab interface that promotes heavy‑chain heterodimerization while minimizing undesired by‑products. This involves modifying a constant domain to facilitate heavy‑chain het‑ erodimerization and creating an orthogonal heavy chain‑light chain interface to ensure correct pairings. For example, Lewis etal. employed a MSD strategy to re‑engineer the CH1‑CL interface of an IgG1 antibody, utilizing multistate design application in Rosetta.
194
They identied sequences that prefer mutant‑mutant pairing over mutant‑wild type, leading to parental monoclonal antibodies that, when co‑expressed, assemble into IgG BsAb with enhanced heavy chain‑light chain pairing. The resulting IgG BsAb retained the pharmacokinetic properties of native IgG while binding to target antigens monovalently.
In another study, Leaver‑Fay etal. suggested the explicit inclusion of negative state repertoires during antibody sequence optimization, employing an iterative method that alternates between sequence design and protein docking.
195
Incorporating negative state repertoires allows for the addition of xed‑backbone conformations that simulate real docking trajectories, offering deeper insights into the structural impact of mutations on negative states and leading to more specic and stable bispecic antibodies.
Froning etal. focused on developing novel solutions for the heavy chain‑light chain
pairing issue through computational and rational engineering methods.
196
Their work in producing and characterizing multiple fully IgG BsAbs underscores the critical role of specicity engineering in both the variable and constant domains for achieving robust heavy chain‑light chain specicity across all BsAbs. The collective efforts in employing
6 • From Deep Generative Models to Structure-Based Simulations 145
these advanced computational strategies signify a pivotal shift in optimizing bispecic antibodies, emphasizing the synergy between precision engineering and computational antibody design.

6.5 CONCLUSIONS AND PERSPECTIVES

This chapter focused on antibody sequence generation and optimization, utilizing structure‑based simulations and machine learning. While AlphaFold2 has made signicant strides in structural biology and drug discovery, accurately predicting antibody structures, particularly the highly variable CDR‑H3, remains challenging. The extensive conformational and sequence space of CDR‑H3 is not fully repre‑ sented by existing experimental structures or B‑cell repertoire data, highlighting the need for innovative computational or experimental methods to bridge this gap. The current limitations in accurately modeling long CDR‑H3make structure‑based simulations challenging.
In the absence of structures, how do we proceed with drug discovery? Advances in B‑cell repertoire sequencing have signicantly enhanced our understanding of the immune system, impacting research in infectious diseases, vaccine development, and antibody therapeutics. High‑throughput technologies have rapidly expanded the sequence data available, allowing the exploration of sequence‑function relationships in antibodies. Consequently, optimizing antibody functions based solely on sequence information is becoming a viable approach. However, computationally predicted model structures still play a crucial role in rationalizing the sequences generated and optimized through such sequence‑based methods. The concept of “developability” in antibody drug discovery, akin to the “rule of ve” for small molecules, importance of structural information. Structural features are invaluable in assessing the developability of antibody therapeutics.
While machine learning models present a promising path for antibody sequence generation and optimization, experimental validation is still vital to conrm their effec‑ tiveness. These models offer an alternative to structure‑based approaches, potentially lowering costs and increasing efciency. Nevertheless, the functionality and develop‑ ability of computationally generated antibodies warrant further investigation.
With the evolution of computational antibody design and optimization, several future directions emerge. Miniaturizing antibodies is a logical progression, enhancing their therapeutic applicability. Single‑domain antibodies and peptide‑based drugs are promising for their potential to penetrate tissues and treat respiratory diseases, with computational technologies playing a crucial role in their development.
In conclusion, this chapter highlighted the synergy between machine learning, structure‑based simulations, and high‑throughput experimental techniques in advanc‑ ing antibody engineering. It pointed toward a future where machine‑made therapeutics could play a pivotal role in healthcare, demonstrating the evolving landscape of anti‑ body design and its implications for medical science.
197
further underscores the
146 Biopharmaceutical Informatics

ACKNOWLEDGMENTS

The author acknowledges support from the Japan Agency for Medical Research and Development (JP23wm0325047), the Japan Society for the Promotion of Science (JP19H04202 and JP21K18310), and the Okawa Foundation for Information and Telecommunications (20‑10).

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