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commentary Commentary: Mark Vaeck Alphabodies – working inside the cell A large proportion of all known human protein targets cannot be addressed by either small chemical drugs or biologics. Small chemicals typically interact with hydrophobic pockets, which limit their target space to about 10% of all human proteins; similarly, biologics, including antibodies, lack the ability to penetrate through cell membranes, and therefore can only address another 10%, that exist as extracellular proteins. It is therefore estimated that the vast majority of all potential protein targets, more than 80%, are currently considered ‘undruggable’ by the two main classes of therapeutic drugs.1 A large number of these undruggable targets belong to the interesting class of intracellular protein-to-protein interactions. Intracellular protein-toprotein interactions regulate a wide variety of essential cellular processes, many of which are known to be involved in important disease processes, such as those causing cancer and central nervous system and metabolic diseases. The potential to modulate protein interactions inside the cell across multiple targets and disease categories represents a significant medical and commercial opportunity. This opportunity was seized by the founding scientists of our company in 2007 when they synthesised an artificial protein which we now call the ‘alphabody’. The alphabody is a small single-chain protein, 70-100 amino acids long, with a molecular weight in the range of 8-12,000 dalton, and comprises three alpha-helices organised in a stable and compact ‘coiled coil’ structure. The target-binding moiety of an alphabody is created by engineering patches of varying amino acid residues on the surface of an alphabody structure. Although alpha-helix coils or bundles do exist in nature, the typical three alpha-helix coiled coil of an alphabody is not derived from any naturally occurring protein. Instead it is an artificial protein scaffold, entirely developed in silico, via computer design, by the protein engineering scientists at Complix. Despite being artificial, alphabodies have shown in animal studies to be non-toxic and non-immunogenic. Given these characteristics, we believe the molecule is suitable to act as a drug scaffold against a broad range of disease targets including cytokines, cell receptors, viral entry regulators and most importantly, intracellular protein-toprotein interactions. Alphabodies share features of other small therapeutic protein scaffolds such as nanobodies including stability in serum and an ability to penetrate tissue. Significantly, alphabodies can be engineered to penetrate intracellular space, while retaining stability. Recently our research team generated data showing that alphabodies specific for the intracellular cancer target MCL-1 can interact with this target and cause biological effects on the cancer cells in vitro as well as in vivo. We call this subset of alphabody the ‘cell penetrating alphabody’. The discovery process at Complix involves a combination of in silico design with library screening, allowing us to obtain leads in less than three months. The rigid alpha-helical coil structure of alphabodies allows them to be created with precision and a high probability of success in silico. Moreover © 2014 Evernow Publishing Ltd the in silico design procedure does not require isolation and purification of the target molecule, which is an advantage in case targets are unstable in a test tube, as many membrane receptors and intracellular proteins can be. To transform an alphabody into a cell penetrating alphabody, specific sequence patterns are introduced to the alphabody. Typical sequence patterns comprise a mixture of positively charged amino acids and hydrophobic residues. The cell penetrating alphabody residues are integrated at spatially fixed positions giving optimal contact with certain membrane components in order to induce effective membrane transduction. The cell penetrating alphabody design can be combined with target binding capacity, thanks to the versatility of the alphabody scaffold. Cellular uptake studies, conducted with cell penetrating alphabodies on a variety of cancer cell types, have revealed that uptake can be rapid and concentration dependent, allowing them to reach therapeutically relevant intracellular concentrations within a few hours of incubation. The proteins mostly enter directly into the cytosolic space of the cells, and do not end up in the endosomal pathway, in most cases an important prerequisite for achieving effective target interaction. Importantly, alphabodies that are not designed as cell penetrating alphabodies do not have membrane penetrating capacity and therefore remain outside cells, as expected. Such unmodified alphabodies are suitable for addressing extracellular targets such as our programme targeting Interleukin-23. For our initial therapeutic programme for cell penetrating alphabodies, we have selected the intracellular target protein MCL-1. MCL-1 belongs to the family of BCL-2 proteins, which regulate cellular apoptosis, determining whether a cell dies or survives. In cancer cells, MCL-1 is often overexpressed and prevents these cells from entering the apoptosis phase. We have now designed and produced proteins that antagonise MCL-1, and consequently induce cell death in the cancer cells. MCL-1 is a potential drug target and is suspected to be implicated in several types of haematological cancers. More recently we have generated a panel of anti-MCL-1 alphabodies that display various cross-reactivities against other different members of the BCL-2 family. Today Complix has several discovery programmes including an agreement with the International AIDS Vaccine Initiative to apply the technology to understand the structure of the HIV protein complex. In short, we are looking for innovative solutions to some of the world’s most intractable diseases. Reference: 1.Verdine, 2010, The Harvey Lectures, Series 102: 1-16. This commentary was written by Mark Vaeck, a co-founder and currently chief executive officer, of Complix NV, which is located in Hasselt, Belgium. www.mednous.com MedNous June 2014 11