HDX-MS study on garadacimab binding to activated FXII reveals potential binding interfaces through differential solvent exposure

ABSTRACTHageman factor (FXII) is an essential component in the intrinsic coagulation cascade and a therapeutic target for the prophylactic treatment of hereditary angioedema (HAE). CSL312 (garadacimab) is a novel high-affinity human antibody capable of blocking activated FXII activity that is curren...

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Main Authors: Saw Yen Ow (Author), Eugene A. Kapp (Author), Vesna Tomasetig (Author), Anton Zalewski (Author), Jason Simmonds (Author), Con Panousis (Author), Michael J. Wilson (Author), Andrew D. Nash (Author), Matthias Pelzing (Author)
Format: Book
Published: Taylor & Francis Group, 2023-12-01T00:00:00Z.
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Summary:ABSTRACTHageman factor (FXII) is an essential component in the intrinsic coagulation cascade and a therapeutic target for the prophylactic treatment of hereditary angioedema (HAE). CSL312 (garadacimab) is a novel high-affinity human antibody capable of blocking activated FXII activity that is currently undergoing Phase 3 clinical trials in HAE. Structural studies using hydrogen/deuterium exchange coupled to mass spectrometry revealed evidence of interaction between the antibody and regions surrounding the S1 specificity pocket of FXII, including the 99-loop, 140-loop, 180-loop, and neighboring regions. We propose complementarity-determining regions (CDRs) in heavy-chain CDR2 and CDR3 as potential paratopes on garadacimab, and the 99-loop, 140-loop, 180-loop, and 220-loop as binding sites on the beta chain of activated FXII (β-FXIIa).
Item Description:10.1080/19420862.2022.2163459
1942-0870
1942-0862