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. 2021 Apr 26;7(5):724–738. doi: 10.1021/acscentsci.0c01448

Table 1. Selected Approaches for Antibody Activation.

activation cue inactivation strategy (name) format used (potential) applicability selected advantages (+) and disadvantages (−) refs
UV-A light genetically encoded photocaged Tyr nanobody (all) cell biology, targeted delivery + small modification, format transferability, 10 000-fold affinity change (9, 10)
        – known binding residues, UV light  
           
blue light optical magnet split antibodies (optobodies) nanobody, scFv cell biology + blue light, potentially reversible (12)
        – transferability may be challenging  
           
blue light conformational modulation via light-oxygen-voltage domain (optobinders) nanobody, monobody cell biology, affinity purification + reversible, activation or inactivation, blue light, 330-fold affinity increase monobodies (11, 13)
        – <6-fold affinity increase nanobodies  
           
oligonucleotide divalent peptide–dsDNA lock IgG logic gating + no genetic modification required, possible combination with other stimuli (29)
        – small affinity change, relative instability  
           
small molecules folded dihydrofolate reductase blocking CDRs (LAMAs) nanobody cell biology + reversible, 1000-fold affinity change (33)
        – transferability may be challenging  
           
small molecule conformational disruption via cavity scFv (Fab) therapeutic + no potentially immunogenic appendage (32)
        – 10-fold affinity change  
           
pH decrease electrostatic repulsion upon protonation IgG therapeutic + reversible, increased antibody half-life, two antibodies in clinical use (46)
        – only applicable to IgGs (FcRn binding)  
           
pH decrease electrostatic repulsion upon protonation (ALTAs) antibody–drug conjugates therapeutic + reversible, increased efficacy (38)
        – only in tumors with low levels of FcRn  
           
protease activity N-terminal epitope-mimetic masking peptide IgG, bispecific IgG, CAR-T (all) therapeutic, diagnostic + up to 300000-fold affinity change, advanced clinical trials, format transferability (5861)
        – complex fine-tuning of masking peptide affinity  
           
protease activity masking N-terminal coiled-coil domains IgG (Fab) therapeutic + 750-fold affinity change, highly transferable across antigen specificities (73)
        – only applicable to IgGs and Fabs  
           
antigen combination functional peptide recruited by cage domain DARPINs, scFvs (all) therapeutic, diagnostic + complex Boolean logic operations possible, modularity (94)
        – complex multicomponent system, possible immunogenicity