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Anti-LRP5/6 VHHs promote differentiation of Wnt-hypersensitive intestinal stem cells

  • Nicola Fenderico
  • , Revina C. van Scherpenzeel
  • , Michael Goldflam
  • , Davide Proverbio
  • , Ingrid Jordens
  • , Tomica Kralj
  • , Sarah Stryeck
  • , Tarek Z. Bass
  • , Guy Hermans
  • , Christopher Ullman
  • , Teodor Aastrup
  • , Piet Gros
  • , Madelon M. Maurice*
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Wnt-induced β-catenin-mediated transcription is a driving force for stem cell self-renewal during adult tissue homeostasis. Enhanced Wnt receptor expression due to mutational inactivation of the ubiquitin ligases RNF43/ZNRF3 recently emerged as a leading cause for cancer development. Consequently, targeting canonical Wnt receptors such as LRP5/6 holds great promise for treatment of such cancer subsets. Here, we employ CIS display technology to identify single-domain antibody fragments (VHH) that bind the LRP6 P3E3P4E4 region with nanomolar affinity and strongly inhibit Wnt3/3a-induced β-catenin-mediated transcription in cells, while leaving Wnt1 responses unaffected. Structural analysis reveal that individual VHHs variably employ divergent antigen-binding regions to bind a similar surface in the third β-propeller of LRP5/6, sterically interfering with Wnt3/3a binding. Importantly, anti-LRP5/6 VHHs block the growth of Wnt-hypersensitive Rnf43/Znrf3-mutant intestinal organoids through stem cell exhaustion and collective terminal differentiation. Thus, VHH-mediated targeting of LRP5/6 provides a promising differentiation-inducing strategy for treatment of Wnt-hypersensitive tumors.

Original languageEnglish
Article number365
Pages (from-to)365
JournalNature Communications
Volume10
Issue number1
DOIs
Publication statusPublished - 21 Jan 2019

Keywords

  • Animals
  • Binding Sites
  • Cell Differentiation
  • Cell Line, Tumor
  • Cell Proliferation
  • Crystallography, X-Ray
  • Fibroblasts/cytology
  • Gene Expression Regulation
  • HEK293 Cells
  • Humans
  • Intestine, Small/cytology
  • Low Density Lipoprotein Receptor-Related Protein-5/antagonists & inhibitors
  • Low Density Lipoprotein Receptor-Related Protein-6/antagonists & inhibitors
  • Mice
  • Models, Molecular
  • Organoids/cytology
  • Protein Binding
  • Protein Conformation, beta-Strand
  • Protein Interaction Domains and Motifs
  • Single-Domain Antibodies/chemistry
  • Stem Cells/cytology
  • Transcription, Genetic
  • Ubiquitin-Protein Ligases/genetics
  • Wnt3A Protein/genetics
  • beta Catenin/genetics

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