Anti-LRP5/6 VHHs promote differentiation of Wnt-hypersensitive intestinal stem cells
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2019-01-21
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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.
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, Journal Article, Research Support, Non-U.S. Gov't
Citation
Fenderico, N, van Scherpenzeel, R C, Goldflam, M, Proverbio, D, Jordens, I, Kralj, T, Stryeck, S, Bass, T Z, Hermans, G, Ullman, C, Aastrup, T, Gros, P & Maurice, M M 2019, 'Anti-LRP5/6 VHHs promote differentiation of Wnt-hypersensitive intestinal stem cells', Nature Communications, vol. 10, no. 1, 365, pp. 365. https://doi.org/10.1038/s41467-018-08172-z