Application of VHH in drug discovery
Science Spyglass Application of VHH in drug discovery Antibodies represent a major class of biologic therapeutics and, since the advent of recombinant monoclonal antibody (mAb) production in mammalian cells, have transformed the treatment of numerous diseases, particularly cancer.VHH, also known as single-domain antibodies, or Nanobodies® (Nanobody® is a registered trademark of Ablynx N.V.), are the antigen-binding domains of heavy-chain-only antibodies naturally found in camelids. Since their discovery in the 1990s, VHH have attracted considerable interest as an alternative to conventional antibodies due to their small size, high stability, ease of recombinant production and high affinity and specificity for their targets. These properties have supported their development for therapeutic and diagnostic applications. In 2019, the FDA approved caplacizumab, the first VHH-based drug for the treatment of a rare blood disease. That was followed a few years later by ozoralizumab, envafolimab and the VHH-CAR-T therapy ciltacabtagene autoleucel, for the treatment of rheumatoid arthritis, solid tumors and blood cancers, respectively. As of 2025, over 35 VHH-based therapeutics have entered clinical trials, with more foreseen for the near future, suggesting that the market of VHH drugs will likely grow significantly over the next years. By joining forces with Isogenica Ltd, a Cambridge (UK)-based company specializing in VHH discovery, Axxam aims to broaden the services offered to clients by integrating the power of Isogenica’s VHH library, the largest in the market, with Axxam’s portfolio of HTS-ready functional assays and newly developed high-throughput VHH production platform, enabling the automated production, purification and functional characterization of hundreds of VHH. Case study: VHH discovery, automated production and testing against CDK2/CycE1 complex To test the integration of both companies’ services, a joint case study was conducted using CDK2 as a target for VHH selections, production, and testing in biochemical functional assays. CDK2/CycE1 is an important regulator of G1-S cell cycle pathway (Chu et al., 2021), and its impaired function is linked to a variety of cancers, such as ovarian, breast and endometrial tumours. Most notably, overexpression of CycE1 is linked to increased resistance in standard-of-care therapies (Tshemiak et al., 2017; Nakayama et al., 2010; Turner et al., 2019). CDK2 has been considered an important drug target for years and several SMC inhibitors have been developed. However, first-generation inhibitors, like dinaciclib, are not selective against CDK2 and cause important side effects or are characterized by acute toxicity. In recent years, selective CDK2 inhibitors are being studied and are currently in Phase I/II clinical trials, like Pfizer’s PF-07104091 or INX-315 by Incyclix Bio (Yap et al., 2023; Dietrich et al., 2024). However, tumors can develop resistance mechanisms to CDK2 inhibitors, such as by upregulating CycD1 and triggering the CDK4/6 pathway, de facto bypassing the effect of the inhibitor, or by up-regulating CDK2 expression levels so that a higher concentration of inhibitor must be used, thereby increasing the chance of acute toxicity (Taylor-Harding et al., 2014; Gorski et al., 2020). No inhibitors are currently reported that specifically target CDK2/CycE1 complex formation. New modalities to selectively target CDK2 and/or to impair CDK2/CycE1 complex formation in CycE1-overexpressing cancers are needed to overcome such hurdles, and VHH antibodies constitute a valid alternative to SMC inhibitors, given that the intracellular delivery of VHH, such as in the intrabody format (De Genst et al., 2022), is being explored as the next frontier of biological therapeutics. To date, no VHH targeting CDK2 or its complex with CycE1 are reported. The Axxam-Isogenica joint case study constitutes the first attempt to identify and characterize VHH targeting CDK2 activity and its interaction with CycE1. VHH selection campaign against pre-activated CDK2 A high-quality antigen is the cornerstone of any good antibody discovery campaign. Pre-activated CDK2 was expressed and purified by Axxam, undergoing essential QC steps before biotinylation at Isogenica to enable immobilization during selections and screening. Since any biochemical change has the potential to disrupt the antigen structure and impact the antibody selection process, biotinylated CDK2 was re-validated to ensure the antigen had retained its functionality during the biotinylation process. This ensured that the discovered VHH antibodies would be as physiologically relevant as possible. VHH selections were carried out against CDK2 using Isogenica’s LlamdA® and VHHantage™ synthetic libraries under a range of parallel phage display conditions. During this process, the libraries were exposed to CDK2, and hits were enriched through immobilization using the biotin tag. The campaign included both total and specific elution strategies in order to target a range of epitopes. Specific hits were identified by ELISA and sent for DNA sequencing to match the antibody amino acid sequences to the binding data. Figure 1: Selection using VHH antibody libraries. Unlike small molecule libraries where each compound is present in an individual well, Isogenica’s VHH antibody libraries are encoded into DNA, with billions of different VHH sequences in a single tube. The best binders to CDK2 were identified by cycles of binding, washing, and enriching under different parallel conditions, and the identity of each hit is determined by DNA sequencing at the end of the process. Through the selection process, 192 VHH antibodies were identified for testing. These were purified according to Isogenica’s optimised bead-based expression processes, which routinely handle 200-300 samples per day in order to generate sufficient protein for analytical size exclusion chromatography (aSEC), ELISA, cell binding, and other early antibody assays, typically in 96 well format. Since Axxam’s HTS assays take place in 384-1536 format, smaller quantities of protein are needed, and the potential to screen more samples is considerably higher. Then, the challenge became the miniaturisation of both the expression and purification processes. High-Throughput automated VHH purification Whilst VHH selections can be tailored to targeting specific epitopes, address cross-reactivity or bias towards high affinities, addressing functionality during selections is still a limiting factor. In order to overcome that, increasing the number and diversity of hits to be screened in functional assays presents as a reliable strategy. Nevertheless, this leads to the need for production and characterization of higher numbers of VHH in the subsequent phases, constituting a significant technical burden as thousands of VHH have to




