Proteolytic release from the cell surface is an essential activation event for many growth factors and cytokines. TNF-α converting enzyme (TACE) is a membrane-bound metalloprotease responsible for solubilizing many pathologically significant membrane substrates and is an attractive therapeutic target for the treatment of cancer and arthritis. Prior attempts to antagonize cell-surface TACE activity have focused on small-molecule inhibition of the metalloprotease active site. Given the highly conserved nature of metalloprotease active sites, this paradigm has failed to produce a truly specific TACE inhibitor and continues to obstruct the clinical investigation of TACE activity. We report the bespoke development of a specific TACE inhibitory human antibody using "two-step" phage display. This approach combines calculated selection conditions with antibody variable-domain exchange to direct individual antibody variable domains to desired epitopes. The resulting "cross-domain" human antibody is a previously undescribed selective TACE antagonist and provides a unique alternative to smallmolecule metalloprotease inhibition.
ADAM17 | antibody phage display | cancer therapeuticsT NF-α converting enzyme (TACE) [a disintegrin and metalloprotease 17 (ADAM17)], is a membrane-bound metalloprotease responsible for cleaving a variety of pathologically significant substrates (1). Initially identified as the enzyme responsible for solubilizing membrane-associated pro-TNF-α (2, 3)-a process subsequently termed "ectodomain shedding," TACE has since proved capable of cleaving epidermal growth factor receptor (EGFR) ligands (4), extracellular Notch1 (5), cell-surface receptors (6), and adhesion molecules (7). As proteolytic cleavage is an indispensable activation event for many of these substrates, TACE has emerged as an attractive therapeutic target for the treatment of cancer (8) and rheumatoid arthritis (9).Preceding the current clinical interest in TACE, members of the related matrix metalloprotease (MMP) family were also considered viable therapeutic targets (10). Despite sound preclinical rational for antagonizing MMPs, early trials of smallmolecule inhibitors (SMIs) failed due to poor inhibitor specificity profiles (11,12). Metalloprotease SMIs exclusively target the catalytic site. This paradigm treats the raw proteolytic capacity of the catalytic site as the only significant target-often with no regard to noncatalytic domains. This catalytic focus forces the selectivity of SMIs to rely exclusively on modest biophysical differences surrounding individual metalloprotease catalytic sites and typically yields inhibitors simply with a bias toward a particular metalloprotease. Macromolecular metalloprotease inhibitors [e.g., tissue inhibitor of metalloproteases (TIMPs) and metalloprotease prodomains] also focus on binding the catalytic site and suffer comparable specificity limitations. The unfortunate simplification of multidomain extracellular proteases to spatially isolated catalytic sites has ignored the potential for noncatal...