The availability of stable human antibody reagents would be of considerable advantage for research, diagnostic, and therapeutic applications. Unfortunately, antibody variable heavy and light domains (V H and V L ) that mediate the interaction with antigen have the propensity to aggregate. Increasing their aggregation resistance in a general manner has proven to be a difficult and persistent problem, due to the high level of sequence diversity observed in human variable domains and the requirement to maintain antigen binding. Here we outline such an approach. By using phage display we identified specific positions that clustered in the antigen binding site (28, 30-33, 35 in V H and 24, 49-53, 56 in V L ). Introduction of aspartate or glutamate at these positions endowed superior biophysical properties (non-aggregating, well-expressed, and heat-refoldable) onto domains derived from common human germline families (V H 3 and V κ 1). The effects of the mutations were highly positional and independent of sequence diversity at other positions. Moreover, crystal structures of mutant V H and V L domains revealed a surprising degree of structural conservation, indicating compatibility with V H ∕V L pairing and antigen binding. This allowed the retrofitting of existing binders, as highlighted by the development of robust high affinity antibody fragments derived from the breast cancer therapeutic Herceptin. Our results provide a general strategy for the generation of human antibody variable domains with increased aggregation resistance.biotechnology | monoclonal antibodies | protein aggregation | protein engineering | antibody therapeutics P rotein aggregation represents a key bottleneck in the generation of antibody-based reagents and hinders the development and production of human therapeutics (1). It is generally believed that the aggregation propensity of larger antibody reagents (such as immunoglobulin G and Fab) is mostly determined by their variable domain components (V H and V L ), although there is currently little understanding of the mechanisms involved (1, 2). Indeed, significant differences of aggregation rates have been reported for antibodies that differ exclusively in their variable domains (1, 2). Aggregation propensity is even more pronounced for smaller antibody reagents, which lack the interdomain stabilization of their larger counterparts (3, 4). This is a major problem in biotechnology due to an increasing trend toward smaller antibody formats for imaging and tumor targeting applications (4). Common formats include human single chain fragments (scFv) and human single domain antibodies, both of which frequently display poor biophysical properties (1, 3).The aggregation propensity of human variable domains is in marked contrast to the variable heavy domains of camels and llamas, which are generally nonaggregating and soluble ("V HH domains") (5-7). More favorable properties have also been described for "camelized" and other engineered human V H model domains (8-12) but not for human V L domains. Their p...