The 2.0-Å resolution x-ray crystal structure of a novel trimeric antibody fragment, a ''triabody,'' has been determined. The trimer is made up of polypeptides constructed in a manner identical to that previously described for some ''diabodies'': a V L domain directly fused to the C terminus of a V H domain-i.e., without any linker sequence. The trimer has three Fv heads with the polypeptides arranged in a cyclic, head-to-tail fashion. For the particular structure reported here, the polypeptide was constructed with a V The antigen-binding site in antibodies is formed by the hypervariable loop regions (complementarity-determining regions, CDRs) of V H and V L domain pairs to yield a continuous surface mounted on a rigid scaffold provided by the framework regions of these domains. The ultimate diversity of antigen binding is determined by the structural diversity of this surface. From extensive analysis of structures of antibody fragments, it is clear that there is only a small set of ''canonical'' main-chain loop conformations for five of the six CDRs (1, 2). However, CDR3 of the V H domain, located at the center of the antigenbinding site, has defied attempts at classification due to its large variability in length and sequence, resulting from the junctional diversity generated in somatic V H gene assembly. Furthermore, a range of conformational changes in antigenbinding sites can occur upon antigen binding (3-8). These changes range from minor side-chain adjustments to major rearrangements in the main-chain loop conformations of V H CDR3, as well as to changes in the relative orientation of the V H and V L domains (3). Furthermore, the biphasic kinetics of some antibodies in response to antigen binding suggest that there is conformational heterogeneity even prior to antigen binding (9, 10).A fundamental component of antibody diversity arises from random V H -V L pairings. ''Promiscuous'' V H -V L pairings have also been observed in phage-displayed antibody libraries and have been exploited for affinity maturation in vitro (11) or ''humanizing'' antibodies (12, 13). It has been anticipated that novel V H -V L pairings could influence the conformations of the CDR loops (14). We have determined the structure of an Fv consisting of a V H domain from one antibody paired with a V L domain from an unrelated antibody. This structure shows a large rearrangement of the antigen-binding region of the V H domain and reinforces that the expressed structural diversity is not simply related to the product of the sequence diversity of the V H and V L domains considered independently.An unrelated but important objective of our work was to show that single chain Fv fragments with very short linkers between the V H and V L domains (zero residues in this instance) can form stable trimers. Previously, we described the structure of a dimeric antibody construct known as a ''diabody'' (15). In such a construct V H and V L domains are fused to each other with a linker sequence too short to permit intramolecular pairing of the dom...