Inhibition of tumor necrosis factor ␣ (TNF␣) is a favorable way of treating several important diseases such as rheumatoid arthritis, Crohn disease, and psoriasis. Therefore, an extensive range of TNF␣ inhibitory proteins, most of them based upon an antibody scaffold, has been developed and used with variable success as therapeutics. We have developed a novel technology platform using C-type lectins as a vehicle for the creation of novel trimeric therapeutic proteins with increased avidity and unique properties as compared with current protein therapeutics. We chose human TNF␣ as a test target to validate this new technology because of the extensive experience available with protein-based TNF␣ antagonists. Here, we present a novel and highly specific TNF␣ antagonist developed using this technology. Furthermore, we have solved the three-dimensional structure of the antagonist-TNF␣ complex by x-ray crystallography, and this structure is presented here. The structure has given us a unique insight into how the selection procedure works at a molecular level. Surprisingly little change is observed in the C-type lectin-like domain structure outside of the randomized regions, whereas a substantial change is observed within the randomized loops. Thus, the overall integrity of the C-type lectin-like domain is maintained, whereas specificity and binding affinity are changed by the introduction of a number of specific contacts with TNF␣.Tetranectin belongs to the large class of C-type lectins characterized by a common fold known as the C-type lectin-like domain (CTLD) 3 (1). Tetranectin is a homotrimeric human protein found in both plasma and tissue. This protein binds the lysine-binding kringle domains from apolipoprotein A (2), plasminogen (3), and angiostatin (4). Tetranectin is a 60-kDa protein built from a structural unit composed of three identical chains, each with a CTLD domain located C-terminally to a trimerizing coil-coil region (5). The CTLD domains retain their structural integrity as separate protein domains, (6, 7) and, moreover, it was shown that their binding to the known tetranectin ligand, plasminogen kringle-4, exhibits the same thermodynamic parameters, irrespective of whether it was analyzed in the form of free monomeric domains or as tethered domains in the complete homotrimeric protein (3). In addition, the thermodynamic analysis showed that the formation of the trimer led to an apparent 100-fold affinity increase, which most likely is due to the avidity effect caused by the three-fold clustering of CTLD domains in the complete protein. Comparison of ensembles of natural CTLD domains for which the known structure and ligand specificity are known shows that the ligand-binding site can accommodate a diverse range of ligands. We therefore concluded that the tetranectin CTLD might be a useful scaffold for designing novel protein therapeutics. We could change the sequence of loops within the CTLD scaffold in the monomeric version without perturbing the overall structure. Thus, CTLD serves as an efficient s...