Native structure of the monoclonal therapeutic CD20 antibody ocrelizumab

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Abstract

Immunoglobulin G (IgG) is fundamental to adaptive immunity and numerous monoclonal IgGs (monoclonal antibodies (MAbs)) have been developed as therapeutics for various diseases, including ocrelizumab (OMAb), a CD20 MAb used for treating multiple sclerosis, and infliximab (IMAb), a tumor necrosis factor MAb used for treating rheumatoid arthritis and other conditions. Understanding structure-function relationships are essential for understanding the mechanisms of action of IgG MAbs and previous results have shown that IgG has a “closed”, “m”-shaped conformation in native form, which may switch to an “open”, “Y”-shaped conformation upon antigen binding or physico-chemical stress. Supported by immunochemical and biophysical methods and by chemical crosslinking mass spectrometry (XL-MS) we show that both OMAb and IMAb conform to this paradigm. By XL-MS, we identified eighty-five high-confidence cross-links that support the native closed state of OMAb, refining our understanding of IgG architecture. Molecular modeling based on these data further corroborates a compact IgG structure, shielding the Fc domain. This structural insight may increase our understanding of immunoglobulin biology and enhance therapeutic MAb design by optimizing stability and efficacy.

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Chrone, V. G., Jespersen, J. C., Asani, D. C., Trier, N. H., Ray, S., Berthias, F., … Højrup, P. (2025). Native structure of the monoclonal therapeutic CD20 antibody ocrelizumab. Biochimica et Biophysica Acta - Proteins and Proteomics, 1873(5). https://doi.org/10.1016/j.bbapap.2025.141084

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