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for optimization,[22] and 3) trypanosomes are masters at eluding
the host immune response.[23] Our efforts were focused on
Human African trypanosomiasis (HAT, or sleeping sickness)
caused by T. brucei, because the mechanism of immune eva-
sion relies on the antigenic variation of the variant surface gly-
coprotein coating (VSG) of the parasite, making targeting a par-
ticular challenge.[23]
serving its capacity to interact with the conserved cryptic epi-
topes of T. brucei.
Construction of the drug delivery system
The modular design implies the assembly to the carrier ele-
ment of the modules responsible for therapeutic function and
for the targeting function in order to yield the drug delivery
system. In principle, the order of integration is flexible and is
determined by the features of both drug and targeting ele-
ment. The presence of groups reactive toward VS in the drug
means that the first reaction must involve coupling of VSCD to
the targeting element. Conversely, when the conditions used
to form the drug–CD inclusion complex may distort the func-
tionality of the targeting element (i.e., solvents, temperature,
pH, etc.), inclusion should be carried out as the initial step.
Nitrofurazone (5-nitro-2-furfurylidenesemicarbazone; NF)
was selected as payload. Although it is reported as an anti-
T. cruzi drug,[24] several features attracted our attention: 1) it is
active against T. brucei,[25] 2) it shows higher selectivity and
lower toxicity than Nifurtimox,[26] a classical anti-Chagas drug
currently used in combination therapy against sleeping sick-
ness,[27] and 3) it is expected to be encapsulated by VSCD, as
both hydroxymethylnitrofurazone and nitrofurazone have
been included in b-CD with similar Ka values, and the incorpo-
ration of hydroxymethylnitrofurazone in different substituted
CDs has been reported.[28]
Selection of the targeting element was constrained by the
fact that the antigenic variation of VSG makes T. brucei a diffi-
cult target for antibody-guided carriers, because conserved
epitopes are located at the inner part of the coating, inaccessi-
Coupling of VSCD to cAb-An33 nanobody
The coupling of VSCD to proteins consists of a Michael addi-
tion that involves a nucleophilic attack at the side chains of
Lys, Cys, and His residues by the VS, and the relative abun-
dance of these residues can compromise the regioselectivity of
the process. This issue may not be important for many of the
’-omic’ applications of vinyl sulfone chemistry. However, for
coupling the VSCD to a guidance system, regioselectivity is
crucial because if the linkage takes place at an unsuitable posi-
tion, it may prevent interaction with the target. Analysis of the
nanobody (Nb) structure (PDB code 1YC7) revealed that the re-
active points are three Lys residues, as the four Cys residues
are involved in two disulfide bonds (Figure 1).[31] A closer study
showed that only Lys75 is close enough to the antigen binding
loops to disrupt the interaction with the target, whereas Lys64
and Lys43 are at opposite sides of the molecule. The reactivity
of the Lys residues may be evaluated on the basis of the rela-
tionship between nucleophilic character and degree of proto-
nation (pKa) because amine groups with lower pKa values are
expected to be less protonated and behave as better nucleo-
philes, thus being more reactive.[32] The prediction of pKa gave
a value of ~10 for the three Lys residues, supporting a poor re-
gioselectivity of the reaction between Nb and VSCD. To over-
come such a limitation, the cAb-An33 nanobody was overex-
pressed as a poly-His tag fused protein. The poly-His tag is ex-
pected to act as a strong nucleophilic center, as the theoretical
pKa for His residues is 6.5.[33]
Figure 1. Antibodies and nanbodies. Conventional IgG antibodies consist of
two heavy chains (H) and two light chains (L). The Camelidae family produ-
ces heavy-chain-only antibodies, the variable antigen binding domains
(VHH) of which are termed nanobodies. Vinyl sulfone reactive residues of
the poly-His-tagged cAb-An33 nanobody (at right) are labeled, and areas re-
sponsible for interaction with the antigen are shown in light grey, toward
the top of the structure.
ble for standard antibodies (Figure 1). However, antibody frag-
ments consisting of the variable antigen binding domain of
the Camelid heavy-chain-only antibodies (i.e., nanobodies)
have been demonstrated to target conserved cryptic epi-
topes.[29] Additionally, nanobodies are well overexpressed in
E. coli, are highly soluble in aqueous solution, and show such
robust thermal and conformational stability that they have
been reported to retain significant antigen binding activity
even after incubation at 908C for 2 h.[30] In particular, the cAb-
An33 nanobody was chosen as a targeting element. It recog-
nizes the carbohydrate moiety of VSG, and its structure has
been solved at 1.6 ꢂ resolution, revealing a molecule 2.5 nm in
diameter and 4.4 nm in length.[29,31] Functionalization of the
monoaminocyclodextrin was carried out with DVS, the shortest
bis-vinyl sulfone, in order to minimize the size increase result-
ing from the coupling of VSCD to the nanobody, thereby pre-
To find the best reaction conditions, the poly-His-tagged
cAb-An33 Nb was reacted with VS-functionalized rhodamine B
(VSR).[17h] The reaction was carried out at two pH values and
two Nb/VSR stoichiometries, and the functionality of the cou-
pling was tested by incubation with parasites in vitro. Regard-
less of the stoichiometry, both pH 6 and 7.5 yielded the label-
ing of Nb (Figure 2a). However, a compromise between the
extent of labeling and functionality was found, as strong fluo-
rescence also correlates with multivalent labeling that may
yield nonfunctional Nb. It was found that Nb labeled with VSR
at pH 7.5 and a stoichiometry of 1:25 was fully functional and
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