Anti-LRP5/6 VHHs promote differentiation of Wnt-hypersensitive intestinal stem cells

Nat Commun. 2019 Jan 21;10(1):365. doi: 10.1038/s41467-018-08172-z.

Abstract

Wnt-induced β-catenin-mediated transcription is a driving force for stem cell self-renewal during adult tissue homeostasis. Enhanced Wnt receptor expression due to mutational inactivation of the ubiquitin ligases RNF43/ZNRF3 recently emerged as a leading cause for cancer development. Consequently, targeting canonical Wnt receptors such as LRP5/6 holds great promise for treatment of such cancer subsets. Here, we employ CIS display technology to identify single-domain antibody fragments (VHH) that bind the LRP6 P3E3P4E4 region with nanomolar affinity and strongly inhibit Wnt3/3a-induced β-catenin-mediated transcription in cells, while leaving Wnt1 responses unaffected. Structural analysis reveal that individual VHHs variably employ divergent antigen-binding regions to bind a similar surface in the third β-propeller of LRP5/6, sterically interfering with Wnt3/3a binding. Importantly, anti-LRP5/6 VHHs block the growth of Wnt-hypersensitive Rnf43/Znrf3-mutant intestinal organoids through stem cell exhaustion and collective terminal differentiation. Thus, VHH-mediated targeting of LRP5/6 provides a promising differentiation-inducing strategy for treatment of Wnt-hypersensitive tumors.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Binding Sites
  • Cell Differentiation
  • Cell Line, Tumor
  • Cell Proliferation
  • Crystallography, X-Ray
  • Fibroblasts / cytology
  • Fibroblasts / drug effects
  • Fibroblasts / metabolism
  • Gene Expression Regulation
  • HEK293 Cells
  • Humans
  • Intestine, Small / cytology
  • Intestine, Small / drug effects
  • Intestine, Small / metabolism
  • Low Density Lipoprotein Receptor-Related Protein-5 / antagonists & inhibitors
  • Low Density Lipoprotein Receptor-Related Protein-5 / chemistry*
  • Low Density Lipoprotein Receptor-Related Protein-5 / genetics
  • Low Density Lipoprotein Receptor-Related Protein-5 / metabolism
  • Low Density Lipoprotein Receptor-Related Protein-6 / antagonists & inhibitors
  • Low Density Lipoprotein Receptor-Related Protein-6 / chemistry*
  • Low Density Lipoprotein Receptor-Related Protein-6 / genetics
  • Low Density Lipoprotein Receptor-Related Protein-6 / metabolism
  • Mice
  • Models, Molecular
  • Organoids / cytology
  • Organoids / drug effects*
  • Organoids / metabolism
  • Protein Binding
  • Protein Conformation, beta-Strand
  • Protein Interaction Domains and Motifs
  • Single-Domain Antibodies / chemistry*
  • Single-Domain Antibodies / genetics
  • Single-Domain Antibodies / metabolism
  • Stem Cells / cytology
  • Stem Cells / drug effects*
  • Stem Cells / metabolism
  • Transcription, Genetic
  • Ubiquitin-Protein Ligases / genetics
  • Ubiquitin-Protein Ligases / metabolism
  • Wnt3A Protein / genetics*
  • Wnt3A Protein / metabolism
  • beta Catenin / genetics
  • beta Catenin / metabolism

Substances

  • CTNNB1 protein, mouse
  • Low Density Lipoprotein Receptor-Related Protein-5
  • Low Density Lipoprotein Receptor-Related Protein-6
  • Lrp5 protein, mouse
  • Lrp6 protein, mouse
  • Single-Domain Antibodies
  • Wnt3A Protein
  • Wnt3a protein, mouse
  • beta Catenin
  • RNF43 protein, mouse
  • Ubiquitin-Protein Ligases