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== Structure and Function ==
== Structure and Function ==
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Pembrolizumab, or Keytruda, is an immunoglobulin G4 (IgG4)-kappa humanized monoclonal antibody against the programmed cell death-1 (PD-1) receptor. It is a very compact molecule with an asymmetrical Y-shape. The short compact hinge region inflicts constraints on the molecule that creates the abnormal crystallizable tail region (Fc domain) compared to other immunoglobulin G (IgG) proteins. The Fc domain is glycosylated at both CH2 domains on each chain and one of them is distinctively rotated 120° compared to other similar structures, making the glycan chain more solvent accessible and facing the solvent. IgG4s have a unique function where they form dynamic bispecific antibodies by exchanging half-molecules (one heavy chain/light chain pair) among themselves, called Fab-arm exchange. This makes the molecule particularly unstable and unpredictable as a treatment, but can be conquered by introducing a serine-to-proline mutation at amino acid 228, which prevents Fab-arm exchange and stabilizes the molecule<ref/http://dx.doi.org/10.1080/17425255.2016.1216976>.
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Pembrolizumab, or Keytruda, is an immunoglobulin G4 (IgG4)-kappa humanized monoclonal antibody against the programmed cell death-1 (PD-1) receptor. It is a very compact molecule with an asymmetrical Y-shape. The short compact hinge region inflicts constraints on the molecule that creates the abnormal crystallizable tail region (Fc domain) compared to other immunoglobulin G (IgG) proteins. The Fc domain is glycosylated at both CH2 domains on each chain and one of them is distinctively rotated 120° compared to other similar structures, making the glycan chain more solvent accessible and facing the solvent. IgG4s have a unique function where they form dynamic bispecific antibodies by exchanging half-molecules (one heavy chain/light chain pair) among themselves, called Fab-arm exchange. This makes the molecule particularly unstable and unpredictable as a treatment, but can be conquered by introducing a serine-to-proline mutation at amino acid 228, which prevents Fab-arm exchange and stabilizes the molecule<ref/1>.
== Pembrolizumab/PD-1 Interaction ==
== Pembrolizumab/PD-1 Interaction ==
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</StructureSection>
</StructureSection>
== References ==
== References ==
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http://dx.doi.org/10.1080/17425255.2016.1216976
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<references/http://dx.doi.org/10.1080/17425255.2016.1216976>
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<references/>
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Revision as of 18:38, 11 November 2016

Pembrolizumab as a Programmed Cell Death-1 Antagonist

Full-Length Crystal Structure of Pembrolizumab

Drag the structure with the mouse to rotate

References

<references/http://dx.doi.org/10.1080/17425255.2016.1216976>

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