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TitleCryo-EM elucidates the interaction mechanism of ozoralizumab, a humanized anti-TNFα NANOBODY® compound.
Journal, issue, pagesBiochem Biophys Res Commun, Vol. 816, Page 153572, Year 2026
Publish dateJun 4, 2026
AuthorsMasashi Mima / Kyohei Sato / Takeshi Yokoyama / Chiemi Mishima-Tsumagari / Tatsuya Ohnuki / Yoshikazu Tanaka / Kunihiko Iwamoto /
PubMed AbstractOzoralizumab (OZR) is a next-generation TNF inhibitor composed of two identical humanized anti-TNFα NANOBODY® molecules (TNF30s) recombinantly linked via one humanized anti-human serum albumin (HSA) ...Ozoralizumab (OZR) is a next-generation TNF inhibitor composed of two identical humanized anti-TNFα NANOBODY® molecules (TNF30s) recombinantly linked via one humanized anti-human serum albumin (HSA) NANOBODY® molecule (ALB8) and two peptide linkers. OZR is designed as a unique format to exert potent inhibitory effects against TNFα with long plasma half-life. However, the three-dimensional structure of OZR-TNFα-HSA complex has not yet been elucidated, and a complete understanding of its interaction mechanism with TNFα is yet to be gained. In this study, we successfully observed the formation of the OZR-TNFα-HSA ternary complex by single-particle cryo-electron microscopy. The single-particle analysis revealed that the two TNF30 molecules of OZR simultaneously bind bivalently to TNFα in a 1:1-bivalent binding mode, while the ALB8 molecule binds to HSA, forming a ternary complex. Thus, OZR exhibits a binding mode significantly different from that of other IgG-type TNFα inhibitors. Furthermore, surface plasmon resonance (SPR) analysis demonstrated that the 1:1-bivalent binding mode confers an exceptionally slow dissociation rate, thereby contributing to the potent TNFα-neutralizing activity of OZR. These findings not only lend support to the favorable clinical efficacy of OZR from a structural standpoint but also lay the foundation for the rational design and development of next-generation TNFα inhibitors with enhanced and sustained efficacy.
External linksBiochem Biophys Res Commun / PubMed:41935434
MethodsEM (single particle)
Resolution2.43 - 6.19 Å
Structure data

EMDB-67993, PDB-21tv:
Cryo-EM structure of the TNF-alpha-Ozoralizumab (OZR)-HSA complex
Method: EM (single particle) / Resolution: 6.19 Å

EMDB-67994: TNF-alpha in complex with the TNF-alpha inhibitor Ozoralizumab (OZR)
PDB-21tw: Cryo-EM structure of TNF-alpha in complex with two anti-TNF-alpha nanobodies, TNF30, derived from the TNF-alpha inhibitor Ozoralizumab (OZR)
Method: EM (single particle) / Resolution: 2.43 Å

Source
  • homo sapiens (human)
KeywordsCYTOKINE / NANOBODY / VHH / TNF-alpha / HSA / Ozoralizumab / OZR

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