Divalent (or
bivalent) single-chain variable fragments (di-scFvs, bi-scFvs) can be engineered by linking two scFvs. This can be done by producing a single peptide chain with two VH and two VL regions, yielding
tandem scFvs. Another possibility is the creation of scFvs with linker peptides that are too short for the two variable regions to fold together (about five amino acids), forcing scFvs to dimerize. This type is known as
diabodies. Diabodies have been shown to have
dissociation constants up to 40-fold lower than corresponding scFvs, meaning that they have a much higher
affinity to their target. Consequently, diabody drugs could be dosed much lower than other therapeutic antibodies and are capable of highly specific targeting of tumors
in vivo. Still shorter linkers (one or two amino acids) lead to the formation of trimers, so-called
triabodies or
tribodies.
Tetrabodies have also been produced. They exhibit an even higher affinity to their targets than diabodies. All of these formats can be composed from variable fragments with specificity for two different antigens, in which case they are types of
bispecific antibodies. The furthest developed of these are bispecific tandem di-scFvs, known as
bi-specific T-cell engagers (BiTE antibody constructs). ==Examples==