Revolutionizing Immunotherapy with Phage Display

Ana Reis, PhD Ana Reis, PhD 8 min read

In the quest to combat diseases like cancer and cardiovascular conditions, the field of immunotherapy has emerged as a promising frontier. Among the arsenal of tools in this field, phage display technology stands out as a groundbreaking technique, revolutionizing the discovery and development of therapeutic antibodies. Let's delve into what phage display is, how it works, and the implications it holds for the future of immunotherapy treatments.

What Is Phage Display?

Ready to sneak a peak at the microscopic world of phage display? Phage display is a molecular biology technique that allows scientists to present peptides or proteins on the surface of bacteriophages (dubbed as phages, for short), which are viruses that infect bacteria. The term finds its etymological roots in a fusion of “bacteria” and the ancient Greek word φαγεῖν, which means “to devour.”

These peptides or proteins effectively act as flags, showcasing various molecules that are displayed on the phage surface, where they can be explored and manipulated. By harnessing this technique, researchers can create what is known as a phage display library – a diverse collection of bacteriophages, each presenting a unique peptide or protein.

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How Does Phage Display Work?

So, how is phage display technology used to produce antibodies? Phage display is like a matchmaking service for molecules. It brings together proteins and their corresponding genetic blueprints. The process of phage display begins by introducing a diverse population of bacteriophages into a system. Each phage in this population displays a different peptide or protein on its surface.

Scientists can then expose this population to a target of interest (of any origin), such as specific tumor cells or endothelial cells found in blood vessels. Phages that bind to the target are retained, while the non-binding phages are washed away. This selection process allows for the isolation of phages that exhibit high affinity for the desired target.

What Are the Advantages of Phage Display?

Phage display technology helps scientists build libraries swiftly, enabling the prompt isolation and identification of precise protein interactions with molecular targets. Additionally, this method streamlines the process of ligand identification for receptors, discovery of enzyme blockers, exploring protein/DNA-protein interactions, screening of cDNA expression, mapping antibody epitopes, engineering antibodies, and designing vaccines.

Phage display also offers numerous advantages over conventional screening methods, boasting simplicity, cost-effectiveness, flexibility, and, notably, the capacity for high-throughput screening.

What Are the Limitations of Phage Display Technology?

Phage display has revolutionized biotechnology and scientific research. However, like any method, it has its limitations:

  • The diversity of the phage library may not always fully represent the complexity of the antibody repertoire in vivo, potentially limiting the diversity of antibodies that can be generated.
  • Antibodies displayed on the surface of phages may not always fold correctly or maintain their stability, leading to the selection of non-functional or poorly functional antibodies. 
  • Phage display requires extensive experimental manipulation and screening, making it labor and time-intensive, especially for large-scale library screening or optimization of antibody properties.
  • In vivo phage display faces challenges such as phage clearance by the immune system. The choice of phage display system and host organism may influence the efficiency and success of antibody generation, and not all organisms are suitable for phage display. 
  • Antibodies generated using phage display may not always recapitulate the in vivo functions or properties of naturally occurring antibodies, limiting their utility in certain applications.

What Are the Applications of Phage Display?

Despite the limitations above, phage display remains a valuable tool for discovering antibodies, peptides, and other molecules with diverse applications in medicine, diagnostics, and biotechnology. 

Let’s explore its various uses and applications:

  • Antibody Selection and Therapeutics: What is the role of phage display in therapeutic antibody discovery? It’s like a matchmaking service for antibodies, connecting them with their ideal targets. Phage display contributes to therapeutic strategies by assembling therapeutic antibodies to fight diseases. For example, four fully human therapeutic antibodies approved for treatments in the US and the UK were developed using phage display. And many more are in the pipeline.
  • Drug Discovery: Phage display libraries contain countless protein outfits. Researchers screen these libraries to find potential drug candidates. Imagine a phage pointing at a protein and saying, “Hey, this one could fight cancer!”
  • B-cell and T-cell Epitope Mapping: Phage display reveals where antibodies love to snuggle up – it helps pinpoint where antibodies bind to proteins. Understanding antigenic epitopes (these binding regions) is crucial for creating potent antibody tools for both research and therapeutic applications, and epitope mapping also plays a vital role in vaccine development by uncovering immune responses.
  • Directed Protein Evolution: Phage display accelerates protein evolution. Scientists can mutate and select phages to improve binding abilities.
  • Diagnostics: In the microscopic battle against pathogens, phage display aids in diagnostics. For instance, during the COVID-19 pandemic, researchers hunt for neutralizing antibodies against SARS-CoV-2 using this technique. It also helps study host-pathogen interaction and aids in situations involving pathogenic bacteria and viruses (e.g., Zika, Ebola, MERS, SARS).
  • Recombinant Antibody Production: Antibody phage display is also widely considered the best approach for producing recombinant antibodies.

Building Blocks of Immunotherapy: Antibodies

Monoclonal antibodies play a crucial role in immunotherapy. These are antibodies that are specifically designed to target a particular antigen, such as those found on tumor cells or pathogens. With phage display, researchers can efficiently identify monoclonal antibodies that bind to specific targets, offering a potent tool for therapeutic applications.

Implications for Future Treatments

Nearly four decades have passed since the inception of phage display. Over the years, advancements in phage display technology have unlocked its potential across a myriad of domains, from groundbreaking immunological and biomedical applications to the creation of innovative materials, and beyond.

The phage display method garners a lot of attention as it holds immense promise for pharmaceutical exploration and therapeutic applications. What lies ahead?

1. Targeted Therapies for Cancer

The common challenges of transporting anti-cancer medications to solid tumors are the physical barriers present within tumors. Phage display has enabled the discovery of therapeutic antibodies that can target cancer cells while sparing healthy tissue. It’s utilized to pinpoint antibody fragments (such as single-chain fragment variable (scFv)) that are ideal for delivering cytotoxic agents directly to tumors.

What Are the Applications of Phage Display Technology in Cancer Immunotherapy?

By screening phage display libraries against various cell types, researchers can identify antibodies that selectively bind to tumorous cell types, paving the way for targeted cancer therapies with fewer side effects. 

Because of their capacity to incorporate foreign (exogenous) genes and showcase foreign peptides on their surface, phages could serve as a potent mechanism for delivering peptides, potentially leading to the development of safe, swift, effective, and low-cost cancer treatment methods.

For example, therapeutic approaches utilizing monoclonal antibodies have attained notable clinical triumphs, emerging as a cornerstone strategy in the treatment of individuals grappling with both hematological malignancies and solid tumors.

2. Cardiovascular Disease Interventions

While initially focused on oncology, phage display could also pave the way for CVD immunotherapeutic agents. In the realm of cardiovascular disease (CVD), it has the potential to identify antibodies that target endothelial cells lining blood vessels and aid serum cholesterol management. These therapeutic antibodies could be utilized to treat conditions such as coronary artery disease, offering a novel approach to intervene in cardiovascular pathologies.

3. Customized Immunotherapies

Phage display technology allows for the generation of antibody fragments with tailored properties. These fragments can be engineered for specific functions, such as enhancing immune cell activation or blocking signaling pathways involved in disease progression. Such customized immunotherapies hold immense promise for addressing a wide range of diseases, from cancer to autoimmune disorders.

Through phage display, the potential arises to replicate and analyze human immune libraries, thereby streamlining the investigation of autoimmune conditions and expanding our comprehension of disease mechanisms. Thanks to it, a plethora of autoimmune disorders have been explored using phage display techniques to this day, opening new avenues for understanding and potential therapeutic interventions.

4. Vaccine Development

In the realm of vaccine development, elements capable of eliciting inflammatory responses via Toll-like receptor (TLR) pathways, such as CpG motifs within the phage genome, are especially intriguing as adjuvants, as they have the potential to provoke robust, antigen-specific immune reactions.

In the context of phage-based vaccination strategies, one method involves presenting a foreign antigen as a fusion protein on the surface of the phage capsid. Another approach entails directly attaching an antigen to the phage surface, bypassing the need for genetic modification of the phage genome.

5. Battling Antibiotic Resistance

Antibiotic resistance poses a significant global health challenge. If novel antibacterial strategies are not swiftly developed, the consequences could be alarming. Phages, natural predators of bacteria, have resurfaced as potential allies in this battle against resistance. Their application in human therapy has gained renewed interest in recent years.

While overshadowed by antibiotics in Western clinical practice, phages have a rich history in human therapy. Their potential lies in the precision targeting of bacteria, making them valuable tools in the fight against antibiotic resistance.

The Future of Immunotherapy: A Bright Horizon

As research in phage display technology continues to advance, the immunotherapy landscape is poised for remarkable transformations. The ability to rapidly isolate antibodies with desired properties from phage display libraries opens many doors. By harnessing its power, scientists are driving innovation in therapeutic interventions, bringing hope to patients battling complex diseases.

Phage display represents a remarkable tool in the arsenal of immunotherapy, offering unparalleled precision in the discovery of therapeutic antibodies. As we unlock the full potential of this technology, we move closer to realizing the promise of personalized medicine and transformative treatments for a myriad of health conditions.

Here at Proteogenix, we are leaders in the field of phage display, equipped to cater to your diverse needs. With our extensive experience and proficiency in various phage display applications, we provide top-tier services tailored to your specific requirements, ensuring exceptional results for your projects. Get in touch today or request a free quote!


Author Author: Ana Reis, PhD

Ana Reis is a scientific content manager at ProteoGenix. She has a PhD degree in biotechnology and a master's degree in science communication. Throughout her academic career, she has co-authored dozens of scientific articles on topics ranging from bioinformatics to chemical engineering.