SHM is a post-V(D)J recombination process that introduces point mutations in antibody variable regions, primarily in complementarity-determining regions (CDRs) and framework regions (FWRs). These mutations enhance antigen-binding affinity and structural diversity, enabling adaptive immune responses.
SHM is pivotal in generating high-affinity antibodies for diseases like cancer, viral infections, and autoimmune disorders.
Checkpoint Inhibitors: SHM-modified antibodies (e.g., anti-PD-1/PD-L1) enhance immune recognition of tumor cells .
Targeted Delivery: SHM-optimized antibodies conjugate cytotoxic agents to cancer-specific antigens .
HIV-1: SHM at FWR positions 39H and 38L improves neutralizing activity by stabilizing CDRs .
SARS-CoV-2: Low SHM antibodies (e.g., 002-S21F2) achieve broad neutralization via CDR-focused mutations .
Recent studies highlight epistatic interactions between SHMs, where secondary mutations compensate for primary structural changes. For instance:
FWR4 Insertions: Increase aggregation risk in anti-HIV antibodies but improve affinity when paired with Q39H mutations .
CDR vs. FWR Mutations: CDR mutations dominate affinity improvements, while FWR mutations optimize stability and conformation .
Aggregation Risks: FWR mutations may destabilize antibodies, necessitating compensatory SHMs .
Evolutionary Biases: SHM preferentially targets germline-diverse positions, optimizing pathogen-specific responses .
Synthetic SHM: Computational models (e.g., MAGMA-seq) enable prediction of optimal SHM pathways for antibody engineering .