Evidence map›Paper›PMID 41193399›Full record

ReviewmAbs2025

From discovery to the clinic: structural insights, engineering options, clinical, and 'next wave' applications of camelid-derived single-domain antibodies.

Andreas Evers, Enrico Guarnera, Lukas Pekar, Stefan Zielonka

Abstract readReview
In one paragraph

Review in mAbs, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Comprehensive Mapping of Immune Nanobody Repertoires with NanoMAP.bioRxiv : the preprint server for biology · 2026
    Article
  10. Article
  11. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Andreas EversAntibody Discovery & Protein Engineering, Merck Healthcare KGaA, Darmstadt, Germany.ORCID 0000-0003-4643-1941
Enrico GuarneraAntibody Discovery & Protein Engineering, Merck Healthcare KGaA, Darmstadt, Germany.ORCID 0000-0002-6780-3313
Lukas PekarAntibody Discovery & Protein Engineering, Merck Healthcare KGaA, Darmstadt, Germany.ORCID 0000-0001-9259-0965
Stefan ZielonkaAntibody Discovery & Protein Engineering, Merck Healthcare KGaA, Darmstadt, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Camelid-derived single domain antibodies (sdAbs), referred to as VHHs (variable domains of the heavy chain of a heavy chain-only antibodies), recently emerged as promising building blocks for the construction of therapeutic molecules. As of October 2025, on a global perspective, five therapeutics harboring VHH-based paratopes have been granted marketing access from different health authorities. VHHs possess several favorable attributes, such as classical antibody-like affinities and specificities, adequate stabilities and a relatively small size (i.e., low molecular weight) as independent paratopes. Moreover, due to the lack of -light chain association, these sdAbs afford the benefit of multiple reformatting options for engineering of bi- and multifunctional antibodies. In this review, we summarize the structural features of VHHs, discuss sequence diversities of sdAb repertoires found in different camelid species commonly used for VHH generation, and describe different platform technologies for the isolation of VHH paratopes and their humanization. Moreover, we briefly review the composition as well as mechanisms of action of marketed VHH-based therapeutics and present novel biological concepts that harness sdAbs as targeting compounds. Finally, we provide an

Indexed as

Protein EngineeringSingle-Domain AntibodiesAnimalsCamelidaeCamelids, New WorldHumansSingle-Domain Antibodiesantibody engineeringbispecific antibodiesheavy chain antibodiesmultispecific antibodysingle domain antibodyVHH

Identifiers

PMID41193399
PMCPMC12591594

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.