+DEKK refers to four charged substitutions (D:Asp, E:Glu, K:Lys) that were introduced into the Fc domain of the antibody. The general approach followed to develop these modifications and the crystal structure of the DEKK antibody Fc domain (PDB entry [5NSC](https://www.ebi.ac.uk/pdbe/entry/pdb/5nsc){:target="_blank"}) were published in 2017 in the Journal of Biological Chemistry authored by Merus and Utrecht University researchers (De Nardis et al. 2017)*. The article describes, among others, how the [BioExcel](https://www.bioexcel.eu){:target="_blank"} [HADDOCK software](https://bonvinlab.org/software){:target="_blank"} was used, more than 10 years ago, to evaluate a variety of substitutions. HADDOCK was among the tools used by the scientist to develop and assess mutations, using among others HADDOCK to score the various combinations. This led to identification of a number of candidates that potentially favored the asymmetric assemblies of the heavy chains over the symmetric ones. These combinations of variations were then extensively evaluated and characterized by a battery of biochemical and biophysical methods leading ultimately to the the DEKK modifications, which are integrated into BIZENGRI®.
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