| CPC C07K 14/4705 (2013.01) [A61P 1/16 (2018.01); C07K 16/24 (2013.01); A61K 38/00 (2013.01); C07K 2317/24 (2013.01); C07K 2317/565 (2013.01); C07K 2319/03 (2013.01)] | 10 Claims |
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1. A liver-specific Wingless-related integration site (Wnt) signal enhancing molecule, or a pharmaceutically acceptable salt thereof, comprising:
(a) a first domain comprising two modified human R-spondin 2 polypeptides, wherein the modified R-spondin 2 polypeptides comprise amino acid substitutions at positions F105 and F109 of SEQ ID NO:48, or fragments thereof comprising the furin 1 and furin 2 domains of the modified human R-spondin 2 polypeptides, wherein the first domain specifically binds one or more-transmembrane E3 ubiquitin ligases, wherein the one or more transmembrane E3 ubiquitin ligases are Zinc and Ring Finger 3 (ZNRF3) and Ring Finger Protein 43 (RNF43); and
(b) a second domain comprising an Immunoglobulin G (IgG) antibody comprising two heavy chain polypeptides and two light chain polypeptides, wherein the heavy chain polypeptides comprise a CDRH1 sequence of SYAMS (SEQ ID NO: 34), a CDRH2 sequence of AISGSGGSTYYAESVKG (SEQ ID NO: 63), and a CDRH3 sequence of DFSSRRWYLEY (SEQ ID NO: 36), and the light chain polypeptides comprise a CDRL1 sequence of QGESLRSYYAS (SEQ ID NO: 37), a CDRL2 sequence of YGKSNRPS (SEQ ID NO: 38), and a CDRL3 sequence of CTSLERIGYLSYV (SEQ ID NO: 39), wherein the second domain specifically binds a tissue-specific cell surface molecule, wherein the tissue specific cell surface molecule is an asialoglycoprotein receptor I (ASGRI),
wherein the first modified human R-spondin 2 polypeptides or fragments thereof of the first domain is fused to the N-terminus of the first heavy chain polypeptides of the second domain, and the second modified human R-spondin 2 polypeptide or fragment thereof of the first domain is fused to the N-terminus of the second heavy chain polypeptide of the second domain.
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