Akt-specific capture agents, compositions, and methods of using and making

[0003] The early detection of diseases including cancer requires multiplex measurements of key protein biomarkers in biological samples. The availability of high-affinity, highly selective molecular moieties that recognize biomarkers from complex biological mixtures is a critical component for accurate detection of proteins that may Indicate disease.

[0004] Akt mediates signal transduction from the plasma membrane (cytokine receptors, GPCRs) to downstream effector molecules that control cell growth, apoptosis, and translation (Vivanco 2002). Based on Its ability to block apoptosis and thereby promote cell survival, Akt overexpression and/or hyperactivation is implicated in many types of cancer (Altomare 2005). Therefore, Akt provides an attractive target as a biomarker for specific cancer types, as well as a potential therapeutic. Most current biomarker assays utilize antibodies. It is challenging to

CA 2841577 2018-01-18 produce stable antibodies for complex targets. Thus, there is a need In the art for synthetic, stable capture agents that can be used reproduclbly and effectively in bioassays and as a therapeutic treatment.

SUMMARY [0005] Provided herein In certain embodiments are stable, synthetic Akt capture agents that specifically bind Akt. In certain embodiments, these Akt capture agents comprise an anchor ligand, a secondary ligand, and optionally a tertiary ligand. In certain embodiments, these Akt capture agents are triligands comprising an anchor ligand, secondary ligand, and teriary ligand. In certain embodiments, the anchor ligand comprises the peptide sequence Az8VFYRLGY-CONH2. In certain embodiments, the secondary ligand comprises the peptide sequence Pra-FWFLRG-CONH₂. In certain embodiments, the tertiary ligand comprises the peptide sequence Ac-C8-RHERI-CONH₂. In certain embodiments, the linkage between one or more of the anchor ligand, secondary ligand, and tertiary ligand comprises a 1,4-substituted-1,2,3-triazole residue (Tz4). In certain embodiments, the Akt capture agents provided herein have the structure:

Triligand Branch

<img file="CA2841577C_D0001.tif" />

Anchor Ligand

Biligand Branch

CA 2841577 2018-01-18 [0006] In certain embodiments, the Akt capture agents provided herein are stable across a wide range of temperatures, pH’s, storage times, storage conditions, and reaction conditions, and in certain embodiments the capture agents are more stable than a comparable antibody or biologic. In certain embodiments, the capture agents are stable in storage as a lyophilized powder. In certain embodiment, the capture agents are stable in storage at a temperature of about -80°C to about 40®C. In certain embodiments, the capture agents are stable in storage at room temperature. In certain embodiments, the capture agents are stable in human

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WO 2013/0(19869 PCT/LS2012/046253 serum for at least 24 hours. In certain embodiments, the capture agents are stable at a pH in the range of about 3 to about 8.

[0007] In certain embodiments, the capture agents provided herein comprise one or more detectable labels. In certain of these embodiments, the label is copperDOTA. In other embodiments, the detectable label is selected from ^Cu DOTA, ^Ga DOTA, ¹⁸F, ^Cu, ^Ga, æ’Zr, ¹²⁴l, ®®Y, ^Tc,^110mln, ¹¹C and ⁷⁶Br. In other embodiments, the detectable label is selected from ¹²³l,¹³¹1,⁶⁷Ga,¹¹¹ in and ^mTc. In other embodiments, the label is a fluorescent label.

[0008] In certain embodiments, the Akt capture agents provided herein bind to a non-ATP and/or non-peptide substrate binding site of Akt. In certain of these embodiments, the Akt capture agents function as allosteric inhibitors of Akt activity. [0009] In certain embodiments, kits are provided that comprise one or more of the Akt capture agents provided herein. In certain of these embodiments, the kits include instructions for use.

[0010] In certain embodiments, methods are provided for identifying, detecting, quantifying, or separating Akt in a biological sample using the capture agents provided herein. In certain embodiments, these methods are immunoassays where the Akt capture agent is used as a replacement for an antibody or its equivalent. In certain embodiments, the immunoassay is a Western blot, pull-down assay, dot blot, or ELISA.

[0011] In certain embodiments, methods are provided fur diagnosing or classifying a condition associated with increased Akt expression and/or activity in a subject in need thereof using the capture agents provided herein. In certain of these embodiments, the condition is cancer, and the methods are used to diagnose and/or stage the cancer.

[0012] In certain embodiments, methods are provided for treating a condition associated with increased Akt expression and/or activity in a subject in need thereof. In certain embodiments, these methods comprise administering to a subject a therapeutically effective amount of an Akt capture agent as provided herein. In certain embodiments, the condition being treated is cancer. In certain

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WO 2013/0(19869 PCT/LS2012/046253 embodiments, the Akt capture agents provided herein function as immunotherapeutics.

[0013] In certain embodiments, methods are provided for inhibiting Akt activity in vivo or in vitro using an Akt capture agent as provided herein. In certain of these embodiments, the Akt capture agent inhibits Akt activity in an allosteric manner. In certain embodiments, inhibition of Akt activity results in an effective decrease in Akt levels and/or a change in Akt conformation.

[0014] In certain embodiments, the use of one or more Akt capture agents is provided for use in preparing a medicament for treating a condition associated with increased Akt expression and/or activity in a subject in need thereof.

[0015] In certain embodiments, methods are provided for synthesizing the Akt capture agents disclosed herein.

[0016] In certain embodiments, methods are provided for generating a capture agent for a target protein. In certain embodiments, the target protein is a kinase, and in certain of these embodiments the kinase is Akt. In certain embodiments, these methods comprise the following steps:

(a) identifying an anchor ligand by the following steps:

(i) contacting the target protein with one or more target protein inhibitors;

(ii) preparing a first plurality of candidate peptides to select an anchor ligand for the target protein;

(iii) contacting the target protein with the first plurality of candidate peptides;

(iv) selecting a candidate peptide with affinity for the target protein as the anchor ligand, wherein the candidate peptide binds to the target protein outside of an active site; and (v) sequencing the anchor ligand;

(b) identifying a secondary ligand by the following steps:

(i) preparing an anchor ligand selection block comprising the anchor ligand and an azido group or an alkynyl group;

(ii) preparing a second plurality of candidate peptides to select a secondary ligand for the target protein, the second plurality of

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WO 2013/0119869 PCT/LS2012/046253 peptides comprising an azido group or an alkynyl group if the anchor ligand selection block comprises an alkynyl group and azido group respectively;

(iii) contacting the anchor ligand selection block and the second plurality of peptides with the target protein;

(iv) providing a capture agent biligand by forming a disubstituted 1,2,3triazole linkage between the anchor ligand selection block and the secondary ligand wherein the azido and alkynyl group of the anchor ligand selection block and the secondary ligand are brought in close proximity by binding to the target protein;

(v) selecting the capture agent biligand that has an affinity with the target protein; and (vi) sequencing the secondary ligand;

(c) identifying a tertiary ligand and, optionally, additional ligands by the following steps:

(i) preparing a biligand selection block comprising an azido group or an alkynyl group; and (ii) repeating steps (b)(ii) to (b)(vi) using a third plurality, fourth plurality, etc., of candidate peptides until a capture agent having desired binding affinity to the target protein is obtained.

[0017] In certain embodiments, the active site is an ATP or substrate peptide binding site.

[0018] In certain embodiments, methods are provided for evaluating the efficiency and/or selectively of an in situ click reaction between a first and second ligand using QPCR. In certain embodiments, the first ligand is an anchor ligand and the second ligand is a secondary ligand. In other embodiments, the first ligand is a biligand and the second ligand is a tertiary ligand. In certain embodiments, these methods comprise the following steps:

(a) carrying out an in situ click reaction between a soluble biotinylated first ligand and an on-bead second ligand;

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WO 2013/0(19869 PCT/LS2012/046253 (b) removing non-bound first ligand, such that all remaining first ligand is bound to said second ligand to form a ligand complex;

(c) contacting the ligand complex with a streptavidin-oligonucleotide QPCR template;

(d) subjecting the ligand complex-QPCR template to QPCR; and (e) determining the cycle threshold for the QPCR reaction.

[0019] In certain embodiments, the capture agent is stable in storage as a lyophilized powder. In other embodiments, the capture agent is stable in storage at a temperature of about -80^eC to about 40⁹C. In other embodiments, the capture agent is stable in storage at room temperature. In other embodiments the capture agent is stable in human serum for at least 24 hours. In other embodiments the capture agent is stable at a pH in the range of about 3 to about 8. In other the capture agent is labeled with copper-DOTA.

BRIEF DESCRIPTION OF DRAWINGS [0020] Figure 1 : Structure of azido amino acids Az1, Az2, Az4, and Az8.

[0021] Figure 2: General synthesis strategy for the azido amino acids Az1 and Az2.

[0022] Figure 3: Structure of Akt inhibitor Ac7. This inhibitor was found to inhibit Akt-S473E-T308P in an ATP-competitive manner with an ICæ of 90 μΜ.

[0023] Figure 4: Sequences obtained from the initial anchor peptide screen. Antibodies and their dilutions are shown (5G3 = mAb against kinase domain (CST), L32A4 = mAb against phospho-T308 (CST), 2H10 = mAb against C-terminal peptide (CST). Positions with a strong consensus residue(s) are shaded.

[0024] Figure 5: Frequency of amino acids at each position for 22 selected sequences in the initial anchor peptide screen. The frequency of amino acids at each position was tabulated and used to generate a focused library of the form NHs-Aze-XrXs-Xa-X^Xs-GYM-TG where X! = Η, Ε, I, Q, V, G; X₂ = P, F, A, G, Η, T; X₃ = E, D, V, Y; X4 = N, G, D, P, Q, R, T; X_s = R, L, I, T, G, E, D.

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WO 2013/0119869 PCT/LS2012/046253 [0025] Figure 6: Sequences obtained from the anchor peptide screen with focused library. The number of times each sequence appeared is shown to the right. Positions with a strong consensus residue(s) are shaded.

[0026] Figure 7: Anchor peptide selection scheme. The kinase domain of Akt1 (grey) is pre-incubated with the ATP-competitive small molecule inhibitor Ac7 (1). The inhibited kinase is then screened with a comprehensive solid-phase pentamer library with an N-terminal azido-amino acid. The resulting sequences are used to determine the optimal anchor peptide sequence.

[0027] Figure 8: Sequences obtained from the biligand peptide screen with a naïve library. Positions with a strong consensus residue(s) are shaded [0028] Figure 9:5HA-biligand-bio. Structure of biotinylated anchor (biligand) for use in tertiary peptide screen.

[0029] Figure 10: Sequences obtained from the tertiary peptide screen with a naïve library. Positions with a strong consensus residue(s) are shaded [0030] Figure 11 : Sequences obtained from the tertiary peptide screen with a focused library. Positions with a strong consensus residue(s) are shaded. The focused library was of the form: NH₂-Az8-XrX₂-X3-X4-X5-GYM-TG where Xi = A, E, H, K, L, R; X₂ = A, H, K, L, R; X₃ = D, H, K, L, E; X&lt; = D, H, I, K, N, R, S; X_s = F, G, H, I, K.

[0031] Figure 12: Inhibition of Akt1-S473E-T308P by Ac7, Anchor Peptide, and Ac7-peptide Conjugate. Kinase reactions were carried out with 120 μΜ of each compound for 30 minutes at room temperature. The amount of phosphorylated substrate was quantitated by liquid scintillation counting and the % Akt1-S473ET308P activity determined based on the amount of product formed in the control kinase reaction. The values shown are the mean value of three experiments and the error bars are the standard deviation.

[0032] Figure 13: Anchor peptide is not phosphorylated by Akt1-S473E-T308P. Biotinylated peptides were incubated in a standard kinase reaction mixture for 30 min. at room temperature. A portion of the reaction was spotted onto a SAM2 Biotin Capture Membrane (Promega), washed, and analyzed by liquid scintillation counting. The total counts per minute (cpm) are shown for the anchor peptide

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WO 2013/0119869 PCT/LS2012/046253 (VFYRL-Bio(l) and VFYRL-Bio(2)) as well as the standard substrate peptide (BioCrosstide). The number in parentheses identifies the diastereomer based on retention time in RP-HPLC.

[0033] Figure 14: Strategy for Biligand Screens. A comprehensive pentapeptide library is synthesized on TentaGel (yellow circle) and appended with an acetylenecontaining amino acid. This library is incubated with the Akt1 kinase domain (grey) and biotinylated anchor peptide (black). The solid-phase library is probed with an anti-Akt antibody followed by a secondary antibody conjugated to alkaline phosphatase (purple). Hit beads are re-probed with the antibodies alone to eliminate antibody binders. The hit beads are washed, stripped, and re-probed with AlexaFluor647-labelled streptavidin (red) and imaged for fluorescence. The most highly fluorescent beads are sequenced to obtain the biligand candidates. The target screens resulted in hit frequencies between 0.001 %-0.01% of the beads in the naïve library while the product screen validated between 23%-37% of these beads for sequencing.

[0034] Figure 15: Structure of the Akt triligand.

[0035] Figure 16: Determination of on-bead In situ click reaction efficiency. A. The secondary ligand is synthesized on TentaGel (red letters) with an N-terminal propargylglycine and the soluble anchor ligand is appended with a C-terminal biotin (b/ack) and an N-terminal azido-amino acid. These are incubated together under conditions described below. After the reaction is completed, the beads are washed, stripped, and probed with a streptavidin-DNA Conjugate (red) to detect the formation of the triazole. The beads were then subjected to on-bead QPCR. B. QPCR results. The reaction conditions were 1. Akt1 + biotinylated anchor peptide + Bead, 2. Biotinylated anchor peptide + Bead, 3. Bead, and 4) Cul/Ascorbic Acid + biotinylated anchor peptide + Bead. The red bars represent the reaction configuration described in (a); the black bars represent reactions where the anchor peptide is synthesized on bead and the biotinylated secondary peptide is in solution (inverted configuration). The error bars represent standard error. In this experiment, the efficiency of the on-bead in situ click reaction is approximately 10fold higher in the presence of the Akt1 target than in its absence. For comparison,

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WO 2013/0119869 PCT/LS2012/046253 the efficiency Cu(l)-catalyzed click reaction is approximately 4 orders of magnitude higher than the protein-templated reaction. C. Standard curve of SA-template. Each point is the mean Ct of duplicate experiments.

[0036] Figure 17: Structure of fluorescein-biligand.

[0037] Figure 18: Immunofluorescent images of Akt in fixed OVCAR3 cells stained with either a fluorescein-conjugated anti-AKT antibody or a fluorescein-conjugated biligand. Each imaging agent distinguishes cytoplasmic or membrane-bound AKT in unstimulated or EGF-treated cells, respectively.

[0038] Figure 19: Relative affinity of Akt triligand and its components. Akt-S473E was immobilized on Ni-NTA plates and incubated with varying concentrations of biotinylated peptide. All values were normalized to the binding observed at saturation.

[0039] Figure 20: Absolute affinity of the triligand by surface plasmon resonance. For this experiment, the biotinylated triligand was immobilized on a streptavidinderivatized biacore chip and probed with Akt-S473E at concentrations ranging from 9 μΜ to 1 nM. Fits for the sensograms are shown as solid lines and the KD was found to be 200 nM by determination of the kinetic parameters.

[0040] Figure 21 : Specificity of anchor, biligand, and triligand. Biotinylated ligand was immobilized on Streptavidin plates and probed with 25 nM His-tagged kinase followed by anti-Histag antibody-HRP conjugate. Values represent the mean A450 obtained from three experiments after normalization to Akt1 -S473E binding. The error bars show the standard error. Note that although the affinity of the triligand is only marginally improved over the biligand, the selectivity for Akt1 is clearly enhanced.

[0041] Figure 22: Inhibition of Akt1 activity. A. Velocity vs. [Peptide substrate] with varying concentration of inhibitory triligand. B. Velocity vs. [ATP] with varying concentration of inhibitory triligand. In both experiments, the Vmax of Akt1 is decreasing as the [Triligand] increases, evidence that the triligand is not competing with either substrate. The figures below each graph illustrate the conclusion that the triligand was not competitive with respect to either the peptide or ATP binding site.

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WO 2013/0119869 PCT/LS2012/046253 [0042] Figure 23: Determination of Ki’ and inhibition mode for triligand with respect to peptide substrate. A. Plot of 1/K_M(app) vs. [Triligand]. K_M(app) were obtained from nonlinear regression analysis of velocity vs. [Peptide] curves obtained with varied concentrations of triligand (Graphpad). The error bars represent the standard error of K_M(app) by nonlinear regression. 95% confidence intervals are shown as dotted lines. The X-intercept (-Ki’) was found to be 3600 nM. B. Plot of 1/Vmax(app) vs. [Triligand]. Values for V_max(app) and standard error were obtained by nonlinear regression as described above. The X-intercept was found to be 1.7 μΜ. C. Dixon plot of 1/v vs. [Triligand] at various [Peptide]. Data from low peptide concentrations were removed to account for possible substrate depletion. The parallel lines are diagnostic for uncompetitive inhibition with respect to peptide. D. Cornish-Bowden plot of [Peptide]/v vs. [Triligand] at various [Peptide]. The intersection of the lines gives the -Kf. The shape of this plot is diagnostic for uncompetitive inhibition with respect to peptide [0043] Figure 24: Determination of Ki and inhibition mode for triligand with respect to ATP. A. Plot of 1 /KM(app) vs. [Triligand]. Kw(app) were obtained from nonlinear regression analysis of velocity vs. [ATP] curves obtained with varied concentrations of triligand (Graphpad). The error bars represent the standard error of K_M(app) by nonlinear regression. The negative slope of the line was taken as an indication that Km was unchanged during inhibition with the triligand. B. Plot of 1/V_max(app) vs. [Triligand]. Values for Vmax(app) and standard error were obtained by nonlinear regression as described above and 95% confidence intervals are shown as dotted lines. The X-intercept was found to be 5.8 μΜ with wide error range based on the 95% Cl. C. Dixon plot of 1/v vs. [Triligand] at various [ATP]. Data from low ATP concentrations were removed due high counting error resulting from low counts per minute (cpm). The lines converged on a common X-intercept which was used to determine Kj. The shape of plot is consistent with noncompetitive inhibition with respect to ATP.

[0044] Figure 25: Coomassie-stained gel from immunoprecipitation experiment. A representative 12% gel stained with Coomassie and imaged. Lane 1 : Lysate, Lane

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2: Anchor resin, Lane 3: Biligand resin, Lane 4: Triligand resin, Lane 5: 5G3 mAb resin.

[0045] Figure 26: Biotinylated ligands were immobilized on streptavidin agarose and incubated with lysates from OVCAR3 cell lines treated with EGF and insulin (induced) or untreated (control). After 18 hours at 4°C, resins were washed exhaustively, eluted with SDS-PAGE sample buffer, and analyzed by Western blotting. 1. Blank resin, 2. Anchor, 3. Biligand, 4. Triligand, 5. [5G3] mAb, L. lysate. [0046] Figure 27: Biligands were synthesized with 1, 4, and 8 carbon linkers between the anchor peptide and the triazole.

[0047] Figure 28: Biligand linker length variants were titrated against activated Akt-S473E-T308P and activity was measured by immunoblotting and quantitated by densitometry. The n=8 linker clearly yields the biligand with the highest inhibitory potency.

[0048] Figure 29: PCR of single TentaGel beads. PCR was carried out on single beads. Analysis by agarose gel electrophoresis showed a single band at approximately 100 bp.

[0049] Figure 30: Antibody inhibition of triligand affinity. Immobilized anchor, biligand, and triligand were probed with varying concentrations of Akt-S73E. Binding was detected by an anti-Akt1 monoclonal antibody ([2H10]) followed by an anti-mouse secondary antibody-HRP conjugate. The fraction bound was normalized and plotted against the concentration of Akt-S473E on a log scale. The data indicates that as the multiligand size increases, the [2H10] antibody binding is reduced, suggesting that the triligand may have some binding interface overlap with antibody binding at the C-terminus of Akt1.

[0050] Figure 31 : Amino acid sequence of H. sapiens Akt1 (GenBank accession number AAL55732).

[0051] Figure 32: A schematic providing an illustration of one embodiment of epitope targeting.

[0052] Figure 33: A schematic providing an illustration of one embodiment of screening for molecules that bind to the targeted epitope.

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WO 2013/0119869 PCT/LS2012/046253 [0053] Figure 34: A schematic showing synthesis of the metallorganic ligand for binding to the phospho-group on a phosphorylated amino acid residue of a protein, peptide, polypeptide. The azide group and the biotin group are indicated on the Biotin - PEG2 - Az4-Zn₂L structure.

[0054] Figure 35: A schematic showing a screening strategy for developing a capture agent against the epitope of the Akt kinase domain associated with the phosphorylated Serine 474. A. Space filling model showing the relative size of the metallorganic-labeled pS474 group, relative to the rest of the 32-mer fragment. B. The 32-mer polypeptide fragment, corresponding to amino acids 450-481 of Akt2, and with a chemically modified p-S474 group. In this case, (2) and (4) of Figure 1 are the same, and are a single amino acid (phospho-S474), and the label (7) of Figure 1 is included as a biotin group (indicated by the ‘B’) that is part of the phospho-chelating metallorganic ligand. For the screen, this modified polypeptide fragment is incubated with a bead based library of 5-mer peptides. Those peptides are comprised of artificial and non-natural amino acids, and are comprehensive, based upon a basis set of 18 amino acids. Thus, the peptide library contains ~2 million distinct molecules. After incubation, the bead based library is exhaustively washed to remove any free polypeptide material. Only the hit beads have polypeptide bound. Hit beads can be identified via using the biotin label to attach a streptavidin-alkaline phosphatase unit. The alkaline phosphatase enzyme is exposed to its substrate, which generates a precipitate, turning the hit beads turquoise blue. Hhit beads are then separated, and the 5-mer peptide sequences on those hit beads are identified via standard sequencing methods. The initial anchor was extended into a biligand using the same Zn chelator/p-Ser 474 polypeptide complex. Once the consensus biligand had been identified, two separate approaches were used to build a triligand: For the first approach, a nterminal triligand was prepared by modifying the biligand at the n-terminus with an azide and then screening for in situ click hits (using an acetylene-presenting OBOC library), using the whole Akt2 protein as the target/catalyst; For the second approach, a c-terminal triligand was prepared by modifying the biligand at the c

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WO 2013/0(19869 PCT/LS2012/046253 terminus with an azide, and the screening for in situ click hits (using an acetylenepresenting OBOC library) using the whole Akt2 protein as the target/catalyst. [0055] Figure 36 shows the structures of four capture agents targeted against Ser474 of Akt2. A. An anchor ligand, identified from basic epitope targeting screen. B. shows a biligand, C. An n-terminal triligand and D. A c-terminal triligand (TRI GF). E. A dimerized n-terminal triligand. Note: These capture agents are directed to a region near, but not including, p-Ser474. Thus, the phosphorylation status of Ser474 is not relevant to the capture agent (PCC) binding.

[0056] Figure 37 shows selectivity and affinity assays for some of the anti-Ser474 Akt2 PCC composition. All triligand data refers to the n-terminal triligand. A. A bar graph a illustrating epitope selectivity for the anti- Ser474 Akt2 PCC biligand and triligand. The target peptide is the c-terminal 32-mer fragment of Akt2 that contains the p-Ser474 region. The off target peptide is a 32-mer fragment, chosen from a different part of the protein. For the target peptide, a high level of fraction bound is recorded for both the biligand and triligand. This fraction is 5-10-fold higher than what is observed for the off-target peptide. B. A line graph showing results from single component ELISA assays. C. A Western blot of c-terminal 32-mer fragment of Akt2 bound by the monoligand, biligand and triligand.

[0057] Figure 38, at left, a schematic for a standard inhibition assay that tests the influence of the anti-p-Ser474 Akt2 PCCcomposition, as well as the same-sitetargeted commercial antibody, against the kinase activity of Akt. PCC compositions, developed using the epitope targeting strategy, make non-traditional enzyme inhibitors. If Akt2 is activated by phosphorylation of Ser474 then, in that state, it phosphorylates GSK-3a/b. If it is further activated via a steric effect, then it will produce more p-GSK-3a/b. If that same Akt2 is inhibited, then it will produce less p-GSK-3a/b. Thus, the signature of Akt inhibition (or activation) is read out as pGSK-3a/b abundance, relative to the DMSO control. Assays are shown at right in the form of Western Blots. The DMSO column gives the baseline level. The nterminal triligand the biligand, the dimer of the n-terminal triligand, and the commercial monoclonal antibody all activate Akt relative to DMSO. The c-terminal triligand inhibits Akt. The ‘hi’ and ‘low’ blots correspond to long and short

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WO 2013/0(19869 PCT/LS2012/046253 development times, respectively. The Akt2 protein used for the inhibition assay is active Akt2 that is phosphorylated at Thr308, and is at least partially phosphorylated at Ser474, since the antibody for pSer474 detects the pSer474. [0058] Figure 39 shows the design of 33-mer Target Fragment from Akt1 Pleckstrin Homology Domain (a) 3D image of Pleckstrin Homology Domain (first 124 amino acids of Akt1 sequence) highlighting the 33-mer fragment (pink) that was chosen due to its containment of the E17K mutation as well as its folded structure. The E17K mutation is highlighted in blue, and the 119[Pra] in vitro click handle substitution is highlighted in yellow, (b) The 33-mer fragment used for epitope targeting in OBOC screening, (c) The MALDI spectra of the 33-mer fragment as shown in (b).

[0059] Figure 40 shows a screening strategy for anchor ligand determination (a) Preclear: Library beads are incubated with streptavidin - alkaline phosphatase conjugate to remove any library beads that bind to this or the BCIP reagents, (b) Screen: Precleared library beads are incubated with the 33-mer target peptide containing an azide in situ click handle. The fragment catalyzes triazole formation between the alkyne on the 33-mer target and the azide on beads that contain peptide sequences that bind specifically to the 33-mer in a close enough proximity to the alkyne substitution for a click reaction to occur without copper. The unclicked peptide is then stripped from the beads and the remaining covalently attached 33mer is detected by streptavidin - alkaline phosphatase with BCIP development. [0060] Figure 41 shows unsupervised clustering of sequence ligands by amino acid similarity: Hit sequences from the anchor screen were analyzed by ClusterLigand v1.0. Circled clusters indicate regions where a peptide was selected and scaled-up as a possible anchor sequence. The potential anchor sequences that were tested were: dqntr, ypwve, eefef, yleaf and elnhy.

[0061] Figure 42 shows streptavidin-agarose pulldown assays for anchor ligand binding affinity: Streptavidin-agarose was incubated with a panel of potential anchor sequences that were synthesized with biotin tags. These resins were then incubated with either (a) WT or (b) E17K Mutant PHD to measure the amount of pulldown for each potential anchor ligand.

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DETAILED DESCRIPTION OF THE INVENTION [0062] The following description of the invention is merely intended to illustrate various embodiments of the invention. As such, the specific modifications discussed are not to be construed as limitations on the scope of the invention. It will be apparent to one skilled in the art that various equivalents, changes, and modifications may be made without departing from the scope of the invention, and it is understood that such equivalent embodiments are to be included herein. Definitions:

[0063] The term “allosteric” refers to a change in the shape and activity of a protein, (eg.an enzyme), when it binds with a molecule on a region other than its active site. The binding may effect the biological function that is not directly involved in the function (an allosteric effector), or the regulation of an enzyme involving cooperativity between multiple binding sites (allosteric sites). “Allosteric regulation” is the regulation of an enzyme or other protein by binding an effector molecule at a protein's site other than the protein's active site.

[0064] The term “allosteric site” refers to the site on an enzyme molecule that binds with a nonsubstrate molecule, inducing a conformational change that results in an alteration of the affinity of the enzyme for its substrate.

[0065] The term “capture agent” as used herein refers to a composition that comprises one or more target-binding moieties and which specifically binds to a target protein via those target-binding moieties. Each target-binding moiety exhibits binding affinity for the target protein, either individually or in combination with other target-binding moieties. In certain embodiments, each target-binding moiety binds to the target protein via one or more non-covalent interactions, including for example hydrogen bonds, hydrophobic interactions, and van der Waals interactions. A capture agent may comprise one or more organic molecules, including for example polypeptides, peptides, polynucleotides, and other non-polymeric molecules. In some aspects a capture agent is a protein catalyzed capture agent (PCC).

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WO 2013/0119869 PCT/LS2012/046253 [0066] The term “epitope” as used herein refers to a distinct molecular surface of a target protein capable of catalyzing the assembly of a PCC from a library of molecular building blocks. Typically, the epitope is a polypeptide and it can act on its own as a finite sequence of 20-40 amino acids.

[0067] The term “epitope targeting as used herein référés to a process by which an anchor ligand is selected by an epitope-catalyzed process where a synthetic polypeptide epitope presenting a first functional group interacts with a library of possible anchor ligands presenting a second functional group to result in the formation of a covalent linkage between the polypeptide and anchor ligand. The selected anchor ligand displays affinity toward both the polypeptide epitope and the full-length (native) target protein. The polypeptide epitope dictates the sequence and binding site of the anchor ligand, and ultimately the capture agent or PCC.

[0068] The same epitope, now existing as part of the larger protein, can be involved in catalyzing the assembly of a PCC biligand from the previously selected anchor ligand (modified with a second functional group) and a library of molecular building blocks (modified with a first functional group) in a protein-catalyzed process. This protein-catalyzed process can then repeated to assemble a PCC triligand from the previously selected biligand (modified with a third functional group) and a library of molecular building blocks (modified with a fourth functional group).

[0069] The terms polypeptide, peptide, and protein are used interchangeably herein to refer to an amino acid sequence comprising a polymer of amino acid residues. The terms apply to amino acid polymers in which one or more amino acid residues is an artificial chemical mimetic of a corresponding naturally occurring amino acid, as well as to naturally occurring amino acid polymers and non-naturally occurring amino acid polymers.

[0070] The term amino acid refers to naturally occurring and synthetic amino acids, as well as amino acid analogs and amino acid mimetics that function in a manner similar to the naturally occurring amino acids, and isomers thereof. Naturally occurring amino acids are those encoded by the genetic code, as well as those amino acids that are later modified, e.g., hydroxyproline, carboxyglutamate,

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O-phosphoserine, and isomers thereof. The term “amino acid analogs” refers to compounds that have the same basic chemical structure as a naturally occurring amino acid, i.e., a carbon that is bound to a hydrogen, a carboxyl group, an amino group, and an R group, e.g., homoserine, norleucine, methionine sulfoxide, methionine methyl sulfonium. Such analogs have modified R groups (e.g., norleucine) or modified peptide backbones, but retain the same basic chemical structure as a naturally occurring amino acid. The term “amino acid mimetics refers to chemical compounds that have a structure that is different from the general chemical structure of an amino acid, but that functions in a manner similar to a naturally occurring amino acid. Amino acids may be referred to herein by either their commonly known three letter symbols or by the one-letter symbols recommended by the IUPAC-IUB Biochemical Nomenclature Commission. [0071] The terms “specific binding, “selective binding,” “selectively binds, or “specifically binds” as used herein refer to antibody binding to an epitope on a predetermined antigen. Typically, the antibody binds with an affinity (Kd) of approximately less than 10“⁷ M, such as approximately less than 10^-8 Μ, 10’⁹ M or 10^_1° M or even lower.

[0072] The term “K_D” as used herein refers to the dissociation equilibrium constant of a particular antibody-antigen interaction. Typically, the antibodies of the invention bind to ALK with a dissociation equilibrium constant (K_D) of less than approximately 10^-6 Μ, 10^-7 M, such as less than approximately 10^-8 Μ, 10^-9 M or 10“¹° M or even lower, for example, as determined using surface plasmon resonance (SPR) technology in a Biacore instrument using the antigen as the ligand and the antibody as the analyte, and binds to the predetermined antigen with an affinity corresponding to a Kothat is at least ten-fold lower, such as at least 100 fold lower, for instance at least 1000 fold lower, such as at least 10,000 fold lower, for instance at least 100,000 fold lower than its affinity for binding to a non-specific antigen (e.g., BSA, casein) other than the predetermined antigen or a closelyrelated antigen. The amount with which the affinity is lower is dependent on the Kd of the antibody, so that when the Kd of the antibody is very low (that is, the antibody

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WO 2013/0(19869 PCT/LS2012/046253 is highly specific), then the amount with which the affinity for the antigen is lower than the affinity for a non-specific antigen may be at least 10,000 fold.

[0073] The term %” (sec^-1) as used herein refers to the dissociation rate constant of a particular antibody-antigen interaction. Said value is also referred to as the k_offvalue.

[0074] The term %” (M^_1 xsec^-1 ) as used herein refers to the association rate constant of a particular antibody-antigen interaction.

[0075] The term “K_D” (M) as used herein refers to the dissociation equilibrium constant of a particular antibody-antigen interaction.

[0076] The term “K_A” (M^_1) as used herein refers to the association equilibrium constant of a particular antibody-antigen interaction and is obtained by dividing the kg by the k_d.

[0077] The terms treat, treating, or treatment as used herein generally refer to preventing a condition or event, slowing the onset or rate of development of a condition or delaying the occurrence of an event, reducing the risk of developing a condition or experiencing an event, preventing or delaying the development of symptoms associated with a condition or event, reducing or ending symptoms associated with a condition or event, generating a complete or partial regression of a condition, lessening the severity of a condition or event, or some combination thereof.

[0078] A “therapeutically effective amount” as used herein refers to an amount effective, at dosages and for periods of time necessary, to achieve a desired therapeutic result. A therapeutically effective amount of an antibody may vary according to factors such as the disease state, age, sex, and weight of the individual, and the ability of the capture agent to elicit a desired response in the individual.

[0079] The term Akt as used herein refers to any of three isoforms of Akt (Akt1, Akt2, Akt3), a serine/threonine kinase also known in the art as Protein Kinase B. The exemplary Akt triligand capture agent disclosed herein was designed against Akt1. Therefore, in certain embodiments, Akt as used herein refers to a polypeptide having the amino acid sequence of Akt1 set forth in SEQ ID NO:1

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WO 2013/0(19869 PCT/LS2012/046253 (Figure 31) or a portion thereof, such as a kinase domain, an active site, or an epitope.

[0080] The term kinase as used herein refers to a polypeptide or enzyme whose natural activity is to transfer phosphate groups from high-energy donor molecules such as ATP to specific substrates.

[0081] The term antibody as used herein refers to a protein of the kind that is produced by activated B cells after stimulation by an antigen and can bind specifically to the antigen promoting an immune response in biological systems. Full antibodies typically consist of four subunits including two heavy chains and two light chains. The term antibody includes natural and synthetic antibodies, including but not limited to monoclonal antibodies, polyclonal antibodies or fragments thereof. Exemplary antibodies include IgA, IgD, IgGI, lgG2, lgG3, IgM and the like. Exemplary fragments include Fab, Fv, Fab', F(ab')₂ and the like. A monoclonal antibody is an antibody that specifically binds to and is thereby defined as complementary to a single particular spatial and polar organization of another biomolecule which is termed an epitope. In some forms, monoclonal antibodies can also have the same structure. A polyclonal antibody refers to a mixture of different monoclonal antibodies. In some forms, polyclonal antibodies can be a mixture of monoclonal antibodies where at least two of the monoclonal antibodies binding to a different antigenic epitope. The different antigenic epitopes can be on the same target, different targets, or a combination. Antibodies can be prepared by techniques that are well known in the art, such as immunization of a host and collection of sera (polyclonal) or by preparing continuous hybridoma cell lines and collecting the secreted protein (monoclonal).

[0082] The term stable as used herein with regard to a capture agent protein catalyzed capture agent or pharmaceutical formulation thereof refers to the agent or formulation retaining structural and functional integrity for a sufficient period of time to be utilized in the methods described herein.

[0083] The term synthetic as used herein with regard to a protein catalyzed capture agent or capture agent refers to the capture agent has been generated by chemical rather than biological means.

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Development of Akt capture agents:

[0084] Antibodies are currently the default detection agent for use in diagnostic platforms. However, antibodies possess several disadvantages, including high cost, poor stability, and, in many cases, lack of proper characterization and high specificity. The ideal replacement for use in diagnostic assays should be synthetic, stable to a range of thermal and chemical conditions, and display high affinity and specificity for the target of interest.

[0085] A high quality monoclonal antibody possesses low-nanomolar affinity and high target specificity. Interestingly, structural and genetic analyses of the antigen recognition surface have shown that the majority of the molecular diversity of the variable loops is contained in a single highly variable loop (CDR-H3) (Xu 2000). In humans, this loop ranges in size from 1-35 residues (15 on average) (Zemlin 2003), can adopt a wide range of structural conformations (Chothia 1989), and is responsible for most of the interactions with the antigen. The other five loops are significantly less diverse and adopt only a handful of conformations. This suggests that a carefully selected “anchor peptide can dominate the mode and strength of the interaction between a capture agent and its target protein. It also suggests that other peptide components, while providing only modest contributions to the total interaction energy, can supply important scaffolding features and specificity elements.

[0086] In situ click chemistry (Manetsch 2004; Mocharla 2004; Whiting 2006) is a technique in which a small molecule enzymatic inhibitor is separated into two moieties, each of which is then expanded into a small library - one containing acetylene functionalities, and the other containing azide groups. The enzyme itself then assembles the ‘best fit’ inhibitor from these library components by selectively promoting 1,3-dipolar cycloaddition between the acetylene and azide groups to form a triazole linkage (the ‘click’ reaction). The enzyme promotes the click reaction only between those library components that bind to the protein in the right orientation. The resultant inhibitor can exhibit far superior affinity characteristics relative to the initial inhibitor that formed the basis of the two libraries (Jencks 1981 ; Murray 2002).

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WO 2013/0119869 PCT/LS2012/046253 [0087] Sequential in situ click chemistry extends the in situ click chemistry concept to enable the discovery of multiligand capture agents (see: USSN 20100009896, incorporated herein by reference). This process was used previously to produce a triligand capture agent against the model protein carbonic anhydrase II (CAII) (Agnew 2009). Sequential in situ click chemistry has several advantages. First, structural information about the protein target is replaced by the ability to sample a very large chemical space to identify the ligand components of the capture agent. For example, an initial ligand may be identified by screening the protein against a large (> 10⁶ element) one-bead-one-compound (OBOC) (Lam 1991) peptide library, where the peptides themselves may be comprised of natural, non-natural, and/or artificial amino acids. The resultant anchor ligand is then utilized in an in situ click screen, again using a large OBOC library, to identify a biligand binder. A second advantage is that the process can be repeated, so that the biligand is used as an anchor to identity a triligand, and so forth. The final capture agent can then be scaled up using relatively simple and largely automated chemistries, and it can be developed with a label, such as a biotin group, as an intrinsic part of its structure. This approach permits the exploration of branched, cyclic, and linear capture agent architectures. While many strategies for proteindirected multiligand assembly have been described (Shuker 1996; Erlanson 2000), most require detailed structural information on the target to guide the screening strategy, and most (such as the original in situ click approach), are optimized for low-diversity small molecule libraries.

[0088] As disclosed herein, an iterative in situ click chemistry approach was utilized to synthesize a high-specificity branched triligand capture agent that specifically binds Akt. This in situ click chemistry approach utilized two novel screening strategies. First, a pre-inhibited form of Akt was used as a screening target, providing a means for developing an allosteric site inhibitor. Second, the selection process took advantage of the fact that an in situ click screen in which an anchor ligand and protein target are screened against a large OBOC library will selectively generate multiligand products on the hit beads. The efficiency of this process was characterized using a novel quantitative PCR (QPCR) assay to

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WO 2013/0119869 PCT/LS2012/046253 quantitate the amount of on-bead product. This concept was expanded in the form of product screens, in which the presence of on-bead clicked product is taken to be the signature of a hit bead. As shown herein, such a product screen can be utilized to increase both the affinity and/or selectivity of the final multiligand capture agent.

[0089] The triligand Akt capture agents generated by the methods disclosed herein were found to display mid-to-low nanomolar binding affinity, excellent specificity, and low μΜ level inhibitory potency for Akt. The capture agents also exhibited inhibition kinetics consistent with binding to Akt outside of the active site, the result of incorporating target protein pre-inhibition into the anchor ligand selection process. The capture agents were shown to function as both capture and detection agents in ELISA assays, efficiently immunoprecipitate Akt from cell lysates, and label Akt in fixed cancer line cells.

[0090] Based on the results disclosed herein, the present application provides Akt capture agents comprising three Akt binding moieties, as well as methods of using these capture agents to identify, detect, quantify, and separate Akt and to diagnose, classify, and treat various conditions associated with increased Akt expression and/or activity. The present application also provides novel in situ click chemistry methods for generating capture agents that bind outside the active site of a target protein such as a kinase with high affinity and specificity to, as well as methods of assessing the efficiency of multiligand synthesis using a novel QPCR approach. Akt capture agents:

[0091] Provided herein in certain embodiments are triligand Akt capture agents comprising three target-binding moieties. The first target-binding moiety is referred to as an anchor ligand, the second is referred to as a secondary ligand, and the third is referred to as a tertiary ligand. The triligand Akt capture agents provided herein inhibit Akt activity via an allosteric interaction with the non-ATP binding site of ATP.

[0092] In certain embodiments, a target-binding moiety comprises one or more polypeptides or peptides. In certain of these embodiments, a target-binding moiety comprises one or more peptides comprising D-amino acids, L-amino acids, and/or

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PCT/LS2012/046253 amino acids substituted with functional groups selected from the group consisting of substituted and unsubstituted alkyl, substituted and unsubstituted azido, substituted and unsubstituted alkynyl, substituted and unsubstituted biotinyl, substituted and unsubstituted azioalkyl, substituted and unsubstituted polyethyleneglycolyl, and substituted and unsubstituted 1,2,3-triazole.

[0093] In certain embodiments, the anchor ligand and secondary ligand are linked to one another via a covalent linkage to form a capture agent biligand. In certain of these embodiments, the anchor ligand and secondary ligand are linked to one another via an amide bond or a 1,4-disubstituted-1,2,3-triazole linkage as shown below:

1,4-disubstituted-1,2,3-triazole linkage.

[0094] In those embodiments where the anchor and secondary ligands are linked to one another via a 1,4-disubstituted-1,2,3-triazole linkage, the 1,4-disubstituted 1,2,3-triazole linkage may be formed by Cu-Catalyzed Azide/Alkyne Cycloaddition (CuAAC).

[0095] In certain embodiments, the anchor and secondary ligands are linked to one another by a Tz4 linkage having the following structure:

ΉΝΌΗ

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WO 2013/0(19869 PCT/LS2012/046253 [0096] In certain embodiments, the capture agent comprises an 8 carbon linker between the anchor ligand and the triazole. Similarly, in certain embodiments, the capture agent comprises an 8 carbon linker between the tertiary ligand and triazole. [0097] In certain embodiments, the tertiary ligand is linked to the capture agent biligand by a covalent linkage, preferably via the secondary ligand in the biligand. In certain of these embodiments, the tertiary ligand and the biligand are linked to one another by a Tz4 linkage.

[0098] In those embodiments wherein one or more of the anchor, secondary, and tertiary ligands are linked to one another via amide bonds, the amide bond may be formed by coupling a carboxylic acid group and an amine group in the presence of a coupling agent (e.g., O-(7-azabenzotriazol-1-yl)-N,N,N’,N’-tetramethyluronium hexafluorophosphate (HATU), N-hydroxy-7-aza-benzotriazole (HOAt), or diisopropylethylamine (DIEA) in DMF).

[0099] In certain embodiments, the capture agents provided herein comprise the anchor ligand Az8-VFYRLGY-CONH₂.

[00100] In certain embodiments, the capture agents provided herein comprise the secondary ligand Pra-FWFLRG-CONH₂.

[00101] In certain embodiments, the capture agents provided herein comprise the tertiary ligand Ac-C8-RHERI-CONH₂.

[00102] In certain embodiments, the capture agents provided herein have the structure set forth in Figure 15.

[00103] In certain embodiments, the Akt capture agents provided herein bind to Akt outside the active site of the protein, i.e., to a non-ATP and non-peptide substrate binding site.

[00104] In certain embodiments, the capture agents provided herein are stable across a range of reaction conditions and/or storage times. A capture agent that is “stable’’ as used herein maintains the ability to specifically bind to a target protein. In certain embodiments, the capture agents provided herein are more stable than an antibody binding to the same target protein under one or more reaction and/or storage conditions. For example, in certain embodiments the capture agents

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WO 2013/0(19869 PCT/LS2012/046253 provided herein are more resistant to proteolytic degradation than an antibody binding to the same target protein.

[00105] In certain embodiments, the capture agents provided herein have a shelflife of greater than six months, meaning that they are stable in storage for greater than six months. In certain of these embodiments, the capture agents have a shelflife of one year or greater, two years or greater, or more than three years. In certain of these embodiments, the capture agents are stored as a lyophilized powder. In certain embodiments, the capture agents provided herein have a longer shelf-life than an antibody binding to the same target protein.

[00106] In certain embodiments, the capture agents provided herein are stable at temperatures ranging from about -80° to about 120°C. In certain of these embodiments, the capture agents are stable within a temperature range of -80° to 40°C; -40°to -20°C; -20°to 0°C; 0°to 20°C; 20°to 40°C; 40°to 60°C; 60°to 80°C; and/or 80° to 120°C. In certain embodiments, the capture agents provided herein are stable across a wider range of temperatures than an antibody binding to the same target protein, and/or remain stable at a specific temperature for a longer time period than an antibody binding to the same target protein.

[00107] In certain embodiments, the capture agents provided herein are stable at a pH range from about 3.0 to about 8.0. In certain embodiments, the range is about 4.0 to about 7.0. In certain embodiments, the range is about 7.0 to about 8.0. [00108] In certain embodiments, the capture agents provided herein are stable in human serum for more than 12 hours. In certain of these embodiments, the capture agents are stable in human serum for more than 18 hours, more than 24 hours, more than 36 hours, or more than 48 hours. In certain embodiments, the capture agents provided herein are stable for a longer period of time in human serum than an antibody binding to the same target protein.

[00109] In certain embodiments, the capture agents provided herein may comprise one or more detection labels, including for example biotin, copper-1,4,7,10tetraazacyclododecane-1,4,7,10-tetraacetic acid (copper-DOTA), ⁶⁴Cu DOTA, ^œGa DOTA, ¹⁸F, ^Cu, ^Ga, ⁸⁹Zr, ¹²⁴l, ^Y, ^Tc, ¹¹⁰Ίη, ¹¹C, ⁷⁶Br, ¹²³l,¹³¹1, ⁶⁷Ga,¹¹¹ In and ^mTc, or other radiolabeled products that may include gamma emitters, proton

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WO 2013/0(19869 PCT/LS2012/046253 emitters, positron emitters, tritium, or covered tags detectable by other methods (i.e., gadolinium) among others. In certain embodiments, the capture agents may be modified to be used as imaging agents. The imaging agents may be used as diagnostic agents.

[00110] In certain embodiments, the capture agents provided herein may be modified to obtain a desired chemical or biological activity. Examples of desired chemical or biological activities include, without limitation, improved solubility, stability, bioavailability, detectability, or reactivity. Examples of specific modifications that may be introduced to a capture agent include, but are not limited to, cyclizing the capture agent through formation of a disulfide bond; modifying the capture agent with other functional groups or molecules. Similarly, a capture agent may be synthesized to bind to non-canonical or non-biological epitopes on proteins, thereby increasing their versatility. In certain embodiments, the capture agent may be modified by modifying the synthesis blocks of the target-binding moieties before the coupling reaction.

[00111] Provided herein in certain embodiments are pharmaceutical formulations comprising one or more of the capture agents provided herein. In certain embodiments, these pharmaceutical formulations comprise one or more pharmaceutically acceptable carriers, excipients, or diluents. These carriers, excipients, or diluents may be selected based on the intended use and/or route of administration of the formulation.

[00112] Provided herein in certain embodiments are kits comprising one or more of the capture agents disclosed herein. In certain embodiments, these kits may be used for identifying, detecting, quantifying, and/or separating Akt, and in certain of these embodiments the kits may be used in the diagnosis and/or staging of a cancer associated with increased Akt expression and/or activity. In certain embodiments, a kit as provided herein comprises: (a) a substrate comprising an adsorbent thereon, wherein the adsorbent is suitable for binding Akt, and (b) a washing solution or instructions for making a washing solution, wherein the combination of the adsorbent and the washing solution allows detection of Akt. In

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WO 2013/0119869 PCT/LS2012/046253 other embodiments, the kits provided herein may be used in the treatment of a condition associated with increased Akt expression and/or activity.

[00113] In certain embodiments, the kits provided herein may further comprise instructions for suitable operational parameters in the form of a label or a separate insert. For example, the kit may have standard instructions informing a consumer/kit user how to wash the probe after a sample of plasma or other tissue sample is contacted on the probe.

[00114] In certain embodiments, a kit as provided herein comprises (a) one or more Akt capture agents that specifically bind Akt; and (b) a detection reagent. Such kits can be prepared from the materials described herein.

[00115] The kits provided herein may optionally comprise a standard or control information, and/or a control amount of material, so that the test sample can be compared with the control information standard and/or control amount to determine if the test amount of Akt detected in a sample is an amount consistent with a diagnosis of a particular condition.

Methods of using Akt capture agents:

[00116] Provided herein in certain embodiments are methods of using the Akt capture agents disclosed herein to identify, detect, quantify, and/or separate Akt in a biological sample. In certain embodiments, these methods utilize an immunoassay, with the capture agent replacing an antibody or its equivalent In certain embodiments, the immunoassay may be a Western blot, pull-down assay, dot blot, or ELISA.

[00117] A biological sample for use in the methods provided herein may be selected from the group consisting of organs, tissue, bodily fluids, and cells. Where the biological sample is a bodily fluid, the fluid may be selected from the group consisting of blood, serum, plasma, urine, sputum, saliva, stool, spinal fluid, cerebral spinal fluid, lymph fluid, skin secretions, respiratory secretions, intestinal secretions, genitourinary tract secretions, tears, and milk.

[00118] Provided herein in certain embodiments are methods of using the Akt capture agents disclosed herein to diagnose and/or classify (e.g., stage) a condition associated with increased Akt expression and/or activity, including for example

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WO 2013/0(19869 PCT/LS2012/046253 various cancers. In certain of these embodiments, the methods comprise (a) obtaining a biological sample from a subject; (b) measuring the presence or absence of Akt in the sample with the Akt capture agent; (c) comparing the levels of Akt to a predetermined control range for Akt; and (d) diagnosing a condition associated with increased Akt expression based on the difference between Akt levels in the biological sample and the predetermined control.

[00119] Provided herein in certain embodiments are methods of treating a condition associated with increased Akt expression and/or activity in a subject in need thereof by administering a therapeutically effective amount of one or more of the capture agents or pharmaceutical formulations disclosed herein. In certain of these embodiments, the capture agent(s) may be linked to one or more additional therapeutic agents, including for example a chemotherapeutic agent. In preferred embodiments, the capture agent is administered as a pharmaceutical composition. [00120] A capture agent or pharmaceutical formulation may be administered to a patient in need of treatment via any suitable route. Routes of administration may include, for example, parenteral administration (including subcutaneous, intramuscular, intravenous, by means of, for example a drip patch). Further suitable routes of administration include (but are not limited to) oral, rectal, nasal, topical (including buccal and sublingual), infusion, vaginal, intradermal, intraperitoneally, intracranially, intrathecal and epidural administration or administration via oral or nasal inhalation, by means of, for example a nebulizer or inhaler, or by an implant.

[00121] A capture agent or pharmaceutical formulation may also be administered via microspheres, liposomes, other microparticulate delivery systems or sustained release formulations placed in certain tissues including blood. Suitable examples of sustained release carriers include semi-permeable polymer matrices in the form of shared articles, e.g., suppositories or microcapsules. Examples of the techniques and protocols mentioned above and other techniques and protocols which may be used in accordance with the invention can be found in Remington's Pharmaceutical Sciences, 18th edition, Gennaro, A. R., Lippincott Williams &amp; Wilkins; 20th edition (Dec. 15, 2000) ISBN 0-912734-04-3 and Pharmaceutical

Dosage Forms and Drug Delivery Systems; Ansel, N. C. et al. 7th Edition ISBN 0683305-72-7.

[00122] Provided herein In certain embodiments is the use of the capture agents disclosed herein In the preparation of a medicament for treating a condition associated with increased Akt expression and/or activity.

Methods of making/screeninq capture agents:

[00123] Provided herein in certain embodiments are methods of screening targetbinding moleties and/or making capture agents that comprise these target-binding moieties. In certain of these embodiments, the resultant capture agent is a kinase capture agent, and In certain of these embodiments the kinase capture agent is an Akt capture agent.

[00124] The capture agent production methods disclosed herein begin with identification of a short-chain anchor peptide, then proceed by adding additional covalently coupled peptide branches via a process that is promoted by the target protein. The specificity and inhibitory potency of the final multiligand capture agent are augmented by the peripheral peptide branches. The production methods utilize a pre-inhibited form of the target protein for at least one of the screening steps, resulting in the production of a capture agent that functions as an allosteric site inhibitor.

[00125] in certain embodiments, the methods provided herein comprise the following steps:

(a) identifying an anchor ligand by the following steps:

(i) contacting the target protein with one or more target protein inhibitors;

(ii) preparing a first plurality of candidate peptides to select an anchor ligand for the target protein;

(iii) contacting the target protein with the first plurality of candidate peptides;

(iv) selecting a candidate peptide with affinity for the target protein as the anchor ligand, wherein the candidate peptide binds to the target protein outside of an active site; and (v) sequencing the anchor ligand;

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WO 2013/0119869 PCT/LS2012/046253 (b) identifying a secondary ligand by the following steps:

(i) preparing an anchor ligand selection block comprising the anchor ligand and an azido group or an alkynyl group;

(ii) preparing a second plurality of candidate peptides to select a secondary ligand for the target protein, the second plurality of peptides comprising an azido group or an alkynyl group if the anchor ligand selection block comprises an alkynyl group and azido group respectively;

(iii) contacting the anchor ligand selection block and the second plurality of peptides with the target protein;

(iv) providing a capture agent biligand by forming a disubstituted 1,2,3triazole linkage between the anchor ligand selection block and the secondary ligand wherein the azido and alkynyl group of the anchor ligand selection block and the secondary ligand are brought in close proximity by binding to the target protein;

(v) selecting the capture agent biligand that has an affinity with the target protein; and (vi) sequencing the secondary ligand;

(c) identifying a tertiary ligand and, optionally, additional ligands by the following steps:

(i) preparing a biligand selection block comprising an azido group or an alkynyl group; and (ii) repeating steps (b)(ii) to (b)(vi) using a third plurality, fourth plurality, etc., of candidate peptides until a capture agent having desired binding affinity to the target protein is obtained.

[00126] In certain embodiments, one or more of the above steps may be omitted. For example, in certain embodiments a known anchor ligand is used. In these embodiments, step (a) is omitted, and the known anchor ligand is used to identify the secondary ligand in step (b). In those embodiments where the target protein is Akt, the anchor ligand may be Az8-VFYRLGY-CONH₂. In certain embodiments, this anchor ligand may be modified with a C-terminal biotin prior to step (b).

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WO 2013/0119869 PCT/LS2012/046253 [00127] In certain embodiments, steps (b)(ii) to (b)(vi) are repeated one time, resulting in production of a capture agent triligand.

[00128] In certain embodiments, the first, second, and any additional pluralities of candidate peptides comprise a “one bead one compound” (OBOC) peptide library, wherein the peptides comprise 5 to 7 D-amino acid residues and coupled with a Dpropargylglycine at the N-terminus. In certain embodiments, the pluralities of candidate peptides may be different. In other embodiments, one or more of the pluralities may contain the same peptide pool.

[00129] The protocol outlined above utilizes one or more target protein inhibitors in the anchor ligand selection step. In certain embodiments, the target protein inhibitor is an ATP-competitive small molecule. Where the target protein is a kinase, the target protein inhibitor may be a small molecule kinase inhibitor. In those embodiments where the target protein is Akt, the target protein inhibitor may be Ac7. Contacting the target protein with one or more target protein inhibitors blocks catalytic residues on the target protein. This prevents formation of the active site, thus removing it as a thermodynamic sink for peptide binding and enabling the candidate peptides to access novel inhibitory sites on an inactive state of the target. Although the anchor ligand can have low affinity for the target, the nature of how it binds to the target is likely the factor that most influences the rest of the multiligand development process. As set forth in the experimental results below, pre-inhibition was utilized in the development of a novel Akt capture agent, and the resultant capture agents were found to stabilize the kinase against activation. Given the structural conservation of ATP-binding pockets across kinases, and hence the often observed poor selectively of inhibitors targeted to such sites, the approach provided herein for developing off-site inhibitors provides several unique advantages.

[00130] In certain embodiments, the methods provided herein utilize a known anchor ligand. In certain of these embodiments, the anchor ligand is Az8VFYRLGY-CONH₂.

[00131] In certain embodiments, the anchor ligand used for the screening process may be modified with a biotin. For example, the anchor ligand used for the screening process may be Az8-VFYRLGY-Biotin, wherein Biotin is a C-terminal

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WO 2013/0(19869 PCT/LS2012/046253 label. In these embodiments, the screening/preparation process comprises the following steps:

a) contacting Akt with Az8-VFYRLGY-Biotin (“azide-modified Akt capture agent anchor ligand selection block (I)”) to provide an Akt-anchor complex;

b) contacting the Akt-anchor complex with a first plurality of candidate peptides to select a secondary ligand, the peptides coupled with an Lpropargylglycine at its N-terminus;

c) providing an Akt capture agent biligand by forming a disubstituted-1,2,3triazole linkage between the anchor ligand selection block and the secondary ligand, wherein the azido and alkynyl group of the anchor ligand selection block and the secondary ligand are brought in close proximity by binding to the target protein to provide a bead modified with the Akt capture agent biligand;

d) selecting the beads modified with the Akt capture agent biligand;

e) removing the Akt capture agent bi ligands from the beads modified with the Akt capture agent biligand;

f) sequencing the Akt capture agent secondary ligand of the Akt capture agent biligand;

g) preparing the Akt capture agent biligand with a C-terminal biotin and a 5hexynoic acid cap (“azide-modified capture agent biligand selection block (I)'); and

h) repeating the above steps until an Akt capture agent having the desired properties is identified.

[00132] In certain embodiments, methods are provided for synthesizing a capture agent as provided herein. In certain embodiments, these methods comprise:

a) preparing a synthesis block of a target-binding moiety, the synthesis block comprising the target-binding moiety and at least one reactive group that can form a desired linkage with another synthesis block, wherein:

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i) the linkage is selected from the group consisting of amide linkage,

1,4- disubstituted 1,2,3-triazole linkage, and 1,5- disubstituted 1,2,3triazole linkage; and ii) all other active functional groups of the target-binding moiety are protected to avoid undesired reactions; and

b) coupling the synthesis blocks of the target-binding moieties to provide the capture agent.

Methods of assessing in situ click efficiency:

[00133] QPCR is a technique based on PCR that is used to simultaneously amplify and quantify a target DNA molecule. QPCR allows for detection and quantification of one or more specific sequences in a DNA sample. DNA amplification is measured in real time at each cycle of the PCR reaction. Product detection can be accomplished using non-specific fluorescent dyes that intercalate into doublestranded DNA or sequence-specific DNA probes consisting of oligonucleotides labeled with a fluorescent reporter that permit detection only after hybridization of the probe to its complementary DNA target. When the DNA is in the log linear phase of amplification, the amount of fluorescence increases above the background. The point at which fluorescence becomes measurable is the cycle threshold (C_t). The quantity of amplified DNA can be either an absolute number of copies or a relative amount when normalized to DNA input or additional normalizing genes.

[00134] As set forth in the examples below, a novel QPCR assay was used to assess the efficiency and selectivity of the in situ click reaction between the anchor ligand and the secondary ligand of the Akt capture agents. Based on these results, methods are provided herein for assessing in situ click reaction efficiency and selectivity. Since the signal-to-noise ratio of the in situ screen (true hit/false positive) depends on the relative rates of the target-mediated and background reactions, QPCR-guided optimization of screening conditions may significantly increase robustness of the sequential in situ click approach.

[00135] Provided herein in certain embodiments are methods of assessing in situ click efficiency and/or selectively of a first and second ligand using a QPCR assay.

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In certain embodiments, the first ligand is an anchor ligand, and the second ligand is a secondary ligand. In other embodiments, the first ligand is a biligand, and the second ligand is a tertiary ligand. The first ligand is a soluble biotinylated ligand, and the second ligand an on-bead ligand. The in situ click reaction is carried out, resulting in the formation of a ligand complex between the first and second ligand. Non-complexed first ligand is removed, and the ligand complex is contacted with a streptavidin (SA)-oligonucleotide QPCR template. This template binds to the biotinylated first ligand in the complex, resulting in selection of beads containing the ligand complex. The selected beads are subjected to QPCR and cycle threshold determination. In certain embodiments, a standard curve is generated to calculate the amount of ligand complex present on the bead for each reaction condition. In certain embodiments, these methods may be used to evaluate variations in click reaction conditions.

[00136] Methods for Targeting Specific Epitopes [00137] Large biomolecules, such as proteins, can be characterized by a diverse landscape of chemical properties that vary significantly across different parts of the molecule. Specific regions of a biomolecule surface are referred to as epitopes. It is often desirable to develop molecules that bind specifically to one epitope on a protein, but not to other epitopes on that protein, or to other proteins. Monoclonal antibodies, which are biological products, are developed to bind to specific epitopes on specific proteins. However, there is not a good way, using chemical synthesis approaches, to target a particular epitope on a protein, unless that epitope also happens to fit very special criteria - i.e. the epitope contains a small molecule binding pocket, and so provides a unique energy well for attracting small molecule binders, relative to the rest of the protein. The vast majority of protein epitopes do not fit these special criteria. This invention describes an approach that can guide the development of highly specific molecular binders to general classes of protein epitopes.

[00138] An approach for synthesizing molecules that bind to specific parts (epitopes) of large protein biomolecules is described and demonstrated. The

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WO 2013/0119869 PCT/LS2012/046253 invention includes first preparing a peptide or polypeptide fragment of a specific protein. That polypeptide can be site-specifically modified near the region of the epitope of interest, by either substituting one of the naturally occurring amino acids for an artificial amino acid, or the polypeptide fragment is modified after synthesis by chemically altering a specific amino acid. In both cases, the modification results in the presentation of either an acetylene or an azide chemical group near the sitespecific modification. That azide (acetylene) containing fragment is then incubated with a very large molecular library. This library, while typically chemically diverse, is also characterized by the fact that each element contains an acetylene (or, instead, each element contains an azide) group. The incubation can be done under conditions that the modified polypeptide fragment can provide a catalytic scaffold for promoting the covalent coupling between select library elements and the polypeptide fragment. In this embodiment, it promotes this coupling by catalyzing the formation of a triazole linkage that is the reaction product of the acetylene and azide groups. According to several embodiments, the selectivity of this catalyzed process is very high. This means that only a very small fraction of the elements in the molecular library will be coupled. Those elements are identified through analytical techniques, and then tested for binding to the polypeptide fragment, or to the entire protein biomolecule from which the polypeptide fragment was extracted. This approach provides a route towards identifying molecules that selectively bind to the intended epitope of the protein target. Approaches known in the art may then be utilized to increase the selectivity and the affinity of the identified binders, without sacrificing their epitope selective binding characteristics.

[00139] Figure 32 provides an illustration of one embodiment of the epitope targeting process. A protein target (1) is selected. The protein target (1) has a specific epitope (2) that is of interest for developing capture agent molecule that will bind to that location. That epitope may be a specific amino acid residue (2) associated with a particular peptide or polypeptide fragment (3) of the entire protein (1), or it may be a larger region of the protein (1) containing several amino acids. The epitope is located within a region of the protein that is characterized by a known sequence of amino acids (3). An amino acid near (or within) the epitope (4)

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WO 2013/0119869 PCT/LS2012/046253 is identified for either substitution with an artificial amino acid, or some other specific chemical modification to introduce an azide or acetylene group onto that site. A polypeptide fragment (5) of the protein that contains the targeted epitope is synthesized, but with two modifications. First, (4) is either substituted or chemically modified so as to provide an azide or acetylene group. Second, a site on the polypeptide is modified (7) with a label (a fluorophore or biotin group, for example) for use during the screening steps. There are many ways through which this label can be introduced.

[00140] Figure 33 provides an illustration of one embodiment of screening for molecules that bind to the targeted epitope. Part a of Figure 33 shows the polypeptide fragment (5) containing the epitope (2), the substituted or altered amino acid (6), and the label (7) being incubated with a large molecular library (11). In this instance, the library is shown presenting an azide group, which would imply that the polypeptide fragment would present an acetylene group at (6). In this instance, the azide group is at the n-terminus of the molecule, but this is not a requirement. In this instance, the molecular library is also represented as a bead-based library, but this is also not a requirement. Part b of Figure 33 shows that during the incubation step, the polypeptide fragment provides a catalytic scaffold for promoting the covalent coupling of the azide and acetylene groups to form a triazole linkage (12), so that the polypeptide fragment is now covalently bonded to very specific elements of the molecular library. At this point, the molecular library is cleared of all free polypeptide via standard washing steps. Part c of Figure 33 shows that the label on the polypeptide fragment can be utilized to generate a signal (13) that discriminates those elements of the molecular library that are covalently coupled to the polypeptide fragment, from those library elements that are not. Part d of Figure 33 shows that the molecular library elements that are covalently coupled to the peptide (14) can be separated from those library elements that are not (15), and subjected to analysis to identify which molecules are potential binders.

[00141] The result of the steps described in Figures 32 and 33 is the identification of a small number of molecules that potentially are selective binders to the epitope

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WO 2013/0(19869 PCT/LS2012/046253 of interest. These are referred to herein as hits. Those hits, or a representative set of those hits, can then tested in standard biological assays, such as immunoprecipitation assays, for binding to the protein target of interest. If no binders are identified, then there are several options, which can be tested separately, or in combination. Those options include the following. The process described in Figure 33 may be repeated, but with a higher concentration of the modified polypeptide fragment (5) present during the incubation step. The process described in Figure 33 may be repeated, but using a larger (more chemically diverse) molecular library (11). The polypeptide fragment (5) may be modified in a different way in preparation for the screen (Figure 2), and then the steps of Figure 33 repeated.

[00142] If a molecular library of 1 million molecules, designed to span a broad chemical space, is incubated with a -50-100 nM concentration solution of the modified polypeptide fragment (5), under standard blocking conditions to prevent non-selective binding, then that screen will generate about 20-100 hit molecules. Of those hit molecules, a small number (1-10) will be molecules that specifically bind to the epitope of interest. Approaches described in the two above-referenced inventions can then be utilized to increase the affinity and specificity of those epitope specific binders.

[00143] The following examples are provided to better illustrate the claimed invention and are not to be interpreted as limiting the scope of the invention. To the extent that specific materials are mentioned, it is merely for purposes of illustration and is not intended to limit the invention. One skilled in the art may develop equivalent means or reactants without the exercise of inventive capacity and without departing from the scope of the invention.

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WO 2013/0(19869 PCT/LS2012/046253

EXAMPLES

Example 1 : Identification and preparation of Akt capture agents:

[00144] Three different types of screens were utilized in the development of Akt capture agents: target screens, inhibited target screens, and product screens. In the target screen, hit beads are identified by selecting those beads onto which a target protein binds. The inhibited target screen is similar to the target screen in that hits beads are identified by selecting beads onto which a target protein bound. However, the inhibited target screen is carried out in the presence of a small molecule inhibitor. In the product screen, hit beads were identified by the presence of on-bead product. All three screens utilized OBOC peptide libraries.

[00145] Construction of peptide libraries: Randomized peptides were synthesized using standard SPPS protocols either manually or on a Titan 357 automated peptide synthesizer (Aapptec). Libraries were synthesized on TentaGel S (NH₂) (Rapp Polymere). Biotinylated peptides were synthesized on Biotin NovaTag Resin (EMD). Side-chain protected peptides were synthesized on Sieber Amide Resin (Anaspec) while C-terminal amide peptides were synthesized on Rink Amide MBHA resin (Anaspec). The natural Fmoc-L amino acids were purchased from Aapptec and the Fmoc-L-propargylglycine was purchased from (Chem-lmpex).

[00146] Resins were swelled in NMP and deprotected with 20% piperidine. Four equivalents of Fmoc-amino acid (natural L-amino acids and L-propargylglycine), 3.9 equivalents of HATU, and 12 equivalents of DIEA were added (equivalents relative to loading capacity of the resin). Couplings proceeded for 30-45 minutes. Azido amino acids were added at two equivalents relative to the resin loading capacity. The N-termini were acetylated with 20 equivalents of acetic anhydride and 10 equivalents of DIEA. In cases where use of azido amino acids produced a mixture of two diastereomers, the diastereomers were purified as a single product unless otherwise noted.

[00147] Azido amino acids: The structure of the azido amino acids Az1, Az2, Az4, and Az8 are shown in Figure 1.

[00148] Az4 and Az8 synthesis was carried out as described previously (Agnew 2009). The general synthesis strategy for Az1 and Az2 is summarized in Figure 2.

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WO 2013/0(19869 PCT/LS2012/046253 [00149] Az1 was synthesized as described previously (Sun 2007) with modifications. Specifically, triflic anhydride (Tf₂O; 3.00 ml, 17.8 mmol) was added dropwise to a vigorously stirred mixture of NaN₃ (5.76 g, 88.6 mmol) in 15 mL H₂O and 30 mL DCM at 0°C. The resulting mixture was allowed to warm to ambient temperature and stirred for 2 hours. The water layer was extracted with DCM (2 χ 15 mL) and the combined organic layers were washed with saturated aqueous Na₂CO₃ solution (25 mL). Fmoc-Dap-OH (n = 1,2.89 g, 8.86 mmol) dissolved in 80% aqueous acetic acid (26.6 mL) and CuSO₄.5H₂O (0.044 g, 0.18 mmol) in 3 mL H₂O was added. The pH of the solution was adjusted to 9-10 with saturated K₂CO₃solution. TfN₃ (6 mmol) in DCM (15 mL) was added into a mixture of H₂O (45 mL) and methanol (95 mL), and the pH was readjusted to 9-10 with dropwise addition of saturated K₂CO₃ solution. The two-phase system was stirred vigorously for 20 hours. The layers were separated by addition of DCM, the organic layer was washed with water (2 χ 40 mL), and then the combined aqueous phases were acidified with 3 M HCI to pH 2. The aqueous phase was extracted with DCM (4 χ 50 mL) and the combined organic phases were dried over Na₂SO₄, filtered, and concentrated in vacuum to give Fmoc-Az1 as a white solid. ¹H-NMR (400MHz, DMSO-d6): δ 3.60-3.63 (m, 2H), 4.20-4.27 (m, 2H), 4.30-4.35 (m, 2H), 7.32 (t, 2H, J = 7.4 Hz), 7.42 (t, 1H, J= 7.4 Hz), 7.73 (d, 2H, J= 7.4 Hz), 7.89 (d, 2H, J= 7.4 Hz), 7.93 (d, 1H, J= 8.0 Hz), 12.64 (s,1H). ¹³C-NMR (100 MHz, DMSO-d6): δ 46.8, 51.0, 54.0, 66.3,120.5,125.7,127.2, 128.5,140.8,144.6,156.4,171.8.

[00150] Az2 was synthesized in the same manner as Az1, except Fmoc-Dab-OH (n = 2) was used as starting material. ¹H-NMR (400MHz, DMSO-d6): δ 1.80-1.88 (m, 1H), 1.92-2.02 (m, 1H), 3.31-3.38 (m, 1H), 3.41-3.47 (m, 1H), 4.00-4.06 (m, 1H), 4.23 (t, 1H, J= 6.8 Hz), 4.28-4.32 (m, 3H), 7.32 (t, 2H, J= 7.4 Hz), 7.42 (t, 2H, J = 7.4 Hz), 7.64 (d, 1H, J= 7.4 Hz), 7.70 (d, 2H, J= 7.4 Hz). 12.65 (S,1H). ¹³C-NMR (100 MHz, DMSO-d6): δ 31.1, 47.1,48.0, 51.6, 66.6, 120.6, 125.7, 127.5, 128.1, 141.2, 144.2,156.6,173.8.

[00151] Expression and purification of Akt-S473E-T308P target protein: Screening targets for Akt capture agent development were AW1-S473E and Akt1-S473ET308P. Akt1-S473E is a partially active Akt1 kinase domain with an S473E

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WO 2013/0119869 PCT/LS2012/046253 mutation that mimics phosphorylation at the critical S473 residue (Klein 2005). Akt1-S473E-T308P is the fully active kinase phosphorylated at residue T308. These screening targets are readily separated by anion-exchange chromatography, and both showed activity.

[00152] The sequence encoding the N-terminal His6 tag through the C-terminal FLAG tag of the pET28a-PKB expression plasmid (His-APH-PKB-EEE-FLAG, Klein 2005) was amplified by PCR. BamH1 and EcoRl sites were incorporated into the 5’ and 3’ ends of the amplified fragment using the amplification primers AktpVL-FP (forward, 5’-AAGGAGGGATCCATGGGCAGCAGCCAT-3 ) and AktpVL-RP (reverse, 5’-TGGTGTGAATTCTTATCACTTGTCATCGTCATC-3’). The amplified fragment was digested with BamH1 and EcoRl, purified by agarose gel electrophoresis, and added to a pVI1393 insect cell expression vector that was previously digested with BamH1 and EcoRl and dephosphorylated. After transformation and colony screening, successful ligation products were isolated and sequenced using the standard phF and mR sequencing primers. To increase expression, the BamH1 site was oblated and replaced with a Kozak sequence (GCCGCCACCATG) using QuickChange Mutagenesis (forward primer 5’ACCGTCCCACCATCGGGGCCGCCACCATGGGCAGCAGCCAT-3’, reverse primer 5’-ATGGCTGCTGCCCATGGTGGCGGCCCCGATGGTGGGACGGT-3’). The final construct, pVLAKT.2, was given to the Caltech Protein Expression Center for construction of the viral expression vector and expression in Hi5 insect cells according to previously described protocols (Kuman 2001 ; Gao 2005).

[00153] The cell pellet was lysed at 4 °C for 15 minutes in MPER lysis buffer (Thermo) and centrifuged at 14,000 χ g twice to remove cellular debris. The resulting lysate was passed over a 1 mL HisTrap Ni-NTA column and eluted with 10 mL buffer containing 200 mM imidazole. The fractions containing the highest protein concentration were concentrated and desalted using an Amicon Ultracel centrifugal filter device (10000 MWCO, Millipore). The resulting solution was purified by Anion Exchange chromatography as previously described (Klein 2005). [00154] The major product was confirmed to be Akt-S473E by SDS-PAGE and Western blotting with the (2H10) Anti-Akt1 antibody (Cell Signaling Technology). A

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WO 2013/0(19869 PCT/LS2012/046253 single band at 45 kDa was observed corresponding to the expected product (predicted MW = 45860). Analysis by ESI-MS showed peaks at [M+H]⁺ = 45835.0 (minor) and [M+Hf = 45992.0 (major) corresponding to unmodified Akt (S473E) (predicted [M+Hj^iomsotopc = 45832.0) and diphosphorylated Akt (S473E) (predicted [M+H]Monisotopic = 45992.0), respectively. The total yield of AktS473E was approximately 20 mg/mL.

[00155] The minor product obtained from anion-exchange chromatography was analyzed by SDS-PAGE and western blotting with the (L32A4) phospho-Akt antibody (Cell Signaling Technology) and found to be phosphorylated at Thr308 (AW-S473E-T308P).

[00156] The activity of Akt-S473E-T308P was characterized by a [y-³²P]-ATP kinase activity assay measuring the incorporation of ³²P into biotinylated crosstide peptide (Anaspec). Briefly, reactions containing 80 ng of Akt-S473E-T308P, 50 μM Bio-crosstide, and varying concentrations of ATP/[y-³²P]-ATP (specific activity =1.5 mCi/mL). The Km was found to be 120 μΜ and the Vmqx was found to be 2 χ 10⁵pmol phosphate/min/mg in good agreement with previously determined values for this enzyme (Klein 2005).

[00157] Anchor ligand selection: An initial anchor ligand against Akt was identified through the use of a two-part inhibited target screen. The anchor ligand selection process is summarized in Figure 7.

[00158] The OBOC library was synthesized manually, and was of the form NH₂AzX-XXXXX-GYM-TG, where TG is TentaGel resin, X is one of 18 natural L-amino acids (-Cys, -Met), and AzX is one of the three azido amino acids Az2, Az4, and Az8.

[00159] The initial screen was carried out using a naive peptide library having the form NH2-AZX-XXXXX-GYM-TG, where TG is TentaGel resin, X is one of 18 natural L-amino acids (-Cys, -Met), and AzX is one of the three azido amino acids Az2, Az4, and Az8. The peptide library was deprotected, washed in water, and blocked overnight in Akt Blocking Buffer (25 mM Tris-CI (pH = 7.5), 150 mM NaCI, 10 mM MgCL, 0.1% (v/v) β-mercaptoethanol, 0.1% (v/v) Tween-20, and 1 mg/mL BSA. For initial screens with the naïve library, 40 mg of pre-blocked library (~1.14

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WO 2013/0(19869 PCT/LS2012/046253 x 10⁵ sequences) was incubated with AW-S473E-T308P at a final concentration of 21 nM in 1 mL Akt Blocking Buffer. Ac7 (Figure 3) was included at a final concentration of 500 μΜ. The mixture was incubated for 75 minutes at room temperature, at which point the mixture was washed with Akt blocking buffer and incubated with mouse monoclonal antibodies specific for phosphorylated T308 ([L32A4], Cell Signaling Technology) for 60 minutes at room temperature. The beads were washed and incubated with rabbit anti-mouse secondary antibodies (Promega) conjugated with alkaline phosphatase (AP) for 60 minutes at room temperature. The beads were washed in Akt Blocking Buffer, Akt Wash 1 Buffer (25 mM Tris-CI, (pH = 7.5), 10 mM MgCI₂, 750 mM NaCI, 0.1% (v/v) Tween-20), and Akt Wash 2 Buffer (25 mM Tris-CI (pH = 7.5), 10 mM MgCI₂,150 mM NaCI). The beads were developed in Western Blue Alkaline Phosphatase Substrate (Promega). Purple “hit” beads (defined by color change in the presence of 5bromo-4-chloro-3-indolyl-phosphate/nitro blue tétrazolium (BCIP/NBT) substrate) were washed in water, stripped with 7.5 M Guad-CI (pH = 2), and sequenced by Edman Degradation (Figure 4).

[00160] The initial hit sequences defined a focused library which was subjected to an inhibited target screen as described above with 24 mg of focused library in the presence of 500 μΜ Ac7 and 60 nM Akt-S473E-T308P. The mixture was incubated for 75 minutes in Akt blocking buffer, followed by extensive washing in Akt blocking buffer. The L32A4 anti-phospho T308 antibody was added and allowed to bind for one hour at room temperature. After washing, the beads were incubated with antirabbit-AP secondary antibody, washing copiously with Akt binding buffer, Akt Wash 1 Buffer, and Akt Wash 2 Buffer, and developed in the presence of BCIP/NBT. The dark purple beads were sequenced as described above (Figures 5 and 6).

[00161] Candidate sequences were scaled up and tested for their ability to inhibit Akt1-S473E-T308P activity. One of candidate peptide sequences (Az8-VFYRLGYCONH₂) exhibited almost 95% inhibition of Akt1 in the absence and presence of the conjugated small molecule inhibitor (Figure 12). This peptide showed little resemblance to any known Akt1 peptide substrate (Jencks 1981) (e.g., RPRAATF) and was not phosphorylated by Akt in vitro (Figure 13). This peptide was re

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WO 2013/0119869 PCT/LS2012/046253 synthesized as a C-terminal biotinylated peptide and used as the anchor in the biligand screen.

[00162] Biliaand branch selection: The biligand branch was identified through a two-step screening process. The biligand branch selection process is summarized in Figure 14.

[00163] The initial target screen identified potential hits. For this screen, a naïve library of the form NH2-Pra-XXXXX-GM-TG where TG is TentaGel resin, X is one of 18 natural L-amino acids (-Cys, -Met), and Pra is propargylglycine, was synthesized by standard split-mix protocols on a Titan 357 automated peptide synthesizer (Aapptec). The anchor ligand was modified with a C-terminal biotin, and the peptide library was incubated with this biotinylated anchor peptide (90 μΜ) and either Akt-S473E (9 nM) or Akt-S473E-T308P (37 nM) under blocking conditions for 90 minutes or 24 hours at room temperature. Screens using AktS473E were probed with 2H10 mAb (CST), and screens using Akt-S473E/T308P were probed with L32A4. Following incubation with alkaline phosphataseconjugated anti-mouse antibody and development with BCIP/NBT, purple hit beads were stripped overnight, de-colorized in DMF, and re-probed with the primary and secondary antibodies in the absence of target protein. Beads that remained clear were washed and stripped prior to the product screen. The initial target screen resulted in hit frequencies between 0.001 %-0.01% of the beads.

[00164] Following the target screen, a product screen was carried out to identify true hits. The beads were re-blocked in Akt blocking buffer and incubated with streptavidin-Cy5 (Invitrogen) at a concentration of 0.4 pg/mL for 30 minutes at room temperature. The beads were washed exhaustively with Akt blocking buffer, Akt Wash 1 buffer, and dH2O and imaged on an Axon Genepix 4400A scanner (MDS). The product screen validated between 23-37% of the beads identified in the target screen. Beads displaying saturated fluorescence signal in the product screen were sequenced by Edman degradation (Figure 8). The resultant sequences showed a preference for aromatic amino acids in the first three positions. Three candidate peptides were selected for further analysis, and the corresponding biligands were synthesized with the 1,4-triazole using the Cu(l)-catalyzed azide-alkyne

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WO 2013/0(19869 PCT/LS2012/046253 cycloaddition (Tornoe 2002). Two of the three resultant capture agents showed increased binding to Akt1 in immunoprecipitation experiments. The most promising candidate, which comprised the secondary ligand Pra-FWFLRG-CONH₂, was scaled up for additional characterization and for development of the triligand. [00165] Triliaand branch selection: The triligand branch was identified through a product screen.

[00166] Akt biligand was synthesized with a C-terminal biotin and a 5-hexynoic acid at the N-terminus and used as the anchor compound for the tertiary ligand screen (5HA-Biligand-Bio, Figure 9). The anchor ligand VFYRLGY-Bio was synthesized according to standard protocols. Following addition of the C₈N₃ residue, the resin was washed with NMP and set aside (Fmoc-C₈N₃-VFYRLGY-Biotin). In parallel, the secondary ligand (Ac-Pra-FWFLRG-CONH₂) was synthesized on Sieber amide resin and cleaved from the resin with side-chain protecting groups intact (see above). The peptide was purified by RP-HPLC using a dH₂O:CH₃CN gradient with 0.1 % TFA. The product was confirmed by MALDI-TOF. The biligand was assembled on-resin according to the following procedure: 30 mg of resin-bound Fmoc-C8N₃-VFYRLGY-Biotin (14 pmol) was washed and added to 47 pmol protected secondary peptide (Ac-Pra-FWFLRG-CONH₂) in the presence of 47 mM Cu(l), 71 mM L-ascorbic acid, and 20% piperidine. The reaction proceeded for 18 hours at room temperature followed by washing in NMP and copper chelation solution. The N-terminal Fmoc group was removed in 20% piperidine. 110 pmol of 5-hexynoic acid (Sigma), 100 pmol of HATU, and 342 pmol DIEA were added in NMP and the reaction was allowed to proceed at room temperature for 2 hr. After washing with NMP, the 5HA-Biligand-Bio was cleaved from the resin in 95:5:5 TFA:dH₂O:TES and precipitated in diethyl ether. The product was purified by RPHPLC as a mixture of diastereomers and analyzed by MALDI-TOF mass spectrometry (Expected [M+H]= 2450.30, Observed [M+H]⁺ = 2449.12).

[00167] The initial naïve library was the same as in the initial anchor screen. The naïve library (100 mg) was pre-cleared against SA-AP, developed with BCIP/NBT, and the purple beads removed from the pool. The remaining library was stripped overnight, decolorized with NMP, and blocked again with Akt blocking buffer.

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WO 2013/0(19869 PCT/LS2012/046253 [00168] 5HA-Biligand-Bio (30 μΜ) and Akt-S473E (110 nM) were incubated in the presence of the peptide library for 90 minutes at room temperature. The beads were washed as before, probed with SA-AP, and developed in BCIP/NBT, and the purple beads were sequenced by Edman degradation (Figure 10). Results from the naïve library revealed weak consensus for the tertiary peptide, although Az8 was the preferred amino acid at position 1 and positions 2, 3, and 4 showed a propensity for positively charged amino acids.

[00169] A focused library (30 mg) based on the amino acid frequencies in the initial screen was pre-cleared against SA-AP and subjected to a second round of product screening with 5HA-Biligand-Bio (15 μΜ) and Akt-S473E (21 nM) under blocking conditions. After 60 minutes at room temperature, the beads were washed, stripped with SDS wash buffer (25 mM Tris-CI (pH = 7.5), 2% SDS), washed in dH₂O, blocked in Akt blocking buffer, and probed with SA-AP as described above. The beads were developed in the presence of BCIP/NBT and the purple beads sequenced by Edman degradation (Figure 11). A tertiary ligand consensus sequence was identified with positively charged amino acids at positions 2 and 4, negatively charged amino acids at position 3, and hydrophobic amino acids at position 5. From this pool, the tertiary ligand Ac-C8-RHERI-CONH₂ was selected and conjugated to the biligand to form a branched triligand (Figure 15).

Example 2: Quantification of in situ click efficiency:

[00170] Previous work suggests that the in situ reaction is low-yielding relative to the Cu(l) catalyzed process. Therefore, an analytical assay based on ImmunoPCR (Niemeyer 2005) was developed to asses the efficiency and selectivity of the in situ click reaction between the on-bead secondary ligand and the soluble anchor ligand in Example 1. This novel method takes advantage of the exquisite sensitivity and large dynamic range of QPCR. Briefly, variations of the in situ click reaction between the biotinylated anchor ligand and the resin-bound secondary ligand were carried out, and the biotin label was used to attach a streptavidin (SA)oligonucleotide (SA-QPCR template) to only those beads that contains biligand product. Five beads were individually picked (to control for variable beads sizes) and added to each QPCR reaction. The cycle threshold (C_t) was determined for

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WO 2013/0119869 PCT/LS2012/046253 each reaction condition, and a standard curve was used to calculate the amount of biligand present on the bead for each reaction condition (Figure 16).

[00171] SA-oligonucleotide preparation: Streptavidin expression was performed according to previously published protocols (Sano 1990). Briefly, the streptavidincysteine (SAC) gene cloned into the pET-3a plasmid was a generous gift from Dr. Takeshi Sano (Harvard Medical School). Transformed BL21(DE3)-pLysE cells were grown at 37°C with shaking in LB medium and selection antibiotics ampicillin and chloramphenicol. The cells were induced at OD600 = 0.6 with IPTG and kept spinning for another 4 hours. The culture was then centrifuged at 1600g for 10 min and lysed with lysis buffer (2 mM EDTA, 30 mM Tris-HCI, 0.1% Triton X-100, pH 8.0). The insoluble inclusion bodies were then separated from the lysate by centrifugation at 39,000g for 15 min and dissolved in 6 M guanidine-HCI, pH 1.5 to the original culture volume. The SAC lysate was then refolded by dialysis in 0.2 M sodium acetate, 10 mM β-mercaptoethanol β-ΜΕ) pH 6.0 overnight before dialyzed against 50mM Sodium bicarbonate, 500 mM NaCI, 10 mM β-ΜΕ pH 11 in preparation for column purification. Refolded volumes of SAC were mixed 1:1 with binding buffer (50 mM Sodium bicarbonate, 500 mM NaCI, 10mM β-ΜΕ, pH 11). A gravity column packed with 1.5 ml of iminobiotin agarose resin (Pierce) was washed with 10 ml of binding buffer. The refolded mixture was then applied to the column and the eluted fractions were collected and reapplied to the column again, to maximize SAC recovery. After washing the column with 20 ml binding buffer, SAC was eluted with pH 4 elution buffer (50 mM Sodium acetate, 10mM β-ΜΕ). Fractions containing SAC, as monitored by OD280, were collected, buffer exchanged to PBS containing 10 mM β-ΜΕ, and concentrated to 1 mg/ml final concentration using 10K MWCO filters (Millipore).

[00172] Prior to use, stock SAC (streptavidin-cysteine) was buffer exchanged to Tris buffered Saline (TBS) containing 5mM Tris(2-carboxyethyl) phosphine hydrochloride (TCEP) using desalting columns (Pierce). MHPH (3-N-Maleimido-6hydraziniumpyridine hydrochloride, Solulink) in DMF was added to SAC at a molar excess of 300:1. In parallel, SFB in DMF (succinimidyl 4-formylbenzoate, Solulink) was added in a 40:1 molar excess to the 5’ aminated oligonucleotide (5’-NH2

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WO 2013/0119869 PCT/LS2012/046253 (CH₂)₆GGGACAATTACTATTTACAATTACAATGCTCACGTGGTACGAGTTCGTCTCCCA GG-3 ). The mixtures were allowed to react at room temperature for 3-4 hours. Excess MHPH and SFB were removed and samples were buffer exchanged to citrate buffer (50mM sodium citrate, 150 mM NaCI, pH 6.0) using zeba desalting spin columns (Pierce). The SFB-labeled oligonucleotide was then combined in a 20:1 molar excess with the derivatized SAC and allowed to react for 2-3 hours at room temperature before transferring to overnight incubation at 4°C. Unreacted oligonucleotides were removed using a Pharmacia Superdex 200 gel filtration column at 0.5 ml/min isocratic flow of PBS. Fractions containing the SAoligonucleotide conjugates were concentrated using 10K mwco concentration filters (Millipore). The synthesis of SA-oligonucleotide constructs was verified by nonreducing 8%Tris-HCI SDS-PAGE and found to contain 1-2 conjugated oligonucleotides per monomer.

[00173] Prior to QPCR, the SA-oligonucleotide was validated in a conventional PCR reaction with biotinylated TentaGel beads. TentaGel beads were synthesized with either a glycine dipeptide (TG-GG) or a glycine dipeptide with an N-terminal biotin (TG-GG-Bio). The beads were blocked in Akt blocking buffer followed by QPCR Blocking Buffer (0.3% (w/v) BSA, 0.1% (v/v) Tween-20,150 pg/mL sheared salmon sperm DNA (Ambion) in phosphate buffered saline). After 30 minutes the beads were washed and probed with SA-oligonucleotide (0.17 pg/mL) for 60 minutes at room temperature. After washing in QPCR blocking buffer and PBS, single beads were placed in thin-walled PCR tubes. PCR was carried out with Taq polymerase under standard conditions with Forward Primer (5’TAATACGACTCACTATAGGGACAATTACTATTTACAATTACA-3’) and Reverse Primer (5’-ACCGCTGCCAGACCCCGATTTGGCCTGGGAG ACGAACTCG-3’), both at 100 nM. A small sample was removed every 5 cycles and analyzed for product formation by agarose gel electrophoresis (4% gel) (Figure 29).

[00174] Ligand preparation: The secondary peptide (NH2-Pra-FWFLRG) and the anchor peptide (Ac-C8N3-VFYRLGY) were synthesized on TentaGel. 0.45 mg (~1,000 beads) of each were combined with AM-S473E (22 pM) and the

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WO 2013/009869 PCT/LS2012/046253 corresponding biotinylated peptide (200 pM), the biotinylated peptide alone (200 pM), or DMSO. The Cu*-catalyzed click reaction contained 0.45 mg immobilized peptide, the biotinylated peptide (200 μΜ), Cu(l) (9 mM), L-ascorbic acid (30 mM), and Tris[(1 -benzyl-1 H-1,2,3-triazol-4-yl)methyl]amine (TBTA, 4 mM) in a final volume of 50 pl_ 4:1 NMP:dH2O. For immobilized secondary peptide, the corresponding soluble biotinylated peptide was Ac-C8N3-VFYRLGY-Biotin. For immobilized anchor peptide, the corresponding soluble biotinylated peptide was AcPra-FWFLRG-Biotin.

[00175] After incubating the in situ click reactions at 25°C for 18 hours with strong agitation, the beads were removed and washed exhaustively in Akt blocking buffer. The Cu⁺ reactions were washed three times with NMP, ten times in copper chelation solution, three times in NMP, three times in water, and once in Akt blocking buffer. The beads were then stripped in guanidinium-HCI (pH = 2), washed in dH2O, and blocked in QPCR Blocking Buffer for 2 hours (0.3% (w/v) BSA, 0.1% (v/v) Tween-20,150 pg/mL sheared salmon sperm DNA (Ambion) in phosphate buffered saline).

[00176] QPCR assay: Beads were probed with the SA-oligonucleotide at 0.5 pg/mL for 1 hour at room temperature. The beads were washed five times in QPCR Blocking Buffer and three times in PBS. Three sets of five beads for each reaction condition were placed in PCR tubes and subjected to QPCR on an Applied Biosystems 7300.

[00177] For the QPCR, 100 nM of each primer (described above) was added to each reaction along with 1X FastStart Universal SYBER Green Master Mix, ROX (Roche). Each cycle consisted of a denaturation step (94°C for 30 sec), an annealing step (50°C for 45 seconds), and an extension step (72°C for 60 sec). 30 cycles of PCR were carried out and the Ct value for each reaction determined. A titration series of SA-oligo was also carried out in the same experiment (duplicate samples) and used to construct a standard curve. A linear fit of the standard curve was used to relate the observed Ct to the amount of SA-oligonucleotide present in the PCR tube. The following equation was used to obtain the amol SAoligonucleotide present on each bead from the observed Ct in the QPCR reaction:

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WO 2013/0119869 PCT/LS2012/046253 ,(Ct-14.94)

10⁽ -1.378 amol SA — Oligo =--------o

The amount of biligand (amol) of biligand formed on each bead was taken to be the same as the amount of SA-oligo present.

[00178] The click reaction between the two peptides was approximately 10-fold more efficient in the presence of Akt1 than in its absence, confirming the requirement for the target protein to catalyze the click reaction. When the anchor ligand was immobilized and the biotinylated secondary ligand was in solution, the efficiency of the in situ click process was reduced by a factor of four (although still above background level), suggesting that the in situ click reaction observed in the screen is dependent on the identity of the on-bead peptide and the manner in which is displayed (i.e., on-bead or in solution). The copper-catalyzed click reaction did not display any orientation dependence, providing further evidence that the click reaction observed in the screening process is highly target-dependent.

Example 3: Role of linker length between biliqand components:

[00179] Enzymatic studies were performed to evaluate the role of linker length between biligand components. For this analysis, three biligand variants were synthesized with 1,4, and 8 carbon linkers between the anchor peptide and the triazole (Figure 27).

[00180] The anchor peptide was synthesized on 150 mg scale on Rink amide MBHA resin and appended with one of three azido amino acids with 1,4, or 8 methylene units between the Ca carbon and side chain azide (Az1, Az4, and Az8; Figure 1). Following acylation of the N-terminus with acetic anhydride, the resin was resuspended in NMP. The secondary ligand (Ac-Pra-FWFLRG-CONH₂) was synthesized on 300 mg scale on Sieber amide resin. The peptide was cleaved by adding 4.5 mL 2% TFA in CH₂CI₂ and incubating for 5 minutes. The TFA was quenched by filtration into 225 pL DIE A. The cleavage was repeated five times, the filtrates were combined, and the solvent removed by rotary evaporation. The protected secondary peptide was the purified by C18 RP-HPLC with a dH₂O:CH₃CN (0.1% TFA) gradient.

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WO 2013/0(19869 PCT/LS2012/046253 [00181] The biligand variants were synthesized by combining 12 mg of anchor peptide on Rink MBHA resin (~ 8 pmol azide) with 24 .urnol side-chain protected secondary peptide in the presence of 40 mM Cui, 60 mM L-ascorbic acid, and 20% piperidine. The reaction proceeded for 6 hr at room temperature with agitation. The copper was removed by exhaustive washing with copper chelation solution (22 mM sodium dithylthio carbamate (trihydrate), 29 mM DIEA, in DMF) followed by NMP. The biligands were cleaved from the resin in 95:5:5 TFA:H₂O:TES, precipitated in diethyl ether, and purified by C18 RP-HPLC with a dH₂O:CH₃CN (0.1% TFA) gradient. MALDI-TOF MS: Bi-C(N=1): Expected [M+H]⁺ = 2031.04, Observed [M+H]- = 2029.66. Bi-(N=4) : Expected [M+H]⁺ = 2073.09, Observed [M+H]⁺ = 2070.05. Bi-(N=8): Expected [M+H]⁺ = 2129.15, Observed [M+H]⁺ = 2125.73. [00182] Biligand linker length variants were evaluated for their ability to inhibit Akt. 0.5 μ!_ of biligand dilution in DMSO or DMSO alone was added to a 20 μ!_ reaction containing 400 ng Akt-S473E-T308P, 200 ng of GST-GSK-3a/p crosstide fusion protein (Cell Signaling Technology), 500 μΜ ATP, 25 μΜ Tris-CI (pH=7.5), 10 mM MgCI₂,1 mM DTT, 0.01% Triton X-100,1X Complete protease inhibitors (-EDTA, Roche), 1X PhosStop phosphatase inhibitors (Roche). Reactions proceeded at 30Ό for 30 minutes and were quenched with kinase quenching buffer (500 mM DTT in 20% SDS). 2 μι of each quenched reaction was spotted onto nitrocellulose and the dot blot was blocked with 5% non-fat milk for 1 hour. The blot was probed with rabbit anti-phospho GSK-3 α/β (Ser21/9) mAb (37F11, Cell Signaling Technology) at a 1:1000 dilution overnight at 4 °C. The blot was washed and probed with anti-rabbit-HRP secondary antibody at a 1:500 dilution. The blots were developed with Pico West Dura ECL substrate (Thermo) and imaged on film. The image was scanned and each spot was quantitated by densitometry using ImageJ. The total density of was normalized to the density of spots where no inhibitor was added to generate a % pAkt Activity value which was plotted against the log [compound] in GraphPad Prism. In the case of n = 4 and n = 8, the plotted activity was the average of the observed activity for the two diastereomers.

[00183] Analysis of the Akt inhibition results indicated a strong preference for the 8 carbon linker that was originally used to develop the biligand (Figure 28). This

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WO 2013/0(19869 PCT/LS2012/046253 suggests that hit sequences arising from the biligand screen were determined not only by the target protein and the soluble anchor peptide, but also from the relative spacing between the azide and acetylene functionalities in each component. Example 4: Characterization of Akt capture agents:

[00184] Binding affinity: The affinity of the anchor ligand, biligand, and triligand developed in Example 1 was determined by ELISA with immobilized Akt-S473E. [00185] 5HA-Biligand-Bio was assembled and purified as described above. The tertiary ligand (Ac-C8N₃-RHERI-CONH₂) was synthesized on Rink Amide MBHA resin as described above. Purification by RP-HPLC gave the desired product (MALDI-TOF: Expected [M+H]⁺ = 961.57, Observed [M+H]⁺ = 961.43). The triligand was assembled by combining 544 nmol 5HA-Biligand-Bio with 1.09 pmol AC-C8N3-RHERI-CONH2 in the presence of 600 nmol TBTA, 10 mM Cui, and 30 mM L-ascorbic acid in 4:1 NMP:dH₂O. The reaction proceeded for 18 hours at room temperature with agitation. The desired product was purified by RP-HPLC as a mixture of diastereomers and analyzed by MALDI-TOF MS (Expected [M+H]* = 3410.88, Observed [M+H]⁺ = 3408.96.

[00186] 3 pg of AW-S473E was added to each well in a HisSorb Ni-NTA plate (Qiagen) in 50 pL of ELISA blocking buffer (25 mM Tris-CI (pH = 7.5), 150 mM NaCI, 10 mM MgCI₂, 0.1% (v/v) Tween-20, and 4 mg/mL BSA). 50 pL of imidazole blocking buffer (25 mM Tris-CI (pH = 7.5), 150 mM NaCI, 10 mM MgCI₂, 0.1% (v/v) Tween-20,100 mM imidazole, and 4 mg/mL BSA) was added to the control wells. After 18 hours at 4°C, the wells were washed with ELISA blocking buffer and 50 pL of each ligand dilution was added in ELISA blocking buffer. The ligands were bound at 4°C for 120 minutes followed by three washed in ELISA blocking buffer. 50 pL of horseradish peroxidase-conjugated streptavidin (SA-HRP, Thermo) was added (1:5000 dilution in ELISA blocking buffer) and incubated for 70 minutes at 4°C. The wells were washed three times in TBST (Tris-buffered saline 4· 0.2% Tween-20) and once in TBS (Tris-buffered saline). 50 pL of peroxidase substrate (KPL) was added to generate the final signal which was quenched in 1 M H₂SO₄and quantitated on a 96-well plate reader at λ = 450 nm. The Net A450 was

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WO 2013/0(19869 PCT/LS2012/046253 calculated by subtracting the A450 of each blank well (No Akt-S473E) from the experimental well. The data were fit by non-linear regression in GraphPad Prism. [00187] The binding affinity of the anchor ligand for Akt (>25 μΜ) made it unsuitable as a stand-alone agent for high-sensitivity capture of Akt. The biligand showed a >100-fold improvement in its affinity for Akt relative to the anchor peptide, while the triligand showed only a modest affinity gain (2-3 fold) (Figure 19). [00188] Triligand binding affinity was further analyzed by SPR using a Biacore T100. A Streptavidin Chip (Series S, G.E. Healthcare) was conditioned as recommended by the manufacturer. Biotinylated ligand was diluted into HBSP+ Buffer (G.E. Healthcare) to a final concentration of 100 nM and 137 RU was immobilized on the chip. Akt1-S473E was prepared as described previously and subjected to buffer exchange into HBSP+ using Zeba Desalting Columns (Pierce). Serial dilutions of the enzyme were made in HBSP+ buffer (9000 nM to 1 nM) and flowed over the chip at 50 pL/minute. Binding and dissociation were carried out at 10°C with a contact time of 360 seconds, a dissociation time of 400 seconds, and a stabilization time of 200 seconds. The response was corrected using an unmodified reference flow cell. Kinetic constants were obtained from the sensograms and used to calculate the dissociation constant. Analysis confirmed that the triligand has mid- to low-nanomolar affinity for Akt1-S473E (Ko = 200 nM, Figure 20).

[00189] Binding specificity: The specificity of the anchor ligand, biligand, and triligand developed in Example 1 was analyzed using a battery of protein kinases. For these assays, the multiligands were used as immobilized capture agents for Akt1-S473E as well as a set of His-tagged active protein kinase domains from the AGC family (Akt1, PDK1 (R&amp;D Systems), and p70s6 kinase (R&amp;D Systems)), the STE family (MEK1 (Invitrogen)), and the GMGC family (GSK3p (Invitrogen)). βactin (Abeam) was used as a control. Akt1-S473E was expressed and purified as described above.

[00190] The relative affinity of each kinase was determined by probing with an antiHis6 antibody and normalizing the response to Akt1-S473E. All proteins were diluted in Akt blocking buffer to a final concentration of 24 nM prior to use. Ligands

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WO 2013/0119869 PCT/LS2012/046253 were diluted in Akt blocking buffer to a final concentration of 2.5 μΜ prior to use. 100μ!_ of each ligand (250 pmol) was added to each well of a HBC streptavidincoated 96-well plate. The ligands were bound at 4 °C for 1 hour followed by addition of D-biotin to a final concentration of 500 μΜ. After 10 minutes at 4 °C, the wells were washed three times with Akt blocking buffer and blocked overnight in 5% non-fat milk.

[00191] The wells were washed three times in Akt blocking buffer and 50 μι of active protein was applied to each well. After binding for 120 minutes at 4°C, the wells were washed three times in Akt blocking buffer to remove unbound protein.

μΐ_ of horseradish peroxidase-conjugated Anti-His6 antibody was added at a dilution of 1:100 (His Probe (H-3) HRP conjugate, Santa Cruz Biotechnology). The antibody-HRP conjugate was incubated for 60 minutes and the wells were washed 3 times in TBST and once in TBS. 50 μΙ_ of peroxidase substrate (KPL) was added and the resulting color change was quenched with 50 μΙ_ 1 M H₂SO₄. The A450 measured on a 96-well plate reader. The Net A450 was obtained by subtracting the blank value for each protein (No ligand) from each of the triplicate values obtained for the ligand-protein interaction. Each NetA4so value was normalized to the NetA45o from the Akt-S473E samples to obtain a normalized relative binding value. The mean value for the triplicates was calculated and plotted and the error bars were generated from the standard error of the mean (GraphPad Prism).

[00192] Results are set forth in Figure 21. The anchor ligand was very specific for the Akt1 protein, with only modest binding to GSK3p. The significantly higher affinity biligand showed reduced selectivity, with significant cross-reactivity to GSK3p. For the triligand, however, binding to GSK3P was significantly reduced, bringing it close to the level observed for the anchor peptide. Additionally, the offtarget binding to MEK1 is completely eliminated at the triligand stage. These results suggest that the in situ click product screen can be used to increase the selectivity of the capture agent.

[00193] Akt inhibition: Two standard enzyme kinetic assays were carried out to determine the mode of Akt1 inhibition by the triligand (Segel 1975). For these assays, the kinase activity is measured under varying substrate and triligand

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WO 2013/0(19869 PCT/LS2012/046253 concentrations. The resulting data can be interpreted so that the nature of the competition between the triligand and the substrate for the relevant kinase binding site is determined. For example, if the triligand and ATP competed for the same binding pocket, the maximum velocity (V_max) of the kinase would be unchanged while the Michaelis constant (Km) would increase. The plots can also be used as a means of determining the inhibition constant (Ki) of the triligand.

[00194] Akt-S473E-T308P was prepared by incubating 75 pg Akt-S473E with 1 pg PDK1 (Sigma) in the presence of 500 pM ATP in 1X reaction buffer (25 mM Tris-CI (pH = 7.5), 10 mM MgCI₂, 2 mM DTT, 1X protease inhibitors (Roche), 1X phosphatase inhibitors (Roche)). The phosphorylation reaction proceeded for 40 minutes at room temperature followed by addition of 25 mM EDTA. The quenched reaction was added to 40 pL Anti-FLAG M2 agarose (Sigma) and allowed to bind for 2 hr at 4 °C. The resin was washed in FLAG Wash Buffer (20 mM HEPES (pH = 7.4), 150 mM NaCl, 1X protease inhibitors (Roche), 1X phosphatase inhibitors (Roche)) and the Akt1-S473E-T308P eluted with FLAG Elution Buffer (FLAG wash buffer + 0.15 mg/mL 3X FLAG peptide) for 30 minutes at room temperature. The concentration of protein was determined by Bradford assay.

[00195] To determine the inhibition mode of the triligand with respect to the substrate peptide, kinase reactions were set up with increasing concentrations of peptide substrate (Biotin-Crosstide, Anaspec). The peptide substrate ranged in concentration from 375 nM to 25 pM (7 concentrations) and the triligand ranged in concentration from 0 - 25 pM (0, 200 nM, 1 pM, 5 pM, 25 pM). The concentration of non-radioactive ATP was held constant at 25 pM and [γ-³²Ρ]-ΑΤΡ (7000 Ci/mmol, 10 pCi/pL) was added to a final concentration of 83 nM. Akt-S473E-T308P was added to a final concentration of 12 ng/pL. Reactions proceeded for 30 minutes at room temperature in 1X reaction buffer (50 mM Tris-CI (pH = 7.5), 10 mM MgCI₂,1 mM DTT, 0.01%Triton-X100,1X protease inhibitors (Roche), 1X phosphatase inhibitors (Roche)). The reactions were quenched with Guanidinium-HCI to a final concentration of 3.5M.

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WO 2013/0(19869 PCT/LS2012/046253 [00196] Product formation was determined by spotting 5 μ!_ of quenched reaction onto SAM2 Biotin Capture Membrane (Promega), the membrane was washed according to the manufacturer’s instructions and analyzed by liquid scintillation counting. The observed counts per minute were converted into pmol of product formed based on the activity and concentration of the [γ-³²Ρ]-ΑΤΡ assuming a counter efficiency of 50%. The velocity was plotted against [Peptide] at each [Triligand] and analyzed by linear and nonlinear regression in GraphPad.

[00197] To determine the inhibition mode of the triligand with respect to the ATP, kinase reactions were set up with increasing concentrations of ATP. The reactions were set up in a similar manner to that described above. The concentration of Biotin-Crosstide was held constant at 25 μΜ and the concentration of enzyme was held at 13 ng/pL. The concentration of ATP ranged from 125 μΜ to 4 μΜ (125 μΜ, 63 μΜ, 32 μΜ, 16 μΜ, 8 μΜ, 4 μΜ) while the concentration of triligand varied from 0 to 10 μΜ (0,1 μΜ , 5 μΜ, 10 μΜ). [y-^PJ-ATP (7000 Ci/mmol, 10 pCi/pL) was added to the cold ATP stock to maintain an [ΑΤΡ]_(Ο(₃ι/[γ-³²Ρ]-ΑΤΡ ratio of 1667. The reactions were incubated, quenched, and analyzed as described above.

[00198] Results of the kinetic assays are summarized in Table 1. Km and V_maxvalues for Akt1 -S473ET308P were obtained by nonlinear regression from the results of the inhibition experiments (GraphPad). The literature values for the Michaelis constants for ATP and substrate peptide were taken from Klein 2005. The triligand Kj (noncompetitive inhibition) was obtained from the negative Xintercept of the Dixon plot of 1/v vs. [Triligand] with varying [ATP]. The Kj is the mean value of the observed X-intercepts and the error range is the standard deviation. The triligand K, (uncompetitive inhibition) was obtained from the intercept of the Dixon plot of 1/v vs. [Triligand] with varying [Peptide]. The Kr is the mean value of the intercepts and the error range is the standard deviation. These plots as well as additional kinetic analyses are set forth in Figures 23 and 24.

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WO 2013/009869

PCT/LS2012/046253

Table 1

<td></td><td> V vs. [Peptide], Variable [Triligand]</td><td> V vs. [ATP], Variable [Triligand]</td>

<td> Km (μΜ) (present results)</td><td> 9 ± 0.7 (Peptide)</td><td> 213 ±25 (ATP)</td>

<td> Km (μΜ) (literature)</td><td> 3.5 (Peptide)</td><td> 155 (ATP)</td>

<td> Vmax (pmol/min/mg)</td><td> 45764 ±1486</td><td> 98996 ±8242</td>

<td> Κ₍(Κ_Γ)(μΜ)</td><td> (2.6 ± 0.7)</td><td> 4±1</td>

<td> Inhibition mode</td><td> Uncompetitive</td><td> Noncompetitive</td>

[00199] The results show reduction in the enzyme V_max for both substrates, as a function of increasing triligand concentration (Figure 22). This indicates that the triligand does not directly compete with either substrate for binding to their respective active sites (i.e., the triligand binds to a site distinct from the ATP or peptide-substrate binding sites). When ATP is the varied substrate, triligand addition appears to have no effect on Km, consistent with noncompetitive inhibition. When the peptide concentration is varied, Km decreases in a manner consistent with uncompetitive inhibition. When K, and Kr are determined from the Dixon plots of 1/v vs. [Triligand] both values are similar (4 μΜ vs. 2.6 μΜ respectively).

[00200] Competition ELISA experiments suggested that the triligand binding site on Akt may partially overlap with that of an anti-Akt1 antibody directed toward the Cterminus (Figure 30). The C-terminus is effectively on the backside of the kinase domain, opposite the active site.

Example 5: Diagnostic efficacy of Akt capture agents:

[00201] The Akt capture agents generated in Example 1 were evaluated fortheir ability to recognize full-length Akt from cancer lines. Previous studies have shown that Akt2 is overexpressed in the OVCAR3 ovarian cancer cell line. Therefore, this cell line was utilized as an experimental platform for immunoprecipitation (IP) and immunohistochemical experiments (IHC) (Yang 2004).

[00202] For the IP experiments, the anchor, biligand, and triligands were immobilized on streptavidin-agarose, and each resin was panned with OVCAR3 cell lysates obtained from untreated cells or cells stimulated with a combination of epidermal growth factor (EGF) and insulin.

[00203] OVCAR3 cells were grown in RPMI-1640 media containing 10% fetal bovine serum, penicillin, and streptomycin. Passage 4 cells were grown to ~ 60%

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WO 2013/0119869 PCT/LS2012/046253 confluence and treated with insulin and EGF at final concentration of 10 pg/mL and 20 ng/mL respectively (induced) or mock treated (control). Cells were grown for an additional 24 hours and then lysed with lysis buffer (10 mM Tris-CI (pH = 7.5), 100 mM NaCI, 1% (v/v) Triton X-100, 0.1% SDS (w/v), 0.5% deoxycholate, 1 mM DTT, 1 mM EDTA, 1X PhosStop phosphatase inhibitors (Roche), 1X Complete protease inhibitors (Roche). Cell lysate protein concentrations were determined by Bradford assays.

[00204] Ligands were immobilized on Streptavidin-agarose by adding 9 pL of 4 mM ligand stock (DMSO) to 50 pL of streptavidin-agarose resin (EMD) pre-blocked in Akt blocking buffer. The mAb resin was prepared by adding 25 pg 5G3 anti-Aktl antibody (Cell signaling technology) to 100 pL streptavidin resin in Akt blocking buffer. After binding for 1 hour at 4 °C, 50 pM D-biotin was added to the resin to block any remaining sites.

[00205] 10 pL of resin-bound ligand was added to a Spin-X filter unit (Sigma) and filtered. To this was added OVCAR3 cell lysate (80 pg protein by Bradford) and Akt blocking buffer to a final volume of 50 pL. Binding occurred at 4°C for 20 hours with agitation. The resins were washed three times in Akt blocking buffer, three times in Akt Wash 1 buffer, and three times in Akt Wash 2 buffer. The bound material was eluted by adding 40 pL 2X SDS-PAGE loading buffer (BioRad) and heating at 94°C for 10 minutes. A portion of each elution was run on duplicate 12% SDS-PAGE gels (BioRad). One gel was stained with Coomassie while the other was transferred to nitrocellulose, blocked in 5% non-fat milk, and probed overnight with Rabbit pan-Akt monoclonal antibody (C67E7, Cell Signaling Technology) followed by anti-rabbit-HRP secondary antibody. The primary antibody was used at 1:1000 dilution and the secondary antibody was used at 1:10000 dilution. The blots were developed with Pico West Dura ECL substrate (Thermo) and imaged on film.

[00206] Probing the elutions with pan-Akt antibody, which detects all three isoforms of Akt, confirmed the increased affinity of the biligand relative to the anchor peptide in lysates from both induced and non-induced cells (Figure 26). The triligand shows somewhat increased immunoprecipitation of Akt relative to the biligand in induced cell lysates but not in the non-induced control cell lysate. This effect is also

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WO 2013/0119869 PCT/LS2012/046253 observed when the immunoprecipitations are probed with an antibody specific for Akt phosphorylated Ser473 (Ser474 in Akt2). Analysis of the total immunoprecipitated protein by SDS-PAGE showed no significant difference in background (nonselective) binding between any of the ligands (Figure 25). Interesting, the commercial anti-Akt1 antibody, which was also raised against the kinase domain of Akt1, showed almost no immunoprecipitation of Akt. The poor performance of this antibody was observed across many assays and across multiple batches of antibodies. Even for an equivalently performing antibody, the ability to use large amounts of triligand at relatively low cost relative to monoclonal antibodies represents a significant advantage.

[00207] To further explore the interaction between the multiligand capture agent and full-length Akt, a fluorescein-labeled biligand was synthesized (Figure 17) for use as an IHC imaging agent in fixed OVCAR3 cells. The anchor peptide C₈N3VFYRLGY-CONH2 was synthesized on Rink Amide resin as previously described. The secondary peptide Pra-FWFLRG-CONH₂ was synthesized on Seiber Amide resin as described above. After Fmoc deprotection the fluorescein derivative 6[Fluorescein-5(6)-carboxamido]hexanoic acid (Sigma) was conjugated to the amino terminus of the secondary peptide using 1.2 equivalents of fluorescein, 1.1 equivalents of HATU, and 3 equivalents of DIEA, then incubated at room temperature for 30 minutes. Following cleavage from resin, C18 RP-HPLC purification, and MALDI-TOF verification of the product, the secondary peptide was coupled to the anchor peptide via copper catalyzed azide-alkyne cycloaddition by addition of 1 equivalent of anchor peptide with 2 equivalents of fluorescent secondary peptide, 4 equivalents of Cui and 6 equivalents of Ascorbic Acid. After C18 RP-HPLC purification, the final product was verified by MALDI-TOF MS: Expected [M+H]*=2612.00, Observed [M+H]*=2612.78. Fluorescent biligand was then used for subsequent imaging experiments.

[00208] OVCAR3 cells were grown on polylysine coated coverslips and treated with either 500 ng/mL EGF (Sigma) or vehicle control for 10 minutes. Cells were then fixed with 10% formaldehyde for 15 min at 37°C, washed with PBS, permeablized by incubating with 0.1% Triton X-100 for 10 min at room temperature,

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WO 2013/0(19869 PCT/LS2012/046253 and blocked with 5% goat serum. Permeabilized cells were stained with either a fluorescein-conjugated Pan Akt antibody (R&amp;D Systems IC2055F, 10 pg/mL) overnight or 1 μΜ fluorescein conjugated biligand for 1 hour. Images were acquired using a Zeiss Pascal 5 Laser Scanning Microscope (Caltech Biological Imaging Center) and surface plots were generated with imageJ software (NIH). For this assay, Akt was expected to locate to the cell membrane following stimulation of a receptor tyrosine kinase such as epidermal growth factor receptor (EGFR) by its ligand (EGF). Images of unstimulated and stimulated cells clearly reveal that this was the case (Figure 18).

Example 5 Targeting the phosphorylation site of serine474 (S474) on the kinase domain of the protein Akt (protein kinase B).

[00209] For this demonstration, a capture agent was designed to selectively bind to the key activating phosphorylation site of Protein Kinase B (Akt2). The overall strategy was as follows.

[00210] A 32mer target peptide sequence was built including amino acids 450-481 of Akt2. This sequence contains the targeted phosphorylation site (S474). S474 was phosphorylated.

[00211] A metallorganic molecule (Biotin-PEG2-Az4-Zn₂L) was utilized that selectively binds to the phospho group on the p-S474 site of the 32-mer polypeptide. Biotin- PEG2-Az4-Zn₂L also was designed to present an azide group near the p-S474 site. Biotin-PEG2-Az4-Zn₂L as shown in Figure 35.

[00212] An in situ click screen was carried out by incubating the (Biotin-PEG2Az4-Zn₂£)(32-mer) complex with a large one-bead one compound (OBOC) peptide library. Each peptide in the library contains an acetylene group, and the library contains approximately 2 million distinct molecules. The basic strategy of this screen is shown in Figure 35.

[00213] ,A sequence was identified and those hit molecules that exhibit the best binding characteristics were validated. The hits from this screen are listed in Table 3. The structure of the capture agent identified from this screen is shown in Figure

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36a. This capture agent was able to detect Akt from cell lysate, using the ovarian cancer cell line OVCAR3, in which Akt is overexpressed.

[00214] The characteristics of this best ligand were improved through use of sequential in situ click chemistry, as described in Capture Agents and Related Compositions, Methods, and Systems CIT 5164-P; and Akt-Specific Capture Agents, Compositions, and Methods of Using and Making. CIT 5917-P, Agnew, et al., Angew. Chem. 121, p 5044-5048 (2009), and Millward, et al., J. Am. Chem. Soc. 133, 1820 (2011), incorporated herein by reference in their entireties. For these steps, the capture agent that was identified in Steps (1)-(4) was improved into a biligand (Figure 36b), and then a triligand (Fig 36c). The capture agent was shown to selectively bind to the polypeptide fragment containing S474, but not to another 32-mer fragment from the same protein (Fig. 37). It exhibited a strong affinity (Kd -10 nanoMolar) and high selectivity for Akt, relative to other similar kinases, and could be used, in an immunoprecipitation assay, to selectively detect Akt protein from cell lysate. The performance of this capture agent is shown in Figure 38.

Experimental details [00215] Materials. Fmoc-protected amino acids were purchased from Anaspec (San Jose, CA) and AAPPTec (Louisville, KY) and used as received. TentaGel SNH₂ resin (90 pm, 0.31 mmol/g) was obtained from Anaspec (San Jose, CA) and utilized for OBOC library construction. Biotin NovaTag™ resin, Biotin-PEG NovaTag™ resin, Fmoc-NH-(PEG)₂-COOH (13 atoms) were obtained from EMD Chemicals, Inc. (Gibbstown, NJ) and used for synthesis of biotinylated peptides. Peptides and OBOC peptide libraries were synthesized on the Titan 357 peptide synthesizer (AAPPTec Louisville, KY). Amino acid coupling reactions were performed in 1-methyl-2-pyrrolidinone (NMP, 99%) with HATU (2-(7-Aza-1Hbenzotriazole-1-yl)-1,1,3,3-tetramethylammonium hexafluorophosphate, ChemPep, Miami, FL) and N, N'-diisopropylethylamine (DIEA) (99%, Sigma-Aldrich, St. Louis, MO). For removal of N^a-Fmoc protecting groups, a solution of 20% piperidine in Ν,Ν'-dimethylformamide (DMF) was used (Sigma-Aldrich, St. Louis, MO). For final

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PCT/LS2012/046253 deprotection of peptides, trifluoroacetic acid (TFA, 98% min. titration) and triethylsilane (TES) were used (Sigma-Aldrich, St. Louis, MO).

[00216] Active Akt2 (with N terminal His tag) was purchased from Abeam (Cambridge, MA).

[00217] Peptide library Synthesis: Randomized OBOC libraries of hexapeptides were synthesized using the Titan 357 peptide synthesizer on 90 pm polyethylene glycol-grafted polystyrene beads (TentaGel S-NH₂, 0.31 mmol/g, 2.86 x 10⁶ beads/g). D amino acids were used for the synthesis of the library. The libraries used in this study are listed in the table 2.

Table 2:

SEQID _; - NOr

TJbBMy A:

Librayik . :......:.. £ = 18Dani»ioaciidsexcq?tD--4_T889j568 ' “y [00218] Preparation of 3,5-bis((bis(pyridin-2-ylmethyi)amino)methyl)-4· hydroxybenzoic acid (HL): To N,N -di(2-picolyl)amine (2.50 g, 12.5 mmol) in ethanol/water/HCI (30 mL/90 mL/0.6 mL of 2M ) was added to paraben ( 830mg,2.50 mmol) and paraformaldehyde ( 475 mg, 15.85mmol) . The mixture was heated under reflux for 3 days and then allowed to cool to room temperature.

Then 200 mL dichloromethane (300 mL) and water (100 mL) was added to the reaction mixture, the organic phase was separated after washing with another 300 mL of water and dried over anhydrous sodium sulphate. A yellowish gummy semisolid was obtained after evaporation of solvent. Column chromatography on silica gel with eluents dicholoromethane/methanol /ammonium hydroxide afforded light yellow semi solid. Refer to Figure 34 for structure of HL [00219] Then the purified semisolid was dissolved in 2 M solution of sodium hydroxide in water/ethanol (1:1) mixture and stirred at 60 deg centigrade for 2 days.

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Then the solution was neutralized by concentrated hydrochloric acid. The compound was extracted by methanol.

[00220] Calculated mass: [M+H]⁺ 561.3, [M-H]'559.3. Observed mass: [M+Hf 561.3, [M-H]· 559.4 [00221] Preparation of Biotin -PEG2-azidolysine-HL (Biotin · PEG2 - Az4-HL): DL Fmoc-azidolysine was coupled to Biotin PEG Novatag resin (coupling efficiency 0.00048 mmole/g) following standard Fmoc solid phase synthesis protocol. The N^aFmoc protecting group was removed by treating with 20% piperidine in NMP. Then 3,5 - bis((bis(pyridin-2-ylmethyl)amino)methyl)-4-hydroxybenzoic acid (L) was coupled overnight to the resin. The molecule was cleaved off the resin using a cocktail of TFA, TES and double distilled water (95:2.5:2.5), precipitated in cold ether and lyophilized. The crude solid was used in further synthesis. Refer to Figure 34 for structure of Biotin · PEG2 - Az4~HL [00222] Preparation of Biotin - PEG2 - azidolysine ~LZn2 (OAc) (Biotin · PEG2 - Az4-Zn₂L) (structure 3 of Figure 34): 2 equivalents of zinc acetate was dissolved in methanol and added to 1 equivalent of Biotin - PEG2 - Az4-HL and stirred overnight at room temperature. The solvent was removed under reduced pressure and the solid was purified using a gradient of water and acetonitrile and 0.1% TFA on the RP-HPLC (Beckman Coulter System Gold 126 Solvent Module and 168 Detector) using a Ci₈ reversed phase semi-preparative column (Phenomenex Luna 10 pm, 250 χ 10 mm). Refer to Figure 34 for structure of Biotin PEG2-Az4-Zn₂L.

[00223] Calculated mass: [M].2H₂O 1369.5 Observed mass: [M].2H₂O 1369.4 [00224] Synthesis of target peptide sequence (p32mer): The 32mer target peptide sequence, amino acids 450-481 of Akt2, was synthesized on Rink Amide MBHA resin, using the Titan 357 peptide synthesizer. Fmoc -Ser(OPO₃Bzl) - OH (Aapptec) was used for the solid phase synthesis of the phosphoserine. It was cleaved by TFA, precipitated in cold ether and purified using a gradient of water and acetonitrile and 0.1% TFA on the RP-HPLC.

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WO 2013/0119869 PCT/LS2012/046253 [00225] Calculated mass: [M+H]⁺ 3832. Observed mass: [M+H]⁺ 3831.0 [00226] Synthesis of monoligand: Fmoc-NH-PEG2-COOH (EMD) was coupled using standard Fmoc protocol on Biotin Novatag resin. 1.5 equivalent of DL Fmoc azidolysine was coupled on the resin followed by acylation using acetic anhydride and 2, 6 - lutidine solution in DMF. On bead click reaction overnight is carried out using 2 equivalents of Fmoc - D-Pra - OtBu, 0.9 equivalent Cui and 1.2 equivalent ascorbic acid in 20% piperidine/DMF solution. Following washes with copper chelating solution (5% sodium diethyl dithiocarbamate, 5% DIEA in DMF) the peptide was acylated. The resultant molecule Ac2-Tz4-PEG2-Biotin was cleaved off the resin using TFA cleavage cocktail. The crude solid was used in further synthesis.

[00227] The peptide wkvkl (SEQ ID NO:4) was made on Rink Amide MBH A resin (Anaspec) following standard Fmoc SPPS synthesis protocol. 1 equivalent of Ac2Tz4-PEG2-Biotin was then coupled to the peptide.

[00228] After TFA cleavage the monoligand was purified using a gradient of water and acetonitrile and 0.15 TFA on the RP-HPLC.

[00229] Calculated mass: [M+H]⁺1495.85. Observed mass: [M+H]⁺1496.0 [00230] Screening procedure for detection of monoligand (Epitope targeting screen): 10 nM and 50 nM solutions of p32mer were made by diluting 0.5mg/ml DMSO stock in 25 mM tris chloride, 150 mM NaCl, 2 mM KCI, pH 8)(TBS). 20 μΜ and 100 μΜ solutions of the metal chelated anchor (Biotin - PEG₂ - Az4-Zri2L) was added to the 10 nM and 50 nM solutions of the p32mer respectively and shaken overnight at room temperature. Before the addition to the OBOC library, BSA and tween 20 was added to the solution to make the final concentrations 0.1 % BSA and 0.05% tween 20 in the buffer.

[00231] Anchor peptide screens were conducted using library A. 250 mg of beads were screened per screen. The beads were equilibrated in 0.1% BSA, 0.05% Tween 20/TBS (binding buffer) by shaking for 10 hours.

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WO 2013/0119869 PC17LS2012/046253 [00232] The preincubated p32mer- Biotin - PEG₂ - Az4-Zn₂L mixture was added to the preswelled beads and shaken overnight at room temperature. The beads were washed three times with buffer. A 1:10,000 dilution of mouse anti biotin monoclonal antibody-Alkaline Phosphatase conjugate (Sigma) in buffer was added to the beads. The beads were then extensively washed with binding buffer, 0.05% tween 20/TBS and TBS.

[00233] The beads were then treated with a BCIP solution (made according to the manufacturer’s protocol). The hit beads turned blue due to a colorimetric reaction of Alkaline Phosphatase with BCIP. The reaction was quenched after an hour with 0.1 N HCI solution. The hit beads were picked with a pipette tip and transferred to a spinnex tube.

[00234] The color of the hit beads was removed by washing with DMF. The proteins on the beads were stripped off by treating with 7.5 M guadininium hydrochloride (pH 2) for two hours and then washing extensively with water.

[00235] The hit beads were reequilibrated in binding buffer. The exact screen protocol was repeated, this time using a preincubated mixture of 2.5 mM biotin and 1:10,000 dilution of a mouse anti biotin monoclonal-Alkaline Phosphatase conjugate (Sigma) as the secondary antibody. On addition of the BCIP, the true hits, due to competition with biotin remained clear. The clear beads were manually picked, washed with 7.5 M guanidium hydrochloride (pH 2) and water, and sequenced using the Edman Sequencer.

Table 3. Sequences of hits obtained from monoligand screen

<td> D-Pra</td><td> XI</td><td> X2</td><td> X3</td><td> X4</td><td> X5</td><td> SEQID NO:</td>

<td> D-Pra</td><td> w</td><td> k</td><td> V</td><td> k</td><td> •</td><td> 4</td>

<td> D-Pra</td><td> w</td><td> k</td><td> V</td><td> k</td><td>¹</td><td> 4</td>

[00236] Verification of binding of Biotin - PEG2 - Az4-Zn₂L to phospho amino acid and phospho peptide: 422 μΜ Biotin - PEG2 - Az4-Zn₂L solution was made dissolving the HPLC purified solid in 10 mM tris borate buffer (pH 8).

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WO 2013/0(19869 PCT/LS2012/046253 [00237] Saturated solutions of pure phosphoserine and pSrc substrate Ac-l-pYGEF (Novabiochem) were made in 10 mM tris borate buffer (pH 8). Biotin - PEG2 Az4-Zn₂L was added to either of the saturated solutions in a 1:1 ratio.

[00238] A fresh matrix was prepared by dissolving 2,4,6-trihydroxyacetophenone in 10 mM tris borate buffer (pH 8) with 50% acetonitrile (20 mg/ml). The mixed solutions with the matrix clearly showed the peaks corresponding to (Biotin - PEG2 - Az4-Zn₂L -pSer) and (Biotin - PEG2 - Az4-Zn₂L - Ac-l-pY-GEF) in the Maldi TOF spectra in a positive mode.

[00239] Epitope targeting assay for blligand: 1.25 μΜ biotinylated biligand was prepared by diluting the 1 mM stock in buffer (25 mM tris chloride, pH= 7.4, 150 mM NaCI, 0.1% BSA, 0.05% Tween 20). The prepared ligand solution or DMSO in buffer (buffer control) was immobilized on a SA plate. After washing away the excess ligand, 2.5 μΜ solutions of the His tagged phospho peptide epitope Akt2 amino acids 450 - 481 or the His tagged control peptide Akt2 amino acids 346-378 was added to each of the wells. Following three washes with the buffer, the plate was treated for an hour with a 1:1000 dilution of anti His6 mouse monoclonal antibody. A 1:10,000 dilution of goat anti mouse antibody-Horse Radish Peroxide conjugate (Abeam) in binding buffer was added to the wells. Color was developed by adding TMB substrate (KPL) to each well. The reaction was quenched with 0.5 M H2SO4. The A450 was measured on a 96-well plate reader. Net A450 was obtained by subtracting the absorbance value for no immobilized ligand from each of the triplicate values obtained for the ligand-epitope interaction.

Example 6 Targeting a single (cancer causing) amino acid substitution on the Plekstrin Homology Domain of Akt.

[00240] Akt1 is a commonly studied protein in relation to cancer, as its localization to the plasma membrane initiates important downstream signaling pathways in a cell. The Akt1 protein docks to the membrane through a domain that is highly structurally conserved among many proteins that bind to cell membranes - the Pleckstrin Homology Domain (PHD).

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WO 2013/0(19869 PCT/LS2012/046253 [00241] It has been discovered recently that a single amino acid point mutation, found in certain human ovarian, colorectal and breast cancers, in the binding pocket of this Akt1 PHD is enough to cause cancer in mice. The E17K mutation exchanges a negatively charged glutamic acid for a positively charged lysine. This change first eliminates a Glu-Lys hydrogen bond inside the binding pocket of undocked Akt1 PHD; the E17K lysine repels a second hydrogen bond, and causes a structural change in the protein. Second, this E17K residue forms an additional hydrogen bond between the Akt1 PHD, a water molecule, and the PIP3 lipid on the cell membrane - either increasing the affinity of the PHD for the PIP3, or decreasing the off-rate for the PIP3. Either way, this single point mutation is enough to make the E17K Akt1 bind four-fold stronger to the plasma membrane, and this up-regulation of the Akt1/PIP3 signaling pathway is enough to cause cancer in mice.

[00242] From a therapeutic point of view, blocking of this PIP3/Akt1 binding in cancers could help slow or stop the growth of these cancers cells in humans and serve as a potential chemotherapy. By targeting the specific E17K point mutation, the side-effects and toxicity could be minimized. From a diagnostic point of view, a capture agent that can selectively recognize the E17K PHD of Akt1 would be useful. [00243] Thus, for this reduction of the invention to practice, we seek to develop a capture agent that selectively binds to the E17k PHD of Akt1, while not binding to the wild-type.

Experimental procedures [00244] Peptide Library Construction: Peptide libraries were synthesized on a Titan 357 split-and-mix automated peptide synthesizer (Aapptec) via standard FMOC SPPS coupling chemistry [1] using 90 uM TentaGel S-NH₂ beads (0.29mmol/g, 2.86x10^Λ6 beads/g). Libraries contain 18 D-stereoisomers of the natural amino acids, minus Cysteine and Methionine, at each of five randomized positions and an azide in situ click handle. At least a five-fold excess of beads is used when synthesizing libraries to ensure oversampling of each sequence. Amino

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WO 2013/0(19869 PCT/LS2012/046253 acid side-chains are protected by TFA labile protecting groups that are removed all at once following library synthesis.

[00245] Bulk Peptide Synthesis: Bulk synthesis of polypeptide sequences was performed using standard FMOC SPPS peptide chemistry either manually, or on a Titan 357 automated peptide synthesizer (AAPPTEC), or using a Liberty 1 microwave peptide synthesizer (OEM Corporation). The typical scale was 300mg done on Rink Amide Resin beads (Anaspec). Peptides were cleaved from the beads with side-chains deprotected using a 95:5:5 ratio of TFA: H₂O: TES. The peptides were purified on a prep-scale Dionex U3000 HPLC with a reverse-phase C18 column (Phenomenex).

[00246] Aktl Wildtype and E17K Mutant Pleckstrin Homology Domain Expression: Akt1 Pleckstrin Homology Domain DNA was purchased from

DNA2.0. The first 124 N-terminal amino acids from full length Akt1 were used as the PH Domain DNA (Figure 39a), and a 6-his tag separated by a thrombin cleavage site were added at the C-terminus of the protein for purification. In order to make the E17K mutant of the PH Domain, the glutamic acid in position 17 was mutated to a lysine via QuikChange. The DNA was synthesized in a pJexpress 414 vector containing an amp resistant gene to be expressed in e coli cells. Protein expression was performed by the Protein Expression Center at Caltech using their standard bacterial expression protocol and purified via Ni-NTA column.

[00247] Design of Epitope-Targeting Anchor/Target Sequence: Epitope targeting for the point mutation of the PH Domain of Akt1 was accomplished by screening against a 33-mer peptide fragment derived from the N-terminus of the PH Domain, highlighted in Figure 39a, that contained the E17K point mutation as well as a propargylglycine (Pra) click-handle substitution (119[Pra]) for directing the insitu click reaction near the mutated site. The 33-mer fragment was capped with an N-terminal biotin label for detection in the screen (Figure 39b), and was purified on a prep-scale Dionex U3000 HPLC with a reverse-phase C4 column (Phenomenex).

[00248] Screen for Epitope Targeted Capture Agents (Figure 40): Screens were done on a library with 100% Met coupled at the C-terminus for MALDI

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TOF/TOF sequencing. The library was a comprehensive 5-mer containing 18 unnatural D-amino acids, excluding Met and Cys due to stability reasons. The Nterminus contained an azide click handle with varying carbon chain lengths - 2 carbon, 4 carbon and 8 carbon - for in vivo click with the Pra on the Target 33-mer. Screens were done with 300mg of dried library beads swelled at least six hours in 1x TBS (25mM Tris-CI, 150mM NaCI, 10mM MgCh.pH = 7.5) buffer.

[00249] Preclear (Figure 40a): Swelled library beads were blocked overnight in 5% w/v dried non-fat milk in 1x TBS, then washed with 1x TBS three times. Five milliliters of a 1:10,000 dilution of Streptavidin-Alkaline Phosphatase Conjugate in 0.5% milk in TBS was added to the beads and incubated shaking at room temperature for one hour. The beads were washed with a high-salt TBS buffer (1 x TBS with 750mM NaCI) three times, then let shake in high salt buffer for one hour. The beads were then washed three times with BCIP buffer (100mM Tris-CI, 150mM NaCI, 1mM MgCI₂, pH = 9.0) and developed by adding 15mL BCIP buffer plus 13uL BCIP and 26uL NBT. After one hour, the purple beads were removed by pipette and discarded. The remaining beads were incubated in NMP 4 hours to remove trace purple precipitate from the BCIP/NBT reaction, then were washed 5x with methanol, 5x with water, 5x with TBS and reblocked overnight in 5% milk.

[00250] Product Screen (Figure 40b): Beads remaining from the preclear were washed three times with 1x TBS, then incubated with 5mL of a 100nM dilution of the 33-mer target in 0.5% milk for either 5 hours or 12 hours to allow for an in situ click reaction to occur. The beads were then washed three times with 1x TBS and incubated for one hour with a 7M Guanadine-HCI buffer, pH = 2.0 to remove all 33mer target not attached covalently to the beads. These beads were then washed ten times with 1x TBS, reblocked for two hours in 5% milk, then incubated for one hour with a 1:10,000 dilution of Streptavidin- Alkaline Phosphatase conjugate in 0.5% milk in TBS to detect for the presence of the 33-mer target clicked to a bead. The beads were washed three times with a high-salt TBS buffer, then let shake in high salt buffer for one hour. Afterwards, the beads were again washed three times in BCIP buffer and developed as per the preclear. Purple beads are removed from

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WO 2013/0(19869 PCT/LS2012/046253 the screen via pipette as hit beads. These hits were incubated in the guanidineHCI buffer to remove attached streptavidin, washed ten times with water and sequenced via edman degradation on a Procise CLC system from Applied Biosystems. See Table 1 for sequences from 5 hour screen, Table 2 for sequences from 16 hour screen.

[00251] Sequence Analysis: Hit sequences were analyzed via a peptide analysis algorithm, Cluster Ligand v1.0, developed by Integrated Diagnostics, Seattle, WA. The algorithm analyzes a series of peptides via hydrophobicity and sequence homology and graphs them on a 2D sequence map. Clusters of hits were circled (Figure 41 ), and one peptide from each cluster was scaled-up and tested for binding to both wildtype and mutant PH domain. The ligands chosen for scale up were: dqntr, ypwve, eefef, yleaf, and elnhy. These sequences were compared to a known Akt PH Domain binding peptide, AVTDHPDRWAWEKF[2].

[00252] Streptavidin - Agarose Pulldown Assays for Binding Selectivity:

Pulldown assays were done on Streptavidin Agarose resin from Novachem. The resin was incubated with N-terminally biotinylated anchor peptide candidates identified via the ClusterLigand sequence analysis. The anchor candidate coated beads were then incubated with both wildtype and mutant protein to compare the selectivity of the ligands, as well as the binding ability.

[00253] Assays were done with 50uL of Streptavidin-Agarose slurry (25uL resin) in Spin-X tubes. Resin was aliquotted into 14 tubes - six ligands plus a blank tested against two different proteins, then washed three times with 1x TBS with 0.25% IPEGAL detergent added. Each set of tubes was incubated with 170nmol of the appropriate biotinylated ligand in 200 uL 1x HEPES (10mM HEPES, 150mM NaCI, 0.25% IPEGAL, 5mM EDTA) or plain buffer for the blank. Ligand binding was done for one hour at room temperature, then resin was washed three times with 1x HEPES. Resin was blocked with 1x HEPES with 5% BSA for two hours. The anchor-coated resin was then incubated with either wildtype or mutant expressed PH domain protein overnight (~16 hours) in cold room (4°C). Protein was spun out of tubes, and the resin was washed three times with high salt TBS, then incubated

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PCT/LS2012/046253 for five minutes in the high salt buffer. The resin was then washed three times with the 1x TBS buffer, and spun out to dry completely. 50uL of denaturing SDS gel loading buffer with 10% B-mercaptoethanol was added to the samples and they were incubated at 95° C for ten minutes to denature. The gel loading buffer was spun out of the Spin-X tubes and the samples were run on an Any KD BioRad Premade Gel under denaturing conditions. Gel was transferred to nitrocellulose membrane and western blotted[3], Proteins were detected using rabbit polyclonal anti-Akt1 antibody (ab64148, Abeam) and an anti-rabbit HRP conjugated secondary anti-body then developed with West Pico Chemilluminescent substrate (Pierce).

[00254] Relative protein band sizes were analyzed to compare binding between the anchor candidates and were used to determine selectivity for either wildtype or mutant PH Domain (Figure 42). From these assays, eefef was identified as a capture agent with selectivity for wildtype PH Domain, as it showed the only pulldown of the wildtype protein as well as the least pulldown for the mutant protein. For the mutant protein, yfeat was chosen, as it showed the greatest binding to the mutant with the least binding to the wildtype. These ligands can be further improved using procedures using procedures known in the art.

Table 4: Hit sequences from screen against 33-mer peptide fragment (16hr screen):

<td> Sequence</td><td> XI</td><td> X2</td><td> X3</td><td> X4</td><td> X5</td><td> SEQ ID NO:</td>

<td> Az4</td><td> e</td><td> e</td><td> f</td><td> e</td><td> f</td><td> 5</td>

<td> Az8</td><td> f</td><td> e</td><td> e</td><td> a</td><td> i</td><td> 6</td>

<td> Az2</td><td> e</td><td> 1</td><td> n</td><td> h</td><td> y</td><td> 7</td>

<td> Az2</td><td> h</td><td> a</td><td> r</td><td> h</td><td> q</td><td> 8</td>

<td> Az2</td><td> h</td><td> e</td><td> w</td><td> V</td><td> t</td><td> 9</td>

<td> Az4</td><td> n</td><td> w</td><td> y</td><td> a</td><td> w</td><td> 10</td>

<td> Az4</td><td> n</td><td> 1</td><td> V</td><td> P</td><td> n</td><td> 11</td>

<td> Az2</td><td></td><td> r</td><td> r</td><td> r</td><td> f</td><td> 12</td>

<td> Az4</td><td> a</td><td> 1</td><td> n</td><td> s</td><td> k</td><td> 13</td>

<td> Az8</td><td> P</td><td></td><td> a</td><td> y</td><td> h</td><td> 14</td>

<td> Az2</td><td> n</td><td> r</td><td> y</td><td> V</td><td> r</td><td> 15</td>

<td> Az8</td><td> _</td><td> 1</td><td> e</td><td> a</td><td> f</td><td> 16</td>

Example 7: microPET/CT imagina and biodistribution analysis:

[00255] DOT A-labeled AKT will be labeled with ®*Cu and administered to mice via a 100 pg I.V. tail vein injection or by IP injection. Whole-body imaging will be carried out with microPET scanners using a two hour dynamic scan, followed by microCT imaging. 10 minute static microPET scans will also be carried out at 4 and 6 hours. Biodistribution of labeled capture agent among various organs (e.g., bladder, kidney, gall bladder, liver, brain, and blood) will be analyzed to evaluate clearance and accumulation. Other labels (18-F, 88-Ga, 89-Zr, 124-1, 86-Y, 94m-Tc, 110m-ln, 11-C, 76-Br) are contemplated [00256] As stated above, the foregoing are merely intended to illustrate the various embodiments of the present invention. As such, the specific modifications discussed above are not to be construed as limitations on the scope of the invention. It will be apparent to one skilled in the art that various equivalents, changes, and modifications may be made without departing from the scope of the invention, and it is understood that such equivalent embodiments are to be included herein.

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