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==Bivalent and trivalent scFvs==
[[File:Polyvalent single-chain variable fragments.svg|thumb|300px|Structure of divalent (top) and trivalent (bottom) scFvs, tandem (left) and di-/trimerisation format (right)]]
''Divalent'' (or ''bivalent'') single-chain variable fragments (di-scFvs, bi-scFvs) can be engineered by linking two scFvs. This can be done by producing a single peptide chain with two V<sub>H</sub> and two V<sub>L</sub> regions, yielding ''tandem scFvs''.<ref>{{cite journal|title=Development of tumor targeting anti-MUC-1 multimer: effects of di-scFv unpaired cysteine ___location on PEGylation and tumor binding|first5=SJ|last5=Denardo|first4=GL|last4=Denardo|first3=XB|last3=Shi|first2=A|last2=Natarajan |last=Xiong|first=Cheng-Yi|journal=Protein Engineering Design and Selection|year=2006|volume=19|issue=8|pmid=16760193|pages=359–367|url=http://peds.oxfordjournals.org/cgi/content/full/19/8/359|doi=10.1093/protein/gzl020}}</ref><ref>{{cite journal|title=A revival of bispecific antibodies|first1=Peter|last1=Kufer|first2=Ralf|last2=Lutterbüse|first3=Patrick A.|last3=Baeuerle|journal=Trends in Biotechnology|volume=22|issue=5|pages=238–244|year=2004|url=http://www.micromet.de/fileadmin/template/main/pdf/publications_147881aaf61df52304237f0ee7f0cf2a.pdf|doi=10.1016/j.tibtech.2004.03.006|pmid=15109810}}</ref> Another possibility is the creation of scFvs with linker peptides that are too short for the two variable regions to fold together (about five amino acids), forcing scFvs to dimerize. This type is known as ''diabodies''.<ref>{{cite journal|pmid=8341653|url=http://www.ncbi.nlm.nih.gov/pubmed/8341653|title="Diabodies": small bivalent and bispecific antibody fragments
All of these formats can be composed from variable fragments with specificity for two different antigens, in which case they are types of [[bispecific antibodies]].<ref>{{cite journal|pmid=11388794|year=2001|last1=Dincq|first1=S|last2=Bosman|first2=F|last3=Buyse|first3=MA|last4=Degrieck|first4=R|last5=Celis|first5=L|last6=De Boer|first6=M|last7=Van Doorsselaere|first7=V|last8=Sablon|first8=E|title=Expression and purification of monospecific and bispecific recombinant antibody fragments derived from antibodies that block the CD80/CD86-CD28 costimulatory pathway
==Examples==
* [[Pexelizumab]], a scFv binding to [[Complement component 5|component 5]] of the [[complement system]] and used to reduce side effects of [[cardiac surgery]]<ref>{{cite journal|pmid=15331798|year=2004|last1=Mathew|first1=JP|last2=Shernan|first2=SK|last3=White|first3=WD|last4=Fitch|first4=JC|last5=Chen|first5=JC|last6=Bell|first6=L|last7=Newman|first7=MF|title=Preliminary report of the effects of complement suppression with pexelizumab on neurocognitive decline after coronary artery bypass graft surgery
* C6.5, a diabody targeting [[HER2/neu]]<ref name="Adams" /> found in some [[breast cancer]]s
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