Scientific Platform

Science & Technology

Laurel Biotherapeutics is engineering a kidney-penetrating VHH nanobody agonist of NPR1 — a validated cardiorenal target that larger pharma competitors have failed to close due to format limitations.

NPR1 Agonism Mechanism

The Target: NPR1

Natriuretic Peptide Receptor 1 (NPR1) is a guanylate cyclase receptor activated by atrial and brain natriuretic peptides (ANP/BNP). Agonism of NPR1 drives cGMP-mediated pathways that reduce cardiac preload and afterload while simultaneously promoting natriuresis and diuresis in the kidney.

Dual Heart + Kidney Targeting

In patients with acute decompensated heart failure and renal impairment, both organs must be treated simultaneously. Cardio-only approaches worsen renal outcomes. Laurel's VHH format is purpose-built to reach both compartments — enabling true cardiorenal pharmacology.

VHH Nanobody Format

~15 kDa

VHH Nanobody

Laurel's format

vs

~150 kDa

Monoclonal Antibody

Competitor format

10×

Smaller

Dramatically reduced molecular weight enables tissue penetration impossible with full-size mAbs

Superior

Kidney Uptake

Glomerular filtration and proximal tubule reabsorption drive high renal tissue concentrations

Better

Biodistribution

Favorable PK profile with tissue distribution to both cardiac and renal compartments

Competitive Landscape

NPR1 agonism is clinically validated — Regeneron and Lilly have active programs. Novartis advanced and terminated due to insufficient efficacy, attributable to the mAb format's inability to penetrate kidney tissue. Laurel's VHH format directly addresses this gap.

CompanyProgramFormatStatusRenal Penetration
RegeneronREGN5381Monoclonal antibodyOngoing Ph2Limited kidney penetration
NovartisUndisclosedMonoclonal antibodyTerminatedInsufficient tissue distribution
LillyUndisclosedMonoclonal antibodyOngoing Ph1Standard biodistribution
Laurel BiotherapeuticsLead VHHVHH Nanobody (~15 kDa)PreclinicalSuperior kidney penetration

AI-Accelerated Discovery

~60 AI-Generated Candidates

Generative AI has produced approximately 60 VHH candidate sequences computationally designed to bind NPR1. These candidates carry high-confidence pLDDT structural scores from AlphaFold-based validation, indicating well-folded, stable antibody domains ready for wet-lab evaluation.

Compressed Discovery Timeline

By entering the binding evaluation stage with a pre-validated computational library, Laurel bypasses the earliest and most time-consuming step in traditional antibody discovery. This accelerates the path from candidate identification to in vivo proof-of-concept by an estimated 6–12 months versus conventional approaches.

Integrated Discovery Platform

01

Generative AI Sequence Design

~60 AI-generated candidate sequences with high-confidence pLDDT structural scores ready for binding evaluation against NPR1.

02

Immunization Campaign

Llama immunization with NPR1 antigen to generate a diverse in vivo immune repertoire enriched for target binders.

03

Phage Display Selection

High-throughput phage display library screening to identify VHH candidates with optimal affinity and selectivity profiles.

These three modalities are run in parallel — not sequentially — maximizing the diversity of binding candidates while compressing the overall discovery timeline. The combined library will be screened against NPR1 to identify the highest-affinity VHH leads for optimization.