Biological activity of bispecific DARPins connected with a leucine zipper through different linkers. Each symbol or bar represents the average of three data points. A, schematic overview of the constructs with different linker lengths. B, inhibition of A431 cell viability as determined by XTT assays. Cells were treated for 72 h with different concentrations of bispecific DARPins with a flexible Gly-Ser linker or dimerizing leucine zipper, with E01 at the N terminus and E69 at the C terminus. E01_LZ1_E69 and E01_LZ2_E69 affected cell proliferation similar to cetuximab (*, p < 0.05 compared with untreated cells; Student's t test), whereas the negative control Off7 and E01_LZ3_E69 did not. C, inhibition of A431 cell viability as determined by XTT assays. Cells were treated for 72 h with different concentrations of bispecific DARPins with a flexible Gly-Ser linker or dimerizing leucine zipper, with E69 at the N terminus and E01 at the C terminus. E69_LZ1_E01 and E69_LZ3_E01 affected cell proliferation similar to cetuximab (*, p < 0.05 compared with untreated cells; Student's t test), whereas the negative control Off7 did not. DARPin E69_LZ2_E01 affected cell proliferation, but to a lesser extent. D, inhibition of cell proliferation as determined by clonogenic assays. A431 cells were treated for 7 days with 100 nm DARPin or 100 nm cetuximab (Cet), after which the medium was changed, and cells were allowed to grow for another 7 days. E69_LZ3_E01 significantly inhibited cell proliferation (*, p < 0.02 compared with untreated cells; Student's t test), whereas the other constructs had a less pronounced effect on cell proliferation. E, inhibition of cell proliferation as determined by clonogenic assays at different concentrations. A431 cells were treated with different concentrations of DARPin or cetuximab for 7 days, after which the medium was changed, and cells were allowed to grow for another 7 days. Both cetuximab and E69_LZ3_E01 significantly inhibited cell proliferation (**, p < 0.02, and *, p < 0.01, respectively; Student's t test), whereas negative control Off7 did not show an effect. The IC50 of E69_LZ3_E01 as determined from this graph is ∼100 nm. F and G, cell cycle distribution. A431 cells were treated for 24 h with 100 nm bispecific DARPin with a dimerizing leucine zipper or with 100 nm cetuximab, after which cells were stained with propidium iodide and measured by flow cytometry. The bispecific DARPins induced G1 arrest (*, p < 0.05 compared with untreated cells; Student's t test), whereas E69_LZ3_E01 in particular significantly induced G1 arrest (**, p < 0.02 compared with untreated cells; Student's t test).