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Title:
LUNG-TARGETING NANOBODIES AGAINST PULMONARY SURFACTANT PROTEIN A AND PREPARATION THEREOF
Document Type and Number:
WIPO Patent Application WO/2014/170713
Kind Code:
A1
Abstract:
The present invention provides novel nanobodies against pulmonary surfactant protein A (SP-A) and preparation thereof. The present invention also provides nucleic acids encoding the nanobodies as well as preparation and use thereof. Immunohistochemistry and in vivo imaging show that the nanobodies of the present invention have high lung-targeting specificity.

Inventors:
LI HUIPING (CN)
WANG SHANMEI (CN)
Application Number:
PCT/IB2013/001330
Publication Date:
October 23, 2014
Filing Date:
June 24, 2013
Export Citation:
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Assignee:
SHANGHAI PULMONARY HOSPITAL TONGJI UNIVERSITY SCHOOL OF MEDICINE (CN)
International Classes:
C07K16/18; A61K9/127; A61K31/573; A61K39/395; A61P11/00; C12N15/13
Domestic Patent References:
WO2007047922A22007-04-26
WO2004056311A22004-07-08
Foreign References:
CN102370620A2012-03-14
Other References:
DEFFAR KHALISSA ET AL.: "Nanobodies - the new concept in antibody engineering", AFRICAN JOURNAL OF BIOTECHNOLOGY, vol. 8, no. 12, 17 June 2009 (2009-06-17), pages 2645 - 2652
Attorney, Agent or Firm:
GAO, Huanyong (26th floor Wheelock Square,1717 Nanjing Road West Jing An District, Shanghai 0, CN)
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Claims:
Claims

1. A lung-targeting nanobody, comprising an an amino acid sequence having the formula of Q(x)2LVESGG(x)2V (x)2G(x) SL(x) LS(x)24E (x) n2KG (x) 4S (x) n3T (x) 2Y (x)

C(x)n4S(x)n5V(x)n6R; wherein x is any amino acid; l^n2^21; l^n3^19; l^n4^50 l¾Sn5≤22; l≤n6=¾8.

2. The nanobody of claim 1, wherein the nanobody comprises an amino acid sequence having the formula of Q (X1)LVESGG(X2)V(X3)G (X4)SL(X5) LS(X6) E (X 7) KG(X8) S(X9) T(X10) Y(Xu) C(X12) S(X13) V(X14) R, wherein

Xi is selected from a group consisting of LQ and VK;

_X2 is selected from a group, consisting, of. of GS, .GL,- GR, GM, RL and- GT; - -

X3 is selected from a group consisting of is QA, QP, QI, AP and EV;

X4 is selected from a group consisting of R, G and E;

X5 is selected from a group consisting of K, N, R, M and T;

X6 is selected from a group consisting of CTASGSDYRWMYIARFRQCPGKER,

CAASGRAFS VYAVGWYRQ I PGNQR, CTASETTFEIYPMAWYRQAPGKQR, CAASGSDFS I YH GWYRQAPGKQR, CAASGD I FTLASMGWYREDLHKKR, CEASGFTFDDYAIGWFRQAPGKER, CVALGFTLDGYAIGWFRQAPG ER, CTASKFHLDSYAVAWFRQTPGKER, CVVSGVT I SNYGMTWVRQAPGKGL, CVVSGVTFNNYGMTWVRQAPGKGL, CVTSGFTFSRHDMSWVRQAPGKGP, CAASGFIFSRYDMGWVRQTPGKGR, CAASGI ILNFYG GWDRQTPGQGL, CTAS EFTLDYHS I GWFRQAPGKER, CAASGRAFSVYAVGWYRQPPGKQR, CEVSGSRGS IYFSGWYRQAPGKQR, CVASGSMFNFYGMAWYRQAPGKQR and RTFSGLYLHSSAFGWFPHVPREAR;

XT is selected from a group consisting of GVAAIYTDDTDDSSPIYATSA, MVAAISSGGNTKYSDSV, LVAGINMISSTKYIDSV, LVAAITSGGSTNYADSV, LVAQLMSDGTANYGDSV, EVSCISHNGGTTNYADSV, KISCISSTGDSTNYDDSV, AVSFINTSDDVTYFADSV, WISTIYSNGHTYSADSV, WISSIYSNGHTYSADSV, WISGIGTSGTSGRYASSV, WVSGINSGGGRTYYADSV, GVSYVNNNGMTNYADSV, GVSCISYGDGTTFYTDSV, LVASITDGGSTNYADSV, LVASITSGGTTNYADSV, LVASIDSEGRTTNYPDSL and

GVAFLCNSGSDPIYLHPE;

X8 is selected from a group consisting of RFTI, RVTI, RFSI, RFTA, RFTV and IFTL; X9 is selected from a group consisting of QDKDKNAVYLQMNSPKPED, RDNDKNTMYLQMNSLKPED, SDNAKNTVYLQMNSLKPED, RDDVDTTVHLRMNTLQPSD, RDNAKNTVYLQMNGLKPED,

RDTAKSTVFLQMNNLIPED, RDNSKNTVYLQMNVLKPED, RDNANNTLYLQMNSLKPED,

RDNAKNTLYLQMISLKPED, RDNAKDTLYLQMDSLKPED, RDDDKATLYLSMDGLKPED,

RDNAKNTMYLQMNSLKPED, RDNAKNTVTLQMNSLKPED, RDNARNTAYLDMNSLKVED,

RDNAKNTVYLQMNSLKPED, RDDAKSTAYLQMNNLIPDD, RHCVKTVSPFEDNDTVEH,

RDNAKNTLYLQMNSLKPED and NULL;

Xio is selected from a group consisting of PT, AV, AD, AL, GL, AK, AN, AI, SV, GE, AM and NULL;

Xn is any amino acid or NULL;

X12 is sleeted from a group consisting of AARAFGGTWSLSSPDDFSAWGQGTQVTVS,

NLDTTMVEGVEYWGQGTQVTVS, NADGVPEYSDYASGPVYWGQGTQVTVS,

YIHTSREITWGRGTQVTVSQGESSAPQSSAPQATVS, AGARSGLCVFFELQDYDYWGQGTQVTVS,

GADLLARCGRVWYFPPDLNYRGQGTQVTVS, AAVRSPGPTGPSMQPMWSVPDLYDYWGQGTQVTVS,

KLTGETHRGQGTQVTVS, KLVGETHRGQGTQVTVS, RLTGETYRGQGTQVTVS,

TTGGVYSAYVQPRGKGTQVTVS, VRFTVKTPQGYYYLNDFDYWGQGTQVTVS,

NVSAYTYRSNYYYPWGQANHVTVS, AASPGRLLLFRLCMSEDEYDFWGQGTQVTVS,

NANYGGSVLYNYWGPGTQVTVS, NIGRYGLGGS GQGTQVTVS, NAFRGRMYDY GQGTQVTVS,

PTHLVITHPCICIPSAMDYRGKGTLVPLS and NULL;

Xi3 is selected from a group consisting of STNEVCKWPPRPCGRRCAGA SHHSEDPGPRGLAAAGAP, SEPKTPKPQGPRGLAAAGAP, TEPKTPKPQGPRGLAAAGAP, SKPTTPKPRAPKALRPQ,

SAHHSEDPGPRGLAAAGAP and SQRKTRKAQGRARLADAGAP;

XM is selected from a group consisting of PYPDPLEP, SGSAGTAC, PHADQMEQ and PRCRIRFo

3. The nanobody of claim 2, wherein Xn is selected from a group consisting of Q, Y, H, V and F.

4. The nanobody of claim 1, wherein the nanobody comprises an amino acid sequence comprising any of SEQ ID NOs 37 to 67.

5. A nucleic acid encoding the lung-targeting nanobody of claim 1.

6. The nucleic acid of claim 5, wherein the nucleic acid comprising a polynucleotide sequence comprising any of SEQ ID NOs 1 to 36.

7. A method of preparing the antibody of claim 1, comprising the steps of:

(1) immunizing an alpacas using pulmonary surfactant protein A (SP-A) ;

(2) screening and obtaining gene sequences with high affinity with SP-A; and

(3) inducing the expression of the gene sequences obtained in step (2).

8. The method of claim 7, wherein step (2) comprises affinity selection.

9. A method of using the nanobody of claim 1, wherein the nanobody is used as a lung-targeting ligand.

10. The method of claim 10, wherein the nonobody binds to pulmonary surfactant protein A (SP-A) with specificity.

11. An isolated polynucleotide sequence encoding an amino acid sequence that can bind to pulmonary surfactant protein A (SP-A), the polynucleotide sequence comprises any of SEQ ID NOs 1 to 36.

12. An expression vector comprising the polynucleotide of claim 11.

13. A host cell comprising the vector of claim 12.

14. An isolated amino acid sequence that can bind to pulmonary surfactant protein A (SP-A), the amino acid sequences comprises any of SEQ ID NOs 37 to 67.

15. The amino acid sequence of claim 14, which is an antibody.

16. The amino acid sequence of claim 14, which is a nanobody.

17. A fusion protein or construct, which comprises an amino acid sequence of claim 14, and at least one therapeutic moiety.

18. The fusion protein or construct of claim 17, further comprises a spacer between the amino acid sequence and at least one therapeutic moiety.

19. The fusion protein or construct according to claim 17, wherein the at least one therapeutic moiety comprises an immunoglobulin sequence or a fragment thereof.

20. The fusion protein or construct according to claim 19, wherein the at least one therapeutic moiety comprises a single domain antibody or an immunoglobulin variable domain sequence.

21. A pharmaceutical composition that comprises a fusion protein or construct comprising the amino acid sequence of claim 14, and optionally at least one pharmaceutically acceptable carrier, diluent or excipient.

22. The pharmaceutical composition of claim 21, wherein the carrier is Poly (lactic-co-glycolic acid) (PLGA) Poly lactic acid(PLA).

23. A SP-A targeting immunonanoliposome, comprising a nanobody of claim 16, a therapeutic moiety, and a nanoliposome, wherein the therapeutic moiety is glucocorticoid.

24. The immunonanoliposome of claim 23, wherein the therapeutic moiety is dexamethasone sodium phosphate (DXM) .

25. The immunonanoliposome of claim 23, wherein the nanoliposome comprises phospholipids, cholesterol and a liposomes excipient.

26. The immunonanoliposome of claim 25, wherein the liposomes excipients is selected from a group consisting of distearoyl phosphatidyl ethanolamine - polyethylene glycol 2000 (DSPE-PEG2000) and distearoyl phosphatidyl ethanolamine - polyethylene glycol 2000 - pyridyl - associated mercapto - propionate (DSPE-PEG2000-PDP) .

27. The immunonanoliposome of claim 25, wherein the phospholipid is selected from a group consisting of soybean lecithin (SPC), egg yolk lecithin (EPC), and dipalmitoyl phosphatidyl choline (DPPC).

28. The immunonanoliposome of claim 23, wherein the therapeutic moisty is selected from a group consisting of hydrocortisone, prednisolone, and methylprednisolone.

29. A nanobody that binds to pulmonary surfactant protein A (SP-A) with specificiity, and has a molecule weight of 17 Kd.

30. A fusion protein or construct, comprising the nanobody of claim 29, and at least one therapeutic moiety.

31. A SP-A targeting immunonanoliposome, comprising a nanobody of claim 29, dexamethasone sodium phosphate (DXM), and a nanoliposome.

Description:
Lung-targeting nanobodies against pulmonary surfactant protein A and preparation thereof

Cross-Reference to Related Applications This application claims the benefit and priority of Chinese Patent Application

No. 201310134673.1, entitled "Lung-Targeting Nanobodies against Pulmonary Surfactant Protein A and Their Preparation, " filed on Apr. 17, 2013. The entire disclosures of each of the above applications are incorporated herein by reference. Technical Field

The present invention relates to the field of biochemistry and pharmaceutical technologies, particularly to nanobodies that bind to pulmonary surfactant protein A (SP-A) with specificity.

Background of the Invention

In the beginning of 20th century, the Nobel Prize-winning German scientist Paul

Ehrlich proposed the idea of "magic bullet" for future drug development, i. e. , an ideal drug that would selectively destroy diseased cells without affecting healthy cells. In the past several decades, scientists have been exploring to develop such ideal drugs.

In the 1970s, targeted drug delivery system was developed and widely used for the treatment of cancer. It was reported that targeted anti-cancer drugs accounted for more than 30% of the world' s anti-cancer drug sales, and that this figure is forecasted to rise to 55% in 2025. Meanwhile, with the advancement in research, new targeted drug delivery carriers has emerged, the routes of administration has been broadened, and targeted drug delivery system has been expanded to treat many diseases other than cancer.

Developing targeted drugs for respiratory diseases is one of the hotspots of the research, which is primarily focused on the following areas:

1. Targeted treatment of airways diseases by inhalation. Starting from the earlier 1950s, inhaled corticosteroids have been used for the treatment of asthma and COPD. Since then, with improvement in inhaled drugs and devices, inhaled corticosteroids have become the main therapeutic agents for the treatment of asthma and COPD. However, inhaled drugs are mainly suitable for topical treatment of airways diseases, and are not effective against parenchyma and interstitial lung diseases due to low bioavailability.

2. Passive lung-targeting drugs through drug carriers.

Currently, a variety of drug carriers such as liposomes, microparticles, microspheres have been researched for lung-targeted drug delivery. However, these passive targeting drugs have poor tissue selectivity, and cannot avoid significant residue in the liver, spleen and other organs. Therefore, they don' t achieve optimal targeting effect.

The ligand-receptor or antigen-antibody binding is a special recognition mechanism of the human body, and as reported in the literature, this mechanism can achieve active drug targeting to enhance drug efficacy and reduce the side effects. For example, a composite drug made of paclitaxel liposome and a monoclonal antibody against the epidermal growth factor has anti-tumor effect that is 25 times greater that of the drug without the monoclonal antibody. Thus, to achieve ideal active lung targeting effect, it is critical to find a receptor in the lung tissue with high specificity and prepare a targeting ligand with high affinity. Studies have shown that pulmonary alveolar type II epithelial cells in the lung tissue have proliferation and secretion functions, and account for 16% of the total cells in lung parenchyma. Type II cells can synthesize and secrete pulmonary surfactant. The main components of the pulmonary surfactant are lipids (90%) and proteins (10%), and the proteins are specific pulmonary surfactant proteins (SP). SP has been named as SP-A, SP-B, SP-C, SP-D, SP-A based on the order it was discovered, and SP-A was discovered first, and has strong expression in pulmonary alveolar type II epithelial cells with abundant signals, and is rarely expressed in other tissues. Thus, SP-A is highly lung-specific, and is an ideal receptor in the lung tissue with specificity.

In addition to high affinity, an ideal targeting ligand should also have a small molecular weight, high tissue penetration, and weak immunogenicity. Antigen-antibody binding is the strongest recognition mechanism, and therefore antibody is the preferred ligand. However, although of high affinity, full antibodies have large molecular weight (with a relative molecular weight of 150,000), weak tissue penetration and strong immunogenicity, and are not ideal ligands. With the development of antibody and gene engineering technologies, antibody fragments (Fab, ScFv) now have the advantages of small molecular weight and weak immunogenicity, but they has lower stability and affinity than full antibodies.

In 1993, scientists from Belgian first reported the existence of Heavy Chain antibody (HCAbs) without the light chain in the blood of camelids. The variable domain (VHH) of the heavy chains of HCAbs has a complete and independent antigen-binding capacity, and if cloned, a single domain antibodies in the nanometer scale can be obtained, which are known as nanobodies® (Nbs). Nanobody has many advantages as a ligand: 1) small molecular weight, strong tissue penetration, and high affinity. It has the least molecular weight among the known antibody molecules, with a molecular weight of only 15,000; its ability to penetrate tissues is significantly superior to full antibody, and its affinity with specific antigen is of nmol scale. 2) Stable structure. It can maintain high degree of stability even if stored at 37° C for a week, under high temperature (90° C), or under strong denaturing conditions such as being exposed to chaotropic agent, protease and strong PH value. 3) Weak immunogenicity. AS its gene has high homology with human VH III family, it has weak immunogenicity and good biocompatibility. Because of these advantages, nanobody has been studied extensively as a new antibody drug, but its use as targeted ligand for SP-A has not been reported.

Summary of the Invention

The present invention provides lung-targeting nanobodies and their applications.

SP-A was the first discovered pulmonary surfactant protein, has strong expression in pulmonary alveolar type II epithelial cells with abundant signals, and is rarely expressed in other tissues. SP-A is highly lung-specific, and is an ideal lung-specific receptor. In accordance with embodiments of the present invention, alpacas was immunized with SP-A, an antibody library was built, affinity selection was employed to screen and identify genes with lung-targeting specificity, and SP-A nanobodies with high affinity was obtained by prokaryotic expression. In vivo and in vitro experiments were conducted to verify that the nanobody has high specificity for targeting lung tissue.

In accordance with an embodiment of the present invention, a lung-targeting nanobody, called SPA-Nb, is provided. The nanobody comprises an an amino acid sequence having the formula of Q (x) 2 LVESGG (x) 2 V (x) 2 G(x) SL(x) LS(x) 24 E

(x) n2 KG (x) 4 S (x) n3 T (x) 2 Y (x) C(x)„4S(x)„ 5 V(x)n6R; wherein x is any amino acid; l^n2^21; l≤n3≤19; l≤n4≤50 ; l≤n5≤22 ; ls¾n6¾S8.

Preferably, 17s¾n2s¾21; 18^n3^19 ; 16≤η4¾Ξ50 ; 17≤η5≤Ξ22 ; 7≤n6≤8.

For example, the nanobody comprises an amino acid sequence of MQAQLAGQLQ

LVESGGGLVQ PGGSLRLSCV xSGTISxYGM GWxRQAPGKG RExVSTIxSx GxTxxxxYYA DSVKGRFTIS

RDNAKNTLYL QMNSLKPEDT AxYYCxLxGx xxxxxxxxxx xxxxxxxxxH RGQGxxxxxx xxxTQVTVSS xxEPKTPKPQ GPRGLAAAGA PVPYPDPLEP RAA (SEQ ID NO 69) , wherein x is any amino acid.

In accordance with another embodiment of the present invention, the nanobody comprise an amino acid sequence having the formula of Q ( Xj LVESGG (X 2 ) V (X 3 ) G (X 4 )SL(X 5 )

LS(X 6 ) E (X 7 ) KG(X 8 ) S(X 9 ) T(X 10 ) Y(X„) C(X 12 ) S(X 13 ) V(X 14 ) R, wherein

Xi is selected from a group consisting of LQ and VK;

X 2 is selected from a group consisting of of GS, GL, GR, GM, RL and GT;

X 3 is selected from a group consisting of is QA, QP, QI, AP and EV ;

X 4 is selected from a group consisting of R, G and E;

X 5 is selected from a group consisting of K, N, R, M and T;

X 6 is selected from a group consisting of CTASGSDYRWMYIARFRQCPGKER,

CAASGRAFS VYAVGWYRQ I PGNQR, CTASETTFEIYP AWYRQAPGKQR, CAASGSDFS I YHMGWYRQAPGKQR,

CAASGD I FTLASMGWYREDLHKKR, CEASGFTFDDYAIGWFRQAPGKER, CVALGFTLDGYAIGWFRQAPGKER, CTASKFHLDSYAVAWFRQTPGKER, CVVSGVTISNYG TWVRQAPGKGL, CVVSGVTFNNYGMTWVRQAPGKGL,

CVTSGFTFSRHDMSWVRQAPGKGP, CAASGFIFSRYDMGWVRQTPGKGR, CAASGI ILNFYGMGWDRQTPGQGL,

CTASEFTLDYHS IGWFRQAPGKER, CAASGRAFSVYAVGWYRQPPG QR, CEVSGSRGSIYFSGWYRQAPGKQR,

CVASGSMFNFYGMAWYRQAPGKQR and RTFSGLYLHSSAFGWFPHVPREAR;

X 7 is selected from a group consisting of GVAAIYTDDTDDSSPIYATSA, MVAAISSGGNTKYSDSV, LVAGINMISSTKYIDSV, LVAAITSGGSTNYADSV, LVAQLMSDGTANYGDSV, EVSC I SHNGGTTNYADSV,

KISCISSTGDSTNYDDSV, AVSFINTSDDVTYFADSV, WISTIYSNGHTYSADSV, WISSIYSNGHTYSADSV, WISGIGTSGTSGRYASSV, WVSG INSGGGRTYYADSV, GVSYVNNNGMTNYADSV, GVSC I SYGDGTTFYTDSV, L VAS I TDGGSTNYADS V, LVASITSGGTTNYADSV, LVASIDSEGRTTNYPDSL and

GVAFLCNSGSDPI YLHPE ;

X 8 i s sel ected from a group consi sting of RFTI, RVTI, RFSI, RFTA, RFTV and IFTL; X 9 is selected from a group consist ing of QDKDKNAVYLQMNSPKPED, RDNDKNTMYLQMNSLKPED, SDNAKNTVYLQMNSLKPED, RDDVDTTVHLRMNTLQPSD, RDNAKNTVYLQMNGLKPED,

RDTAKSTVFLQMNNLIPED, RDNSKNTVYLQMNVLKPED, RDNANNTLYLQMNSLKPED,

RDNAKNTLYLQMISLKPED, RDNAKDTLYLQMDSLKPED, RDDDKATLYLSMDGLKPED,

RDNAKNTMYLQMNSLKPED, RDNAKNTVTLQMNSLKPED, RDNARNTAYLDMNSLKVED,

RDNAKNTVYLQMNSLKPED, RDDAKSTAYLQMNNLIPDD, RHCVKTVSPFEDNDTVEH,

RDNAKNTLYLQMNSLKPED and NULL;

Xio i s selected from a group consist ing of PT, AV, AD, AL, GL, AK, AN, AI, SV, GE, AM and NULL;

Xii i s any amino acid or NULL;

Xi2 i s sleeted from a group consi sting of AARAFGGTWSLSSPDDFSAWGQGTQVTVS,

NLDTTMVEGVEYWGQGTQVTVS, NADGVPEYSDYASGPVYWGQGTQVTVS,

Y I HTSRE ITWGRGTQVTVSQGESS APQSS APQATVS , AGARSGLC VFFELQDYDYWGQGTQVTVS ,

GADLLARCGRVWYFPPDLNYRGQGTQVTVS, AAVRSPGPTGPSMQPMWSVPDLYDYWGQGTQVTVS,

KLTGETHRGQGTQVTVS, KL GETHRGQGTQVT VS , RLTGETYRGQGTQVTVS,

TTGGVYS AYVQPRGKGTQVTVS , VRFTVKTPQGYYYLNDFDYWGQGTQVTVS,

NVS AYT YRSNYYYPWGQANHVT VS , AASPGRLLLFRLCMSEDEYDFWGQGTQVTVS,

NANYGGSVLYNYWGPGTQVTVS, N I GRYGLGGS WGQGTQVT VS , NAFRGRMYDYWGQGTQVT VS ,

PTHLV I THPC I C I PS AMDYRGKGTLVPLS and NULL;

X i s selected from a group consi st ing of STNEVCKWPPRPCGRRCAGA, SHHSEDPGPRGLAAAGAP, SEPKTPKPQGPRGLAAAGAP, TEPKTPKPQGPRGLAAAGAP, SKPTTPKPRAPKALRPQ,

S AHHS EDPGPRGLAAAGAP and SQRKTRKAQGRARLADAGAP;

X 14 i s selected from a group consi st ing of PYPDPLEP, SGSAGTAC, PHADQMEQ and PRCRIRF o NULL means there i s no amino aci d at thi s posi tion.

Preferably, X a i s selected from a group consi sting of Q, Y, H, V and F.

In accordance with another embodiment of the present invention, the nanobody compri ses an amino acid sequence compri sing any of SEQ ID NOs 37 to 67. The present invention also provides nucleic acids encoding the lung-targeting nanobody.

In accordance with an embodiment of the present invention, the nucleic acid comprise a polynucleotide sequence comprising any of SEQ ID NOs 1 to 36.

The nanobody of the present invention can be used as lung-targeting ligand specifically targeting pulmonary surfactant protein A (SP-A).

In accordance with another embodiment of the present invention, a method of preparing the nanobody is provided; the method comprises the steps of:

(a) immunizing an alpacas using pulmonary surfactant protein A (SP-A) ;

(b) selecting and obtaining gene sequences with a high affinity with SP-A; and

(c) inducing the expression of the obtained gene sequences.

Preferably, the step (b) comprises affinity selection.

In accordance with an embodiment of the present invention, high purity pulmonary surfactant protein A (rSP-A) was prepared using gene synthesis and prokaryotic expression, and used to immunize alpaca; an alpaca antibody library was built by the isolation of peripheral blood lymphocytes, RNA extraction, cDNA synthesis, and gene amplification; the library had a capacity of 31 5.7 X 106 cfu. Through affinity selection and indirect phage ELISA, 31 clones with high affinity with rSP ~ A were finally obtained. Sequencing analysis showed they were all VHH sequences (nanobody sequences) .

Nb6 and Nbl7 had the highest affinity, and were selected as the preferred embodiments for prokaryotic expression to obtain nanobodies with a molecular weight of about 170,000 and a size of nanometer scale. In in vitro Werstern Blot and ELISA experiments, Nb6 and Nbl7 showed good affinity with rSP-A, immunohistochemistry and in vivo imaging results showed that had lung-targeting specificity as they can bind to natural SP-A in the lung tissue.

In accordance to an embodiment of the present invention, synthetic method was used to obtain the polypeptide of the nanobody.

To further optimize the nanobody of the present invention, the active region of the polypeptide sequences of the selected clones were tested. Testing results showed that the functional polypeptides of Nb6 and Nbl7 (without the MQAQKAG part) have good lung-targeting specificity.

To further verify that the 31 nanobody sequences all have lung-targeting affinity with rat pulmonary surfactant protein A, respectively, 21 clones (excluding those with the same sequence with Nbl7) were expressed and purified, all proteins were obtained through soluble expression, with Nbl had the least expression level of 3 mg / L, while the rest had an average protein expression level of 8 mg/L.

In Western blot and ELISA analysis, all 21 expressed proteins had clear affinity, where 7 nanobodies, namely Nb9, Nbll, Nbl8, Nbl9, Nb36, Nb32, and Nb48 had 0D450 values 5 times greater than the negative control group.

Immunohistochemical staining also showed that these clones had strong affinity. All clones showed significant differences with the negative control group.

In vivo testing showed that 7 nanobodies, namely Nb9, NB11, NB18, NB19, Nb36, NB32, and Nb48 had targeting effect similar to that of Nbl7; though their clustering levels vary, all the images showed significant clustering in the lung.

Similarly, functional polypeptides were synthesized using Nbl8 and Nb36 as representative examples (Nb36 was without the MQAQLAV at the N-end, NB18 was without MQAQKAG at the N-end). Western blot and immunohistochemical showed that affinity was not affected.

The present invention provides a nanobody (SPA-Nb) against rat pulmonary surfactant protein A (SP-A). Tests showed that the SPA-Nb of the present invention had high lung-targeting specificity.

In accordance with embodiments of the present invention, the SPA-Nb coding sequence refers to the nucleotide sequence of the SPA-Nb polypeptide, such as the sequences from SEQ ID NO 37 to SEQ ID NO 67 and its degenerate sequence. The degenerate sequence refers to sequences from SEQ ID NO 37 to SEQ ID No. 67 wherein one or more codons were substituted.

The SPA-Nb coding sequences also include variants of SEQ ID NO 37 to SEQ ID No.

67 that encoding proteins with the same functions as SPA-Nb. Such variants include (but are not limited to) : the deletion, insertion or substitution of a plurality

(usually 1-90, preferably 1-60, more preferably 1-20, most preferably 1-10) of nucleotides, and the adding at the 5 'and / or 3' end of a plurality of (typically less than 60, preferably less than 30, more preferably less than 10, the top for 5 or less) nucleotides.

Once the SPA-Nb coding sequence is obtained, large quantities of the recombinant sequences can be obtained. This is usually done by cloning the sequence into a vector, and transferred to the cells, then using conventional methods to isolate the sequences from the proliferated host cell.

In addition, the sequences can also be obtained by synthetic methods, as the length of the inhibitory factor of the nanobodies of the present invention is short. Typically, a number of small fragments can be synthesized first, and a long fragment can be formed by linking the small fragments.

In accordance with the present invention, various forms of vectors known in the art, such as those that are commercially available, can be used. For example, using a commercially available vector, the nucleotide sequence encoding the polypeptide of the invention can be operably linked to expression control sequence to form a protein expression vector.

As used herein, the term "operably linked" means the situation where part of the DNA sequence can affect the activity of other part of the DNA sequence. For example, DNA for a presequence or secretory leader is operably linked to DNA for a polypeptide if it is expressed as a preprotein that participates in the secretion of the polypeptide; a promoter or enhancer is operably linked to a coding sequence if it affects the transcription of the sequence; or a ribosome binding site is operably linked to a coding sequence if it is positioned so as to facilitate translation. Generally, "operably linked" means that the DNA sequences being linked are contiguous, and, in the case of a secretory leader, contiguous and in reading phase.

In accordance with embodiments of the present invention, the term "host cell" includes prokaryotic cells and eukaryotic cells. Examples of commonly used prokaryotic host cells include Escherichia coli, Bacillus subtilis, etc. Commonly used eukaryotic host cells include yeast cells, insect cells, and mammalian cells. Preferably, the host cell is a eukaryotic cells, such as CH0 cells, COS cells and the like. The antibodies of the present invention can be prepared by various techniques known to those skilled in the art. For example, purified SP-A, or its antigenic fragments can be administrated to animals to induce the production of antibodies. Similarly, cells expressing SP-A or its antigenic fragments can be used to immunize animals to produce antibodies. Antibodies in the invention can be produced by routine immunology techniques and using fragments or functional regions of SP-A gene product. These fragments and functional regions can be prepared by recombinant methods or synthesized by a polypeptide synthesizer. Antibodies binding to unmodified L SP-A gene product can be produced by immunizing animals with gene products produced by prokaryotic cells (e.g., E. coli) ; antibodies binding to post-translationally modified forms thereof can be acquired by immunizing animals with gene products produced by eukaryotic cells (e.g., yeast or insect cells).

The invention also relates to nucleotide sequences or nucleic acids that encode amino acid sequences, fusion proteins and constructs described herein. The invention further includes genetic constructs that include the foregoing nucleotide sequences or nucleic acids and one or more elements for genetic constructs known per se. The genetic construct may be in the form of a plasmid or vector.

The invention also relates to hosts or host cells that contain such nucleotide sequences or nucleic acids, and/or that express (or are capable of expressing), the amino acid sequences, fusion proteins and constructs described herein.

The invention also relates to a method for preparing an amino acid sequence, fusion protein or construct as described herein, which method comprises cultivating or maintaining a host cell as described herein under conditions such that said host cell produces or expresses an amino acid sequence, fusion protein or construct as described herein, and optionally further comprises isolating the amino acid sequence, fusion protein or construct so produced.

The invention also relates to a pharmaceutical composition that comprises at least one amino acid sequence, fusion protein or construct as described herein, and optionally at least one pharmaceutically acceptable carrier, diluent or excipient.

Thus, in another aspect, the invention relates to a method for the prevention and/or treatment of lung disease or disorder that can be prevented or treated by the use of a fusion protein or construct as described herein, which method comprises administering, to a subject in need thereof, a pharmaceutically active amount of a fusion protein or construct of the invention, and/or of a pharmaceutical composition comprising the same. The diseases and disorders that can be prevented or treated by the use of a fusion protein or construct as described herein will generally be the same as the diseases and disorders that can be prevented or treated by the use of the therapeutic moiety that is present in the fusion protein or construct of the invention.

The present invention provides nanobodies that bind to pulmonary surfactant protein A (SP-A) with specificity. In accordance with embodiments of the present invention, alpacas was immunized with SP-A, gene sequences with high affinity with rSP-A were obtained by constructing an alpacas antibody library and affinity selection, and nanobodies with high affinity and small molecule weight were obtained by induced expression of the gene sequences through a prokaryotic expression vector. Immunohistochemistry and in vivo imaging in rat showed the nanobodies have high specificity for targeting lung tissue. By providing nanobodies with lung-targeting specificity, the present invention provides tools for further research on lung-targeting ligands for targeted drug delivery for lung diseases.

BRIEF DESCRIPTION OF THE DRAWINGS

Figure 1. SDS-PAGE, Western blot, Elisa of rat pulmonary surfactant protein A (rSP-A). 1A is SDA-PAGE for rSP-A: 1 Mark; 2, rSP-A. IB is Western blot of rSP-A: 1, rSP-A; 2, Mark. 1C is Elisa: 1. negative protein; 2, rSP-A.

Figure 2. Comparison of the coding sequences of the 31 clones.

Figure 3. SDS-PAGE of Nb6 and Nbl7: M, Mark; 1, Nb6; 2, Nbl7.

Figure 4. Electron microscopy image of of Nbl7.

Figure 5. Western blot, Elisa of purified SPA-Nb. 5A is Western Blot: 1, Nb6; 2, Nbl7. 5B is Elisa: 1, Nb6; 2, Nbl7; 3, negative control group.

Figure 6. Immunostaining of Nb6 and Nbl7 with sliced tissus of rat lung, heart, liver, spleen, muscle. Figure 7. Images of Nbl7 with FITC mark in the body of mice at different times. A: 15 minutes after intravenous injection at the tail; B: 1 hour after intravenous injection at tail; C: 2 hours after intravenous injection at tail; and D: 3 hours after intravenous injection at tail; E: 5 hours after intravenous injection at tail; F, 15 minutes after nasal inhalation.

Figure 8. The Preparation of SPA-Nb.

DESCRIPTION OF THE PREFERRED EMBODIMENTS

The present invention is further illustrated using the following embodiments, but any of the embodiments or its combinations thereof should not be construed as a limitation to the scope of the present invention. The scope of the present invention is defined by the appended claims, which can be clearly understood by those skilled in the art by referecnce to this specification and general knowledge in the art. Without departing from the spirit and scope of the present invention, modifications or changes can be made to the present invention by those skilled in the art, and such modifications and changes are also within the scope of the present invention.

Example 1. The preparation and testing of rat pulmonary surfactant protein A (rSP-A) 1.1 The preparation of rat pulmonary surfactant protein A (rSP-A)

The protein coding sequence (CDS) of rSP-A gene sequence (Rattus norvegicus Sftpa, 1) was searched from the NCBI gene library. Artificial gene synthesis was performed, the sequence was tested and verified, prokaryotic expression vector was constructed, and the rSP-A was expressed from inclusion bodies having a molecular weight of 26, 000. The rSP-A was purified by nickel affinity chromatography and dialysis refolding, and made into dry powders by freezing. (Figure 1A).

1.2 rSP-A Testing

1.2.1 Western blot Testing

Purified rSP-A was isolated by SDS-PAGE and transferred onto nitrocellulose membrane. It was sealed in 5g/L skim milk and incubated for 2 hours, then immune serum containing rabit polyclonal antibody against rSP-A (at room temperature for 2 hours, and washed 3 times with PBS) and serum containing goat anti-rabbit IgG-HRP (at room temperature for 1 hours, washed 3 times with PBS) were added sequentially. DAB was added last to develop the image, and photographes of the image were taken. The photographs contain a single stripe with a molecule weight of 26Kd (Figure IB).

1.2.2 Elisa Test

Elisa test was performed to measure the immunological activity of the purified protein. An Elisa plate with 96 wells were coated with purified rSP-A and an unrelated protein (GST), and incubated overnight at 4° C. The next day, it was sealed in 3% skim milk and incubated at 37° C for an hour, then immune serum containing rabit polyclonal antibody against rSP-A (at room temperature for 2 hours, and washed 3 times with PBS) and serum containing goat anti-rabbit IgG-HRP (at room temperature for 1 hours, washed 3 times with PBS) were added sequentially. DAB was added last to develop the image, and sulfuric acid was added to stop the reaction. The 0D value of each well was measured using the chromogenic microplate, which showed that, compared with the control group, both purified rSP-A and SP-A polyclonal antibody had obvious binding activity (Fig. 1C).

1.2.3 Protein Spectrum analysis

Spectrum analysis was performed on dry rSP-A powder obtained through freezing, and the results shown its sequence was the exactly the same as the original gene sequence. Example 2. Alpaca immunization and test for immunization effect

2.1 Alpaca Immunization

The prepared rSP-A and an equal volume of Freund' s complete adjuvant were emulsified, and injected subcutaneously into an alpaca at multiple points of the neck and limbs. The immunization dose is 1 mg each time. Afterwards, every two weeks, the same dose was mixed with Freund' s incomplete adjuvant and injected 5 more times. 10 ml of peripheral blood was collected before each immunization and 14 days after the immunization. The serum was separated for antibody titer. Also, the serum collected before the immunization was purified and isolated for the preparation of polyclonal rabbit anti-alpaca IgG antibody.

2.2 Preparation of polyclonal rabbit anti-alpaca IgG antibody serum

Purfied alpaca IgG was mixed with Freund' s complete adjuvant, and injected subcutaneously into New Zealand white rabbits at multiple points of the back. The immunization dose is 200 V-g each. Afterwards, every week, half of the original dose was mixed with Freund' s imcompelte adjuvant, and injected into the rabbits four more times. The peripheral blood was collected 14 days after the end immunization. The serum was separated, and HRP marking was performed. The serum was stored at 50° C. 2.3 Testing of rSP-A antibody level in alpaca serum

ELISA was used to test the change of in goat anti-alpaca rSPA antibody level in the preparaed rabbit anti-alpaca serum. The results showed that the antibody titer after 4 immunizations was maintained at 1:10,000.

Example 3. Construction and verification of alpaca antibody library.

3.1 Total RNA extraction from peripheral blood lymphocytes and cDNA synthesis 200 ml alpaca peripheral blood was collected 14 days after the immunization, lymphocytes were separated and the total RNA was extracted using the single-step method with Trizol Reagent. Meaured by the Nanodrop Spectrophotometer, its concentration was 1205ng/ul, and OD260/OD280 is 1.82. Three stripes were visible through 1% agarose gel electrophoresis at 28S, 18S and 5S RNA respectively, wherein the 28S RNA stripe. was brighter than the 18S RNA stripe, which meant that the total RNA was fairly complete, and suitable for cDNA synthesis.

3.2 VHH gene amplification and restriction digestion

3.2.1 Desing of primer for gene amplification and amplification procedure cDNA product was used as the template, and VHH-LD primer and CH2-R were used for the first PCR amplification. All the reagents were 50ul. The PCR product of VHH gene fragments was tested with a 1.5% agarose gel electrophoresis, and cut out of the gel under ultraviolet light. The extracted fragments were purified by gel extraction kit, and the resulted purified fragments were then used as the template for the second PCR reaction. Two sets of primers were used for PCR amplification of two heavy chain antibody VHH gene fragments. The primers were designed as follows:

Primer Seqence Listing

VHH-LD CTTGGTGGTCCTGGCTGC

(SEQ ID NO 1)

CH2-R GGTACGTGCTGTTGAACTGTTCC (SEQ ID NO 2)

ALP-Vh-Sfil: CCGTGGCCAAGCTGGCCGKTCAGTTGCAGCTCGTGGAGTCN

GGNGG (mixed primers: K: G or T; N: A, T, G,

C)

(SEQ ID NO 3)

VHHRl-Sfil CCGTGGCCTCGGGGGCCGGGGTCTTCGCTGTGGTGCG

(SEQ ID NO 4)

VHHR2-SfiI CCGTGGCCTCGGGGGCCTTGTGGTTTTGGTGTCTTGGG

(SEQ ID NO 5)

3.3 Restriction digestion of PCR product and construction of VHH antibody library 3.3.1 Restriction digestion of PCR products and Rphagemid pCANTAB 5E carrier The above PCR products and phagemid pCANTAB 5E carrier were digested by Sfi I restriction enzyme.

3.3.2 Ligation of phagemid vector pCANTAB 5e and VHH gene

After digestion by Sfi I restriction enzyme, the phagemid pCANTAB 5E vector and gene fragment were purified and quantified, and ligation reaction was performed at a mass ratio of 1:3 in water at 16° C for 14 hours.

3.3.3 Construction of VHH antibody library

The ligation product was transformed into E. coli TGI, and 1 ul of transformed solution was plated. 280 positive growing clones were obtained the following day. 20 clones were randomly chosen for bacilli propagation and sequencing. The results showed that 19 clones contained the construct sequence, and most of the sequences were different. It can be determined that VHH recombinant fragment insertion rate was about 95%. The antibody library has good diversity. It was calculated the the VHH antibody library' s capacity was approximately 2.66 X 10 5 cfu.

3.3.4 Propagation of M13K07 helper phage propagation and titer measurement M13K07 helper phage was inoculated in 2YT solid medium. Well separated plaques were chosen for propagation. Phage solution was diluted in 1:10, 1:100, 1:1000 and so on, and titer measurements were taken.

The phage titer was calculated as 3.8 X 10 15 pfu, using the number of plaques times dilution factor times 10.

3.3.5 The expression and isolation of VHH phage antibody library

The VHH antibody library constructed with M13K07 helper phage with a titer measurement of 10 l5 pfu was used to obtain the VHH phage library through precipitation with 20% PEG8000-NaCl, settlement with sterile PBS suspension, and separation of the recombinant phage particles. The capacity of the VHH phage library was measured, and the VHH phage library had a titer of 3.5 X 10 12 .

Example 4. Screening of rSPA-specific nanobody (rSPA-Nb)

Affinity selection technique was employed to screen the VHH antibody library with rSP-A.

4.1 Simplified procedure of affinity selection:

(l)The immunization tubes were coated with rSP-A, and incubated at 4° C overnight.

(2) The tubes were washed 3 times using PBS, and dried by shaking.

(3) The tubes were blocked using 3% MPBS (3% skim milk added to PBS) and incubated for 2 hours at 37° C. The blocking solution was poured, and the tubes were washed 3 times using PBS, and dried by shaking.

(4) 2 mL of the prepared phage library was added to each immunization tubes, and incubated for 30 minutes with gentle shake, and incubated for 1.5 hours without shaking.

(5) The phage library in the tubes was disposed, and the tubes were washed three times with PBS, and dried by shaking.

(6) The host strain TGI was added to wash away the bound phage library. This completed the first round of selection, and the first antibody library was obtained.

The output of the anbitody library was calculated.

(7) The selection steps were repeated for 3 times to obtain the third antibody library.

4.2 Preliminary selection of positive nanobodies using indirect Phage ELISA. (1) Single clonies obtained from the three rounds of selections and grown on

2YTAG plates were inoculated into the 72-well culture plate at 30 ° C, and cultured with shaking overnight.

(2) 400ul of M13K07 helper phage was put in each well of another 72-well culture plate (labeled PI Plate) the next day.

(3) 40 ul of cultured medium were taken from each well of the Master Plate, which was cultured overnight, and put in each well of the PI Plate, and incubated at 37° C with shaking overnight. The culture supernatant was prepared by centrifugation at 1500g for 20 minutes set aside, and the recombinant antibody was obtained.

(4) A 96-well microtiter plate was coated with rSP-A.

(5) 160 ul of recombinant antibody was mixed with 40 μ L of MPBS, incubated for 20 minutes at room temperature. It was then added to blocked microtiter wells and reacted for 2 hours at 37° C.

(6) Washing and adding HRP secondary antibody: HRP-labeled antibody against M13K07 was diluted 1:4000 in PBS, 200ul of that was added to each well, and incubated and reacted for 1 hour at 37° C.

(7) 200ul TMB substrate solution was added to each well, incubated at 37° C for about 45 minutes to develop the image, lOOul of stop solution was added to each well to stop the development process, and measurements were taken at 450 nm. Preliminary screening was conducted to select positive clones binding to rSP-A ith specificity. If a clone has affinity value greater than 3 times the affinity value for the negative control great, then it is considered to be a positive clone.

Preliminary screening by indirect Phage Elisa showed that 31 sequences had affinity value greater three times the affinity value for the negative control group, and these 31 sequences were positive clones. Example 5. Expression and Purification of rSPA-Nb with specificity

5.1 Construction of rSPA-Nb prokaryotic expression vector

The 31 clones selected by Phage ELISA were sent for sequencing (Figure 2). No. 6 (Nb6), which had a low affinity value, and 17 (Nbl7), which had a high affinity were PCR amplified using clone plasmid carrying BamH I and Xho I restriction sites. After the restriction digest, it was cloned to PET-30a plasmid, and sent for sequencing. 5.2 Expression and purification of nanobodies

Recombinant plasmid with correct sequence was transformed into E. coli BL21 (DE3) , the expression conditions were optimized, and protein expression was induced at 25° C, 0.8 mmol / L IPTG. The expressed product was purified with nickel affinity chromatography and Superdex 75 columns. SDS-PAGE electrophoresis showed that the expressed nanobody had a molecular weight of 17kDa (Figure 3). As measured by BCA, the purified proteins had concentration levels of 10 mg/L and 12mg/L, respectively. Observed under the electron microscope, the size of the antibodies was in the nanometer scale. (Figure 4).

The 31 clones obtained by the present invention are effective lung-targeting ligands as their nucleotide sequences and amino acid sequences specifically bind to SP-A, which are listed below:

1) Nucleotide sequence listing: NO.1 , Nbl (SEQ ID NO 6)

ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCCGGGGGAGGCTTGGTGCAG CCTGGGGGGTCTCTGAAACT CTCCTGTACAGCCTCAGAAACCACGTTCGAGATCTATCCCATGGCCTGGTACCGCCAGGC TCCAGGGAAGCAGCGCGAGT TGGTCGCGGGCATTAATATGATCAGTAGTACAAAGTATATAGACTCTGTGAAGGGCCGAT TCACCATCTCCAGAGACAAC GACAAGAACACGATGTATCTGCAAATGAACAGCCTGAAACCTGAGGATACGGCCGTCTAT TACTGTAATTTAGACACCAC AATGGTGGAAGGTGTCGAGTACTGGGGCCAGGGGACCCAGGTCACCGTCTCCTCCGCGCA CCACAGCGAAGACCCCGGCC CCCGAGGCCTTGCGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTG CCGCATAG NO.2, Nb2 (SEQ ID NO 7 )

ATGCAGGCCCAGCTGGCCGTTCAGTTGCAGCTCGTGGAGTCAGGGGGAGGCTTGGTGCAA CCTGGGGGGTCTCTGAGACT CTCCTGTGTAGTCTCTGGAGTCACCATCAGTAATTATGGTATGAGCTGGGTCCGCCAGGC TCCGGGAAAGGGGCTCGAGT GGATCTCAACTATTTATAGTAATGGTCACACATACTCTGCGGACTCCGTGAAGGGCCGAT TCACCATCTCCAGAGACAAC GCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCAAGTAT TATTGTAAATTGGTGGGAGA GACCCACCGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGAACCCAAGACACCAAAACC ACAAGGCCCCCGAGGCCTTG CGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCGCATAG NO.3, Nb3 (SEQ ID NO 8)

ATGCAGGCCCAGCTGGCCGTTCAGTTGCAGCTCGTGGAGTCAGGGGGAGGCTTGGTG CAACCTGGGGGGTCTCTGAGACT CTCCTGTGTAGTCTCTGGAGTCACCTTCAATAATTATGGTATGAGCTGGGTCCGCCAGGC TCCGGGAAAGGGGCTCGAGT GGATCTCAAGTATTTATAGTAATGGTCACACATACTCTGCGGACTCCGTGAAGGGCCGAT TCACCATCTCCAGAGACAAC GCCAACAACACCCTGTATCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCAACTAT TATTGTAAATTGGTGGGAGA GACCCACCGGGGCCAGGGGACCCAAGTCACCGTCTCCTCAGAACCCAACACACCAAAACC ACAAGGCCCCCGAGGCCTTG CGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCGCATATACTG TTGAAAGTTGTTTAGCATAA CCTCATACAGAAAATTCATTTACTAG NO.4, Nb4 (SEQ ID NO 9)

ATGCAGGCCCAGCTGGCCGTTCAGTTGCAGCTCGTGGAGTCAGGGGGAGGCTTGGTGCAA CCTGGGGGGTCTCTGAGACT CTCCTGTGTAGTCTCTGGAGTCACCATCAGTAATTATGGTATGAGCTGGGTCCGCCAGGC TCCGGGAAAGGGGCTCGAGT GGATCTCAACTATTTATAGTAATGGTCACACATACTCTGCGGACTCCGTGAAGGGCCGAT TCACCATCTCCAGAGACAAC GCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCAAGTAT TATTGTAAATTGGTGGGAGA GACCCACCGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGAACCCAAGACACCAAAACC ACAAGGCCCCCGAGGCCTTG CGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCGCATAG NO. 6, Nb6 (SEQ ID NO 10)

ATGCAGGCCCAGCTGGCCGTTCAGTTGCAGCTCGTGGAGTCGGGAGGGAGGCCTGGTGCA GCCTGGGGGGTCTCTGAGAC TCTCCTGTACAGCCTCCGAGATCACTTTGGATTATTATGTCATAGGCTGGTTCCGCCAGG CCCCAGGGAAGGAGCGTGAG CGCCTCTCATGTATTAGTAACAATGATGATAATGGCCACATTGAGCCTTCCGTCAAGGGC CGATTCGCTATTTCCAGAGA CAGCGCCAAGAACACGCTGTGTCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCGT GTATTACTGTGATTTTTGGC GTGCTATCTATAATGGGACCATATCTACTGGGGCCAGGGGAGCCAGGTCACCAGCTCCTC AGCGCACCACAGCGAAGACC CCGGCCCCCGAGGCCTTGCGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAAC CGCGTGCCGCATAG NO. 7, Nb7 (SEQ ID NO 11 )

ATGTTCTTTCTATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCTGGGGGAG GCTTGGTGCAACCTGGGGGG TCTCTGAGACTCTCCTGTGTAGTCTCTGGAGTCACCATCAGTAATTATGGTATGACCTGG GTCCGCCAGGCTCCGGGAAA GGGGCTCGAATGGATCTCAACTGTTTATAGTAATGGTCACACATACTATGCGGACTCCGT GAAGGGCCGATTCACCATCT CCAGAGACAACGCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAAACCTGAGGACA CGGCCAAGTATTATTGTAAA TTGACGGGAGAGACCCACCGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGAACCCAAG ACACCAAAACCACAAGGCCC CCGAGGCCTTGCGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGC CGCATAG NO. 8, Nb8 (SEQ ID NO 12)

ATGCAGGCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCTGGGGGAGGCTTGGTGC AACCTGGGGGGTCTCTGATGCTC TCCTGTGTAGTCTCTGGAGTCACCATCAGTAATTATGGTATGACCTGGGTCCGCCAGGCT CCGGGAAAGGGGCTCGAGTG GATCTCAACTATTTATAGTAATGGTCACACATACTATGCGGACTCCGTGAAGGGCCGATT CACCGCCTCCAGAGACAACG CCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCAAGTATT ATTGTAAATTGACGGGAGAG ACCCACCGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGAACCCAAGACACCAAAACCA CAAGGCCCCCGAGGCCTTGC GGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCGCATAG NO. 9, Nb9 (SEQ ID NO 13)

ATGTCCTTTCATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCTGGGGGAGG CTTGGTGCAGCCTGGGGGGT CTCTGAGACTCTCCTGTACAGCCTCTGAATTCACTTTGGATTACCATTCCATAGGCTGGT TCCGCCAGGCCCCAGGGAAG GAGCGTGAGGGGGTCTCATGTATTAGTTATGGTGATGGTACCACATTTTATACAGACTCC GTGAAGGGCCGATTCACCAT CTCCAGAGACAACGCCAAGAACACGGTGACTCTGCAAATGAACAGCCTGAAACCTGAGGA CACAGCCGTTTATTACTGTG CAGCATCACCCGGTCGATTACTATTGTTCAGGCTATGTATGTCCGAGGATGAATATGACT TTTGGGGCCAGGGGACCCAG GTCACCGTCTCCTCAGAACCCAAGACACCAAAACCACAAGGCCCCCGAGGCCTTGCGGCC GCAGGTGCGCCGGTGCCGTA TCCGGATCCGCTGGAACCGCGTGCCGCATAG NO. 11 , Nbll (SEQ ID NO 14)

ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCCGGGGGAGGCTTGGTG CAACCTGGGGGGTCTCTGAGACT CTCCTGTGTAGTCTCTGGAGTCACCTTCAATAATTATGGTATGACCTGGGTCCGCCAGGC TCCGGGAAAGGGGCTCGAGT GGATCTCAACTATTTATAGTAATGGTCACACATACTATGCGGACTTCGTGAAGGGCCGAT TCACCATCTCCAGAGACAAC GCCAAGAACACGTTGTATCTGCAAATGATCAGCCTGAAACCTGAGGACACGGCCAAGTAT TATTGTAGATTGACGGGAGA GACCTACCGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGAACCCAAGACACGAAAACC ACAAGGCCCCCGAGGCCTTG CGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCGCATATACTG TTGAAAGTTGTTTAGCAAAA CCTCATACAGAAAATTCATTTACTAG NO. 12, Nbl2 (SEQ ID NO 15)

ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCTGGGGGAGGCTTGGTGCAA CCTGGGGGGTCTCTGATGCT CTCCTGTGTAGTCTCTGGAGTCACCATCAGTAATTATGGTATGACCTGGGTCCGCCAGGC TCCGGGAAAGGGGCTCGAGT GGATCTCAACTATTTATAGTAATGGTCACACATACTATGCGGACTCCGTGAAGGGCCGAT TCACCGCCTCCAGAGACAAC GCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCAAGTAT TATTGTAAATTGACGGGAGA GACCCACCGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGAACCCAAGACACCAAAACC ACAAGGCCCCCGAGGCCTTG

CGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCGCATAG

NO. 13, Nbl3 (SEQ ID NO 16)

ATGCAGGCCCAGCTGGCCGTTCAGTTGCAGCTCGTGGAGTCTGGGGGAGGCTTGGTGCAA CCTGGGGGGTCTCTGAGACT CTCCTGTGCAGCCTCTGGAATCATCTTGAATTTCTATGGGATGGGCTGGGACCGCCAGAC TCCAGGCCAGGGGCTCGAGG GGGTCTCATATGTTAATAATAATGGTATGACAAACTATGCAGACTCCGTGAAGGGCCGAT TCACCATCTCCAGAGACAAC GCCAAGAACACAATGTATCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCGACTAT TACTGTAATGTGAGTGCATA CACCTATAGGAGTAATTACTACTACCCCTGGGGCCAGGCAAACCACGTCACAGTCTCATC ACAACGCAAGACACGAAAAG CACAAGGACGCGCACGCCTTGCGGACGCAGGTGCGCCGGTGCCGCATGCCGATCAGATGG AACAACGTGCCTCATAAACT GTTGAAAGTTGTTTATCAAATCCTCATATATAAAATTAATATACAAATTTCTATAAATAC GATAAATCTTAAGATCGTTA G

NO. 16, Nbl6 (SEQ ID NO 17)

ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCTGGGGGAGGCTTGGTGCAA CCTGGGGGGTCTCTGAGACT CTCCTGTGTAGTCTCTGGAGTCACCATCAGTAATTATGGTATGACCTGGGTCCGCCAGGC TCCGGGAAAGGGGCTCGAAT GGATCTCAACTGTTTATAGTAATGGTCACACATACTATGCGGACTCCGTGAAGGGCCGAT TCACCATCTCCAGAGACAAC GCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCAAGTAT TATTGTAAATTGACGGGAGA GACCCACCGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGAACCCAAGACACCAAAACC ACAAGGCCCCCGAGGCCTTG CGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCGCATAG NO. 17, Nbl7 (SEQ ID NO 18)

ATGCAGGCCCAGCTGGCCGTTCAGTTGCAGCTCGTGGAGTCAGGGGGAGGCTTGGTG CAACCTGGGGGGTCTCTGAGACT CTCCTGTGTAGTCTCTGGAGTCACCATCAGTAATTATGGTATGAGCTGGGTCCGCCAGGC TCCGGGAAAGGGGCTCGAGT GGATCTCAACTATTTATAGTAATGGTCACACATACTCTGCGGACTCCGTGAAGGGCCGAT TCACCATCTCCAGAGACAAC GCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCAAGTAT TATTGTAAATTGGTGGGAGA GACCCACCGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGAACCCAAGACACCAAAACC ACAAGGCCCCCGAGGCCTTG CGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCGCATAG NO. 18, Nbl8 (SEQ ID NO 19)

ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCTGGGGGAGGCTTGGTGCAA CCTGGGGGGTCTCTGATGCT CTCCTGTGTAGTCTCTGGAGTCACCATCAGTAATTATGGTATGACCTGGGTCCGCCAGGC TCCGGGAAAGGGGCTCGAGT GGATCTCAACTATTTATAGTAATGGTCACACATACTATGCGGACTCCGTGAAGGGCCGAT TCACCGCCTCCAGAGACAAC GCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCAAGTAT TATTGTAAATTGACGGGAGA GACCCACCGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGAACCCAAGACACCAAAACC ACAAGGCCCCCGAGGCCTTG CGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCGCATAG NO. 19, Nbl9 (SEQ ID NO 20)

ATGTATTAGTTATGGTGATGGTACCACATTTTATACAGACTCCGTGAAGGGCCGATTCAC CATCTCCAGAGACAACGCCA AGAACACGGTGACTCTGCAAATGAACAGCCTGAAACCTGAGGACACAGCCGTTTATTACT GTGCAGCATCACCCGGTCGA TTACTATTGTTCAGGCTATGTATGTCCGAGGATGAATATGACTTTTGGGGCCAGGGGACC CAGGTCACCGTCTCCTCAGA ACCCAAGACACCAAAACCACAAGGCCCCCGAGGCCTTGCGGCCGCAGGTGCGCCGGTGCC GTATCCGGATCCGCTGGAAC CGCGTGCCGCATAG NO. 20, Nb20 (SEQ ID NO 21 )

ATGCAGGCCCAGCTGGCCGTTCAGTTGCAGCTCGTGGAGTCGGGGGGAGGCTTGGTG CAACCTGGGGGGTCTCTGATGCT CTCCTGTGTAGTCTCTGGAGTCACCATCAGTAATTATGGTATGACCTGGGTCCGCCAGGC TCCGGGAAAGGGGCTCGAGT GGATCTCAACTATTTATAGTAATGGTCACACATACTATGCGGACTCCGTGAAGGGCCGAT TCACCGCCTCCAGAGACAAC GCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCAAGTAT TATTGTAAATTGACGGGAGA GACCCACCGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGAACCCAAGACACCAAAACC ACAAGGCCCCCGAGGCCTTG CGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCGCATAG NO. 22, Nb22 (SEQ ID NO 22) ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCTGGGGGAGGCTTGGTGCAG CCTGGGGGGTCTCTGAGACT CTCCTGTGCAGCCTCCGGAAGAGCCTTCAGTGTGTATGCCGTGGGCTGGTATCGCCAGCC TCCAGGGAAGCAGCGCGAGC TGGTCGCGAGTATCACTGATGGTGGAAGCACAAACTATGCAGACTCGGTGAAGGGCCGAT TCACCGTCTCCAGAGACAAC GCCAGAAATACGGCGTACCTGGATATGAACAGCCTGAAAGTTGAGGACACGGCCGTCTAT TACTGTAATGCAAATTATGG GGGTAGTGTCCTATACAACTACTGGGGCCCGGGAACCCAAGTCACCGTCTCCACAGAACC CAAGACACCAAAACCACAAG GCCCCCGAGGCCTTGCGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGC GTGCCGCATAG NO.25, Nb25 (SEQ ID NO 23)

ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCTGGGGGAGGCTTGGTGCAA CCTGGGGGGTCTCTGAGACT CTCCTGTGTAGTCTCTGGAGTCACCATCAGTAATTATGGTATGACCTGGGTCCGCCAGGC TCCGGGAAAGGGGCTCGAAT GGATCTCAACTGTTTATAGTAATGGTCACACATACTATGCGGACTCCGTGAAGGGCCGAT TCACCATCTCCAGAGACAAC GCCAAGAACACGCTGTATCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCAAGTAT TATTGTAAATTGACGGGAGA GACCCACCGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGAACCCAAGACACCAAAACC ACAAGGCCCCCGAGGCCTTG CGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCGCATAG NO.27, Nb27 (SEQ ID NO 24)

ATGCAGGCCCAGCTGGCCGTTCAGTTGCAGCTCGTGGAGTCAGGGGGAGGCTTGGTG CAGCCTGGGGGGTCTCTGAGACT CTCCTGTGAAGTCTCTGGAAGCAGAGGCAGTATCTATTTCTCGGGCTGGTACCGCCAGGC TCCAGGGAAGCAGCGCGAGT TGGTCGCAAGTATTACTAGTGGTGGTACTACAAATTATGCAGACTCCGTGAAGGGCCGAT TCACCATCTCCAGAGACAAC GCCAAGAACACGGTGTATCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCGTCTAT TACTGTAATATAGGTCGATA CGGATTGGGCGGGTCCTGGGGTCAGGGGACCCAGGTCACCGTCTCCTCAGAACCCAAGAC ACCAAAACCACAAGGCCCCC GAGGCCTTGCGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCG CATAG NO.28, Nb28 (SEQ ID NO 25)

ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCCGGTGGAGGCTTGGTGCAG CCTGGGGGGTCTCTGAGACT CTCCTGTGAAGCCTCTGGCTTCACTTTCGACGATTATGCCATAGGCTGGTTCCGCCAGGC CCCAGGGAAGGAGCGTGAGG AGGTCTCATGTATTAGTCATAATGGAGGTACCACAAACTATGCAGACTCCGTGAAGGGCC GATTCTCCATCTCCAGAGAC AACGCCAAGAACACGGTGTATCTGCAAATGAACGGCCTGAAACCTGAGGACACAGCCAAC TATTACTGTGCAGGCGCGCG TTCCGGACTATGTGTGTTTTTTGAGTTGCAAGATTATGACTACTGGGGCCAGGGGACCCA GGTCACCGTCTCCTCAGCGC ACCACAGCGAAGACCCCGGCCCCCGAGGCCTTGCGGCCGCAGGTGCGCCGGTGCCGTATC CGGATCCGCTGGAACCGCGT GCCGCATAG

NO.29, Nb29 (SEQ ID NO 26)

ATGCAGGCCCAGCCGGCCGTCCTGGCTGCTCTTCTACAAGGTGTCCAGGCTCAGGTG AAGCTGGTGGAGTCTGGGGGAGG CTCGGTGCAGGCTGGAGGGTCTCTGAGACTCTCCTGTACAGCCTCTGGATCAGACTACAG ATGGATGTACATCGCCCGGT TTCGCCAATGTCCAGGGAAGGAGCGCGAGGGGGTCGCAGCAATTTATACTGATGATACTG ATGATAGTAGTCCGATCTAT GCCACCTCCGCCAAGGGCCGATTCACCATCTCCCAAGACAAGGACAAGAACGCGGTATAT CTGCAAATGAACAGCCCGAA ACCTGAGGACACTGCCATGTACTACTGTGCGGCAAGAGCGTTCGGTGGTACCTGGAGCTT GAGCTCCCCGGACGACTTTA GTGCCTGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGGAACGAATGAAGTATGCAAGT GGCCCCCGAGGCCTTGCGGC CGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCGCATAG NO.32, Nb32 (SEQ ID NO 27)

ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCTGGGGGAGGCTTGGTGCAG CCTGGGGGGTCTCTGAGACT CTCCTGTACAGCCTCTAAATTCCATTTGGATTCTTATGCCGTAGCCTGGTTCCGCCAGAC CCCAGGGAAGGAGCGTGAGG CGGTCTCATTTATAAATACTAGTGATGATGTCACATACTTTGCTGACTCCGTAAAGGGCC GATTCACCATCTCCAGAGAC AACTCCAAGAACACGGTATATCTGCAAATGAACGTCCTGAAACCAGAAGACACTTCCGTT TATGTGTGTGCAGCGGTAAG AAGTCCCGGCCCTACCGGCCCTAGTATGCAGCCTATGTGGTCGGTGCCTGACCTGTATGA CTACTGGGGCCAGGGGACCC AGGTCACCGTCTCCTCAGCGCACCACAGCGAAGACCCCGGCCCCCGAGGCCTTGCGGCCG CAGGTGCGCCGGTGCCGTAT CCGGATCCGCTGGAACCGCGTGCCGCATAG NO.34, Nb34 (SEQ ID NO 28)

ATGCAGGCCCAGCTGGCCGTTCAGTTGCAGCTCGTGGAGTCCGGTGGAGGCACGGTGCAG CCTGGGGGGTCTCTGAACCT CTCCTGTGTAACTTCTGGATTCACCTTCAGTAGGCATGATATGAGTTGGGTCCGCCAGGC TCCAGGGAAGGGGCCCGAGT GGATCTCAGGTATTGGTACTAGTGGTACAAGCGGACGTTATGCGAGCTCCGTGAAGGGCC GATTCACCATCTCCAGAGAC AACGCCAAGGATACGCTGTATCTCCAAATGGATAGCCTGAAACCTGAAGACACGGGCCTA TATTACTGCACGACCGGCGG CGTTTATAGCGCCTATGTACAACCCCGGGGCAAGGGGACGCAGGTCACCGTCTCCTCGGC GCACCACAGCGAAGACCCCG GCCCCCGAGGCCTTGCGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGC GTGCCGCATAG NO.36, Nb36 (SEQ ID NO 29)

ATGCAGGCCCAGCTGGCCGTTCAGTTGCAGCTCGTGGAGTCGGGTGGAGGCTTGGTGCAG CCTGGGGGGTCTCTGAGACT CTCCTGTGCAGCCTCCGGAAGAGCCTTCAGTGTGTATGCCGTGGGCTGGTACCGCCAGAT TCCAGGGAATCAGCGCGAAA TGGTCGCAGCTATTAGTAGCGGTGGTAACACAAAATACTCGGACTCCGTGAAGGGCCGCT TCACCGTCTCCTCAGAACCC AAGACACCAAAACCACAAGGCCCCCGAGGCCTTGCGGCCGCAGGTGCGCCGGTGCCGTAT CCGGATCCGCTGGAACCGCG TGCCGCATAG

NO.38, Nb38 (SEQ ID NO 30)

ATGCAGGCCCAGCCGGCCGTCCTGGCTGCTCTTCTACAAGGTGTCCAGGCTCAGGTGAAG CTGGTGGAGTCTGGGGGAGG CTCGGTGCAGGCTGGAGGGTCTCTGAGACTCTCCTGTACAGCCTCTGGATCAGACTACAG ATGGATGTACATCGCCCGGT TTCGCCAATGTCCAGGGAAGGAGCGCGAGGGGGTCGCAGCAATTTATACTGATGATACTG ATGATAGTAGTCCGATCTAT GCCACCTCCGCCAAGGGCCGATTCACCATCTCCCAAGACAAGGACAAGAACGCGGTATAT CTGCAAATGAACAGCCCGAA ACCTGAGGACACTGCCATGTACTACTGTGCGGCAAGAGCGTTCGGTGGTACCTGGAGCTT GAGCTCCCCGGACGACTTTA GTGCCTGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGGAACGAATGAAGTATGCAAGT GGCCCCCGAGGCCTTGCGGC CGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTGCCGCATAG NO.41, Nb41 (SEQ ID NO 31)

ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCGGGTGGAGGCATGGTGCAG CCTGGGGGGTCTCTGAGACT CTCCTGTGCAGCCTCTGGATTCATTTTCAGTCGCTATGACATGGGTTGGGTCCGCCAAAC TCCAGGGAAGGGGCGCGAGT GGGTCTCAGGTATTAATTCTGGTGGTGGGCGTACATACTATGCGGACTCCGTGAAGGGCC GATTCACCATCTCCAGAGAC GACGATAAGGCTACGTTGTATTTGTCAATGGACGGCCTGAAACCTGAGGACACGGCCCTG TACCATTGTGTGAGATTCAC CGTGAAAACGCCGCAAGGTTACTACTACCTGAACGATTTCGACTACTGGGGCCAGGGGAC CCAGGTCACCGTCTCCTCCG AACCCAAGACACCAAAACCACAAGGCCCCCGAGGCCTTGCGGCCGCAGGTGCGCCGGTGC CGTATCCGGATCCGCTGGAA CCGCGTGCCGCATA NO.43, Nb43 (SEQ ID NO 32)

ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCTGGGGGAGGCTTGGTGCAG ATTGGGGGGTCTCTGAGACT CTCCTGTGCAGCCTCTGGAAGCGACTTCAGTATCTATCACATGGGCTGGTACCGCCAGGC TCCAGGGAAGCAGCGCGAGT TGGTCGCAGCTATTACTAGTGGTGGTAGCACAAACTATGCAGACTCCGTGAAGGGCCGAT TCACCATCTCCAGTGACAAC GCCAAGAACACGGTGTATCTGCAAATGAACAGCCTGAAACCTGAGGACACGGCCGTCTAT TATTGTAATGCAGATGGGGT CCCCGAGTATAGCGACTATGCCTCCGGCCCGGTGTACTGGGGCCAGGGGACCCAGGTCAC CGTCTCCTCAGCGCACCACA GCGAAGACCCCGGCCCCCGAGGCCTTGCGGCCGCAGGTGCGCCGGTGCCGTATCCGGATC CGCTGGAACCGCGTGCCGCA TAG

NO.45, Nb45 (SEQ ID NO 33)

ATGCAGGCCCAGCTGGCCGTTCAGTTGCAGCTCGTGGAGTCGGGTGGAGGCTTGGTGCAG GCTGGGGGGTCTCTGAGACT GTCCTGTGTGGCCTCTGGAAGTATGTTCAATTTCTATGGCATGGCCTGGTACCGGCAGGC TCCAGGGAAGCAGCGCGAGT TGGTCGCATCAATTGATAGTGAGGGTAGAACGACAAACTATCCAGACTCCCTGAAGGGCC GATTCACCATCTCCAGGGAC GACGCCAAGAGCACGGCGTATCTGCAAATGAACAACCTGATTCCTGACGACACGGCCGTC TATTACTGTAATGCCTTCCG AGGGAGGATGTATGACTACTGGGGCCAGGGGACCCAGGTCACCGTCTCCTCAGAACCCAA GACACCAAAACCACAAGGCC CCCGAGGCCTTGCGGCCGCAGGTGCGCCGGTGCCGTATCCGGATCCGCTGGAACCGCGTG CCGCATAG NO.46, Nb46 (SEQ ID NO 34)

ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCTGGTGGAAGGTTGGTTGCA CCCGGGAGGTCTTTGAAACT CTCCCGGACCTTCTCTGGTCTCTATTTGCATTCAAGTGCCTTTGGCTGGTTTCCCCACGT TCCCAGGGAAGCGCGTGAAG GGGTTGCCTTCCTTTGTAATTCCGGTTCTGACCCAATATATTTACACCCCGAGAAGGGCA TTTTCACTCTCTCCAGACAC TGTGTCAAATGAACGGTTTCTCCGTTTGAGGACAACGATACTGTAGAACACACCCCTACT TATCAGTGCCCAACACATCT AG

NO.47, Nb47 (SEQ ID NO 35)

ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCGGGTGGAGGCAGGGTGCAG GCTGGGGGGTCTCTGACACT CTCCTGTGCAGCCTCTGGAGACATCTTCACTCTCGCTTCCATGGGATGGTATCGTGAAGA TCTACACAAAAAGCGCGAGT TGGTGGCCCAACTGATGAGTGATGGTACCGCGAATTATGGAGATTCCGTGAAGGGCCGAG TCACCATCTCCAGAGACGAC GTCGATACCACAGTGCATCTGCGAATGAATACCCTGCAACCGTCCGACACGGGAGAATAT TTTTGTTATATCCATACTTC CCGCGAAATTACCTGGGGCCGGGGGACCCAGGTCACCGTCTCCCAGGGAGAGTCCTCGGC GCCTCAGTCCTCGGCGCCTC AGGCCACCGTCTCCTCGGCGCACCACAGCGAAGACCCCGGCCCCCGAGGCCTTGCGGCCG CAGGTGCGCCGGTGCCGTAT CCGGATCCGCTGGAACCGCGTGCCGCATAG NO.48, Nb48 (SEQ ID NO 36)

ATGCAGGCCCAGCTGGCCGGTCAGTTGCAGCTCGTGGAGTCTGGGGGAGGCCTGGTCGAA GTTGGGGAGTCTCTGAGACT CTCCTGTGTAGCACTCGGATTCACTTTGGACGGGTATGCCATTGGCTGGTTCCGCCAGGC CCCGGGGAAGGAGCGTGAGA AAATCTCATGCATTAGTAGTACTGGCGATAGTACAAATTATGATGACTCCGTGAAGGGCC GATTCACCATCTCCAGAGAC ACTGCCAAGAGCACGGTGTTTCTGCAAATGAACAACCTGATACCTGAGGACACAGCCATT TATTACTGTGGCGCAGACCT CTTGGCGCGGTGTGGTCGTGTTTGGTACTTCCCGCCCGACCTTAATTACCGGGGCCAGGG GACCCAGGTCACCGTTTCTT CAGCGCACCACAGCGAAGACCCCGGCCCCCGAGGCCTTGCGGCCGCAGGTGCGCCGGTGC CGTATCCGGATCCGCTGGAA CCGCGTGCCGCATAG 2) Amino acid sequence listing :

(1) (SEQ ID NO 37) Nbl

1 MQAQLAGQLQ LVESGGGLVQ PGGSLKLSCT ASETTFEIYP MAWYRQAPGK QRELVAGINM

61 ISSTKYIDSV KGRFTISRDN DKNTMYLQMN SLKPEDTAVY YCNLDTTMVE GVEYWGQGTQ

121 VTVSSAHHSE DPGPRGLAAA GAPVPYPDPL EPRAA

(2) (SEQ ID NO 38) Nb2

1 MQAQLAVQLQ LVESGGGLVQ PGGSLRLSCV VSGVTISNYG MSWVRQAPGK GLEWISTIYS

61 NGHTYSADSV KGRFTISRDN AKNTLYLQMN SLKPEDTAKY YCKLVGETHR GQGTQVTVSS

121 EPKTPKPQGP RGLAAAGAPV PYPDPLEPRA A

(3) (SEQ ID NO 39) Nb3

1 MQAQLAVQLQ LVESGGGLVQ PGGSLRLSCV VSGVTFNNYG MSWVRQAPGK GLEWISSIYS

61 NGHTYSADSV KGRFTISRDN ANNTLYLQMN SLKPEDTANY YCKLVGETHR GQGTQVTVSS

121 EPNTPKPQGP RGLAAAGAPV PYPDPLEPRA AYTVESCLA

(4) (SEQ ID NO 40) Nb4

1 MQAQLAVQLQ LVESGGGLVQ PGGSLRLSCV VSGVTISNYG MSWVRQAPGK GLEWISTIYS

61 NGHTYSADSV KGRFTISRDN AKNTLYLQMN SLKPEDTAKY YCKLVGETHR GQGTQVTVSS

121 EPKTPKPQGP RGLAAAGAPV PYPDPLEPRA A

(6) (SEQ ID NO 41) Nb6

1 LQAQLAGQLQ LVESGGGLVQ PGGSLRLSCV VSGVTISNYG MTWVRQAPGK GLEWISTVYS

61 NGHTYYADSV KGRFTISRDN AKNTLYLQMN SLKPEDTAKY YCKLTGETHR GQGTQVTVSS

121 EPKTPKPQGP RGLAAAGAPV PYPDPLEPRA A

(7) (SEQ ID NO 42) Nb7

1 MQAQLAGQLQ LVESGGGLVQ PGGSLRLSCV VSGVTISNYG MTWVRQAPGK GLEWISTVYS

61 NGHTYYADSV KGRFTISRDN AKNTLYLQMN SLKPEDTAKY YCKLTGETHR GQGTQVTVSS

121 EPKTPKPQGP RGLAAAGAPV PYPDPLEPRA A

(8) (SEQ ID NO 43) Nb8

1 AGQLQLVESG GGLVQPGGSL MLSCVVSGVT ISNYGMTWVR QAPGKGLEWI STIYSNGHTY 61 YADSVKGRFT ASRDNAKNTL YLQMNSLKPE DTAKYYCKLT GETHRGQGTQ VTVSSEPKTP 121 KPQGPRGLAA AGAPVPYPDP LEPRAA

(9) (SEQ ID NO 44) Nb9

1 MQAQLAGQLQ LVESGGGLVQ PGGSLRLSCT ASEFTLDYHS IGWFRQAPGK EREGVSCISY 61 GDGTTFYTDS VKGRFTISRD NAKNTVTLQM NSLKPEDTAV YYCAASPGRL LLFRLCMSED 121 EYDFWGQGTQ VTVSSEPKTP KPQGPRGLAA AGAPVPYPDP LEPRAA

(11) (SEQ ID NO 45) Nbll

1 MQAQLAGQLQ LVESGGGLVQ PGGSLRLSCV VSGVTFNNYG MTWVRQAPGK GLEWISTIYS

61 NGHTYYADFV KGRFTISRDN AKNTLYLQMI SLKPEDTAKY YCRLTGETYR GQGTQVTVSS 121 EPKTRKPQGP RGLAAAGAPV PYPDPLEPRA A

(12) (SEQ ID NO 46) Nbl2

1 MQAQLAGQLQ LVESGGGLVQ PGGSLMLSCV VSGVTISNYG MTWVRQAPGK GLEWISTIYS

61 NGHTYYADSV KGRFTASRDN AKNTLYLQMN SLKPEDTAKY YCKLTGETHR GQGTQVTVSS 121 EPKTPKPQGP RGLAAAGAPV PYPDPLEPRA A

(13) (SEQ ID NO 47) Nbl3

1 MQAQLAVQLQ LVESGGGLVQ PGGSLRLSCA ASGIILNFYG MGWDRQTPGQ GLEGVSYVNN

61 NGMTNYADSV KGRFTISRDN AKNTMYLQMN SLKPEDTADY YCNVSAYTYR SNYYYPWGQA 121 NHVTVSSQRK TRKAQGRARL ADAGAPVPHA DQMEQRAS

(16) (SEQ ID NO 48) Nbl6

1 MQAQLAGQLQ LVESGGGLVQ PGGSLRLSCV VSGVTISNYG MTWVRQAPGK GLEWISTVYS

61 NGHTYYADSV KGRFTISRDN AKNTLYLQMN SLKPEDTAKY YCKLTGETHR GQGTQVTVSS 121 EPKTPKPQGP RGLAAAGAPV PYPDPLEPRA A

(17) (SEQ ID NO 49) Nbl7

1 MQAQLAVQLQ LVESGGGLVQ PGGSLRLSCV VSGVTISNYG MSWVRQAPGK GLEWISTIYS 61 NGHTYSADSV KGRFTISRDN AKNTLYLQMN SLKPEDTAKY YCKLVGETHR GQGTQVTVSS 121 EPKTPKPQGP RGLAAAGAPV PYPDPLEPRA A

(18) (SEQ ID NO 50) Nbl8

1 MQAQLAGQLQ LVESGGGLVQ PGGSLMLSCV VSGVTISNYG MTWVRQAPGK GLEWISTIYS

61 NGHTYYADSV KGRFTASRDN AKNTLYLQMN SLKPEDTAKY YCKLTGETHR GQGTQVTVSS 121 EPKTPKPQGP RGLAAAGAPV PYPDPLEPRA A

(19) (SEQ ID NO 51) Nbl9

1 MQAQLAGQLQ LVESGGGLVQ PGGSLRLSCT ASEFTLDYHS IGWFRQAPGK EREGVSCISY

61 GDGTTFYTDS VKGRFTISRD NAKNTVTLQM NSLKPEDTAV YYCAASPGRL LLFRLCMSED

121 EYDFWGQGTQ VTVSSEPKTP KPQGPRGLAA AGAPVPYPDP LEPRAA

(20) (SEQ ID NO 52) Nb20

1 MQAQLAVQLQ LVESGGGLVQ PGGSLMLSCV VSGVTISNYG MTWVRQAPGK GLEWISTIYS

61 NGHTYYADSV KGRFTASRDN AKNTLYLQMN SLKPEDTAKY YCKLTGETHR GQGTQVTVSS

121 EPKTPKPQGP RGLAAAGAPV PYPDPLEPRA A

(22) (SEQ ID NO 53) Nb22

1 MQAQLAGQLQ LVESGGGLVQ PGGSLRLSCA ASGRAFSVYA VGWYRQPPGK QRELVASITD

61 GGSTNYADSV KGRFTVSRDN ARNTAYLDMN SLKVEDTAVY YCNANYGGSV LYNYWGPGTQ

121 VTVSTEPKTP KPQGPRGLAA AGAPVPYPDP LEPRAA

(25) (SEQ ID NO 54) Nb25

1 MQAQLAGQLQ LVESGGGLVQ PGGSLRLSCV VSGVTISNYG MTWVRQAPGK GLEWISTVYS 61 NGHTYYADSV KGRFTISRDN AKNTLYLQMN SLKPEDTAKY YCKLTGETHR GQGTQVTVSS

121 EPKTPKPQGP RGLAAAGAPV PYPDPLEPRA A (27) (SEQ ID NO 55) Nb27

1 MQAQLAVQLQ LVESGGGLVQ PGGSLRLSCE VSGSRGSIYF SGWYRQAPGK QRELVASITS

61 GGTTNYADSV KGRFTISRDN AKNTVYLQMN SLKPEDTAVY YCNIGRYGLG GSWGQGTQVT

121 VSSEPKTPKP QGPRGLAAAG APVPYPDPLE PRAA

(28) (SEQ ID NO 56) Nb28

1 MQAQLAGQLQ LVESGGGLVQ PGGSLRLSCE ASGFTFDDYA IGWFRQAPGK EREEVSCISH

61 NGGTTNYADS VKGRFSISRD NAKNTVYLQM NGLKPEDTAN YYCAGARSGL CVFFELQDYD

121 YWGQGTQVTV SSAHHSEDPG PRGLAAAGAP VPYPDPLEPR AA

(29) (SEQ ID NO 57) Nb29

1 MQAQPAVLAA LLQGVQAQVK LVESGGGSVQ AGGSLRLSCT ASGSDYRWMY lARFRQCPGK

61 EREGVAAIYT DDTDDSSPIY ATSAKGRFTI SQDKDKNAVY LQMNSPKPED TAMYYCAARA

121 FGGTWSLSSP DDFSAWGQGT QVTVSSGTNE VCKWPPRPCG RRCAGAVSGS AGTACRID

(32) (SEQ ID NO 58) Nb32

1 MQAQLAGQLQ LVESGGGLVQ PGGSLRLSCT ASKFHLDSYA VAWFRQTPGK EREAVSFINT 61 SDDVTYFADS VKGRFTISRD NSKNTVYLQM NVLKPEDTSV YVCAAVRSPG PTGPSMQPMW

121 SVPDLYDYWG QGTQVTVSSA HHSEDPGPRG LAAAGAPVPY PDPLEPRAA

(34) (SEQ ID NO 59) Nb34

1 MQAQLAVQLQ LVESGGGTVQ PGGSLNLSCV TSGFTFSRHD MSWVRQAPGK GPEWISGIGT

61 SGTSGRYASS VKGRFTISRD NAKDTLYLQM DSLKPEDTGL YYCTTGGVYS AYVQPRGKGT 121 QVTVSSAHHS EDPGPRGLAA AGAPVPYPDP LEPRAA

(36) (SEQ ID NO 60) Nb36

1 MQAQLAVQLQ LVESGGGLVQ PGGSLRLSCA ASGRAFSVYA VGWYRQIPGN QREMVAAISS

61 GGNTKYSDSV KGRFTVSSEP KTPKPQGPRG LAAAGAPVPY PDPLEPRAA

(38) (SEQ ID NO 61) Nb38

1 MQAQPAVLAA LLQGVQAQVK LVESGGGSVQ AGGSLRLSCT ASGSDYRWMY lARFRQCPGK

61 EREGVAAIYT DDTDDSSPIY ATSAKGRFTI SQDKDKNAVY LQMNSPKPED TAMYYCAARA

121 FGGTWSLSSP DDFSAWGQGT QVTVSSGTNE VCKWPPRPCG RRCAGAVSGS AGTACRIDC

(41) (SEQ ID NO 62) Nb41

1 MQAQLAGQLQ LVESGGGMVQ PGGSLRLSCA ASGFIFSRYD MGWVRQTPGK GREWVSGINS 61 GGGRTYYADS VKGRFTISRD DDKATLYLSM DGLKPEDTAL YHCVRFTVKT PQGYYYLNDF

121 DYWGQGTQVT VSSEPKTPKP QGPRGLAAAG APVPYPDPLE PRAA

(43) (SEQ ID NO 63) Nb43

1 MQAQLAGQLQ LVESGGGLVQ IGGSLRLSCA ASGSDFSIYH MGWYRQAPGK QRELVAAITS

61 GGSTNYADSV KGRFTISSDN AKNTVYLQMN SLKPEDTAVY YCNADGVPEY SDYASGPVYW 121 GQGTQVTVSS AHHSEDPGPR GLAAAGAPVP YPDPLEPRAA

(45) (SEQ ID NO 64) Nb45

1 MQAQLAVQLQ LVESGGGLVQ AGGSLRLSCV ASGSMFNFYG MAWYRQAPGK QRELVASIDS

61 EGRTTNYPDS LKGRFTISRD DAKSTAYLQM NNLIPDDTAV YYCNAFRGRM YDYWGQGTQV

121 TVSSEPKTPK PQGPRGLAAA GAPVPYPDPL EPRAA

(46) (SEQ ID NO 65) Nb46

1 MQAQLAGQLQ LVESGGRLVA PGRSLKLSRT FSGLYLHSSA FGWFPHVPRE AREGVAFLCN

61 SGSDPIYLHP EKGIFTLSRH CVKTVSPFED NDTVEHTPTY QCPTHLVITH PCICIPSAMD

121 YRGKGTLVPL SSKPTTPKPR APKALRPQVP RCRIRFR

(47) (SEQ ID NO 66) Nb47

1 MQAQLAGQLQ LVESGGGRVQ AGGSLTLSCA ASGDIFTLAS MGWYREDLHK KRELVAQLMS

61 DGTANYGDSV KGRVTISRDD VDTTVHLRMN TLQPSDTGEY FCYIHTSREI TWGRGTQVTV 121 SQGESSAPQS SAPQATVSSA HHSEDPGPRG LAAAGAPVPY PDPLEPRAA

(48) (SEQ ID NO 67) Nb48

1 MQAQLAGQLQ LVESGGGLVE VGESLRLSCV ALGFTLDGYA IGWFRQAPGK EREKISCISS

61 TGDSTNYDDS VKGRFTISRD TAKSTVFLQM NNLIPEDTAI YYCGADLLAR CGRVWYFPPD

121 LNYRGQGTQV TVSSAHHSED PGPRGLAAAG APVPYPDPLE PRAA

SEQ ID NOs 6 to 6 correspond with SEQ ID NOs 37 to 67, repectively.

Example 6. Testing of rSPA-Nb' s Lung-Specificity

To further verify the affinity between rSPA-Nb and rat pulmonary surfactant protein A (rSPA), and whether rSPA-Nb has lung-specificity, Western blot and ELISA were used to preliminarily measure the antigen specificity of rSPA-Nb, and immunohistochemistry and in vivo imaging were used to verify its lung-specificity in vivo.

6.1 Western blot and ELISA

Monoclonal antibody against His was chosen as the primary antibody to test the affinity between of purified rSPA-Nb and rSPA using Western blot and ELISA (using the same method describied in section 1.2). The results showed that Nb6 and Nbl7 had significant binding specificity with rSPA (Figure 5A, B).

6.2 Immunohistochemistry

Fresh tissues from the lung, heart, liver, spleen, kidney, muscle of rat were fixed and sliced, and diluted primary antibody (Nb6, Nbl7 for the experimental groups, SPA polyclonal antibody (SPA-poly-ant) as a positive control group, and alliinase as a negative control group) was dropped on. The secondary antibody was HIS-IgG-HRP. The results showed that Nb6, Nbl7, and SPA polyclonal antibody (SPA-poly-ant) had signficant binding effect with rat lung tissue (shown as brown). The binding effect of Nbl7 was similar to that of SPA-poly-ant, while Nb6 had weaker binding effect than Nbl7, as there is differneces in the amino acid sequence at the antigen binding region between these two. All three antibodies had no obvious binding effect with rat heart, liver, spleen, kidney, muscle tissues, nor had the negative control group (Figure 6).

6.3 In vivo lung-specificity testing using FITOmarked nanobody in mice Sequence homology analysis showed that there is a high degree of homology between the amino acid sequence of rat and mouse rSPA. Since it is easier to obtain in vivo imaging using nude mice, nude mice were chosen for tsting specifity in vivo. Two-week-old nude mice were chosen, and after intraperitoneal anesthesia, lOul FITC-labeled nanobody was injected intravenously at the tail, and the dose was lmg/kg of the animal body weight. The nude mices were imaged at 15 minutes, 1 hour, 2 hours, 3 hours, and 5 hours after the injection, respectively. At the same time, nasal inhalation was administrated to the positive control group was (Figure 7) . The results showed that 0.5 hours after intravenous injection, the FITC-labeled nanobody began to clearly cluster in the lung. 5 hours after the injection, the clustering in the lung was still obvious, and the lung-targeting effect was similar to that of the nasal inhalation.

The above experiment was repteated using the functional region of the polypeptides of synthetic Nb6 and Nbl7 (without the MQAQKAG portion). It was found that the synthetic polypeptides also binded to rSPA with specificity, and clustered around the lung in in vivo testing.

Example 7. Clone protein expression and targeting detection

Sequence homology comparative analysis was conducted on the selected 31 sequences, and it was found that Nbl6, Nb25, Nb7, and Nb6 had high sequence similarity ;

Nbl7, NB4 and NB2 had the same polypeptide sequence; Nb20, Nbl8, Nbl2, Nb8 had high sequence similarity; while the rest of the sequences were quite different.

To further verify that the 31 nanobody sequences exihibits lung-targeting affinity with SP-A, 21 clones (excluding those with the same sequence as Nbl7) were expressed and purified in accordance with the method described in Examples 5 and 6.

Soluble expressions of these nanobdies were obtained, where Nbl has the least protein expression concentration of 3 mg/L, while the rest of nanbodies have an average protein expression concentration of 8 mg/L.

In Western blot and ELISA, affinity was clearly shown in all 21 proteins, and the 0D450 value in ELISA for 7 nanobodies, namely Nb9, Nbll, Nbl 8, Nbl9, Nb36, Nb32, and Nb48, was 5 times greater than that of the negative control group. Immunohistochemical staining showed that these clones had strong affinity. All clones showed significant differences with the negative control group.

In vivo specificity testing in mice showed that seven nanbodies, namely Nb9, NB11, NB18, NB19, Nb36, NB32, and Nb48, had specificity similar to that of Nbl7; while there were variations in the clustering effect, all the images exhibited obvious clustering in the lung.

8. rSPA-Nb Construct or fusion protein

The rSPA-Nb disclosed above can be linked to a one therapeutic moiety to form a construct or fusion protein that specifically binds to SP-A. Thus, in another aspect, the invention relates to a method for the prevention and/or treatment of lung disease or disorder that can be prevented or treated by the use of a fusion protein or construct as described herein, which method comprises administering, to a subject in need thereof, a pharmaceutically active amount of a fusion protein or construct of the invention, and/or of a pharmaceutical composition comprising the same. The diseases and disorders that can be prevented or treated by the use of a fusion protein or construct as described herein will generally be the same as the diseases and disorders that can be prevented or treated by the use of the therapeutic moiety that is present in the fusion protein or construct of the invention.

The therapeutic moiety can be an immunoglobulin sequence or a fragment thereof.

The therapeutic moiety can also be a single domain antibody or an immunoglobulin variable domain sequence. The therapeutic moiety can also be a drug that is effective for treating lung-related diseases. The therapeutic moiety can be directly linked to the rSPA-Nb, or there could be a spacer between the therapeutic moiety and the rSPA-Nb. Nanobodies are very small antibodies molecule with intact antigen-binding ability. Their high stability and solubility, ability to bind epitopes not accessible to conventional antibodies, and rapid tissue penetration make them particular suitable as a target ligand.

Glucocorticoids are considered the most effective anti-inflammatory drug for chronic inflammatory and immune diseases, which are widely used in many pulmonary conditions, such as in asthma, croup (Laryngotracheobronchitis), respiratory distress syndrome (RDS), allergic bronchopulmonaryaspergillosis, interstitial lung disease, hemangioma of trachea, and pulmonary eosinophillic disorders.

Glucocorticoids are also used empirically to treat some other conditions, such as idiopathic pulmonary hemosiderosis, bronchiolitis, hypersensitivity pneumonitis, hyperplasia of thymus, bronchiolitis, acute respiratory distress syndrome, aspiration syndromes, atypical pneumonias, laryngeal diphtheria, AIDS, SARS, and sarcoidosis. However, conventional steroids dosage forms are associated with significant adverse effects because of their indiscriminately targeting effects, and the long-term use of high doses of glucocorticoids may lead to side effects such as infection, bleeding, hyperglycemia and ulcers , which limits its clinical application. Hence, there is a need for more efficacious lung-targeting glucocorticoids drug delivery systems.

SP-A nanobodies (SPANbs) can be used as the ligand to prepare active targeting SPA-DXM-NLP to improve treatment efficiency, reduce the systemic side effects, and provide a new method for clinical applications of glucocorticoids.

Poly (lactic-co-glycolic acid) (PLGA) Poly lactic acid (PLA) has been widely used for the encapsulation and sustained delivery of drugs because it is biocompatible, biodegradable, nontoxic, non-immunogenicity, non-carcinogenicity. It is also helpful in controlling the rate of drug release and enhancing drug stability, and is suitable for large scale production. Thus, it can be used as a carrier for SPA-DXM-NLP.

In accordance with an embodiment of the present invention, a SP-A targeting immunonanoliposome was provided, the immunonanoliposome comprises a nanobody against SP-A, a therapeutic moiety, and a nanoliposome, wherein the therapeutic moiety is glucocorticoid. In a preferred embodiment, the therapeutic moiety is dexamethasone sodium phosphate (DXM). The immunonanoliposome has lung-targeting specificity because of the presence of the nanbody against SP-A. The nanoliposome may comprise phospholipids, cholesterol and a liposomes excipient. The liposomes excipients may be distearoyl phosphatidyl ethanolamine - polyethylene glycol 2000 (DSPE-PEG2000) and distearoyl phosphatidyl ethanolamine - polyethylene glycol 2000 - pyridyl - associated mercapto - propionate (DSPE-PEG2000-PDP) . The phospholipid may be soybean lecithin (SPC), egg yolk lecithin (EPC), and dipalmitoyl phosphatidyl choline (DPPC). The therapeutic moisty may be hydrocortisone, prednisolone, and methylpredni solone.

In the context of the present invention, the term "prevention and/or treatment" not only comprises preventing and/or treating the disease, but also generally comprises preventing the onset of the disease, slowing or reversing the progress of disease, preventing or slowing the onset of one or more symptoms associated with the disease, reducing and/or alleviating one or more symptoms associated with the disease, reducing the severity and/or the duration of the disease and/or of any symptoms associated therewith and/or preventing a further increase in the severity of the disease and/or of any symptoms associated therewith, preventing, reducing or reversing any physiological damage caused by the disease, and generally any pharmacological action that is beneficial to the patient being treated. The subject to be treated may be any warm-blooded animal, but is in particular a mammal, and more in particular a human being. As will be clear to the skilled person, the subject to be treated will in particular be a person suffering from, or at risk from, the diseases and disorders mentioned herein.

In another embodiment, the invention relates to a method for immunotherapy, and in particular for passive immunotherapy, which method comprises administering, to a subject suffering from or at risk of the diseases and disorders mentioned herein, a pharmaceutically active amount of a fusion protein or construct of the invention, and/or of a pharmaceutical composition comprising the same.

The fusion protein or construct and/or the compositions comprising the same are administered according to a regime of treatment that is suitable for preventing and/or treating the disease or disorder to be prevented or treated. The clinician will generally be able to determine a suitable treatment regimen, depending on factors such as the disease or disorder to be prevented or treated, the severity of the disease to be treated and/or the severity of the symptoms thereof, the specific nanobody of the invention to be used, the specific route of administration and pharmaceutical formulation or composition to be used, the age, gender, weight, diet, general condition of the patient, and similar factors well known to the clinician.

Generally, the treatment regimen will comprise the administration of one or more fusion proteins or constructs of the invention, or of one or more compositions comprising the same, in one or more pharmaceutically effective amounts or doses. The specific amount (s) or doses to administer can be determined by the clinician, again based on the factors cited above.

Generally, for the prevention and/or treatment of the diseases and disorders mentioned herein and depending on the specific disease or disorder to be treated, the potency and/or the half-life of the specific fusion proteins or constructs to be used, the specific route of administration and the specific pharmaceutical formulation or composition used. The clinician will generally be able to determine a suitable daily dose, depending on the factors mentioned herein. It will also be clear that in specific cases, the clinician may choose to deviate from these amounts, for example on the basis of the factors cited above and his expert judgment. Generally, some guidance on the amounts to be administered can be obtained from the amounts usually administered for comparable conventional antibodies or antibody fragments against the same target administered via essentially the same route, taking into account however differences in affinity/avidity, efficacy, biodistribution, half-life and similar factors well known to the skilled person.

Usually, in the above method, a single nanobody of the invention will be used.

It is however within the scope of the invention to use two or more Nanobodies of the invention in combination.

The effectiveness of the treatment regimen used according to the invention may be determined and/or followed in any manner known per se for the disease or disorder involved, as will be clear to the clinician. The clinician will also be able, where appropriate and or a case-by-case basis, to change or modify a particular treatment regimen, so as to achieve the desired therapeutic effect, to avoid, limit or reduce unwanted side-effects, and/or to achieve an appropriate balance between achieving the desired therapeutic effect on the one hand and avoiding, limiting or reducing undesired side effects on the other hand.

Generally, the treatment regimen will be followed until the desired therapeutic effect is achieved and/or for as long as the desired therapeutic effect is to be maintained. Again, this can be determined by the clinician.

The subject to be treated may be any warm-blooded animal, but is in particular a mammal, and more in particular a human being. As will be clear to the skilled person, the subject to be treated will in particular be a person suffering from, or at risk from, the diseases and disorders mentioned herein.