Login| Sign Up| Help| Contact|

Patent Searching and Data


Title:
ANTI-TENASCIN-C (TNC) SINGLE-DOMAIN ANTIBODIES (NANOBODIES) AND USE THEREOF
Document Type and Number:
WIPO Patent Application WO/2022/175486
Kind Code:
A1
Abstract:
The present invention refers to an isolated single-domain antibody directed against Tenascin-C (TNC) wherein said single-domain antibody comprises the amino acid sequences: i) GYTNSIYT (SEQ ID NO: 1) as variable heavy (VHH) chain complementarity determining region (CDR)1, ii) IXaSRNGNT (SEQ ID NO: 2) as variable heavy (VHH) chain complementarity determining region (CDR)2, wherein Xa is G or A iii) AAGSSWDLILQAYAYDY (SEQ ID NO: 3) as variable heavy (VHH) chain complementarity determining region (CDR)3. The invention further relates to a said single-domain antibody directed against Tenascin-C (TNC) for use as medicament and to a pharmaceutical composition comprising said single- domain antibody directed against Tenascin-C (TNC). The present invention finds application in the therapeutic and diagnostic medical technical fields.

Inventors:
OREND GERTRAUD (DE)
BOUHAOUALA-ZAHAR BALKISS (TN)
DHAOUADI SAYDA (TN)
HENDAOUI ISMAÏL (FR)
CHIQUET-EHRISMANN RUTH
Application Number:
PCT/EP2022/054145
Publication Date:
August 25, 2022
Filing Date:
February 18, 2022
Export Citation:
Click for automatic bibliography generation   Help
Assignee:
UNIV STRASBOURG (FR)
INST NAT SANTE RECH MED (FR)
PASTEUR INSTITUT TUNIS (TN)
FRIEDRICH MIESCHER INSTITUTE FOR BIOMEDICAL RES (CH)
International Classes:
C07K16/18; A61K51/10; G01N33/574; A61K39/395; A61P35/00; A61P35/04
Domestic Patent References:
WO1983004261A11983-12-08
Foreign References:
US20190225693A12019-07-25
US4816567A1989-03-28
US5908626A1999-06-01
US20190225693A12019-07-25
Other References:
DHAOUADI SAYDA ET AL: "Novel Human Tenascin-C Function-Blocking Camel Single Domain Nanobodies", FRONTIERS IN IMMUNOLOGY, vol. 12, no. 635166, 15 March 2021 (2021-03-15), pages 1 - 15, XP055824689, DOI: 10.3389/fimmu.2021.635166
PARKINSON J1BLAXTER M: "Expressed sequence tags: an overview", METHODS MOL BIOL., vol. 533, 2009, pages 1 - 12
MERRIFIELD, PROC. SOC. E.G. BOIL., vol. 21, 1996, pages 412
MERRIFIELD, J. AM. CHEM. SOC., vol. 85, 1963, pages 2149
TARN ET AL., J. AM. CHEM.SOC., vol. 105, 1983, pages 6442
HMILA ISAERENS DBEN ABDERRAZEK RVINCKE CABIDI NBENLASFAR Z ET AL.: "A bispecific nanobody to provide full protection against lethal scorpion envenoming", FASEB J, vol. 24, 2010, pages 3479 - 3489, XP055155932, DOI: 10.1096/fj.09-148213
ABDERRAZEK RBHMILA IVINCKE CBENLASFAR ZPELLIS MDABBEK H ET AL.: "Identification of potent nanobodies to neutralize the most poisonous polypeptide from scorpion venom", BIOCHEM J, vol. 424, 2009, pages 263 - 272, XP009130896, DOI: 10.1042/BJ20090697
SCHEPENS ET AL.: "Nanobodies specific for respiratory Syncytial virus fusion protein protect against infection by inhibition of fusion", J INFECT DIS, vol. 204, no. 11, 1 December 2011 (2011-12-01), pages 1692 - 701, XP055218541, DOI: 10.1093/infdis/jir622
SEBASTIAN ET AL.: "Rotavirus A-specific single-domain antibodies produced in baculovirus-infected insect larvae are protective in vivo", BMC BIOTECH, vol. 12, 2012, pages 59, XP021115721, DOI: 10.1186/1472-6750-12-59
VERCCRUYSSE ET AL., HIV REV NANOBODIES, 2010
BOUCHET ET AL., HIV NEF NANOBODIES, 2011
JAHNICHEN ET AL., CXCR4 NANOBODIES, 2010
"CXCR4 nanobodies (VHH-based single variable domains) potently inhibit chemotaxis and HIV-1 replication and mobilize stem cells", PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES, vol. 107, no. 47, 2010, pages 20565 - 20570
SHENG ET AL.: "Nanobody-horseradish peroxidase fusion protein as an ultrasensitive probe to detect antibodies against Newcastle disease virus in the immunoassay", NANOBIOTECHNOL, vol. 17, 2019, pages 35, XP055802582, DOI: 10.1186/s12951-019-0468-0
BERLIN 0SAMID DDONTHINENI-RAO RAKESON WAMIEL DWOODS VL: "Development of a novel spontaneous metastasis model of human osteosarcoma transplanted orthotopically into bone of athymic mice", CANCER RES, vol. 53, 1993, pages 4890 - 5
SARRAB RM ET AL.: "Establishment of conditionally immortalized human glomerular mesangial cells in culture, with unique migratory properties", AM J PHYSIOL RENAL PHYSIOL, vol. 301, no. 5, 2011, pages 1131 - 1138
TAKEDA AOTANI YISEKI HTAKEUCHI HAIKAWA KTABUCHI S ET AL.: "Clinical Significance of Large Tenascin-C Spliced Variant as a Potential Biomarker for Colorectal Cancer", WORLD J SURG, vol. 31, 2007, pages 388 - 394, XP019472760, DOI: 10.1007/s00268-006-0328-6
HANCOX RAALLEN MDHOLLIDAY DLEDWARDS DRPENNINGTON CJGUTTERY DS ET AL.: "Tumour-associated tenascin-C isoforms promote breast cancer cell invasion and growth by matrix metalloproteinase-dependent and independent mechanisms", BREAST CANCER RES, 2009
ALHARTH ASALYAMI WA: "Tenascin-C (TNC) Promotes Breast Cancer Cell Invasion and Proliferation: Functional Effects of TNC Knockdown in Highly Invasive Breast Cancer Cell Lines", AM J MED BIOL RES AM J MED BIOL RES, vol. 3, 2016, pages 55 - 61
SHEN CWANG CYIN YCHEN HYIN XCAI Z ET AL.: "Tenascin-C expression is significantly associated with the progression and prognosis in gastric GISTs", MEDICINE (BALTIMORE, vol. 98, 2019, pages e14045
ISHIHARA AYOSHIDA TTAMAKI HSAKAKURA T: "Tenascin expression in cancer cells and stroma of human breast cancer and its prognostic significance", CLIN CANCER RES, vol. 9, 1995, pages 1035 - 1041
LEINS ARIVA PLINDSTEDT RDAVIDOFF MSMEHRAEIN PWEIS S: "Expression of tenascin-C in various human brain tumors and its relevance for survival in patients with astrocytoma", CANCER, vol. 98, 2003, pages 2430 - 2439, XP002461814, DOI: 10.1002/cncr.11796
CHIQUET-EHRISMANN RHAGIOS CSCHENK S: "The complexity in regulating the expression of tenascins", BIOESSAYS, vol. 17, 1995, pages 873 - 878, XP000574036, DOI: 10.1002/bies.950171009
ERICKSON HPBOURDON MA: "Tenascin: An Extracellular Matrix Protein Prominent in Specialized Embryonic Tissues and Tumors", CELL BIOL, vol. 5, 1989, pages 71 - 92, XP009081581, DOI: 10.1146/annurev.cb.05.110189.000443
CHIQUET-EHRISMANN ROREND GCHIQUET MTUCKER RPMIDWOOD KS: "Tenascins in stem cell niches", MATRIX BIOL, vol. 37, 2014, pages 112 - 123
CHIQUET-EHRISMANN RCHIQUET M: "Tenascins: regulation and putative functions during pathological stress: Tenascins in pathological stress", J PATHOL, vol. 200, 2003, pages 488 - 499, XP002594134, DOI: 10.1002/PATH.1415
MIDWOOD KSOREND G: "The role of tenascin-C in tissue injury and tumorigenesis", J CELL COMMUN SIGNAL, vol. 3, 2009, pages 287 - 310, XP055000224, DOI: 10.1007/s12079-009-0075-1
SAUPE FSCHWENZER AJIA YGASSER ISPENLE CLANGLOIS B ET AL.: "Tenascin-C Downregulates Wnt Inhibitor Dickkopf-1, Promoting Tumorigenesis in a Neuroendocrine Tumor Model", CELL REP, vol. 5, 2013, pages 482 - 492
SUN ZVELAZQUEZ-QUESADA IMURDAMOOTHOO DAHOWESSO CYILMAZ ASPENLE C ET AL.: "Tenascin-C increases lung metastasis by impacting blood vessel invasions", MATRIX BIOL, vol. 83, 2019, pages 26 - 47, XP085922592, DOI: 10.1016/j.matbio.2019.07.001
OSKARSSON TACHARYYA SZHANG XH-FVANHARANTA STAVAZOIE SFMORRIS PG ET AL.: "Breast cancer cells produce tenascin C as a metastatic niche component to colonize the lungs", NAT MED, vol. 17, 2011, pages 867 - 874
LOWY CMOSKARSSON T: "Tenascin C in metastasis: A view from the invasive front", CELL ADHES MIGR, vol. 9, 2015, pages 112 - 124
LANGLOIS BSAUPE FRUPP TARNOLD CVAN DER HEYDEN MOREND G ET AL.: "AngioMatrix, a signature of the tumor angiogenic switch-specific matrisome, correlates with poor prognosis for glioma and colorectal cancer patients", ONCOTARGET, vol. 5, no. 21, 2014, pages 10529 - 10545
BELLONE MCAPUTO SJACHETTI E: "Immunosuppression via Tenascin-C", ONCOSCIENCE, vol. 2, 2015, pages 667
JACHETTI ECAPUTO SMAZZOLENI SBRAMBILLASCA CSPARIGI SMGRIONI M ET AL.: "Tenascin-C Protects Cancer Stem-like Cells from Immune Surveillance by Arresting T-cell Activation", CANCER RES, vol. 75, 2015, pages 2095 - 2108
DELIGNE CMURDAMOOTHOO DGAMMAGE ANGSCHWANDTNER MERNE WLOUSTAU T ET AL.: "Matrix-Targeting Immunotherapy Controls Tumor Growth and Spread by Switching Macrophage Phenotype", CANCER IMMUNOL RES, vol. 8, 2020, pages 368 - 382
SPENLE CLOUSTAU TMURDAMOOTHOO DERNE WBEGHELLI-DE LA FOREST DIVONNE SVEBER R ET AL.: "Tenascin-C Orchestrates an Immune-Suppressive Tumor Microenvironment in Oral Squamous Cell Carcinoma", CANCER IMMUNOL RES, vol. 8, 2020, pages 1122 - 1138
HICKE BJMARION CCHANG Y-FGOULD TLYNOTT CKPARMA D ET AL.: "Tenascin-C Aptamers Are Generated Using Tumor Cells and Purified Protein", J BIOL CHEM, vol. 276, 2001, pages 48644 - 48654, XP002220433, DOI: 10.1074/jbc.M104651200
ZUKIEL RNOWAK S: "Suppression of human brain tumor with interference RNA specific for tenascin-C", CANCER BIOL THER, vol. 5, 2006, pages 1002 - 1007
ROLLE KNOWAK SWYSZKO ENOWAK MZUKIEL RPIESTRZENIEWICZ R ET AL.: "Promising human brain tumors therapy with interference RNA intervention (iRNAi", CANCER BIOL THER, vol. 9, 2010, pages 397 - 407
ROLLE K: "miRNA Multiplayers in glioma. From bench to bedside", ACTA BIOCHIM POL, vol. 62, 2015, pages 353 - 365, XP055630206, DOI: 10.18388/abp.2015_1072
GRABOWSKA MGRZESKOWIAK BFSZUTKOWSKI KWAWRZYNIAK DGTODOWICZ PBARCISZEWSKI J ET AL.: "Nano-mediated delivery of doublestranded RNA for gene therapy of glioblastoma multiforme", PLOS ONE
BRACK SS: "Tumor-Targeting Properties of Novel Antibodies Specific to the Large Isoform of Tenascin-C", CLIN CANCER RES, vol. 12, 2006, pages 3200 - 3208
HEUVELING DADE BREE RVUGTS DJHUISMAN MCGIOVANNONI LHOEKSTRA OS ET AL.: "Phase 0 Microdosing PET Study Using the Human Mini Antibody F16SIP in Head and Neck Cancer Patients", J NUCL MED, vol. 54, 2013, pages 397 - 401
ALOJ LD'AMBROSIO LAURILIO MMORISCO AFRIGERI FCARACO' C ET AL.: "Radioimmunotherapy with Tenarad, a 1311-labelled antibody fragment targeting the extra-domain A1 of tenascin-C, in patients with refractory Hodgkin's lymphoma", EUR J NUCL MED MOL IMAGING, vol. 41, 2014, pages 867 - 877, XP055547071, DOI: 10.1007/s00259-013-2658-6
PETRONZELLI F: "Improved Tumor Targeting by Combined Use of Two Antitenascin Antibodies", CLIN CANCER RES, vol. 11, 2005, pages 7137s - 7145s
SILACCI M: "Human monoclonal antibodies to domain C of tenascin-C selectively target solid tumors in vivo", PROTEIN ENG DES SEL, vol. 19, 2006, pages 471 - 478, XP002522519, DOI: 10.1093/PROTEIN/GZL033
SAERENS DGHASSABEH GMUYLDERMANS S: "Single-domain antibodies as building blocks for novel therapeutics", CURR OPIN PHARMACOL, vol. 8, 2008, pages 600 - 608
CONRATH KEWERNERY UMUYLDERMANS SNGUYEN VK: "Emergence and evolution of functional heavy-chain antibodies in Camelidae", DEV COMP IMMUNOL, vol. 27, 2003, pages 87 - 103
CHEN JHE QXU YFU JLI YTU Z ET AL.: "Nanobody medicated immunoassay for ultrasensitive detection of cancer biomarker alpha-fetoprotein", TALANTA, vol. 147, 2016, pages 523 - 530, XP029306913, DOI: 10.1016/j.talanta.2015.10.027
EBRAHIMIZADEH WMOUSAVI GARGARI SRAJABIBAZL M: "Safaee Ardekani L, Zare H, Bakherad H. Isolation and characterization of protective anti-LPS nanobody against V. cholerae 01 recognizing Inaba and Ogawa serotypes", APPL MICROBIOL BIOTECHNOL, vol. 97, 2013, pages 4457 - 4466
DE MEYER TMUYLDERMANS SDEPICKER A: "Nanobody-based products as research and diagnostic tools", TRENDS BIOTECHNOL, vol. 32, 2014, pages 263 - 270, XP028638857, DOI: 10.1016/j.tibtech.2014.03.001
HUANG WCHIQUET-EHRISMANN RMOYANO JVGARCIA-PARDO AOREND G: "Interference of Tenascin-C with Syndecan-4 Binding to Fibronectin Blocks Cell Adhesion and Stimulates Tumor Cell Proliferation", CANCER RES, vol. 61, 2001, pages 8586 - 8594, XP055824915
DEGEN MBRELLIER FKAIN RRUIZ CTERRACCIANO LOREND G ET AL.: "Tenascin-W is a novel marker for activated tumor stroma in low-grade human breast cancer and influences cell behavior", CANCER RES, vol. 67, 2007, pages 9169 - 9179, XP002464177, DOI: 10.1158/0008-5472.CAN-07-0666
EHRISMANN RCHIQUET MTURNER DC: "Mode of action of fibronectin in promoting chicken myoblast attachment", THE JOURNAL OF BIOLOGICAL CHEMISTRY, vol. 256, 1981, pages 4056 - 4062
FISCHER DBROWN-LUDI MSCHULTHESS TCHIQUET-EHRISMANN R: "Concerted action of tenascin-C domains in cell adhesion, anti-adhesion and promotion of neurite outgrowth", JOURNAL OF CELL SCIENCE, vol. 110, 1997, pages 1513 - 1522
FISCHER DCHIQUET-EHRISMANN RBERNASCONI CCHIQUET M, A SINGLE HEPARIN BINDING REGION WITHIN FIBRINOGEN-LIKE DOMAIN IS FUNCTIONAL IN CHICK TENASCIN-C, vol. 270, 1995, pages 3378 - 3384
VINCKE CGUTIERREZ CWERNERY UDEVOOGDT NHASSANZADEH-GHASSABEH GMUYLDERMANS S: "Antibody Engineering", HUMANA PRESS, article "Generation of Single Domain Antibody Fragments Derived from Camelids and Generation of Manifold Constructs", pages: 145 - 176
DHAOUADI SMURDAMOOTHOO DTOUNSI AERNE WBENABDERRAZEK RBENLASFAR Z ET AL.: "Generation and characterization of dromedary Tenascin-C and Tenascin-W specific antibodies", BIOCHEM BIOPHYS RES COMMUN, vol. 530, 2020, pages 471 - 478
GERLZA THECHER BJEREMIC DFUCHS TGSCHWANDTNER MFALSONE A ET AL.: "A Combinatorial Approach to Biophysically Characterise Chemokine-Glycan Binding Affinities for Drug Development", MOLECULES, vol. 19, 2014, pages 10618 - 10634
WESTMAN JHANSEN FCOLIN AIMORGELIN MSCHMIDTCHEN AHERWALD H: "p33 (gC1 q Receptor) Prevents Cell Damage by Blocking the Cytolytic Activity of Antimicrobial Peptides", J IMMUNOL, vol. 191, 2013, pages 5714 - 5721
BASCHONG WWRIGLEY NG: "Small colloidal gold conjugated to fab fragments or to immunoglobulin g as high-resolution labels for electron microscopy: A technical overview", J ELECTRON MICROSC TECH, vol. 14, 1990, pages 313 - 323
SCHENK SMUSER JVOLLMER GCHIQUET-EHRISMANN R: "Tenascin-C in serum: A questionable tumor marker", INT J CANCER, vol. 61, 1995, pages 443 - 449, XP002501349, DOI: 10.1002/ijc.2910610402
RUPP TLANGLOIS BKOCZOROWSKA MMRADWANSKA ASUN ZHUSSENET T ET AL.: "Tenascin-C Orchestrates Glioblastoma Angiogenesis by Modulation of Pro- and Anti-angiogenic Signaling", CELL REP, vol. 17, 2016, pages 2607 - 2619
WEITZNER BJELIAZKOV JLYSKOV SMARZE NKURODA DFRICK R ET AL.: "Modeling and docking of antibody structures with Rosetta", NAT PROTOC, vol. 12, 2017, pages 401 - 416, XP055684231, DOI: 10.1038/nprot.2016.180
KSOURI AGHEDIRA KBEN ABDERRAZEK RSHANKAR GOWRI BABENKAHLA ABISHOP TASTAN 0 ET AL.: "Homology modeling and docking of Aahll-Nanobody complexes reveal the epitope binding site on Aahll scorpion toxin", BIOCHEMICAL AND BIOPHYSICAL RESEARCH COMMUNICATIONS, vol. 496, 2018, pages 1025 - 1032
PIERCE BGWIEHE KHWANG HKIM BHVREVEN TWENG Z: "ZDOCK server: interactive docking prediction of protein-protein complexes and symmetric multimers", BIOINFORMATICS, vol. 30, 2014, pages 1771 - 1773
SCHRODINGER LLC., THE PYMOL MOLECULAR GRAPHICS SYSTEM, VERSION 1.3R1. PORTLAND. OREGON: SCHRODINGER, LLC., 2010
HMILA IBEN ABDALLAH RSAERENS DBENLASFAR ZCONRATH KAYEB ME ET AL.: "VHH, bivalent domains and chimeric Heavy chain-only antibodies with high neutralizing efficacy for scorpion toxin Aahl", MOL IMMUNOL, vol. 45, 2008, pages 3847 - 3856, XP023437111, DOI: 10.1016/j.molimm.2008.04.011
SPENLE C, LEFEBVRE O, LACROUTE J, MECHINE-NEUVILLE A, BARREAU F,BLOTTIRE HM: "The Lamini Response in Inflammatory Bowel Disease Protection or Malignancy?", PLOS ONE, vol. 9, 2014, pages e111336
KAWAMURA TYAMAMOTO MSUZUKI KSUZUKI YKAMISHIMA MSAKATA M ET AL.: "Tenascin-C Produced by Intestinal Myofibroblasts Promotes Colitis-associated Cancer Development Through Angiogenesis", INFLAMM BOWEL DIS, vol. 25, 2019, pages 732 - 741
NING LLI SGAO JDING LWANG CCHEN W ET AL.: "Tenascin-C Is Increased in Inflammatory Bowel Disease and Is Associated with response to Infliximab Therapy", BIOMED RES INT, vol. 2019, 2019, pages 1 - 9
SUN ZSCHWENZER ARUPP TMURDAMOOTHOO DVEGLIANTE RLEFEBVRE O ET AL.: "Tenascin-C Promotes Tumor Cell Migration and Metastasis through Integrin a9131-Mediated YAP Inhibition", CANCER RES, vol. 78, 2018, pages 950 - 961
VENNING FAWULLKOPF LERLER JT: "Targeting ECM Disrupts Cancer Progression", FRONT ONCOL, 2015, pages 5
GENOVA CRIJAVEC EGROSSI F: "Tumor microenvironment as a potential source of clinical biomarkers in non-small cell lung cancer: can we use enemy territory at our advantage?", J THORAC DIS, vol. 9, 2017, pages 4300 - 4304
OREND GCHIQUET-EHRISMANN R: "Tenascin-C induced signaling in cancer", CANCER LETT, vol. 244, 2006, pages 143 - 163, XP025021935, DOI: 10.1016/j.canlet.2006.02.017
MIDWOOD KSCHIQUET MTUCKER RPOREND G: "Tenascin-C at a glance", J CELL SCI, vol. 129, 2016, pages 4321 - 4327
AKABANI GREARDON DACOLEMAN REWONG TZMETZLER SDBOWSHER JE ET AL.: "Dosimetry and Radiographic Analysis of 131 I-Labeled AntiXTenascin 81 C6 Murine Monoclonal Antibody in Newly Diagnosed Patients with Malignant Gliomas", A PHASE II STUDY
REARDON DAZALUTSKY MRBIGNER DD: "Antitenascin-C monoclonal antibody radioimmunotherapy for malignant glioma patients", EXPERT REV ANTICANCER THER, vol. 7, 2007, pages 675 - 687, XP009140536
SCHLIEMANN CWIEDMER APEDRETTI MSZCZEPANOWSKI MKLAPPER WNERI D: "Three clinical-stage tumor targeting antibodies reveal differential expression of oncofetal fibronectin and tenascin-C isoforms in human lymphoma", LEUK RES, vol. 33, 2009, pages 1718 - 1722, XP026611698, DOI: 10.1016/j.leukres.2009.06.025
KO HYCHOI K-JLEE CHKIM S: "A multimodal nanoparticle-based cancer imaging probe simultaneously targeting nucleolin, integrin av33 and tenascin-C proteins", BIOMATERIALS, vol. 32, 2011, pages 1130 - 1138, XP027514842, DOI: 10.1016/j.biomaterials.2010.10.034
SPENLE CGASSER ISAUPE FJANSSEN K-PARNOLD CKLEIN A ET AL.: "Spatial organization of the tenascin-C microenvironment in experimental and human cancer", CELL ADHES MIGR, vol. 9, 2015, pages 4 - 13
CARNEMOLLA BCASTELLANI PPONASSI MBORSI LURBINI SNICOLO G ET AL.: "Identification of a Glioblastoma-Associated Tenascin-C Isoform by a High Affinity Recombinant Antibody", AM J PATHOL, vol. 154, no. 5, 1999, pages 1345 - 1352, XP000937680
PAGANELLI GMAGNANI PZITO FLUCIGNANI GSUDATI FTRUCI G ET AL.: "Pre-targeted immunodetection in glioma patients: tumour localization and single-photon emission tomography imaging of [99mTc]PnAO-biotin", EUR J NUCL MED, vol. 21, 1994, pages 314 - 321, XP000562797, DOI: 10.1007/BF00947966
RIVA PFRANCESCHI GFRATTARELLI MRIVA NGUIDUCCI GCREMONINI AM ET AL.: "1311 radioconjugated antibodies for the locoregional radioimmunotherapy of high-grade malignant glioma--phase I and II study", ACTA ONCOL STOCKH SWED, vol. 38, 1999, pages 351 - 359
CATANIA CMAUR MBERARDI RROCCA AGIACOMO AMDSPITALERI G ET AL.: "The tumor-targeting immunocytokine F16-IL2 in combination with doxorubicin: dose escalation in patients with advanced solid tumors and expansion into patients with metastatic breast cancer", CELL ADHES MIGR, vol. 9, 2015, pages 14 - 21
DE BRAUD FGCATANIA CONOFRI APIERANTONI CCASCINU SMAUR M ET AL.: "Combination of the immunocytokine F16-IL2 with doxorubicin or paclitaxel in patients with solid tumors: Results from two phase Ib trials", J CLIN ONCOL, vol. 29, 2011, pages 2595 - 2595
KOVACS JAVOGEL SALBERT JMFALLOON JDAVEY RTWALKER RE ET AL.: "Controlled trial of interleukin-2 infusions in patients infected with the human immunodeficiency virus", N ENGL J MED, vol. 335, 1996, pages 1350 - 1356
BEHAR GSIBERIL SGROULET ACHAMES PPUGNIERE MBOIX C ET AL.: "Isolation and characterization of anti-Fc Rill (CD16) llama single-domain antibodies that activate natural killer cells", PROTEIN ENG DES SEL, vol. 21, 2007, pages 1 - 10, XP002646408, DOI: 10.1093/PROTEIN/GZM064
JAILKHANI NINGRAM JRRASHIDIAN MRICKELT STIAN CMAK H ET AL.: "Noninvasive imaging of tumor progression, metastasis, and fibrosis using a nanobody targeting the extracellular matrix", PROC NATL ACAD SCI, vol. 116, 2019, pages 14181 - 14190, XP055844098, DOI: 10.1073/pnas.1817442116
HYNES, R.O., NANOBODY BASED IMAGING AND TARGETING OF ECM IN DISEASE AND DEVELOPMENT, 2019
LI THUANG MXIAO HZHANG GDING JWU P ET AL.: "Selection and characterization of specific nanobody against bovine virus diarrhea virus (BVDV) E2 protein", PLOS ONE, vol. 12, 2017, pages e0178469
WAN RLIU AHOU XLAI ZLI JYANG N ET AL.: "Screening and antitumor effect of an anti-CTLA-4 nanobody", ONCOL REP, vol. 39, no. 2, 2017, pages 511 - 518
LEFRANC M-PPOMMIE CRUIZ MGIUDICELLI VFOULQUIER ETRUONG L ET AL.: "IMGT unique numbering for immunoglobulin and T cell receptor variable domains and Ig superfamily V-like domains", DEV COMP IMMUNOL, vol. 27, 2003, pages 55 - 77, XP055585227, DOI: 10.1016/S0145-305X(02)00039-3
NOEL FMALPERTUY ADE BREVERN AG: "Global analysis of VHHs framework regions with a structural alphabet", BIOCHIMIE, vol. 131, 2016, pages 11 - 19
DE LAPORTE LRICE JJTORTELLI FHUBBELL JA: "Tenascin C Promiscuously Binds Growth Factors via Its Fifth Fibronectin Type III-Like Domain", PLOS ONE, vol. 8, 2013, pages e62076, XP055077343, DOI: 10.1371/journal.pone.0062076
SAGA YTSUKAMOTO TJING NKUSAKABE MSAKAKURA T: "Mouse tenascin: cDNA cloning, structure and temporal expression of isoforms", GENE, vol. 104, 1991, pages 177 - 185
SURASAK JITTAVISUTTHIKUL ET AL., HUMANIZED-VHH TRANSBODIES THAT INHIBIT HCV PROTEASE AND REPLICATION, vol. 7, no. 4, 20 April 2015 (2015-04-20), pages 2030 - 56
HARMSEN ET AL., PROPERTIES, PRODUCTION, AND APPLICATIONS OF CAMELID SINGLE-DOMAIN ANTIBODY FRAGMENTS, vol. 77, 2007, pages 13 - 22
HULTBERG ET AL.: "Llama-derived single domain antibodies to build multivalent", SUPERPOTENT AND BROADENED NEUTRALIZING ANTI-VIRAL MOLECULES, vol. 6, no. 4, 2011, pages 17665, XP055055576, DOI: 10.1371/journal.pone.0017665
SCHEPENS ET AL.: "Nanobodies specific for respiratory Syncytial virus fusion protein protect against infection by inhibition of fusion''2011", J INFECT DIS, vol. 204, no. 11, 1 December 2011 (2011-12-01), pages 1692 - 701, XP055218541, DOI: 10.1093/infdis/jir622
THYS ET AL.: "In vitro antiviral activity of single domain antibody fragments against poliovirus", ANTIVIRAL RES, vol. 87, no. 2, August 2010 (2010-08-01), pages 257 - 64, XP027147234
FORSMAN ET AL.: "Llama antibody fragments with cross-subtype human immunodeficiency virus type 1 (HIV-1 )-neutralizing properties and high affinity for HIV-1 gp120", JOURNAL OF VIROLOGY, vol. 82, no. 24, 2008, pages 12096 - 081, XP002669437, DOI: 10.1128/JVI.01379-08
VERCCRUYSSE ET AL.: "An intrabody based on a llama single-domain antibody targeting the N-terminal a-helical multimerization domain of HIV-1 Rev prevents viral production", J BIOL CHEM, vol. 285, no. 28, 9 July 2010 (2010-07-09), pages 21768 - 80, XP055040729, DOI: 10.1074/jbc.M110.112490
BOUCHET ET AL.: "Inhibition of the Nef regulatory protein of HIV-1 by a single-domain antibody", BLOOD, vol. 117, no. 13, 2011, pages 3559 - 68, XP002669440, DOI: 10.1182/BLOOD-2010-07-296749
JAHNICHEN ET AL.: "CXCR4 nanobodies (VHH-based single variable domains) potently inhibit chemotaxis and HIV-1 replication and mobilize stem cells", PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES, vol. 107, no. 47, November 2010 (2010-11-01), pages 20565 - 20570
FEI FEI ET AL., STRATEGIES FOR PREPARING ALBUMIN-BASED NANOPARTICLES FOR MULTIFUNCTIONAL BIOIMAGING AND DRUG DELIVERY, vol. 7, no. 15, 2017, pages 3667 - 89
OLIVEIRA ET AL., DOWNREGULATION OF EGFR BY A NOVEL MULTIVALENT NANOBODY-LIPOSOME PLATFORM, vol. 145, no. 2, 2010, pages 165 - 75
Attorney, Agent or Firm:
NOVAGRAAF TECHNOLOGIES (FR)
Download PDF:
Claims:
CLAIMS

1. An isolated single-domain antibody directed against Tenascin-C (TNC) wherein said single-domain antibody comprises the amino acid sequences: i) GYTNSIYT (SEQ ID NO: 1 ) as variable heavy (VHH) chain complementarity determining region (CDR)1 , ii) IXaSRNGNT (SEQ ID NO: 2) as variable heavy (VHH) chain complementarity determining region (CDR)2, wherein Xa is G or A iii) AAGSSWDLILQAYAYDY (SEQ ID NO: 3) as variable heavy (VHH) chain complementarity determining region (CDR)3.

2. An isolated single-domain antibody directed against Tenascin-C according to claim 1 wherein said isolated single-domain antibody comprise the amino acid sequences selected from the group consisting of WLQLVESGGGSVQTGGSLRLSCWSGYTNSIYTLAWFRQAPGKEREGV AAIGSRNGNTYYDASVKDRFTISLDKAKNTVYLQMNDLKPEDTASYYCAA GSSWDLILQAYAYDYWGQGTQVTVSS (SEQ ID NO: 4) or WVQLVESGGGSVQTGGSLRLSCWSGYTNSIYTLAWFRQAPGKEREGV AAIASRNGNTYYDASVKDRFTISLDKAKNTVYLQMNGLKPEDTASYYCAA GSSWDLILQAYAYDYWGQGTQVTVSS (SEQ ID NO: 5).

3. An isolated single-domain antibody directed against Tenascin-C according to claim 1 or 2 wherein said single-domain antibody consist of the amino acid sequence selected from the group consisting of WLQLVESGGGSVQTGGSLRLSCWSGYTNSIYTLAWFRQAPGKEREGV AAIGSRNGNTYYDASVKDRFTISLDKAKNTVYLQMNDLKPEDTASYYCAA GSSWDLILQAYAYDYWGQGTQVTVSS (SEQ ID NO: 4) or WVQLVESGGGSVQTGGSLRLSCWSGYTNSIYTLAWFRQAPGKEREGV AAIASRNGNTYYDASVKDRFTISLDKAKNTVYLQMNGLKPEDTASYYCAA GSSWDLILQAYAYDYWGQGTQVTVSS (SEQ ID NO: 5). 4. An immunoconjugate comprising:

(a) an isolated single-domain antibody directed against Tenascin-C (TNC) according to any one of claim 1 to 3; and

(b) a conjugating part selected from the group consisting of a detectable marker, drug, toxin, cytokine, radionuclide, enzyme, gold nanoparticle/nanorod, albumin nanoparticle magnetic nanoparticle, PolyEthylenGlycol (PEG)-Liposome and a combination thereof

5. An isolated nucleic acid that encodes an isolated single-domain antibody directed against Tenascin-C according to any one of claims 1-3.

6. An expression vector comprising the isolated nucleic acid of claim 5.

7. A host cell comprising a nucleic acid according to claim 5 or an expression vector according to claim 6.

8. The host cell of claim 7 which is CHO cell.

9. A pharmaceutical composition comprising a single-domain antibody directed against Tenascin-C according to any of claims 1 to 3, and a pharmaceutically acceptable carrier.

10. A single-domain antibody directed against Tenascin-C according to any of claims 1 to 3 for use as medicament.

11 . A single-domain antibody directed against Tenascin-C according to any of claims 1 to 3 or an immunoconjugate according to claim 4 for use in the treatment of cancer, fibrosis, inflammation, viral or bacterial infections.

12. A method of producing a single-domain antibody directed against Tenascin-C according to any of claims 1 - 3 comprising culturing the host cell according to claim 7 or 8 and recovering single-domain antibody directed against Tenascin-C from the cell culture.

13. A single-domain antibody directed against Tenascin-C according to any of claims 1 to 3 or an immunoconjugate according to claim 4, for use in an in vitro diagnostic or imaging method.

14. A single-domain antibody directed against Tenascin-C according to any of claims 1 to 3 or an immunoconjugate according to claim 4, for use in an in vivo diagnostic or imaging method.

15. In vitro use of single-domain antibody directed against Tenascin-C according to any of claims 1 to 3 or an immunoconjugate according to claim 4 for detecting a tumor cell in a biological sample.

Description:
ANTI-TENASCIN-C (TNC) SINGLE-DOMAIN ANTIBODIES (NANOBODIES) AND USE THEREOF

FIELD

The invention relates to a single-domain antibody directed against Tenascin-C (TNC), to an isolated nucleic acid that encodes a single-domain antibody directed against Tenascin-C, an expression vector comprising said isolated nucleic acid encoding a single-domain antibody directed against Tenascin-C. The invention also relates to a host cell comprising said nucleic acid and/or vector. The invention further relates to a said single-domain antibody directed against Tenascin-C (TNC) for use as medicament and to a pharmaceutical composition comprising said single-domain antibody directed against Tenascin-C (TNC).

The invention also relates to an immunoconjugate comprising a single-domain antibody directed against Tenascin-C (TNC) and a conjugating part.

The invention further relates to the use of a single-domain antibody directed against Tenascin-C (TNC) in an in vitro or in vivo diagnostic or imaging method and/or for detecting a tumor.

The present invention finds application in the therapeutic and diagnostic medical technical fields.

In the description below, references in square brackets ([ ]) refer to the list of references at the end of the text.

BACKGROUND

It is well known that the extracellular matrix (ECM), is a highly abundant compartment of tumors and is a good tumor biomarker ([59], [60]). ECM is often more stable than antigens located on the surface of tumor cells. Furthermore, ECM is accessible to antibodies and their derivatives entering through the bloodstream [26]

Tenascin-C (TNC) was discovered over three decades ago is one of the extracellular matrix (ECM) molecules that is highly expressed in tumors such as breast, colorectal and/or gastric cancers ([1], [2], [3], [4]). High TNC expression levels is known to be correlated with shortened lung metastasis-free survival in breast cancer and overall survival in glioma patients ([5], [6]). At a structural level TNC is a large modular hexameric glycoprotein [7] Each TNC subunit displays a central oligomerization domain, followed by 14.5 EGF-like repeats (three disulfide bridges per EGF- repeat), 17 fibronectin type 3 (FN III) repeats (8 constant and 9 additional domains that are subject to alternative splicing) and a globular fibrinogen domain [7] At physiological level, TNC is transiently expressed during organogenesis [8] and its expression is largely restricted to a few sites in the adult organism such as in some stem cell niches and in lymphoid organs [9] At pathological level, TNC was shown to act at multiple levels to promote tumor progression into cancer by enhancing survival, proliferation and invasion of tumor cells. In particular, TNC can drive the formation of new but poorly functional blood vessels and to corrupt anti-tumor immunity altogether enhancing metastasis. Yet, in addition to tumors, TNC is also known to be highly up-regulated in wound healing and in chronic inflammation ([10], [11 ]). Using stochastic tumorigenesis models with engineered high and low levels of TNC it was formally proven that TNC indeed is a promoter of tumor progression. TNC is known to act at different tumor stages by inducing and activating a wide range of cellular signaling pathways such as Wnt, Notch, JNK and TGFp ([12], [13], [14], [15]). TNC is also known to act on stromal and immune cells thereby promoting tumor angiogenesis and immune escape ([16], [17], [18], [19], [20]).

There is therefore a real need to find a method and/or a product that could inhibit or alleviate the pathological effects of TNC. In particular, there is a real need to find a method and/or a compound that could inhibit the tumor progression and/or cancer, for example induced and/or due to TNC. In addition, there is a real need to find a method and/or a compound that could inhibit or alleviate inflammation, for example by inhibiting the promoting inflammation effect of TNC. Since TNC is known to be highly expressed in cancer tissues as well as its role in inflammation, research has been carried out to specifically detect TNC in situ as well as to inhibit its main pathological effects. These approaches included down regulation of TNC expression with siRNA or aptamers ([21], [22], [23], [24], [25]) and/or the use of TNC-specific antibodies for the delivery of radiotherapy or drugs ([26], [27], [28]). Monoclonal antibodies recognizing TNC have been also developed. For example, several TNC-specific monoclonal antibodies have been developed as well as aptamers and antibody fragments (scFv) that are currently undergoing clinical evaluation ([30], [63], [64], [65], [66] [67]). The anti human TNC G11 antibody ([68]) was used to target TNC in glioma xenografts upon coupling with 18F-fluorodeoxyglucose ([30]). Phase I and II clinical trials have been performed with the F16 anti-TNC antibody in glioma patients ([69], [70]), breast cancer ([71], [72]) and Flodgkin’s lymphoma ([28]). Coupling the F16 antibody to IL-2 (Teleukin (registered trademark)) was used to deliver IL-2 into the cancer tissue ([71], [73]). Since 2013, a phase II clinical trial using Teleukin (registered trademark) is in progress on melanomas (EudraCT 2012-004018-33). For radiotherapy F16 was labeled with 131 Iodine (Tenarad (registered trademark)) ([28]).

However, all these means and/or approaches demonstrate intrinsic limitations and caveats. In particular, the efficiency of the corresponding treatment does not appear to be enough for clinical efficiency. For example, due to formalin fixation, usually used in routine pathology service, often epitope recognition is lost which reduces the antibody recognition efficiency ([29], [30]). In addition, it is not clear whether targeting TNC with the known antibodies can reduce tumor progression ([67]).

There is therefore a real need to find a method and/or a product that could inhibit or alleviate the pathological effects of TNC. There is also a real need to find a method and/or a product, for example a more specific and/or sensitive product, that could efficiently allow to detect TNC in biological tissues, for example to identify tumorous tissue and/or inflammated tissue.

Moreover, it is known that TNC impairs cell adhesion to fibronectin and regulates the immune-suppressive tumor microenvironment, for example by chemoretention immobilizing dendritic cells in the stroma.

There is therefore a real need to find a method and/or a product that could inhibit/alleviate the immune-suppressive tumor microenvironment effects of TNC.

There is therefore a real need for a compound and/or method overcoming the shortcomings, disadvantages and obstacles of prior art, particularly for a compound and or method for treating and/or preventing pathological effect of TNC, for example treating and/or preventing tumor progression, cancer, inflammation.

Description

The present invention allows to overcome the drawback and inconvenient of the prior art by providing an isolated single-domain antibody directed against Tenascin-C (TNC) wherein said single-domain antibody comprises the amino acid sequences: i) GYTNSIYT (SEQ ID NO: 1 ) as variable heavy (VHH) chain complementarity determining region (CDR)1 , ii) IXaSRNGNT (SEQ ID NO: 2) as variable heavy (VHH) chain complementarity determining region (CDR)2, wherein X a is G or A iii) AAGSSWDLILQAYAYDY (SEQ ID NO: 3) as variable heavy (VHH) chain complementarity determining region (CDR)3.

The inventors have surprisingly and unexpectedly demonstrated that single-domain antibodies directed against Tenascin-C (TNC) according to the invention bind Tenascin-C (TNC) with a high affinity. In addition, the inventors have demonstrated that single-domain antibodies directed against Tenascin-C (TNC) according to the invention is highly specific for human TNC (hTNC). The inventors have further surprisingly demonstrated that single domain antibodies directed against Tenascin-C (TNC) according to the invention allow to target TNC and/or identify TNC expression in non pathological or pathological biological tissue. Advantageously, the inventors have demonstrated that single-domain antibodies directed against Tenascin-C (TNC) according to the invention allow to detect tumors, in particular extracellular matrix of tumorous tissues, and also advantageously, cancerous microenvironments.

The inventors have surprisingly demonstrated that single-domain antibodies directed against Tenascin-C (TNC) according to the invention inhibit and/or reduce tumor and/or metastasis progression, for example by restoring the adhesion of cells in tumorous and/or cancerous tissue, advantageously tumorous and/or cancerous and/or mesangial cells to fibronectin and TNC decreasing and/or avoiding therefor the formation of metastasis.

The inventors have also surprisingly demonstrated that single domain antibodies directed against Tenascin-C (TNC) according to the invention allow to increase the immune response in cancerous tissue. In particular, the inventors have surprisingly and advantageously demonstrated single-domain antibodies directed against Tenascin-C (TNC) according to the invention allow to inhibit and/or reduce the immobilization of immune cells, in particular dendritic cells, in cancerous/tumorous tissue. In other words, the inventors demonstrated that single-domain antibodies directed against Tenascin-C (TNC) according to the invention allow advantageously to inhibit the immune-suppressive functions of TNC, for example in tumorous and/or cancerous tissues.

In the present invention, the term "isolated" and its grammatical equivalents as used herein refer to the removal of a nucleic acid or a peptide or a polypeptide from its natural environment. In the present invention, “polypeptide", "peptide" and their grammatical equivalents as used herein refer to a polymer of amino acid residues.

In the present invention, the terms “single domain antibody”, "single domain antibody (VHH)", “monobody” and "nanobody" have the same meaning referring to a variable region of a heavy chain of an antibody, and construct a single domain antibody (VHH) consisting of only one heavy chain variable region. It is the smallest antigen-binding fragment with complete function. Generally, the antibodies with a natural deficiency of the light chain and the heavy chain constant region 1 (CH1) are first obtained. The variable regions of the heavy chain of the antibody are therefore cloned to construct a single domain antibody (VHH) consisting of only one heavy chain variable region.

In the present invention, the term "heavy chain variable region" and "VHH" can be used interchangeably.

In the present invention, the terms "variable region" and "complementary determining region (CDR)" can be used interchangeably.

In the present invention, the term "CDR" is intended to mean the three hypervariable regions of the variable regions of the heavy chains of a single domain antibody body which constitute the elements of the paratope and make it possible to determine the complementarity of the antibody with the epitope of the antigen. These three hypervariable regions are framed by four constant regions which constitute the "framework" regions (FRs) and give the variable domain a stable configuration.

In the present invention, Tenascin-C (TNC) refers to a glycoprotein that in humans is encoded by the TNC gene located on chromosome 9 with location of the cytogenic band at the 9q33. Preferably Tenascin-C (TNC) refers to a glycoprotein having amino acid sequence having at least 80%, for example at least 90% of homology with sequence : MGAMTQLLAGVFLAFLALATEGGVLKKVIRHKRQSGVNATLPEENQPW FNHVYNIKLPVGSQCSVDLESASGEKDLAPPSEPSESFQEHTVDGENQIV FTHRINIPRRACGCAAAPDVKELLSRLEELENLVSSLREQCTAGAGCCLQ

PATGRLDTRPFCSGRGNFSTEGCGCVCEPGWKGPNCSEPECPGNCHL

RGRCIDGQCICDDGFTGEDCSQLACPSDCNDQGKCVNGVCICFEGYAG

ADCSREICPVPCSEEHGTCVDGLCVCHDGFAGDDCNKPLCLNNCYNRG

RCVENECVCDEGFTGEDCSELICPNDCFDRGRCINGTCYCEEGFTGEDC

GKPTCPHACHTQGRCEEGQCVCDEGFAGVDCSEKRCPADCHNRGRCV

DGRCECDDGFTGADCGELKCPNGCSGHGRCVNGQCVCDEGYTGEDC

SQLRCPNDCHSRGRCVEGKCVCEQGFKGYDCSDMSCPNDCHQHGRC

VNGMCVCDDGYTGEDCRDRQCPRDCSNRGLCVDGQCVCEDGFTGPD

CAELSCPNDCHGQGRCVNGQCVCHEGFMGKDCKEQRCPSDCHGQGR

CVDGQCICHEGFTGLDCGQHSCPSDCNNLGQCVSGRCICNEGYSGEDC

SEVSPPKDLVVTEVTEETVNLAWDNEMRVTEYLWYTPTHEGGLEMQFR

VPGDQTSTIIQELEPGVEYFIRVFAILENKKSIPVSARVATYLPAPEGLKFK

SIKETSVEVEWDPLDIAFETWEIIFRNMNKEDEGEITKSLRRPETSYRQTG

LAPGQEYEISLHIVKNNTRGPGLKRVTTTRLDAPSQIEVKDVTDTTALITW

FKPLAEIDGIELTYGIKDVPGDRTTIDLTEDENQYSIGNLKPDTEYEVSLISR

RGDMSSNPAKETFTTGLDAPRNLRRVSQTDNSITLEWRNGKAAIDSYRIK

YAPISGGDHAEVDVPKSQQATTKTTLTGLRPGTEYGIGVSAVKEDKESNP

ATINAATELDTPKDLQVSETAETSLTLLWKTPLAKFDRYRLNYSLPTGQW

VGVQLPRNTTSYVLRGLEPGQEYNVLLTAEKGRHKSKPARVKASTEQAP

ELENLTVTEVGWDGLRLNWFAADQAYEHFIIQVQEANKVEAARNLTVPG

SLRAVD I PGLKAATPYTVS IYGVIQGYRTPVLSAEASTGETP N LGEWVAE

VGWDALKLNWTAPEGAYEYFFIQVQEADTVEAAQNLTVPGGLRSTDLPG

LKAATHYTITIRGVTQDFSTTPLSVEVLTEEVPDMGNLTVTEVSWDALRLN

WFTPDGTYDQFTIQVQEADQVEEAHNLTVPGSLRSMEIPGLRAGTPYTV

TLHGEVRGHSTRPLAVEWTEDLPQLGDLAVSEVGWDGLRLNWTAADN

AYEHFVIQVQEVNKVEAAQNLTLPGSLRAVDIPGLEAATPYRVSIYGVIRG

YRTPVLSAEASTAKEPEIGNLNVSDITPESFNLSWMATDGIFETFTIEIIDSN

RLLETVEYNISGAERTAHISGLPPSTDFIVYLSGLAPSIRTKTISATATTEAL

PLLENLTISDINPYGFTVSWMASENAFDSFLVTVVDSGKLLDPQEFTLSGT

QRKLELRGLITGIGYEVMVSGFTQGHQTKPLRAEIVTEAEPEVDNLLVSD ATPDGFRLSWTADEGVFDNFVLKIRDTKKQSEPLEITLLAPERTRDITGLR

EATEYEIELYGISKGRRSQTVSAIATTAMGSPKEVIFSDITENSATVSWRA

PTAQVESFRITYVPITGGTPSMVTVDGTKTQTRLVKLIPGVEYLVSIIAMKG

FEESEPVSGSFTTALDGPSGLVTANITDSEALARWQPAIATVDSYVISYTG

EKVPEITRTVSGNTVEYALTDLEPATEYTLRIFAEKGPQKSSTITAKFTTDL

DSPRDLTATEVQSETALLTWRPPRASVTGYLLVYESVDGTVKEVIVGPDT

TSYSLADLSPSTHYTAKIQALNGPLRSNMIQTIFTTIGLLYPFPKDCSQAML

NGDTTSGLYTIYLNGDKAEALEVFCDMTSDGGGWIVFLRRKNGRENFYQ

NWKAYAAGFGDRREEFWLGLDNLNKITAQGQYELRVDLRDHGETAFAV

YDKFSVGDAKTRYKLKVEGYSGTAGDSMAYHNGRSFSTFDKDTDSAITN

CALSYKGAFWYRNCHRVNLMGRYGDNNHSQGVNWFHWKGHEHSIQFA

EMKLRPSNFRNLEGRRKRA (SEQ ID NO: 18). Preferably, Tenascin-C

(TNC) refers to a glycoprotein having amino acid sequence of sequence

SEQ ID NO: 18.

In the present invention, in the peptide sequences disclosed herein, the amino acids are represented by their one letter code according to the following nomenclature: A: alanine; C: cysteine; D: aspartic acid; E: glutamic acid; F: phenylalanine; G: glycine; H: histidine; I: isoleucine; K: lysine; L: leucine, M: methionine ; N: asparagine ; P: proline ; Q: glutamine ; R: arginine ; S: serine ; T: threonine ; V: valine ; W: tryptophan and Y: tyrosine.

Unless the context requires otherwise, throughout the present specification and claims, the word “comprise” and variations thereof, such as, “comprises” and “comprising” are to be construed in an open, inclusive sense, that is as “including, but not limited to”.

In the present invention, by “consisting of” is meant including, and limited to, whatever follows the phrase “consisting of.” Thus, the phrase “consisting of” indicates that the listed elements are required or mandatory, and that no other elements may be present.

By “consisting essentially of is meant including any elements listed after the phrase, and limited to other elements that do not interfere with or contribute to the activity or action specified in the disclosure for the listed elements. Thus, the phrase “consisting essentially of indicates that the listed elements are required or mandatory, but that other elements are optional and may or may not be present depending upon whether or not they affect the activity or action of the listed elements.

In the present invention, the variable heavy (VHH) chain complementarity determining region (CDR)2 amino acid sequence of the isolated single-domain antibody directed against Tenascin-C (TNC) may be selected from the group comprising IGSRNGNT (SEQ ID NO: 12) and IASRNGNT (SEQ ID NO: 13).

In the present invention, the isolated single-domain antibody directed against directed against Tenascin-C (TNC) may comprise the amino acid sequences i) GYTNSIYT (SEQ ID NO: 1 ) as variable heavy (VHH) chain complementarity determining region (CDR)1 , ii) IGSRNGNT (SEQ ID NO: 12) as variable heavy (VHH) chain complementarity determining region (CDR)2 and iii) AAGSSWDLILQAYAYDY (SEQ ID NO: 3) as variable heavy (VHH) chain complementarity determining region (CDR)3, or the amino acid sequences i) GYTNSIYT (SEQ ID NO: 1 ) as variable heavy (VHH) chain complementarity determining region (CDR)1 , ii) IASRNGNT (SEQ ID NO: 13) as variable heavy (VHH) chain complementarity determining region (CDR)2 and iii) AAGSSWDLILQAYAYDY (SEQ ID NO: 3) as variable heavy (VHH) chain complementarity determining region (CDR)3.

In the present invention, the isolated single-domain antibody directed against Tenascin-C (TNC) may consist of the amino acid sequences selected from the group consisting of WLQLVESGGGSVQTGGSLRLSCWSGYTNSIYTLAWFRQAPGKEREGV AAIGSRNGNTYYDASVKDRFTISLDKAKNTVYLQMNDLKPEDTASYYCAA G S S WD L I LQ AYAYD YWGQ GT QVTV S S (SEQ ID NO: 4) or WVQLVESGGGSVQTGGSLRLSCWSGYTNSIYTLAWFRQAPGKEREGV AAIASRNGNTYYDASVKDRFTISLDKAKNTVYLQMNGLKPEDTASYYCAA G S S WD L I LQ AYAYD YWGQ GT QVTV S S (SEQ ID NO: 5) or a functionally conservative variant thereof comprising a conservative substitution of one or two amino acids in one, two or three of the CDRs included respectively in the amino acid sequence SEQ ID NO: 4 or SEQ ID NO: 5. The functionally conservative variant may also comprise one or more substitutions, in particular one or more conservative substitutions in the regions respectively of the amino acid sequences SEQ ID NO: 4 or SEQ ID NO: 5 which are not CDRs, such as the “framework” regions.

In the present invention, the isolated single-domain antibody directed against Tenascin-C (TNC) may comprise the amino acid sequences selected from the group consisting of

WLQLVESGGGSVQTGGSLRLSCVVSGYTNSIYTLAWFRQAPGKEREGV AAIGSRNGNTYYDASVKDRFTISLDKAKNTVYLQMNDLKPEDTASYYCAA G S S WD L I LQ AYAYD YWGQ GT QVTV S S (SEQ ID NO: 4) or

WVQLVESGGGSVQTGGSLRLSCWSGYTNSIYTLAWFRQAPGKEREGV AAIASRNGNTYYDASVKDRFTISLDKAKNTVYLQMNGLKPEDTASYYCAA GSSWDLILQAYAYDYWGQGTQVTVSS (SEQ ID NO: 5).

In the present invention, the isolated single-domain antibody directed against Tenascin-C (TNC) may consist of the amino acid sequences selected from the group consisting of WLQLVESGGGSVQTGGSLRLSCWSGYTNSIYTLAWFRQAPGKEREGV AAIGSRNGNTYYDASVKDRFTISLDKAKNTVYLQMNDLKPEDTASYYCAA GSSWDLILQAYAYDYWGQGTQVTVSS (SEQ ID NO: 4) or

WVQLVESGGGSVQTGGSLRLSCWSGYTNSIYTLAWFRQAPGKEREGV AAIASRNGNTYYDASVKDRFTISLDKAKNTVYLQMNGLKPEDTASYYCAA GSSWDLILQAYAYDYWGQGTQVTVSS (SEQ ID NO: 5).

In the present invention, the expression “functionally conservative variant” refers to variants in which a given amino acid in a single-domain antibody according to the invention is replaced without impairing the overall conformation and the function of the single-domain antibody, including replacement of one amino acid with another having similar properties, for example polarity, hydrogen bonding potential, acidity, basicity, hydrophobicity, presence of an aromatic group etc. The amino acids having similar properties are well known to those skilled in the art. For example, arginine, histidine and lysine are hydrophilic-basic amino acids and can be interchangeable. Similarly, isoleucine, a hydrophobic amino acid, can be replaced by leucine, methionine or valine. Such changes should have little or no effect on the apparent molecular weight or the isoelectric point of the nanobody. A natural amino acid can be replaced by an unnatural amino acid, such as an amino acid in D configuration, or a beta or gamma amino acid. For example, table 1 below discloses examples of conservative substitutions.

Table 1 : Examples of conservative Amino acid substitution

In the present invention, isolated single-domain antibody directed against Tenascin-C (TNC) of the invention may have a suitable binding affinity for Tenascin-C. For example, the single-domain antibody directed against Tenascin-C (TNC) of the invention may have an affinity for the Tenascin-C (TNC) from 0.5 nM to 800 nM for TNC. For example, for human TNC the single-domain antibody directed against Tenascin-C (TNC) of the invention may have an affinity for the Tenascin-C (TNC) from 0.5 nM to 800 nM for TNC of human origin. For example, for mouse TNC the single-domain antibody directed against Tenascin-C (TNC) of the invention may have an affinity for the Tenascin-C (TNC) from 0.5 nM to 800 nM, for example from 400 nM to 750nM, for example equal to 500 nM for the single-domain antibody directed against Tenascin-C (TNC) of SEQ ID NO: 5, or equal to 711 nm for the single-domain antibody directed against Tenascin-C (TNC) of (SEQ ID NO: 4).

The term “affinity” is intended to mean the binding capacity between a macromolecule and the antigen that it binds, in particular the binding capacity between a single-domain antibody (nanobody) and the antigen that it binds, for example an isolated single-domain antibody directed against Tenascin-C (TNC) of the invention and the Tenascin-C (TNC) of different origins.

The affinity and thus the capacity of the isolated single-domain antibody directed against Tenascin-C (TNC) of the invention that can bind to the Tenascin-C (TNC) can be measured in vitro by several methods, including surface plasmon resonance (SPR), in particular using a BIAcore

2000 instrument — Pharmacia Biosensor, Uppsala, Sweden) or for example by means of an ELISA assay or for example by Immunofluorescence Titration. For example, the affinity may be measured by ELISA, in, for example, using any saline Phosphate buffer thereof and the effective concentration for 50% of specific binding being determined from the standard curve as disclosed in Hmila et al. , 2010 [32]

In the present invention, isolated single-domain antibody directed against Tenascin-C (TNC) according to the invention may be obtained from a nucleotide sequence.

An object of the present invention is thus an isolated nucleotide sequence encoding isolated single-domain antibody directed against Tenascin-C (TNC) according to the invention.

In the present invention, the isolated nucleotide sequence may code for an isolated single-domain antibody directed against Tenascin-C (TNC) which may comprise the amino acid sequences: i) GYTNSIYT (SEQ ID NO: 1 ) as variable heavy (VHH) chain complementarity determining region (CDR)1 , ii) IXaSRNGNT (SEQ ID NO: 2) as variable heavy (VHH) chain complementarity determining region (CDR)2, wherein X a is G or A iii) AAGSSWDLILQAYAYDY (SEQ ID NO: 3) as variable heavy (VHH) chain complementarity determining region (CDR)3.

One skilled in the art taking into consideration his technical knowledge and the amino acid sequence - nucleic acid translation code would be able to determine the corresponding nucleic acid coding sequence.

In the present invention, a nucleotide sequence coding the peptide sequence of the variable heavy (VHH) chain complementarity determining region (CDR)1 of the isolated single-domain antibody directed against Tenascin-C (TNC) may be of sequence 5’-

G GAT AC AC C AAC AGTAT CTAC-3’ (SEQ ID NO: 14).

In the present invention, a nucleotide sequence coding the peptide sequence of the variable heavy (VHH) chain complementarity determining region (CDR)2 of the isolated single-domain antibody directed against Tenascin-C (TNC) may be of sequence 5’- ATTGGTAGTCGTAATGGTAAC-3’ (SEQ ID NO: 15) or of sequence 5’- ATTGCTAGTCGTAATGGTAAC-3’ (SEQ ID NO: 16).

In the present invention, a nucleotide sequence coding the peptide sequence of the variable heavy (VHH) chain complementarity determining region (CDR)3 of the isolated single-domain antibody directed against Tenascin-C (TNC) may be of sequence 5’- GCGGCAGGATCCTCTTGGGACCTCATCTTAC-3’ (SEQ ID NO: 17).

In the present invention, a nucleotide sequence coding the peptide sequence of an isolated single-domain antibody directed against Tenascin-C (TNC) according to the invention may be selected from the group comprising

ATGGCTGCATGGTTGCAGCTGGTGGAGTCTGGGGGAGGCTCGGTGC AGACTGGAGGGTCTCTGAGACTCTCCTGTGTAGTCTCTGGATACACC AACAGTATCTACACGCTGGCCTGGTTCCGCCAGGCTCCAGGGAAGGA GCGTGAGGGGGTAGCGGCTATTGGTAGTCGTAATGGTAACACATACT AC G AC G C CTC C GT G AAG G AC C GATT C AC CAT CTC C CT AG AC AAG G C C AAG AAC AC GGT GTATCTG C AAAT GAAC G AC CT G AAAC CT GAG G AC AC GGCCAGCTATTACTGTGCGGCAGGATCCTCTTGGGACCTCATCTTAC AGGCATATGCGTATGACTACTGGGGCCAGGGGACCCAGGTCACCGT CTCCTCAGCGGCCGCATACCCGTACGACGTTCCGGACTACGGTTCCC AC C AC CAT C AC CAT C ACTAG ACT GTT G AAAGTT GTTT AG C AAAAC CTC AT AC AG AAAATT C ATTTACT AAC GT CT GG AAAG AC GAC AAAACTTT AG A TCGTTACGCTAACTATGAGGGTTGTCTGTGGAATGC (SEQ ID NO: 6) and

ATGGCTGCATGGGTGCAGCTGGTGGAGTCTGGGGGAGGCTCGGTGC

AGACTGGAGGGTCTCTGAGACTCTCCTGTGTAGTCTCTGGATACACC

AACAGTATCTACAWGCTGGCCTGGTTCCGCCAGGCTCCAGGGAAGG

AGCGTGAGGGGGTAGCGGCTATTGCTAGTCGTAATGGTAACACATAC

TACGACGCCTCCGTGAAGGACCGATTCACCATCTCCCTAGACAAGGC

CAAGAACACGGTGTATCTGCAAATGAACGGCCTGAAACCTGAGGACA

CGGCCAGCTATTACTGTGCGGCAGGATCCTCTTGGGACCTCATCTTA CAGGCATATGCGTATGACTACTGGGGCCAGGGGACCCAGGTCACCG TCTCCTCAGCGGCCGCATACCCGTACGACGTTCCGGACTACGGTTCC C AC C AC CAT C AC CAT C ACT AG ACTGTT G AAAGTT GTTTAG C AAAAC CT CAT AC AG AAAATT C ATTTACTAAC GT CTG G AAAG AC G AC AAAACTTT AG ATCGTTACGCTAACTATGAGGGCTGGTCTGTGGAATGC (SEQ ID NO: 7).

By way of non limiting example, nucleotide sequence coding for peptide sequence SEQ ID NO: 4 of isolated single-domain antibody directed against Tenascin-C of the invention may be the nucleic acid of sequence SEQ ID NO: 6.

By way of non limiting example, nucleotide sequence coding for peptide sequence SEQ ID NO: 5 of isolated single-domain antibody directed against Tenascin-C of the invention may be the nucleic acid of sequence SEQ ID NO: 7.

An object of the present invention is also a recombinant vector, in particular an expression vector, comprising a nucleotide sequence according to the invention.

Another object of the present invention relates to an expression vector comprising the isolated nucleic acid according to the invention or a nucleotide sequence coding an isolated single-domain antibody directed against Tenascin-C.

The present invention relates also to an expression vector comprising an isolated nucleic acid according to the invention or the nucleotide sequence selected from the group comprising SEQ ID NO: 6 and SEQ ID NO: 7.

In the present invention, the vector may be any one of the vectors known to those skilled in the art to produce proteins. It is generally chosen as a function of the cellular host used. The vector may for example be chosen from the vectors listed in the catalog https://france.promega.com/products/vectors/protein-expressi on-vectors/ [83] It may be, for example, the expression vector described in document WO 83/004261 [84] The vector may for example be selected from group comprising pET-21 , pcDNA3.1 expression vector, FJB IgG expression vectors and pHEN2 and derivatives phagemid vectors.

The vector may be, for example Adeno-associated Virus (AAV) vectors, a plasmid, a Yeast Artificial Chromosomes (YAC), a Bacterial Artificial Chromosome (BAC) or a phagemid vectors.

The vector may be any adapted adeno-associated virus (AAV) vector known to one skilled in the art and/or commercially available adapted. It may be, for example an adeno-associated virus (AAV) vector selected from the group comprising AAV1 , AAV2, AAV3, AAV4, AAV5, AAV6, AAV7, AAV8, AAV9 or AAV10 (AAVrh.10).

The vector may be any adapted plasmid known to one skilled in the art and/or commercially available. It may be for example a plasmid selected from the group comprising pMX, pUC19, pHP45-CmR, pcDNA3.1 (+), pcDNA3.3-TOPO, pcDNA3.4-TOPO, pFastBad , pET100/D- TOPO, pET151/D-TOPO, pRSET A, pYes2.1 V5-His TOPO, pDONR221, pGEX-3X, pMECS, pET45b(+),pET-28a, pCMV/ER/myc plasmid, pSecTag, pHENIX vector, pGEX6P1 , pCDNA 3.1 , pCANTAB-5E, pMB1 , pUC8 to pUC19.

The vector may be any adapted Yeast Artificial Chromosome known to one skilled in the art. It may be for example a Yeast Artificial Chromosomes selected from the group comprising pYAC-RC, pYAC3.

The vector may be any adapted Bacterial Artificial Chromosome known to one skilled in the art. It may be for example a Bacterial Artificial Chromosome selected from the group comprising pUvBBAC, pCCI BAC, pBAC 108L.

The vector may be any adapted phagemid vectors known to one skilled in the art. It may be for example a phagemid vector selected from the group comprising pFIEN2, pBluescript II, pMECS, pFIEN4, pFIEN6, Phage vector fd- tet Gill, pSEX, preferably pFIEN2 phagemid vector. The vector may be any adapted lentiviral plasmid known to one skilled in the art.

The vector may comprise a polynucleotide sequence, for example an expression cassette, comprising the following in 5’ to 3’order: a promoter sequence; a nucleic acid sequence encoding a signal peptide, a nucleic acid sequence encoding an isolated single-domain antibody directed against Tenascin-C (TNC), and, optionally a nucleic acid sequence encoding a tag protein.

The promoter may be any adapted promoter known to one skilled in the art. It may be for example promoters of housekeeping gene, promoters of viral gene, tissue specific promoter, inducible promoter, a promoter of bacterial origin.

It may be for example any adapted promoters of housekeeping genes any promoter known to one skilled in the art. It may be for example promoters of housekeeping genes for example Sigma 70, Sigma S and Sigma 28.

It may be for example any adapted tissue specific promoter known from one skilled in the art.

It may be for example any adapted promoters of viral genes known from one skilled in the art. It may be for example promoters of viral genes selected from the group comprising CMV promoter, Rous Sarcoma Virus (RSV) promoter, Simian virus (SV) 40 promoter of adenoviral vectors.

It may be for example any adapted promoters of bacterial origin known from one skilled in the art. It may be for example a promoter selected from the group comprising Lac promoter, LacUV5 promoter, tac-promoter, trc-promoter, T7-promoter, pL-promoter, pR-promoter.

The nucleic acid sequence encoding signal peptide can be any adapted sequence encoding signal peptide known to one skilled in the art. It may be for example a nucleic acid sequence encoding pelB signal peptide for single-domain antibody secretion.

The nucleic acid sequence encoding for tag protein may be for example any nucleic acid sequence encoding for tag protein know to one skilled in the art. For example, it may be any tag disclosed in Parkinson J1 , Blaxter M. “Expressed sequence tags: an overview.”Methods Mol Biol. 2009;533:1-12. doi: 10.1007/978-1 -60327-136-3_1 . It may be for example any nucleic acid sequence encoding for a tag selected from the group comprising T7, FLAG, hemagglutinin (HA), vesicular stomatitis virus glycoprotein (VSV-G), V5 (the C-terminal sequence of the P and V proteins of simian virus 5), histidine, for example His6 or c-myc.

The vector may comprise an origin of replication sequence. It may be for example any adapted origin of replication sequence known from one skilled in the art. It may be for example an origin of replication sequence of pMB1 , ColE1 , p15A, pUC.

The vector may comprise a regulatory promoter sequence. It may be for example any adapted regulatory promoter sequence known from one skilled in the art. One skilled in the art taking into consideration its technical knowledge and taking into consideration the promoter would select/adapt regulatory promoter sequence.

The vector may comprise a Polylinker (Multiple Cloning Sites) sequence. It may be for example any adapted Polylinker known from one skilled in the art. One skilled in the art taking into consideration its technical knowledge would select/adapt the Polylinker (Multiple Cloning Sites) sequence.

The vector may comprise a Ribosome Binding Site sequence (RBS). It may be for example any adapted Ribosome Binding Site sequence (RBS) known from one skilled in the art. One skilled in the art taking into consideration its technical knowledge would select/adapt the Ribosome Binding Site sequence. Another object of the present invention relates to a host cell comprising a nucleic acid coding an isolated single-domain antibody directed against Tenascin-C (TNC) of the invention or an expression vector comprising a nucleic acid coding an isolated single-domain antibody directed against Tenascin-C (TNC) of the present invention.

The nucleic acid or expression vector are as defined above.

The host cell may be any suitable host cell for the production of a single-domain antibody directed against Tenascin-C (TNC) of the present invention from the aforementioned nucleic acid or expression vector comprising a nucleic acid encoding a single-domain antibody directed against Tenascin-C (TNC) according to the invention.

In the present invention, "host cell" is understood to mean a prokaryotic or eukaryotic cell. Host cells commonly used for expression of recombinant proteins include cells of bacteria such as Escherichia coli or Bacillus sp., Yeast cells such as Saccharomyces cerevisiae, fungal cells such as Aspergillus Niger, insect cells, and/or mammalian cells such as Hamster and CHO cells. It may be for example E. coli, Pischia pastoris, Saccharomyces cerevisiae, or insect cells, for example an insect cell- baculovirus system, for example SF9 insect cells used in a baculovirus expression system. The mammalian cells may be for example selected from the group comprising murine cells, human cells. It may be for example cells selected from the group comprising HEK 293, PER-C6, CHO cells, CAR - T cells, CAR-NK cells. In the present invention, the host cell may be a CHO cell.

The transformation of prokaryotic and eukaryotic cells is a process/technique well known to a person skilled in the art. The transformation may be carried out, for example by lipofection, Electroporation, heat shock, or chemical methods. Depending on the cell to be transformed, a person skilled in the art can easily determine the means necessary for the transformation of the selected host cell. Thus, the expression vector and the method of introducing the expression vector into the host cell will be selected in accordance with the selected host cell. The host cell transformed by an expression vector will produce a corresponding protein, for example in recombinant form. A person skilled in the art can readily verify that the host cell produces the protein, for example recombinant, for example using immunoprecipitation followed by the Western blotting technique and/or ELISA technique.

For example a method for producing a host cell expressing a single-domain antibody directed against Tenascin-C (TNC) of the present invention can comprise the steps of :

(i) introducing, in vitro or ex vivo, a nucleic acid and/or an expression vector of the invention into a host cell,

(ii) culturing, in vitro or ex vivo, the recombinant host cell obtained, and

(iii) optionally selecting the cells which express and/or secrete said single-domain antibody directed against Tenascin-C (TNC)

The introduction of nucleic acid and/or an expression vector of the invention into a host cell may be carried out by any method known to one skilled in the art and adapted to the host cell. It may be for example a transformation process/technique as disclosed above.

The culture of prokaryotic and eukaryotic cells is a technique well known to those skilled in the art. Depending on the cell, a person skilled in the art may easily determine the necessary means, culture medium, induction, time and temperature conditions required for the culture of the selected host cell.

The selection of cells which express and/or secrete protein, for example single-domain antibody, directed against Tenascin-C (TNC) can be carried out by any method known to one skilled in the art and adapted to the host cell. It may be for example using an ELISA of periplasm extracts or on selective medium for example through selection marker of resistance. An object of the present invention is also a method of producing a single-domain antibody directed against Tenascin-C (TNC) of the present invention.

In the present invention, the method of producing an isolated single-domain antibody directed against Tenascin-C (TNC) of the present invention may be carried out by any method known to one skilled in the art to produce an isolated single-domain antibody and/or nanobody. It may be, for example procedure by chemical synthesis according to solid phase synthesis method (Merrifield (19962) Proc. Soc. e.g. Boil.21:412; Merrifield (1963) J. Am. Chem. Soc. 85:2149; Tarn et al (1983) J. Am. Chem.Soc. 105:6442 [85]).

A method of producing a single-domain antibody directed against Tenascin-C (TNC) of the present invention may comprise culturing a host cell according to the invention and recovering a single-domain antibody directed against Tenascin-C (TNC) of the present invention from the cell culture.

The culture of a host cell may be carried out by any method known to one skilled in the art and adapted to the cell. Culture of prokaryotic and eukaryotic cells is a technique well known to those skilled in the art. Depending on the cell, a person skilled in the art may easily determine the necessary means, culture medium, induction, time and temperature conditions required for the culture of the selected host cell.

The recovery of a single-domain antibody, an antibody or antigen binding portion thereof from the cell culture may be carried out by any method known to one skilled in the art. It may, for example, be a method selected among electrophoresis, ultracentrifugation, differential precipitation, ultrafiltration, membrane or gel filtration, affinity chromatography.

In the present invention, the isolated single-domain antibody directed against Tenascin-C (TNC) of the invention may be also produced by recombinant DNA methods, for example as disclosed in U.S. Pat. No. 4,816,567.

The isolated single-domain antibody directed against Tenascin-C (TNC) of the invention may also be produced and isolated from phage nanobody libraries using the techniques disclosed in Hmila I et al. FASEB J (2010) 24:3479-3489 [32], Vincke C et al. Antibody Engineering, ed. P. Chames (Totowa, NJ: Humana Press), 145-176 [42], Abderrazek RB, et al.. Biochem J (2009) 424:263-272 [43]

For example, of making single-domain antibody (nanobody) libraries generally by immunization of a camelid (e.g. camel, dromedary, alpaca, vicuna, llama, etc.) with the material to be targeted for selection of specific single-domain antibody (nanobody). For example, a dromedary may be immunized against, for example Tenascin-C. For example, a dromedary may be immunized with human Tenascin-C to generate dromedary lymphocyte-producing immunoglobulins specific for Tenascin-C. Lymphocytes can then be isolated from blood samples, and extracted lymphocyte RNA can then be used to construct phage display - based nanobody libraries, for example using a pHEN4 or pMECS phagemid vector. The nucleic acid from which the VHH domain sequences derive may be total RNA or more specifically mRNA isolated from the cells within the sample taken from the host. The expression vectors may be any suitable vectors used for library construction, and are preferably phage or phagemid vectors allowing selection of target - specific antibody fragments using phage - display - based selection methods. The recovery of a single-domain antibody, may be carried out by any method known to one skilled in the art. It may, for example, be a method selected among electrophoresis, ultracentrifugation, differential precipitation, ultrafiltration, membrane or gel filtration, affinity chromatography.

Another object of the present invention is an immunoconjugate comprising: (a) an isolated single-domain antibody directed against

Tenascin-C (TNC), and

(b) a conjugating part selected from the group consisting of a detectable marker, drug, toxin, cytokine, radionuclide, enzyme, gold nanoparticle/nanorod, albumin nanoparticle magnetic nanoparticle, transductor, PolyEthylenGlycol (PEG)-Liposome and a combination thereof.

In other words, another object of the present invention is an immunoconjugate comprising:

(a) an isolated single-domain antibody directed against

Tenascin-C (TNC), and

(b) a conjugating part selected from the group consisting of a detectable marker, drug, toxin, cytokine, radionuclide, enzyme, gold nanoparticle/nanorod, albumin nanoparticle magnetic nanoparticle, PolyEthylenGlycol (PEG)-Liposome and a combination thereof.

The isolated single-domain antibody directed against Tenascin-C (TNC) is as defined above.

In the present invention, "conjugated” means two entities stably bound to one another by any physiochemical means. It is important that the nature of the attachment is such that it does not impair substantially the effectiveness of either entity. Keeping these parameters in mind, any covalent or non - covalent linkage known to those of ordinary skill in the art may be employed. In some embodiments, covalent linkage is preferred. Noncovalent conjugation includes hydrophobic interactions, ionic interactions, high affinity interactions such as biotin - avidin and biotin - streptavidin complexation and other affinity interactions. Such means and methods of attachment are well known to those of ordinary skill in the art.

In the present invention, the conjugating part may be conjugated to the N-terminus or the C-terminus or internal amino acids of the single domain antibody directed against Tenascin-C (TNC) (nanobody). For example, the single-domain antibody directed against Tenascin-C (TNC) (nanobody) may be directly conjugated to the conjugating part. For example it may be directly conjugated to conjugating part if the conjugating part is linked directly, for example via a peptide bond to an amino acid, for example the N - terminal amino acid, C - terminal amino acid , or internal amino acid of the single-domain antibody directed against Tenascin-C (TNC). For example, alternatively, the single-domain antibody directed against Tenascin-C (TNC) may be indirectly conjugated to a conjugating part for example when a linker is used to connect the conjugating part to the single domain antibody directed against Tenascin-C (TNC) components may be linked indirectly to one another by linkage to a common carrier molecule.

In the present invention, linker molecules also designed as "linkers” may optionally be used to link the single-domain antibody directed against Tenascin-C (TNC) to another molecule, for example to conjugating part. In the present invention, the linker may be any linker known to one skilled in the art adapted to link a single-domain antibody (nanobody) to a conjugating part selected from the group comprising a detectable marker, drug, toxin, cytokine, radionuclide, enzyme, gold nanoparticle/nanorod, albumin nanoparticle magnetic nanoparticle, transductor, PolyEthylenGlycol (PEG)-Liposome. For example, the linker may be for example a multiple amino acids, or non - peptide molecules. For example, it may be a peptide linker, for example a glycine - rich peptide linkers as disclosed in US patent N° US 5,908,626, for example it may be a glycine - rich peptide with an amino-acid length about 20 or less. For example, the linker may be a non - peptide or partial peptide linker. It may be for example any non - peptide or partial peptide linker known from one skilled in the art. It may be for example a cross - linking molecules, for example glutaraldehyde or EDC (Pierce, Rockford, 111). It may be for example a bifunctional cross - linking linker comprising two distinct reactive sites, one of the reactive sites for example may be reacted with a functional group on a peptide, for example the single-domain antibody directed against Tenascin-C (TNC) of the invention, to form a covalent linkage and the other reactive site may be reacted with a functional group on another molecule, for example the conjugating part, to form a covalent linkage. It may be for example a linker selected from the group comprising glutaraldehyde ; N,N-bis(3-maleimido- propionyl-2-hydroxy-1 ,3-propanediol, discuccinimyidyl suberate , dithiobis (succinimidyl propionate), soluble bis-sulfonic acid, m-maleimidobenzoyl-N- hydroxysuccinimide ester ; m-maleimido-benzoylsulfosuccinimide ester ; y- maleimidobutyric acid N-hydroxysuccinimide ester ; and N-succinimidyl3-(2- pyridyl-dithio) propionate and any salt thereof.

In the present invention, the detectable marker may be any detectable marker known to one skilled in the art adapted to be directly or indirectly conjugated to the single-domain antibody directed against Tenascin-C of the invention. It may be for example fluorescent or luminescent markers; for example, fluorochromes, radioactive markers, MRI (magnetic resonance imaging) or CT (computed tomography) contrast agents, or enzymes capable of producing detectable products.

In the present invention, the drug that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin-C of the invention may be any adapted drug known from one skilled in the art. It may be for example an anticancer drug, anti-inflammatory drug, anti-fibrotic drug, an anti-infection drug, anti-oxydative drug.

In the present invention, the anticancer drug that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin-C of the invention may be preferably a cytotoxic drug. As used herein, the term “cytotoxic drug” refers to a molecule that when entering in contact with a cell, optionally upon internalization into the cell, alters a cell function (e.g. cell growth and/or proliferation and/or differentiation and/or metabolism such as protein and/or DNA synthesis) in a detrimental way or leads to cell death. As used herein, the term “cytotoxic drug” encompasses toxins, in particular cytotoxins. It may be for example cytotoxic drug selected from the group consisting of an antitubulin drug, DNA sulcus binding reagent, DNA replication inhibitor, alkylation reagent, antibiotic, folic acid antagonist, antimetabolic drug, chemosensitizer, topoisomerase inhibitor, Catharanthus roseus alkaloid and a combination thereof. It may be, for example, a compound selected from the group comprising calicheamycin, dolastin 10, dolastin 15, auristatin E, auristatin EB (AEB), auristatin EFP (AEFP), monomethyl auristatin F (MMAF), monomethylauristatin-D (MMAD), monomethyl auristatin E (MMAE), and 5-benzoylvaleric acid-AE ester (AEVB) and duocarmycin; nitrogen mustard analogues for example cyclophosphamide, melphalan, ifosfamide or trofosfamide; ethylenimines such as thiotepa; nitrosoureas for example carmustine; alkylating agents for example temozolomide or dacarbazine; folate-like metabolic antagonists such as methotrexate or raltitrexed; purine analogues for example thioguanine, cladribine or fludarabine; pyrimidine analogues for example fluorouracil, tegafur or gemcitabine; vinca alkaloids for example vinblastine, vincristine or vinorelbine and analogues thereof; podophyllotoxin derivatives for example etoposide, taxans, docetaxel or paclitaxel; anthracyclines for example doxorubicin, epirubicin, idarubicin and mitoxantrone, and analogues thereof; other cytotoxic antibiotics for example bleomycin and mitomycin; platinum compounds for example cisplatin, carboplatin and oxaliplatin; pentostatin, miltefosine, estramustine, topotecan, irinotecan and bicalutamide, and toxins for example ricin toxin, liatoxin and Vero toxin.

Advantageously, when the single-domain antibody directed against Tenascin-C is conjugated with an anticancer drug, it may advantageously have an increase therapeutic effect when use for the treatment of cancer.

In the present invention, the anti-inflammatory drug that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin-C of the invention may be for example any an anti inflammatory drug known from one skilled in the art. It may be for example nonsteroidal anti-inflammatory drug. It may be for example anti-inflammatory drug selected from the group comprising aspirin, ibuprofen, naproxen ibuprofen, diclofenac, celecoxib, mefenamic acid, etoricoxib, indomethacin.

Advantageously, when the single-domain antibody directed against Tenascin-C is conjugated with an anti-inflammatory drug, it may advantageously have an increase therapeutic effect when use for the treatment of inflammation.

In the present invention, the anti-fibrotic drug that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin-C of the invention may be any anti-fibrotic drug known from one skilled in the art. It may be for example an anti-fibrotic drug selected from the group comprising pirfenidone, Nintedanib, prednisolone, bethametasone and dexamethasone.

In the present, the anti-infection drug that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin- C of the invention may be any anti-fibrotic drug known from one skilled in the art. It may be for example any adapted antibiotic know from one skilled in the art. It may be for example any adapted anti-viral drug know from one skilled in the art. It may be for example an anti-viral nanobody. It may be for example an anti-viral selected from the group comprising nanobody anti- Hepatitis-C virus (HCV), for example as disclosed in Surasak Jittavisutthikul et al, 2015, “Humanized-VHH transbodies that inhibit HCV protease and replication”. 2015 Apr 20;7(4):2030-56, hepatitis B virus (HBV) nanobodies, foot-and mouth disease (FMD) virus-specific nanobodies [86], for example as disclosed in Harmsen, 2007 [87]), influenza (H5N1 ) virus Nanobodies, for example as disclosed in Hultberg et al. ,2011 [88]), respiratory Syncytial virus (RSV) Nanobodies for example as disclosed in Schepens et al. ,2011 . “Nanobodies specific for respiratory Syncytial virus fusion protein protect against infection by inhibition of fusion”2011 J Infect Dis. 2011 Dec 1 ;204 (11 ):1692-701. doi: 10.1093/infdis/jir622. PMID: 21998474 [89], Rabies virus

Nanobodies, for example as disclosed in Hultberg et al, 2011 , Poliovirus Nanobodies, for example as disclosed in Thys et al, 2010 [90], Rotavirus

Nanobodies, for example as disclosed in Van der Vaart et al, 2006 [91], human Immunodeficiency virus (HIV) Nanobodies: HIV gp120 Nanobodies, for example as disclosed in Sebastian et al., 2012. Rotavirus A-specific single-domain antibodies produced in baculovirus-infected insect larvae are protective in vivo. BMC Biotech 2012;12:59. doi: 10.1186/1472-6750-12-59. PMCID: PMC3444942 PMID: 22953695 [92], HIV Rev Nanobodies, for example as disclosed in Verccruysse et al., 2010 [93], HIV Nef Nanobodies, for example as disclosed in Bouchet et al, 2011 [94], CXCR4 Nanobodies, for example as disclosed in Jahnichen et al, 2010 “CXCR4 nanobodies (VHH-based single variable domains) potently inhibit chemotaxis and HIV-1 replication and mobilize stem cells” Proceedings of the National Academy of Sciences Nov 2010, 107 (47) 20565-20570; DOI:

10.1073/pnas.1012865107 [95], Newcastle disease Virus Nanobody, for example, as disclosed in Sheng et al. ,2019. “Nanobody-horseradish peroxidase fusion protein as an ultrasensitive probe to detect antibodies against Newcastle disease virus in the immunoassay” NanoBiotechnol 2019 17:35. doi.org/10.1186/s12951 -019-0468-0 [97]

Advantageously, when the single-domain antibody directed against Tenascin-C is conjugated with an anti-infection drug, it may advantageously have an increase therapeutic effect when use for the treatment of infection.

In the present invention, the anti-oxydative drug that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin-C of the invention may be any anti-oxydative drug known from one skilled in the art. It may be for example an anti-oxydative drug selected from the group comprising ascorbic acid, tocopherols, tocotrienols; b-carotene, Ebselen, Edaravone, Superoxide dismutase, Glutathione, N- acetylcysteine and Ascorbic acid.. In the present invention, the toxin that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin-C of the invention may be for example any toxin known from one skilled in the art. It may be for example a toxin is selected from the group consisting of Auristatins (for example, Auristatin A, Auristatin F, MMAE and MMAF), chlortetracycline, metotanol, ricin, ricin A chain, cobustatin, docamicin, Dora statin, adriamycin, daunorubicin, paclitaxel, cisplatin, cc1065, ethidium bromide, mitomycin, etoposide, tenoposide, vincristine, vinblastine, colchicine, dihydroxyanthracnose diketone, actinomycin, diphtheria toxin, Pseudomonas exotoxin (PE) A, PE40, abrin, abrin A chain, modeccin A chain, a-Sarcina, gelonin, mitogellin, retstrictocin, phenomycin, enomycin, curicin, crotin, calicheamicins, Sapaonaria officinalis inhibitor, glucocorticoid and a combination thereof.

In the present invention, the toxin cytokine that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin-C of the invention may be any cytokine which have a therapeutic effect, for example in inflammation and/or that could enhance an immune response. It may be for example a cytokine selected from the group comprising IL-2 , IL-6 , IL-8 , IL-10 , IL-12 , IL-18 , TNF ,IFN-y , IFN-b , chemokines , and IFN-a .

In the present invention, the radionuclide that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin- C of the invention may be any radionuclide known from one skilled in the art. It may be for example a diagnostics radioisotope selected from the group consisting of Tc-99m, Ga-68, F-18, 1-123, 1-125, 1-131 , In-111 , Ga-67, Cu- 64, Zr-89, C-11 , Lu-177, Re-188, and a combination thereof; and / or a therapeutic radioisotope selected from the group consisting of Lu-177, Y-90, Ac-225, As-211 , Bi-212, Bi-213, Cs-137, Cr-51 , Co-60, Dy-165, Er-169, Fm- 255, Au-198, Ho-166, 1-125,1-131 , lr-192, Fe-59, Pb-212, Mo-99, Pd-103, P-32, K-42, Re-186, Re-188, Sm-153, Ra223, Ru-106, Na24, Sr89, Tb-149, Th-227, Xe-133 Yb-169, Yb-177, and a combination thereof. Advantageously, when the single-domain antibody directed against Tenascin-C is conjugated with a radionuclide, it may be used in diagnostic method and/or as a marker in diagnostic method.

In the present invention, enzyme that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin-C of the invention may be any enzyme known from one skilled in the art. It may be for example an enzyme selected from the group comprising beta- lactamase, Alkaline Phosphatase (AP) and/or Horse Radish Peroxydase.

Advantageously, when the single-domain antibody directed against Tenascin-C is conjugated with an enzyme, it may be used in diagnostic method and/or as a marker in diagnostic method. For example when the single-domain antibody directed against Tenascin-C of the invention is conjugated to Alkaline Phosphatase (AP) or to Horse Radish Peroxydase, it may be used for example for Enzyme-Linked Immunosorbent Assay one step Detection or sandwich ELISA or immunostaining approaches for example immunolabeling, immunohistochemistry.

In the present invention, gold nanoparticle/nanorod that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin-C of the invention may be any adapted gold nanoparticle/nanorod known from one skilled in the art. It may be for example commercially available gold nanoparticle/nanorod, for example commercialized under the reference 741949 by Sigma Aldrich. It may be for example colloidal goldparticles having a diameter from 4 to 6nm, for example 5 nm diameter colloidal gold particles or palladium nanoparticle

Advantageously, when the single-domain antibody directed against Tenascin-C is conjugated with a gold nanoparticle/nanorod, it may be used in diagnostic method and/or as a marker in diagnostic method and/or for drug delivery.

In the present invention albumin nanoparticle that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin-C of the invention may be any adapted albumin-based nanoparticle known from one skilled in the art. It may be for example albumin-based nanoparticle as disclosed in Fei Fei et al. 2017 [97]

In the present invention, magnetic nanoparticle that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin-C of the invention may be any adapted magnetic nanoparticle known from one skilled in the art. It may be for example commercially available magnetic nanoparticle.

Advantageously, when the single-domain antibody directed against Tenascin-C is conjugated with a magnetic nanoparticle, it may be used in diagnostic method and/or as a marker in diagnostic method and/or for drug-delivery.

In the present invention, the transductor may be any detectable transductor known to one skilled in the art adapted to be directly or indirectly conjugated to the single-domain antibody directed against Tenascin-C of the invention. It may be for example any transductor known to one skilled in the art adapted used in biosensor and adapted to be directly or indirectly conjugated to the single-domain antibody directed against Tenascin-C of the invention. It may be for example an electrode, a SpyTag/SpyCatcher isopeptide ligation system, self assembled monolayer (SAM)-modified transducer surfaces, quartz cristal sensor surface, QCM-based immunosensor, 11-mercaptoundecanoic acid (MUA) sensor surface

In the present invention PolyEthylenGlycol (PEG)-Liposome that may be conjugated directly or indirectly to the single-domain antibody directed against Tenascin-C of the invention may be any PolyEthylenGlycol (PEG)-Liposome known from one skilled in the art. It may be for example PolyEthylenGlycol (PEG)-Liposome as disclosed in Oliveira et al, 2010. [98] Advantageously, when the single-domain antibody directed against Tenascin-C is conjugated with PolyEthylenGlycol (PEG)-Liposome, it may be used in diagnostic method and/or as a marker in diagnostic method and/or for drug-delivery. Another object of the present invention is a pharmaceutical composition comprising an isolated single-domain antibody directed against Tenascin-C of the invention and/or immunoconjugate of the invention and a pharmaceutically acceptable carrier.

The isolated single-domain antibody directed against Tenascin-C is as defined above.

The immunoconjugate is as defined above.

The pharmaceutical composition may be in any form that can be administered to a human or an animal. The person skilled in the art clearly understands that the term “form” as used herein refers to the pharmaceutical formulation of the medicament for its practical use. For example, the medicament may be in a form selected from the group comprising an injectable form, an oral suspension, a pellet, a powder, granules or topical form (e.g. cream, lotion, collyrium). For example, pharmaceutical composition may be a pharmaceutical composition for oral administration selected from the group comprising a liquid formulation, an oral effervescent dosage form, an oral powder, a multiparticule system, an orodispersible dosage form. For example, when the pharmaceutical composition is for oral administration, it may be in the form of a liquid formulation selected from the group comprising a solution, a syrup, a suspension, an emulsion and oral drops. When the pharmaceutical composition is in the form of an oral effervescent dosage form, it may be in a form selected from the group comprising tablets, granules, and powders. When the pharmaceutical composition is the form of an oral powder or a multiparticulate system, it may be in a form selected from the group comprising beads, granules, mini tablets and micro granules. When the pharmaceutical composition is the form of an orodispersible dosage form, it may be in a form selected from the group comprising orodispersible tablets, lyophilized wafers, thin films, a chewable tablet, a tablet and a capsule, a medical chewing gum. According to the present invention, the pharmaceutical composition may be for buccal and sublingual routes, for example selected from the group comprising buccal or sublingual tablets, muco adhesive preparation, lozenges, oro- mucosal drops and sprays. According to the present invention, the pharmaceutical composition may be for topical-transdermal administration, for example selected from the group comprising ointments, cream, gel, lotion, patch and foam.

The pharmaceutically acceptable carrier may be any known pharmaceutical support used for the administration of an antibody, nanobody and/or single-domain antibody to a human or animal, depending on the subject to be treated. For example, pharmaceutically acceptable carrier, diluent or excipient includes without limitation any adjuvant, carrier, excipient, glidant, sweetening agent, diluent, preservative, dye/colorant, flavor enhancer, surfactant, wetting agent, dispersing agent, suspending agent, stabilizer, isotonic agent, solvent or emulsifier

The pharmaceutical form or method of administering a pharmaceutical composition may be selected with regard to the human or animal subject to be treated. For example, for a child, for example from 1 to 17 years old, or a baby, for example under one year old, a syrup or an injection is preferred. Administration may for example be carried out with a weight graduated pipette, a syringe. For example, for an adult over 17 years old, an injection may be preferred. Administration may be carried out with an intravenous weight graduated syringe.

According to the present invention, the pharmaceutical composition may comprise any pharmaceutically acceptable and effective amount of isolated single-domain antibody directed against Tenascin-C of the invention and/or of immunoconjugate of the invention.

For example, in the case of cancer, the therapeutically effective amount of the single-domain antibody directed against Tenascin-C may reduce the number of cancer cells; reduce the tumor size; inhibit (i.e. slow to some extent and preferably stop) cancer cell infiltration into peripheral organs; inhibit (i.e. slow to some extent and preferably stop) tumor metastasis; inhibit, to some extent, tumor growth; and/or relieve to some extent one or more of the symptoms associated with the cancer.

For example, in the case of fibrosis, the therapeutically effective amount of the single-domain antibody directed against Tenascin-C may reduce inflammation and/or allow the restoration of the tissue function. For example, in case of lung fibrosis the therapeutically effective amount of the single-domain antibody directed against Tenascin-C may reduce inflammation and restoration of function of the lung, for example breathing. For example, in case of kidney fibrosis the therapeutically effective amount of the single-domain antibody directed against Tenascin-C may improve the secretion of urine and/or reduce proteinuria and/or reduce hematuria.

For example, in the case of inflammation, the therapeutically effective amount of the single-domain antibody directed against Tenascin-C may reduce the inflammation and/or pain and/or fever and/or rash due to inflammation.

For example, in the case of viral or bacterial infections, the therapeutically effective amount of the single-domain antibody directed against Tenascin-C may reduce the number of viral or bacterial infected cells. It is known in the art that Tenascin-C plasma levels are increased in critically ill patients suffering from infection and sepsis, Sepsis patients represent 10% of all admissions to the intensive care unit (ICU) with a 20- 30% mortality rate, for example bacterial pneumonia e.g. by the gram negative bacterium Klebsiella (K.) pneumoniae is a common cause of sepsis. For example in the case of infection and/or sepsis, the therapeutically effective amount of the single-domain antibody directed against Tenascin-C may reduce the percentage of mortality and/or reduce the inflammation and/or pain and/or fever due to the viral or bacterial infections.

As previously mentioned, the inventors have also surprisingly demonstrated and is the first to demonstrate that isolated single-domain antibodies directed against Tenascin-C (TNC) according to the invention inhibit and/or reduce metastasis progression, for example by restoring the adhesion of cells in tumorous and/or cancerous tissue, advantageously tumorous and/or cancerous and/or mesangial cells to fibronectin and TNC decreasing and/or avoiding therefor the formation of metastasis.

As previously mentioned, the inventors have demonstrated that single-domain antibodies directed against Tenascin-C (TNC) according to the invention allow advantageously to inhibit the immune-suppressive functions of TNC, for example in tumorous and/or cancerous tissues, and/or to increase the immune response.

The inventors also demonstrated that single-domain antibodies directed against Tenascin-C (TNC) according to the invention allow to reduce and/or inhibit and/or block the interaction of TNC with other molecules, for example molecule of the Extra Cellular Matrix, allowing therefor to reduce the matrix networks. In particular, the single-domain antibodies directed against Tenascin-C (TNC) according to the invention allow to reduce and/or inhibit and/or block the enhancement of matrix networks due to TNC which is a characteristic of fibrosis. The single-domain antibodies directed against Tenascin-C (TNC) according to the invention may also reduce and/or inhibit and/or block TNC-induced cellular signaling, in particular TGFb signaling pathway that would lead to matrix production such as laminins, collagens, fibronectin and TNC itself. Accordingly, single domain antibodies directed against Tenascin-C (TNC) according to the invention allow to treat fibrosis.

The inventors have demonstrated that single-domain antibodies directed against Tenascin-C (TNC) according to the invention allow to reduce and/or inhibit and/or block chemoretention of dendritic cells to Tenascin-C (TNC), for example on a TNC/CCL21 substratum. Accordingly, single-domain antibodies directed against Tenascin-C (TNC) according to the invention allow the release of dendritic from Tenascin-C (TNC) and/or other antigen presenting cells allowing and thus regulate immunity, for example during an inflammation. Accordingly, single-domain antibodies directed against Tenascin-C (TNC) according to the invention allow to treat inflammation, for example by regulating the immunity response.

Accordingly, another object of the present invention is a single domain antibody directed against Tenascin-C of the invention for use as medicament.

The single-domain antibody directed against Tenascin-C is as defined above.

An object of the present invention is also an immunoconjugate for use as a medicament.

The immunoconjugate is as defined above.

According to the present invention, the medicament may be a medicament for treating disease in which TNC may be involved. For example, the medicament of the present invention may be a medicament for treating cancer, fibrosis, inflammation, viral or bacterial infections.

Accordingly another object of the present invention is a single domain antibody directed against Tenascin-C of the invention and/or an immunoconjugate of the invention for use in the treatment of cancer, fibrosis, inflammation, viral or bacterial infections

In the present invention, cancer may be for example any cancer of any organ known from one skilled in the art. It may be for example any disease involving abnormal cell growth with the potential to invade or spread to other parts of the body. It may be for example cancer of any organ or tissue of a human or of an animal. It may be for example a cancer selected from the group comprising lung, liver, eye, heart, lung, breast, bone, bone marrow, brain, head & neck, esophagus, trachea, stomach, colon, pancreas, cervical, uterine, bladder, prostate, testicules, skin, rectum, and lymphomas.

In the present invention, fibrosis may be for example any fibrosis of any organ known from one skilled in the art. It may be fibrosis occurring in lung, liver, kidney, skin, knee, shoulder, intestine, bone marrow, brain. In the present invention, inflammation may be any inflammation and/or inflammatory disease known to one skilled in the art. It may be for example inflammation and/or inflammatory disease of any organ or tissue of a human or of an animal. It may be for example an inflammation and/or inflammatory disease of an organ selected from the group comprising lung, liver, eye, heart, lung, breast, bone, bone marrow, brain, head & neck, esophageal, tracheal, stomach, colon, pancreas, cervical, uterine, bladder, prostate, testicular, skin, rectal, and lymphomas. It may be an inflammatory disease selected from the group comprising chronic liver inflammation, chronic kidney inflammation, chronic lung inflammation, chronic heart inflammation, heart inflammation, liver inflammation, kidney inflammation, lung fibrosis, rheumatoid arthritis, osteoarthritis, lupus, skin inflammation.

In the present invention, infection may be any infection known to one skilled in the art. It may be for example a bacterial or a viral infection. It may be for example a bacterial infection of an organ selected from the group comprising skin, lung, liver, eye, heart, lung, breast, bone, bone marrow, brain, head & neck, esophageal, tracheal, stomach, colon, pancreas, cervical, uterine, bladder, prostate, testicular, skin, rectal, and lymphomas. It may be for example a gram-negative bacteria infection or gram-positive bacteria infection. It may be for example a bacterial pneumonia, for example a bacterial pneumonia by gram-negative bacteria, for example Klebsiella pneumoniae.

It may be for example a viral infection of an organ selected from the group comprising skin, lung, liver, eye, heart, lung, breast, bone, bone marrow, brain, head & neck, esophageal, tracheal, stomach, colon, pancreas, cervical, uterine, bladder, prostate, testicular, skin, rectal, and lymphomas. . It may be for example a viral infection selected from the group comprising respiratory tract, for example SARS-Cov-2 virus infection. It may be for example a viral infection selected from the group comprising bone marrow, for example HIV virus infection. In the present invention, the terms "treating", "treat" and "treatment" include (i) preventing a disease, pathologic or medical condition from occurring (e.g., prophylaxis); (ii) inhibiting the disease, pathologic or medical condition or arresting its development; (iii) relieving the disease, pathologic or medical condition; and/or (iv) diminishing symptoms associated with the disease, pathologic or medical condition. Thus, the terms "treat", "treatment", and "treating" extend to prophylaxis and include prevent, prevention, preventing, lowering, stopping or reversing the progression or severity of the condition or symptoms being treated. As such, the term "treatment" includes medical, therapeutic, and/or prophylactic administration, as appropriate.

For example, in the case of cancer, the treatment may reduce the number of cancer cells; reduce the tumor size; inhibit (i.e. slow to some extent and preferably stop) cancer cell infiltration into peripheral organs; inhibit (i.e. slow to some extent and preferably stop) tumor metastasis; inhibit, to some extent, tumor growth; and/or relieve to some extent one or more of the symptoms associated with the cancer.

In the present invention, the medicament may be in any form that can be administered to a human or an animal. It may for example be a pharmaceutical composition as defined above.

The administration of the medicament may be carried out by any way known to one skilled in the art. It may be for example administered intravenously, intradermally, intraarterially, intralesionally, intratumorally, intracranially, intraarticularly, intraprostaticaly, intrapleurally, intratracheally, intranasally, intravitreally, intravaginally, intrarectally, topically, intratumorally, intramuscularly, intraperitoneally, subcutaneously, subconjunctival, intravesicularlly, mucosally, intrapericardially, intraumbilically, intraocularally, orally, topically, locally, inhalation ( e . g . , aerosol inhalation), injection. It may, for example, be carried out directly, i.e. pure or substantially pure, or after mixing of the single-domain antibody directed against Tenascin-C with a pharmaceutically acceptable carrier and/or medium. The medicament may be in any form as mentioned above. For example, the medicament may be an injectable solution, a medicament for oral administration, for example selected from the group comprising a liquid formulation, a multiparticle system, an orodispersible dosage form. The medicament may be a medicament for oral administration selected from the group comprising a liquid formulation, an oral effervescent dosage form, an oral powder, a multiparticle system, an orodispersible dosage form. The medicament may be a medicament for buccal administration selected from the group comprising tablets or lozenges formulated in conventional manner. The medicament may be a medicament for inhalation administration may be, for example, delivered in the form of an aerosol spray presentation from pressurized packs or a nebulizer, with for example the use of a suitable propellant, for example dichlorodifluoromethane, trichloro fluoromethane, dichlorotetrafluoroethane, carbon dioxide or other suitable gas. The medicament may be, for example, a medicament for parenteral administration. The medicament for parenteral administration may be in the form of a sterile aqueous or non - aqueous solutions suspensions, and/or emulsions.

The invention also provides methods for the treatment of disease in which TNC may be involved comprising the administration of a therapeutically effective amount of an isolated single-domain antibody directed against Tenascin-C (TNC) according to the invention and/or pharmaceutical composition comprising an isolated single-domain antibody directed against Tenascin-C (TNC) according to the invention to a subject in need thereof. For example, it may be a method of treatment of disease selected from the group comprising cancer, fibrosis, inflammation, viral or bacterial infections.

The effective amount of may be as mentioned above.

The administration of may be carried out by any adapted way known to one skilled in the art as mentioned above In the present invention, an isolated single-domain antibody directed against Tenascin-C (TNC) of the invention may be used in a combination therapy, for example with a therapeutic agent.

“Combination therapy" (or "co-therapy") includes the administration of a compound binding Matrix Binding Motif (M-motif) on Tenascin-C (TNC) and/or pharmaceutical composition of the invention, and at least a second agent as part of a specific treatment regimen intended to provide the beneficial effect from the co-action of these therapeutic agents. The beneficial effect of the combination includes, but is not limited to, pharmacokinetic or pharmacodynamic co-action resulting from the combination of therapeutic agents. Administration of these therapeutic agents in combination typically is carried out over a defined time period (usually minutes, hours, days or weeks depending upon the combination selected).

"Combination therapy" may, but generally is not, intended to encompass the administration of two or more of these therapeutic agents as part of separate monotherapy regimens that incidentally and arbitrarily result in the combinations of the present invention. "Combination therapy" is intended to embrace administration of these therapeutic agents in a sequential manner, that is, wherein each therapeutic agent is administered at a different time, as well as administration of these therapeutic agents, or at least two of the therapeutic agents, in a substantially simultaneous manner. Substantially simultaneous administration can be accomplished, for example, by administering to the subject a single capsule having a fixed ratio of each therapeutic agent or in multiple, single capsules for each of the therapeutic agents.

Sequential or substantially simultaneous administration of each therapeutic agent can be effected by any appropriate route including, but not limited to, topical routes, oral routes, intravenous routes, intramuscular routes, and direct absorption through mucous membrane tissues. The therapeutic agents can be administered by the same route or by different routes. For example, a first therapeutic agent of the combination selected may be administered by injection while the other therapeutic agents of the combination may be administered topically.

A “therapeutic agent” is any compound known in the art that is used in the detection, diagnosis, or treatment of a condition or disease. Such compounds may be naturally-occurring, modified, or synthetic. Non-limiting examples of therapeutic agents may include drugs, therapeutic compounds, genetic materials, metals (such as radioactive isotopes), proteins, peptides, carbohydrates, lipids, steroids, nucleic acid based materials, or derivatives, analogues, or combinations thereof in their native form or derivatized with hydrophobic or charged moieties to enhance incorporation or adsorption into a cell. Non-limiting examples of therapeutic agents may include immune- related agents, thyroid agents, respiratory products, antineoplastic agents, anti-helmintics, anti-malarials, mitotic inhibitors, hormones, anti-protozoans, anti-tuberculars, cardiovascular products, blood products, biological response modifiers, anti-fungal agents, vitamins, peptides, anti-allergic agents, anti-coagulation agents, circulatory drugs, metabolic potentiators, anti-virals, anti-anginals, antibiotics, anti-inflammatories, anti-rheumatics, narcotics, cardiac glycosides, neuromuscular blockers, sedatives, local anesthetics, general anesthetics, or radioactive atoms or ions. A therapeutic agent may be a toxin, a small therapeutic molecule, a therapeutic nucleic acid, or a chemotherapeutic agent. A chemotherapeutic agent refers to a chemical compound that is useful in the treatment of cancer. The compound may be a cytotoxic agent that affects rapidly dividing cells in general, or it may be a targeted therapeutic agent that affects the deregulated proteins of cancer cells.

In the present invention, the therapeutic agent may be preferably selected from group comprising anticancer drug, anti-inflammatory drug, anti-fibrotic drug, anti-infection drug, anti-oxydant drug.

The anticancer drug may be as mentioned above.

The anti-inflammatory drug may be as mentioned above. The anti-fibrotic drug may be as mentioned above. The anti-infection drug may be as mentioned above. The anti-oxydant drug may be as mentioned above.

The inventor has also surprisingly demonstrated for the first time that isolated single-domain antibody directed against Tenascin-C (TNC) according to the invention target TNC and allow to identify TNC expression in non pathological or pathological biological tissue. For example, single domain antibody directed against Tenascin-C (TNC) according to the invention target TNC, in particular expressed at the surface of tumorous cells, cancerous cells, and allow for example to detect tumorous cells and/or cancerous cells expressing Tenascin-C.

Thus single-domain antibody directed against Tenascin-C (TNC) according to the invention may be used in immunochemical studies, for example in immunoprecipitation, western blotting, ELISA, immunocytochemical studies, for example confocal microscopy, immunoelectronic microscopy, and/or immunohistochemical studies.

The present invention also provides single-domain antibody directed against Tenascin-C (TNC) of the invention and/or an immunoconjugate of the invention for use in an in vitro or in vivo diagnostic or imaging method.

In the present invention, the in vitro or in vivo diagnostic or imaging method may be any method known to one skilled in the art in which a single-domain antibody directed against Tenascin-C (TNC) and/or immunoconjugate could be used. For example in vivo diagnostic or imaging method may be selected from the group comprising Single Photon Emission Computed Tomography (SPECT), Positron Emission Tomography (PET), Contrast enhanced ultrasound imaging, and Magnetic Resonance Imaging (MRI) by using for example Mangradex nanoparticles. For example, the single-domain antibody directed against Tenascin-C (TNC) of the invention and/or an immunoconjugate of the invention may be used in method of diagnostic or imaging method, said method comprising a step of administering a single-domain antibody directed against Tenascin-C (TNC) of the invention and/or an immunoconjugate of the invention to said subject and a step of detecting said single-domain antibody directed against Tenascin-C (TNC) of the invention and/or an immunoconjugate of the invention.

Another object of the present invention is the in vitro use of a single-domain antibody directed against Tenascin-C (TNC) of the invention and/or an immunoconjugate of the invention, for detecting a tumor cell from a sample.

The single-domain antibody directed against Tenascin-C (TNC) is as defined above.

The immunoconjugate is as defined above.

In the present invention, the sample may be a biological sample. The biological sample may be any biological sample known to one skilled in the art. The biological sample may for example be a liquid or solid sample. According to the invention, the sample may be any biological fluid, for example it can be a sample of blood, plasma, serum, urine, tissue, for example muscle, or a sample from a tissue biopsy.

In the present invention, tumor cell may be any cell from a tumor, preferably any cell of a tumor expressing which express Tenascin-C known to one skilled in the art. It may be for example a tumorous cell, cancerous cells, activated fibroblast, reticular fibroblast, macrophages, dendritic cells, glioblastoma cells, melanoma cells.

In the present invention, the method for detecting tumorous and/or cancerous cells may be any detection method known to one skilled in the art. It may for example be Fluorescence-activated cell sorting (FACS) applied in flow cytometry. It may be any immuno-enzymatic method known to one skilled in the art, for example it may be an ELISA In the present invention, when the conjugating part of the immunoconjugate is a detectable marker and the immunoconjugate is used in a method for detecting tumorous and/or cancerous cells it may be revealed with a conjugate molecule.

In the present invention, the conjugate molecule may be any molecule which binds to the immunoconjugate comprising a detectable marker known from one in the art. For example, when the detectable marker is biotin the conjugate molecule may be streptavidin.

In the present invention, when the conjugating part of immunoconjugate, for example comprises a detectable marker, a radionuclide, a radioisotopes, an enzyme, gold nanoparticle/nanorod, magnetic nanoparticle and/or fluorochromes, it may be useful in imaging process, for example for detecting/localizing primary tumors and/or metastasis and/or cancer and/or chronic inflammation, healing defects of chronic wounds, acute and chronic bacterial and viral infection, arteriosclerosis, aortic aneurism, maybe even auto immune disease e.g. lupus and tissue rejection in organ transplantation.

Advantageously, the inventors have demonstrated that the isolated single-domain antibody directed against Tenascin-C (TNC) or immunoconjugate of the invention, for example due to its better affinity and specificity to the Tenascin-C, allow to provide a better detection/results with regards to the presence or not of its protein, for example in a sample.

In other words, the isolated single-domain antibody directed against Tenascin-C (TNC) or immunoconjugate of the invention of the invention provide more reliable results and a better detection efficiency.

Thus the isolated single-domain antibody directed against Tenascin-C (TNC) or immunoconjugate of the invention enable increased sensitivity of the method and, for example, the diagnostic prognosis.

Other features and advantages will become further apparent to those skilled in the art upon reading the examples below, given by way of non-limiting illustration, with reference to the appended figures. Brief description of the drawings ,

Figure 1 represents the specificity of purified/isolated single domain antibody directed against Tenascin-C (TNC) (nanobodies for human Tenascin-C (hTNC)) Figure 1 A represents a comparative alignment of amino acid sequences of two rhTNC- specific single-domain antibody (nanobodies) showing the four hallmark amino acid changes at positions F 42, E 49, R 50 and G 52 according to IMGT Scientific chart for the V-Domain numbering. Figure 1 B is a photography of a SDS-PAGE analysis of the purified single domain antibody directed against Tenascin-C (TNC) (rhTNC nanobodies) single-domain antibody directed against Tenascin-C (TNC) (Nb3) and single-domain antibody directed against Tenascin-C (TNC) (Nb4) (fusion of 6*His and FIA tags at the N-terminus) were expressed and separated on 15 % SDS-PAGE gels. The gel was stained with Coomassie blue. Lanes represent MW: Prestained Molecular Weight Marker, size indicated in kDa. 1 , 2: Nb3 eluates 1 and 2. 3, 4: Nb4 eluates 1 and 2. 5: Purified periplasmic extract from Nb3 after induction. 6: Purified periplasmic extract from Nb4 after induction. The molecular weight of the Nbs was about 15 kDa in size. Figure 1 C is a diagram representing the binding specificity assessment of both single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 towards rhTNC. One hundred microliters of rhTNC (50ng) were coated onto microtiter plates, and 100 pL single-domain antibody directed against Tenascin-C (TNC) (nanobodies) (500ng) were added. After incubation with a mouse monoclonal anti-HA tag antibody and then a monoclonal anti mouse HRP, absorbance at 492 nm was measured by an ELISA reader. Anti-Botl nanobody (500ng) was used as negative control (NC). Values were the means of triplicates. Error bars represent the standard deviation of triplicates (ordinate refers to the absorbance at 492 nm and abscissa refers to single-domain antibody directed against Tenascin-C (TNC) Nb3 or Nb4). Figure 1 D is a photography of a Western blot corresponding to immunolabeling of rhTNC with selected single-domain antibody directed against Tenascin-C (TNC) (Nb) candidates. A total amount of 40 pg of parental HEK293 (HEK) and modified HEK293/TNC (engineered to express hTNC) total cell lysates were analyzed for TNC expression by Western blot. Immuno-identification of rhTNC with Nb3 and Nb4 at (2 pg/ml) candidates and with B28.13 (monoclonal antibody anti-hTNC) as positive control. GAPDH was used as loading control (1 :1000). Furthermore, 100 ng of purified rhTNC (hTNC) were loaded (ordinate refers to the absorbance at 492 nm and abscissa refers to single-domain antibody directed against Tenascin-C (TNC) Nb3 or Nb4). Figure 1 E is a diagram representing an estimate of the potency (EC50) of single-domain antibody directed against Tenascin-C (TNC) Nb3 (diamonds) as well as single-domain antibody directed against Tenascin-C (TNC) Nb4 (squares) ligands interacting with rhTNC. EC50 is the effective concentration at which 50% of rhTNC epitope sites are occupied by Nb ligand (ordinate refers to Optical Density at 450 nm and abscissa refers to the concentration of single-domain antibody directed against Tenascin-C (TNC) Nb3 or Nb4 in nM). Figure 1 F is a diagram representing binding affinities of single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 towards recombinant mTNC as measured by isothermal fluorescence titration (ordinate refers to ratio AF/F0 (AF over F0), AF indicates the variation of fluorescence intensity between initial fluorescence intensity at the resting state and after stimulation and abscissa refers to the concentration of single-domain antibody directed against Tenascin-C (TNC) Nb3 or Nb4 in nM)

Figure 2 represents the identification of interaction sites of single domain antibody directed against Tenascin-C (TNC) Nb3 or Nb4 on rhTNC. Figure 2A are images representing the binding of gold-labeled Nb3 and Nb4 to hTNC determined by negative staining and transmission electron microscopy (Nb adsorption to hTNC surface). Representative of 500 micrographs. The hTNC molecule in the absence of single-domain antibody directed against Tenascin-C (TNC) Nb3 or Nb4 (Nb ligand) is depicted. Black dots designated with arrows represent identified binding sites of single domain antibody directed against Tenascin-C (TNC) Nb3 and Nb4 on hTNC. Figure 1 B represents the measurement of single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 binding according to the position (nm) on TNC (ordinate refers to the percentage of binding and abscissa refers to the position of binding in nm of TNC).

Figure 3 represents the detection of hTNC in human tissues by single-domain antibody directed against Tenascin-C (TNC) Nb3 and Nb4 by immunohistochemical analysis. Figure 3 A are images of representative immunohistochemical (IHC) staining images for hTNC in FFPE embedded tissues from U87-MG xenografts with single-domain antibody directed against Tenascin-C (TNC) Nb3, single-domain antibody directed against Tenascin-C (TNC) Nb4 (2 pg/ml, respectively), Control, no monoclonal anti- FIA secondary antibody (absence of unspecific immuno-reactivity towards hTNC) or stained with B28.13 (1 pg/ml) (positive control). Scale bar, 5 pm. This figure shows that single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 specifically recognize the native hTNC expressed in the ECM of U87- MG xenograft. Figure 3B are images of localized fibrillar staining of TNC by single-domain antibody directed against Tenascin-C (TNC) Nb3 and single domain antibody directed against Tenascin-C (TNC) Nb4 in OSCC tissues. FFPE-embedded OSCC tissues were incubated with a polyclonal anti-TNC antibody (1 pg/ml) or with Nb3 or Nb4 (2 pg/ml, respectively). Figure 3C are images of Immuno-detection of hTNC by using single-domain antibody directed against Tenascin-C (TNC) Nb3 or single-domain antibody directed against Tenascin-C (TNC) Nb4 on FFPE embedded tissue from an hepatic metastasis from a patient with carcinoma of the gallbladder (CGB hepatic metastasis). Scale bar, 200 pm. Figures 3 D and 3 E are images of immunofluorescence (IF) staining corresponding to the detection of human TNC by imaging on fresh frozen U87MG (D) and U87MG-shTNC (E) cryosections. Staining by single-domain antibody directed against Tenascin- C (TNC) Nb3, single-domain antibody directed against Tenascin-C (TNC) Nb4 and/or by B28.13. the nucleus are stained with Dapi. Scale bar, 7pm. Figure 4 A are images of immunofluorescense (IF) staining of KRIB cells cultured on fibronectin (FN), a mixture of FN and hTNC (FN/TNC) or a mixture of FN and hTNC incubated with single-domain antibody directed against Tenascin-C (TNC) Nb4 at 1 mM (FN/TNC-Nb4 (1mM)) or 2mM (FN/TNC-Nb4 (2mM)). After 2 h, the KRIB cells were fixed and stained with phalloidin to detect polymerized actin, anti-vinculin to detect focal adhesion complexes, and the nuclear marker DAPI. Figure 4 B is a diagram representing the results of a cell adhesion assay on three different substrates coated with fibronectin (FN) (black), fibronectin and Tenascin-C (FN/TNC) (grey) and Tenascin-C (TNC) (light grey) (1 pg/cm2) when incubated with single-domain antibody directed against Tenascin-C (TNC) Nb4 at 1 pM or 2pM. The ordinate represents the numbers of spread cells. Figure 4 C are images of Mesangial cells cultured on FN, TNC or FN/TNC substratum without (Ctrl) or with single-domain antibody directed against Tenascin-C (TNC) Nb3 or with single-domain antibody directed against Tenascin-C (TNC) Nb4, respectively. Figure 4 B is a diagram representing the results of cell adhesion assay on three different substrates coated with FN, TNC or FN/TNC without (ctrl) or with single-domain antibody directed against Tenascin-C (TNC) Nb3 or with single-domain antibody directed against Tenascin-C (TNC) Nb4. The ordinate represents the percentage of number of adherent cells. Figure 4 E is a schematic representation of the Boyden chamber transwell chemoretention assay of DC2.4 toward a gradient of CCL21 . The bottom surface of the insert was coated with FN, Col I, or TNC. Figure 4 F is a diagram representing the quantification of DC2.4 cells on the coated surface upon migration toward CCL21 (5 h after plating) and pretreatment or not (Ctrl) with single-domain antibody directed against Tenascin-C (TNC) Nb3 or with single-domain antibody directed against Tenascin-C (TNC) Nb4, respectively. N = 2 experiments, n = 4 wells. The ordinate represents the number of cells per field.

Figure 5 represents three dimensional topology of the single-domain antibody directed against Tenascin-C (TNC) Nb3 /TNC interaction, in particular with third TNC fibronectin type III repeat (TN3), complex (figure 5 A ) and residue contact map (figure 5B). On figure 5A the zoomed part of the complexes represents a special view on residues generating important hydrophobic, electrostatic and H-bound interactions. TNC is represented as white surface with electrostatic surface coloring. Nb3 is presented in grey; crucial residues forming binding sites are presented in spheres. The most implicated residues in the interaction forming an H-bound are labeled in the figure, with interaction connections illustrated by a dashed line. Figure 5 B is a diagram representing the contact interaction map of amino acid residue interactions between the single-domain antibody directed against Tenascin- C (TNC) Nb3 and TNC. Black square represents hydrophilic-hydrophilic interaction, grey square represents hydrophobic-hydrophobic interaction and characters in grey represent hydrophilic-hydrophobic interactions. Figure 6 represents images of a 1 % agarose gel of VHHs genes amplified by PCRs after being sequentially digested with Ncol and Notl and cloned into the digested phagemid vector pMECS. Figure 6A is an image representative of analysis of PCR products from the dromedary antibody fragments (using the primers CALL001 and CALL002) by electrophoresis in a 1 % agarose. The upper band of 900 bp corresponds to DNA fragments (VH-CH1 -hinge region-part of CH2) of conventional lgG1 , whereas the lower band of 700 bp corresponds to DNA fragments (VHH-hinge-region-part of CH2) of non-conventional lgG2 and lgG3 isotypes. M: Molecular weight marker, Lane 1 : PCR products with indicated sizes. Figure 6B is an image representative of nested PCR products obtained by reamplification of the 700 bp fragment, using sense primer SM017 and the antisense primer PMCF by electrophoresis in a 1 % agarose gel. The band of 400 bp corresponds to VHH fragments (V-D-J-REGION of non conventional lgG2 and lgG3 antibodies). M: Molecular Weight Marker, Lane 1 : Nested PCR Product. Figure 6C is an image representative of digested pMECS phagemid and VHH inserts by gel electrophoresis in a 1 % agarose gel. M: Molecular Weight Marker Lane 1 : pMECS phagemid double-digested with Ncol, Notl and Xbal restriction enzymes. Lane 2: Nested PCR Product (VHH) double- digested with Ncol and Notl. Figure 6D is a gel electrophoresis image to assess percentage of clones with proper insert of the cloned VHH, 19 single colonies of the transformants were randomly picked and their DNA was used for colony PCR library with MP57 and Gill primers. The amplicons were separated on 1 % agarose gel. Clones without VHH DNA insert have a smaller amplicon size. Note, that 78.94% of clones have an insert of the correct size of 700 pb. M: Molecular Weight Marker, Lane 1 -19: PCR products issued from 19 tested clones Figure 6 E is a diagram representing the result of ELISA on periplasm ic extracts. The periplasm ic extract from 25 random clones derived from the third bio-panning round were analysed with ELISA. rhTNC at 1 pg/ml was coated in each well. Periplasmic exctracts obtained from clones selected against Aahl (IC (1 )) and Botl (IC (2)) toxins were used as irrelevant controls. A total of eight clones against rhTNC were selected on the basis of absorbance. C3, C4, C5, C7, C8, C9, C11 , C29 correspond to selected positive clones expressing rhTNC-specific single domain antibodies in their periplasmic extracts (showing specific signal towards hTNC in their periplasmic extract The x-axis shows the number of clones, and the y-axis the absorbance values at 492 nm.

Fiigure 6 F is an image of 1 % gel electrophoresis agarose of positive hTNC transformant clones identified by ELISA (with higher absorbance) were the subject of colony PCR to confirm the presence of VHH DNA insert of the expected size of 700 bp within the pMECS construct. Lane M: Molecular Weight Marker.

Figure 7 are IHC stained image of detection of TNC in human tissues with single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4. Figure 7 A are images representing IHC staining images for TNC in FFPE embedded tissues from human ulcerative colitis (UC). Staining of TNC with single-domain antibody directed against Tenascin-C (TNC) Nb3 and single domain antibody directed against Tenascin-C (TNC) Nb4. Control, no anti- FIA secondary antibody. Scale bar, 700 nm. Figure 7 B are images representing IHC staining images for TNC in FFPE embedded tissues from human tongue OSCC with monoclonal anti-TNC antibody (B), single-domain antibody directed against Tenascin-C (TNC) Nb3 (C) or single-domain antibody directed against Tenascin-C (TNC) Nb4 (D).

Figure 8 are images of immunofluorescense (IF) staining of OSCC cells cultured on fibronectin (FN) or a mixture of FN and humain TNC (FN/TNC) incubated with single-domain antibody directed against Tenascin- C (TNC) Nb4 at 1mM. After 2 h, the OSCC cells were fixed and stained with phalloidin to show polymerized actin, anti-vinculin to show focal adhesion complexes, and the nuclear marker DAPI. The OSCC cells spread and formed actin stress fibers and numerous focal adhesion complexes (identified with arrows on the figures) on FN as well as on FN/TNC substratum in the presence of Nb4. The OSCC cells cultured on mixture of FN and TNC with the presence of Nb4, maintain their adhesion function.

Figure 9 is a photography of a specimen scintigraphy showing radiolabelling of TNC with the 99m Tc/Nb3 anti-TNC radiotracer. Figure 9 A represents the labelling with 99m Tc/Nb3 anti-TNC radiotracer at the time of injection (tO) and after 30 minutes (t30) after injection. Figure 9 B is a photography of the specimen showing the tumoral and non tumoral tissue.

Figure 10 are pictures of scintigraphy (A to C) and a photography (D) of a specimen of breast showing the site of injection of the Nb3-anti- TN/" m Tc radiotracer (Nb3/99mTc) and the site of injection of free 99mTc. Figure 10 A corresponds to the results obtained at the time of injection (tO), Figure 10 B corresponds to the results obtained after 30 minutes after injection (t30) and Figure 10 C correspond to the results obtained after 24 hours after injection (t24). Figure 10 D is a photography of the specimen of breast showing the site of injection of the Nb3-anti-TN/ 99m Tc radiotracer (Nb3/99mTc) and the site of injection of free 99mTc.

Figure 11 is a photography of a scintigraphy of histological sections of colorectal cancer detected at the time of injection (tO). The first injection corresponds to the Nb3-anti-TN/ 99m Tc radiotracer (Nb3/99mTc) and the second injection corresponds to free 99mTc.

Figure 12 is a photography of a scintigraphy of histological sections obtained from different solid cancers : hepatic cancer (S1 and S2), breast cancer (S3) and colorectal cancer (S4 and S5), 30 minutes (t30) after injection of Nb3-anti-TN/ 99m Tc radiotracer or free 99mTc.

Equivalents

The representative examples that follow are intended to help illustrate the invention, and are not intended to, nor should they be construed to, limit the scope of the invention. Indeed, various modifications of the invention and many further embodiments thereof, in addition to those shown and described herein, will become apparent to those skilled in the art from the full contents of this document, including the examples which follow and the references to the scientific and patent literature cited herein. It should further be appreciated that the contents of those cited references are incorporated herein by reference to help illustrate the state of the art.

The following examples contain important additional information, exemplification and guidance that can be adapted to the practice of this invention in its various embodiments and the equivalents thereof.

EXEMPLIFICATION

The present invention and its applications can be understood further by the examples that illustrate some of the embodiments by which the inventive product and medical use may be reduced to practice. It will be appreciated, however, that these examples do not limit the invention. Variations of the invention, now known or further developed, are considered to fall within the scope of the present invention as described herein and as hereinafter claimed.

Examples

Example 1 : Production, purification and characterization of single- domain antibody directed against Tenascin-C (TNC)

I. Materials and methods a) Purification of recombinantly expressed hTNC

HEK 293/hTNC cells, previously stably transfected with the human TNC (hTNC) coding sequence SEQ ID NO: 19 were used to produce hTNC as previously described (37, 38). Cells were cultured in Dulbecco’s Minimal Essential Medium (DMEM, catalog number 11995040 Gibco Life Technologies, Inc., Paisley, Scotland) supplemented with 10 % (v/v) foetal calf serum (FCS, catalog number 2-01F90-I BioConcept, Allschwil, Switzerland), 10.25 pg/mL G418 and 1.5 pg/mL puromycin under a 5 % CO2 atmosphere at 37°C. The recombinant hTNC (rhTNC) was purified from the conditioned medium lacking Foetal Calf Serum (FCS) as previously described ([37]). First, fibronectin (FN) was removed from the conditioned medium by affinity gelatin-agarose chromatography as described previously ([39], [40]), and the flow through was purified by an affinity chromatography column ([41]). The chromatography column used was Ni-column resin (ProBond (trademark) Nickel-Chelating Resin, Life Technologies, ref: R801- 01 ). The purity of the protein was checked by Coomassie Blue stained 7%

SDS-PAGE and by western-blot, under reducing and non-reducing conditions. SDS-PAGE was performed (7%) with 2.5pg of the purified recombinant hTNC. Sample was reduced with DTT reducing agent (2M) to a final concentration of 0.1M. After the running step, protein band was transferred on a Poly VinyliDene Fluoride (PVDF) membrane that had previously required a pretreatment with ethanol. Subsequently, the membrane was incubated for 1 h30min with 5% skimmed milk to saturate its free binding sites. After a rinsing step with PBS-Tween 0.1 % solution, the membrane was incubated for 1h under moderate agitation with a specific anti-hTNC monoclonal antibody (B28.13) produced in mice and diluted 1000 fold. After three successive washes with PBS-Tween 0.1 %, the immuno detection step was carried out by incubating the membrane with a peroxidase-conjugated goat anti-mouse antibody. The revelation step was carried out by the addition of the chromogenic substrate 3,3'- Diaminobenzidine (DAB) of the peroxidase

The concentration of rhTNC was determined by Bradford assay (catalog number 500-0006 Bio-Rad Laboratories, Hercules, CA, USA). b) E.coli strains and vector

The phage display vector pMECS of 4510 bp was utilized to construct the VHH library, hosted in E.coli strain TG1. This phagemid vector contains a sequence encoding a PelB leader signal to secrete the cloned VHH-encoded Nb in the periplasm with two C-terminal Hemagglutinin (HA) and 6X Histidine (6X His) tags for VHH-detection, when hosted in E.coli strain WK6 [42] c) Generation of phage-display VHH-library

The anti-hTNC nanobody phage-display VHH-library was constructed as previously described with slight modifications ([32], [42], [43]). Briefly, three days after the last boost of antigen injection, 150 mL of anti-coagulated blood sample was collected from the jugular vein of the immunized dromedary as recently detailed [44] Peripheral blood mononuclear cells (PBMCs) were extracted by density gradient centrifugation using Lymphoprep (catalog number 17-829 LONZA, Basel, Switzerland). Subsequently, total RNA was extracted and purified. An amount of 40 pg of total RNA was reverse transcribed into cDNA with oligo-dT primer and the Superscript II First- Strand Synthesis System for RT-PCR (catalog number 18064-014 Invitrogen, Carsbad, CA, USA). Thereafter, cDNA fragments were used as template to amplify heavy-chain IgG encoding variable domains using specific primers (CALL001 (5’-GTCCTGGCTGCTCTTCTACAAGG-3’ (SEQ ID NO: 8) and CALL002 (5’-GGTACGTGCTGTTGAACTGTTCC-3’ (SEQ ID NO: 9)). The CALL001 primer at 20 mM anneals to the template strand of leader-signal sequences of camelid VH and VHH genes. The CALL002 primer at 20 pM in H2O, anneals to the coding strand of CH2-sequence of camelid IgG. The reaction mixture is containing dNTP mix (each nucleotide at a final concentration of 10 mM), CALL001 primer (0.4 pM final concentration), CALL002 primer (0.4 pM final concentration), FastStart Taq DNA polymerase (1 .25 U), 10*PCR buffer with 20 mM MgC , 2, 3 or 4 pL first-strand cDNA material and H2O to bring the total volume in each tube to 50 pL. Tube control is without cDNA template and will serve to ensure that PCR components are not contaminated, i.e. , a negative control). The cDNA is denaturized and the polymerase is activated by 7 min incubation at 95°C, followed by 30 PCR cycles, each cycle consisting of 60 seconds at 94°C, 60 seconds at 55°C, and 60 seconds at 72°C. A final DNA extension step is included for 10 min at 72°C after the last PCR cycle. The 700 bp PCR fragment (VHH-CH2 without CH1 exon, corresponding to heavy-chain antibodies) obtained was purified from a 1 % agarose gel using the Qiaquick gel extraction kit (catalog number 28704 Qiagen, Hilden, Germany). Subsequently, these sequences were used as template in a nested PCR to amplify VHH-only variable domains with nested-PCR primers (SM017 (5’- CCAGCCGGCCATGGCTGCATGGTGCAGCTGGTGGAGTCTGG-3’ (SEQ ID NO: 10)) and PMCF (5’-

CTAGTGCGGCCGCTGAGGAGACGGTGACCTGGGT-3’ (SEQ ID NO: 11 )), annealing at the Framework 1 and Framework 4 regions, including Ncol and Notl restriction sites, respectively (catalog numbers R0193T and R3189M New England Biolabs, UK, respectively). In the Nested PCR was carried out in order to amplify VFIFI-only sequences and introduce cutting sites of Ncol and Notl restriction enzyme. The reaction mixture is containing dNTP mix (each nucleotide at a final concentration of 10 mM), SM017 primer (0.4 mM final concentration), PMCF primer (0.4 mM final concentration), FastStart Taq DNA polymerase (1.25 U), 10*PCR buffer with 20 mM MgC , 2 mI_ PCR product material (CALL001/CALL02) as template and FI2O to bring the total volume in each tube to 50 mI_. Tube control is without DNA template and will serve to ensure that PCR components are not contaminated, i.e. , a negative control). The DNA is denaturized and the polymerase is activated by 5 min incubation at 94°C, followed by 40 PCR cycles, each cycle consisting of 45 seconds at 94°C, 45 seconds at 58°C, and 45 s at 72°C. A final DNA extension step is included for 10 min at 72°C after the last PCR cycle. The PCR product was ligated into the pMECS phagemid vector (T4 DNA Ligase, catalog number 15224-041 Invitrogen, Carsbad, CA, USA) using a molar ratio 1 :3 in favor of the inserts. Freshly prepared electro-competent E.coli TG1 cells were transformed by the ligated product and plated overnight (O/N) on selective Luria-Bertani Miller (LB) media supplemented with (100 pg/mL) ampicillin (catalog number 271896 Sigma Aldrich, MO, USA) and glucose 2% (catalog number G8270 Sigma Aldrich, MO, USA). Colonies were recovered from the overnight-incubated plates at 37°C. Library size was estimated by plating serial dilutions. c) Selection of anti-rhTNC nanobodies (Nb)

A representative repertoire of the VHH library was displayed on phage particles using M13K07 helper phage infection (catalog number 170-3578 New England, BioLabs, UK). Three consecutive rounds of immuno-affinity selection were carried out on 96-well microtiter plates (catalog number M5785-1 CS Sigma Aldrich, MO, USA) pre-coated with rhTNC (1 pg/panning, O/N at 4°C). After each round of biopanning, bound phage particles were eluted (100 mM triethylamine, pH 10.0, catalog number T0886 Sigma Aldrich, MO, USA) and immediately neutralized with 1 M Tris-HCI, pH 7.4 (catalog number CE234 GeneON, Germany) and used to infect exponentially growing TG1 E.coli. Following the third round of biopanning, individual colonies were randomly picked, individually. VHH expression was induced with 1 mM isopropyl-D-thiogalactopyranoside (IPTG, catalog number 2900245 5PRIME, Germany) in the periplasmic bacterial compartment. Solid phase ELISA of each periplasmic extract was carried out on rhTNC (1 pg/mL), using a mouse anti-HA antibody (catalog number H9658 Sigma Aldrich, MO, USA) and revealed with a goat anti-mouse IgG- peroxidase antibody (catalog number A9044 Sigma Aldrich, MO, USA). d) VHH sequence analysis

The VHH sequences of clones that scored positive in periplasmic extract- ELISA was determined using the Genomic platform of Institut Pasteur de Tunis facilities (ABI Prism 3100 genetic analyzer; Applied Biosystems, Foster City, CA, USA). The VHH nucleotide sequences were obtained using the ABI PRISMTM BigDye Terminator v3.1 Cycle Sequencing Reaction Kit (catalog number 4337454 Applied Biosystems, USA). e) Production, purification and characterization of single-domain antibody directed against Tenascin-C (TNC) (nanobody against TNC)

Recombinant vectors of selected positive clones with highest binding capacity to rhTNC were used to transform WK6 electrocompetent cells. Single-domain antibody or nanobodies (Nb) production was performed in shake flasks by growing each recombinant bacteria in Terrific Broth (TB, catalog number 743-29175 BD Biosciences, FL, USA) supplemented with ampicillin (100 pg/mL) and 0.1 % glucose. The Nb periplasmic expression was subsequently induced with 1 mM of isopropyl b-D-l- thiogalactopyranoside (IPTG), overnight (O/N) at 28°C. The periplasmic extract obtained by osmotic shock was loaded on a His-Select column (NiNTA, catalog number 1018544 Qiagen, Hilden, Germany). The His- tagged rhTNC-specific Nbs were eluted with 500 mM imidazole (catalog number 1-0125 Sigma Aldrich, MO, USA) and an amount of 5 pg was checked on a 15% Sodium Dodecyl Sulfate (SDS) gel upon-PAGE (Bio Rad), following a dialysis with a 12 kDa cut-off membrane (catalog number D9527-100FT Sigma Aldrich, MO, USA). The final yield was determined using Bradford assay (catalog number 500-0006 Bio-Rad Laboratories, Hercules, CA, USA) and the molar concentration was estimated using the theoretical extinction coefficient of the VHH sequence. The specificity of the purified single-domain antibody directed against Tenascin-C (TNC) or anti- rhTNC nanobodies was assessed by ELISA. Briefly, 0.5 pg/mL of rhTNC was coated onto microtiter plates O/N at 4°C and unspecific sites were blocked with 1 % (w/v) gelatin (catalog number 48723 Fluka Analytical, USA) supplemented with 0.05 % Tween 20/PBS at 37°C for 2h. Affinity-purified single-domain antibody directed against Tenascin-C (TNC) Nb was added (5 pg/mL, 1 h). Following a washing step for purifying single-domain antibody anti-TNC specific (anti-TNC specific Nanobodies), periplasmic extract of each recombinant clone was extracted then incubated with the Ni+ - Nitrilotriacetic acid agarose (Ni-beads, Qiagen) for 2 hours in a cold-room at 4 ° C, with shaking. The periplasmic solution containing soluble single-domain antibody directed against Tenascin-C (TNC) Histidine-tagged (Histidine- tagged Nanobodies developed against TNC) was purified using immobilized metal ion affinity chromatography (IMAC). A filter was put in an empty PD- 10 column, and the periplasmic extract with Ni-beads was poured into the column. The column was washed with PBS for 5 column volumes and drained. The bound proteins were eluted with gradient concentrations of imidazole (from 0.3M to 0.6M).

The bound single-domain antibody directed against Tenascin-C (TNC) Nb was detected with a mouse anti-HA antibody (catalog number H9658 Sigma Aldrich, MO, USA) and revealed with a goat anti-mouse IgG-Peroxydase conjugate (catalog number A9044 Sigma Aldrich, MO, USA). The same amount of a Nanobody specific for Botl scorpion toxin ( Buthus occitanus tunetanus) was used as irrelevant Nanobody (control). The NbBotl-01 was prepared with the same strategy used to develop anti-Aahll Nanobodies (Ben Abderrazek et al. , 2009 [96]). Botl like toxin was purified by FLPC and HPLC chromatography. The 40 N-terminal amino acid residues were sequenced and its LD50 was estimated to 50ng/mouse. Botl-like displays similarity to Botl toxin (UniProtKB/Swiss-Prot: P01488.2) Botl enriched fraction was injected in dromedary. The Botl-like toxin was used for the two last boots. VHH library was constructed and screened as previously described (Benabderrazek et al., 2009 [96]). Two Nanobodies with sub nanomolar affinity were selected (NbBotl-01 a NbBotl-17). The best-in-class NbBotl-01 is able to neutralize 50% lethally effect of 13LD50 of Botl-like toxin in mice injected by i.c.v route whereas NbBotl-17 is able to neutralize 50% lethally effect of 7LD50. f) Assessment of single-domain antibody directed against Tenascin-C (TNC) (Nanobody) binding affinity

The assessment of Nb binding affinity was performed using two methods: (i) indirect ELISA was carried out using a serial Nb dilution ranging from 5.1 O 7 M to 5.1 O 12 M, (ii) Isothermal Fluorescence Titration (IFT) was performed using recombinant murine TNC (mTNC (SEQ ID NO 20), 700 nM, 0.01% Tween-20). Briefly, the single-domain antibody directed against Tenascin-C (TNC) (Nanobody) Nb concentration varied from 500 nM to 3500 nM. The fluorescence emission spectra for mTNC/Nb complexes were collected and subsequently subtracted from emission spectra for mTNC and the resulting curves were then integrated. The mean values resulting from 3 independent measurements were plotted against the concentration of the added Nb. The resulting binding isotherms were analyzed by nonlinear regression using the program Origin (Microcal Inc., Northampton, MA, USA). The following equation describes the bimolecular association reaction, where Fi is the initial and Fmax is the maximum fluorescence values. The KD is the dissociation constant, and [mTNC] and [Nb] are the total concentrations of the mTNC and the Nb ligand, respectively:

F= Fi +Fmax [Kd + [mTNC] + [Nb] - V((K D +[mTNC]+ [Nb]) [ L 2] - 4[mTNC][Nb])/(2[mTNC])] g) Negative Electron Microscopy imaging

The single-domain antibody directed against Tenascin-C (TNC) / rhTNC interaction complexes were visualized by negative staining and electron microscopy as previously described [46] Each single-domain antibody directed against Tenascin-C (TNC) (20 nM) was conjugated with 5 nm colloidal gold particles (AuNPs) according to routinely used procedures [47] AuNP-single-domain antibody directed against Tenascin-C (TNC) conjugates were incubated with rhTNC (20 nM) for 30 min at room temperature (RT) (i.e. 20°C) and subsequently negatively stained with 2% uranyl acetate. Specimens were assessed and electron micrographs were taken at 60 kV with a Phillips EM-410 electron microscope using imaging plates (Ditabis). h) Western blot analysis of single-domain antibody directed against Tenascin-C (TNC) (TNC specific Nb)

Cell lysate (40pg) from HEK293, HEK293/hTNC in RIPA buffer (catalog number R0278 SIGMA Aldrich, MO, USA) or purified rhTNC (100 ng) were boiled at 100 °C for 5 min, before loading on a 4-20% gradient SDS/PAGE gel (catalog number 456-8095 Mini-PROTEAN TGXTM, Bio-Rad Laboratories, Hercules, CA, USA), then, transferred onto polyvinylidene fluoride (PVDF) membrane (catalog number 1620174 Bio-Rad Laboratories, Hercules, CA, USA). After blocking with 5% milk, PBS/0.1 % Tween-20 (catalog number 1706404 Bio-Rad Laboratories, Hercules, CA, USA) the membrane was incubated O/N at 4°C with rhTNC-Nb (2 pg/mL). After three washing steps, with 0.1 % Tween 20/PBS, the membrane was first incubated with a mouse anti-HA antibody (1 h 30 min at RT (i.e. 20°C)), and then with the anti-mouse IgG horseradish peroxidase conjugate diluted at 1 :1000 (catalog number AB_772209, NXA931 , Amersham GE Helthcare, USA). Immunocomplexes were revealed with ECL (catalog number 28 980926 Amersham GE healthcare, USA). A prestained protein ladder (10-250 KDa, catalog number 06P-0211 Euromedex, France) was used. Mouse monoclonal antibody B28.13 (1 pg/mL) raised against hTNC was used as a positive control [48] i) Immunofluroescence assay

Glioblastoma cell xenografts had previously been generated by subcutaneous injection of 2 x 10 6 U87MG or U87MG-shTNC cells into the flank of a nude mouse [49] Frozen (-80°C) sections were cut (7 pm thickness), fixed with 4% paraformaldehyde (catalog number 30525-89-4 Sigma Aldrich, MO, USA) for 15 min at RT (i.e. 20°C), and permeabilized with 0.5 % Triton X-100 in PBS and blocked with 10 % normal donkey serum (NDS) in PBS for 2 h at RT (i.e. 20°C) (catalog number 017-000-121 Jackson ImmunoResearch Inc, USA). Sections were co-stained with the single domain antibody directed against Tenascin-C (TNC) Nb and B28.13 antibody diluted in PBS, 10% NDS O/N at 4°C, rabbit anti-HA antibody (ab236632 abeam, UK, 1 :1000 dilution, 90 minutes at RT) and donkey anti mouse labeled with Texas Red fluorophore (catalog number PA1 -28626 Invitrogen, Carsbad, CA, USA), and donkey anti-rabbit labeled with Alexa Fluor 488 Green fluorophore (catalog number AB-2313584 Jackson Immuno Research Inc, USA) were used (1 : 1000 dilution for 90 minutes at RT). After each antibody incubation, sections were washed 5 times with PBS for 5 minutes. For staining of cell nuclei, sections were incubated with 4', 6- diamidino-2-phenylindole (DAPI, 0.2 pg/mL, catalog number 32670 Sigma Aldrich, MO, USA) for 10 min at RT (i.e. 20°C). Slides were sealed with a polymerization medium (FluorsaveTM Reagent, Calbiochem) under coverslips and stored at 4°C until analysis. Pictures were taken with an AxioCam MRm (Zeiss) camera and Axiovision software. j) Human tumor samples and immunohistochemistry

Surgically removed tongue tumors, embedded in paraffin blocks, were retrieved from the tumor bank of the Centre Paul Strauss (Strasbourg, France) or the Department of Pathology, University Basel (Switzerland). Informed consent was obtained for all subjects. Characteristics of patients with oral squamous cell carcinoma (OSCC), or hepatic metastasis derived from carcinoma of the gallbladder (CGB), are summarized in Table 2 below. Table 2 Characteristics of tumor patients In the above table 2: human cancer tissues from oral squamous cel carcinoma (OSCC) and hepatic metastasis derived from carcinoma gallbladder (CGB) with annotation of OSCC tumor location. Gender (F, female, M, male), staging (Tumor Node Metastasis (TNM) classification) are shown. Immunohistochemical staining was performed on serial 5 pm deparaffinized tumor sections. For hTNC staining, intrinsic peroxidase was blocked by incubating sections with 3% hydrogen peroxide for 15 min and antigen retrieval was performed in Sodium Citrate (10 mM) buffer pH 6.0 at 95°C. Sections were blocked in 5 % goat serum for 1 h, then incubated ON/4°C with rabbit anti-TNC antibody (#19011 , Millipore, 1 pg/mL) or single-domain antibody directed against Tenascin-C (TNC) (2 pg/mL). After PBS rinsing (washed 3 times with 0.1% Triton / PBS for 5 minutes), sections were incubated with biotinylated goat anti-rabbit (Goat anti-Rabbit IgG, HRP- linked Antibody: Cell signaling, 7074S Goat IgG FIRP-conjugated antibody, HAF 109 RnD systems) or goat anti-lama antibodies (Anti-lama: invitrogen, A16063) (1 h at RT (i.e 20°C)) then avidin-biotin (PK-4000, VECTASTAIN ABC Kit, Vector Lab, California, USA). Staining was revealed with 3,3'- Diaminobenzidine developing solution (SK-4100, DAB, Vector Lab, California, USA) then sections were stained with hematoxylin. After embedding in aqueous mounting medium, sections were examined using a Zeiss Axio Imager Z2 microscope. Pictures were taken with an AxioCam MRm (Zeiss, Axiovision) camera. The image acquisition setting (microscope, magnification, light intensity, exposure time) was kept constant per experiment and in between genetic conditions. The origin of the tumor sample, patient gender, TNM stage, presence of metastasis and sampling date are depicted in above Table 2. k) Boyden chamber transwell chemoretention assay

Boyden chamber transwell chemoretention assay of DC2.4 dendritic cells towards CCL21 was carried out as described previously [20] The bottom of the chamber was filled with Dulbecco's Modified Eagle Medium (DMEM) containing human CCL21 (200 ng/mL, catalog number 366-6C-025 R&D Systems, Minneappolis, USA). The lower surface of the transwells was coated with purified horse fibronectin (FN) [37], rat collagen type I (Col I, catalog number 354236 BD Biosciences, FL, USA) or hTNC at a final concentration of 1 pg/cm 2 and incubated O/N with blocking solution alone or with a single-domain antibody directed against Tenascin-C (TNC) Nb, respectively. DC2.4 (5 x 10 5 ) cells resuspended in 150 pL of 1 % FBS- complemented DMEM were placed into the top chamber of the transwell system. Cells were incubated for 5 h at 37 ° C in 5% CO2. After 5 h of incubation at 37°C, cells were fixed and stained for DAPI before cell counting on the lower side of the insert. N = 2 independent experiments, n = 2 wells with 6 individual randomly chosen images per well. Mean ± SEM, Kruskal- Wallis test and Dunn’s post-test. *** p < 0.005 (relative to Nb condition). L) Adhesion assay

The adhesion assay was carried out on human KRIB osteosarcoma (v-Ki- ras-transformed human osteosarcoma cells; ref. Berlin 0, Samid D, Donthineni-Rao R, Akeson W, Amiel D, Woods VL. Development of a novel spontaneous metastasis model of human osteosarcoma transplanted orthotopically into bone of athymic mice. Cancer Res 1993;53:4890-5). and human MES mesangial cells (Sarrab RM et al. Establishment of conditionally immortalized human glomerular mesangial cells in culture, with unique migratory properties. Am J Physiol Renal Physiol 2011. 301 (5) :1131 -1138.) Precisely, 96 wells plates were coated with 1 pg/cm2 Fibronectin (FN), human Tenascin-C (hTNC) or with FN and hTNC. Single-domain antibody directed against Tenascin-C (TNC) (nanobody) were added at 500 nM after the coating for 1 h at 37 °C. Plates were rinsed with PBS and non-adsorbed plastic surface was blocked with 1 % Bovine Serum Albumin (BSA) for 1 h. After blocking, KRIB osteosarcoma (5 x10 3 ) cells were plated for 3 h at 37 °C in a humidified atmosphere with 5% CO2. After incubation, non adherent cells were removed with PBS washing and spread cells were stained with crystal violet and counted. m) Structural modeling of the single-domain antibody directed against Tenascin-C (TNC) (Nb) - TNC interaction

For the single-domain antibody directed against Tenascin-C (TNC) (Nb) - TNC structural interaction modeling the Rosetta Antibody application ([50], [51 ]) from “ROSETTA 3.8” was used. Selection of the top 10 Model was done according to Rosetta scoring based on system energy. The structure of the third TNC fibronectin type III repeat (TN3) was extracted from the protein data bank deposited under the PDB code: 1TEN. The TN3 structure was refined using the ROSETTA relax application which then was used to map potential interaction sites in the selected single-domain antibody directed against Tenascin-C (TNC) (Nb) through the ZDOCK docking tool, version 3.0.2 (52). Structure and complex interactions were then visualized via the molecular visualization PyMOL software [53]

II. Results

1. Generation of an immune VHH library to produce single-domain antibody directed against Tenascin-C (TNC) (hTNC- specific nanobodies)

An immune response against hTNC had been elicited in the immunized dromedary as previously described [42] From PBMC, total RNA was extracted and cDNA was prepared as mentioned in the above material and method. This cDNA was used as template to perform the first PCR using primers CALL001 and CALL002 specific for the variable domains of the heavy-chain isotypes (lgG1 , lgG2 and lgG3), subsequently leading to the co-amplification of VH and VHH coding domains (Figure 6A). Because of the presence of CH1 domain in conventional antibodies (lgG1 ) and different hinge size in non-conventional antibodies (HCAbs), three PCR products were observed by agarose gel electrophoresis: the 900, 790 and 720 bp fragments corresponding to the VH-CH1-Hinge-CH2 of the lgG1 and the VHH-Hinge-CH2 exons of the lgG2 and lgG3, respectively. Figure 6A is an image of the obtained agarose gel electrophoresis of the PCR products from the dromedary antibody fragments (using the primers CALL001 and CALL002). As mentioned above, on this figure the upper band of 900 bp corresponds to DNA fragments (VH-CH1 -hinge region-part of CH2) of conventional lgG1 , whereas the lower band of 700 bp corresponds to DNA fragments (VHH-hinge-region-part of CH2) of non-conventional lgG2 and lgG3 isotypes. Selective only-VHH fragments were successfully amplified using nested PCR specific-primers and cloned in pMECS phagemid (see above). Approximately, the obtained hTNC-specific VHH (single-domain antibody directed against Tenascin-C (TNC)) library was estimated to contain 3x10 6 cfu/ml_ independent clones. The insert size of 19 randomly chosen clones was investigated by PCR. The library insertion rate with a VHH insert of the expected size was 78.94%. A representative aliquot of the TG1 cells harboring the VHH antibody (single-domain antibody) repertoire was rescued with M13K07 helper phage to produce phage particles expressing the single-domain antibody directed against Tenascin-C (TNC) (nanobodies). Following three rounds of phage display selection on solid- phase coated hTNC, enrichment for hTNC-specific phage particles was observed from the first round of panning onwards (data not shown). 25 periplasm ic extracts selected from randomly picked individual clones of biopanning rounds were checked by ELISA. Only clones scoring positively by ELISA without binding to unspecific proteins (Aahl and Botl toxins, respectively) were retained (Figure 6E). In total, 8 recombinants clones displaying highest recognition and binding to the hTNC from the sequenced VHHs were selected. Two recombinant clones displayed identical amino- acid sequences (Nb3 and Nb5). The Nb3, Nb4 were selected for further investigations. As illustrated in Figure 1A, all single-domain antibody directed against Tenascin-C (TNC) (rhTNC-specific Nb) sequences (Nb3, Nb4) exhibit the VHH hallmark amino acid residues in the framework-2 region (FR2 Phe42, Glu49, Arg50, and Gly52) and the conserved Trp at position 118 of the anchoring region. According to their common CDR1 sequence, single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 are most likely derived from the same V-D-J rearrangement and share the B-cell progenitor [33] The CDR3 residue length within the Nb3 and Nb4 sequences (17 amino-acid residues) was identical and no difference was noticed. The only divergences in Nb3 and Nb4 sequences were observed at position 2 (Leu substituted by Val in FR1), at position 52 (Gly substituted by Ala in CDR2) and at position 92 (Asp substituted by Gly in FR3), respectively, indicating an interaction with a common epitope on TNC. The sequence of single-domain antibody directed against Tenascin-C (TNC) Nb3 is WLQLVESGGGSVQTGGSLRLSCWSGYTNSIYTLAWFRQAPGKEREGV AAIGSRNGNTYYDASVKDRFTISLDKAKNTVYLQMNDLKPEDTASYYCAA GSSWDLILQAYAYDYWGQGTQVTVSS (SEQ ID NO: 4) and the sequence of single-domain antibody directed against Tenascin-C (TNC) Nb4 is WVQLVESGGGSVQTGGSLRLSCWSGYTNSIYTLAWFRQAPGKEREGV AAIASRNGNTYYDASVKDRFTISLDKAKNTVYLQMNGLKPEDTASYYCAA GSSWDLILQAYAYDYWGQGTQVTVSS (SEQ ID NO: 5)

2. Production and purification of single-domain antibody directed against Tenascin-C (TNC) (rhTNC specific nanobodies)

The production of single-domain antibody directed against Tenascin-C (TNC) was carried out using flask production and Immobilized Metal Affinity Chromatography purification (IMAC), as disclosed in Hmila et al. [54] Briefly, production of each soluble single-domain antibody directed against Tenascin-C (TNC) (anti-hTNC Nb) was accomplished by transformation of E.coli WK6 strain with the corresponding recombinant phagemid. The amber stop codon located between the VHH insert and the gene III within the pMECS phagemid, resulted in expression of the single domain antibody directed against Tenascin-C (TNC) (Nanobody) as soluble protein in the periplasm compartment of E.coli, leading to rapid IMAC purification of the single-domain antibody directed against Tenascin-C (TNC) (Nanobody). The Coomassie-stained SDS/PAGE gel revealed the apparent molecular weight at 14 kDa as shown on Figure 1 B. The single domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 production yields were estimated ranging 0.6 and 0.8 mg/L, respectively when flask cultured in TB medium. No bands indicative of contaminants or Nb degradation were detected.

During the ELISA experiment, as illustrated and demonstrated on Figure 1 C, single-domain antibody directed against Tenascin-C (TNC) Nb4 (5 pg/mL) displayed a higher ELISA binding titer towards rhTNC (0.5 pg/mL, OD492nm= 1 526), compared to Nb3 (5 pg/mL, OD492nm= 0.913) and to the irrelevant nanobody (anti-Botl toxin Nanobody, 5 pg/mL, OD492nm= 0,118 (not shown)). Furthermore, as illustrated on figure 1 D, immunoblotting assays revealed that both single-domain antibodies directed against Tenascin-C (TNC) Nb3 and Nb4 showed a specific recognition of not only the purified rhTNC (100 ng) but also of TNC overexpressed by HEK293/TNC cells. Parental HEK293 cells did not express TNC.

This example clearly demonstrates the production and purification of single-domain antibody directed against Tenascin-C (TNC). This example also clearly demonstrated the binding of single-domain antibody directed against Tenascin-C (TNC) to purified and cell expressed Tenascin-C.

3. Assessment of single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 affinities towards TNC by isothermal fluorescence titration

By Isothermal Fluorescence Titration (IFT) the binding of single domain antibody directed against Tenascin-C (TNC) Nb3 or single-domain antibody directed against Tenascin-C (TNC) Nb4 to fluorescently tagged mTNC was determined. The binding of single-domain antibody directed against Tenascin-C (TNC) Nb3 or single-domain antibody directed against Tenascin-C (TNC) Nb4 to fluorescently tagged mTNC was carried out until signal saturation and determined the dissociation constant (Kd) as 711 x1 O 9 M (Nb3) and 537x1 O 9 M (Nb4). The results are illustrated on Figure 1 E showing the corresponding obtained diagram.

In addition, ELISA assays were performed with single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 at molar concentrations ranging from 5x1 O 7 M to 5x1 O 12 M. The corresponding results and diagrams are shown on figure 1 F and revealed specific binding with a 50% Effective Concentration (EC50) of both single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 binding to rhTNC ranging at approximately 10 nM and 5 nM, respectively

These results clearly demonstrate specific binding and high affinity of single-domain antibody directed against Tenascin-C (TNC) to Tenascin-C.

4. Detection of single-domain antibody directed against Tenascin-C (TNC) (nanobody) binding site in TNC by Negative Electron Microscopy

The location of the antigenic epitope in rhTNC was investigated by negative electron microscopy where the single-domain antibodies directed against Tenascin-C (TNC) (nanobodies) were coupled to gold beads. Upon incubation of rhTNC with gold beads-bound single-domain antibodies directed against Tenascin-C (TNC) (nanobodies). Figure 2A correspond to the images obtained and black dots on this figure designated with arrows represent identified binding sites of single-domain antibody directed against Tenascin-C (TNC) Nb3 and Nb4 on hTNC (Figure 2A). As shown on figure 2A the gold particles were detected along the length of the rhTNC monomers and quantified them. In addition, the binging pattern on TNC as shown on figure 2B demonstrates a high number of single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 binding in the middle of the rhTNC monomer. In addition single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 showed a similar binding pattern. These results clearly demonstrate that single-domain antibody directed against Tenascin-C (TNC) binds to Tenascin-C and also suggest that both single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 (nanobodies) recognize the same or overlapping epitope in rhTNC. 5. Single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 recognize hTNC in fresh frozen and paraffin -embedded human tissues

The binding/detection of TNC, in particular human Tenascin-C, by single-domain antibody directed against Tenascin-C (TNC) Nb3 and single domain antibody directed against Tenascin-C (TNC) Nb4 in paraffin (FFPE) embedded tissues was also investigated. Fluman colon tissue with ulcerative colitis (UC) was stained with single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4. The results obtained are illustrated on Figure 3A. As shown on this figure, the obtained staining to resembled TNC expression in this disease on the analyzed tissues from human colon sample ([55], [56], [57], (Table 2, Figure 3A). Tissue from human tongue tumors (OSCC) was also stained with the single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 and with a commercial anti-TNC antibody on an adjacent section. The obtained results are shown on figure 3B and figure 7. As seen on this figure similar staining patterns for TNC reminiscent of tumor matrix tracks TMT that have previously been described [20] Hepatic metastasis tissues from a patient with carcinoma gallbladder (CGB) were also stained (Table 2) with the single-domain antibody directed against Tenascin-C (TNC) Nb3 and the single-domain antibody directed against Tenascin-C (TNC) Nb4 and observed staining reminiscent of TNC (Figure 3C).

The binding and recognition of TNC by the single-domain antibody directed against Tenascin-C (TNC) Nb3 and the single-domain antibody directed against Tenascin-C (TNC) Nb4 in U87MG glioblastoma xenografted tumors were done by immunofluorescence staining and where it was previously noticed that human TNC was more abundant than murine TNC [53] As shown on figure 3D, a fibrillar TNC signal was observed in the U87MG tumors that overlapped with that of the B28.13 antibody signal, confirming specificity of the single-domain antibody directed against Tenascin-C (TNC) (nanobodies) for TNC. As the U87MG tumors also express murine TNC but at much lower abundance [53], U87MG tumors with a knockdown for human TNC were stained in the grafted tumor cells. The results are illustrated on figure 3E and no signal/detection.

These results clearly demonstrate that single-domain antibody directed against Tenascin-C (TNC) binds to Tenascin-C in different tissues and also allow to bind to Tenascin-C in pathological tissues such as tumorous and/or metastasis tissues. In addition, these results demonstrate that single-domain antibody directed against Tenascin-C (TNC) clearly binds to human Tenascin-C.

6. Single-domain antibody directed against Tenascin-C (TNC) Nb4 counteracts the anti-adhesive properties of TNC on a FN/TNC substratum

By using human osteosarcoma KRIB cells the effect of single domain antibody directed against Tenascin-C (TNC) Nb4 on cell rounding by TNC on a FN/TNC substratum was studied. Previously was shown that cells are inhibited by TNC to spread on a combined FN/TNC substratum since TNC competed with syndecan-4 binding to FN ([37], [58]). KRIB cells were plated on FN, FN/TNC and TNC, respectively with or without single domain antibody directed against Tenascin-C (TNC) Nb4. As illustrated on Figure 4 by staining with phalloidin (polymerized actin) and anti-vinculin (focal adhesions), cell spreading on FN and cell rounding on FN/TNC and TNC were respectively confirmed. While cells do not have many actin stress fibers nor focal adhesions on FN, upon addition of Nb4, it was observed that cells spread on FN/TNC in a single-domain antibody directed against Tenascin-C (TNC) Nb4 dose dependent manner with actin stress fibers and focal adhesions that looked similar to those in cells plated on FN (Figures 4 A,B, Figure 8). In contrast, as shown on figure 4B, cells remained spread and rounded on FN and TNC, respectively in the absence of single-domain antibody directed against Tenascin-C (TNC) Nb4. Similarly, as shown on figure 4C, both single-domain antibody directed against Tenascin-C (TNC) Nb3 and single-domain antibody directed against Tenascin-C (TNC) Nb4 restored the adhesion of mesangial cells (MES) on a FN/TNC substratum.

These results clearly demonstrate that single-domain antibody directed against Tenascin-C (TNC) allow to improve/restore the adhesion properties of TNC with regards to pathological cells, for example tumorous and/or cancerous cells. These results demonstrate that examples of single domain antibody directed against Tenascin-C (TNC) according to the invention allow to inhibit and/or reduce the formation of metastasis, for example by restoring the adhesion of pathological cells to TNC, in particular to fibronectin and Tenascin-C.

7. Single-domain antibody directed against Tenascin-C (TNC) Nb3 and Single-domain antibody directed against Tenascin-C (TNC)Nb4 abolish DC2.4 chemoretention by TNC/CCL21

Combination with CCL21 TNC immobilized dendritic DC2.4 cells was previously shown [20] A Boyden chamber transwell migration assay was used to investigate whether single-domain antibody directed against Tenascin-C Nb3 and Single-domain antibody directed against Tenascin-C Nb4 impacted chemoretention by TNC. The lower surface of the insert was coated with FN, collagen I (Coll) or TNC and added single-domain antibody directed against Tenascin-C Nb3 or single-domain antibody directed against Tenascin-C Nb4, respectively and measured DC2.4 cells that migrated towards CCL21 in the lower chamber (Figure 4E). Cells adhering were measured in the presence or absence of the single-domain antibody directed against Tenascin-C Nb3 or single-domain antibody directed against Tenascin-C Nb4 and observed, as shown on Figure 4 F, a significant decrease in cell numbers on the coated TNC surface in the presence of single-domain antibody directed against Tenascin-C Nb3 or single-domain antibody directed against Tenascin-C Nb4 whereas no difference was seen with the other matrix coatings (Ctrl). These results clearly demonstrate that single-domain antibody directed against Tenascin-C (TNC) allow to inhibit and/or reduce the retention of immune cells, in particular dendritic cells due to TNC. Accordingly, these results demonstrate that examples of single-domain antibody directed against Tenascin-C (TNC) according to the invention allow to inhibit the immunosuppressive effect of TNC.

8. Three dimensional topology of the single-domain antibody directed against Tenascin-C (TNC) Nb3 / TNC 3) interaction complex

A computational structure analysis strategy was carried out in order to identify amino acid residues involved in the interaction of single domain antibody directed against Tenascin-C (TNC) Nb3 with the fifth FN type III domain of TNC (TN3). The 1f2x (Chain L), 3I95 (chain B), 5ocl (chain G) and 5vak (chain B) structures were used as principal template for single domain antibody directed against Tenascin-C (TNC) Nb3-frameworks, CDR1 , CDR2 and CDR3, respectively. The number of generated models is set to 1000. Top ten model best scores, ranked according to an energy- based scoring were selected from 10 clusters composed of 100 structures per cluster then visually double checked (to detect structural anomalies) using the molecular visualization PyMOL software. The TN3 structure (1TEN) was included in the single-domain antibody directed against Tenascin-C (TNC) Nb3 molecular docking simulation. The positively and negatively charged residues are indicated , whereas the neutral side-chains are indicated in white, showing clearly separated charges on the TN3 surface. Using the docking application/approach. The top ten possible binding sites were generated, ranked according to an energy-based scoring and filtered them to get a unique complex presenting the best molecular orientation with the most stable position, Figure 5A represent the corresponding result. In order to assess the main amino-acid residues involved in the molecular single-domain antibody directed against Tenascin- C (TNC) Nb3-TN3 interaction, the COCOMAPS (bioCOmplexes COntact MAPS) web application server was used. A predicted intermolecular contact map of the Nb3-TN3 complex is illustrated in Figure 5B with a cut-off of 3 A, predicted binding-site residues in TN3 are as follow: N, D, NQ, S, I highlighting the residues mainly implicated in the complex interaction. The, N, Y (at position 862, 850, 856-857, 859, 860, 837, 858, respectively) interacting with single-domain antibody directed against Tenascin-C (TNC) Nb3 Y, Y, R, S, Y, Y, DYW (at position 26, 31, 44, 99, 108, 110-113, respectively). Interestingly, the CDR2 and CDR3 are shown to dominate the interaction with TN3. The details of residues involved in H bounds as proton donors or acceptors are described in Table 3 below.

Table 3: Amino acid residues generating H-bound interactions between single-domain antibody directed against Tenascin-C (TNC) Nb3 and TN3 with donor and acceptor atoms details.

In above table 3 Res means Residue, Dist means Distance, A means Angstrom and CA means Carbon Atom.

These results clearly demonstrate that examples of single domain antibody directed against Tenascin-C (TNC) according to the invention allow to specifically bind to Tenascin-C. These results also clearly demonstrate that the binding site on Tenascin-C is located within the THIRD FN type III domain of TNC (TN3).

Conclusion As demonstrated above, the results clearly demonstrate the development and production of single-domain antibody directed against Tenascin-C (TNC) (nanobodies directed against hTNC).

The results also clearly demonstrate that examples of single domain antibody directed against Tenascin-C (TNC) according to the invention allows to detect TNC on different type of tissue, for example on FFPE tissues and also advantageously to block TNC functions.

The results also clearly demonstrate that the VHH library generated from dromedary that meets the required quality control standards [78]) and allowed to isolate single-domain antibody directed against Tenascin-C (TNC) (nanobodies) that specifically recognized TNC. The amino acid sequences of the isolated single-domain antibody directed against Tenascin-C (TNC) revealed identity with human VFI sequences of family III; however, the VHH imprints were clearly present ([79], [80]).

The results also clearly demonstrate that examples of single domain antibody directed against Tenascin-C (TNC) according to the invention (Nb3 and Nb4) bind in the center of the TNC monomeric molecule around TN3-5 which is also known to bind several soluble factors [81]

The results also clearly demonstrate that examples of single domain antibody directed against Tenascin-C (TNC) according to the invention (Nb3 and Nb4) recognized specifically Tenascin-C (TNC), for example by immunoblot, ELISA and negative EM imaging and by staining of fresh frozen, PFA and FFPE fixed human tissues. The results also clearly demonstrate that examples of single-domain antibody directed against Tenascin-C (TNC) according to the invention (Nb3 and Nb4) exhibited relevant staining in all tested tissue sections demonstrating their aptitude to recognize native TNC in situ. In silico, 3D modeling of the interaction of Nb3 with TN3 revealed the potential contribution of CDR2 and CDR3 in the interaction with critical hydrophobic amino acid residues in TN3.

TNC is known to be highly de novo expressed in response to pathological stress conditions such as chronic inflammation and tumor malignancies. The results also advantageously demonstrate that examples of single-domain antibody directed against Tenascin-C (TNC) according to the invention (Nb3 and Nb4) bind to TNC expressed within the ECM of inflammatory diseases such as UC and in solid tumors, for example OSCC, CGB metastasis, U87MG xenografts). The results also demonstrated that examples of single-domain antibody directed against Tenascin-C (TNC) according to the invention (Nb3 and Nb4) recognized/bound TNC in FFPE embedded tissues.

The results also clearly support that single-domain antibody directed against Tenascin-C (TNC) according to the invention are suitable for sandwich ELISA assays for detection of TNC in biological sample, for example in body fluids, for example in blood and/or urine.

The results also clearly support that single-domain antibody directed against Tenascin-C (TNC) according to the invention allow diagnosis of disease with high TNC levels, for example such as cancer, and fibrosis, for example in the lung, kidney and liver.

The results also advantageously demonstrate that examples of single-domain antibody directed against Tenascin-C (TNC) according to the invention (Nb3 and Nb4) inhibit TNC-induced cell rounding, which is important in cancer progression. In addition, the results also advantageously demonstrate that examples of single-domain antibody directed against Tenascin-C (TNC) according to the invention (Nb3 and Nb4) interfered with TNC functions in chemoretention.

This example thus clearly demonstrate that examples of single domain antibodies directed against Tenascin-C (TNC) according to the invention allow to target TNC and/or identify TNC expression in non pathological or pathological biological tissue.

This example thus clearly demonstrate that examples of single domain antibodies directed against Tenascin-C (TNC) according to the invention allow to detect tumorous cells, and also advantageously, cancerous cells.

This example thus clearly demonstrate that examples of single domain antibodies directed against Tenascin-C (TNC) according to the invention inhibit and/or reduce metastasis progression, for example by restoring the adhesion of cells in tumorous and/or cancerous tissue.

Example 2 : In-vitro labelling of tissues using single-domain antibody directed against Tenascin-C (TNC)

I. Material and Methods a) Preparation of 99Mo/ 99m Tc

Molybdenum 99 was produced by a neutron activation reaction (n, y) using a 98M0 2 O 3 target. The purified Molybdenum in the form of 99M0O 2 - anions (molybdate) was fixed in an acid medium on an alumina column which plays the role of absorbent of the molybdate ions and which is inert with respect to the pertechnetate ions. For this purpose, at the end of the elution step with sodium chloride, a solution of pertechnetates which contains both Na99Tco4- and Na 99m Tco4- was obtained. b) Production and purification of Nb3 anti-TNC

Briefly, the Nb3-producing recombinant clone was seeded in rich Terrific Broth (TB, reference 743-29175 BD Biosciences, FL, 168 USA) culture medium supplemented with ampicillin (100 pg/mL) and 0.1 % glucose. At the exponential phase of bacterial growth, periplasm ic Nb3 expression was then induced by the addition of 1 mM IPTG overnight at 28 ° C. The Nb3-rich periplasm ic extract was obtained by applying osmotic shock. Purification of Nb3 from the periplasm ic extract was performed using affinity chromatography on a Flis-Select column (NiNTA, reference 1018544 Qiagen, Hilden, Germany). TNC-specific Nb3 labeled with (Flis)x6 was eluted in the presence of 500 mM imidazole (catalog number 1-0125 Sigma Aldrich, MO, USA). After filtration on a 12 kDa dialysis membrane (part number D9527-100FT Sigma Aldrich, MO, USA), the purified Nb3 was recovered and stored at -20°C until use.

The Nb3 correspond to the single-domain antibody directed against Tenascin-C (TNC) Nb3 mentioned in above example 1 . c) Radiolabeling of Nb3 anti-TNC

One volume of the radioactive marker 99m Tc with one volume of the Nb3 anti-TNC was mixed. Precisely, 0.1 ml of the pertechnetate solution (Tco4-) was added to an equivalent volume of Nb3. The obtained radiotracer was injected on the surface of tumor sections. The scintigraphic imaging was carried out using a gamma camera.

In this example, Nb3 labelled with 99m Tc is designated as Nb3 anti-TNC/ 99m Tc or 99m Tc/Nb3 anti-TNC or 99m Tc/Nb3 anti-TNC radiotracer or radiotracer 99m Tc/Nb3 anti-TNC.

II. Results a) Follow-up of Nb3 anti-TNC/ 99m Tc fixation on a breast cancer surgery specimen under Gamma-camera at 0 minute (tO) and 30 minutes (t30)

Into a breast cancer surgical specimen, the radiotracer was injected on the surface of two distinct tissues. The first injection site was on the tumor tissue. The second injection site was chosen on the same surgical specimen on a non-adjacent site, corresponded to a non-tumoral tissue and served as a negative control. Two injections were performed at two different times tO and t30min (Figure 9A). Figure 9 A represents the scintigraphy obtained and the corresponding results. Figure 9 B is a photography showing the tumoral and non tumoral tissue of the specimen of breast. As represented in figure 9A, the anterior position (ANT) of the breast cancer scintigraphy showed at tO a hyperfixation of the radiotracer into the tumoral tissue (black dot tumoral tissue). Interestingly, no significant fixation was detected in the healthy tissue (non tumoral tissue). This hyperfixation of the radiolabeled Nb3 persisted after 30 min (t30), underlining its specificity for detecting the target TNC in situ. These results clearly demonstrate the capacity of the radiolabeled Nb3 nanobody to interact specifically with TNC localized in a breast tumor. These results also clearly demonstrate that single-domain antibody directed against Tenascin-C (TNC) are useful in in vitro diagnostic or imaging method. b) Follow-up of the Nb3 anti-TNC/ 99m Tc binding on a breast cancer tumor section under Gamma camera at 0 minutes (tO), 30 minutes (t30) and 24 hours (t24)

The specificity of the generated 99m Tc/Nb3 anti-TNC radiotracer was validating by realizing the same labeling on a second surgical specimens from a mastectomy. The surgical specimen was divided into two sections separated with a dotted line as represented in figure 10. In the first section, only 99m Tc/Nb3-anti-TNC radiotracer was injected. The second section corresponds to a negative control and was used to evaluate the intensity of non-specific labeling that could be generated by the free 99m Tc. Therefore, surface injection of a solution of free 99mTc diluted with saline was used. Figures 10 represents an isotopic exploration after tO, t30min and t24h of the two injection points. Figure 10 A represents the two injections applied at tO on a tumor section from a breast cancer surgical specimen, 1st injection of the Nb3-anti-TN/99mTc radiotracer, 2nd injection of free 99mTc. Figure 10 B represents the follow-up at t30min of the two applied injections and figure 10 C the follow-up at t24h of the two applied injections. In particular, figures 10 A to C represent the observations under Gamma camera, of the surgical specimen anterior face (ANT) at different times: time of the injection: 0 minutes (tO), 30 minutes after injection (t30) and 24 hours after injection (t24). These observations clearly showed a fixation of the radiotracer 99m Tc/Nb3 anti-TNC specifically on the tumoral tissue. The results also clearly demonstrate that this fixation persisted over time. Indeed, the analysis of the scintigraphic images detected at three different times reveals that the hyperfixation of the 99m Tc /Nb3 anti-TNC radiotracer remains significant over time even after 24 hours (Figure 10 C). In addition, a weak and insignificant fixation of the free injected 99m Tc diluted with physiological serum was only recorded at to (Figure 10 A). This labeling is practically invisible at t30 min (Figure 10 B). Knowing that the half-life (t1/2) of this radioisotope does not exceed 6 hours post-injection, these results unequivocally confirm the capacity of the radiotracer Nb3-anti-TNC/99mTc to specifically bind TNC present at the injection sites on tumor sections (Figure 10). These results clearly demonstrate that single-domain antibody directed against Tenascin-C (TNC) are useful in in vitro diagnostic or imaging method, in particular to detect tumoral tissue. c) Detection of anti-TNC/99mTc Nb3 radiotracer fixation on histological sections of solid cancers under Gamma camera at to

The same labeling strategy was applied to detect TNC on histological sections prepared from colorectal cancer biopsy. Figure 11 represents the scintigraphy of histological sections of colorectal cancer detected at the time of injection (tO). The 1st injection corresponds to the Nb3-anti-TNC/ 99m Tc radiotracer. The 2nd injection corresponds to free 99m Tc. The analysis of figure 11 shows a significant, intense and diffuse fixation of the Nb3-anti-TN/ 99m Tc compared to the free 99m Tc used as negative control.

The specificity of the radiolabelling observed with the Nb3 anti- TNC/99mTc radiotracer on a histological section has been confirmed with repetition of the experimental trial, implemented on histological sections from different solid cancers. A total of 5 histological sections were used. In particular, histological sections from hepatic cancer (S1 and S2), from breast cancer (S3) and from colorectal cancer (S4 and S5) were used. Similarly, the radiotracer Nb3-anti-TNC/99mTc was injected on the surface of the tumor tissues (1st injection) and the solution of pertechnetates TCO diluted with saline (free 99m Tc) was injected at the 2nd injection site (negative control) in order to estimate the non-specific labeling generated by the free radioisotope. Figure 12 represents the obtained scintigraphy of histological sections from different solid cancers detected 30m in after injection.

As demonstrated on figure 12, after 30 minutes of injection (t30), isotopic exploration revealed, under Gamma camera, a very intense hyperfixation in the histological sections of S1 and S5 (Figure 12). In the histological sections of S2 and S4 (corresponding respectively to hepatocellular cancer and colorectal cancer), the fixation of Nb3-anti- TN/ 99m Tc is more intense at the first injection point, i.e. with Nb3-anti- TNC/99mTc, compared to that recorded at the 2nd injection, i.e. with free 99m Tc (negative control).

These results clearly demonstrate that single-domain antibody directed against Tenascin-C (TNC) are useful in in vitro or in vivo diagnostic or imaging method, in particular to detect tumoral tissue and/or cells. These results clearly demonstrate that single-domain antibody directed against Tenascin-C (TNC) are useful in in vitro or in vivo diagnostic or imaging method, in particular to detect tumoral cells whatever the tissue.

List of References

1. Takeda A, Otani Y, Iseki H, Takeuchi H, Aikawa K, Tabuchi S, et al. Clinical Significance of Large Tenascin-C Spliced Variant as a Potential Biomarker for Colorectal Cancer. World J Surg (2007) 31 :388-394. doi: 10.1007/s00268-006-0328-6

2. Hancox RA, Allen MD, Holliday DL, Edwards DR, Pennington CJ, Guttery

DS, et al. Tumour-associated tenascin-C isoforms promote breast cancer cell invasion and growth by matrix metalloproteinase-dependent and independent mechanisms. Breast Cancer Res (2009) 11 : doi:10.1186/bcr2251

3. Alharth AS, Alyami WA. Tenascin-C (TNC) Promotes Breast Cancer Cell Invasion and Proliferation: Functional Effects of TNC Knockdown in Highly Invasive Breast Cancer Cell Lines. Am J Med Biol Res Am J Med Biol Res (2016) 3:55-61. doi: 10.12691 /ajmbr-3-2-2

4. Shen C, Wang C, Yin Y, Chen H, Yin X, Cai Z, et al. Tenascin-C expression is significantly associated with the progression and prognosis in gastric GISTs: Medicine (Baltimore) (2019) 98:e14045. doi: 10.1097/MD.0000000000014045

5. Ishihara A, Yoshida T, Tamaki H, Sakakura T. Tenascin expression in cancer cells and stroma of human breast cancer and its prognostic significance: Clin Cancer Res (1995) 9: 1035-1041.

6. Leins A, Riva P, Lindstedt R, Davidoff MS, Mehraein P, Weis S. Expression of tenascin-C in various human brain tumors and its relevance for survival in patients with astrocytoma. Cancer (2003) 98:2430-2439. doi: 10.1002/cncr.11796

7. Chiquet-Ehrismann R, Hagios C, Schenk S. The complexity in regulating the expression of tenascins. BioEssays (1995) 17:873-878. doi: 10.1002/bies.950171009

8. Erickson HP, Bourdon MA. Tenascin: An Extracellular Matrix Protein Prominent in Specialized Embryonic Tissues and Tumors. Cell Biol (1989) 5:71-92. 9. Chiquet-Ehrismann R, Orend G, Chiquet M, Tucker RP, Midwood KS. Tenascins in stem cell niches. Matrix Biol (2014) 37:112-123. doi: 10.1016/j.matbio.2014.01 .007

10. Chiquet-Ehrismann R, Chiquet M. Tenascins: regulation and putative functions during pathological stress: Tenascins in pathological stress. J Pathol (2003) 200:488^99. doi: 10.1002/path.1415

11. Midwood KS, Orend G. The role of tenascin-C in tissue injury and tumorigenesis. J Cell Commun Signal (2009) 3:287-310. doi: 10.1007/s12079-009-0075-1

12. Saupe F, Schwenzer A, Jia Y, Gasser I, Spenle C, Langlois B et al. Tenascin-C Downregulates Wnt Inhibitor Dickkopf-1 , Promoting Tumorigenesis in a Neuroendocrine Tumor Model. Cell Rep (2013) 5:482- 492. doi:10.1016/j.celrep.2013.09.014

13. Sun Z, Velazquez-Quesada I, Murdamoothoo D, Ahowesso C, Yilmaz

A, Spenle C, et al. Tenascin-C increases lung metastasis by impacting blood vessel invasions. Matrix Biol (2019) 83: 26-47. doi: 10.1016/j.matbio.2019.07.001

14. Oskarsson T, Acharyya S, Zhang XH-F, Vanharanta S, Tavazoie SF, Morris PG, et al. Breast cancer cells produce tenascin C as a metastatic niche component to colonize the lungs. Nat Med (2011 ) 17:867-874. doi: 10.1038/nm.2379

15. Lowy CM, Oskarsson T. Tenascin C in metastasis: A view from the invasive front. Cell Adhes Migr (2015) 9:112-124. doi: 10.1080/19336918.2015.1008331

16. Langlois B, Saupe F, Rupp T, Arnold C, Van der Heyden M, Orend

G, et al. AngioMatrix, a signature of the tumor angiogenic switch-specific matrisome, correlates with poor prognosis for glioma and colorectal cancer patients. Oncotarget (2014) 5 (21 ): 10529-10545. doi: 10.18632/oncotarget.2470

17. Bellone M, Caputo S, Jachetti E. Immunosuppression via Tenascin- C. Oncoscience (2015) 2:667. doi:10.18632/oncoscience.210 18. Jachetti E, Caputo S, Mazzoleni S, Brambillasca CS, Parigi SM, Grioni M, et al. Tenascin-C Protects Cancer Stem-like Cells from Immune Surveillance by Arresting T-cell Activation. Cancer Res (2015) 75:2095- 2108. doi: 10.1158/0008-5472. CAN-14-2346

19. Deligne C, Murdamoothoo D, Gammage AN, Gschwandtner M, Erne W, Loustau T, et al. Matrix-Targeting Immunotherapy Controls Tumor Growth and Spread by Switching Macrophage Phenotype. Cancer Immunol Res (2020) 8:368-382. doi: 10.1158/2326-6066. C I R-19-0276

20. Spenle C, Loustau T, Murdamoothoo D, Erne W, Beghelli-de la Forest Divonne S, Veber R, et al. Tenascin-C Orchestrates an Immune- Suppressive Tumor Microenvironment in Oral Squamous Cell Carcinoma. Cancer Immunol Res (2020) 8:1122-1138. doi: 10.1158/2326-6066. C I R-20- 0074

21. Hicke BJ, Marion C, Chang Y-F, Gould T, Lynott CK, Parma D, et al.

Tenascin-C Aptamers Are Generated Using Tumor Cells and Purified Protein. J Biol Chem (2001) 276:48644-48654. doi: 10.1074/jbc.M104651200

22. Zukiel R, Nowak S. Suppression of human brain tumor with interference RNA specific for tenascin-C. Cancer Biol Ther (2006) 5:1002- 1007. doi: 10.4161 /cbt.5.8.2886

23. Rolle K, Nowak S, Wyszko E, Nowak M, Zukiel R, Piestrzeniewicz R, et al. Promising human brain tumors therapy with interference RNA intervention (iRNAi). Cancer Biol Ther (2010) 9:397-407. doi: 10.4161/cbt.9.5.10958

24. Rolle K. miRNA Multiplayers in glioma. From bench to bedside. Acta Biochim Pol (2015) 62:353-365. doi:10.18388/abp.2015_1072

25. Grabowska M, Grzeskowiak BF, Szutkowski K, Wawrzyniak D, Gtodowicz P, Barciszewski J, et al. Nano-mediated delivery of double- stranded RNA for gene therapy of glioblastoma multiforme. PLOS ONE (2019) 14:e0213852. doi:10.1371/journal.pone.0213852 26. Brack SS. Tumor-Targeting Properties of Novel Antibodies Specific to the Large Isoform of Tenascin-C. Clin Cancer Res (2006) 12:3200-3208. doi: 10.1158/1078-0432. CCR-05-2804

27. Heuveling DA, de Bree R, Vugts DJ, Huisman MC, Giovannoni L, Hoekstra OS, et al. Phase 0 Microdosing PET Study Using the Human Mini Antibody F16SIP in Head and Neck Cancer Patients. J Nucl Med (2013) 54:397-401. doi: 10.2967/jnumed.112.111310

28. Aloj L, D’Ambrosio L, Aurilio M, Morisco A, Frigeri F, Caraco’ C, et al. Radioimmunotherapy with Tenarad, a 131 l-labelled antibody fragment targeting the extra-domain A1 of tenascin-C, in patients with refractory Hodgkin’s lymphoma. Eur J Nucl Med Mol Imaging (2014) 41 :867-877. doi: 10.1007/s00259-013-2658-6

29. Petronzelli F. Improved Tumor Targeting by Combined Use of Two Antitenascin Antibodies. Clin Cancer Res (2005) 11 :7137s-7145s. doi: 10.1158/1078-0432. CCR-1004-0007

30. Silacci M. Human monoclonal antibodies to domain C of tenascin-C selectively target solid tumors in vivo. Protein Eng Des Sel (2006) 19:471 — 478. doi: 10.1093/protein/gzl033

31 . Saerens D, Ghassabeh G, Muyldermans S. Single-domain antibodies as building blocks for novel therapeutics. Curr Opin Pharmacol (2008) 8:600-608. doi: 10.1016/j.coph.2008.07.006

32. Hmila I, Saerens D, Ben Abderrazek R, Vincke C, Abidi N, Benlasfar Z, et al. A bispecific nanobody to provide full protection against lethal scorpion envenoming. FASEB J (2010) 24:3479-3489. doi: 10.1096/fj.09- 148213

33. Conrath KE, Wernery U, Muyldermans S, Nguyen VK. Emergence and evolution of functional heavy-chain antibodies in Camelidae. Dev Comp Immunol (2003) 27:87-103. doi:10.1016/S0145-305X(02)00071-X

34. Chen J, He Q, Xu Y, Fu J, Li Y, Tu Z, et al. Nanobody medicated immunoassay for ultrasensitive detection of cancer biomarker alpha- fetoprotein. Talanta (2016) 147:523-530. doi: 10.1016/j.talanta.2015.10.027 35. Ebrahimizadeh W, Mousavi Gargari S, Rajabibazl M, Safaee

Ardekani L, Zare H, Bakherad H. Isolation and characterization of protective anti-LPS nanobody against V. cholerae 01 recognizing Inaba and Ogawa serotypes. Appl Microbiol Biotechnol (2013) 97:4457-4466. doi:

10.1007/S00253-012-4518-x

36. De Meyer T, Muyldermans S, Depicker A. Nanobody-based products as research and diagnostic tools. Trends Biotechnol (2014) 32:263-270.

37. Huang W, Chiquet-Ehrismann R, Moyano JV, Garcia-Pardo A, Orend G. Interference of Tenascin-C with Syndecan-4 Binding to Fibronectin Blocks Cell Adhesion and Stimulates Tumor Cell Proliferation. Cancer Res (2001 ) 61 : 8586-8594.

38. Degen M, Brellier F, Kain R, Ruiz C, Terracciano L, Orend G, et al. Tenascin-W is a novel marker for activated tumor stroma in low-grade human breast cancer and influences cell behavior. Cancer Res (2007) 67: 9169-9179.

39. Ehrismann R, Chiquet M, Turner DC. Mode of action of fibronectin in promoting chicken myoblast attachment. The Journal of Biological Chemistry (1981 ) 256: 4056-4062.

40. Fischer D, Brown-LOdi M, Schulthess T, Chiquet-Ehrismann R. Concerted action of tenascin-C domains in cell adhesion, anti-adhesion and promotion of neurite outgrowth. Journal of Cell Science (1997)110: 1513- 1522.

41. Fischer D, Chiquet-Ehrismann R, Bernasconi C, Chiquet M. A single heparin binding region within fibrinogen-like domain is functional in chick tenascin-C (1995) 270:3378-3384.

42. Vincke C, Gutierrez C, Wernery U, Devoogdt N, Hassanzadeh- Ghassabeh G, Muyldermans S. “Generation of Single Domain Antibody Fragments Derived from Camelids and Generation of Manifold Constructs,” in Antibody Engineering, ed. P. Chames (Totowa, NJ: Humana Press), 145- 176. doi: 10.1007/978-1 -61779-974-7 8 43. Abderrazek RB, Hmila I, Vincke C, Benlasfar Z, Pellis M, Dabbek H, et al. Identification of potent nanobodies to neutralize the most poisonous polypeptide from scorpion venom. Biochem J (2009) 424:263-272. doi: 10.1042/BJ20090697

44. Dhaouadi S, Murdamoothoo D, Tounsi A, Erne W, Benabderrazek R, Benlasfar Z, et al. Generation and characterization of dromedary Tenascin- C and Tenascin-W specific antibodies. Biochem Biophys Res Commun (2020) 530:471-478. doi:10.1016/j.bbrc.2020.05.077

45. Gerlza T, Hecher B, Jeremic D, Fuchs T, Gschwandtner M, Falsone A, et al. A Combinatorial Approach to Biophysically Characterise Chemokine-Glycan Binding Affinities for Drug Development. Molecules (2014) 19:10618-10634. doi:10.3390/molecules190710618

46. Westman J, Flansen FC, Olin Al, Morgelin M, Schmidtchen A, Flerwald FI. p33 (gC1q Receptor) Prevents Cell Damage by Blocking the Cytolytic Activity of Antimicrobial Peptides. J Immunol (2013) 191 :5714- 5721 . doi: 10.4049/jimmunol.1300596

47. Baschong W, Wrigley NG. Small colloidal gold conjugated to fab fragments or to immunoglobulin g as high-resolution labels for electron microscopy: A technical overview. J Electron Microsc Tech (1990) 14:313- 323. doi: 10.1002/jemt.1060140405

48. Schenk S, Muser J, Vollmer G, Chiquet-Ehrismann R. Tenascin-C in serum: A questionable tumor marker. Int J Cancer (1995) 61 :443-449. doi: 10.1002/ijc.2910610402

49. Rupp T, Langlois B, Koczorowska MM, Radwanska A, Sun Z, Flussenet T, et al. Tenascin-C Orchestrates Glioblastoma Angiogenesis by Modulation of Pro- and Anti-angiogenic Signaling. Cell Rep (2016) 17:2607- 2619. doi: 10.1016/j.celrep.2016.11 .012

50. Weitzner B, Jeliazkov J, Lyskov S, Marze N, Kuroda D, Frick R et al. Modeling and docking of antibody structures with Rosetta. Nat Protoc (2017) 12: 401—416. doi.org/10.1038/nprot.2016.180 51. Ksouri A, Ghedira K, Ben Abderrazek R, Shankar Gowri BA, Benkahla A, Bishop Tastan 0 et al. Homology modeling and docking of Aahll-Nanobody complexes reveal the epitope binding site on Aahll scorpion toxin. Biochemical and Biophysical Research Communications (2018) 496: 1025-1032. doi.org/10.1016/j.bbrc.2018.01.036

52. Pierce BG, Wiehe K, Hwang H, Kim BH. Vreven T, Weng Z. ZDOCK server: interactive docking prediction of protein-protein complexes and symmetric multimers. Bioinformatics (2014) 30: 1771 -1773.doi.org/10.1093/ bioinformatics/btu097.

53. Schrodinger LLC. 2010. The PyMOL Molecular Graphics System, Version 1.3r1. Portland. Oregon: Schrodinger, LLC.

54. Hmila I, Ben Abdallah R, Saerens D, Benlasfar Z, Conrath K, Ayeb ME, et al. VHH, bivalent domains and chimeric Heavy chain-only antibodies with high neutralizing efficacy for scorpion toxin Aahl'. Mol Immunol (2008) 45:3847-3856. doi:10.1016/j.molimm.2008.04.011

55. Spenle C, Lefebvre O, Lacroute J, Mechine-Neuville A, Barreau F,

Blottiere HM, et al. The Laminin Response in Inflammatory Bowel Disease: Protection or Malignancy? PLoS ONE (2014) 9:e111336. doi:10.1371/journal.pone.0111336

56. Kawamura T, Yamamoto M, Suzuki K, Suzuki Y, Kamishima M, Sakata M, et al. Tenascin-C Produced by Intestinal Myofibroblasts Promotes Colitis-associated Cancer Development Through Angiogenesis. Inflamm Bowel Dis (2019) 25:732-741. doi:10.1093/ibd/izy368

57. Ning L, Li S, Gao J, Ding L, Wang C, Chen W, et al. Tenascin-C Is

Increased in Inflammatory Bowel Disease and Is Associated with response to Infliximab Therapy. BioMed Res Int (2019) 2019:1-9. doi:10.1155/2019/1475705

58. Sun Z, Schwenzer A, Rupp T, Murdamoothoo D, Vegliante R, Lefebvre O, et al. Tenascin-C Promotes Tumor Cell Migration and Metastasis through Integrin a9b1 -Mediated YAP Inhibition. Cancer Res (2018) 78:950-961. doi: 10.1158/0008-5472. CAN-17-1597 59. Venning FA, Wullkopf L, Erler JT. Targeting ECM Disrupts Cancer Progression. Front Oncol (2015) 5: doi:10.3389/fonc.2015.00224

60. Genova C, Rijavec E, Grossi F. Tumor microenvironment as a potential source of clinical biomarkers in non-small cell lung cancer: can we use enemy territory at our advantage? J Thorac Dis (2017) 9:4300-4304. doi: 10.21037/jtd.2017.10.66

61. Orend G, Chiquet-Ehrismann R. Tenascin-C induced signaling in cancer. Cancer Lett (2006) 244:143-163. doi:10.1016/j.canlet.2006.02.017

62. Midwood KS, Chiquet M, Tucker RP, Orend G. Tenascin-C at a glance. J Cell Sci (2016) 129:4321-4327. doi: 10.1242/jcs.190546

63. Akabani G, Reardon DA, Coleman RE, Wong TZ, Metzler SD, Bowsher JE, et al. Dosimetry and Radiographic Analysis of 1311-Labeled AntiXTenascin 81 C6 Murine Monoclonal Antibody in Newly Diagnosed Patients with Malignant Gliomas: A Phase II Study.11 .

64. Reardon DA, Zalutsky MR, Bigner DD. Antitenascin-C monoclonal antibody radioimmunotherapy for malignant glioma patients. Expert Rev Anticancer Ther (2007) 7:675-687. doi: 10.1586/14737140.7.5.675

65. Schliemann C, Wiedmer A, Pedretti M, Szczepanowski M, Klapper W,

Neri D. Three clinical-stage tumor targeting antibodies reveal differential expression of oncofetal fibronectin and tenascin-C isoforms in human lymphoma. Leuk Res (2009) 33:1718-1722. doi: 10.1016/j. Ieukres.2009.06.025

66. Ko HY, Choi K-J, Lee CH, Kim S. A multimodal nanoparticle-based cancer imaging probe simultaneously targeting nucleolin, integrin anb3 and tenascin-C proteins. Biomaterials (2011 ) 32:1130-1138. doi: 10.1016/j.biomaterials.2010.10.034

67. Spenle C, Gasser I, Saupe F, Janssen K-P, Arnold C, Klein A, et al.

Spatial organization of the tenascin-C microenvironment in experimental and human cancer. Cell Adhes Migr (2015) 9:4-13. doi: 10.1080/19336918.2015.1005452 68. Carnemolla B, Castellani P, Ponassi M, Borsi L, Urbini S, Nicolo G, et al. Identification of a Glioblastoma-Associated Tenascin-C Isoform by a High Affinity Recombinant Antibody. Am J Pathol (1999) 154(5): 1345-1352. doi: 10.1016/S0002-9440(10)65388-6

69. Paganelli G, Magnani P, Zito F, Lucignani G, Sudati F, Truci G, et al. Pre-targeted immunodetection in glioma patients: tumour localization and single-photon emission tomography imaging of [99mTc]PnAO-biotin. Eur J Nucl Med (1994) 21 :314-321. doi: 10.1007/BF00947966

70. Riva P, Franceschi G, Frattarelli M, Riva N, Guiducci G, Cremonini

AM, et al. 1311 radioconjugated antibodies for the locoregional radioimmunotherapy of high-grade malignant glioma-phase I and II study. Acta Oncol Stockh Swed (1999) 38:351-359. doi:

10.1080/028418699431438

71. Catania C, Maur M, Berardi R, Rocca A, Giacomo AMD, Spitaleri G, et al. The tumor-targeting immunocytokine F16-IL2 in combination with doxorubicin: dose escalation in patients with advanced solid tumors and expansion into patients with metastatic breast cancer. Cell Adhes Migr (2015) 9:14-21 . doi:10.4161/19336918.2014.983785

72. De Braud FG, Catania C, Onofri A, Pierantoni C, Cascinu S, Maur M, et al. Combination of the immunocytokine F16-IL2 with doxorubicin or paclitaxel in patients with solid tumors: Results from two phase lb trials. J Clin Oncol (2011 ) 29:2595-2595. doi: 10.1200/jco.2011 .29.15_suppl.2595

73. Kovacs JA, Vogel S, Albert JM, Falloon J, Davey RT, Walker RE, et al. Controlled trial of interleukin-2 infusions in patients infected with the human immunodeficiency virus. N Engl J Med (1996) 335:1350-1356. doi: 10.1056/NE JM199610313351803

74. Behar G, Siberil S, Groulet A, Chames P, Pugniere M, Boix C, et al. Isolation and characterization of anti-Fc Rill (CD16) llama single-domain antibodies that activate natural killer cells. Protein Eng Des Sel (2007) 21 :1— 10. doi:10.1093/protein/gzm064 75. Jailkhani N, Ingram JR, Rashidian M, Rickelt S, Tian C, Mak H, et al. Noninvasive imaging of tumor progression, metastasis, and fibrosis using a nanobody targeting the extracellular matrix. Proc Natl Acad Sci (2019) 116:14181-14190. doi: 10.1073/pnas.1817442116

76. Hynes, R.O. (2019) Nanobody Based Imaging and Targeting of ECM in Disease and Development. U.S. Patent No 20190225693. Massachusetts, MA :U.S. Patent and Trademark office.

77. Li T, Huang M, Xiao H, Zhang G, Ding J, Wu P, et al. Selection and characterization of specific nanobody against bovine virus diarrhea virus (BVDV) E2 protein. PloS One (2017) 12:e0178469. doi:

10.1371 /journal pone.0178469

78. Wan R, Liu A, Hou X, Lai Z, Li J, Yang N, et al. Screening and antitumor effect of an anti-CTLA-4 nanobody. Oncol Rep (2017) 39(2): 511- 518. doi: 10.3892/or.2017.6131

79. Lefranc M-P, Pommie C, Ruiz M, Giudicelli V, Foulquier E, Truong L, et al. IMGT unique numbering for immunoglobulin and T cell receptor variable domains and Ig superfamily V-like domains. Dev Comp Immunol (2003) 27:55-77. doi: 10.1016/S0145-305X (02)00039-3

80. Noel F, Malpertuy A, de Brevern AG. Global analysis of VHHs framework regions with a structural alphabet. Biochimie (2016) 131:11-19. doi: 10.1016/j. biochi.2016.09.005

81. De Laporte L, Rice J J, Tortelli F, Hubbell JA. Tenascin C Promiscuously Binds Growth Factors via Its Fifth Fibronectin Type Ill-Like Domain. PLoS ONE (2013) 8:e62076. doi:10.1371/journal.pone.0062076

82. Saga Y, Tsukamoto T, Jing N, Kusakabe M, Sakakura T. Mouse tenascin: cDNA cloning, structure and temporal expression of isoforms. Gene (1991 ). 104: 177-185. doi.org/10.1016/0378-1119 (91 )90248-A

83 https://france.promega.com/products/vectors/protein-expressi on- vectors /

84. WO 83/004261 85. Merrifield (19962) Proc. Soc. e.g. Boil.21:412; Merrifield (1963) J. Am. Chem. Soc. 85:2149; Tarn et al (1983) J. Am. Chem.Soc. 105:6442)

86. Surasak Jittavisutthikul et al, 2015 Humanized-VHH transbodies that inhibit HCV protease and replication” . 2015 Apr 20;7(4):2030-56 87. Harmsen et al., 2007 Properties, production, and applications of camelid single-domain antibody fragments, 77:13-22, DOI : doi.org/10.1007/s00253- 007-1142-2

88. Hultberg et al, 2011, Llama-derived single domain antibodies to build multivalent, superpotent and broadened neutralizing anti-viral molecules 6(4): e17665, DOI : 10.1371/journal.pone.0017665

89. Schepens et al. ,2011. “Nanobodies specific for respiratory Syncytial virus fusion protein protect against infection by inhibition of fusion”2011 J Infect Dis. 2011 Dec 1;204 (11): 1692-701. doi: 10.1093/infdis/j ir622. PMID: 21998474 90. Thys et al, 2010 In vitro antiviral activity of single domain antibody fragments against poliovirus Antiviral Res.2010 Aug;87(2):257-

64.doi: 10.1016/j.antiviral.2010.05.012. PMID: 20566349

91. Sebastian et al., 2012. Rotavirus A-specific single-domain antibodies produced in baculovirus-infected insect larvae are protective in vivo. BMC Biotech 2012; 12:59. doi: 10.1186/1472-6750-12-59. PMCID: PMC3444942 PMID: 22953695

92. Forsman et al, 2008 Llama antibody fragments with cross-subtype human immunodeficiency virus type 1 (HIV-1 ^neutralizing properties and high affinity for HIV-1 gp120, Journal of Virology 2008;82(24): 12096-081. doi: 10.1128/JVI.01379-08

93. Verccruysse et al., 2010 An intrabody based on a llama single-domain antibody targeting the N-terminal a-helical multimerization domain of HIV-1 Rev prevents viral production, J Biol Chem 2010 Jul 9;285(28):21768-80. doi: 10.1074/jbc.M110.112490. PMCID: PMC2898381. PMID: 20406803 94. Bouchet et al. , 2011. “Inhibition of the Nef regulatory protein of HIV-1 by a single-domain antibody”. Blood 2011,117(13): 3559-68. doi.org/10.1182/blood-2010-07-296749

95. Jahnichen et al, 2010 “CXCR4 nanobodies (VHH-based single variable domains) potently inhibit chemotaxis and HIV-1 replication and mobilize stem cells” Proceedings of the National Academy of Sciences Nov 2010, 107 (47) 20565-20570; DOI: 10.1073/pnas.1012865107

96. Abderrazek, R.B., et al., 2009. Identification of potentnanobodies to neutralize the most poisonous polypeptide from scorpion venom. Biochem. J. 424, 263-272

97. Fei Fei et al. 2017. Strategies for preparing Albumin-based Nanoparticles for Multifunctional Bioimaging and Drug Delivery 2017;7(15):3667-89

98. Oliveira et al,2010.Downregulation of EGFR by a novel multivalent nanobody-liposome platform.2010; 145(2): 165-75