Abstract

In the last decade, cancer immunotherapies have produced impressive therapeutic results. However, the potency of immunotherapy is tightly linked to immune cell infiltration within the tumor and varies from patient to patient. Thus, it is becoming increasingly important to monitor and modulate the tumor immune infiltrate for an efficient diagnosis and therapy. Various bispecific approaches are being developed to favor immune cell infiltration through specific tumor targeting. The discovery of antibodies devoid of light chains in camelids has spurred the development of single domain antibodies (also called VHH or nanobody), allowing for an increased diversity of multispecific and/or multivalent formats of relatively small sizes endowed with high tissue penetration. The small size of nanobodies is also an asset leading to high contrasts for non-invasive imaging. The approval of the first therapeutic nanobody directed against the von Willebrand factor for the treatment of acquired thrombotic thrombocypenic purpura (Caplacizumab, Ablynx), is expected to bolster the rise of these innovative molecules. In this review, we discuss the latest advances in the development of nanobodies and nanobody-derived molecules for use in cancer immunotherapy and immunoimaging.

Highlights

  • It is well established that tumor cells can interact with their environment to promote an immunosuppressive environment to favor their survival and proliferation

  • Following the success of immune checkpoint blockade therapies, different strategies based on the monoclonal success of antibodies immune checkpoint blockade therapies, different strategies based on monoclonal aiming at activating the T cell mediated anti-tumor response and overcome antibodies aiming at activating the cell anti-tumor response overcome immunotherapy immunotherapy resistance are currentlymediated under intense investigation

  • The antigen binding domain (ABD) binds HER2 positive tumor cells, thereby recruiting dinitrophenol group (DNP)-specific IgG1 serum antibodies, which trigger NK cells through FcγRIII, resulting in tumor cell killing by antibody dependent cell-mediated cytotoxicity (ADCC)

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Summary

Introduction

It is well established that tumor cells can interact with their environment to promote an immunosuppressive environment to favor their survival and proliferation. Combination therapies are emerging as the path to increase response rates and tackle cancer cell escape mechanisms [4] Their success often relies on the presence of immune cell within the tumor and their interaction with immunosuppressive ligands expressed by tumor cells. Nanobodies are characterized by a good solubility and stability to pH and temperatures Their small size allows for a better penetration within tissue and in cell–cell interfaces like immune synapses [13]. Nanobodies can be used to engineer larger molecules with several valencies or specificities and can be conjugated to imaging agent or drug delivery systems Their high modularity increases further the format possibilities to crease small size antibody-derived molecules for therapy and imaging (Figure 1). Nb: nanobody; ARD: antigen recognition domain; TAA: tumor molecules discussed in this review. TAA: Tumor associated antigen; antigen; IC: Immune checkpoint; ARD: Antibody recruiting domain.

Targeting
design innovating
CD3 Bispecific Nanobodies
Engineering Nanobody-Derived TCR in CAR-T Cell Therapy
Immune Checkpoint Blockade
Anti-CD16 Bispecific Antibodies
Nanobody Coupling to An Antibody Recruiting Domain
Modulation of Antigen Presenting Cells
Innate Immune Checkpoint Blockade
Nanobody-Based Immunization Strategies
Drug Delivery
APC Reprogramming
Pro-Tumor Cytokines Targeting
Nanobody as Carriers for Cytokine Delivery
Importance of Molecular Imaging for Cancer Diagnostics
Cancer Cell Detection
Monitoring of Immune Infiltration
Tumor Infiltrating Lymphocyte Monitoring
APC Monitoring
Findings
Conclusions

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