Abstract

Cancer is one of the leading causes of death worldwide. The development of cancer-specific diagnostic agents and anticancer toxins would improve patient survival. The current and standard types of medical care for cancer patients, including surgery, radiotherapy, and chemotherapy, are not able to treat all cancers. A new treatment strategy utilizing tumor targeting peptides to selectively deliver drugs or applicable active agents to solid tumors is becoming a promising approach. In this review, we discuss the different tumor-homing peptides discovered through combinatorial library screening, as well as native active peptides. The different structure–function relationship data that have been used to improve the peptide’s activity and conjugation strategies are highlighted.

Highlights

  • Peptides are small molecules—often less than 40 amino acids in length—that are derived from natural or synthetic sources

  • We review here some of the recent advances in peptide-based delivery systems focusing on peptides for which the target protein is known and that target (i) brain tumors and BBB; (ii) tumor vasculature; (iii) cancer specific signatures involved in invasion and pre-metastatic niche formation; (iv) therapeutic peptides; and (v) cell and tumor penetrating peptides (Table 1)

  • Several native extracellular matrix (ECM) proteins, such as fibronectin [105,106,107,108,109], laminin [110], vitronectin [111], osteopontin [112], tenascin [113], collagens I, IV [114,115], and fibrinogen [116,117,118,119] interact with the integrin receptors including integrin αvβ3 through the RGD domain

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Summary

Introduction

Peptides are small molecules—often less than 40 amino acids in length—that are derived from natural or synthetic sources. In addition to integrins and other cell surface proteins, many intracellular proteins are often highly expressed on the surface of cancer cells and constitute molecular targets for phage displayed peptides [7,8,9,10] These peptides can act as carriers to deliver selectively and imaging agents, anticancer toxins, nanoparticles, and/or other applicable active agents to tumors. Due to several challenges associated with systemic therapy including non-specificity, low permeability and low retention, off-target toxicities, and in case of brain tumors, inability to cross the blood–brain–barrier (BBB), an efficient and viable strategy that would increase the delivery capacity of anticancer cargoes into the target site without compromising the drug’s efficacy would open many new avenues for targeted drug delivery PET imaging, SPECT imaging, chemotherapy, Chemotherapy, radiotherapy, Reference [8]

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Peptides Derived from Combinatorial Screens
Glioma Targeting Peptides
LRP Targeting Peptides—Angiopep-2
Interleukin-4 Receptor Targeting Peptide—AP
Tumor Vasculature Targeting Peptides
First Generation Integrin Targeting Peptides
Monocyclic and Multicyclic RGD Peptides
CD13 Targeting Peptide—NGR
Peptides Targeting Tumor Invasion and Pre-Metastatic Niche Formation
EGFR Targeting Peptide
Grb7 Adapter Targeting Cyclic Peptide
Tumor-Associated Macrophage Binding Peptide—UNO
Cell Penetrating Peptides
Penetratin
Cytotoxic CPP
Tumor Penetrating Peptides
Peptides from Native Ligands
Somatostatin Receptor Targeting Peptide
Therapeutic Peptides
Strategies to Improve Peptide Synthesis and Their Pharmacokinetics
Conclusions
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