Abstract
Cell penetrating and targeting peptides (CPPs and CTPs) encompass an important class of biochemically active peptides owning the capabilities of targeting and translocating within selected cell types. As such, they have been widely used in the delivery of imaging and therapeutic agents for the diagnosis and treatment of various diseases, especially in cancer. Despite their potential utility, first generation CTPs and CPPs based on the native peptide sequences are limited by poor biological and pharmacological properties, thereby restricting their efficacy. Therefore, medicinal chemistry approaches have been designed and developed to construct related peptidomimetics. Of specific interest herein, are the design applications which modify the polyamide backbone of lead CTPs and CPPs. These modifications aim to improve the biochemical characteristics of the native peptide sequence in order to enhance its diagnostic and therapeutic capabilities. This review will focus on a selected set of cell penetrating and targeting peptides and their related peptidomimetics whose polyamide backbone has been modified in order to improve their applications in cancer detection and treatment.
Introduction
Cell targeting and penetrating peptides (CTPs and CPPs) are a class of peptides that have the capabilities of targeting and translocating within specific cell types. As such, they are particularly well-suited for the targeted delivery of imaging and/or therapeutic agents, because of their specific accumulation in targeted cell lines, tissues or even disease-bearing in vivo models (Tripathi et al., 2018). This targeted delivery effect amplifies the detection capabilities of the biological probe or the therapeutic index of the drug for more effective and precise diagnosis and therapy at the localized site of malignancy (Borrelli et al., ). More specifically, CPPs and CTPs are about 4–30 amino acids in length, derived from biologically active motifs found in proteins or from selection techniques that have ushered in unique peptides with the abilities to target cell surface biological markers (e.g., cell surface receptors) and translocate within cells by a variety of cell uptake mechanisms (Habault and Poyet, ). As such, CTPs and CPPs have been applied to transport various cargos such as nucleic acids (McClorey and Banerjee, ), proteins (Kristensen et al., ), imaging probes (Juliano et al., ), and drugs (Feni and Neundorf, ) into selected cell lines for activity.
In cancer, tumor cells have cell surface receptors that are up-regulated and overexpressed within the plasma membrane where they signal tumor initiation, progression, spread and resistance toward treatment. These biological markers are absent or present to a lower extent in normal cells and can be exploited to deliver various cargos specifically to tumor cells for cancer-targeting detection and treatment strategies (Goossens et al., ). Thus, cancer-targeting peptides are a class of CTPs that have been successfully used to transport various anti-cancer drugs, imaging agents, and toxins for specific imaging and treatment at the localized tumor site (Liu et al., ). Despite their utility, CTPs and CPPs are limited by poor pharmacological properties which restrict their translation into the clinic (Reissmann, ).
Polyamide Backbone Modifications in Peptides and Peptidomimetics
A variety of chemical modifications have been designed and developed as peptide bond surrogates (Figure 1) in order to enhance and optimize the biological effects of de novo peptide analogs. Interestingly, substitution or replacement of the polyamide backbone has resulted in profound effects on hybridization, chirality, and conformation of the peptide bond. The native peptide bond resonates with significant free energy barriers (65–76 kJ/mol) for bond rotation and trans-cis interconversions dependent on the chemical nature of the amino acid residues (Scherer et al., ). The Cα chirality projecting in either naturally occurring L or unusual D orientations affects the 3D projection of the side chain and the dihedral angles (φ/ψ) of the polyamide backbone. The latter is a critical requirement in pre-organizing stable peptide secondary structures and folding into higher-order assemblies (Garcia et al., ). Thus, chemical modification of the polyamide backbone can trigger profound changes in molecular chirality, hybridization, conformation and in the self-assembly of peptide structures and nanoparticles.
Figure 1
Peptide bond surrogates include but are not limited to azapeptides which replace the Cα for a nitrogen atom resulting in a semicarbazide which profoundly effects molecular chirality, hybridization, and conformation of the pseudo peptide bond (Proulx et al., ; Danelius et al., ). As such, azapeptides have been shown to stabilize β-turn conformations in bio-active peptides used for biomedical applications (Chingle et al., ). This includes azapeptide ligands that can modulate unregulated receptor tyrosine kinase signaling in cancer (Kurian et al., ). Peptoids are a class of biomimetic peptides in which the peptide backbone is replaced with repeating N-substituted glycine units (Proulx et al., ). Although peptoids are devoid of chirality, the introduction of chiral N-substituted side chain groups provides significant effects in adapting local molecular geometries and higher order structural self-assemblies for a wide range of biomedical and nanomaterials applications (Tran et al., 2011; Laursen et al., ). Of specific interest herein are the representative peptoid case studies based on the diagnosis and treatment of cancer (Bhowmik et al., ). Retro-inverso peptides consisting of D-amino acid residues in reversed sequence adopt side chain topologies similar to the parent peptide but with inverted amide bonds. These modifications have served to improve peptide metabolic stability but with limited capabilities of adopting bio-active peptide α-helical structures necessary for protein binding interactions and downstream biological signaling such as silencing gene expression in certain cancer types (Li et al., , ). Main chain replacement with peptide amide bond isosteres (Williams et al., 1994; Hart and Etzkorn, ; Chen et al., ) have also resulted in important contributions in varying peptide conformation and stereoelectronic effects which impacts peptide bioactivity against receptor targets in cancer (Crombez et al., ). Head-to-tail cyclizations have also resulted in the ligation of the polyamide backbone N-to-C-termini resulting in macrocyclic peptides with improved metabolic stability, cell permeability and receptor targeting capabilities (Janssen et al., ; Marinelli et al., ; Ye et al., 2006; Smith et al., 2011, 2013; White and Yudin, 2011; Koopmanschap et al., ; Shirazi et al., ,; Vinogradov et al., 2019). Taken together, these selected peptide bond modifications have served to improve the physicochemical and structural properties of the native peptide sequence in order to generate more potent peptidomimetics for anti-cancer applications.
Similarly, amino acid substitution by an un-natural amino acid residue has also resulted in polyamide backbone modifications that have improved peptide chemical and biological properties. Replacement of naturally occurring L- for the unusual D-amino acids are among the most common substitutions. This change in chirality at the Cα position has resulted in peptide analogs with improved resistance to proteolysis while retaining the biological activity of the parent peptide (Tünnemann et al., 2008; Hanagata, ; Chung et al., ; Manabe and Kawasaki, ). Modified linear aliphatic amino acids such β, γ and α,α-disubstituted amino acids have provided stabilizing effects on peptide helical structures resulting in well-defined peptide foldamers with desirable binding properties with receptor targets found in cancer (Horne and Gellman, ; Crombez et al., ). Comparably, N-alkyl amino acids effectively perturb the H-bonding capabilities of the amido NH group in peptide bonds which in turn effects secondary structure formation and stability (Di Gioia et al., ). These structural implications play important roles in modulating ligand-receptor binding interactions, that contribute to high affinity and selective peptide binding to cancer signaling receptors (Marinelli et al., ). Cyclic and bicyclic amino acid derivatives (Cluzeau and Lubell, ; Proulx and Lubell, ; Li et al., ; Vezenkov et al., 2017), also including lactam (Jamieson et al., ; Vezenkov et al., 2017) and spirocyclic lactam (Lesma et al., ) type peptide mimics, in addition to (thio)azabicyclo (Gu et al., )-peptidomimetics have each served as privileged structures most often stabilizing β-turn conformations that result in high affinity and discriminate binding to cancer receptors (Auzzas et al., ). Interestingly, lactam-based polymer foldamers enabled the delivery of various cargo (e.g., detection probes and drugs) across cell membranes of cancer cells while exhibiting proteolytic stability (Vezenkov et al., 2017). Taken altogether, peptide backbone modifications have served to improve the biophysical and biological properties of peptidomimetics. The translation of modified peptide ligands into more potent anti-cancer agents are among the most widespread applications. The selected examples highlighted herein will serve to represent the importance of polyamide backbone modifications in cell targeting and penetrating peptides that have been exploited for the detection and treatment of cancer.
Rationale for Backbone Modifications in Cell Penetrating/Targeting Peptides
In order to improve the biological properties of cell penetrating and targeting peptides (CPPs and CTPs) several biochemical strategies have been developed to design and construct related peptidomimetics. Of specific interest herein, are the design applications which modify the polyamide backbone composition of lead cell penetrating and targeting peptides (Figures 2, 3). These modifications aim to improve the physicochemical characteristics of the native peptide sequence while retaining its beneficial biological and potentially therapeutic properties. More specifically, these structural modifications may ameliorate peptide solubility and bioavailability in biological media while also improving its serum stability toward endogenous peptidases and proteases (Gentilucci et al., ). The latter has shown to effectively improve the resident time of the peptide at the localized biological site for extended duration of action, thereby increasing its therapeutic index (Chen et al., ). Moreover, reduction of immunostimulatory effects and off-target toxicity associated with non-selective and low affinity binding to receptor targets has facilitated the translation of lead sequences into effective peptide-based anti-cancer drugs (Luther et al., ). Medicinal chemistry has been implemented in the design and development of peptidomimetics in which the pharmacophoric region responsible for bioactivity has been modified to improve structure-activity relationships (Blaskovich, ). In this section, we will focus on a selected set of examples which highlights the chemistry, characterization and application of peptidomimetics whose polyamide backbone has been altered in order to improve the biological responses of CPPs and CTPs in cancer detection and treatment (Table 1).
Figure 2
Figure 3

Representative examples of polyamide backbone modified cell-targeting peptides described in this study. (A) c(RGDfV) (Kessler,
Table 1
| Peptide | Sequence | Modification | Application | References |
|---|---|---|---|---|
| CPPs in cancer detection and treatment | ||||
| 1. Poly(arginine) | rn = 3–12 | D-Arg | Cell uptake studies and siRNA delivery | Tünnemann et al., 2008; Chung et al., |
| 2. cFΦR4Q | Cyclo(FΦRRRRQ)a | Cyclic-poly(Arg) | FITC delivery | Qian et al., |
| 3. [WR]5 | Cyclo(WWWWWRRRRR) | Cyclic-poly(Arg) | Au and Se nanoparticles for drug delivery | Shirazi et al., |
| 4. cTAT | Cyclo(GRKKRRQRRRPQ) | Cyclic-poly(Arg) | GFP delivery | Nischan et al., |
| 5. MPG-8 | bAFLGWLGAWGTMGWSPKKKRK-Cya | β-Alab, Cyac | siRNA delivery | Crombez et al., |
| 6. Poly(lysine) | D-Lys | CpGg delivery | Hanagata, | |
| 7. Poly(lysine) | (Gly–Lys63(NH2)64) | Poly(lysine) dendron | pDNA and siRNA delivery | Al-Jamal et al., |
| CTPs in cancer detection and treatment | ||||
| 8. RGD | Cyclo(RGDfV) | Cyclic-RGD D-Phe | Radiotracer and near IR label delivery | Janssen et al., |
| 9. RGD | Cyclo(RGDf[N-Me]V) | Cyclic-RGD D-Phe, N-Me Val | αvβ3 integrin receptor inhibitor | Marinelli et al., |
| 10. Pep-42 | CTVALPGGYVRVC-Val-Cit-PABA | Cite, PABAf | Drug delivery | Yoneda et al., 2008 |
| 11. D-SP5 | prpspkmgvsvs | Retro-inverso D-peptide | pDNA delivery | Li et al., |
Selected examples of backbone modified CPPs and CTPs described in this review.
Where Φ is L-2-naphthylalanine.
β-Ala is β-alanine.
Cya is cysteamide.
Variable number of D-Lys units.
Cit is citrulline.
PABA is p-aminobenzyl alcohol.
CpG is cytosine-phosphate-guanosine.
Selected Examples of Polyamide Backbone Modified Cell Penetrating Peptides
Poly(arginine)
The poly(arginine) peptides encompass a special class of cell penetrating peptides (CPPs) whose structure-function relationships have facilitated a wide range of cell biology applications. Their polar, hydrophilic and polycationic character allows them to interact favorably with cell membranes, resulting in efficient endocytic cellular translocation, trafficking, and endosomal escape for biological activity (Mitchell et al.,
Substitution of naturally occurring L- for D-arginine (Arg) residues are among the most prevalent modifications of poly(arginine) peptides. This simple modification is most often incorporated by Fmoc-based solid phase peptide synthesis (Fmoc-SPPS) using commercially available Fmoc-D-Arg(Pbf)-OH building blocks to construct the poly(arginine) sequence on solid support. The judicious selection of the solid support in this particular case is based on the more polar poly(ethylene)glycol (PEG) resin, that has shown increased capabilities of swelling favorably in organic solvent (DMF) and reagents (TFA) typically used in the Fmoc-SPPS method (García-Martín et al.,
Cyclic-Arg peptides are another common example of modified poly(arginine) peptides. More specifically, cyclization methods for constructing head-to-tail cyclic poly(arginine) sequences have been developed to improve the biological properties of the native sequence. For example, the cyclo(FΦRRRRQ) (cFΦR4Q, where Φ is L-2-naphthylalanine) was synthesized by Fmoc SPPS using benzotriazol-1-yl-oxytripyrrolidinophosphonium hexafluorophosphate/hydroxybenzotriazole/N, N-diisopropylethylamine (PyBOP/HOBt/DIPEA) as coupling conditions to effect the Nto C-terminal cyclization (Qian et al.,
TAT
The TAT peptide is a short CPP derived from the transactivator of transcription (TAT) fusion transduction domain of the HIV retrovirus (Del Gaizo Moore and Payne,
Main chain cyclization of the TAT peptide has served to improve its translocation capabilities, especially when associated with the delivery of larger, ionically charged biomacromolecules (Thompson et al., 2012). It is proposed that cyclic TAT (cTAT) displays the Arg side chain guanidinium groups in an extended, distant orientation from the peptide backbone, which in turn, increases surface membrane lipid ionic contacts resulting in enhanced cellular translocation (Lättig-Tünnemann et al.,
MPG
The MPG peptide is a rationally designed 27 amino acid residue containing peptide vector (Ac- GALFLGFLGAAGSTMGAWSQPKKKRKV-Cya) with a cysteamide (Cya) group at the C-terminus and an acetyl (Ac) group at the N-terminus to improve its cell permeability and stability (Morris et al.,
In an effort to improve cellular delivery and reduce immunogenic responses associated with nucleic acid delivery, MPG-8, was designed and developed as a shorter variant of the parent MPG peptide (Crombez et al.,
Poly(lysine)
The poly(lysine) peptides are a class of cell penetrating peptides that have shown the capabilities to penetrate mammalian and bacterial cell types. This class of hydrophilic, polycationic homopeptide has similar properties to the poly(arginine) peptides with subtle changes in ionic and secondary structure compositions as well as its ability to condense polyanionic genetic material such as DNA and RNA for cell delivery. More specifically, poly(lysine) in comparison to poly(arginine) peptides demonstrated strong anti-cooperative binding and a 2-fold increase in dissociation constant (Kd values) with lipid bilayer mixtures consisting of phosphatidylglycerol and phosphatidylcholine according to fluorescence binding and molecular dynamic simulation studies (Robison et al.,
In order to improve their cell uptake, backbone modified poly(lysine) peptides substituting L-Lys for D-Lys residues have been generated synthetically, by Fmoc-based SPPS and demonstrated stable structures that were amenable to cellular translocation for gene delivery applications. For example, poly(D-lysine) has been used in nanomaterials composed of functionalized nanodiamonds with the ability to bind and condense therapeutic oligonucleotides consisting of unmethylated cytosine-phosphate-guanosine (CpG) that are commonly used as immune modulators against a variety of diseases, including cancer immunotherapy (Zhang et al., 2016). The poly(D-lysine) coated nanodiamonds effectively condensed CpG sequences into clusters of about 338 nm and with positive zeta potentials of 40 eV according to DLS studies. The cyanine dye Cy3-labeled nanoparticles were subjected to cell-based studies by confocal fluorescence microscopy, which demonstrated effective cell uptake via endosomes which were eventually co-localized with lysosomes following cytosol trafficking. Interestingly, fluorescence signaling from the nanoparticles was detected following 72 h incubation, with much slower clearance when compared to the uncoated nanodiamonds. Thus, poly(D-lysine) served to extend the intracellular resident time of the CpG sequences, thereby potentially increasing their duration of action. ELISA revealed the immunostimulatory activities of the functionalized nanodiamonds by the detection of tumor necrosis factor alpha (TNF-α), and interleukin-6 (IL-6), which were secreted to a greater extent and over an extended time period (72 h) when compared to the control CpG oligonucleotide alone. The in vivo immunostimulatory responses of the nanoparticles were also validated by the observed secretion of IL-6 and IL-12, even after 48 h treatment administration. The immunostimulatory effects led to significant tumor regression in B16-F0 melanoma (73%) and 4T1 breast (28%) tumor-bearing mice xenograft models. Comparatively, the CpG oligonucleotide treatment alone did not exhibit tumor reduction, presumably due to their poor metabolic stability and tumor uptake capabilities (Hanagata,
The hyperbranch or dendritic peptides encompass another related class of modified poly(lysine) motifs. They are built from either Fmoc or Boc-SPPS, respectively, using Fmoc-Lys(Fmoc)-OH and HATU/DIPEA or Boc-Lys(Boc)-OH and HBTU/HOBt/DIEA in DMF as the requisite coupling conditions for the divergent growth of poly(lysine) dendrons from each lysine branch point position (Al-Jamal et al.,
Poly(lysine) dendigrafts have been effectively used to deliver siRNA and plasmid DNA in vitro and in vivo (Janiszewska et al.,
Selected Examples of Polyamide Backbone Modified Cell Targeting Peptides
RGD
The RGD (Arg-Gly-Asp) peptide initially discovered in the early 1970s as a minimal binding motif for fibronectin (Ruoslahti and Pierschbacher,
Despite its promising utility, the RGD peptide exhibits modest binding affinity and poor selectivity for the αvβ3 integrin receptors, thereby reducing its clinical potential. Attempts to improve its receptor binding affinity and specificity were initially based on structure-activity relationship studies using NMR, molecular docking and X-ray crystallography of RGD analogs and their binding interactions at with the αvβ3 integrin receptor (Auzzas et al.,
The incorporation of rigid, privileged structural modifications has also been incorporated within the polyamide backbone of the RGD peptide to improve αvβ3 receptor binding affinity and specificity. For example, the N-Me Val analog of cRGDfV, c(RGDf(NMe)V), also known as EMD121974 (Cilengitide) displayed potent and selective inhibition of the αvβ3 integrin receptor, in part due to its preorganized 3D conformation observed in solution (Dechantsreiter et al.,
Pep42
The selection of Pep42, a disulfide-linked 13 amino acid containing peptide, CTVALPGGYVRVC, was derived from the whole cell panning of melanoma cancer cells which led to the phage display selection of the lead cell targeting peptide (Kim et al.,
In order to improve the cancer-cell targeted delivery of toxic agents to cell surface GRP78 cancer cells, modified Pep42 derivatives have been designed and developed. For example, a pro-drug variant of Pep42, containing the valine-citrulline-p-aminobenzylalcohol (Val-Cit-PABOH) spacer which is rapidly cleaved by cathepsin B, was used to conjugate Taxol or Dox for controlled drug delivery within SJSA-1 osteosarcoma cells. The Pep42-drug conjugates displayed enhanced cytotoxicity within the SJSA-1 cells when compared to drug treatment alone (Yoneda et al., 2008). In a related application, a series of poly(D-arginine) sequences were added to the Pep42 sequence in order to improve its cell uptake and toxicity in HepG2 liver cancer cells. The FITC-labeled Pep42-poly(D-arginine) peptides displayed greater cell uptake compared to Pep42 and with greater efficiency with increasing poly(arginine) sequence. However, the poly(arginine) derived Pep42 peptides did not exhibit any significant cytotoxicity within the HepG2 cells (Joseph et al.,
SP5-52
The peptide SP5-52 (SVSVGMKPSPRP) was selected from an in vivo phage display targeting the tumor neovasculature but not normal blood vessels in severe combined immunodeficiency mice bearing human tumors (Lee et al.,
The retro-inverso D-peptide (prpspkmgvsvs) (D-SP5) is an analog of the parental peptide, SP5-52, which was used as a targeting ligand for gastric adenocarcinoma (SGC7901) cells (Li et al.,
Conclusions and Future Outlook
Cell penetrating/targeting peptides have been applied in the delivery of various cargos to malignant cell types, such as cancer, due to their capabilities of binding to cell surface markers and penetrating the cell membrane for intracellular activity. As such, CPPs and CTPs are promising tools for delivery of diagnostic as well as therapeutic agents inside cancer cells. However, their poor biochemical and pharmacological properties limit their therapeutic potential. Modified CPPs and CTPs have been designed and developed in order to improve their pre-clinical utility. Polyamide backbone modifications are among the most common types and have served to enhance the biological and biochemical characteristics of CPPs and CTPs in cancer cell lines, tissues and within tumor bearing xenograft models. Although promising results have been reported in pre-clinical in vitro and in vivo studies, no CPP or CTP analog has received FDA approval for clinical use. Therefore, additional studies are required to address their shortcomings in order to usher into the clinic a new wave of cell penetrating and targeting peptides for cancer diagnosis and therapy. This includes the continued development of medicinal chemistry programs for the discovery of new and improved peptidomimetics with advanced properties that addresses their clinical requirements. These include peptide modifications that: (i) improves plasma half-life stability, (ii) mediate high affinity and selective binding to onco-receptor targets, (iii) facilitates efficient cell permeability and endosomal escape within the tumor, and (iv) prolonged duration of action at the localized tumor site vs. minimizing host toxicity effects. In addition to peptide modifications, new carriers, additives and conjugates have been recently reported and are among the most promising precision nanomedicines available in pre-clinical and clinical studies. These are most often related to the development of translational conjugation or formulation techniques. For example, cancer-targeting peptides have been modified with synthetic linkers or spacers to facilitate bio-orthogonal conjugation of detection probes and anti-cancer agents such as siRNA that have led to cancer-targeted gene therapy in vitro and in vivo (Vrettos et al., 2018). Similarly, formulation strategies have been used for making peptide-based nanoparticles for the encapsulation and release of fluorescent probes and biologics directly within tumors for theranostic applications (Yoo et al., 2019). Thus, cell penetrating and targeting peptides remain at the forefront of current and future applications in cancer diagnosis and therapy.
Statements
Author contributions
SS, NC, GA, and DS contributed equally to this work by writing and revising the manuscript.
Acknowledgments
The authors would like to thank the Department of Chemistry and Biochemistry at Seton Hall University for continued support and financial support from the Seton Hall University Research Council award.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The handling editor declared a past supervisory role with one of the authors DS.
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Summary
Keywords
cell penetrating peptides, cancer targeting peptides, polyamide backbone modified peptides, peptidomimetics, cancer detection, cancer treatment, cancer theranostics
Citation
Shah SS, Casanova N, Antuono G and Sabatino D (2020) Polyamide Backbone Modified Cell Targeting and Penetrating Peptides in Cancer Detection and Treatment. Front. Chem. 8:218. doi: 10.3389/fchem.2020.00218
Received
11 January 2020
Accepted
09 March 2020
Published
31 March 2020
Volume
8 - 2020
Edited by
William D. Lubell, Université de Montréal, Canada
Reviewed by
Steven Ballet, Vrije University Brussel, Belgium; Giovanni Signore, Fondazione Pisana per la Scienza Onlus, Italy
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© 2020 Shah, Casanova, Antuono and Sabatino.
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*Correspondence: David Sabatino david.sabatino@shu.edu
This article was submitted to Chemical Biology, a section of the journal Frontiers in Chemistry
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