The Key Laboratory of Model Animal and Stem Cell Biology in Hunan Province, Hunan Normal University, Changsha, Hunan, China.
School of Medicine, Hunan Normal University, Changsha, Hunan, China.
Clin Transl Med. 2022 May;12(5):e822. doi: 10.1002/ctm2.822.
Due to the complex physiological structure, microenvironment and multiple physiological barriers, traditional anti-cancer drugs are severely restricted from reaching the tumour site. Cell-penetrating peptides (CPPs) are typically made up of 5-30 amino acids, and can be utilised as molecular transporters to facilitate the passage of therapeutic drugs across physiological barriers. Up to now, CPPs have widely been used in many anti-cancer treatment strategies, serving as an excellent potential choice for oncology treatment. However, their drawbacks, such as the lack of cell specificity, short duration of action, poor stability in vivo, compatibility problems (i.e. immunogenicity), poor therapeutic efficacy and formation of unwanted metabolites, have limited their further application in cancer treatment. The cellular uptake mechanisms of CPPs involve mainly endocytosis and direct penetration, but still remain highly controversial in academia. The CPPs-based drug delivery strategy could be improved by clever design or chemical modifications to develop the next-generation CPPs with enhanced cell penetration capability, stability and selectivity. In addition, some recent advances in targeted cell penetration that involve CPPs provide some new ideas to optimise CPPs.
由于复杂的生理结构、微环境和多种生理屏障,传统的抗癌药物严重限制了其到达肿瘤部位。细胞穿透肽(CPPs)通常由 5-30 个氨基酸组成,可用作分子转运体,促进治疗药物穿过生理屏障。到目前为止,CPPs 已广泛应用于许多抗癌治疗策略中,是一种极具潜力的肿瘤治疗选择。然而,它们的缺点,如缺乏细胞特异性、作用时间短、体内稳定性差、相容性问题(即免疫原性)、疗效差和形成不需要的代谢物,限制了它们在癌症治疗中的进一步应用。CPPs 的细胞摄取机制主要涉及内吞作用和直接穿透,但在学术界仍存在很大争议。通过巧妙的设计或化学修饰,可以改进 CPP 为基础的药物输送策略,开发具有增强细胞穿透能力、稳定性和选择性的新一代 CPPs。此外,一些涉及 CPPs 的靶向细胞穿透的最新进展为优化 CPPs 提供了一些新思路。