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the peptides through acetylation and amidation, respectively, and/or the replacement of am<strong>in</strong>o acids with unnatural am<strong>in</strong>o acids or<br />

D-am<strong>in</strong>o acids, or peptide bond modification us<strong>in</strong>g beta-am<strong>in</strong>oacids) [124-129], peptide resistance to proteases have been successfully<br />

eng<strong>in</strong>eered us<strong>in</strong>g recent technology such as Phage display by generat<strong>in</strong>g synthetic peptides with little sequence homology to the parent<br />

prote<strong>in</strong> however, reta<strong>in</strong><strong>in</strong>g the same biological activity [130], or other <strong>in</strong> vitro library selection system like CIS display [131-133]. For<br />

example, Hematide, an erythropoiesis stimulat<strong>in</strong>g agent, was developed based on this approach and was found to be non-immunogenic<br />

as well as stable <strong>in</strong> serum [134]. Various attempts have been made to improve <strong>in</strong>tracellular stability of the peptide, based on constra<strong>in</strong><strong>in</strong>g<br />

peptide structures [135,136]. For <strong>in</strong>stance, attach<strong>in</strong>g short dimeriz<strong>in</strong>g peptides to carboxyl and am<strong>in</strong>o end of 18-mer peptides resulted<br />

<strong>in</strong>to a stable conformation of monomeric tertiary structures [137,138]. Cyclic peptides have been rationally synthesized that have been<br />

found to possess not only <strong>in</strong> vitro and/or <strong>in</strong> vivo stability profiles but also high selectivity profile for bacterial rather than mammalian cell<br />

membranes [139-140]. Furthermore, <strong>in</strong>corporat<strong>in</strong>g peptides with<strong>in</strong> the scaffold of a larger prote<strong>in</strong> such as thioredox<strong>in</strong> [141] has been<br />

employed as an alternative way to stabilize it. Some attempts have also been made to <strong>in</strong>crease the clearance rate of peptide therapeutic<br />

agents by us<strong>in</strong>g glycosylation strategy. It can be achieved dur<strong>in</strong>g chemical synthesis process by us<strong>in</strong>g glycosylated am<strong>in</strong>o acids to produce<br />

glycopeptides or by conjugation of a carbohydrate unit to the full-length peptide [142].<br />

Other approaches <strong>in</strong>volv<strong>in</strong>g receptor-specific drug delivery carriers and nanoparticles as a carrier conjugated with peptides have<br />

been employed <strong>in</strong> order to improve the pharmacok<strong>in</strong>etics of the peptide based drugs and its assimilation <strong>in</strong> <strong>in</strong>test<strong>in</strong>e [143-145]. This<br />

strategy could significantly help <strong>in</strong> overcom<strong>in</strong>g the most difficult challenge associated with delivery of peptide drugs through oral route.<br />

Development of a new family of cell-penetrat<strong>in</strong>g peptides (CPPs) such as penetrat<strong>in</strong>, M918, TP10 etc. exhibit<strong>in</strong>g high efficacy and good<br />

<strong>in</strong>ternalization capacity has more or less solved the problem of poor oral bioavailability of the peptides by mak<strong>in</strong>g it possible to deliver<br />

it through cell membrane with less damage [146-149]. New generation approaches <strong>in</strong> receptor-targeted therapeutics together with<br />

receptor-specific drug delivery carriers will further help <strong>in</strong> <strong>in</strong>creas<strong>in</strong>g the <strong>in</strong>ternalization of peptide based drugs, their selectivity to target<br />

cells, as well as their efficacy thus, reduc<strong>in</strong>g the toxic side effects and multi-drug resistance [150-153]. The <strong>in</strong>troduction of smart l<strong>in</strong>kers<br />

that demonstrate stability towards blood plasma but <strong>in</strong>tracellular lability will lead to target-specific activity, which might successfully<br />

decrease side effects.<br />

Recent progresses <strong>in</strong> manufactur<strong>in</strong>g stream such as improved synthesizer, economical synthetic and purify<strong>in</strong>g approaches and<br />

effective formulation methods, will certa<strong>in</strong>ly help <strong>in</strong> reduc<strong>in</strong>g the manufactur<strong>in</strong>g cost by improv<strong>in</strong>g the scales of production [154].<br />

However, the process development rema<strong>in</strong>s an important factor to be considered for costs and time efficient peptide drug development.<br />

With the gradual development <strong>in</strong> stabilization techniques aimed at improv<strong>in</strong>g the pharmacok<strong>in</strong>etic properties of peptides, and cont<strong>in</strong>uous<br />

<strong>advances</strong> <strong>in</strong> manufactur<strong>in</strong>g, delivery and formulation technologies, peptide-based drugs has matured a lot over the last decade and offer<br />

significant therapeutic potential now and <strong>in</strong> future.<br />

References<br />

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OMICS Group eBooks<br />

011

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