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38 Cell-Penetrating Peptides: Processes and Applications<br />

of two inhibitory PNAs on the catalytic activity of human telomerase. Telomerase<br />

function in normal cells is to maintain chromosome integrity, but several reports<br />

raise the question of telomerase implication in cell immortality and cancer. From a<br />

therapeutic point of view, it is of interest to block telomerase activity in transformed<br />

cells. To add telomeric repeats to the end of chromosomes, telomerase copies a small<br />

RNA sequence complementary to DNA. The strategy used here was to internalize<br />

two PNAs, an 11mer and a 13mer designed to cover the 5′-proximal region of the<br />

RNA and thus to inhibit human telomerase activity. The 13mer PNA coupled to<br />

penetratin through a disulfide-bound down-regulated telomerase activity in intact<br />

live cells, but the doubling time of the treated cells was only slightly decreased and<br />

telomeres were not shortened. 65<br />

A more successful use of PNAs linked to penetratin-1 was the antagonizing of<br />

the biological activity of galanin, a peptide neuromediator involved in pain transduction<br />

(see the section devoted to in vivo use of penetratin-derived peptides).<br />

2.4.3.3 Delivery of Entire Proteins<br />

AntpHD and penetratin are able to deliver large molecular weight protein into live<br />

cells. Among them are homeoproteins like Engrailed, HoxA-5, HoxB-4, HoxC-8,<br />

Pax 6, HoxC-4, Emx2, and Otx2 68-70 (unpublished results).<br />

A good example of the successful delivery of entire proteins fused to penetratin-1<br />

is the study of the replicative senescence phenomenon. Genetically programmed<br />

senescence is induced when cells approach their limit of population doubling. Interestingly,<br />

p16 INK4b RNA and protein levels rise as cells enter senescence, but there<br />

was no evidence that p16 accumulation drives senescence. Using penetratin-1 to<br />

internalize p16 INK4b into human diploid fibroblasts, Kato et al. have shown that<br />

p16 INK4b , but not a functionally compromised variant, provokes G1 arrest. 71 This<br />

arrest is certainly due to inhibition of pRb phosphorylation and the arrested cells<br />

display a senescent phenotype, strongly suggesting that p16 INK4b is implicated in<br />

replicative senescence.<br />

2.4.3.4 Chemical Drug Delivery<br />

Doxorubicin, an anthracyclin, is a commonly used anticancer drug. Anthracyclins<br />

are among the most active antitumor compounds. Not only do they, as intercalating<br />

agents, induce DNA damage but they also bind cell surface acidic phospholipids,<br />

like cardiolipids, and induce necrosis and apoptosis via the sphingomyelin–ceramide<br />

pathway. However, anthracyclin treatments often lead to multidrug-resistant tumors<br />

through an enhanced ex<strong>press</strong>ion of a multidrug-resistance gene (mdr). This gene<br />

encodes a 170-kD protein called the P-glycoprotein (Pgp) that actively transports<br />

several cytotoxic agents out of the cells. 72<br />

To overcome this problem, Mazel et al. have covalently linked doxorubicin to<br />

the penetratin N terminus and tested this conjugate in human erythroleukemia K562<br />

cells. 73 Doxo-penetratin was about 20-fold more effective than doxorubicin alone to<br />

kill K562 doxorubicin-resistant cells. This suggests that the mode of internalization<br />

of penetratin, very likely through inverted micelles, allows the conjugate to escape<br />

Pgp activity.

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