Pediatric Translational Research Unit, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
Division of Hematology and Oncology, Department of Pediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
Int J Oncol. 2020 Sep;57(3):678-696. doi: 10.3892/ijo.2020.5099. Epub 2020 Jul 10.
Cancer is currently ineffectively treated using therapeutic drugs, and is also able to resist drug action, resulting in increased side effects following drug treatment. A novel therapeutic strategy against cancer cells is the use of anticancer peptides (ACPs). The physicochemical properties, amino acid composition and the addition of chemical groups on the ACP sequence influences their conformation, net charge and orientation of the secondary structure, leading to an effect on targeting specificity and ACP‑cell interaction, as well as peptide penetrating capability, stability and efficacy. ACPs have been developed from both naturally occurring and modified peptides by substituting neutral or anionic amino acid residues with cationic amino acid residues, or by adding a chemical group. The modified peptides lead to an increase in the effectiveness of cancer therapy. Due to this effectiveness, ACPs have recently been improved to form drugs and vaccines, which have sequentially been evaluated in various phases of clinical trials. The development of the ACPs remains focused on generating newly modified ACPs for clinical application in order to decrease the incidence of new cancer cases and decrease the mortality rate. The present review could further facilitate the design of ACPs and increase efficacious ACP therapy in the near future.
癌症目前的治疗方法是使用治疗药物,但癌症也能够抵抗药物作用,导致药物治疗后副作用增加。针对癌细胞的一种新的治疗策略是使用抗癌肽 (ACPs)。ACPs 的理化性质、氨基酸组成以及在 ACP 序列上添加化学基团会影响其构象、净电荷和二级结构的方向,从而影响靶向特异性和 ACP-细胞相互作用以及肽穿透能力、稳定性和功效。ACPs 可以从天然存在的肽和修饰肽中开发出来,方法是用阳离子氨基酸残基替代中性或阴离子氨基酸残基,或者添加一个化学基团。修饰后的肽可提高癌症治疗的效果。由于这种有效性,ACPs 最近已被改进为形成药物和疫苗,并已在临床试验的各个阶段进行了评估。ACPs 的开发仍然集中在生成新的修饰 ACP,以便于在临床上应用,从而降低新癌症病例的发病率和死亡率。本综述可以进一步促进 ACP 的设计,并在不久的将来提高有效的 ACP 治疗效果。