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Updated: May 10, 2026

Transfer of Manipulated Tumor-associated Neutrophils into Tumor-Bearing Mice to Study their Angiogenic Potential In Vivo
Published on: July 20, 2019
Peptide-mediated targeting of cytokines to tumor vasculature: the NGR-hTNF example
Angelo Corti1, Flavio Curnis, Gilda Rossoni
1Tumor Biology and Vascular Targeting Unit, Division of Molecular Oncology, San Raffaele Scientific Institute, via Olgettina 58, 20132, Milan, Italy, corti.angelo@hsr.it.
Abstract:
A growing body of evidence suggests that the efficacy of cytokines in cancer therapy can be increased by targeting strategies based on conjugation with ligands that recognize receptors expressed by tumor cells or elements of the tumor microenvironment, including the tumor vasculature. The targeting approach is generally conceived to permit administration of low, yet pharmacologically active, doses of drugs, thereby avoiding toxic reactions. However, it is becoming clear that, in the case of cytokines, this strategy has another inherent advantage, i.e. the possibility of administering extremely low doses that do not activate systemic counter-regulatory mechanisms, which may limit their potential therapeutic effects. This review is focused on the use of tumor vasculature-homing peptides as vehicles for targeted delivery of cytokines to tumor blood vessel. In particular, we provide an overview of peptide-cytokine conjugates made with peptides containing the NGR, RGD, isoDGR or RGR sequences and describe, in more details, the biological and pharmacological properties of NGR-hTNF, a peptide-tumor necrosis factor-α conjugate that is currently being tested in phase II and III clinical studies. The results of preclinical and clinical studies performed with these products suggest that peptide-mediated vascular-targeting is indeed a viable strategy for delivering bioactive amounts of cytokines to tumor endothelial cells without causing the activation of counter-regulatory mechanisms and toxic reactions.
Insights
Targeting tumor vasculature with peptide-cytokine conjugates enhances cancer therapy. This approach allows low, effective doses of cytokines (like tumor necrosis factor-α) without triggering adverse systemic responses.
Area of Science:
- Oncology
- Biotechnology
- Molecular Biology
Background:
- Cytokine therapy efficacy in cancer is limited by systemic toxicity and counter-regulatory mechanisms.
- Targeting strategies aim to deliver therapeutic agents specifically to tumor cells or the tumor microenvironment.
- Tumor vasculature presents a unique target for drug delivery, distinct from tumor cells themselves.
Purpose of the Study:
- To review the use of tumor vasculature-homing peptides for targeted delivery of cytokines in cancer therapy.
- To explore peptide-cytokine conjugates utilizing NGR, RGD, isoDGR, or RGR peptide sequences.
- To detail the properties of NGR-human tumor necrosis factor-α (NGR-hTNF) conjugates in clinical development.
Main Methods:
- Conjugation of cytokines with tumor vasculature-homing peptides.
- Evaluation of peptide-cytokine conjugates in preclinical cancer models.
- Analysis of clinical trial data for NGR-hTNF conjugates in phase II and III studies.
Main Results:
- Peptide-mediated vascular-targeting enables delivery of bioactive cytokines to tumor endothelial cells.
- Targeted delivery allows for administration of extremely low cytokine doses, avoiding systemic toxicity.
- NGR-hTNF conjugates have shown promise in preclinical and clinical studies, demonstrating efficacy without significant adverse effects.
Conclusions:
- Peptide-cytokine conjugates targeting tumor vasculature represent a viable strategy for cancer treatment.
- This approach effectively delivers therapeutic cytokines while mitigating systemic counter-regulatory responses and toxicity.
- Further clinical development of agents like NGR-hTNF is warranted for improved cancer therapy.
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