Targeting Cancer With Bifunctional Peptides: Mechanism of Cell Entry and Inciting Cell Death

Maria F Setiawan1, Oliver Rudan1, Ingo G H Schmidt-Wolf1

  • 1Department for Integrated Oncology, University Hospital of Bonn, Bonn, Germany.

Cancer Science
|March 26, 2025
PubMed

Insights

Modified antimicrobial peptides, TP- and TP2-D-Tox, show potent anti-tumor effects against renal and breast cancers. These peptides induce cell death independently of caspases, offering a novel therapeutic strategy for resistant cancers.

Area of Science:

  • Biochemistry
  • Molecular Biology
  • Oncology

Background:

  • Antimicrobial peptides (AMPs) are explored for non-antimicrobial applications, including cancer therapy.
  • Modifying AMPs enhances targeting specificity and efficacy against cancer cells.
  • Previous work showed TP-Tox inhibits tumor growth and improves survival in mouse models.

Purpose of the Study:

  • To evaluate the anti-tumor activity of TP2-D-Tox, a derivative of TP-D-Tox, against renal (Caki-2) and breast (SK-BR-3) carcinoma cells.
  • To elucidate the mechanism of action, including cellular uptake and cell death pathways induced by TP- and TP2-D-Tox.
  • To assess the potential of these peptides as a therapeutic strategy for overcoming caspase-dependent apoptosis resistance in cancer.

Main Methods:

  • Cellular uptake studies using clathrin-mediated endocytosis.
  • Investigation of intracellular signaling pathways, including mitochondrial effects and reactive oxygen species generation.
  • Analysis of cell death mechanisms, focusing on MLKL oligomerization and caspase activation.

Main Results:

  • TP2-D-Tox exhibited superior anti-tumor activity against Caki-2 and SK-BR-3 cells compared to TP-D-Tox.
  • Peptide uptake occurred via clathrin-mediated endocytosis, facilitated by binding to non-muscle myosin IIa and S100A9.
  • HSPB1 protected TP2-D-Tox from proteolytic inactivation.
  • Intracellular peptide presence triggered mitochondrial dysfunction, ROS generation, and MLKL oligomerization.
  • TP- and TP2-D-Tox induced caspase-independent cell death in cancer cells.

Conclusions:

  • TP- and TP2-D-Tox demonstrate significant anti-tumor efficacy against renal and breast carcinomas.
  • These peptides induce a unique, regulated form of cell death that bypasses caspase activation.
  • The findings suggest TP- and TP2-D-Tox are promising candidates for cancer therapy, particularly for overcoming apoptosis resistance.

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