An be helpful for detection of EphB4expressing tumors whereas optical imaging, which has higher resolution but low tissue penetration depth, is superior for highlighting tumor margins during surgical resection therefore potentially improving patient progression-free survival [20]. Eph receptor-binding peptide conjugates for targeted therapies Given that chemotherapeutic drugs generally have high systemic toxicity, it is desirable to boost their selective delivery to tumors. This could decrease the drug exposure of regular cells, hence limiting adverse unwanted effects, and allow achievement of higher drug doses at the tumor website [45, 91]. One method to reach tumor selective delivery of chemotherapeutic drugs is their conjugation to peptides MAO-A Inhibitor Source targeting cell surface receptors that are extremely expressed in tumors [17, 91], for example EphA2 and EphB4. In addition, the EphA2-targeting YSA and SWL peptides and their derivatives are agonists that cause EphA2 activation also as in endocytosis, and consequently promote not only delivery to tumors but additionally transport of conjugated agents to intracellular compartments [24, 51, 53, 107]. Interestingly, several mechanisms of YSA peptide-triggered EphA2 endocytosis have already been described, which includes macropinocytosis [107]. This procedure, involving to the formation of massive endocytic vesicles carrying extracellular fluids and macromolecules, represents a potentially potent mechanism for the uptake of drugs even if they’re not physically linked towards the targeting peptide [108]. Internalized EphA2 has been detected in lysosomes, implying that agents conjugated to EphA2 peptide agonists might be released following lysosomal degradation from the peptide, representing a potentially elegant and effective drug delivery program [51, 53]. Hence, new classes of therapeutic peptide conjugates may very well be developed to exploit EphA2 receptor activation and internalization for drug delivery into cancer cells. Accordingly, anti-tumor activities have already been reported for the EphA2-targeting YSA peptide and its derivatives YNH and dYNH conjugated to paclitaxel via a triazole ester linker [51, 53] (Table 1) or maybe a much more steady linker [54]. These peptides have been shown to enhance the anti-tumor effects of the chemotherapeutic drug paclitaxel inside a PC3 prostate cancer mouse xenograft model and to reduce vascularization within a mouse syngeneic renal cancer model with no overt indicators of toxicity [51, 53, 54]. These effects may perhaps outcome from aAuthor Manuscript Author Manuscript Author Manuscript Author ManuscriptCurr Drug Targets. Author manuscript; available in PMC 2016 Could 09.Riedl and PasqualePagecombination of targeted paclitaxel delivery to tumors and vascular cells (as MMP-14 Inhibitor list suggested by comparison using a scrambled peptide) and an enhanced solubility of paclitaxel conjugated for the peptides [54, 92, 93]. Importantly, this improved solubility could avoid the complicated formulations and extended infusion occasions necessary for patients treated with unconjugated paclitaxel. Additionally, white blood cell counts remained in the typical variety in mice treated with YSA conjugated to paclitaxel in comparison with the reduce counts in mice treated with an equivalent dose of unconjugated paclitaxel, suggesting that attachment towards the YSA peptide can decrease the systemic toxicity of paclitaxel [54]. The YSA peptide has also been utilized in other targeted delivery systems being created for cancer therapy. For example, YSAcoated PEGylated lipid nanoparticles loaded having a mixture of docetaxel (.