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Somatostatin receptor 2 targeting peptide modifications for peptide-drug conjugate treatment of small cell lung cancer

Qing Bo1,2, Meng-ge Zhang1,2,3, Fan Yang1,3, Yong Zheng1,3, Ze-lin Li1,3, Yan-min Zheng4, Fang-ming Wu4, Jun Liang1,3, Li Zhou1,3, Dong-sheng Li4, Yun Wu4, Chang-lin Tian1,2,3,4,5, Pei Lv1,2,3, Pan Shi1,3
1 Department of Chemistry and the First Affiliated Hospital of USTC,School of Life Sciences and School of Biomedical Engineering, Division of Life Sciences and Medicine, Joint Center for Biological Analytical Chemistry, Anhui Laboratory of Advanced Photonic Science and Technology, University of Science and Technology of China, Hefei 230026, China
2 Suzhou Institute for Advanced Research, University of Science and Technology of China, Suzhou 215123, China
3 Anhui Engineering Laboratory of Peptide Drug, University of Science and Technology of China, Hefei 230026, China
4 Anhui Provincial Key Laboratory of High Magnetic Resonance Image, High Magnetic Field Laboratory, Hefei Institutes of Physical Science, Chinese Academy of Sciences, Anhui 230030, China
5 School of Chemistry and Chemical Engineering, Zhangjiang Institute for Advanced Studies, Shanghai Jiao Tong University, Shanghai 201203, China
Correspondence to: Chang-lin Tian: cltian@ustc.edu.cn, Pei Lv: lvpei@mail.ustc.edu.cn, Pan Shi: shipan@ustc.edu.cn,
DOI: 10.1038/s41401-025-01584-w
Received: 5 March 2025
Accepted: 11 May 2025
Advance online: 18 June 2025

Abstract

Peptide-drug conjugate (PDC) represents a special therapeutic strategy to enhance drug delivery by targeting tumor cell receptors while minimizing off-target effects. Comparing the antibody-drug conjugate (ADC), the targeting peptide constitutes the pivotal component of PDC, especially with easy optimization of peptides to promote their in vivo stability, and with the agonist stimulated GPCR internalization to facilitate drug distribution into tumor cell plasma. Herein, we have optimized a highly stable peptide molecule LanTC targeting somatostatin receptor 2 (SSTR2), through amino acid substitution and disulfide bond modification from an FDA proved peptide drug Lanreotide. The LanTC based PDC was constructed through conjugation of the cytotoxic drug emtansine (DM1). The LanTC-DM1 PDC exhibited high stability and high agonist affinity to SSTR2. Subsequent in vitro and in vivo pharmacological data revealed that LanTC-DM1 PDC exhibited antitumor activity in small cell lung cancers (SCLC) which was known to have over-expressing SSTR2. The LanTC-DM1 PDC with specific targeting and antitumor activity provides a solid basis not only for advancing SSTR2-targeted PDCs as a promising therapy for SCLC, but also for other PDC developments targeting GPCRs in plasma membrane of tumor cells.
Keywords: peptide modification; Somatostatin Receptor 2; Peptide-Drug Conjugate (PDC); small cell lung cancer; anti-tumor efficacy; Cryo-EM

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