Therapeutic Peptides in Action: A Comprehensive
Review of Delivery Technologies and Biomedical Applications along with Future
Perspectives
Dr. M. Sunitha Reddy, Dr. K. Anie Vijetha, Vaishnavi Bakka*
Department of Pharmaceutics, Centre for
Pharmaceutical sciences, University college of engineering, science and
technology JNTUH, Kukatpally, Hyderabad, 500085
*Correspondence: vaishnavireddybakka1@gmail.com
DOI: https://doi.org/10.71431/IJRPAS.2025.4910
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Article Information
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Abstract
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Review Article
Received: 26/09/2025
Accepted: 29/09/2025
Published: 30/09/2025
Keywords
Peptide drug conjugates;
cell-penetrating peptides; self-assembling
peptides; nanoparticle functionalization;
drug delivery; targeted therapy.
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Peptides
are short chains of amino acids they possess unique properties such as their
diversity in structure, tunable Hydrophobicity/Hydrophilicity and their
inherent Bio compatibility. Peptide-based
drug delivery systems (PBDDS) have emerged as versatile systems bridging
small molecules and biologics. Over the last decade, innovations in peptide
chemistry, self-assembly, conjugation strategies, and targeting strategies
have transformed peptides from passive excipients used into active delivery
vehicles. This review focuses on peptide drug conjugates (PDCs),
cell-penetrating peptides (CPPs), self-assembled nanostructures, hybrid
nanoparticles and hydrogels. Also gives an insight on transitional challenges
including stability and immunogenicity, including Opportunities in AI-guided
peptide design, oral/transmucosal delivery.
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Fig1: Graphical Abstract
INTRODUCTION
Peptides are short chains of amino acids they possess
unique properties such as structural diversity, tunable hydrophobicity or
hydrophilicity, sequence programmability, and inherent biocompatibility.[1]
Historically they were used primarily as hormones or signalling molecules. Now
peptides serve dual roles as therapeutics themselves and as building blocks or
targeting ligands in drug delivery systems.
When compared to antibodies, peptides are smaller in size, possess lower
immunogenicity, and are simpler, can be synthesized via solid-phase peptide
synthesis (SPPS).[2] Their conformational flexibility allows integration with
small molecules, biologics, and nanomaterials.
However, in early times peptide delivery systems had
limitations such as.[3]
·
Rapid proteolytic
degradation
·
Renal clearance
·
Poor membrane
permeability
Over the last decade, advances in chemistry and
nanotechnology have transformed these liabilities into opportunities.
Strategies like cyclization, D-amino acid substitution, PEGylation, and
lipidation now improve peptide stability. Meanwhile, conjugation to drugs or
nanoparticles enhances pharmacokinetics and tissue targeting.[4]
Emerging modalities like mRNA vaccines, gene editing
tools, and protein therapeutics have further driven the need for sophisticated
delivery systems. [5]
HISTORY
1.Early Peptide Therapeutics
(1920s-1950s)
The earliest use of peptides in medicine goes to the
discovery of insulin in 1921 by Banting and Best, demonstrating the potential
of peptides to revolutionize medicine.[6] Followed by peptide hormones such as
oxytocin and vasopressin were identified and used clinically.[7] However, these
early peptides faced significant delivery challenges like poor oral
bioavailability, short half-life, and susceptibility to enzymatic degradation.
2.Synthetic Breakthroughs and
Chemical Modifications (1960s–1980s)
The invention of solid-phase peptide synthesis (SPPS) by
Merrifield in 1963[8] provided a scalable method for producing peptides. These
advance allowed researchers to explore peptides beyond natural hormones.
Chemical modifications such as PEGylation (polyethylene glycol conjugation)
emerged in the 1970s, significantly extending circulation half-lives of
peptides and proteins. [9]
3.Targeting and Penetrating
Peptides (1980–2000) [10,11]
In the late 20th century, two revolutionary discoveries
redefined peptide use in drug delivery:
• RGD Motifs: Ruoslahti and colleagues identified the
Arg–Gly–Asp (RGD) sequence as a ligand for integrins, enabling cell-specific
targeting of peptides and peptide-functionalized nanoparticles.
• Cell-Penetrating Peptides (CPPs): In the 1980s and 1990s,
the HIV-1 trans-activator of transcription (TAT) protein was shown to cross
membranes, with its basic domain later identified as a transferable
cell-penetrating peptide.
• By the late 1990s, peptides were recognized not only as
therapeutics but as targeting ligands and carriers.
4.Emergence of Peptide-Based
Carriers (2000–2010)
In the early 2000s, peptide self-assembly was harnessed
to create drug delivery vehicles. The RADA16 peptide was among the first
self-assembling peptides to form nanofibers and hydrogels for drug
encapsulation and tissue engineering.[12] During this time, peptide–drug
conjugates (PDCs) were proposed as smaller, more penetrant alternatives to
antibody–drug conjugates (ADCs).[13] Simultaneously, systematic work on CPPs
expanded, leading to mechanistic understanding of endocytosis-mediated uptake
and endosomal escape. [14]
5.Peptides in Integration with
Nanotechnology (2010–2020) [15,16,17]
•
Advances in chemistry
and nanotechnology enabled hybrid systems like lipid, polymeric, or inorganic
nanoparticles decorated with targeting or penetrating peptides
•
Stimuli-responsive
linkers (pH-sensitive, enzyme-cleavable) for controlled drug release in peptide
drug conjugates
•
Multifunctional
self-assembling peptides that respond to tumor microenvironment conditions (low
pH, redox states)
•
Peptide-functionalized
nanoparticles (lipid, polymeric, gold, and quantum dots) for targeted delivery
and theranostics
•
During this period,
peptides also began entering clinical trials as delivery motifs, with oncology
applications at the forefront.
6.Modern Era of Peptides
(2020–2025) [18,19,20,21]
• The last five years have marked a turning
point:
• The approval of melflufen, a peptide drug
conjugate, for multiple myeloma.
• Widespread use of lipid nanoparticles (LNPs)
in mRNA vaccines highlighted peptides’ potential to enhance targeting and
endosomal escape.
• AI-driven peptide design (including
AlphaFold-based structural predictions) enabled rational development of stable,
non-immunogenic, multifunctional peptides.
• Theranostic peptides combining imaging and
therapy advanced toward precision medicine applications.
PEPTIDE–DRUG
CONJUGATES (PDCS) [22]
By covalently linking a therapeutic load to a peptide
carrier, PDCs improve solubility, stability, and tissue targeting. This
approach parallels antibody drug conjugates (ADCs) but offers advantages such
as smaller size for better tumor penetration, tunable pharmacokinetics, and
easier synthesis.
A. Linkers in PDC
In PDCs, linkers are the essential connections between
medications and peptides, greatly affecting the stability and duration of their
circulation in vivo. When a linker reaches the target tissue, it should be able
to release the drug quickly and effectively while remaining stable throughout
circulation to avoid premature release. Additionally, neither the drug's action
nor the peptide's affinity for its receptor should be affected by the linker.
a) Enzyme-sensitive
linkers: In PDCs, enzyme-sensitive linkers are essential because they allow for
targeted drug release in response to particular enzymatic activity. Chemical
bonds or peptide sequences that preferentially break down when enzymes are
present are frequently the basis for these linkers. Since esterases and
amidases are abundant in tumor cell endosomes and lysosomes and aid in drug
release, chemical linkages including ester, amide, and carbamate are frequently
used in PDC designs. Among these, amide and ester linkages are very often used
to create tumour-targeted PDCs. Comparably, carbamate linkers are prized for
their stability and capacity for trace-free hydrolysis, which upon drug release
yields carbon dioxide, amines, and alcohols, guaranteeing effective delivery
free of residual fragments.[23]
b) pH-sensitive
linkers: By taking advantage of the acidic circumstances of the tumor
microenvironment (pH 6.5–6.9) in contrast to the normal blood pH (7.2–7.4),
pH-sensitive linkers allow for precisely targeted medication release at the
tumor location. Because these linkers break down quickly in acidic environments
while remaining stable in circulation, medications are delivered primarily
inside the tumor. Hydrazone bonds are the most researched of the several
pH-sensitive linkers because of their acidity sensitivity and efficiency in establishing
targeted medication administration. [24]
c) Redox-responsive
linkers: In redox-sensitive drug delivery systems, glutathione (GSH), a strong
intracellular reducing agent, is essential. GSH is especially prevalent in
tumor cells because of their hypoxic and aberrant microenvironment, which
increases reductase activity and raises GSH levels. Intracellular
concentrations of GSH are roughly 1000 times higher than extracellular levels.
Because of this particular feature of tumor cells, GSH is an essential catalyst
for the cleavage of particular chemical bonds found in drug conjugates.
Notably, GSH's antioxidant qualities allow it to break down metal-thiol
junctions, thioesters, disulfides, and other linkages, allowing for targeted
medication release.[25]
A. Theranostic
PDCs [26,27]
Theranostics combine therapy and diagnostics in one
construct. Recent examples integrate imaging agents such as near-infrared
fluorophores or radioisotopes into PDCs. An injectable theranostic formulation
for breast cancer was created by Khan et al. employing polyethyleneimine-coated
up conversion nanoparticles (UCNP) electro spun with an EGFR-targeting peptide
and coupled with the anticancer medication DOX. Under 980 nm irradiation, the
UCNP, which measured 26.75 ± 1.54 nm, produced a considerable amount of heat
(~62.7 °C in 5 min) and showed a photothermal conversion efficiency of 68.8%.
The system demonstrated encapsulation efficiency (98.74%) and high drug loading
(54.56%), with pH-responsive drug release in acidic environments. In breast
cancer cell lines, it demonstrated outstanding biocompatibility and antitumor
solid effects. It is thought to produce reactive oxygen species to encourage
apoptosis. This tailored formulation, when combined with photothermal therapy,
provides improved cancer treatment with reduced toxicity.[28]
B. RGD-based
PDCs
RGD conjugates remained popular for tumor targeting. In
2017, Zhang et al. developed a doxorubicin–RGD conjugate showing superior tumor
accumulation and reduced cardiotoxicity compared to free doxorubicin.[29] By
2023, improved multivalent RGD constructs enhanced binding avidity and
facilitated integrin clustering for receptor-mediated endocytosis.[30]
C. Somatostatin
analog PDCs
Somatostatin receptor (SSTR) targeting has seen clinical
traction. A 2020 study by Li et al. used an octreotide camptothecin conjugate,
achieving selective killing of neuroendocrine tumor cells in xenografts.[31] In
2024, an optimized linker improved plasma stability, leading to Phase II
trials. [32]
Pharmacokinetics and
biodistribution
Pharmacokinetics (PK) can be tuned by altering peptide
length, charge, and hydrophobicity. PEGylation prolongs circulation half-life
by reducing renal clearance. [33]
Challenges for PDCs
• Immunogenicity: Repeated dosing may elicit
anti-peptide antibodies [34].
• Scale-up: Solid-phase synthesis of long or
complex peptides can be costly [35].
• Heterogeneous tumor receptor expression:
Tumor heterogeneity may limit efficacy of single-target peptides [36].
CELL-PENETRATING PEPTIDES
(CPPS) [37]
CPPs are short cationic or amphipathic peptides that
traverse biological membranes, enabling the intracellular delivery of diverse
cargos like proteins, nucleic acids, and nanoparticles. Their small size and
relative ease of synthesis make them attractive alternatives to viral vectors
or lipid-based carriers.
Classification:
CPPs are broadly classified as:
i. Cationic
CPPs: Cationic CPPs provide a net positive charge at physiological pH and
exhibit a high affinity for penetrating cells without requiring interaction
with receptors. They are rich in arginine or lysine (e.g., TAT, penetration).
ii. Amphipathic
CPPs: contain hydrophilic and hydrophobic segments, The hydrophilic area can be
inserted into the hydrophobic lipid head groups by the interaction of nonpolar
residues like alanine (A), leucine (L), isoleucine (I), glycine (G), and valine
(V). The majority of CPPs, both synthetic and natural, use polarity differences
to pass through the cell membrane and enter the cell.
iii. Anionic
CPPs: Anionic CPPs with a negative charge are a different type of amphipathic
CPP. Differently from their cationic counterpart, these peptide chains target
and enter the cells.
iv. ADVANCES
IN CPP [38,39]
• Cyclization
and D-amino acid substitution: Enhances protease resistance without sacrificing
activity.
• pH- and
enzyme-responsive CPPs: Trigger cargo release in specific environments (e.g.,
tumor acidic pH).
SELF-ASSEMBLING
PEPTIDE NANOSTRUCTURES
Self-assembling peptides spontaneously organize into nanostructures
such as nanofibers, nanotubes, micelles, or vesicles under physiological
conditions.[39] These nanostructures serve as drug reservoirs, scaffolds for
tissue engineering or carriers for controlled release.
• β-sheet
forming sequences (e.g., RADA16) that form stable nanofibers
• α-helical
or amphiphilic peptides that assemble into micelles or vesicles
• π–π
stacking sequences for enhanced stability and stimuli-responsiveness
a) Stimuli-responsive
self-assembly
Recent research focuses on controlling
assembly/disassembly via pH, temperature, or enzymatic cues
b) Hybrid
self-assembling systems
Combining peptides with polymers or inorganic components
enhances mechanical stability and function.
LIPID-BASED
NANOPARTICLES FUNCTIONALIZED WITH PEPTIDES
Targeted
Lipid Nanoparticles (LNPs)[40]
LNPs encapsulate nucleic acids, hydrophobic drugs, or
proteins in lipid bilayers. Their limitations include poor tissue specificity
and rapid clearance by the reticuloendothelial system (RES). LNPs with peptides
solves these issues.
• RGD-modified
LNPs: Used for tumor angiogenesis targeting via integrin αvβ3 binding,
increasing tumor accumulation in glioblastoma and melanoma models
• Angiopep-2–LNPs:
Engineered to cross the blood-brain barrier (BBB) by binding LRP1 receptors,
enabling delivery of siRNA and doxorubicin to brain tumors
• Hepatocyte-targeting
peptides: Applied in siRNA-based therapies for liver diseases, providing
alternatives to GalNAc conjugation.
POLYMERIC
NANOPARTICLES FUNCTIONALIZED WITH PEPTIDES
PLGA–Peptide
Hybrids [41,42,43]
Poly (lactic-co-glycolic acid) (PLGA) is FDA-approved but
lacks targeting ability. Conjugating PLGA nanoparticles with tumor-homing
peptides significantly improves therapeutic outcomes:
• PLGA–RGD
nanoparticles showed enhanced doxorubicin delivery and reduced cardiotoxicity
• PLGA–NGR
formulations successfully targeted tumor vasculature in colon carcinoma
xenografts
PEG-Peptide
Systems
PEGylation prolongs circulation but reduces cellular
uptake (“PEG dilemma”). Peptides overcome this by restoring receptor-mediated
uptake:
• PEG–RGD
nanoparticles enhanced paclitaxel uptake in ovarian cancer models.
• PEG–CPP
hybrids provided efficient systemic delivery of antisense oligonucleotides.
Stimuli-Responsive
Polymeric Hybrids
Polymeric nanoparticles conjugated with peptides can be
engineered for stimuli-responsive release:
• pH-sensitive
CPP–PLGA hybrids for endosomal escape.
• MMP-cleavable
RGD–polymeric micelles for tumor microenvironment-triggered drug release.
8. INORGANIC
NANOPARTICLES WITH PEPTIDE [44]
a. Gold
Nanoparticles (AuNPs): AuNPs have tunable sizes and surfaces, ideal for
functionalization.
1. CPP–AuNP
conjugates delivered siRNA to hepatocytes with high efficiency.
2. RGD–AuNPs
enabled photothermal therapy by improving selective tumor accumulation.
b. Quantum
Dots (QDs): Functionalized QDs are powerful imaging tools. Peptide decoration
improves biocompatibility and targeting.
c. Magnetic
Nanoparticles (MNPs): Magnetic nanoparticles decorated with peptides are used
for targeted drug delivery and MRI imaging.
9. PEPTIDE
HYDROGELS AND DEPOT SYSTEMS [45,46,47,48,49]
Peptide hydrogels are networks of self-assembled peptides
forming injectable or implantable depots. They mimic extracellular matrices,
offering tunable porosity, biodegradability, and drug release kinetics.
Hydrogels are particularly suitable for:
• Localized
cancer therapy (sustained release near tumor sites).
• Wound
healing and regenerative medicine (biocompatible scaffolds).
• Vaccine
delivery depots (slow release of antigens and adjuvants).
MECHANISMS OF
HYDROGEL FORMATION
Hydrogel formation relies on:
• β-sheet
peptides (e.g., RADA16) forming fibrillar networks.
• Ionic
complementary peptides where alternating charged residues drive assembly.
• Enzyme-triggered
assembly for in situ gelation at target sites.
• pH/temperature
responsive motifs for on-demand gelling.
APPLICATIONS
a) Localized
Chemotherapy Depots
A β-sheet hydrogel loaded with doxorubicin released drug
over 21 days in breast cancer xenografts, reducing systemic toxicity
Injectable peptide–paclitaxel gels provided superior
tumor regression compared to intravenous delivery
b) Combination
Therapies
Hydrogels co-delivering doxorubicin and immune checkpoint
inhibitors enhanced synergistic antitumor responses.
Multifunctional hydrogels integrating photothermal
peptides + chemotherapeutics enabled spatiotemporal therapy.
c) Regenerative
Medicine and Wound Healing
Hydrogels provide scaffolds for tissue repair:
Self-assembling hydrogels seeded with mesenchymal stem
cells accelerated bone regeneration.
Antimicrobial peptide hydrogels prevented infection in
burn wounds.
d) Vaccines
and Immunotherapy
Peptide hydrogels serve as depots for antigen/adjuvant
co-delivery:
A 2020 hydrogel releasing peptide antigens + CpG adjuvant
enhanced dendritic cell maturation.
Hydrogel-based SARS-CoV-2 subunit vaccines induced strong
mucosal and systemic immunity in mice.
Combination hydrogel systems with cancer antigens
achieved long-lasting T-cell memory.
PROTEOLYTIC
STABILITY AND PHARMACOKINETICS [50,51]
One of the most persistent challenges for peptide-based
delivery systems is instability in vivo. Peptides are readily degraded by
proteases in plasma and tissues. Half-lives for unmodified peptides can be as
short as minutes. Strategies to address this include:
• D-amino
acid incorporation: Replacing L-residues with D-residues resists proteolytic
cleavage while maintaining activity.
• Cyclization:
Head-to-tail or side-chain cyclization reduces conformational flexibility and
enhances resistance.
• PEGylation:
Polyethylene glycol chains shield peptides, reducing protease access and renal
clearance.
• Albumin-binding
motifs: Extending circulation by reversible albumin binding, as seen in GLP-1
analogs for diabetes.
Pharmacokinetic (PK) studies confirm that PEGylated and
lipidated peptide conjugates show half-lives extended 5–10 fold compared with
unconjugated peptides. However, balancing stability with receptor affinity
remains a design challenge: over-modification may reduce bioactivity.
IMMUNOGENICITY AND
SAFETY CONCERNS [52,53]
Peptides are generally less immunogenic than proteins,
but modifications (unnatural amino acids, nanoparticle conjugation) may trigger
immune recognition.
• Repeated
dosing: Chronic administration of peptide–drug conjugates can lead to
neutralizing antibodies, reducing therapeutic efficacy.
• Hydrogels:
Peptide-based hydrogels may elicit local inflammatory responses depending on
sequence and degradation products.
Mitigation strategies include rational sequence design
(avoiding T-cell epitopes), using immune-tolerant linkers, and applying
immunomodulatory coatings.
FUTURE PERSPECTIVES
a. Artificial
Intelligence and Computational Design [54,20]
The last decade has seen dramatic advances in AI for
peptide discovery.
• Machine
learning models predict protease resistance, solubility, and receptor binding.
• AlphaFold2-like
tools accelerate secondary structure prediction, supporting rational design of
self-assembling peptides.
• De novo
sequence generation: Generative AI models propose optimized peptide libraries
for high-throughput screening.
b. Theranostic and
Multifunctional Platforms
Future systems will integrate therapy + imaging +
targeting into a single construct.
C. Oral and
Transmucosal Delivery [55,56,57,58]
Despite decades of effort, oral peptide delivery remains
challenging due to enzymatic degradation and poor permeability.
• Mucoadhesive
peptide carriers: Increase residence time at intestinal epithelium
• Permeation
enhancers: CPP-like peptides co-formulated with drugs increase epithelial
transport
• Microbiome-assisted
delivery: Leveraging gut bacteria to produce therapeutic peptides in situ
• Device-assisted
oral systems: Microneedle capsules delivering peptides directly into intestinal
walls.
CONCLUSION
Peptide-based drug delivery systems (PBDDS) have grown
from simple therapeutic molecules into powerful and versatile delivery
platforms. Historically, peptides were limited by rapid degradation, short
circulation times, and poor membrane permeability. However, advances in peptide
chemistry and nanotechnology have transformed these weaknesses into remarkable
opportunities. Today, peptides serve not only as therapeutics but also as
carriers, targeting ligands, and self-assembling building blocks for complex
drug delivery systems.
Peptide–drug conjugates (PDCs) improve drug stability,
tumour penetration, and controlled release. Cell-penetrating peptides (CPPs)
allow direct transport of large molecules such as proteins, nucleic acids, and
nanoparticles into cells, offering a safer alternative to viral vectors.
Self-assembling peptides can organize into nanofibers, micelles, or hydrogels
that act as depots for localized and sustained drug delivery. Functionalization
of lipid, polymeric, and inorganic nanoparticles with peptides has further
enabled highly targeted and multifunctional systems that combine therapy with
imaging and diagnostics.
The future of PBDDS lies in overcoming these barriers
through innovation. Artificial intelligence (AI) is revolutionizing peptide
design by predicting stability, receptor binding, and structure, allowing
faster and more precise development. Non-invasive routes like oral and
transmucosal delivery are also gaining attention, supported by advances in
mucoadhesive carriers, permeation enhancers, and device-assisted systems.
Furthermore, multifunctional theranostic platforms that combine treatment,
targeting, and real-time monitoring will likely define the next generation of
peptide therapeutics. With ongoing advances in chemistry, nanotechnology, and
AI, PBDDS are poised to make precision, patient-friendly, and highly effective
therapies a clinical reality.
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