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De novo development of proteolytically resistant therapeutic peptides for oral administration

Abstract

The oral administration of peptide drugs is hampered by their metabolic instability and limited intestinal uptake. Here, we describe a method for the generation of small target-specific peptides (less than 1,600 Da in size) that resist gastrointestinal proteases. By using phage display to screen large libraries of genetically encoded double-bridged peptides on protease-resistant fd bacteriophages, we generated a peptide inhibitor of the coagulation Factor XIa with nanomolar affinity that resisted gastrointestinal proteases in all regions of the gastrointestinal tract of mice after oral administration, enabling more than 30% of the peptide to remain intact, and small quantities of it to reach the blood circulation. We also developed a gastrointestinal-protease-resistant peptide antagonist for the interleukin-23 receptor, which has a role in the pathogenesis of Crohn’s disease and ulcerative colitis. The de novo generation of targeted peptides that resist proteolytic degradation in the gastrointestinal tract should help the development of effective peptides for oral delivery.

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Fig. 1: Genetic encoding of double-bridged peptides by protease-resistant phage.
Fig. 2: Panning of double-bridged peptide libraries under protease pressure.
Fig. 3: Characterization and size reduction of F3, the most stable peptide.
Fig. 4: Structure analysis and impact of chemical bridges on stability.
Fig. 5: Stability and oral administration in mice.
Fig. 6: Stable IL-23R antagonists.

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Data availability

The main data supporting the results of this study are available within the paper and its Supplementary Information. The data used to make the graphs in the figures are provided as Supplementary Information. Next-generation sequencing source data are available from figshare at https://doi.org/10.6084/m9.figshare.11921139.v2. Coordinates of the two X-ray structures have been deposited in the Protein Data Bank with accession numbers 6TWB and 6TWC.

References

  1. Goldberg, M. & Gomez-Orellana, I. Challenges for the oral delivery of macromolecules. Nat. Rev. Drug Discov. 2, 289–295 (2003).

    Article  CAS  Google Scholar 

  2. Moroz, E., Matoori, S. & Leroux, J. C. Oral delivery of macromolecular drugs: where we are after almost 100 years of attempts. Adv. Drug Deliv. Rev. 101, 108–121 (2016).

    Article  CAS  Google Scholar 

  3. Pratley, R. et al. Oral semaglutide versus subcutaneous liraglutide and placebo in type 2 diabetes (PIONEER 4): a randomised, double-blind, phase 3a trial. Lancet 394, 39–50 (2019).

    Article  CAS  Google Scholar 

  4. Nielsen, D. S. et al. Orally absorbed cyclic peptides. Chem. Rev. 117, 8094–8128 (2017).

    Article  CAS  Google Scholar 

  5. Aguirre, T. A. S. et al. Current status of selected oral peptide technologies in advanced preclinical development and in clinical trials. Adv. Drug Deliv. Rev. 106, 223–241 (2016).

    Article  CAS  Google Scholar 

  6. Räder, A. F. B. et al. Orally active peptides: Is there a magic bullet? Angew. Chem. Int. Ed. 57, 14414–14438 (2018).

    Article  Google Scholar 

  7. Naylor, M. R., Bockus, A. T., Blanco, M. J. & Lokey, R. S. Cyclic peptide natural products chart the frontier of oral bioavailability in the pursuit of undruggable targets. Curr. Opin. Chem. Biol. 38, 141–147 (2017).

    Article  CAS  Google Scholar 

  8. Gentilucci, L., De Marco, R. & Cerisoli, L. Chemical modifications designed to improve peptide stability: incorporation of non-natural amino acids, pseudo-peptide bonds, and cyclization. Curr. Pharm. Des. 16, 3185–3203 (2010).

    Article  CAS  Google Scholar 

  9. Perry, A. F. et al. Hydrocarbon double-stapling remedies the proteolytic instability of a lengthy peptide therapeutic. Proc. Natl Acad. Sci. USA 107, 14093–14098 (2010).

    Article  Google Scholar 

  10. Wang, C. K. & Craik, D. J. Designing macrocyclic disulfide-rich peptides for biotechnological applications perspective. Nat. Chem. Biol. 14, 417–427 (2018).

    Article  CAS  Google Scholar 

  11. Banga, A. K. Therapeutic Peptides and Proteins: Formulation, Processing, and Delivery Systems 3rd edn (CRC Press, 2015).

  12. Kristensen, P. & Winter, G. Proteolytic selection for protein folding using filamentous bacteriophages. Fold. Des. 3, 321–328 (1998).

    Article  CAS  Google Scholar 

  13. Sieber, V., Plückthun, A. & Schmid, F. X. Selecting proteins with improved stability by a phage-based method. Nat. Biotechnol. 16, 955–960 (1998).

    Article  CAS  Google Scholar 

  14. Howell, S. M. et al. Serum stable natural peptides designed by mRNA display. Sci. Rep. 4, 6008 (2015).

    Article  Google Scholar 

  15. Baeriswyl, V. & Heinis, C. Phage selection of cyclic peptide antagonists with increased stability toward intestinal proteases. Protein Eng. Des. Sel. 26, 81–89 (2013).

    Article  CAS  Google Scholar 

  16. Kather, I., Bippes, C. A. & Schmid, F. X. A stable disulfide-free gene-3-protein of phage fd generated by in vitro evolution. J. Mol. Biol. 354, 666–678 (2005).

    Article  CAS  Google Scholar 

  17. Kale, S. S. et al. Cyclization of peptides with two chemical bridges affords large scaffold diversities. Nat. Chem. 10, 715–723 (2018).

    Article  CAS  Google Scholar 

  18. Wang, J., Yadav, V., Smart, A. L., Tajiri, S. & Basit, A. W. Toward oral delivery of biopharmaceuticals: an assessment of the gastrointestinal stability of 17 peptide drugs. Mol. Pharm. 12, 966–973 (2015).

    Article  CAS  Google Scholar 

  19. Heinis, C., Rutherford, T., Freund, S. & Winter, G. Phage-encoded combinatorial chemical libraries based on bicyclic peptides. Nat. Chem. Biol. 5, 502–507 (2009).

    Article  CAS  Google Scholar 

  20. Bane, C. E. & Gailani, D. Factor XI as a target for antithrombotic therapy. Drug Discov. Today 19, 1454–1458 (2014).

    Article  CAS  Google Scholar 

  21. Rentero Rebollo, I., Sabisz, M., Baeriswyl, V. & Heinis, C. Identification of target-binding peptide motifs by high-throughput sequencing of phage-selected peptides. Nucleic Acids Res. 42, e169 (2014).

    Article  Google Scholar 

  22. Gaffen, S. L., Jain, R., Garg, A. V. & Cua, D. J. The IL-23–IL-17 immune axis: from mechanisms to therapeutic testing. Nat. Rev. Immunol. 14, 585–600 (2014).

    Article  CAS  Google Scholar 

  23. Bourne, G. T. et al. Oral peptide inhibitors of interleukin-23 receptor and their use to treat inflammatory bowel diseases. US patent US9624268B2 (2015).

  24. Sayago, C. et al. Deciphering binding interactions of IL-23R with HDX–MS: mapping protein and macrocyclic dodecapeptide ligands. ACS Med. Chem. Lett. 9, 912–916 (2018).

    Article  CAS  Google Scholar 

  25. Patel, D. V. Protagonist therapeutics expands PTG-200 collaboration agreement with Janssen to include second generation oral IL-23 receptor antagonists. Bloomberg (8 May 2019); https://www.bloomberg.com/press-releases/2019-05-08/protagonist-therapeutics-expands-ptg-200-collaboration-agreement-with-janssen-to-include-second-generation-oral-il-23-receptor

  26. Rentero Rebollo, I. & Heinis, C. Phage selection of bicyclic peptides. Methods 60, 46–54 (2013).

    Article  CAS  Google Scholar 

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Acknowledgements

We thank B. Mangeat from the Ecole Polytechnique Fédérale de Lausanne (EPFL) Gene Expression Core Facility for help with next-generation sequencing, A. Reynaud, D. Hacker, L. Durrer and S. Quinche from the EPFL Protein Production and Structure Core Facility for help with protein expression and crystallization, and E. Simeoni, I. Desbaillets, G. Ferrand and C. Waldvogel of the EPFL Center of Phenogenomics (CPG) for help with mouse experiments. The financial contributions from the Swiss National Science Foundation grants (project grant 157842, NCCR Chemical Biology and project grant 169526) and the EPFL are gratefully acknowledged.

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Contributions

X.-D.K. and C.H. conceived the strategy for proteolytic phage display with double-bridged peptides. X.-D.K. established the phage selection procedure, cloned the libraries, performed the phage selections against FXIa, synthesized and characterized the peptides, expressed and purified FXIa and determined the X-ray structures. J.M. expressed and purified IL-23R, performed the phage selections against IL-23R and characterized the peptides. V.C. identified the d-proline mutant. F.P. collected X-ray data and analysed the structures. L.A.A. performed the NMR study. X.-D.K., K.D. and C.H. wrote the manuscript with help from all authors.

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Correspondence to Christian Heinis.

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J.M., X.-D.K. and C.H. are inventors on a patent protecting the IL-23R antagonists.

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Supplementary Information

Supplementary results, methods, figures and tables.

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Supplementary Dataset 1

Source data for the figures.

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Kong, XD., Moriya, J., Carle, V. et al. De novo development of proteolytically resistant therapeutic peptides for oral administration. Nat Biomed Eng 4, 560–571 (2020). https://doi.org/10.1038/s41551-020-0556-3

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