2022
DOI: 10.1039/d1cb00154j
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Cyclic peptide drugs approved in the last two decades (2001–2021)

Abstract: In this mini-review, we summarized the chemical structure, mechanism of action, and metabolism of cyclic peptide drugs approved in the last two decades. We also examined factors important for the development and utilization in clinical situations.

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Cited by 191 publications
(200 citation statements)
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References 151 publications
(142 reference statements)
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“…Cyclic peptides combine several favorable properties such as good binding affinity, target selectivity, and low toxicity that make them an attractive modality for the development of therapeutics [118,119] . Over 40 cyclic peptide drugs are currently in clinical use, and around one new cyclic peptide drug enters the market every year on average [120,121] . Many cyclic peptides occur naturally in plants and animals, [122,123] whereas others have been synthetically engineered to be cyclic [124,125] .…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Cyclic peptides combine several favorable properties such as good binding affinity, target selectivity, and low toxicity that make them an attractive modality for the development of therapeutics [118,119] . Over 40 cyclic peptide drugs are currently in clinical use, and around one new cyclic peptide drug enters the market every year on average [120,121] . Many cyclic peptides occur naturally in plants and animals, [122,123] whereas others have been synthetically engineered to be cyclic [124,125] .…”
Section: Discussionmentioning
confidence: 99%
“…[ 118 , 119 ] Over 40 cyclic peptide drugs are currently in clinical use, and around one new cyclic peptide drug enters the market every year on average. [ 120 , 121 ] Many cyclic peptides occur naturally in plants and animals,[ 122 , 123 ] whereas others have been synthetically engineered to be cyclic. [ 124 , 125 ] The vast majority of clinically approved cyclic peptides behave as antimicrobials and antitumor agents.…”
Section: Discussionmentioning
confidence: 99%
“…A few examples of cyclic peptides engaging intracellular targets exist that are either approved for clinical use or in clinical trials ( Zhang and Chen, 2022 ). Romidepsin is a cyclic peptide natural product that targets histone deacetylases and its relatively small size (MW: 541 Da) allows it to pass membranes efficiently ( Li et al, 1996 ; Nakajima et al, 1998 ).…”
Section: Introductionmentioning
confidence: 99%
“…Cyclic peptides, which exist widely in nature (especially marine organisms), have been found with antitumor, anti-bacterial, anti-inflammatory and anti-viral activities [1]. Thus far, more than 100 cyclic peptide drugs have been developed and utilized in the clinic [2]. Cyclic peptides display stronger metabolic stability than linear peptides, allowing them to have longer effects in vivo because of their constrained ring structure, which prevents cleaving by peptidase [3].…”
Section: Introductionmentioning
confidence: 99%