Ligand-directed delivery of agents to leukemia and lymphoma cells has the potential to yield new mechanistic disease insights and targeted therapies. Here we set out to target the macropinocytotic pathway with a combinatorial approach. From the screening of acute T-lymphoblastic leukemia Molt-4 cells with a random phage-display peptide library, we isolated a phage displaying the sequence CAYHRLRRC. This peptide contains a lymph node-homing motif (Cys-Ala-Tyr) and a cell-penetrating motif (Arg-Leu-Arg-Arg). Binding of this ligand-directed phage to a large panel of leukemia/lymphoma cells and to patient-derived samples was much higher than to non-leukemia control cells. CAYHRLRRC phage internalization into Molt-4 cells is both energy-and temperature-dependent. Flow cytometry with fluorescein-labeled peptide and endocytosis blocking with specific inhibitors revealed that CAYHRLRRC is indeed taken up through macropinocytosis in Molt-4 and K562 human leukemia cells. Unexpectedly, the cell surface receptor for the CAYHRL-RRC peptide is not a heparan sulfate proteoglycan as it would be predicted for other cell-penetrating peptides. Confirming this interpretation, a CAYHRLRRC-directed peptidomimetic-induced cell death in all the leukemia and lymphoma cells was evaluated, whereas a control transactivator of transcription protein (tat)-directed proapoptotic peptidomimetic was non-selective. In summary, the targeting peptide CAYHRLRRC is selectively internalized through macropinocytosis in leukemia and lymphoma cells and has potential as a drug lead for ligand-directed anti-leukemia therapies.Leukemias and lymphomas are hematological malignant diseases characterized by impaired differentiation, increased clonal cell proliferation, and hematopoiesis suppression; the standard treatment for these tumors today is still predominantly based on nonspecific cytotoxics that disrupt nucleic acid and protein synthesis, often with severe side effects and relatively poor outcomes (1-3). However, selective anti-leukemia drugs have recently been developed (4), thus conceptually validating the scientific hope for a revolutionary targeted pharmacology against this group of diseases.Over the past decade, we have selected phage-display random peptide libraries in vitro and in vivo to isolate and exploit tumor-specific and angiogenesis-related ligand-receptor systems toward targeted drug design and translation (5-7). Because cell trafficking and homing from the blood and/or lymphatic vessels to lymphoid and myeloid tissues to virtually all organs are essential leukocyte functions, we reasoned that targeting membranes would be a suitable approach to discover leukemia-specific ligands. Cell surface-binding peptide motifs have been reported in lymphoma and leukemia lines (8 -11). Unfortunately, so far their corresponding receptors are either unknown (9, 10) or relatively nonspecific adhesion molecules such as certain integrins (8, 11) to which ligand binding does not enable clear enough differentiation between normal leukocytes and tumor cells; ...