D-peptide-based drug discovery aided by chemical protein synthesis

Despite a sharp increase in the expenditures for drug research and development (R&D) in the past decade, the declining trend in the number of new drugs approved annually by the US Food and Drug Administration continues. This growing disparity between R&D investment and new drug approvals results in part from the deficiency in promising therapeutic targets and leads to a stagnation exacerbated by the lack of advanced drug discovery tools for harvesting the "high-hanging fruits" such as inhibitors of protein-protein interactions (PPIs). Small peptide inhibitors of PPIs can be of high affinity and specificity, promising an important class of therapeutic agents that target PPIs involved in a great variety of biological processes. However, susceptibility to proteolytic degradation in vivo still remains a major hurdle that limits their therapeutic potential. This limitation can be overcome by mirror-image phage display, a technique that allows, through phage-expressed peptide library screening against the D-enantiomer of a target protein, for the identification of proteolysis-resistant D-peptide inhibitors of PPIs. Recent advances in total protein synthesis via native chemical ligation have significantly expanded the scope of molecular targets for mirror-image phage display. This concise review focuses on the latest development in the combined use of mirror-image phage display and native chemical ligation for D-peptide based anticancer drug discovery.