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C ur re nt P ha rm ac eu tic al B io te ch no lo gy ������� � ����� �� ���������� �� �//�4��A"+!���� ��//�4��"BA!CA�D ������ ������� �� � ������� �� �� ���� �� ���� ��� ��� �� �� ��� �� � ����������� ���� � ����������� ���� � ���������� �� ���������� �� � ����� �� �' �() *�()$�4 ��E�D ������� ��� � Ana P. dos Santos 1 , Tamara G. de Araújo 2 and Gandhi Rádis-Baptista 3,* 1Program of Post-graduation in Pharmaceutical Sciences (FFEO/UFC), Federal University of Ceara, Ceara, Brazil; 2Department of Pharmacy, Federal University of Ceara, Ceara, Brazil; 3Institute of Marine Sciences, Federal Universi- ty of Ceara, Ceara, Brazil Abstract: Venom-derived peptides display diverse biological and pharmacological activities, making them useful in drug discovery platforms and for a wide range of applications in medicine and pharma- ceutical biotechnology. Due to their target specificities, venom peptides have the potential to be devel- oped into biopharmaceuticals to treat various health conditions such as diabetes mellitus, hypertension, and chronic pain. Despite the high potential for drug development, several limitations preclude the di- rect use of peptides as therapeutics and hamper the process of converting venom peptides into pharma- ceuticals. These limitations include, for instance, chemical instability, poor oral absorption, short half- life, and off-target cytotoxicity. One strategy to overcome these disadvantages relies on the formula- tion of bioactive peptides with nanocarriers. A range of biocompatible materials are now available that can serve as nanocarriers and can improve the bioavailability of therapeutic and venom-derived pep- tides for clinical and diagnostic application. Examples of isolated venom peptides and crude animal venoms that have been encapsulated and formulated with different types of nanomaterials with promis- ing results are increasingly reported. Based on the current data, a wealth of information can be collect- ed regarding the utilization of nanocarriers to encapsulate venom peptides and render them bioavaila- ble for pharmaceutical use. Overall, nanomaterials arise as essential components in the preparation of biopharmaceuticals that are based on biological and pharmacological active venom-derived peptides. A R T I C L E H I S T O R Y Received: January 25, 2019 Revised: April 17, 2019 Accepted: May 08, 2019 DOI: 10.2174/1389201020666190621104624 Keywords: Venom-derived peptides, therapeutic peptides, biopharmaceuticals, nanotechnology, drug delivery system, toxins. 1. INTRODUCTION Venomous animals are specialized predators that have developed over millions of years of evolution, the ability to produce venoms, and secretions composed of an incredible structural and functional diversity of toxins for their biologi- cal purposes [1]. These compounds have evolved to deter, immobilize or kill a range of prey, predators, or competitors, in which the toxins can affect essential and vulnerable physi- ological processes of the affected organism, such as neuro- muscular signaling, hemostasis, and cardiovascular function, among others [2]. When injected into animals or human vic- tims, usually in small amounts, these compounds can cause harmful disorders and even death. Venoms are composed of complex mixtures of salts, low molecular weight organic molecules such as polyamines, amino acids, venom en- zymes, and, importantly, pharmacologically active peptides and polypeptides. A wide diversity of animals has developed the ability to produce these cocktails of compounds, such as snakes, lizards, scorpions, spiders, centipedes, ticks, leeches, *Address correspondence to this author at the Institute of Marine Sciences, Federal University of Ceara, Ceara, Brazil; Tel: +55 85 3366 7001; Fax: +55 85 3366 7002; E-mails: gandhi.radis@ufc.br; g.radis_baptista@yahoo.com cone snails, sea anemones, jellyfish, fish, cephalopods, echi- noderms, several insect orders (such as ants, bees, wasps), and even some mammals (the platypus, shrews, vampire bats) [3]. Venoms are delivered to prey or predators through diverse types of specialized structures such as barbs, beaks, fangs, or modified teeth, harpoons, nematocysts, pinchers, proboscises, spines, sprays, spurs, and stingers [4]. Some of these animals can produce venoms in special glands, while others may contain toxic substances that spread throughout their body tissues [5]. Over time, the biological diversity and potency of ven- oms have become more refined, so that they display high specificity to their pharmacologically active targets, render- ing animal toxin compounds extremely valuable for the de- velopment of new therapeutics and adjuvant strategies in clinics [6, 7]. Venom-derived peptides act with excellent selectivity and potency on several biological targets, includ- ing ligand- and voltage-dependent ion channels, G-protein coupled receptors, membrane transporters, and enzymes. When used in a suitable dosage, these peptides may be useful therapeutics [8, 9]. In the pharmaceutical field, peptide tox- ins can be used in their original form (natural or synthetic) or 1873-4316/20 $65.00+.00 © 2020 Bentham Science Publishers Send Orders for Reprints to reprints@benthamscience.net Current Pharmaceutical Biotechnology, 2020, 21, 97-109 97 REVIEW ARTICLE Nanoparticles Functionalized with Venom-Derived Peptides and Toxins for Pharmaceutical Applications http://crossmark.crossref.org/dialog/?doi=10.2174/1389201020666190621104624&domain=pdf 98 Current Pharmaceutical Biotechnology, 2020, Vol. 21, No. 2 dos Santos et al. a chemically modified form, mimicking the desired action of the original peptide [2]. In this context, drugs derived from venom peptides or protein toxins were approved by the Food and Drug Admin- istration (FDA, U.S. Department of Health and Human Ser- vices) for treatment of diverse clinical conditions, including diabetes, hypertension, and chronic pain. Several venom- derived peptides are also in preclinical development, while others are under clinical studies that have the potential to treat a range of diseases, including cancer and autoimmune diseases [10]. Examples of venom-derived peptides and pharmaceuticals prepared from venom-peptide leads ap- proved by the FDA that are in current clinical use are sum- marized in Table 1. Although a relatively high number of peptides and proteins have been isolated from animal ven- oms, such numbers reflect only a small part of the huge chemical diversity found in marine and venomous terrestrial organisms. It has been argued that there exists a practically infinite potentiality to be explored in the field of venom pep- tides and derivatives [9, 10]. Considering that many current therapies are deficient, the importance of animal venoms as innovative resources for drug discovery becomes clear when noting therapeutic pep- tides are highly selective pharmacological agents. Despite the exceptional potential for drug discovery and develop- ment, several limitations have been reported for this class of compounds, hampering the process of converting venom peptides into therapeutic agents. The low stability, short half- life, and poor oral bioavailability are some of these barriers. Toxicity can often also be a limiting factor, capable of re- stricting the development of new drugs. A promising strategy that has been developed to overcome these drawbacks is the use of nanocarriers for delivery and improve the bioavaila- bility of venom peptides [11, 12]. Previous reports have em- phasized the importance of nanostructures to deliver toxins and animal venoms for diverse biological applications [13, 14]. Herein, examples of this technological approach are presented and discussed, from which information can be gleaned to select materials and conditions to encapsulate venom-derived peptides for pharmaceuticalapplications. In this scenario, the use of nanotechnology appears to be an advanced methodology that promises to overcome the intrin- sic limitations of the bioactive venom-derived peptides in the development of biopharmaceuticals. 2. LIMITATIONS AND CHALLENGES OF PEPTIDES FOR PHARMACEUTICAL APPLICATIONS Despite the potentially useful pharmacological properties of peptide toxins, their therapeutic application is often ham- pered by inconvenient aspects inherent to their structures. Similar to other peptide drugs, venom peptides generally exhibit varying degrees of chemical instability in vivo, since they have poor intestinal absorption, and are rapidly elimi- nated when they reach the bloodstream. In addition, the tox- icity associated with venom peptides has also contributed to restricting the development of new drugs [15-17]. The intestinal uptake of peptides is generally limited by their high molecular weights and polarities, in a way that such characteristics, in this case, negatively interfere with the ability of these compounds to cross the intestinal membranes in an unmodified and active form. Moreover, the presence of proteinases in the digestive system rapidly causes the amide bonds of peptides to break down, contributing to their low stability in vivo. All these facts preclude the oral administra- tion of peptides, which is the most favorable route acceptable by patients, in detriment to much less convenient invasive alternatives [18]. Even if peptides can reach the bloodstream in certain cases, they are degraded rapidly by various circu- lating proteases, or even eliminated from the body by the hepatic and renal systems. This chemical instability is related to the individual structure of each peptide, such as stabiliza- tion by post-translational modification. Linear peptides (without disulfide bonds or other covalent constraints) are more susceptible to proteolysis and more rapidly degraded in vivo [17]. These characteristics could decrease the half-life of peptides in the bloodstream and, consequently, require repetitive administration to obtain their therapeutic effects when in use. Repetitive drug administration is an undesirable regimen for patients and contributes to decreased compliance with a given treatment [19]. Apart from these barriers, toxici- ty may also be associated with the use of venom peptides as pharmaceuticals, especially the antimicrobial and cytolytic peptides. These classes of peptides, expressed in the venom and venom glands of snakes, scorpions, bees, wasps and oth- er animals can display an off-target effect causing cytotoxici- ty and damage to diverse biological systems [17, 20-24]. High toxicity to humans imposes, in some circumstances, the discontinuation of venom peptides in clinical trials of drug development platforms [25]. Considering these facts, some strategies have been de- vised to overcome these drawbacks, to advance the devel- opment of venom peptides for therapeutic purposes. Cycliza- tion, for example, is a technique that has been tested to in- crease the resistance of peptides to proteolysis. Alternatively, PEGylation and covalent binding to larger proteins, as well as the incorporation of peptides into slow release polymer matrices have been studied to increase peptide half-life in the bloodstream [9]. Additionally, to increase peptide half-life, platforms for controlled release with nanocarriers that can be optimized to deliver the peptides and circumvent peptide structural susceptibilities and the intrinsic toxic side-effects have emerged as a promising strategy for the development of peptides as pharmaceuticals [26]. Fig. (1) schematically il- lustrates the main points involved in the development of bio- pharmaceuticals from venom peptides with the application of nanocarriers and nanotechnology. 3. THERAPEUTIC APPLICATIONS OF VENOM- DERIVED PEPTIDES Venom-derived peptides have a range of biological activ- ities useful for treating various clinical conditions, and some are already in clinical use (Table 1). Apart from these ap- proved drugs, listed in Table 1, studies have shown for in- stance, venom bioactive peptides with antitumor effects are attractive compounds for the treatment of cancer. As exam- ples, peptides TsAP-1 and TsAP-2 from the venom of the Brazilian yellow scorpion Tityus serrulatus showed an anti- proliferative activity against human cancer cell lines [23]. Lycosin-1 and latarcin-2a, derived from spider venoms [27, 28], and the recently characterized vipericidin peptides [20], from rattlesnake venom glands, as well as crotamine and Nanoparticles Functionalized with Venom-Derived Peptides Current Pharmaceutical Biotechnology, 2020, Vol. 21, No. 2 99 Table 1. Approved drugs from animal venom-derived peptides and leads that are in current clinical use. FDA* Approval Drug Name (Active Ingredient) Source (Species Origin) Mechanism of Action Indication Dosage Form/Route Dosage and Administration 1981 Captopril Venom of the snake Bothrops jararaca Angiotensin-converting enzyme inhibitor. Hypertension, Heart Failure Tablet/ oral 25 mg to 150 mg two or three times a day. 1998 AGGRASTAT® (Tirofiban) Venom of the snake Echis carinatus An antagonist of the platelet glycoprotein (GP) IIb/IIIa receptor, inhibits platelet aggregation. Acute coronary syndrome Injectable/ Intravenous Initial rate of 0.4 µg/kg/min for 30 minutes and then continued at 0.1 µg/kg/min. 1998 INTEGRILIN™ (Eptifibatide) Venom of the snake Sistrurus miliarius barbouri Prevents binding of fibrino- gen, von Willebrand factor, and other adhesive ligands to GPIIb/IIIa receptors; inhibits platelet aggregation. Acute coronary syndrome Injectable/ intravenous An intravenous bolus dose of 180 µg/kg as soon as possible follow- ing diagnosis, followed by a con- tinuous infusion of 2 µg/kg/min until hospital discharge or the initiation of CABG surgery, up to 72 hours. 2000 ANGIOMAX™ (Bivalirudin) Saliva of the medici- nal leech Hirudo medicinalis A reversible direct thrombin inhibitor exhibits anticoagu- lant effects. An anticoagu- lant in percuta- neous coronary intervention Injectable/ Intravenous An intravenous bolus dose of 1.0 mg/kg followed by a 4-hour infu- sion at a rate of 2.5 mg/kg/h. If needed, an additional infusion may be initiated at a rate of 0.2 mg/kg/h for up to 20 hours. 2004 PRIALT® (ziconotide) Venom of the cone snail Conus magus N-type calcium channel (Cav2.2) antagonist; blocks excitatory neurotransmitter release in primary afferent nerve terminals and antino- ciception. Severe chronic pain Injectable/ Intrathecal Initiated at no more than 2.4 µg/day (0.1 µg/h) and titrated to patient response. Doses may be titrated upward by up to 2.4 mcg/day (0.1 µg/h) at intervals of no more than 2-3 times per week, up to a recommended maximum of 19.2 µg/day (0.8 µg/h) by Day 21. 2005 BYETTA™ (Exenatide) Venom of the Gila monster Heloderma suspectum An incretin-mimetic agent enhances glucose-dependent insulin secretion and several other anti-hyperglycemic actions of incretins. Type 2 diabe- tes mellitus Injectable/ subcutaneous Initiated at 5 µg per dose twice daily at any time within 60- minutes before morning and even- ing meals. Based on clinical re- sponses, the dose can be increased to 10 µg twice daily after 1 month of therapy *U.S. Food and Drug Administration, Department of Health and Human Services (http://www.fda.gov). crotamine-derivatives [29, 30], have shown promising anti- tumor effects. In more mature stages, bioconjugates of chlo- rotoxin, a disulfide-containing peptide derived from the ven- om of the scorpion Leiurus quinquestriatus, is in phase I and II clinical trials to target and treat glioma tumors [31]. Cyto- toxic activity against certain typesof cancer cells is also ex- hibited by bee and wasp venoms, from which the peptides melittin and mastoparan were isolated, respectively [24, 32]. Melittin has been extensively studied as an antitumor agent, in addition to its antibacterial, antiviral, antifungal, and an- tiparasitic effects. Such biological activities are due to mem- brane destabilization by the peptide, forming pores or acting as a surfactant, causing membrane disruption. Thus, cell permeability is increased, and cell lysis invariably occurs [33, 34]. These membrane effects are common to other ven- om peptides and are potentiated in cancer cells because of greater electrostatic interactions due to the small size and net positive charge of these compounds [35]. Perturbation and disruption of the cytoplasmic mem- branes are also the main mechanisms of antimicrobial pep- tides that can be found in diverse animal venoms. These compounds have attracted special attention as a source of new anti-infective agents, especially with the emergence of drug resistance of microorganisms to conventional therapies. Such peptides are naturally present as part of the innate or adaptive immunity of animals and may cause destabilization of membranes and cell lysis, as well as interaction with the intracellular components, like DNA, contributing to the mechanism of toxicity in the targeted microorganism. Sever- al antimicrobial peptides have already been characterized from the venom of bees, ants, scorpions, cone snails, snakes, spiders, centipedes, and wasps, and collectively a library with hundreds of active compounds against bacteria, fungi, protozoa, and viruses is available. These venom-derived an- timicrobial peptides have considerable potency at minimal inhibitory concentrations (in the micromolar range). A limiting 100 Current Pharmaceutical Biotechnology, 2020, Vol. 21, No. 2 dos Santos et al. Fig. (1). Nanocarriers and nanotechnology to improve the bioavailability and delivery of venom-derived peptides. Venom peptides can be devel- oped into target-specific drugs by circumventing some intrinsic drawbacks of peptides used as therapeutics, such as chemical instability, poor intestinal absorption, toxicity, and short half-lives. The improvement of these peptide limitations to turn peptides into biopharmaceuticals can be achieved by employing nanocarriers. (A higher resolution/colour version of this figure is available in the electronic copy of the article). factor for many of these peptides is the recurrent nonspecific action on non-target cells and tissues, and a variable level of hemolytic activity, requiring additional strategies to render them viable for antimicrobial therapy [3, 16]. Venom peptides have been discovered and developed as therapeutic tools for diabetes mellitus [36]. Some of these peptides may act by mimicking endogenous metabolic hor- mones such as glucagon-like peptide-1 (GLP-1), stimulating the release of glucose. This is the case for exendin-4, derived from the Gila monster Heloderma suspectum, which is currently on the market in its synthetic form Exenatide (Byetta ™) for treatment of type 2 diabetes mellitus. Other GLP-1 analogs have recently been reported in monotremes species including the platypus Ornithorhynchus anatinus and four species of echidna. Another peptide, an analog of human insulin (Con- Ins G1), was found in the venom of the cone snail Conus geographus and showed significant agonist activity at the human insulin receptor with rapid release of insulin, but with a lower potency compared to insulin. Peptides can also act on ion channels expressed in pancreatic beta cells stimulat- ing insulin secretion. Hanatoxin (κ-theraphotoxin-GR1A) from the venom of the tarantula Grammostola rosea and guangxitoxin-1 (κ-theraphotoxin-Pg1a) from the tarantula Chilobrachys guangxiensis may act as voltage-gated potassi- um-ion channel (subtype 2.1, KV2.1) blockers. The peptide Conkunitzin-S1, from the venom of the cone snail Conus striatus, can act as a blocker of the KV1.7 channel. Iberiotox- in (IbTx), isolated from the venom of the East Indian red scor- pion Buthus tamulus, blocks BK channels. Despite their bene- ficial effects, some of these channels could be present in other cells and tissues of the human body, limiting the use of these peptides in therapy [36]. Other classes of peptides, derived from animal venoms, include examples with specificity for the cardiovascular sys- tem. For example, bradykinin-potentiating peptides (BPPs) potentiate the antihypertensive effects of bioactive kinins, inhibiting their degradation by angiotensin-converting en- zyme (ACE) in the bloodstream. BPPs were originally found in the venom of the Brazilian pit viper Bothrops jararaca [37]. In this group, teprotide (Bj-PRO-9a) was the most promising peptide, and its most effective analog, captopril, was approved in the 1980s for the treatment of hypertension and congestive heart failure (Table 1). This class of peptides has also been found in the venoms of other species of snakes, such as Crotalus and Lachesis, as well as in the venom of other animals such as scorpions and spiders. Besides BPPs, natriuretic peptide (DNP-CNP Bj, TNP-a, b-TNP, TNP-c TsNP), antiarrhythmic peptides (Jingzhaotoxin -I, PhKv, GsMTx -4), peptides similar to vasopressin (conopressins), and the selective inhibitors of the α1 adrenergic receptor (ρ- TIA conopeptides) from sea snails of the genus Conus are examples of other relevant animal venom toxins that have potential for the regulation of blood pressure and other car- diovascular disorders [38]. Nanoparticles Functionalized with Venom-Derived Peptides Current Pharmaceutical Biotechnology, 2020, Vol. 21, No. 2 101 With regard to the cardiovascular system, blood hemo- stasis is another condition that can be affected and modulated by animal toxins, especially those derived from snakes. In- terfering with platelet function, these compounds can act by several mechanisms involving disintegrins, C-type lectin-like toxins, three-finger toxins, phospholipase A2, serine protein- ases, metalloproteinases, nucleotidases and L-amino oxidas- es [39]. The disintegrins block platelet aggregation by bind- ing to the αIIbβ3 receptor, preventing the binding of fibrino- gen. Despite disturbing hemostasis, peptides in this class of venom toxins were utilized for the development of two ther- apeutic and commercially available antiplatelet agents, tiro- fiban (Aggrastat™), based on an isolated venom polypeptide from the saw-scaled viper Echis carinatus, and eptifibatide (Integrillin™), a cyclic heptapeptide analog derived from the venom of Barbour's pygmy rattlesnake Sistrurus miliarius barbouri [40, 41]. Other venom peptide components may act as antagonists of thrombin, a blood clotting enzyme respon- sible for cleaving fibrinogen into fibrin and leading to the formation of a blood clot. This is the case of bivalirudin (Hirulog™), a linear 20-residue peptide approved in 2009 for use as an anticoagulant drug. Bivalirudin was derived from hirudin, a mini-protein found in the saliva of the medical leech Hirudo medicinalis [15]. Animal toxins have also been shown to be active on pain receptors, especially ion channels such as sodium and calci- um, among others. A variety of animals, including bees, wasps, spiders, ants, centipedes, scorpions, snakes, and cone snails have neurotoxin peptides that act on ion channels and may be potential candidates for the development of new an- algesic drugs. Ziconotide (Prialt) was approved over a dec- ade ago by the FDA for the treatment of chronic pain through the blockade of N-type calcium channels. This drug is the ω-conotoxin MVIIA, a synthetic peptide derived from the venom of the cone snail Conus magus [42, 43]. These few examples, summarized in Table 1, give a glimpse of the potential of venom-derived peptides for clini- cal and diagnosticapplications. Further information regard- ing the research and development of toxins as biopharmaceu- ticals can be found elsewhere [44, 45]. 4. NANOPARTICLES FORMULATED FOR DELIV- ERY OF VENOM-DERIVED PEPTIDES 4.1. Overview The incorporation of drugs, and particularly, active pep- tides into nanoparticles can potentially solve several prob- lems concerning the delivery of therapeutic agents in con- ventional formulations and, consequently, boost the devel- opment of new pharmaceuticals. Desirable properties include improvements in solubility and bioavailability of active compounds or improvement in the ability to cross biological barriers [46]. Nanoparticles can improve the stability and half-life of substances as well as facilitate the absorption of compounds with low solubility and hydrophilicity. Pro- longed release of active agents, which reduces the frequency of drug administration and decreases toxic side-effects, and improved patient safety are also attributes of drug and poly- peptide nanoencapsulation. Another positive aspect concerns drug administration by non-invasive routes that otherwise might be impractical for free substances, thus compromising patient treatment compliance [47]. All these features have stimulated the incorporation of drugs into nanomaterials to progress the development of effective drugs and biopharma- ceuticals. Studies have reported the utility of nanoparticles for a diverse number of clinical applications, such as improve- ments in the efficacy of anticancer therapies. This improve- ment is achieved by targeting therapeutic agents directly to the tumor [48]. Generally, chemotherapeutics specifically or indiscriminately target normal and tumorous cells, causing significant side-effects to the patient. In these cases, the strategy of directing therapy is highly attractive. By enhanc- ing drug bioavailability and chemosensitivity, nanoparticle- mediated drug delivery may enhance the therapeutic efficacy against cancer cells and reduce damage to healthy cells and consequently attenuate side-effects, as seen with venom- loaded nanoparticles [49]. Other promising applications of nanocarriers include increased efficacy and safety of antimi- crobial therapy. Nanocarriers and nanoparticles may also improve oral bioavailability and permeation of medicinal agents through the skin and the blood-brain barrier, as well as be useful as systemic transporters for gene therapy [50- 55]. Specifically, regarding protein loading, nanoparticles may confer additional and beneficial properties to the use of these molecules as therapeutic agents. Nanostructures can confer protection against degradation in vivo, increase half- life, control release, and increase the selectivity and specific- ity of biological targets, thus improving the safety and effi- cacy of the therapy. This technology has enabled the delivery of proteins by alternative and more attractive routes, such as oral, nasal, pulmonary, and transdermal. Several polymeric, lipid, and inorganic nanocarriers have been developed for these purposes, and they are available for application [56]. Some formulations are already in the market or pharmaceuti- cal development, such as a cyclosporine nanoemulsion (Ne- oral™) for oral prevention of organ rejection after transplan- tation and insulin liposomes for oral treatment of diabetes [57]. It is noteworthy that, despite nanotechnology-based methodologies demonstrating excellent potential for the for- mulation of therapeutic peptides and proteins, the clinical application of nanoparticles with this class of compounds is still in its early stages [56]. This scientific progress has led to the discovery of therapeutic proteins capable of effectively treating numerous diseases; however, the administration of peptide therapeutics is often hampered by several intrinsic limitations as mentioned above. These drawbacks have stim- ulated research in nanotechnology to promote the administra- tion of peptides and proteins in more efficient modes. Fur- thermore, nanotechnology offers the possibility of incorpo- rating peptides and proteins into nanocarriers that, among other advantages, protect cargo therapeutic polypeptides from the external environment and render them available in the respective sites of action [57, 58]. The use of nanostruc- tured particles to deliver peptides, in addition to improving release kinetics, has the potential to minimize the effects of low selectivity, given that nanoparticles can be functional- ized and can retain molecules in the nanostructure until the complete release at the desired site [59]. 102 Current Pharmaceutical Biotechnology, 2020, Vol. 21, No. 2 dos Santos et al. 4.2. Nanocarriers and Nanoparticles Several nanoscale systems have been used in research and development of new drug delivery platforms. Nanocarri- ers include inorganic nanoparticles, polymeric nanoparticles, solid lipid nanoparticles, nanostructured lipid carriers, lipo- somes, and dendrimers, among other materials [60]. These nanocarriers have attracted great attention because they pre- sent an exceptional surface area in relation to other systems, which confers excellent properties for the delivery of drugs such as high transport load capacity and controlled slow- release [61]. Nanocarriers or nanoparticles are small struc- tures, between 1 and 100 nanometers in diameter, with the ability to transport other substances as a single unit [62]. Biologically and pharmacologically active substances can be loaded within these nanostructures, entrapped in the matrix or fixed to the surface and therefore can be formulated from the most diverse types of materials and methodologies, prefer- ably those that are biocompatible with biological systems [63]. Polymeric nanoparticles are usually formed from syn- thetic polymers such as Poly(Lactide) (PLA), Poly(Lactide- Co-Glycolide) (PLGA), Poly(Ε-Caprolactone) (PCL), and poly(amino acids), or natural polymers, such as chitosan, alginate, gelatin, or albumin [64]. These nanoparticles can be distinguished into two main types: nanocapsules and nano- spheres. Nanocapsules are characterized by a vesicular structure that acts as a container for active substances to be carried, by which entrapped compounds remain in the aqueous or non- aqueous liquid core, surrounded by the solidified polymeric outer layer. Conversely, nanospheres appear as a spherical solid polymer mass in which the active substances are dis- persed throughout the polymer matrix, both in the particle core and adsorbed to its surface [65]. Among the materials used to make these nanoparticles, PLGA is the most promi- nent in drug development. It is a biodegradable and biocom- patible material approved by the FDA and the European Medicines Agency for drug delivery systems [66]. Its degra- dation by hydrolysis produces lactic acid and glycolic acid, is also biodegradable and its metabolites non-toxic, making this material an attractive resource for use in nanomedicine [11]. Chitosan nanoparticles have also received much atten- tion for delivery of peptides, proteins, antigens, oligonucleo- tides, and genes for intravenous and oral administration. Similarly, chitosan is widely used in pharmaceutical research and industry as a vehicle for drug release and as a biomedical material. Chitosan is a bio-adhesive polysaccharide, is bio- degradable, non-toxic, and compatible with biological tissues in numerous toxicity tests and research [67]. Physiologically tolerated, biocompatible, and biode- gradable lipids also comprise nanocarriers that form nanostructures. If a nanostructured matrix is composed of solid lipids, at room temperature they form Solid Lipid Na- noparticles (SLN) [68], whereas if the mixture is composed of solid and liquid lipids they are called Nanostructured Li- pid Carriers (NLC). NLCs represent a new generation of lipid-based carriers,with greater capacity to incorporate drugs in their structures [69]. Liposomes are another type of nanocarriers composed of lipids, more precisely phospholip- ids, forming one or more bilayers around an aqueous core [70]. In liposomes, organic drugs and polypeptides can be encapsulated within the aqueous core or the surface lipid bilayer. They have a structure similar to the cell membrane and are highly flexible, but their use is still limited by their low stability in the human body. Perfluorooctyl bromide nanoparticles form another type of nanostructure, consisting of a perfluorooctyl bromide (PFOB) core encapsulated with- in a phospholipid monolayer or a polymeric shell [71]. PFOB is a linear perfluorocarbon well known for its bio- compatibility and good tolerability in humans and has been approved by the FDA. Such nanoparticles may be useful as delivery vehicles for therapeutic agents, which may be dis- solved in the lipid or polymeric outer layer. Lipid-coated particles are preferred because they can facilitate the delivery of active substances through a lipid exchange or lipid mix- ture between the monolayer of the delivery system and the target cell membrane [71]. In addition, other materials such as cyclodextrins (cyclic oligosaccharides) [72], and inorganic nanoparticles, including gold, iron, silver, and silica nanopar- ticles, have been used to incorporate substances for therapeu- tic purposes [73, 74]. Nanostructured particles can be synthesized from differ- ent methods that are usually divided into two main catego- ries, namely, bottom-up and top-down. The bottom-up meth- odology is a constructive approach, in which nanoparticles are formed from the union of smaller and simpler substances. In contrast, the top-down method is based on a destructive technique, in which larger substances are broken down into pieces and converted into nanoparticles [75]. An essential consideration to prepare nanoparticles is knowledge about the physicochemical characteristics of nanocarriers, such as size, surface characteristics, loading capacity and capacity of drug release, as well as their stability, given that these prop- erties can directly influence bioavailability [76, 77]. By changing the synthesis method or by functionalizing the sur- face, for example, it is possible to design optimized nanocar- riers to achieve specific purposes of drug administration [78], keeping in mind Paul Ehrlich´s principle of a drug act- ing on the right target. For instance, polymeric nanocapsules can be formed around a protein, generating a polymer coat- ing, combining the robustness of inorganic nanoparticles with the flexibility of liposomes [79], while nanoconjugation (bio-nanoconjugation), the covalent linkage between the biomolecule and the nanocarrier, can create cell- or receptor- targeted nanoparticles [80]. Furthermore, nanoconjugation has the potential to reduce the toxicity of therapeutically active molecules, providing a mechanism to increase its ef- fectiveness [12, 80]. Complete information regarding the types of nanocarriers, their structures, methods of prepara- tion of nanoparticles, and indicated applications can be re- trieved from specialized chapters in thematic publications [81-83]. 4.3. Nanocarriers in the Cargo-Delivery of Venom- Derived Peptides Advances in nanocarriers for the formulation of venom peptides include, especially, an improved ability to bypass membranes, better absorption by alternative routes such as oral and nasal, increased selective cytotoxicity of peptides (e.g., antitumor peptides), reduced toxicity toward normal cells, and increased half-life. In Table 2 [84-98], examples from the literature of venom-derived peptides formulated with Nanoparticles Functionalized with Venom-Derived Peptides Current Pharmaceutical Biotechnology, 2020, Vol. 21, No. 2 103 Table 2. Venom-derived peptide-loaded nanocarriers as biopharmaceuticals. Peptide Biological Activity Nanocarrier Application Refs. Exendin-4 GLP-1 agonist Chitosan-coated PLGA nanoparticles Increased transmembrane permeation in vitro and in vivo. Potential system for oral administration. [84] Lipid-based nanoparticles Increased transport and cellular uptake in vitro, and transport through the intestinal epithelium in vivo. Hypoglycemic effects in diabetic KKAy mice. A potential system for oral administration. [85] Solid lipid nanoparticles Maintenance of the positive effects on insulin secretion without apparent cytotoxic effects. [86] Neurotoxin Analgesic effect PLA nanoparticles modified with chitosan System for intranasal administration. Improved transport of the peptide to the brain through the blood-brain barrier. [87] Melittin Cytolytic/antitumor activity Perfluorocarbon nanoparticles Potential for attenuating HIV infectivity, reducing toxicity against spermatozoa and vaginal epithelial cells in vitro. [88, 89] Preserves antitumor effect, reduced hemolysis in vitro and reduced signs of toxicity in vivo. Increased melittin half-life. [90] Nano-liposomes with poloxamer 188 Maintenance of antitumor activity. Reduction of toxicity in vivo. [91] Zeolitic imidazolate frame- work-8 nanoparticles Increased antitumor activity and reduced toxicity, in vitro and in vivo. [92] Nanoassemblies of poly- meric rigid core micelles Increased antitumor activity. [58] TsAP-1 Cytolytic/antitumor activity Nanoassemblies of poly- meric rigid core micelles Increased antitumor activity. [58] Melittin/sodium dodecyl sulfate complex Cytolytic/antitumoral activity PLGA nanoparticles Maintenance of antitumor effect in vitro. [93] NKCT1 Antitumor activity Gold nanoparticles Reduction of toxicity in vitro and in vivo. Potentiation of antitumor effects. [12, 94] PEGylated gold nanoparticles Potentiation of antitumor effects. [95] ICD-85 Antitumor activity Sodium alginate nanoparticles Increased toxicity in tumor cells and decreased toxicity in normal cells in vitro. [96, 97] Bothrops toxin-II Leishmanicidal activity Liposomes Selective toxicity against promastigotes and amastigotes of Leishmania amazonensis. Reduced toxicity to the host cell. [98] nanocarriers are listed with regard to the type of nanostruc- ture and the improved properties that were achieved with this special, nanoscale formulation technology. Exenatide (Byetta™) is a synthetic version of exendin-4. When launched in 2005 for the treatment of diabetes mellitus type 2, two injections per day were required [99]. Recently, a new version of exenatide encapsulated in PLGA micro- spheres (Bydureon™) was approved for clinical use; in this version, the gradual release of exenatide allows desirable therapeutic effects with injections administered weekly [100]. Despite this improvement, formulations for subcuta- neous injections continue to be limited in their therapeutic applications, which is responsible for low adherence to the drug regimen, especially in the treatment of chronic diseases. In this sense, some studies have already reported delivery systems based on nanotechnology capable of improving the oral absorption of exendin-4. Uncoated and chitosan-coated PLGA nanoparticles were designed to increase the transmembrane transport of exen- din-4, reaching 8.9 and 16.5-fold increases, respectively, compared with non-encapsulated peptides, using a Madin- Darby canine kidney (MDCK) cell model [84]. The in- creased transport into the cells of this kind of functionalized nanoparticle is attributed to the net-positive charge of chi- tosan-coated PLGA nanoparticles that promote interaction with the negatively charged membrane of a target cell and facilitates the cellular uptake of the carrier peptide. Thus, this delivery strategy is useful not only to improve the oral ad- 104 Current Pharmaceutical Biotechnology, 2020, Vol. 21, No. 2 dos Santos et al. ministration ofexenatide but also of other drug cargoes. Similar results were found with exendin-4 encapsulated in lipid-based nanoparticles composed of an aqueous core with drug-loaded sodium cholate micelles and a mixed solid lipid shell [85]. The cellular uptake and transport of peptides were significantly increased in vitro. Exendin-4 was also readily transported through the epithelium, achieving a bioavailabil- ity of 12.7% in vivo, following intestinal administration in rats. The use of SLN may also to be a promising alternative for the administration of exendin-4, as the encapsulation in these nanostructures was readily accomplished and main- tained the effectiveness of the original peptide to stimulate glucose-dependent insulin secretion (incretin effect) in INS-1 cells in vitro, without inducing cytotoxic effects [86]. In relation to the oral administration of nanoparticles, size is one of the most important characteristics for absorp- tion, distribution, and behavior in vivo. In vitro and in vivo cellular uptake of nanocarriers with a particle size around 100 nm is much more expressive than larger particles, such as microparticles. This observation can be explained by the mechanisms of nanoparticle translocation through the intes- tinal epithelium, which involves more efficient absorption in the Peyer’s patch [101]. Another example of peptide-loaded nanocarriers de- signed to overcome barriers has been ascribed to the encap- sulation of an analgesic peptide neurotoxin derived from the venom of the Asian cobra, Naja atra. Such analgesic pep- tides can effectively block the acetylcholine receptor in the target membrane of host (or patient) cells, preventing neuro- transmission, despite the low permeability of the peptide to blood-brain barrier translocation, limiting its bioactivity. Indeed, chitosan-modified PLA nanoparticles were formulat- ed by the double emulsification solvent evaporation method for nasal administration, and studies in rats showed that neu- rotoxin transport in the brain was improved [87]. The physi- cochemical properties of chitosan allow enhanced transmu- cosal absorption, especially in the case of nasal delivery of polar drugs, including peptides and proteins. The use of nanocarriers has made possible the reduction of toxicity of many peptides toward non-target cells and tissues of biologi- cal systems. Concomitantly, nanotechnological formulations have also potentiated the therapeutic effect of compounds already in use. A remarkable application of nanotechnology for toxicity reduction involves the encapsulation of melittin, a cytolytic peptide derived from the venom of the honey bee, Apis mel- lifera, that displays diverse biological effects in vivo, includ- ing anticancer effects. Melittin can insert into lipid bilayers to form pores that result in cell lysis. The load and transport of melittin into perfluorocarbon nanoparticles has been re- ported. PFOB-melittin was formulated by an oil-in-water emulsion, composed of a liquid perfluorooctyl bromide core and a phospholipid monolayer, forming a stabilizing inter- face with the aqueous medium. Perfluorocarbon nanoparti- cles were initially synthesized by sonication and microfluidi- zation, and melittin was later incorporated into the outer lipid monolayer of this nanosystem. Melittin delivery was suc- cessfully achieved as confirmed by the ability to form pores in a dual-membrane model in vitro [102]. The encapsulation of melittin is justified by the non-selective cytotoxicity caused by this peptide against normal, non-targeted cells and erythrocytes, which produces hemolysis and precludes the use of melittin in therapy. Using nanocarriers, the incorporation of melittin was reported to reduce its cytotoxicity against human spermato- zoa and vaginal epithelial cells (VK2/E6E7) at concentra- tions shown to be adequate to restrain HIV infectivity [88- 89]. Perfluorocarbon nanoparticles also reduced the hemolyt- ic activity of melittin in vitro, and no apparent toxicity was demonstrated in mice after injection of a dose of nanoparti- cles equivalent to four times the LD50 of free melittin. No significant changes in serum enzyme or electrolyte levels and no evidence of hemolysis or tissue damage in the liver, lung, kidney, and heart were observed. Nanoparticle- formulated melittin maintains toxicity against B16F10 mela- noma cells in vitro, but at a much lower magnitude than free melittin, reflecting the slow release of the formulated nanosystem. In addition, nanoparticle incorporation reduced the clearance of melittin when administered intravenously to mice, resulting in a 10-fold increase in the amount of circu- lating melittin in the blood 2 hours after injection. Interest- ingly, the anticancer efficacy of melittin-loaded target-driven nanoparticles was similar to the non-targeted composites, indicating that such a loaded carrier may exert their anti- tumor effects by a nonspecific uptake mechanism by the tumor vasculature or by binding to an overexpressed integrin receptor in tumor cells [90]. Other examples of melittin- nanocarriers include the inclusion in Poloxamer 188 nano- liposomes that also reduced toxicity in vivo, which produced less tissue damage and toxicity to liver cells, reduced neutro- phil-mediated inflammatory responses, and reduced allergic responses in mice. At the same time, nano-liposomes main- tained the therapeutic activity of melittin, as demonstrated by the induced apoptosis observed in liver carcinoma cells in vitro and in vivo, and the inhibition of hepatocellular car- cinoma in the LM-3 xenograft tumor model [91]. Melittin- loaded zeolitic imidazolate framework-8 (ZIF-8) nanoparti- cles were also reported [92]. In another strategy, melittin was modified with an anionic agent, sodium dodecyl sulfate, by a hydrophobic ion-pairing technique and the complex was then incorporated into PLGA nanoparticles, which was active against MCF-7 breast cancer cells [93]. The formulation of melittin with different nanocarriers illustrates the versatility of this technology concerning the numerous possibilities of producing biopharmaceuticals with venom-derived peptides and nanoparticles. In addition, nanostructured melittin has been prepared in association with a second peptide. Incorporation of polymeric rigid core mi- celles into nano-assemblies enhanced the anticancer effects of melittin and the cytolytic peptide, TsAP-1, improving the therapeutic potential of the associated peptides in nanoparti- cles [58]. Another example of peptide association and prepa- ration of a delivery nanosystem includes sodium alginate nanoparticles loaded with ICD-85. ICD-85 nanoparticles were developed by an ionic gelation method and a combina- tion of three peptides with antiproliferative activities that are derived from the venom of the Iranian brown snake Agkistrodon halys and of the yellow scorpion Hemiscorpius lepturus [96]. The ICD-85 nanoparticle increased cytotoxici- ty against HeLa human cervical carcinoma cells in vitro compared with free ICD-85, with a significant inhibitory Nanoparticles Functionalized with Venom-Derived Peptides Current Pharmaceutical Biotechnology, 2020, Vol. 21, No. 2 105 effect on the growth of these cells. Moreover, in vitro assays showed that ICD-85 nanoparticles could significantly de- crease the cytotoxicity toward healthy primary lamb kidney cells compared to the unencapsulated peptides, again demon- strating reduced off-target toxicity of peptide-loaded nano- particles [97]. Liposome nanocarriers have been used to encapsulate venom peptides. Bothrops toxin-II (BthTX-II), an ASP49 phospholipase A2 derived from B. jararacussu venom, was formulated with lipid vesicles prepared by the extrusion method using dipalmitoylphosphatidylcholine, dipalmito- ylphosphatidylserine, and cholesterol as a matrix. As an ex- perimental therapy to treat cutaneous leishmaniasis, Asp49 liposomes showeda high selectivity index compared with free Asp49, indicating a selectivity against L. amazonensis promastigotes, and preserving the viability of J774 macro- phages in vitro. Liposomes also reduced the growth of amastigote forms within peritoneal macrophages of mice, demonstrating their selective leishmanicidal activity inside cells. This seems to be a promising armamentarium against leishmaniasis, in which the parasites are killed whereas host cells are undamaged [98]. From the venom of the monocled cobra Naja kaouthia, a 6.76 kDa toxin (NKCT1) that dis- plays an anticancer effect, was conjugated with gold nano- particles and showed increased antitumor effect compared to free toxin [12]. Besides the expected improvement in anti- cancer effects, the nanoconjugation of NKCT1 reduced pep- tide intrinsic toxicity by approximately three-fold in rat lym- phocytes, as well as reduced the cardiotoxicity, nephrotoxici- ty, and mast cell degranulation. Predictive outcomes of acute and sub-chronic toxicity were also reduced in vivo [12, 94]. Similarly, NKCT1 protein conjugated with PEGylated gold nanoparticles, using the sodium boron reduction technique, increased the anticancer property of NKCT1 [95]. 4.4. Delivery of Crude Animal Venom Using Nanoparti- cles In addition to isolated, pure venom-derived peptides, nanoparticles have also been used to encapsulate non- fractionated, crude venoms, as shown in Table 3. A combi- nation of silica nanoparticles with the venom of the snake Walterinnesia aegyptia potentiated the growth arrest and apoptosis of human breast carcinoma cells (MDA-MB-231 and MCF-7) and prostate cancer cells (PC3 and LNCaP), in comparison with the non-formulated venom, without affect- ing normal cells. Similarly, these nanoparticles also reduced the volume of breast and prostate tumors in experimental animal tumor models. This reduction was twice as pro- nounced as that seen with the crude venom, without, howev- er, causing significant side-effects on body weight - a predic- tive parameter of low toxicity in vivo [49]. In another nanosystem, chitosan tripolyphosphate nanoparticles con- taining Russell's viper venom were formulated using the ion- ic gelation method. No significant morphological alterations were produced in normal cardiac cells treated with these nanoparticles. These venom-loaded nanoparticles displayed low cytotoxicity and caused less than 10% mortality of healthy cardiac cells [103]. The same type of nanoparticles was studied for encapsulation of the crude venom of the In- dian cobra Naja naja oxiana to be used as an alternative to traditional adjuvant systems for future production of biologi- cal pharmaceuticals [67]. CONCLUSION Venom-derived peptides have emerged as promising re- sources for the development of new biopharmaceuticals and diagnostic tools, particularly due to their ability to interact selectively and specifically with therapeutically relevant mo- lecular targets. As with most peptide-based drugs, stability and bioavailability are critical conditions for achieving a high efficacy of peptides as therapeutics. Moreover, off- target effects may cause adverse reactions that are a matter of caution, particularly, in the case of venom peptides. The use of nanocarriers for drug delivery has shown to be advan- tageous for pharmaceutical formulation, allowing fine ad- justments in the composition of nanocarriers to transport and release loaded compounds that are usually hydrophilic, struc- turally labile, and potentially toxic. The union of these two areas of knowledge, that is, toxinology and pharmaceutical manufacturing, can boost the discovery of new therapeutic agents and advance how peptides are used therapeutically and diagnostically, translating this class of compounds, from the bench into final products with clinical applications. The theme of the present work enlightens the use of nanotechnol- ogy and nanocarriers to overcome some disadvantages of peptide administration, particularly venom-derived peptides with unique biological activities and pharmacological ef- fects. Despite that, the majority of examples in the literature concern experimental studies, some formulations have al- ready achieved clinical use, by which nanoparticles loaded or even functionalized with venom peptides have great potential Table 3. Crude animal venom-loaded nanocarriers for pharmaceutical applications. Venom Biological Activity Nanocarrier Application Refs. Walterinnesia aegyptia snake venom Antitumor activity Silica nanoparticles Increased antitumor activity and reduced toxicity, in vitro and in vivo. [49] Russell's viper venom Antigen Chitosan tripolyphosphate nanoparticles Low toxicity. Potential adjuvant system for future medicines. [103] Naja naja oxiana snake venom Antigen Chitosan tripolyphosphate nanoparticles Potential adjuvant system for future medicines. [67] 106 Current Pharmaceutical Biotechnology, 2020, Vol. 21, No. 2 dos Santos et al. to move forward in drug development platforms, as well as in the production of biopharmaceuticals for effective applica- tions in pharmaceutical biotechnology. CONSENT FOR PUBLICATION Not applicable. FUNDING Ana Paula dos Santos is the recipient of a master fellow- ship from the State Funding Agency (FUNCAP/CE), granted to the Postgraduate Program in Pharmaceutical Sciences by the Faculty of Pharmacy, Dentistry, and Nursing, the Federal University of Ceara. CONFLICT OF INTEREST The authors declare no conflict of interest, financial or otherwise. ACKNOWLEDGEMENTS Gandhi Rádis-Baptista is grateful to The National Coun- cil for Scientific and Technological Development (CNPq), and the Ministry of Science, Technology, and Innovation of the Federal Government of Brazil for the endorsement of research projects and financial support. REFERENCES [1] Peigneur, S.; Tytgat, J. 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