Synthesis and manufacturing

Peptide modifications for stability and half-life: lipidation, PEGylation, Aib, cyclisation and fusion

How peptides are engineered for half-life and stability: fatty acid acylation, PEGylation, Aib, D-amino acids, cyclisation, stapling and albumin binding.

Written by
Kareem Ahmed BashaDirector & Chief Scientific Officer
Reviewed by
Nisar MohammedFounder & Managing Director

Published · Updated · 16 min read · 22 references

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Short answer

Native peptides are cleared in minutes. Modifications fix that in two ways: blocking proteolysis, with non-natural residues such as Aib, D-amino acids, cyclisation and terminal capping; and slowing renal clearance, with fatty acid acylation or PEGylation that enlarge the molecule or bind it to albumin.

Key facts

  • Native glucagon-like peptide-1 has a half-life of about 1.5 minutes after intravenous dosing in humans; engineered analogues reach about a week.
  • Semaglutide carries two backbone changes, Aib at position 8 and arginine at 34, plus a C18 fatty di-acid on lysine 26 through a gamma-glutamate and two OEG linker; it is more than 99% bound to plasma albumin.
  • Tirzepatide uses Aib at positions 2 and 13, a C-terminal amide and a C20 fatty di-acid on lysine 20 via a linker; it is 99% albumin-bound with a half-life of about 5 days.
  • Aib at position 8 was the only alanine substitution found to give both DPP-4 stability and high GLP-1 receptor affinity.
  • Teduglutide shows the minimal version of the strategy: a single glycine for alanine swap at position 2 blocks DPP-4, giving a terminal half-life of about 2 hours in healthy subjects without any albumin tag.
  • PEGylation raises effective molecular weight and shields the peptide from proteases, but PEG is polydisperse, non-biodegradable and can elicit anti-PEG antibodies linked to accelerated blood clearance.

Molecules in this article

A peptide that works in a receptor assay often fails in an animal, for two reasons that have nothing to do with its binding affinity. Proteases cut it, and the kidney filters it out. Native glucagon-like peptide-1 has a half-life of about 1.5 minutes after intravenous dosing in humans and 1.5 hours after subcutaneous dosing [2], and generally “proteins and peptides smaller than approximately 70 kDa are more likely to be eliminated by kidney filtration than are larger proteins” [1].

Peptide engineering is the set of chemical answers to those two problems. This guide covers each one with worked examples from molecules in this library: fatty acid acylation and albumin binding, PEGylation, non-natural residues such as Aib and D-amino acids, cyclisation and stapling, terminal capping, and protein fusion. It explains what each modification does, what it costs to make, and what the published evidence shows.

Two clearance problems, two families of fix

ProblemMechanismModifications that address it
ProteolysisSpecific peptidases, for example dipeptidyl peptidase-4 cleaving the N-terminal dipeptide of incretins [9]Aib and other non-natural residues, D-amino acids, N-methylation, cyclisation, terminal capping, backbone modification [16] [3]
Renal filtrationGlomerular filtration of molecules below roughly 70 kDa, influenced by size, shape, hydrodynamic radius and charge [1]Fatty acid acylation with albumin binding, PEGylation, fusion to Fc or albumin [15] [13] [1]

The two are not independent. Albumin binding addresses both at once: the stated principle behind fatty-acid derivatisation of GLP-1 was “to prepare analogs that could bind to albumin in a reversible manner and, thereby, protect the peptide from both DPP-IV degradation and renal filtration” [2].

Lipidation: borrowing albumin’s half-life

Lipidation attaches a fatty acid or fatty di-acid to the peptide, typically on a lysine side chain. The lipid then binds serum albumin, and the peptide inherits albumin’s slow clearance. A 2019 review describes lipidation as “a clinically-proven post-translational modification” that improves half-life, reduces immunogenicity and can enable intracellular uptake and transport across epithelia [15].

Why albumin

Human serum albumin is abundant and long-lived: about 10 to 15 g is produced by the liver daily, giving a plasma concentration of 35 to 50 g/L, roughly 0.6 mM, and its own half-life runs to several weeks [2]. That longevity comes from pH-dependent binding to the neonatal Fc receptor, the same recycling mechanism that protects antibody Fc domains [2]. Crystallography has mapped seven binding sites for the fatty acids C10, C12, C14, C16 and C18 on albumin, so its capacity to carry lipidated cargo is large [2]. The half-life extension achieved by lipidation “is obtained by an increased binding to albumin, which is the most abundant protein within the extracellular fluid” [3].

The structure-activity rules

The relationship between lipid and activity was worked out explicitly for GLP-1. A 2000 study derivatised the 30-residue hormone with fatty acids and reported that all compounds with fatty acids of 12 carbons or longer were strongly protracted compared with GLP-1, that linear fatty acids up to 16 carbons could be attached almost anywhere in the C-terminal part without considerable loss of potency, that the longer the fatty acid the more potency was lost, and that attaching two fatty acid substituents led to a considerable loss of potency [6]. It also found that modifying the N-terminus for metabolic stability at the same time interfered with fatty acid derivatisation and cost potency [6].

The next generation optimised the linker rather than the lipid alone. The semaglutide discovery paper states the aim as designing “a once weekly GLP-1 analogue by increasing albumin affinity and secure full stability against metabolic degradation”, and identifies “the fatty acid moiety and the linking chemistry to GLP-1” as the key features [4]. The development account is specific: linker studies using palmitate showed that introducing OEG linkers gave both high receptor potency and albumin affinity, and a systematic test of C12 to C20 fatty acids found that “a C18 di-acid together with a gammaGlu-2xOEG linker resulted in the highest albumin affinity combined with GLP-1R potency” [2].

Worked example: semaglutide

FeatureDetailSource
Backbone changesAib at position 8, Arg at position 34, versus human GLP-1[4]
Acylation siteLysine 26[4] [5]
Side chainC18 fatty di-acid through a hydrophilic spacer[5]
Linker identified in designgamma-glutamate plus two OEG units[2]
Sequence homology to human GLP-194%[5]
Albumin bindingMore than 99% bound to plasma albumin[5]
Human elimination half-lifeAbout 1 week[5]
Receptor affinity costGLP-1 receptor affinity 0.38 plus or minus 0.06 nM, a threefold decrease versus liraglutide[4]
Elimination routeProteolytic cleavage of the backbone plus sequential beta-oxidation of the fatty acid side chain[5]

The label states the mechanism plainly: “the main protraction mechanism of semaglutide is albumin binding, facilitated by modification of position 26 lysine with a hydrophilic spacer and a C18 fatty di-acid”, and “a minor modification was made in position 34 to ensure the attachment of only one fatty di-acid” [5]. That position 34 change had a manufacturing pay-off as well as a chemical one: replacing the only other lysine with arginine enabled “a semi-recombinant process, where the peptide backbone was produced recombinantly and the fatty acid attached afterwards by a simple chemical reaction” [2], and the label records that the peptide backbone “is produced by yeast fermentation” [5]. Molecular formula C187H291N45O59 and average molecular weight 4113.58 g/mol [5], matching the figures in our semaglutide overview.

Note the trade recorded in the table: the design deliberately accepted a threefold loss of receptor affinity against liraglutide in exchange for higher albumin affinity [4]. Lipidation is not free potency.

Worked example: tirzepatide

Tirzepatide shows the same toolkit applied to a GIP-based sequence. Its label states that it “is based on the GIP sequence and contains aminoisobutyric acid (Aib) in positions 2 and 13, a C-terminal amide, and Lys residue at position 20 that is attached to 1,20-eicosanedioic acid via a linker”, with molecular weight 4813.53 Da and empirical formula C225H348N48O68 [7]. It “contains a C20 fatty diacid that enables albumin binding and prolongs the half-life”, is 99% bound to plasma albumin, and has an elimination half-life of approximately 5 days [7]. Metabolism runs by proteolytic cleavage of the backbone, beta-oxidation of the C20 di-acid and amide hydrolysis [7]. The discovery paper describes it as “a fatty acid modified peptide with dual GIP and GLP-1 receptor agonist activity designed for once-weekly subcutaneous administration” [8].

Four modifications are stacked in one molecule: two Aib substitutions against proteolysis, a C-terminal amide, a di-acid for albumin binding, and a linker between the two. This is the current state of the art, and it is the reason the molecule is made by a hybrid route rather than linear synthesis.

Making lipidated peptides

Lipidation is usually done while the peptide is still on the resin. The lysine intended for acylation is protected with an orthogonal group so it can be unmasked selectively: acid-labile Mmt or Mtt, removed with 1% trifluoroacetic acid in dichloromethane; base-labile ivDde or Dde, removed with 2% hydrazine in dimethylformamide; or Alloc, removed with catalytic palladium under inert conditions [3]. Once the side chain is free, “a selective removal of the side-chain protecting group enables specific amide-bond formation by the reaction of an activated carboxylic group of the fatty acid with the N-epsilon-group of the lysine” [3]. In one published synthesis of lipidated human pancreatic polypeptide, the lysines were protected with Dde during automated synthesis and the palmitic acid introduced afterwards [3].

The practical point for anyone costing a synthesis: these orthogonal building blocks and the extra deprotection, acylation and wash steps all sit on top of the standard cycle, and fatty acid and PEG introduction is “generally performed manually” [3]. Fmoc chemistry is the usual choice for modified peptides because many modifications are not stable to the anhydrous hydrogen fluoride that Boc chemistry needs for final cleavage [21].

PEGylation

PEGylation attaches polyethylene glycol chains of defined average molecular weight. The mechanism is physical rather than biological: “by increasing the molecular mass of proteins and peptides and shielding them from proteolytic enzymes, pegylation improves pharmacokinetics” [13]. It also increases hydrodynamic radius and so decreases the rate of glomerular filtration [1]. PEG is amphiphilic, non-toxic, weakly immunogenic and highly soluble, and the PEGylated peptide travels inside a large water shell, because every ethylene oxide unit binds about three water molecules [3].

The chemistry is straightforward in principle. PEG polymers are sold with a methoxy cap at one end and an activated group, usually an N-hydroxysuccinimidyl ester, at the other, and are available in a range of sizes and chain architectures [3]. Small PEGs can be coupled on resin after selective side-chain deprotection; “the introduction of larger PEG units has to be carried out in solution” after cleavage, when only the intended amino groups are available [3]. Conventional PEGylation targets lysine or cysteine residues, which is why site-specific methods, including genetic code expansion to install a uniquely reactive non-canonical amino acid, have been developed to avoid heterogeneous multi-PEGylation [16].

Three limitations are documented:

  • Polydispersity and persistence. PEG is polydisperse and lacks biodegradability, which is why alternatives such as polysialylation, HESylation and PASylation have been developed [3].
  • Anti-PEG immunity. Antibodies that specifically bind PEG can cause accelerated blood clearance of PEGylated therapeutics. In animals the response is typically robust but short-lived and predominantly IgM; in humans the presence of anti-PEG antibodies “has been correlated with reduced efficacy of PEGylated therapeutics in clinical trials”, and such antibodies occur in some healthy untreated individuals [14].
  • Renal findings. PEG has been associated with vacuolisation of renal cortical tubular epithelium cells, which the fusion-protein review notes brings its safety “at least somewhat into question” [1].

There is also a regulatory consequence for manufacturing. EMA treats peptide fragments carrying modifications such as PEG chains, or that have been cyclised, as intermediates rather than as starting materials, which means they fall inside the GMP boundary [22].

Backbone modifications: Aib, D-amino acids, N-methylation

The cheapest way to defeat a protease is to make its substrate unrecognisable at the scissile bond. For incretin peptides that site is position 2, where dipeptidyl peptidase-4 cuts.

Aib

Aminoisobutyric acid is alanine with a second methyl group on the alpha carbon, which blocks the enzyme sterically without adding bulk elsewhere. The GLP-1 work established how narrow the window is: an early study showed DPP-IV lability could be reduced by alternative residues at position 8, but glycine at that position also significantly reduced receptor affinity, and “the only Ala substitution that resulted in both DPP-IV stability and high GLP-1R affinity was the introduction of aminoisobutyric acid (Aib) at position 8” [2]. Semaglutide’s label records exactly this: it “is modified in position 8 to provide stabilization against degradation by the enzyme dipeptidyl-peptidase 4 (DPP-4)” [5]. Tirzepatide carries Aib twice, at positions 2 and 13 [7].

Worked example: teduglutide, a single-residue solution

Teduglutide is the minimal case and a useful control. Its label describes it as “a 33 amino acid glucagon-like peptide-2 (GLP-2) analog” manufactured “using a strain of Escherichia coli modified by recombinant DNA technology”, with a molecular weight of 3752 Daltons [10]. The single change is a glycine for alanine swap at position 2. The 1997 study behind it showed that GLP-2(1-33) was degraded to GLP-2(3-33) by human placental DPP-IV or rat serum but not by serum from DPP-IV-deficient rats, and that the synthetic analogue r[Gly2]GLP-2 “was resistant to cleavage by both DPP-IV and rat serum in vitro” and produced a statistically significant increase in small bowel mass in wild-type rats [9].

What teduglutide does not have is any half-life extension beyond protease resistance. Its label reports a mean terminal half-life of approximately 2 hours in healthy subjects and 1.3 hours in subjects with short bowel syndrome [10]. That contrast is the clearest illustration available of the difference between blocking proteolysis and slowing renal clearance: one residue buys protease resistance, and nothing more. The molecular formula in our teduglutide overview is C164H252N44O55S with a molecular weight of 3752.13 g/mol, consistent with the label.

D-amino acids

Proteases are stereospecific, so a D-residue at a cleavage site resists them. Backbone modification strategies include “the substitution of L-amino acids by D-amino acids, insertion of methyl-amino acids, and the incorporation of beta-amino acids and peptoids” [16]. The catch is activity: “the insertion of D-amino acid can usually help to extend the plasma half-life of the peptide, but peptides with D-amino acid modification rarely exhibit effective biological activity” [16]. D-proline has a narrower, more reliable use, forcing a turn to stabilise beta-sheet structure [16].

D-residues also appear as unwanted impurities rather than design elements. Epimerisation during activation and coupling produces diastereomers with nearly identical physical properties, which is why racemisation control is a central concern in synthesis; cysteine and histidine are the most at-risk residues under base-mediated activation and microwave heating [21].

Cyclisation, stapling and terminal capping

Cyclisation

Cyclisation can be head-to-tail, backbone-to-side-chain or side-chain-to-side-chain [16]. It “can increase proteolytic stability and cell-permeability, and allows mimicking and stabilization of the peptide secondary structure”; a single linear sequence cannot hold a loop or turn, but cyclisation pre-organises the intramolecular interactions that make one [16]. It is also used to stabilise helices and beta-sheets [16].

This is a mature class, not an experimental one. A 2017 review states that “over 40 cyclic peptide drugs are currently in clinical use and around one new cyclic peptide drug enters the market every year on average”, with the great majority derived from natural products such as antimicrobials and human hormones, and newer entries coming from rational design and in vitro evolution [17]. Disulfide-rich cyclic peptides are a sub-class with their own chemistry: linaclotide, in this library, is described in its label as “a 14-amino acid peptide” whose chemical name ends “cyclic (1-6), (2-10), (5-13)-tris (disulfide)”, and that constrained, protease-resistant architecture is consistent with the label statement that it “is minimally absorbed with negligible systemic availability following oral administration” [19].

Modern resins carry linkers designed for on-resin cyclisation, which is what makes these molecules practical to make at scale [16].

Stapling

Stapling locks an alpha-helix with a covalent cross-link, “using non-natural electrophilic amino acids to replace residues at the i and i+4 or i and i+7 position” [16]. The founding report, in 2004, used hydrocarbon stapling on BH3 domain peptides from the BCL-2 family. The stapled peptides, named stabilised alpha-helices of BCL-2 domains, “proved to be helical, protease-resistant, and cell-permeable molecules that bound with increased affinity to multidomain BCL-2 member pockets”; one of them activated the apoptotic pathway to kill leukaemia cells and inhibited the growth of human leukaemia xenografts in vivo [18]. The evidence level there is cell culture plus a mouse xenograft model.

N- and C-terminal capping

The simplest intervention of all is to block the ends. Peptide stability “can also be optimized by blocking their respective termini through N-terminal acylation and C-terminal amidation” [3]. C-terminal amidation also has a structural rationale: an acid or an amide are the two naturally occurring C-terminal functionalities, and the resin linker is what decides which one the synthesis delivers [3]. Tirzepatide carries a C-terminal amide [7].

Albumin binding by covalent conjugation

Reversible albumin binding through a fatty acid is one approach. The other is to bond to albumin covalently, in the bloodstream, after administration. CJC-1295 is the worked example in this library.

The method places a reactive maleimide on the peptide so that it forms a covalent bond with the free thiol on cysteine 34 of serum albumin. Three maleimido derivatives of human GRF(1-29) were synthesised, conjugated to human serum albumin ex vivo, and all three showed enhanced in vitro stability against dipeptidyl peptidase-IV and were bioactive in a growth hormone secretion assay in cultured rat anterior pituitary cells [11]. The best compound, CJC-1295, is described as “a tetrasubstituted form of hGRF(1-29) with an added N-epsilon-3-maleimidopropionamide derivative of lysine at the C terminus”; it gave a fourfold increase in growth hormone area under the curve over two hours in rats compared with hGRF(1-29), was present in plasma beyond 72 hours, and appeared on Western blot as an immunoreactive band at the size of serum albumin from 15 minutes after administration [11].

In humans, two randomised, placebo-controlled, double-blind ascending-dose trials in healthy adults aged 21 to 61 estimated the half-life of CJC-1295 at 5.8 to 8.1 days; after multiple doses, mean IGF-I levels remained above baseline for up to 28 days, and no serious adverse reactions were reported [12]. CJC-1295 is not approved by any major regulator, and clinical development was discontinued; our CJC-1295 overview covers the distinction between this albumin-binding molecule and the version sold without the albumin-binding lysine.

The same albumin-as-carrier idea has been pursued with peptide and protein ligands rather than chemistry. A cyclic peptide with the core sequence DICLPRWGCLW binds albumin with 1:1 stoichiometry at a unique epitope and, fused to Fab fragments, increased half-life 37-fold in mice and 26-fold in rabbits, though with species-specific differences in binding affinity [2].

Fusion proteins, briefly

Fusion moves the problem to a protein that the body already recycles. Human IgG1, IgG2 and IgG4 and human serum albumin all bind the neonatal Fc receptor in a pH-dependent manner after pinocytosis, and that recycling “confers a nominal 14- to 21-day half-life on human IgG1, IgG2, and IgG4, and a ~19-day half-life on HSA” [1]. Immunoglobulins that do not bind the receptor, such as IgA, IgM, IgD and IgE, have no extended half-life, and IgG3, whose receptor-binding domain carries an altered residue, falls to about 5 to 7.5 days [1].

Applied to incretins, the effect is large. An approved GLP-1 Fc fusion “contains a DPP-4-resistant version of GLP-1 (V8-GLP-1) fused to the Fc of a human IgG4 (F234A/L235A) via a linker” [1], and an approved GLP-1 fusion to human serum albumin improved the half-life of pharmacologically active GLP-1 “from 1-2 min for native GLP-1 to 4-7 days, which allows for once weekly dosing” [1]. Across the field, “most of the Fc fusion proteins generated to date have half-life values in humans of about 4-5 days” [1]. Immunogenicity has been modest in the examples reviewed: for one albumin fusion product, about 5% of patients generated non-neutralising low-level anti-drug antibodies not correlated with clearance or loss of activity [1].

Fusion is a biologics strategy rather than a peptide-chemistry one, with the manufacturing and regulatory consequences that implies, so it sits at the edge of this topic rather than inside it.

Choosing a modification

GoalFirst-choice modificationEvidence to checkCost in synthesis
Block a known protease siteAib, D-residue or N-methylation at the cleavage siteIn vitro stability against the specific enzyme, plus retained receptor affinity [2] [9]One non-standard building block
Extend half-life to days or a weekFatty di-acid with an optimised linker, for albumin bindingAlbumin binding percentage and the receptor affinity you gave up [4] [5]Orthogonal lysine protection, selective deprotection, manual acylation [3]
Reduce renal clearance of a small peptidePEGylationAnti-PEG antibody risk and PEG size distribution [14] [3]Site-specific chemistry; large PEGs attached in solution [3]
Lock a bioactive conformationCyclisation or staplingHelicity, protease resistance, cell permeability [16] [18]On-resin cyclisation linker, non-natural cross-linking residues
Stabilise the ends cheaplyN-terminal acetylation, C-terminal amidationComparative stability against the unmodified peptide [3]Resin choice and one capping step
Reach weeks of exposureFc or albumin fusionReceptor-mediated recycling, immunogenicity [1]Expression system rather than synthesis

A closing caution from the field. More than 80 peptide drugs have reached the market since insulin, across diabetes, cancer, osteoporosis, multiple sclerosis, HIV infection and chronic pain, built on exactly these techniques [20]. But every modification is a trade. Semaglutide’s threefold loss of receptor affinity against liraglutide [4], the potency cost of long or doubled fatty acids [6], and the tendency of D-amino acid substitution to abolish activity [16] are all documented. Modification data are only interpretable when potency and pharmacokinetics are reported together.

How Winhycare Pharma handles modified peptides

Winhycare Pharma supplies research peptides as research-use-only material, at purity of at least 99% as stated in our product brochure, with QC documentation, including acylated and cyclised sequences such as semaglutide, tirzepatide, CJC-1295 and teduglutide. Custom peptide synthesis covers lipidation, PEGylation, cyclisation and non-natural residues for research sequences. Semaglutide, tirzepatide, retatrutide, cagrilintide and BPC-157 are also supplied as API to licensed pharmaceutical manufacturers through our peptide API hub; US-DMF and CTD Module 3 support is available for semaglutide only. To discuss a modified sequence, use the custom synthesis enquiry form.

For laboratory research use only. Not for human or veterinary use.

Frequently asked questions

Why are peptides modified at all?+

Unmodified peptides have two weaknesses. Proteases cleave them, with dipeptidyl peptidase-4 being the classic example for incretin peptides, and the kidney filters them, because molecules below roughly 70 kDa are readily cleared by glomerular filtration. Modifications address one or both: backbone changes block the protease, while acylation, PEGylation or fusion slow filtration.

What is peptide lipidation?+

Attaching a fatty acid or fatty di-acid to the peptide, usually to a lysine side chain, often while the chain is still on the resin. The lipid binds reversibly to serum albumin, which protects the peptide from proteases and renal filtration and so extends its half-life. Albumin has multiple fatty acid binding sites and a plasma half-life of several weeks, which is what the peptide borrows.

How does semaglutide's fatty acid side chain work?+

Its prescribing information states that the main protraction mechanism is albumin binding, facilitated by modification of the lysine at position 26 with a hydrophilic spacer and a C18 fatty di-acid, with a further modification at position 34 so that only one di-acid attaches. The design work found a C18 di-acid with a gamma-glutamate and two OEG linker gave the highest albumin affinity while keeping receptor potency.

What is Aib in a peptide sequence?+

Aminoisobutyric acid, a non-natural residue with two methyl groups on the alpha carbon. Placed next to a cleavage site it blocks dipeptidyl peptidase-4. In GLP-1 analogue work it was the only alanine substitution that gave both DPP-4 stability and high receptor affinity, and it appears at position 8 in semaglutide and at positions 2 and 13 in tirzepatide.

What is the difference between lipidation and PEGylation?+

Lipidation attaches a fatty acid that binds albumin reversibly, so the peptide travels with a natural carrier protein. PEGylation attaches a polyethylene glycol chain that increases the molecule's effective size and hydrodynamic radius directly, slowing glomerular filtration and shielding the peptide from proteases. PEG also carries a large water shell, since each ethylene oxide unit binds about three water molecules.

Does PEGylation have drawbacks?+

Yes. PEG is polydisperse and not biodegradable, large PEG units generally have to be attached manually in solution rather than on resin, and anti-PEG antibodies can cause accelerated blood clearance. The presence of anti-PEG antibodies has been correlated with reduced efficacy of PEGylated therapeutics in clinical trials, and such antibodies exist in some healthy untreated individuals.

What does cyclisation do to a peptide?+

Cyclisation, whether head-to-tail, backbone-to-side-chain or side-chain-to-side-chain, increases proteolytic stability and cell permeability and pre-organises the molecule so it can hold a secondary structure. Over 40 cyclic peptide drugs are in clinical use, and about one new cyclic peptide drug reaches the market each year on average.

What is a stapled peptide?+

A peptide whose alpha-helix is locked in place by a covalent cross-link between residues at positions i and i+4 or i and i+7. The original hydrocarbon-stapled BH3 helices were reported in 2004 as helical, protease-resistant and cell-permeable, with increased affinity for their targets, and one activated apoptosis in leukaemia cells and inhibited growth of human leukaemia xenografts.

What is an Fc fusion peptide?+

A peptide genetically fused to the Fc region of an antibody, which binds the neonatal Fc receptor and is recycled rather than degraded. That recycling gives human IgG1, IgG2 and IgG4 a nominal 14 to 21 day half-life, and most Fc fusion proteins made so far have human half-lives of about 4 to 5 days. Fusion to human serum albumin works through the same receptor.

Do D-amino acids extend peptide half-life?+

Inserting a D-amino acid can extend plasma half-life, because proteases are stereospecific, but a 2022 review notes that peptides with D-amino acid modification rarely retain effective biological activity. D-proline is also used specifically to force a turn and stabilise beta-sheet structures.

Sources

  1. Strohl WR. Fusion proteins for half-life extension of biologics as a strategy to make biobetters. BioDrugs 2015;29:215-239, BioDrugs (PubMed Central)
  2. Knudsen LB, Lau J. The discovery and development of liraglutide and semaglutide. Front Endocrinol 2019;10:155, Frontiers in Endocrinology (PubMed Central)
  3. Mäde V, Els-Heindl S, Beck-Sickinger AG. Automated solid-phase peptide synthesis to obtain therapeutic peptides. Beilstein J Org Chem 2014;10:1197-1212, Beilstein Journal of Organic Chemistry (PubMed Central)
  4. Lau J, Bloch P, Schäffer L, et al. Discovery of the once-weekly glucagon-like peptide-1 (GLP-1) analogue semaglutide. J Med Chem 2015;58:7370-7380, Journal of Medicinal Chemistry (PubMed record)
  5. Semaglutide injection prescribing information, NDA 209637, revised 05/2026: sections 11 and 12.3, US Food and Drug Administration
  6. Knudsen LB, Nielsen PF, Huusfeldt PO, et al. Potent derivatives of glucagon-like peptide-1 with pharmacokinetic properties suitable for once daily administration. J Med Chem 2000;43:1664-1669, Journal of Medicinal Chemistry (PubMed record)
  7. Tirzepatide injection prescribing information, NDA 215866, 2026: sections 11 and 12.3, US Food and Drug Administration
  8. Coskun T, Sloop KW, Loghin C, et al. LY3298176, a novel dual GIP and GLP-1 receptor agonist for the treatment of type 2 diabetes mellitus: from discovery to clinical proof of concept. Mol Metab 2018;18:3-14, Molecular Metabolism (PubMed record)
  9. Drucker DJ, Shi Q, Crivici A, et al. Regulation of the biological activity of glucagon-like peptide 2 in vivo by dipeptidyl peptidase IV. Nat Biotechnol 1997;15:673-677, Nature Biotechnology (PubMed record)
  10. Teduglutide for injection: US prescribing information, sections 11 and 12.3, DailyMed, US National Library of Medicine
  11. Jetté L, Léger R, Thibaudeau K, et al. Human growth hormone-releasing factor (hGRF)1-29-albumin bioconjugates activate the GRF receptor on the anterior pituitary in rats: identification of CJC-1295 as a long-lasting GRF analog. Endocrinology 2005;146:3052-3058, Endocrinology (PubMed record)
  12. Teichman SL, Neale A, Lawrence B, Gagnon C, Castaigne JP, Frohman LA. Prolonged stimulation of growth hormone (GH) and insulin-like growth factor I secretion by CJC-1295, a long-acting analog of GH-releasing hormone, in healthy adults. J Clin Endocrinol Metab 2006;91:799-805, Journal of Clinical Endocrinology and Metabolism (PubMed record)
  13. Harris JM, Chess RB. Effect of pegylation on pharmaceuticals. Nat Rev Drug Discov 2003;2:214-221, Nature Reviews Drug Discovery (PubMed record)
  14. Yang Q, Lai SK. Anti-PEG immunity: emergence, characteristics, and unaddressed questions. Wiley Interdiscip Rev Nanomed Nanobiotechnol 2015;7:655-677, WIREs Nanomedicine and Nanobiotechnology (PubMed record)
  15. Menacho-Melgar R, Decker JS, Hennigan JN, Lynch MD. A review of lipidation in the development of advanced protein and peptide therapeutics. J Control Release 2019;295:1-12, Journal of Controlled Release (PubMed record)
  16. Wang L, Wang N, Zhang W, et al. Therapeutic peptides: current applications and future directions. Signal Transduct Target Ther 2022;7:48, Signal Transduction and Targeted Therapy (PubMed Central)
  17. Zorzi A, Deyle K, Heinis C. Cyclic peptide therapeutics: past, present and future. Curr Opin Chem Biol 2017;38:24-29, Current Opinion in Chemical Biology (PubMed record)
  18. Walensky LD, Kung AL, Escher I, et al. Activation of apoptosis in vivo by a hydrocarbon-stapled BH3 helix. Science 2004;305:1466-1470, Science (PubMed record)
  19. Linaclotide capsules: US prescribing information, sections 11 and 12.3, DailyMed, US National Library of Medicine
  20. Muttenthaler M, King GF, Adams DJ, Alewood PF. Trends in peptide drug discovery. Nat Rev Drug Discov 2021;20:309-325, Nature Reviews Drug Discovery (PubMed record)
  21. Behrendt R, White P, Offer J. Advances in Fmoc solid-phase peptide synthesis. J Pept Sci 2016;22:4-27, Journal of Peptide Science (PubMed Central)
  22. Guideline on the Development and Manufacture of Synthetic Peptides, EMA/CHMP/CVMP/QWP/367182/2025 (date of coming into effect 1 June 2026), European Medicines Agency

About the author

Kareem Ahmed Basha

Director & Chief Scientific Officer, Winhycare Pharma

Kareem Ahmed Basha is a director and the chief scientific officer of Winhycare Pharma in Hyderabad, India, and writes and reviews the division’s technical content on peptides, peptide APIs and lyophilisation.

He has nearly two decades of pharmaceutical quality experience, including 11 years 8 months at Dr. Reddy’s Laboratories in India and Mexico and earlier roles at Biocon and Anthem Biosciences.

  • Pharmaceutical quality assurance (cGMP, GLP)
  • Vendor qualification and CMO audits
  • Deviations, CAPA and change control
  • Data integrity and LIMS
  • Technology transfer
  • Peptide APIs
  • Peptide lyophilisation

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