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PEG-SMR-CLU (also known as PEG-SMRwt-CLU) is a novel investigational PEGylated peptide developed to prevent breast cancer metastasis and treat leukemia. Derived from the Secretion Modification Region (SMR) of the HIV-1 Nef protein, the peptide is modified with polyethylene glycol (PEG) at the N-terminus to improve solubility and stability, and a Clusterin (Clu)-binding peptide at the C-terminus. PEG-SMR-CLU acts by binding to and inhibiting the molecular chaperones mortalin (HSPA9) and vimentin. This inhibition blocks the release of pro-metastatic extracellular vesicles (exosomes) from cancer cells, reduces epithelial-mesenchymal transition (EMT), and induces G2/M phase cell cycle arrest. Developed by the Morehouse School of Medicine, the drug is currently in the preclinical stage of development.
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