Azurin, as a redox protein found in
Pseudomonas aeruginosa (
1), is a type I copper-containing protein, transferring electrons in the denitrification pathway (
2). This water-soluble 14 kDa protein (
3) has shown anticancer effects both in vivo and in vitro via forming a complex with the tumor suppressor protein “p53” (
4). The formation of this complex leads to the stabilization of p53 and a subsequent increase in its cellular concentration (
5). Experimental investigations by site-directed mutagenesis have revealed key-points in azurin-p53 complex formation. Studies suggest that two methionine residues (Met44 and Met64) located in one of the hydrophobic patches of azurin play a critical role in stabilizing the flexible L1 and s7-s motifs of p53 (
6,
7). Azurin is considered a potential anti-cancer agent that favorably enters cancerous cells at a significantly higher rate compared with normal cells (
6). In spite of this remarkable advantage, in vivo studies have highlighted the immunogenic responses induced by azurin, as its major drawback (
8). Nevertheless, further investigations led to the discovery of oligopeptide fragments of azurin, which have therapeutic traits equal to the whole protein (i.e. similar cytotoxic and target specific delivery capabilities) along with minimized immunogenicity (
9,
10).
The p28, a cell-penetrating peptide (CPP), is a truncated derivative of azurin with retained antitumor activity. This peptide is the principal for the internalization of azurin into target cells (
11). Moreover, CPPs are a category of small peptide molecules acting as potential delivery agents for various types of cargoes, including therapeutic proteins, peptides, and nucleic acids (
12,
13). In fact, CPPs work in an energy-dependent manner (
14) and can penetrate cancerous cells, specifically by distinguishing between normal and malignant vasculatures and lymphatic tissue (
15). As mentioned earlier, p28 is an essential factor by which azurin advantageously penetrates into cancerous cells (
11,
16). Indeed, p28 is a 2.9 kDa fragment of azurin (residues 50 - 77) that exerts its anti-proliferative effects through binding to and elevating the intracellular concentration of p53 (
17) without any interference with Mdm2 binding or downstream ubiquitination process (
10,
18,
19). Studies indicate that the tumoricidal activity of p28 results from its residues 11 - 18 (61 - 69 of azurin) (
10). Additionally, p28 makes impressions on cell proliferation by arresting cell cycle at G-M interphase via increasing the intracellular levels of cyclin-dependent kinase inhibitors p21 and p27, suggesting a likelihood that p28 could interfere with the binding of MDM2 to p53. Indeed, this elevation is as a result of the formation of the complex between p28 and p53
wt/mut DNA-binding domain (DBD) (
6,
18,
20), which subsequently leads to a decline in proteasomal degradation of p53 (
10,
21,
22).
The antitumor proficiency of p28 is assessed on a variety of cancerous cells in pre-clinical studies (
9,
17,
22). These investigations have revealed that p28 can induce a G2-M interphase arrest in the cell cycle (
23). Apart from its impact on the status of p53 and CDK-inhibitors, p28 also functions in non-p53-mediated mechanisms to inhibit tumor growth. After its penetration into endothelial cells, it develops a direct antiangiogenic effect, which causes tumor neoangiogenesis to be halted (
24,
25). Notably, p28 can cross through the endothelial tissue and the blood-brain barrier, suggesting its capability of saturating the brain parenchyma dose-dependently (
26).