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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Nanotechnol.</journal-id>
<journal-title>Frontiers in Nanotechnology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Nanotechnol.</abbrev-journal-title>
<issn pub-type="epub">2673-3013</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">874790</article-id>
<article-id pub-id-type="doi">10.3389/fnano.2022.874790</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Nanotechnology</subject>
<subj-group>
<subject>Review</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Elastin-like Polypeptides in Development of Nanomaterials for Application in the Medical Field</article-title>
<alt-title alt-title-type="left-running-head">Lima et al.</alt-title>
<alt-title alt-title-type="right-running-head">Elastin-Like Based Nanomaterials and Nanoformulations</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Lima</surname>
<given-names>Let&#x00ED;cia Ferreira</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1672654/overview"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Sousa</surname>
<given-names>Mauricio Gon&#x00E7;alves Da Costa</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/528964/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rodrigues</surname>
<given-names>Gisele Regina</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/618076/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>de Oliveira</surname>
<given-names>Kamila Botelho Sampaio</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pereira</surname>
<given-names>Ana Margarida</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1699127/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>da Costa</surname>
<given-names>Andr&#x00E9;</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Machado</surname>
<given-names>Raul</given-names>
</name>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/104484/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Franco</surname>
<given-names>Octavio Luiz</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/35959/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dias</surname>
<given-names>Simoni Campos</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff7">
<sup>7</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/118114/overview"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Centro de An&#xe1;lises Prote&#xf4;micas e Bioqu&#xed;micas</institution>, <institution>Universidade Cat&#xf3;lica de Bras&#xed;lia (UCB)</institution>, <addr-line>Bras&#xed;lia</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Departamento de P&#xf3;s-Gradua&#xe7;&#xe3;o em Ci&#xea;ncias Gen&#xf4;micas e Biotecnologia</institution>, <institution>Universidade Cat&#xf3;lica de Bras&#xed;lia (UCB)</institution>, <addr-line>Bras&#xed;lia</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>School of Dentistry</institution>, <institution>Oregon Health and Science University OHSU</institution>, <addr-line>Portland</addr-line>, <addr-line>OR</addr-line>, <country>United States</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>S-Inova Biotech</institution>, <institution>P&#xf3;s-Gradua&#xe7;&#xe3;o em Biotecnologia</institution>, <institution>Universidade Cat&#xf3;lica Dom Bosco</institution>, <addr-line>Campo Grande</addr-line>, <country>Brazil</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>CBMA (Centre of Molecular and Environmental Biology)</institution>, <institution>Department of Biology</institution>, <institution>University of Minho</institution>, <addr-line>Braga</addr-line>, <country>Portugal</country>
</aff>
<aff id="aff6">
<sup>6</sup>
<institution>IB-S (Institute of Science and Innovation for Bio-Sustainability)</institution>, <institution>University of Minho</institution>, <addr-line>Braga</addr-line>, <country>Portugal</country>
</aff>
<aff id="aff7">
<sup>7</sup>
<institution>P&#xf3;s-Gradua&#xe7;&#xe3;o em Biologia Animal</institution>, <institution>Campus Universit&#xe1;rio Darcy Ribeiro</institution>, <institution>Universidade de Bras&#xed;lia (UnB)</institution>, <addr-line>Bras&#xed;lia</addr-line>, <country>Brazil</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/465004/overview">Srinivasan Ramanathan</ext-link>, Prince of Songkla University, Thailand</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/591649/overview">Carlos Moya</ext-link>, Universit&#xe9; Libre de Bruxelles, Belgium</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1681263/overview">Ayae Sugawara-Narutaki</ext-link>, Nagoya University, Japan</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/595988/overview">Arti Vashist</ext-link>, Florida International University, United States</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Mauricio Gon&#x00E7;alves Da Costa Sousa, <email>sousam@ohsu.edu</email>
</corresp>
<fn fn-type="other">
<p>This article was submitted to Biomedical Nanotechnology, a section of the journal Frontiers in Nanotechnology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>25</day>
<month>04</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>4</volume>
<elocation-id>874790</elocation-id>
<history>
<date date-type="received">
<day>13</day>
<month>02</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>05</day>
<month>04</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Lima, Sousa, Rodrigues, de Oliveira, Pereira, da Costa, Machado, Franco and Dias.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Lima, Sousa, Rodrigues, de Oliveira, Pereira, da Costa, Machado, Franco and Dias</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Elastin-like polypeptides (ELPs) are biopolymers formed by amino acid sequences derived from tropoelastin. These biomolecules can be soluble below critical temperatures, forming aggregates at higher temperatures, which makes them an interesting source for the design of different nanobiomaterials. These nanobiomaterials can be obtained from heterologous expression in several organisms such as bacteria, fungi, and plants. Thanks to the many advantages of ELPs, they have been used in the biomedical field to develop nanoparticles, nanofibers, and nanocomposites. These nanostructures can be used in multiple applications such as drug delivery systems, treatments of type 2 diabetes, cardiovascular diseases, tissue repair, and cancer therapy. Thus, this review aims to shed some light on the main advances in elastin-like-based nanomaterials, their possible expression forms, and importance to the medical field.</p>
</abstract>
<kwd-group>
<kwd>elastin-like polypeptides</kwd>
<kwd>biosynthesis</kwd>
<kwd>heterologous expression</kwd>
<kwd>nanomaterials</kwd>
<kwd>medical field</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Nanotechnology is promising because it allows new applications to be used in a wide range of fields, especially medical ones. To develop new bionanotechnologies, several natural-based components, such as silk (<xref ref-type="bibr" rid="B26">Chouhan and Mandal, 2020</xref>), chitosan (<xref ref-type="bibr" rid="B120">Qi et al., 2004</xref>), elastin-like polypeptides (ELPs) (<xref ref-type="bibr" rid="B126">Rodr&#xed;guez-Cabello et al., 2016</xref>), and others (<xref ref-type="bibr" rid="B43">Ding et al., 2014</xref>) have been studied to design nanomaterials. Elastin-like polypeptides (ELPs), for instance, are biosynthetic structures based on natural elastin, which occurs naturally in mammals.</p>
<p>ELPs present elastomeric characteristics acquired from the monomeric precursor tropoelastin, formed from its alignment, and monomer binding (<xref ref-type="bibr" rid="B65">Kaur and Reinhardt, 2015</xref>; <xref ref-type="bibr" rid="B30">Coenen et al., 2018</xref>; <xref ref-type="bibr" rid="B165">Varanko et al., 2020</xref>). The most frequently used ELPs consist of <italic>n</italic> tandem repeats of the VPGXG pentapeptide, where X is a residue which can be any amino acid except for proline (<xref ref-type="bibr" rid="B67">Kim and Chaikof, 2010</xref>). The presence of a proline amino acid residue in the X position causes transition temperature (<italic>T</italic>
<sub>t</sub>) loss due to its rigid conformational characteristic (<xref ref-type="bibr" rid="B158">Urry, 1992</xref>; <xref ref-type="bibr" rid="B155">Trabbic-Carlson et al., 2004</xref>; <xref ref-type="bibr" rid="B122">Quintanilla-Sierra et al., 2019</xref>). ELPs exhibit a reversible phase-transitional behavior at a certain temperature threshold, referred to as the transition temperature. In aqueous solution and below the <italic>T</italic>
<sub>t,</sub> ELPs are highly soluble, but they undergo phase-separate aggregation into coacervates that may coalesce into supra-hierarchical structures at temperatures above <italic>T</italic>
<sub>t,</sub> which is mostly 37&#xb0;C (<xref ref-type="bibr" rid="B28">Chow et al., 2008</xref>; <xref ref-type="bibr" rid="B47">Floss et al., 2010</xref>; <xref ref-type="bibr" rid="B141">Saxena and Nanjan, 2015</xref>; <xref ref-type="bibr" rid="B46">Fletcher et al., 2019</xref>; <xref ref-type="bibr" rid="B122">Quintanilla-Sierra et al., 2019</xref>). The insoluble phase occurs because ELP bonds are disrupted by water molecules (<xref ref-type="bibr" rid="B158">Urry, 1992</xref>). Besides being affected by polymer concentration and molecular weight, pH and ionic strength, <italic>T</italic>
<sub>t</sub> is also dependent on the guest residue composition (<xref ref-type="bibr" rid="B160">Urry et al., 1991</xref>; <xref ref-type="bibr" rid="B98">Meyer and Chilkoti, 2004</xref>; <xref ref-type="bibr" rid="B77">Li et al., 2014</xref>; <xref ref-type="bibr" rid="B185">Zhao et al., 2016</xref>). Of remarkable interest, the fusion of peptides or small molecules to ELPs was not seen to significantly compromise thermally responsive behavior (<xref ref-type="bibr" rid="B155">Trabbic-Carlson et al., 2004</xref>; <xref ref-type="bibr" rid="B29">Christensen et al., 2013</xref>; <xref ref-type="bibr" rid="B34">da Costa et al., 2015a</xref>; <xref ref-type="bibr" rid="B35">da Costa et al., 2018</xref>; <xref ref-type="bibr" rid="B37">da Costa et al., 2021</xref>). In addition, ELPs have been demonstrated to be biodegradable, biocompatible, and non-cytotoxic (<xref ref-type="bibr" rid="B105">Nair and Laurencin., 2007</xref>; <xref ref-type="bibr" rid="B129">Rodriguez-Cabello et al., 2017</xref>), thus becoming increasingly attractive for the development of materials suitable for biomedical applications (<xref ref-type="bibr" rid="B42">Despanie et al., 2016</xref>; <xref ref-type="bibr" rid="B165">Varanko et al., 2020</xref>; <xref ref-type="bibr" rid="B92">Mbundi et al., 2021</xref>).</p>
<p>ELPs can be chemically synthetized (<xref ref-type="bibr" rid="B93">McGrath et al., 1990</xref>; <xref ref-type="bibr" rid="B159">Urry et al., 1990</xref>; <xref ref-type="bibr" rid="B161">Urry and Pattanaik, 2006</xref>; <xref ref-type="bibr" rid="B2">Aladini et al., 2016</xref>), but this process presents considerable limitations involving several complex steps, resulting in low yields of a polydisperse mixture of polypeptides with low molecular weight (<xref ref-type="bibr" rid="B93">McGrath et al., 1990</xref>). In contrast, the production of recombinant ELPs represents an efficient and high-yield approach, producing monodisperse polymers with high molecular weight (<xref ref-type="bibr" rid="B93">McGrath et al., 1990</xref>; <xref ref-type="bibr" rid="B106">Nettles et al., 2010</xref>; <xref ref-type="bibr" rid="B92">Mbundi et al., 2021</xref>; <xref ref-type="bibr" rid="B127">Rodriguez-Cabello et al., 2021</xref>). Owing to the reversible phase transition behavior of ELPs, purification can be achieved by employing simple heating/cooling cycles, avoiding the need for complex chromatographic methods, assisting cost reduction and avoiding the use of cumbersome steps, because there is no need for chromatography purification (<xref ref-type="fig" rid="F1">Figure 1</xref>) (<xref ref-type="bibr" rid="B97">Meyer and Chilkoti, 1999</xref>; <xref ref-type="bibr" rid="B11">Banki et al., 2005</xref>; <xref ref-type="bibr" rid="B154">Trabbic-Carlson et al., 2009</xref>; <xref ref-type="bibr" rid="B54">Hu et al., 2010</xref>; <xref ref-type="bibr" rid="B179">Yang et al., 2012</xref>; <xref ref-type="bibr" rid="B35">da Costa et al., 2018</xref>; <xref ref-type="bibr" rid="B110">Paiva dos Santos et al., 2019</xref>; <xref ref-type="bibr" rid="B115">Pereira et al., 2021a</xref>).</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Heterologous expression of ELP fused with proteins or peptides and the purification process for hysteresis, due to their characteristic Tt, which is separated based on insoluble or soluble ELPs by centrifugation of the other proteins. Created with <ext-link ext-link-type="uri" xlink:href="http://BioRender.com">BioRender.com</ext-link>.</p>
</caption>
<graphic xlink:href="fnano-04-874790-g001.tif"/>
</fig>
<p>Besides chemical production, elastin-like polypeptides can also be obtained by heterologous expression (<xref ref-type="bibr" rid="B38">da Costa et al., 2015b</xref>), which is less costly than chemical synthesis (<xref ref-type="bibr" rid="B13">Basu et al., 2014</xref>). Heterologous expression is an affordable and effective way of using yeasts, bacteria, and plants to produce these polypeptides (<xref ref-type="bibr" rid="B27">Chow et al., 2006</xref>; <xref ref-type="bibr" rid="B79">Lin et al., 2006</xref>; <xref ref-type="bibr" rid="B144">Schipperus et al., 2009</xref>). ELPs can be fused with peptides of interest and obtained on a large scale, by means such as fermentation (<xref ref-type="bibr" rid="B81">Lindbo, 2007</xref>; <xref ref-type="bibr" rid="B144">Schipperus et al., 2009</xref>; <xref ref-type="bibr" rid="B90">Mart&#xed;nez-Alarc&#xf3;n et al., 2018</xref>). Therefore, the choice of the microorganism depends on what the focus is, and generally prokaryotes, in particular <italic>Escherichia coli</italic>, are used (<xref ref-type="bibr" rid="B68">Kuthning et al., 2015</xref>). The heterologous expression of ELPs can be scaled, favoring their adoption in the industrial sector (<xref ref-type="bibr" rid="B48">Fong et al., 2009</xref>; <xref ref-type="bibr" rid="B19">Cardoso et al., 2020</xref>).</p>
<p>Moreover, the use of DNA recombinant technology allows fine-tuning of the structure of ELRs to incorporate bioactive domains with precise control over size and composition (<xref ref-type="bibr" rid="B95">Meyer and Chilkoti, 2002</xref>; <xref ref-type="bibr" rid="B92">Mbundi et al., 2021</xref>), leading to customized functional materials (Richman et al., 2005; <xref ref-type="bibr" rid="B34">da Costa et al., 2015a</xref>; <xref ref-type="bibr" rid="B73">Lee et al., 2019</xref>; <xref ref-type="bibr" rid="B136">Salinas-Fern&#xe1;ndez et al., 2020</xref>; <xref ref-type="bibr" rid="B116">Pereira et al., 2021b</xref>; <xref ref-type="bibr" rid="B37">da Costa et al., 2021</xref>). These materials in nanoscale are used in a wide range of studies, mainly in the medical field, for applications such as biosensors, wound dressing, fighting infections acquired by acute or chronic injuries, or skin burns (<xref ref-type="bibr" rid="B76">Li et al., 2020</xref>; <xref ref-type="bibr" rid="B139">Sarangthem et al., 2021</xref>).</p>
<p>The elastin-like polypeptides have intrinsic and versatile characteristics that allow them to form different nanostructures, such as nanoparticles (<xref ref-type="bibr" rid="B88">Machado et al., 2009</xref>; <xref ref-type="bibr" rid="B114">Peddi et al., 2020</xref>), nanofibers (<xref ref-type="bibr" rid="B89">Mahara et al., 2017</xref>; <xref ref-type="bibr" rid="B139">Sarangthem et al., 2021</xref>), and nanocomposites (<xref ref-type="bibr" rid="B80">Lin et al., 2019</xref>). These nanotechnologies, when used in applications like drug delivery, improve the efficacy of treatment since the nanostructure can direct the molecule, thus enhancing the stability and boosting the contact surface, which can enhance the activity of these structures, important for their thermodynamic properties (<xref ref-type="bibr" rid="B59">Javili et al., 2013</xref>; <xref ref-type="bibr" rid="B18">Butcher et al., 2016</xref>; <xref ref-type="bibr" rid="B145">Sch&#xf6;ttler et al., 2016</xref>). Studies that have already passed through phase 2 of clinical trials demonstrated that, compared to free medication, nanoparticle-assembled ELPs enhanced the drug&#x2019;s half-life and its focus on the tumor, which is an interesting and promising construction, but yet to be approved as a drug delivery system (<xref ref-type="bibr" rid="B84">Macewan and Chilkoti, 2014</xref>).</p>
<p>Therefore, due to the benefits of the biotechnological applications of ELPs, this review presents the significant advances in using elastin-like polypeptides in the biomedical field, their production in different systems, and how they can be used to develop different nanomaterials.</p>
</sec>
<sec id="s2">
<title>Elastin Biosynthesis and Derivatives</title>
<sec id="s2-1">
<title>Elastin and Tropoelastin</title>
<p>Elastin is a structural protein which is the main component of elastic fibers present in the extracellular matrix (ECM), imparting structural support to numerous organs and tissues, for example, large blood vessels (<italic>e.g.</italic>, aorta artery), skin, cartilage, ligaments, vocal cords, bladder, and lungs (<xref ref-type="bibr" rid="B100">Mithieux and Weiss, 2005</xref>; <xref ref-type="bibr" rid="B106">Nettles et al., 2010</xref>; <xref ref-type="bibr" rid="B124">Roberts et al., 2017</xref>). This proteinaceous material comprises approximately 90% of the elastic fibers (<xref ref-type="bibr" rid="B100">Mithieux and Weiss, 2005</xref>; <xref ref-type="bibr" rid="B172">Wang et al., 2019</xref>; <xref ref-type="bibr" rid="B109">Ozsvar et al., 2021</xref>), conferring resilience and elasticity to organs and tissues that require the ability to undergo a lifetime of repetitive cycles of deformation and relaxation without rupture (<xref ref-type="bibr" rid="B167">Vrhovski and Weiss, 1998</xref>; <xref ref-type="bibr" rid="B47">Floss et al., 2010</xref>). In its natural form, elastin is heavily cross-linked and therefore insoluble (<xref ref-type="bibr" rid="B107">O&#x2019;Neill Moore et al., 2020</xref>; <xref ref-type="bibr" rid="B127">Rodriguez-Cabello et al., 2021</xref>), providing great stability and an estimated half-life of 70 years (<xref ref-type="bibr" rid="B100">Mithieux and Weiss, 2005</xref>; <xref ref-type="bibr" rid="B127">Rodriguez-Cabello et al., 2021</xref>). Its soluble precursor, tropoelastin, presents 60&#x2013;72&#xa0;kDa; it is an alternatively spliced protein, rich in non-polar residues including glycine, alanine, valine and proline, and composed of alternated hydrophobic and hydrophilic domains (<xref ref-type="bibr" rid="B177">Wise et al., 2014</xref>; <xref ref-type="bibr" rid="B172">Wang et al., 2019</xref>; <xref ref-type="bibr" rid="B109">Ozsvar et al., 2021</xref>). While the hydrophilic domains comprise a high content of alanine (A) and lysine (K) residues that promote intra- and intermolecular crosslinking, the hydrophobic component is mainly composed of the non-polar amino acids valine (V), glycine (G), alanine (A), and proline (P) (<xref ref-type="bibr" rid="B176">Wise and Weiss, 2009</xref>; <xref ref-type="bibr" rid="B177">Wise et al., 2014</xref>; <xref ref-type="bibr" rid="B127">Rodriguez-Cabello et al., 2021</xref>). The hydrophobic moieties often occur as repeats of the tetra-, penta-, and hexa-peptides VPGG, VPGVG and APGVGV, with the latter being the most common (<xref ref-type="bibr" rid="B47">Floss et al., 2010</xref>; <xref ref-type="bibr" rid="B20">Casal et al., 2013</xref>; <xref ref-type="bibr" rid="B177">Wise et al., 2014</xref>). Multiple and periodic PG motifs promote the formation of repeated fluctuating &#x3b2;-type turns, imparting to tropoelastin a highly hydrated structure with conformational flexibility (<xref ref-type="bibr" rid="B177">Wise et al., 2014</xref>; <xref ref-type="bibr" rid="B172">Wang et al., 2019</xref>). Under physiological conditions, tropoelastin monomers reversibly self-aggregate into spherical globules in an intrinsic process known as coacervation, which plays a pivotal role in elastin biosynthesis (<xref ref-type="bibr" rid="B181">Yeo et al., 2011</xref>).</p>
</sec>
<sec id="s2-2">
<title>Elastogenesis</title>
<p>The formation of elastic fibers (<xref ref-type="fig" rid="F2">Figure 2</xref>) is a hierarchical and complex process that occurs during prenatal and childhood development, involving tropoelastin synthesis, coacervation, cross-linking, and microfibrillar deposition (<xref ref-type="bibr" rid="B181">Yeo et al., 2011</xref>; <xref ref-type="bibr" rid="B109">Ozsvar et al., 2021</xref>). Initially, tropoelastin is expressed in elastogenic cells (smooth muscle, mesothelial and endothelial cells, chondrocytes, and fibroblasts) (<xref ref-type="bibr" rid="B167">Vrhovski and Weiss, 1998</xref>; <xref ref-type="bibr" rid="B100">Mithieux and Weiss, 2005</xref>) in response to biological signals such as developmental stage, mechanical stress, cytokines, and growth factors (<xref ref-type="bibr" rid="B181">Yeo et al., 2011</xref>; <xref ref-type="bibr" rid="B172">Wang et al., 2019</xref>). After the transcription and translation steps, tropoelastin binds to elastin binding protein (EBP), a 67&#xa0;kDa chaperone that prevents self-aggregation and proteolysis of tropoelastin (<xref ref-type="bibr" rid="B167">Vrhovski and Weiss, 1998</xref>; <xref ref-type="bibr" rid="B100">Mithieux and Weiss, 2005</xref>; <xref ref-type="bibr" rid="B107">O&#x2019;Neill Moore et al., 2020</xref>; <xref ref-type="bibr" rid="B109">Ozsvar et al., 2021</xref>). The tropoelastin-EBP complex is then transported to the extracellular space and the complex dissociates. EBP is recycled intracellularly by endocytosis, and the cross-linking of the secreted tropoelastin is initiated, catalyzed by lysyl oxidase (LOX) present at the cell surface (<xref ref-type="bibr" rid="B167">Vrhovski and Weiss, 1998</xref>; <xref ref-type="bibr" rid="B140">Sato et al., 2017</xref>; <xref ref-type="bibr" rid="B107">O&#x2019;Neill Moore et al., 2020</xref>; <xref ref-type="bibr" rid="B109">Ozsvar et al., 2021</xref>). Finally, the cross-linked tropoelastin spherules (elastin) coacervate and deposit onto microfibril scaffolds of the extracellular space (<xref ref-type="bibr" rid="B167">Vrhovski and Weiss, 1998</xref>; <xref ref-type="bibr" rid="B181">Yeo et al., 2011</xref>; <xref ref-type="bibr" rid="B107">O&#x2019;Neill Moore et al., 2020</xref>; <xref ref-type="bibr" rid="B109">Ozsvar et al., 2021</xref>), initiating the assembly of elastic fibers. As the biosynthesis into the ECM proceeds, the final products are insoluble mature elastin fibers.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Elastin biosynthesis: after synthesis in the rough endoplasmic reticulum (rER), the tropoelastin-EBP complex is transported through the Golgi complex to the extracellular space, aggregating on the cell surface. EBP then unbinds from tropoelastin, and tropoelastin molecules are cross-linked to each other via lysine residues that are oxidized by lysyl oxidase (LOX) generating cross-linked elastin. The cross-linked molecules deposit onto microfibrils which direct elastin deposition for the formation of the elastic fibers. EBP is then recycled back into the cell and binds newly synthesized tropoelastin molecules. This process continues, producing insoluble elastin fibres.</p>
</caption>
<graphic xlink:href="fnano-04-874790-g002.tif"/>
</fig>
</sec>
<sec id="s2-3">
<title>Applications of Elastin and Elastin-Derived Peptides</title>
<p>The structural role of elastin is well recognized, imparting elastic recoil and resilience to tissues and organs. Nevertheless, elastin is also directly or indirectly involved in physiological processes such as cell adhesion (<xref ref-type="bibr" rid="B146">Senior et al., 1984</xref>; <xref ref-type="bibr" rid="B100">Mithieux and Weiss, 2005</xref>; <xref ref-type="bibr" rid="B125">Rodgers and Weiss, 2005</xref>; <xref ref-type="bibr" rid="B101">Mithieux et al., 2013</xref>; <xref ref-type="bibr" rid="B74">Lee et al., 2017</xref>). Due to its diverse biological properties, elastin has gained special interest in biomedical applications, namely tissue engineering and regenerative medicine (<xref ref-type="bibr" rid="B41">Daamen et al., 2007</xref>; <xref ref-type="bibr" rid="B174">Wang et al., 2021</xref>). Some examples include the use of elastin from decellularized tissues combined with endothelial cells for the development of vascular grafts (<xref ref-type="bibr" rid="B6">Amiel et al., 2006</xref>) and heart valves (<xref ref-type="bibr" rid="B10">Bader et al., 1998</xref>), the use of purified elastin for the development of gastrointestinal patches to repair duodenal injuries (<xref ref-type="bibr" rid="B61">Kajitani et al., 2000</xref>), or as a coating material to promote cell adhesion and proliferation in tissue scaffolds (<xref ref-type="bibr" rid="B134">Sales et al., 2007</xref>) or metallic surfaces (<xref ref-type="bibr" rid="B182">Yin et al., 2009</xref>). Despite its potential and attractiveness, the use of elastin as a biomaterial is limited due to the highly dense cross-linked network that is insoluble and extremely stable. The insoluble nature of elastin makes its purification highly challenging and ineffective (<xref ref-type="bibr" rid="B177">Wise et al., 2014</xref>), often leading to contamination of elastin with other proteins that can elicit immunological responses (<xref ref-type="bibr" rid="B40">Daamen et al., 2001</xref>). Isolation and purification of tropoelastin are also troublesome processes, due to extensive soluble precursor degradation during and even after purification (<xref ref-type="bibr" rid="B167">Vrhovski and Weiss, 1998</xref>). Moreover, isolation and purification of tropoelastin from natural sources present ethical issues. The isolation from animals is typically a low-yield process, demanding the use of many animals, and/or fetal and neonatal animal tissues, since the biosynthesis of tropoelastin occurs mainly during early development stages (<xref ref-type="bibr" rid="B167">Vrhovski and Weiss, 1998</xref>; <xref ref-type="bibr" rid="B175">Wen et al., 2020</xref>).</p>
<p>While mature elastin fibers have an insoluble nature, initial studies on elastin&#x2019;s characteristics and remodeling have shown the possibility of obtaining soluble elastin variants, &#x3b1;- and k-elastin, depending on the extraction methods (<xref ref-type="bibr" rid="B1">Adair et al., 1951</xref>; <xref ref-type="bibr" rid="B112">Partridge, 1963</xref>). The extraction processes involve the scission of the covalent bonds by hydrolysis under harsh acidic (&#x3b1;-elastin) or alkaline (k-elastin) chemical conditions. Usually, &#x3b1;-elastin is obtained by hydrolysis in hot oxalic acid, whereas &#x3ba;-elastin is obtained by hydrolysis with 1&#xa0;M potassium hydroxide in 80% ethanol (<xref ref-type="bibr" rid="B1">Adair et al., 1951</xref>; <xref ref-type="bibr" rid="B112">Partridge, 1963</xref>). The corresponding degradation products are termed elastin-derived peptides (EDPs) or elastokines (<xref ref-type="bibr" rid="B72">le Page et al., 2019</xref>). <xref ref-type="table" rid="T1">Table 1</xref> enumerates some examples of EDPs obtained by hydrolysis or proteolytic digestion. EDPs also occur naturally, as a result of ageing due to the many insults and increased protease activity, and have many implications in health and disease. They are not only a hallmark of ageing, but also influence T-cell modulation, tumor progression, or diabetes (<xref ref-type="bibr" rid="B123">Robert and Labat-Robert, 2014</xref>; <xref ref-type="bibr" rid="B94">Meghraoui-Kheddar et al., 2017</xref>; <xref ref-type="bibr" rid="B17">Boraldi et al., 2018</xref>; <xref ref-type="bibr" rid="B135">Salesse et al., 2018</xref>; <xref ref-type="bibr" rid="B72">le Page et al., 2019</xref>). &#x3ba;-EDPs have a bioactive sequence based on the xGxxPG motif that binds to the elastin receptor complex and produces biological effects, while &#x3b1;-EDPs have a molecular weight and sequence much more similar to tropoelastin (<xref ref-type="bibr" rid="B121">Qin, 2015</xref>). The solubility of EDPs is advantageous, allowing their use for several applications in biomedicine (<xref ref-type="bibr" rid="B50">Gigante et al., 2003</xref>; <xref ref-type="bibr" rid="B119">Pocza et al., 2008</xref>; <xref ref-type="bibr" rid="B153">Szychowski and Gmi&#x144;ski, 2019</xref>; <xref ref-type="bibr" rid="B5">Amakye et al., 2021</xref>) and the formation of self-assembled supramolecular architectures of fibrils (<xref ref-type="bibr" rid="B16">Bochicchio et al., 2015</xref>). In addition to biomedical applications, EDPs are frequently used in the cosmetic industry in creams, shampoos, or even as nutraceuticals (<xref ref-type="bibr" rid="B8">Arany et al., 2006</xref>). In such cases, they act as antistatic, film forming, skin and hair conditioner, and emollient (<xref ref-type="bibr" rid="B55">Hunter et al., 1991</xref>) and are usually obtained from bovine tendons or from the skin of fish such as salmon or tuna (<xref ref-type="bibr" rid="B56">Hyun et al., 2004</xref>).</p>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Examples of some elastin-derived peptide (EDP) sequences obtained by hydrolysis or proteolytic digestion.</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Sequence</th>
<th align="center">Description</th>
<th align="center">Reference</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">VGVAPG</td>
<td align="left">EDP found in both &#x3b1;- and &#x3ba;-elastin hydrolysates</td>
<td align="left">
<xref ref-type="bibr" rid="B50">Gigante et al. (2003)</xref>, <xref ref-type="bibr" rid="B119">Pocza et al. (2008)</xref>, <xref ref-type="bibr" rid="B72">le Page et al. (2019)</xref>, <xref ref-type="bibr" rid="B153">Szychowski and Gmi&#x144;ski. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">VAPG</td>
<td rowspan="6" align="left">EDP found in &#x3ba;-elastin after hydrolysis with potassium hydroxide</td>
<td rowspan="6" align="left">
<xref ref-type="bibr" rid="B119">Pocza et al. (2008)</xref>, <xref ref-type="bibr" rid="B121">Qin. (2015)</xref>, <xref ref-type="bibr" rid="B72">le Page et al. (2019)</xref>
</td>
</tr>
<tr>
<td align="left">PGAIPG</td>
</tr>
<tr>
<td align="left">GAVPG</td>
</tr>
<tr>
<td align="left">GVLPG</td>
</tr>
<tr>
<td align="left">GGVPG</td>
</tr>
<tr>
<td align="left">GVVPG</td>
</tr>
<tr>
<td align="left">GFGVGAGVP</td>
<td rowspan="7" align="left">EDP obtained after proteolytic digestion</td>
<td rowspan="7" align="left">
<xref ref-type="bibr" rid="B187">Foster et al. (1973)</xref>, <xref ref-type="bibr" rid="B121">Qin (2015)</xref>
</td>
</tr>
<tr>
<td align="left">GLGVGAGVP</td>
</tr>
<tr>
<td align="left">AGVPGFGVG</td>
</tr>
<tr>
<td align="left">GFGVGAGVP</td>
</tr>
<tr>
<td align="left">GGVP</td>
</tr>
<tr>
<td align="left">PGVGV</td>
</tr>
<tr>
<td align="left">PGVGVA</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>To overcome the limitations of natural insoluble elastin, great attention has been paid to the synthesis of artificial elastin-mimetic polypeptides, termed elastin-like polypeptides (ELPs) (<xref ref-type="bibr" rid="B124">Roberts et al., 2017</xref>), or elastin-like recombinamers (ELRs) (<xref ref-type="bibr" rid="B130">Rodr&#xed;guez-Cabello et al., 2009</xref>). These biomimetic sequence-repetitive molecules are based on the repeating motifs present in the hydrophobic domain of tropoelastin and can undergo coacervation in a similar way to elastin (<xref ref-type="bibr" rid="B70">Le and Sugawara-Narutaki, 2019</xref>). Nevertheless, these artificial biomolecules are inspired by and do not adequately represent the diversity of natural tropoelastin sequences <italic>per se</italic>. The canonical sequence for ELPs is based on repetitions of the pentapeptide VPGVG, but the most common sequence found in tropoelastin is the hexapeptide APGVGV (<xref ref-type="bibr" rid="B32">Conticello and Carpenter Desai, 2012</xref>). Still, early studies with the hexapeptide demonstrated the absence of a reversible coacervation process (<xref ref-type="bibr" rid="B32">Conticello and Carpenter Desai, 2012</xref>). On the other hand, ELPs based on the canonical pentapeptide VPGVG sequence can undergo a fully reversible temperature-dependent coacervation process (<xref ref-type="bibr" rid="B164">van Eldijk et al., 2012</xref>).</p>
</sec>
</sec>
<sec id="s3">
<title>Heterologous Expression of Elastin-Like Polypeptides</title>
<p>As described above, elastin is structural protein present in all vertebrates (<xref ref-type="bibr" rid="B82">Liu et al., 2018</xref>), and the synthetic product is denominated elastin-like polypeptides (ELPs) (<xref ref-type="bibr" rid="B46">Fletcher et al., 2019</xref>). In addition to synthetic production, they can be produced by recombinant DNA technology (<xref ref-type="bibr" rid="B51">Girotti et al., 2011</xref>; <xref ref-type="bibr" rid="B46">Fletcher et al., 2019</xref>; <xref ref-type="bibr" rid="B132">Saha et al., 2020</xref>). ELPs can be produced alone or used in fusion with protein or peptides (<xref ref-type="bibr" rid="B155">Trabbic-Carlson et al., 2004</xref>; <xref ref-type="bibr" rid="B168">Walker et al., 2014</xref>). This technology can provide scalable, sustainable and cheaper production, and ELPs can be produced in bacteria, yeast and plants (<xref ref-type="bibr" rid="B51">Girotti et al., 2011</xref>; <xref ref-type="bibr" rid="B138">Sampaio de Oliveira et al., 2020</xref>).</p>
<sec id="s3-1">
<title>Escherichia coli</title>
<p>
<italic>E. coli</italic> has been extensively applied as a host to produce recombinant proteins for therapeutic use. Moreover, its use has demonstrated advantages like rapid growth rate, easier genetic manipulations, high yield of product, and scalability (<xref ref-type="bibr" rid="B64">Kaur et al., 2018</xref>; <xref ref-type="bibr" rid="B138">Sampaio de Oliveira et al., 2020</xref>). Additionally, <italic>E. coli</italic> presents different strains and expression vectors and a relatively simple mechanism of protein folding, and it has been used in several applications in the biotechnology industry (<xref ref-type="bibr" rid="B138">Sampaio de Oliveira et al., 2020</xref>). Some studies used the capacity of <italic>E. coli</italic> to produce ELPs via heterologous expression (<xref ref-type="fig" rid="F1">Figure 1</xref>).</p>
<p>In a study to produce the ABP-CM4 peptide with broad antimicrobial activity, the researchers used the elastin-like recombinant consisting of 200 repetitions of the VPAVG pentamer fused to ABP-CM4 in the terminal N portion, denominated CM4-A200. The plasmid [pET25b (&#x2b;)] containing the sequence of CM4-A200 was transformed into <italic>E. coli</italic> BL21 (DE3). CM4-A200 was purified using the thermo-responsive behavior of the A200 polymer. This polymer was processed into free-standing films and displayed significant antimicrobial activity against yeasts, Gram-positive and Gram-negative bacteria, and filamentous fungi. Authors also reported that CM4-A200 did not have a cytotoxic effect on human skin fibroblasts (<xref ref-type="bibr" rid="B38">da Costa et al., 2015b</xref>).</p>
<p>An ELP sequence was used in fusion with human interferon-&#x3b3; (hIFN-&#x3b3;). This construction was cloned into the pET-28a (&#x2b;) expression vector with 50 repeats of ELP (VPGVG), and then transferred into competent <italic>E. coli</italic> strain BL21 (DE3). Authors described the ELP construction raising the accumulation of hIFN tenfold, and the average expression of total soluble protein (TSP) rose by 46.85%. In addition, using inverse transition cycling (ITC), they obtained hIFN-&#x3b3;-ELP with 98 &#xb1; 5% of purity. Another result described by the same authors is related to the bioactivity of recombinant hIFN-&#x3b3;-ELP, which was comparable to commercial hIFN-&#x3b3;, (7.55 &#xd7; 106&#xa0;IU/ml) (<xref ref-type="bibr" rid="B53">Heidari-Japelaghi et al., 2019</xref>).</p>
<p>Another study used ELP fused to a glucagon-like peptide, using a type-2 diabetes drug to produce a novel peptide delivery system. According to the authors, this system undergoes a transition phase between room temperature and body temperature, and the system was tested as an injection. Researchers tested the proteolytic stability and activity <italic>in vitro.</italic> Tests with mice identified that an injection of GLP-1-ELP fusions decreased blood glucose levels for up to 5&#xa0;days, which is 120 times longer than an injection of the native peptide. Results illustrated the benefit of working with ELPs to release peptide-ELP fusions (<xref ref-type="bibr" rid="B7">Amiram et al., 2013</xref>).</p>
</sec>
<sec id="s3-2">
<title>Yeast</title>
<p>The use of yeast cells as an expression system which, compared to other systems, demonstrated some benefits, including simple genetic manipulation, rapid growth, and the ability to perform adequate post-translational modifications (PTM) and achieve high cell density. It also demonstrated the ability to produce and secrete biologically active proteins, and easily adapted to industrial-scale conditions (<xref ref-type="bibr" rid="B166">Gomes et al., 2018</xref>). The most common of post-translational modifications, such as methylation, can modified the structure or hydrophobicity of the protein (<xref ref-type="bibr" rid="B108">Owen and Shewmaker, 2019</xref>), and N-myristoylation can aid the molecular assembly of ELPs and influence the Tt. (<xref ref-type="bibr" rid="B142">Scheibel et al., 2020</xref>).</p>
<p>In this study, the authors tested the 90 repetitions of ELP-VPGXG (with any amino acid except proline at the X position). They demonstrated ELP production using the method of methanol-induced fed-batch cultures of <italic>Pichia pastoris</italic> (<xref ref-type="bibr" rid="B21">&#xc7;elik and &#xc7;alik, 2012</xref>; <xref ref-type="bibr" rid="B170">Wang et al., 2017</xref>). This study also evaluated the influence of pH (pH 3&#x2013;7) on culture growth. Their results showed that pH 6 was optimum for production of ELP with a yield of 255&#xa0;mg&#xa0;L<sup>&#x2212;1</sup> of purified ELP of cell-free medium (<xref ref-type="bibr" rid="B144">Schipperus et al., 2009</xref>). Another study produced an ELP with 21 repeats of the amino acid sequence (VPGVG)2VPGEG (VPGVG)2 in <italic>P. pastoris</italic>. This construction presents &#x223c;47&#xa0;kDa and in the C-terminal includes c-Myc and His-tag, which were used for purification. The ELP produced was purified, and the yield after metal ion affinity chromatography was 2.5&#xa0;mg&#xa0;L<sup>&#x2212;1</sup> in shake flask cultures (<xref ref-type="bibr" rid="B137">Sallach et al., 2009</xref>). The difference in yield observed in these studies can be explained by the optimal pH evaluated for enhaced production of ELP in fed-batch fermentation in <xref ref-type="bibr" rid="B144">Schipperus et al. (2009)</xref> study, while the <xref ref-type="bibr" rid="B137">Sallach et al. (2009)</xref> study was produced in baffled flask and no optimization yield was evaluated yet.</p>
</sec>
<sec id="s3-3">
<title>Plants</title>
<p>Plants have been widely used as hosts and are able to produce biologically active recombinant products (<xref ref-type="bibr" rid="B39">da Cunha et al., 2017</xref>; <xref ref-type="bibr" rid="B186">Margolin et al., 2018</xref>). They present advantageous heterologous expression systems, due to high production and low cost, do not generate endotoxins, and do not present pathogens mutual to humans (<xref ref-type="bibr" rid="B156">Twyman et al., 2003</xref>; <xref ref-type="bibr" rid="B12">Basaran and Rodriguez-Cerezo, 2008</xref>).</p>
<p>In this context, <xref ref-type="bibr" rid="B31">Conley et al. (2009)</xref> tested different sizes of ELP (VGVPG)n to identify the optimal construction for the accumulation of recombinant proteins in <italic>Nicotiana benthamiana</italic>. The results demonstrated that ELP tag (<italic>n</italic> &#x3d; 5&#x2013;40) repeats provided the best results when evaluating recombinant protein accumulation, and the larger ELP tags (<italic>n</italic> &#x3d; 80&#x2013;160) showed high efficiency during the purification by inverse transition cycling (ITC). Results showed that the use of ELP fusion tags contributed to raising the production of recombinant proteins in plants (<xref ref-type="bibr" rid="B31">Conley et al., 2009</xref>).</p>
<p>A different strategy was used in another study, expressing single-chain variable fragments (scFvs) in transgenic tobacco seeds, with fusions on the C-terminal based on ELPs composed of Val-Pro-Gly-Xaa-Gly, where Xaa is valine, glycine or alanine with 100 repetitions. This strategy allowed a 40-fold increase in scFv accumulation, with levels nearing 25% of total soluble seed protein. In addition, ELPylated scFv continued stable and functional in mature seeds that were stored for a long period at room temperature (<xref ref-type="bibr" rid="B143">Scheller et al., 2006</xref>).</p>
<p>In another study, the authors used 2-cell suspension to produce human interleukin-10 (IL-10) in tobacco, and they evaluated the effect of an ELP with 28 repetitions and a green fluorescent protein (GFP) tag on IL-10 accumulation. The IL-10 obtained via expression demonstrated high accumulation levels. IL-10-ELP demonstrated cytokine activity, but this activity was reduced compared to unfused IL-10 (<xref ref-type="bibr" rid="B62">Kaldis et al., 2013</xref>).</p>
</sec>
</sec>
<sec id="s4">
<title>Nanomaterials Based on Elastin-Like Polypeptides and Their Medical Applications</title>
<sec id="s4-1">
<title>Nanoparticles</title>
<p>The ELP self-assembly process is directly associated with the polymer architecture, which can result in coacervate and subsequently different organizations according to the transition temperature (T<sub>t</sub>) (<xref ref-type="fig" rid="F3">Figure 3</xref>). Some ELPs have alternating hydrophobic and hydrophilic domains along the backbone of the polypeptide. This complex structure results in the formation of nanoparticles (<xref ref-type="bibr" rid="B149">Smits et al., 2015</xref>; <xref ref-type="bibr" rid="B128">Rodr&#xed;guez-Cabello et al., 2018</xref>). The typical hydrophobic block transition occurs when the temperature of the solution is raised above the lower T<sub>t</sub>, causing the hydrophobic portion to fold and segregate from the aqueous solution. The hydrophilic block (top T<sub>t</sub>) remains soluble and hydrated in contact with the surrounding water, forming the crown of a micellar structure. This feature allows the hydrophobic core to store nonpolar drugs, while polar molecules can be kept on the hydrophilic surface (<xref ref-type="bibr" rid="B126">Rodr&#xed;guez-Cabello et al., 2016</xref>).</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption>
<p>ELPs aggregated coacervate involved in water molecules in a conformation in different types of nanostructures that can be used in various nanotechnological applications. Created with <ext-link ext-link-type="uri" xlink:href="http://BioRender.com">BioRender.com</ext-link>.</p>
</caption>
<graphic xlink:href="fnano-04-874790-g003.tif"/>
</fig>
<p>The adoption of ELP nanoparticles as nanodrugs is of great interest in different biomedical areas, as they have a broad-spectrum therapeutic potential (<xref ref-type="bibr" rid="B149">Smits et al., 2015</xref>). The biological activity of protein motifs can be maintained when fused to ELPs, and the phase transition property of ELPs as well, enabling the formation of nanoparticles above their transition temperature (<xref ref-type="bibr" rid="B103">Monfort and Koria, 2017</xref>). These features make these nanostructures attractive as delivery vehicles. The loading, targeting, and delivery of drugs can be optimized using ELP nanoparticles.</p>
<p>As described above, ELPs can be fused to a wide variety of bioactive peptides. Nanoparticles formed from fusion proteins based on ELPs showed potential as drug carriers, enabling the supply of the active principle for a long time and protection against proteolytic degradation (<xref ref-type="bibr" rid="B180">Yeboah et al., 2016</xref>). The self-assembled nanoparticles from a recombinant fusion protein composed of cell-derived growth factor-1 (SDF1) and an elastin-like peptide have shown promise for the treatment of chronic skin wounds. SDF1-ELP nanoparticles were used in the treatment of full-thickness skin wounds in diabetic mice and demonstrated significantly higher healing activity than free SDF1. By 28&#xa0;days, the wounds were fully closed, while wounds treated with free SDF1 or ELP alone took 42&#xa0;days to close fully (<xref ref-type="bibr" rid="B180">Yeboah et al., 2016</xref>).</p>
<p>ELPs are also used as purification tags and solubility enhancers. The human granulocyte-macrophage colony stimulating factor (hGMCSF), an essential molecule in the immune system, was fused to an ELP, enabling its direct purification from the soluble fraction of the <italic>E. coli</italic> lysate. Furthermore, this fusion provided the formation of small and stable spherical nanoparticles that can maintain the pro-mitotic activity of hGMCSF. Fusion of ELPs to different proteins can stabilize bioactive nanoparticles based on these proteins of interest, providing their wide application in medicine and biology. The hGMCSF-A192 nanoparticles were able to stimulate TF-1 cell proliferation [EC50 of 0.29 &#xb1; 0.07&#xa0;nM (mean &#xb1; SD, <italic>n</italic> &#x3d; 3)], demonstrating that they are biologically active (<xref ref-type="bibr" rid="B111">Park et al., 2020</xref>).</p>
<p>In another study, ELPs were fused to nerve growth factor (NGF) and brain-derived neurotrophic factor (BDNF) to improve their biological activity in neural injuries, providing a robust delivery system that increases the bioavailability and half-life of these proteins. The fused proteins NGF-ELP and BDNF-ELP were able to self-assemble into nanoparticles at their respective transition temperatures. According to the results, NGF-ELP nanoparticles induced neurite outgrowth in PC12 cells, while BDNF-ELP nanoparticles induced TrkB receptor phosphorylation in transfected cells. Data indicate that these nanoparticle fusion proteins can be applied in neural regeneration, as they retain the biological activity of nerotrophins and increase their bioavailability (<xref ref-type="bibr" rid="B60">Johnson and Koria, 2016</xref>).</p>
<p>ELP nanoparticles also play an important role as a tumor-targeting drug (<xref ref-type="bibr" rid="B99">Mie et al., 2019</xref>). In a study described by Matsumoto et al., epidermal growth factor (EGF) fused to genetically engineered ELPs with a fused polyaspartic acid (ELP<sub>D</sub>) tail was loaded with the anticancer drug paclitaxel. The nanoparticles formed were able to induce the death of the human lung adenocarcinoma epithelial cell line, A549 cells, known to express large amounts of the EGF receptor (EGFR). According to the data, cell proliferation was at least 10 times lower in the presence of the generated nanoparticles, when compared to the presence of EGF alone. This result suggests that the EGF contained in nanoparticles retained its ability to bind to EGFR and induce cell proliferation (<xref ref-type="bibr" rid="B91">Matsumoto et al., 2014</xref>).</p>
</sec>
<sec id="s4-2">
<title>Nanofibers</title>
<p>Nanofibers are nanomaterials that present characteristics such as biocompatibility and biodegradability of elastin-like polypeptides, which is an interesting strategy for the development of bionanomaterials focused on the medical field (<xref ref-type="fig" rid="F3">Figure 3</xref>) (<xref ref-type="bibr" rid="B147">Shah et al., 2018</xref>; <xref ref-type="bibr" rid="B139">Sarangthem et al., 2021</xref>; <xref ref-type="bibr" rid="B152">Sugioka et al., 2021</xref>). Furthermore, nanofibers can be associated with antimicrobial peptides for the development of smart wound dressings (<xref ref-type="bibr" rid="B118">Pfalzgraff et al., 2018</xref>). These constructions are attractive in treatments such as drug delivery (<xref ref-type="bibr" rid="B4">Aluri et al., 2012</xref>), wound healing (<xref ref-type="bibr" rid="B63">Kang et al., 2021</xref>), and tissue engineering (<xref ref-type="bibr" rid="B24">Chen et al., 2021</xref>). They can be produced by distinct methods, especially electrospinning and self-assembly (<xref ref-type="bibr" rid="B14">Benitez et al., 2013</xref>; <xref ref-type="bibr" rid="B87">Machado et al., 2013</xref>; <xref ref-type="bibr" rid="B71">Le et al., 2017</xref>; <xref ref-type="bibr" rid="B58">Iscen and Schatz, 2019</xref>), a low-cost technique that provides mass production (<xref ref-type="bibr" rid="B163">Valizadeh and Farkhani, 2014</xref>).</p>
<p>In this regard, <xref ref-type="bibr" rid="B71">Le et al. (2017)</xref> developed nanofibers by self-assembly based on a double-hydrophobic sequence of elastin-like polypeptides, called GPG1, GPG2, and GPG3. The proliferative potential of these fibers was tested on NIH-3T3 fibroblasts. The GPG3 nanofibers were able to stimulate more proliferation after 3 days than negative and positive control, which were non-coating with polystyrene and human fibronectin, respectively. They also presented higher proliferation than GPG 1 and 2, making them an interesting development for tissue engineering (<xref ref-type="bibr" rid="B71">Le et al., 2017</xref>). These nanofiber constructions treated with trifluoroethanol can also help in self-assembly (<xref ref-type="bibr" rid="B69">Le et al., 2015</xref>).</p>
<p>The study carried out by <xref ref-type="bibr" rid="B152">Sugioka et al. (2021)</xref> used GPG constructions of ELP hydrophobic hydrogel formed into a self-assembly nanofiber. Characteristics that are important for nanofibers for use as tissue engineering were evaluated, such as thixotropicity, and the results demonstrated enhanced thixotropicity of the GPG1 nanofiber with genipin, an agent for cross-linking (<xref ref-type="bibr" rid="B152">Sugioka et al., 2021</xref>).</p>
<p>Nanofibers formed by electrospinning have also been studied. Constructions of ELP with a sequence of amino acid residues (VPGIG) and motif (RGD) were tested <italic>ex vivo</italic> in abdominal aortae from rats, and ELP was used as control. The evaluation of regeneration was observed in the nanofiber ELP/RGD and not in the control, indicating that the construction can regenerate small-caliber vessel tissues (<xref ref-type="bibr" rid="B89">Mahara et al., 2017</xref>). Nanofibers developed for drug delivery can improve limitations of traditional drug carriers, such as non-targeted delivery, low stability and others, which can make treatment more effective (<xref ref-type="bibr" rid="B45">Fan and Moon, 2015</xref>; <xref ref-type="bibr" rid="B57">Isaacson et al., 2018</xref>; <xref ref-type="bibr" rid="B147">Shah et al., 2018</xref>). Polymers constructed from silk-elastin-like polypeptide nanogels self-assembled into nanofibers were evaluated, based on the stability from dilution in PBS, and sodium dodecyl sulfate as control (<xref ref-type="bibr" rid="B57">Isaacson et al., 2018</xref>). Their stability is interesting because it can provide a biomaterial for drug delivery (<xref ref-type="bibr" rid="B57">Isaacson et al., 2018</xref>).</p>
<p>For the wound healing process, some recent smart biomaterials have been developed to contribute to wound healing (<xref ref-type="bibr" rid="B151">Sousa et al., 2021</xref>). In this regard, antimicrobial peptides that inhibit infections can be used topically for burn wounds (<xref ref-type="bibr" rid="B102">Mofazzal Jahromi et al., 2018</xref>). Antimicrobial peptides can be used to treat wound infections, mainly acting against different pathogens (<xref ref-type="bibr" rid="B118">Pfalzgraff et al., 2018</xref>). The antimicrobial peptide ABP-CM4, associated with 200 repetitions of VPAVG pentamer of elastin-like polypeptides, demonstrated antimicrobial activity against strains of Gram-negative and Gram-positive bacteria (<xref ref-type="bibr" rid="B36">da Costa et al., 2017</xref>). More than 70% of <italic>Staphilococcus aureus</italic> was killed and almost 100% of <italic>Pseudomonas</italic> aeruginosa, when the peptide was immobilized in electrospun nanofiber (<xref ref-type="bibr" rid="B36">da Costa et al., 2017</xref>). This study demonstrated hydrolytic degradation of nanofibers, which is an important characteristic of nanofibers for wound healing (<xref ref-type="bibr" rid="B36">da Costa et al., 2017</xref>).</p>
</sec>
<sec id="s4-3">
<title>Nanocomposites</title>
<p>Composites are materials that present at least two components or phases, with different chemical and physical properties (<xref ref-type="fig" rid="F3">Figure 3</xref>) (<xref ref-type="bibr" rid="B131">Roy et al., 1986</xref>). These materials are classified as matrix and reinforcement (<xref ref-type="bibr" rid="B3">Alshabib et al., 2019</xref>). They can be found in biological systems such as tissues and bones (<xref ref-type="bibr" rid="B49">Gaharwar et al., 2014</xref>). When at least one of the components of these composites presents a nanometric scale they are denominated nanocomposites (<xref ref-type="bibr" rid="B104">Motealleh and Kehr, 2017</xref>). They are subdivided into categories based on their compositions or connections (<xref ref-type="bibr" rid="B49">Gaharwar et al., 2014</xref>). Currently, nanocomposites are being studied by many scientists because of their properties such as the greater matrix/reinforcement surface when at the nanoscale (<xref ref-type="bibr" rid="B104">Motealleh and Kehr, 2017</xref>). These are promising characteristics for industrial uses, such as biosensors, and mostly in the medical field (<xref ref-type="bibr" rid="B133">Sahoo et al., 2013</xref>; <xref ref-type="bibr" rid="B23">Cheikh et al., 2019</xref>; <xref ref-type="bibr" rid="B52">Hatami et al., 2020</xref>).</p>
<p>In the medical field, the use of nanocomposites for controlled release of drugs from stimulus in drug delivery is possible due to characteristics present in the matrix and reinforcement (<xref ref-type="bibr" rid="B75">Li et al., 2018</xref>; <xref ref-type="bibr" rid="B23">Cheikh et al., 2019</xref>). The addition of an inorganic phase can help to increase controlled drug release, assisting treatments (<xref ref-type="bibr" rid="B83">Liu et al., 2008</xref>).</p>
<p>The use of nanocomposites composed of nanoparticles has an important role because their characteristics influence bioactivity, biodegradability, biocompatibility, and other properties (<xref ref-type="bibr" rid="B133">Sahoo et al., 2013</xref>; <xref ref-type="bibr" rid="B9">Asadi et al., 2018</xref>). ELP nanocomposites are attractive strategies that can improve mechanical properties such as film-silk-ELP-carbon nanotubes that then enhance characteristics such as elongation and tensile strength (<xref ref-type="bibr" rid="B33">Correia et al., 2019</xref>). To enhance mechanical properties, an inorganic matrix can be used, such as hydroxyapatite (<xref ref-type="bibr" rid="B169">Wang et al., 2011</xref>). Hydroxyapatite is a component present in bones and teeth that can be obtained after precipitation in a mixture of calcium phosphate. It can be used in tissue engineering to reconstruct parts of lost tissues (<xref ref-type="bibr" rid="B66">Kikuchi, 1666</xref>; <xref ref-type="bibr" rid="B22">Chang et al., 2003</xref>). <xref ref-type="bibr" rid="B169">Wang et al. (2011)</xref>, for instance, conducted studies with hydroxyapatite bonds with ELP segments. They observed that the connection of ELP and hydroxyapatite was sequence-dependent from binding assays (<xref ref-type="bibr" rid="B169">Wang et al., 2011</xref>). The result of the ELP-hydroxyapatite nanocomposite linked with calcium phosphate cement demonstrated enhanced strength and washout resistance properties (<xref ref-type="bibr" rid="B169">Wang et al., 2011</xref>).</p>
<p>One problem in the application of new materials is their potential cytotoxicity ((<xref ref-type="bibr" rid="B113">Patlolla et al. 2010</xref>). These biomaterials might also simulate an inflammatory process (<xref ref-type="bibr" rid="B183">Yuan et al., 2019</xref>). The nanocomposites produced nine repetitions in tandem of elastin-like polypeptides and silk with different percentages of multiwall carbon nanotubes. They demonstrated no cytotoxicity in C2C12 myoblast mice cells, and viability was analyzed in the MTT test. Previous studies also demonstrated no cytotoxicity to Bj-5ta cells from human skin fibroblast, revealing the importance of nanotechnologies for use in treatments (<xref ref-type="bibr" rid="B117">Pereira et al., 2017</xref>; <xref ref-type="bibr" rid="B33">Correia et al., 2019</xref>).</p>
</sec>
</sec>
<sec id="s5">
<title>Conclusion and Prospects</title>
<p>Nanotechnology is an important science that is still emerging. The nanoscale of structures can improve therapies that are currently difficult to treat. It also presents benefits such as a larger contact surface for materials in nanoscale, mostly in the medical field, providing several alternatives to conventional treatment (<xref ref-type="bibr" rid="B178">Xin et al., 2016</xref>).</p>
<p>When formulated into nanostructures, ELPs can be influenced by several properties such as pH, temperature, sequence of amino acid residues and post-translational modifications. Studies of ELPs with <italic>in vitro</italic> and <italic>in vivo</italic> tests with characteristics such as non-cytotoxicity, potential antimicrobial activity, biocompatibility, biodegradability and other advantages demonstrate that ELP nanostructures are a promising medical tool for the near future, and they will likely improve the treatment of difficult-to-treat diseases. They can also be a cheaper medical option, since they can be produced by heterologous expression.</p>
<p>In this review, we examined nanostructures based on ELP biomaterials and their advantages. They can be produced from heterologous expression in several organisms, which provides the possibility of fusion with antimicrobial peptides or proteins. These ELP-based bionanomaterials can be an alternative in producing novel treatments in the medical field.</p>
<p>Several nanomedicines were approved by the FDA between 1990 and 2015, with an emphasis on some that were indicated for more than one treatment, and mostly providing enhanced stability (<xref ref-type="bibr" rid="B15">Bobo et al., 2016</xref>). Clinical trials in phase 1, 2, or 3, from 2001 to 2015, showed a considerable increase in 2014&#x2013;2015 (<xref ref-type="bibr" rid="B15">Bobo et al., 2016</xref>). ELPs have also been studied in clinical trials. The conjugated construction of cell penetration peptide, ELPs and doxorubicin (SynB1-ELP-Dox) was developed to deliver doxorubicin in glioblastoma tumor chemotherapy based on the Tt of ELPs which inhibit tumor cell proliferation. It was efficiently demonstrated to be a potential drug delivery system, due to ELP&#x2019;s characteristic which directs the drug to the tumor (<xref ref-type="bibr" rid="B44">Dragojevic et al., 2019</xref>). Furthermore, lacritin, a prosecretory protein present in human tears, was associated with ELPs expressed in <italic>E. coli</italic> BLR (DE3) and purified with Tt; then, size exclusion chromatography was evaluated <italic>in vivo.</italic> The fused ELPs retained the prosecretory activity of lacritin, based on increasing secretion of tears in mice, maintaining and enhancing the retention time, demonstrating that this could be an interesting means of drug delivery for dry eye disease (<xref ref-type="bibr" rid="B173">Wang et al., 2015</xref>).</p>
<p>ELP-based nanostructures present a number of advantages and advances in their application in the medical field. However, before being adopted in clinical practice, they must undergo phase 4 of clinical trials, which have not yet approved ELP purification commercially or for therapeutic use (<xref ref-type="bibr" rid="B180">Yeboah et al., 2016</xref>; <xref ref-type="bibr" rid="B114">Peddi et al., 2020</xref>). However, nanotechnology is a novel science, and many aspects still need to be further explored.</p>
</sec>
</body>
<back>
<sec id="s6">
<title>Author Contributions</title>
<p>All authors listed have made a substantial, direct, and intellectual contribution to the work and approved it for publication.</p>
</sec>
<sec sec-type="COI-statement" id="s7">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="disclaimer" id="s8">
<title>Publisher&#x2019;s Note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ack>
<p>The authors are grateful to the Funda&#xe7;&#xe3;o de Apoio &#xe0; Pesquisa do Distrito Federal (FAPDF), the Coordena&#xe7;&#xe3;o de Aperfei&#xe7;oamento de Pessoal de N&#xed;vel Superior (CAPES), and the Conselho Nacional de Desenvolvimento Cient&#xed;fico e Tecnol&#xf3;gico (CNPq) and the Funda&#x00E7;&#x00E3;o de Apoio ao Desenvolvimento do Ensino, Ci&#x00EA;ncia e Tecnologia do Estado de Mato Grosso do Sul (FUNDECT). MR acknowledges FCT I.P. in the scope of the Scientific Employment Stimulus instrument (CEECIND/00526/2018). The authors also acknowledge Funda&#xe7;&#xe3;o para a Ci&#xea;ncia e a Tecnologia (FCT I.P., Portugal) under the scope of &#x201c;Contrato-Programa&#x201d; UIDB/04050/2020.</p>
</ack>
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