# US 11,299,515 B2 · Optimized peptides for targeting human nerves and their use in image guided surgery, diagnostics and therapeutic

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- Number: US 11,299,515 B2
- Document ID: US11299515B2
- Status: Granted
- Kind: B2
- Application number: 16/635,133
- Filed: 2018-08-02
- Published: 2021-03-25
- Granted: 2022-04-12
- Earliest claimed: 2017-08-02
- Assignees: The Regents of the University of California
- Applicants: The Regents of the University of California
- Inventors: Quyen T. Nguyen; Mike Whitney; Dina Hingorani; Roger Y. Tsien; Stephen Adams
- Web page: https://patentgrep.com/patent/US11299515B2

## CPC

- C07K 7/08: having 12 to 20 amino acids (gastrins C07K14/595; somatostatins C07K14/655; melanotropins C07K14/68)
- A61K 9/0014: {Skin, i.e. galenical aspects of topical compositions (non-active ingredients are additionally classified in A61K47/00; A61K9/0009, A61K9/0021, A61K9/7015, A61K9/7023 take precedence; cosmetic preparations A61K8/00, A61Q; preparations for wound dressings or bandages A61L26/00)}
- A61K 9/0019: {Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner (non-active ingredients are additionally classified in A61K47/00)}
- A61K 38/1825: {Fibroblast growth factor [FGF]}
- A61K 38/185: {Nerve growth factor [NGF]; Brain derived neurotrophic factor [BDNF]; Ciliary neurotrophic factor [CNTF]; Glial derived neurotrophic factor [GDNF]; Neurotrophins, e.g. NT-3}
- A61K 38/30: Insulin-like growth factors, i.e. somatomedins, e.g. IGF-1, IGF-2 {(insulin-like growth factor binding protein A61K38/1754)}
- A61K 41/0057: {Photodynamic therapy with a photosensitizer, i.e. agent able to produce reactive oxygen species upon exposure to light or radiation, e.g. UV or visible light; photocleavage of nucleic acids with an agent}
- A61K 47/64: Drug-peptide, drug-protein or drug-polyamino acid conjugates, i.e. the modifying agent being a peptide, protein or polyamino acid which is covalently bonded or complexed to a therapeutically active agent (peptidic linkers A61K47/65)
- A61K 49/0043: {Fluorescein, used in vivo}
- A61K 49/0056: {Peptides, proteins, polyamino acids}
- C07K 7/00: Peptides having 5 to 20 amino acids in a fully defined sequence; Derivatives thereof
- C07K 7/06: having 5 to 11 amino acids
- G01N 33/5005: {involving human or animal cells (immunoassay G01N33/56966; immunoassays of protozoa G01N33/56905; protozoa in screening assays C12Q1/025)}
- A61K 45/06: Mixtures of active ingredients without chemical characterisation, e.g. antiphlogistics and cardiaca
- C07K: PEPTIDES (peptides in foodstuffs A23; obtaining protein compositions for foodstuffs, working-up proteins for foodstuffs A23J; preparations for medicinal purposes A61K; peptides containing beta-lactam rings C07D; cyclic dipeptides not having in their molecule any other peptide link than those which form their ring, e.g. piperazine-2,5-diones, C07D; ergot alkaloids of the cyclic peptide type C07D519/02; macromolecular compounds having statistically distributed amino acid units in their molecules, i.e. when the preparation does not provide for a specific; but for a random sequence of the amino acid units, homopolyamides and block copolyamides derived from amino acids C08G69/00; macromolecular products derived from proteins C08H1/00; preparation of glue or gelatine C09H; single cell proteins, enzymes C12N; genetic engineering processes for obtaining peptides C12N15/00; compositions for measuring or testing processes involving enzymes C12Q; investigation or analysis of biological material G01N33/00)
- A61K: PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES (devices or methods specially adapted for bringing pharmaceutical products into particular physical or administering forms A61J3/00; chemical aspects of, or use of materials for deodorisation of air, for disinfection or sterilisation, or for bandages, dressings, absorbent pads or surgical articles A61L; soap compositions C11D)
- G01N: INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES (measuring or testing apparatus or processes other than immunoassay, involving enzymes or microorganisms C12M, C12Q)

## Abstract

The present invention provides methods for guiding preservation of human neurons or human nerves during surgery by administering a fluorescently-labeled peptide that specifically binds to the human neurons or human nerves. The invention further provides human neuron or nerve targeting molecules comprising fluorescently-labeled peptides that specifically bind to human neurons or human nerves and compositions thereof.

## Claims

### Claim 1

A targeting molecule comprising a peptide selected from the group consisting of: SGQVPWEEPYYVVKKSS (HNP 401; SEQ ID NO:1), WEYHYVDLNWTSQHPQ (HNP 402; SEQ ID NO:2), DLPDIIWDFNWETA (HNP 403; SEQ ID NO:3), DTHAHAKPRVPAFKSV (HNP 404; SEQ ID NO:16), Ac-SGQVPWEEPYYVVKKSSGGC (HNP401 with GGC linker; SEQ ID NO:4), Ac-WEYHYVDLNWTSQHPQGGC (HNP402 with GGC linker; SEQ ID NO:5), Ac-DLPDIIWDFNWETAGGC (HNP403; SEQ ID NO:6), Ac-QVPWEEPYYVVKKSSGGC (HNP401-N-2 with GGC linker; SEQ ID NO:7), Ac-PWEEPYYVVKKSSGGC (HNP401-N-4 with GGC linker; SEQ ID NO:8), Ac-EEPYYVVKKSSGGC (HNP401-N-6 with GGC linker; SEQ ID NO:9), Ac-PYYVVKKSSGGC (HNP401-N-8 with GGC linker; SEQ ID NO:10), Ac-SGQVPWEEPYYVVKKGGC (HNP401-C-2 with GGC linker; SEQ ID NO:11), Ac-SGQVPWEEPYYVVGGC (HNP401-C-4 with GGC linker; SEQ ID NO:12), Ac-SGQVPWEEPYYGGC (HNP401-C-6 with GGC linker; SEQ ID NO:13), Ac-SGQVPWEEPGGC (HNP401-C-8 with GGC linker; SEQ ID NO:14), QVPWEEPYYVVKKSS (HNP401-N-2; SEQ ID NO:20); QVPWEEPYYVVKKSSGG (HNP401-N-2 with GG linker; SEQ ID NO:21), PWEEPYYVVKKSS (HNP401-N-4; SEQ ID NO:22); EEPYYVVKKSS (HNP401-N-6; SEQ ID NO:23), PYYVVKKSS (HNP401-N-8; SEQ ID NO:24), SGQVPWEEPYYVVKK (HNP401-C-2; SEQ ID NO:25), SGQVPWEEPYYVV (HNP401-C-4; SEQ ID NO:26), SGQVPWEEPYY (HNP401-C-6; SEQ ID NO:27), SGQVPWEEP (HNP401-C-8; SEQ ID NO:28), PWEEPYYVVKKSSGG (HNP401-N-4 with GG linker; SEQ ID NO:118), EEPYYVVKKSSGG (HNP401-N-6 with GG linker; SEQ ID NO:119), PYYVVKKSSGG (HNP401-N-8 with GG linker; SEQ ID NO:120), SGQVPWEEPYYVVKKGG (HNP401-C-2; with GG linker; SEQ ID NO:121), SGQVPWEEPYYVVGG (HNP401-C-4 with GG linker; SEQ ID NO:122), SGQVPWEEPYYGG, (HNP401-C-6 with GG linker; SEQ ID NO:123), and SGQVPWEEPGG (HNP401-C-8 with GG linker; SEQ ID NO:124); or
a targeting molecule comprising a peptide having at least 80% identity to a peptide selected from the group consisting of: SGOVPWEEPYYVVKKSS (HNP 401: SEQ ID NO:1) WEYHYVDLNWTSQHPQ (HNP 402; SEQ ID NO:2) DLPDIIWDFNWETA (HNP 403; SEQ ID NO:3), DTHAHAKPRVPAFKSV (HNP 404: SEQ ID NO:16), Ac-SGQVPWEEPYYVVKKSSGGC (HNP401 with GGC linker; SEQ ID NO:4), Ac-WEYHYVDLNWTSQHPQGGC (HNP402 with GGC linker; SEQ ID NO:5), Ac-DLPDIIWDFNWETAGGC (HNP403; SEQ ID NO:6), Ac-QVPWEEPYYVVKKSSGGC (HNP401-N-2 with GGC linker; SEQ ID NO:7), Ac-PWEEPYYVVKKSSGGC (HNP401-N-4 with GGC linker; SEQ ID NO:8), Ac-EEPYYVVKKSSGGC (HNP401-N-6 with GGC linker; SEQ ID NO:9), Ac-PYYVVKKSSGGC (HNP401-N-8 with GGC linker; SEQ ID NO:10), Ac-SGQVPWEEPYYVVKKGGC (HNP401-C-2 with GGC linker: SEQ ID NO: 11), Ac-SGQVPWEEPYYVVGGC (HNP401-C-4 with GGC linker SEQ ID NO:12), Ac-SGQVPWEEPYYGGC (HNP401-C-6 with GGC linker; SEQ ID NO:13), Ac-SGQVPWEEPGGC (HNP401-C-8 with GGC linker; SEQ ID NO: 14), QVPWEEPYYVVKKSS (HNP401-N-2: SEQ ID NO:20): QVPWEEPYYVVKKSSGG (HNP401-N-2 with GG linker: SEQ ID NO:21), PWEEPYYVVKKSS (HNP401-N-4; SEQ ID NO:22); EEPYYVVKKSS (HNP401-N-6; SEQ ID NO:23), PYYVVKKSS (HNP401-N-8, SEQ ID NO:24), SGQVPWEEPYYVVKK (HNP401-C-2; SEQ ID NO:25), SGQVPWEEPYYVV (HNP401-C-4 SEQ ID NO:26), SGQVPWEEPYY (HNP401-C-6; SEQ ID NO:27), SGQVPWEEP (HNP401-C-8: SEQ ID NO:28), PWEEPYYVVKKSSGG (HNP401-N-4 with GG linker; SEQ ID NO:118), EEPYYVVKKSSGG (HNP401-N-6 with GG linker: SEQ ID NO:119), PYYVVKKSSGG (HNP401-N-8 with GG linker; SEQ ID NO:120), SGQVPWEEPYYVVKKGG (HNP401-C-2; with GG linker: SEQ ID NO:121), SGQVPWEEPYYVVGG (HNP401-C-4 with G linker, SEQ ID NO:122), SGQVPWEEPYYGG, (HNP401-C-6 with GG linker: SEQ ID NO: 123), and SGQVPWEEPGG (HNP401-C-8 with GG linker; SEQ ID NO:124).

### Claim 2 (depends on 1)

The targeting molecule of claim 1, further comprising a cargo selected from the group consisting of a drug, fluorescent moiety, and photosensitizing agent.

### Claim 3 (depends on 2)

The targeting molecule of claim 2, wherein the cargo is a drug selected from the group consisting of: an antihistamine, a GABA receptor modulator, a neurotransmitter reuptake inhibitor, a local anesthetic, an anticholinergic, a sodium channel blocker, a calcium channel blocker, a thyrotropin-releasing hormone, a γ-secretase inhibitor, an AMPA receptor agonist or antagonist, an NMDA receptor agonist or antagonist, an mGlu receptor agonist or antagonist, a growth factor, an antiemetic agent, a corticosteroid; a cytotoxic agent; an antioxidant, an iron chelator, a mitochondrial modulator, a sirtuin modulator, a nitric oxide (NO) and/or nitric oxide synthase (NOS) modulator, a potassium channel agonist or antagonist, a purigenic receptor agonist or antagonist, and combinations thereof.

### Claim 4 (depends on 2)

The targeting molecule of claim 2, wherein the cargo is a drug selected from the group consisting of: benzocaine; carticaine; cinchocaine; cyclomethycaine; lidocaine; prilocaine; propxycaine; proparacaine; tetracaine; tocainide; and trimecaine; methotrexate; cyclophosphamide; thalidomide; paclitaxel; pemetrexed; pentostatin; pipobroman; pixantrone; plicamycin; platonin; procarbazine; raltitrexed; rebeccamycin; rubitecan; SN-38; salinosporamide A; satraplatin; streptozotocin; swainsonine; tariquidar; taxane; tegafur-uracil; temozolomide; testolactone; thioTEPA; tioguanine; topotecan; trabectedin; tretinoin; triplatin tetranitrate; tris(2-chloroethyl)amine; troxacitabine; uracil mustard; valrubicin; vinblastine; vincristine; vinorelbine; vorinostat; zosuquidar; carbamazepine; oxcarbazepine; phenytein; valproic acid; sodium valproate; cinnarizine; flunarizine; nimodipine; brain-derived neurotrophic factor (BDNF); ciliary neurotrophic factor (CNTF); glial cell-line derived neurotrophic factor (GDNF); neurotrophin-3; neurotrophin-4; fibroblast growth factor (FGF) receptor; insulin-like growth factor (IGF); and combinations thereof.

### Claim 5 (depends on 2)

The targeting molecule of claim 2, wherein the cargo is a fluorescent moiety selected from the group consisting of: a fluorescent protein, a fluorescent peptide, a fluorescent dye, and combinations thereof.

### Claim 6 (depends on 2)

The targeting molecule of claim 2, wherein the cargo is a fluorescent moiety i-selected from the group consisting of: a xanthene; a bimane; a coumarin; an aromatic amines; a benzofuran; a fluorescent cyanine; a carbazole; a dicyanomethylene pyrane; polymethine; oxabenzanthrane; pyrylium; carbostyl; perylene; acridone; quinacridone; rubrene; anthracene; coronene; phenanthrecene; pyrene; butadiene; stilbene; porphyrin; pthalocyanine; lanthanide metal chelate complexes; rare-earth metal chelate complexes; and derivatives thereof.

### Claim 7 (depends on 2)

The targeting molecule of claim 2, wherein the cargo is a fluorescent moiety is-selected from the group consisting of: 5-carboxyfluorescein; fluorescein-5-isothiocyanate; 6-carboxyfluorescein; tetramethylrhodamine-6-isothiocyanate; 5-carboxytetramethylrhodamine; 5-carboxy rhodol derivatives; tetramethyl and tetraethyl rhodamine; diphenyldimethyl and diphenyldiethyl rhodamine; dinaphthyl rhodamine; rhodamine 101 sulfonyl chloride; Cy3, Cy3B, Cy3.5, Cy5, Cy5.5, Cy 7, indocyanine green, IR800CW, cyan fluorescent protein (CFP), EGFP, 6-FAM, FAM, fluorescein, 5,6-dicarboxyfluorescein, 5-(and 6)-sulfofluorescein, sulfonefluorescein, succinyl fluorescein, 5-(and 6)-carboxy SNARF-1, carboxyfluorescein sulfonate, carboxyfluorescein zwitterion, carboxyfluorescein quaternary ammonium, carboxyfluorescein phosphonate, carboxyfluorescein GABA, carboxyfluorescein-cys-Cy5,5′(6′)-carboxyfluorescein, fluorescein glutathione, and combinations thereof.

### Claim 8 (depends on 2)

The targeting molecule of claim 2, wherein the cargo is a photosensitizing agent i-selected from the group consisting of: a porphyrin, chlorin, and dye.

### Claim 9 (depends on 2)

The targeting molecule of claim 2, wherein the cargo is a photosensitizing agent selected from the group consisting of: porphyrin, protoporfin IX, purlytin, verteporfin, HPPH, temoporfin, methylene blue, photofrin, protofrin, hematoporphyrin, Talaporfin, benzopophyrin derivative monoacid, 5-aminileuvolinic acid, Lutetium texaphyrin, metallophthalocyanine, metallo-naphthocyaninesulfobenzo-porphyrazine, metallo-naphthalocyanines, zinc tetrasulfophthalocyanine, bacteriochlorins, metallochlorins, chlorine derivative, Tetra(m-hydroxyphenyl)chlorin (mTHPC), pheophorbide, dibromofluorescein (DBF), IR700DX, naphthalocyanine, and porphyrin derivatives.

### Claim 10 (depends on 2)

The targeting molecule of any claim 2, wherein the cargo is joined to the N-terminus or C-terminus of the peptide.

### Claim 11 (depends on 2)

The targeting molecule of claim 2, wherein the cargo is joined to the peptide via a linker.

### Claim 12 (depends on 11)

The targeting molecule of claim 11, wherein the linker is a straight or branched-chain carbon linker, heterocyclic carbon linker, amino acid linker, lipophilic residue, peptide linker, peptide nucleic acid linker, hydrazone linker, SPDB disulfide, sulfo-SPDB, maleimidomethyl cyclohexane-1-carboxylate (MCC), aminohexanoic acid linker, polyether linker, or polyethylene glycol linker.

### Claim 13 (depends on 1)

The targeting molecule of claim 1, comprising: 5FAM-QVPWEEPYYVVKKSSGG-NH2 (HNP401-N-2 with GG linker; SEQ ID NO:104), Ac-SGQVPWEEPYYVVKKSSGGC-5FAM (HNP401 with GGC linker; SEQ ID NO:105), Ac-WEYHYVDLNWTSQHPQGGC-5FAM (HNP402 with GGC linker; SEQ ID NO:106), Ac-DLPDIIWDFNWETAGGC-5FAM (HNP403 with GGC linker; SEQ ID NO:107), Ac-QVPWEEPYYVVKKSSGGC-5FAM (HNP401-N-2 with GGC linker; SEQ ID NO:108), Ac-PWEEPYYVVKKSSGGC-5FAM (HNP401-N-4 with GGC linker; SEQ ID NO:109), Ac-EEPYYVVKKSSGGC-5FAM (HNP401-N-6 with GGC linker; SEQ ID NO:110), Ac-PYYVVKKSSGGC-5FAM (HNP401-N-8 with GGC linker; SEQ ID NO:111), Ac-SGQVPWEEPYYVVKKGGC-5FAM (HNP401-C-2 with GGC linker; SEQ ID NO:112), Ac-SGQVPWEEPYYVVGGC-5FAM (HNP401-C-4 with GGC linker; SEQ ID NO:113), Ac-SGQVPWEEPYYGGC-5FAM (HNP401-C-6 with GGC linker; SEQ ID NO:114), or Ac-SGQVPWEEPGGC-5FAM (HNP401-C-8 with GGC linker; SEQ ID NO:115).

### Claim 14

A multidomain targeting molecule comprising two or more peptides, wherein the first peptide, second peptide, or both the first peptide and second peptide are selected from the group consisting of: SGQVPWEEPYYVVKKSS (HNP 401; SEQ ID NO:1), WEYHYVDLNWTSQHPQ (HNP 402; SEQ ID NO:2), DLPDIIWDFNWETA (HNP 403; SEQ ID NO:3), DTHAHAKPRVPAFKSV (HNP 404; SEQ ID NO:16), Ac-SGQVPWEEPYYVVKKSSGGC (HNP401 with GGC linker; SEQ ID NO:4), Ac-WEYHYVDLNWTSQHPQGGC (HNP402 with GGC linker; SEQ ID NO:5), Ac-DLPDIIWDFNWETAGGC (HNP403 with GGC linker; SEQ ID NO:6), Ac-QVPWEEPYYVVKKSSGGC (HNP401-N-2 with GGC linker; SEQ ID NO:7), Ac-PWEEPYYVVKKSSGGC (HNP401-N-4 with GGC linker; SEQ ID NO:8), Ac-EEPYYVVKKSSGGC (HNP401-N-6 with GGC linker; SEQ ID NO:9), Ac-PYYVVKKSSGGC (HNP401-N-8 with GGC linker; SEQ ID NO:10), Ac-SGQVPWEEPYYVVKKGGC (HNP401-C-2 with GGC linker; SEQ ID NO:11), Ac-SGQVPWEEPYYVVGGC (HNP401-C-4 with GGC linker; SEQ ID NO:12), Ac-SGQVPWEEPYYGGC (HNP401-C-6 with GGC linker; SEQ ID NO:13), Ac-SGQVPWEEPGGC (HNP401-C-8 with GGC linker; SEQ ID NO:14), QVPWEEPYYVVKKSS (HNP401-N-2; SEQ ID NO:20); QVPWEEPYYVVKKSSGG (HNP401-N-2 with GG linker; SEQ ID NO:21); PWEEPYYVVKKSS (HNP401-N-4; SEQ ID NO:22); EEPYYVVKKSS (HNP401-N-6; SEQ ID NO:23); PYYVVKKSS (HNP401-N-8; SEQ ID NO:24); SGQVPWEEPYYVVKK (HNP401-C-2; SEQ ID NO:25), SGQVPWEEPYYVV (HNP401-C-4; SEQ ID NO:26), SGQVPWEEPYY (HNP401-C-6; SEQ ID NO:27), SGQVPWEEP (HNP401-C-8; SEQ ID NO:28), PWEEPYYVVKKSSGG (HNP401-N-4 with GG linker; SEQ ID NO:118), EEPYYVVKKSSGG (HNP401-N-6 with GG linker; SEQ ID NO:119), PYYVVKKSSGG (HNP401-N-8 with GG linker; SEQ ID NO:120), SGQVPWEEPYYVVKKGG (HNP401-C-2; with GG linker; SEQ ID NO:121), SGQVPWEEPYYVVGG (HNP401-C-4 with GG linker; SEQ ID NO:122), SGQVPWEEPYYGG, (HNP401-C-6 with GG linker; SEQ ID NO:123), and SGQVPWEEPGG (HNP401-C-8 with GG linker; SEQ ID NO:124).

### Claim 15 (depends on 14)

The multidomain targeting molecule of claim 14, further comprising a cargo selected from the group consisting of a drug, fluorescent moiety, and photosensitizing agent.

### Claim 16 (depends on 2)

A method of identifying a human neuron or nerve comprising contacting the human neuron or nerve with a targeting molecule of claim 2, wherein the cargo is a fluorescent moiety.

### Claim 17 (depends on 2)

A method of delivering a drug to a human neuron or nerve comprising contacting the human neuron or nerve with a targeting molecule of claim 2, wherein the cargo is a drug.

### Claim 18 (depends on 2)

A method of delivering a photosensitizing agent to a human neuron or nerve comprising contacting the human neuron or nerve with a targeting molecule of claim 2, wherein the cargo is a photosensitizing agent.

### Claim 19 (depends on 18)

The method of claim 18, further comprising exposing the human neuron or nerve to a light source that activates the photosensitizing agent, wherein the human neuron or nerve is ablated by the activated photosensitizing agent.

### Claim 20 (depends on 16)

The method of claim 16, wherein said targeting molecule is administered intravenously or topically to a human subject.

### Claim 21 (depends on 16)

The method of claim 16, wherein said targeting molecule is administered to a human subject prior to a surgical procedure.

### Claim 22 (depends on 21)

The method of claim 21, wherein said surgical procedure is a cancer surgical procedure.

### Claim 23 (depends on 22)

The method of claim 22, wherein said surgical procedure is a prostate cancer surgical procedure.

### Claim 24 (depends on 1)

A pharmaceutical composition comprising: (a) the targeting molecule of claim 1, and (b) a pharmaceutically acceptable excipient.

### Claim 25 (depends on 1)

The targeting molecule of claim 1, comprising a peptide selected from the group consisting of: SGQVPWEEPYYVVKKSS (HNP 401; SEQ ID NO: 1), WEYHYVDLNWTSQHPQ (HNP 402; SEQ ID NO: 2), DLPDIIWDFNWETA (HNP 403; SEQ ID NO: 3), DTHAHAKPRVPAFKSV (HNP 404; SEQ ID NO: 16), Ac-SGQVPWEEPYYVVKKSSGGC (HNP401 with GGC linker; SEQ ID NO: 4), Ac-WEYHYVDLNWTSQHPQGGC (HNP402 with GGC linker; SEQ ID NO: 5), Ac-DLPDIIWDFNWETAGGC (HNP403; SEQ ID NO: 6), Ac-QVPWEEPYYVVKKSSGGC (HNP401-N-2 with GGC linker, SEQ ID NO: 7), Ac-PWEEPYYVVKKSSGGC (HNP401-N-4 with GGC linker; SEQ ID NO: 8), Ac-EEPYYVVKKSSGGC (HNP401-N-6 with GGC linker; SEQ ID NO: 9), Ac-PYYVVKKSSGGC (HNP401-N-8 with GGC linker; SEQ ID NO: 10), Ac-SGQVPWEEPYYVVKKGGC (HNP401-C- 2 with GGC linker; SEQ ID NO: 11), Ac-SGQVPWEEPYYVVGGC (HNP401-C-4 with GGC linker; SEQ ID NO: 12), Ac-SGQVPWEEPYYGGC (HNP401-C-6 with GGC linker; SEQ ID NO: 13), Ac-SGQVPWEEPGGC (HNP401-C-8 with GGC linker; SEQ ID NO: 14), QVPWEEPYYVVKKSS (HNP401-N-2; SEQ ID NO: 20); QVPWEEPYYVVKKSSGG (HNP401-N-2 with GG linker; SEQ ID NO: 21), PWEEPYYVVKKSS (HNP401-N-4; SEQ ID NO: 22); EEPYYVVKKSS (HNP401-N-6; SEQ ID NO: 23), PYYVVKKSS (HNP401-N-8; SEQ ID NO: 24), SGQVPWEEPYYVVKK (HNP401-C-2; SEQ ID NO: 25), SGQVPWEEPYYVV (HNP401-C-4; SEQ ID NO: 26), SGQVPWEEPYY (HNP401-C-6; SEQ ID NO: 27), SGQVPWEEP (HNP401-C-8; SEQ ID NO: 28), PWEEPYYVVKKSSGG (HNP401-N-4 with GG linker; SEQ ID NO: 118), EEPYYVVKKSSGG (HNP401-N-6 with GG linker; SEQ ID NO: 119), PYYVVKKSSGG (HNP401-N-8 with GG linker; SEQ ID NO: 120), SGQVPWEEPYYVVKKGG (HNP401-C-2; with GG linker; SEQ ID NO: 121), SGQVPWEEPYYVVGG (HNP401-C-4 with GG linker; SEQ ID NO: 122), SGQVPWEEPYYGG, (HNP401-C-6 with GG linker; SEQ ID NO: 123), and SGQVPWEEPGG (HNP401-C-8 with GG linker; SEQ ID NO: 124).

### Claim 26 (depends on 1)

The targeting molecule of claim 1, comprising a peptide having at least 85% identity to a peptide selected from the group consisting of: SGQVPWEEPYYVVKKSS (HNP 401; SEQ ID NO: 1), WEYHYVDLNWTSQHPQ (HNP 402; SEQ ID NO: 2), DLPDIIWDFNWETA (HNP 403; SEQ ID NO: 3), DTHAHAKPRVPAFKSV (HNP 404; SEQ ID NO: 16), Ac-SGQVPWEEPYYVVKKSSGGC (HNP401 with GGC linker; SEQ ID NO: 4), Ac-WEYHYVDLNWTSQHPQGGC (HNP402 with GGC linker; SEQ ID NO: 5), Ac-DLPDIIWDFNWETAGGC (HNP403; SEQ ID NO: 6), Ac-QVPWEEPYYVVKKSSGGC (HNP401-N-2 with GGC linker; SEQ ID NO: 7), Ac-PWEEPYYVVKKSSGGC (HNP401-N-4 with GGC linker; SEQ ID NO: 8), Ac-EEPYYVVKKSSGGC (HNP401-N-6 with GGC linker; SEQ ID NO: 9), Ac-PYYVVKKSSGGC (HNP401-N-8 with GGC linker; SEQ ID NO: 10), Ac-SGQVPWEEPYYVVKKGGC (HNP401-C-2 with GGC linker; SEQ ID NO: 11), Ac-SGQVPWEEPYYVVGGC (HNP401-C-4 with GGC linker; SEQ ID NO: 12), Ac-SGQVPWEEPYYGGC (HNP401-C-6 with GGC linker; SEQ ID NO: 13), Ac-SGQVPWEEPGGC (HNP401-C-8 with GGC linker; SEQ ID NO: 14), QVPWEEPYYVVKKSS (HNP401-N-2; SEQ ID NO: 20); QVPWEEPYYVVKKSSGG (HNP401-N-2 with GG linker; SEQ ID NO: 21), PWEEPYYVVKKSS (HNP401-N-4; SEQ ID NO: 22); EEPYYVVKKSS (HNP401-N-6; SEQ ID NO: 23), PYYVVKKSS (HNP401-N-8; SEQ ID NO: 24), SGQVPWEEPYYVVKK (HNP401-C-2; SEQ ID NO: 25), SGQVPWEEPYYVV (HNP401-C-4; SEQ ID NO: 26), SGQVPWEEPYY (HNP401-C-6; SEQ ID NO: 27), SGQVPWEEP (HNP401-C-8; SEQ ID NO: 28), PWEEPYYVVKKSSGG (HNP401-N-4 with GG linker; SEQ ID NO: 118), EEPYYVVKKSSGG (HNP401-N-6 with GG linker; SEQ ID NO: 119), PYYVVKKSSGG (HNP401-N-8 with GG linker; SEQ ID NO: 120), SGQVPWEEPYYVVKKGG (HNP401-C-2; with GG linker; SEQ ID NO: 121), SGQVPWEEPYYVVGG (HNP401-C-4 with GG linker; SEQ ID NO: 122), SGQVPWEEPYYGG, (HNP401-C-6 with GG linker; SEQ ID NO: 123), and SGQVPWEEPGG (HNP401-C-8 with GG linker; SEQ ID NO: 124).

### Claim 27 (depends on 1)

The targeting molecule of claim 1, comprising a peptide having at least 90% identity to a peptide selected from the group consisting of: SGQVPWEEPYYVVKKSS (HNP 401; SEQ ID NO: 1), WEYHYVDLNWTSQHPQ (HNP 402; SEQ ID NO: 2), DLPDIIWDFNWETA (HNP 403; SEQ ID NO: 3), DTHAHAKPRVPAFKSV (HNP 404; SEQ ID NO: 16), Ac-SGQVPWEEPYYVVKKSSGGC (HNP401 with GGC linker; SEQ ID NO: 4), Ac-WEYHYVDLNWTSQHPQGGC (HNP402 with GGC linker; SEQ ID NO: 5), Ac-DLPDIIWDFNWETAGGC (HNP403; SEQ ID NO: 6), Ac-QVPWEEPYYVVKKSSGGC (HNP401-N-2 with GGC linker; SEQ ID NO: 7), Ac-PWEEPYYVVKKSSGGC (HNP401-N-4 with GGC linker; SEQ ID NO: 8), Ac-EEPYYVVKKSSGGC (HNP401-N-6 with GGC linker; SEQ ID NO: 9), Ac-PYYVVKKSSGGC (HNP401-N-8 with GGC linker; SEQ ID NO: 10), Ac-SGQVPWEEPYYVVKKGGC (HNP401-C-2 with GGC linker; SEQ ID NO: 11), Ac-SGQVPWEEPYYVVGGC (HNP401-C-4 with GGC linker; SEQ ID NO: 12), Ac-SGQVPWEEPYYGGC (HNP401-C-6 with GGC linker; SEQ ID NO: 13), Ac-SGQVPWEEPGGC (HNP401-C-8 with GGC linker; SEQ ID NO: 14), QVPWEEPYYVVKKSS (HNP401-N-2; SEQ ID NO: 20); QVPWEEPYYVVKKSSGG (HNP401-N-2 with GG linker; SEQ ID NO: 21), PWEEPYYVVKKSS (HNP401-N-4; SEQ ID NO: 22); EEPYYVVKKSS (HNP401-N-6; SEQ ID NO: 23), PYYVVKKSS (HNP401-N-8; SEQ ID NO: 24), SGQVPWEEPYYVVKK (HNP401-C-2; SEQ ID NO: 25), SGQVPWEEPYYVV (HNP401-C-4; SEQ ID NO: 26), SGQVPWEEPYY (HNP401-C-6; SEQ ID NO: 27), SGQVPWEEP (HNP401-C-8; SEQ ID NO: 28), PWEEPYYVVKKSSGG (HNP401-N-4 with GG linker; SEQ ID NO: 118), EEPYYVVKKSSGG (HNP401-N-6 with GG linker; SEQ ID NO: 119), PYYVVKKSSGG (HNP401-N-8 with GG linker; SEQ ID NO: 120), SGQVPWEEPYYVVKKGG (HNP401-C-2; with GG linker; SEQ ID NO: 121), SGQVPWEEPYYVVGG (HNP401-C-4 with GG linker; SEQ ID NO: 122), SGQVPWEEPYYGG, (HNP401-C-6 with GG linker; SEQ ID NO: 123), and SGQVPWEEPGG (HNP401-C-8 with GG linker; SEQ ID NO: 124).

### Claim 28 (depends on 1)

The targeting molecule of claim 1, comprising a peptide having at least 95% identity to a peptide selected from the group consisting of: SGQVPWEEPYYVVKKSS (HNP 401; SEQ ID NO: 1), WEYHYVDLNWTSQHPQ (HNP 402; SEQ ID NO: 2), DLPDIIWDFNWETA (HNP 403; SEQ ID NO: 3), DTHAHAKPR VPAFKSV (HNP 404; SEQ ID NO: 16), Ac-SGQVPWEEPYYVVKKSSGGC (HNP401 with GGC linker; SEQ ID NO: 4), Ac-WEYHYVDLNWTSQHPQGGC (HNP402 with GGC linker; SEQ ID NO: 5), Ac-DLPDIIWDFNWETAGGC (HNP403; SEQ ID NO: 6), Ac-QVPWEEPYYVVKKSSGGC (HNP401-N-2 with GGC linker; SEQ ID NO: 7), Ac-PWEEPYYVVKKSSGGC (HNP401-N-4 with GGC linker; SEQ ID NO: 8), Ac-EEPYYVVKKSSGGC (HNP401-N-6 with GGC linker; SEQ ID NO: 9), Ac-PYYVVKKSSGGC (HNP401-N-8 with GGC linker; SEQ ID NO: 10), Ac-SGQVPWEEPYYVVKKGGC (HNP401-C-2 with GGC linker; SEQ ID NO: 11), Ac-SGQVPWEEPYYVVGGC (HNP401-C-4 with GGC linker; SEQ ID NO: 12), Ac-SGQVPWEEPYYGGC (HNP401-C-6 with GGC linker; SEQ ID NO: 13), Ac-SGQVPWEEPGGC (HNP401-C-8 with GGC linker; SEQ ID NO: 14), QVPWEEPYYVVKKSS (HNP401-N-2; SEQ ID NO: 20); QVPWEEPYYVVKKSSGG (HNP401-N-2 with GG linker; SEQ ID NO: 21), PWEEPYYVVKKSS (HNP401-N-4; SEQ ID NO: 22); EEPYYVVKKSS (HNP401-N-6; SEQ ID NO: 23), PYYVVKKSS (HNP401-N-8; SEQ ID NO: 24), SGQVPWEEPYYVVKK (HNP401-C-2; SEQ ID NO: 25), SGQVPWEEPYYVV (HNP401-C-4; SEQ ID NO: 26), SGQVPWEEPYY (HNP401-C-6; SEQ ID NO: 27), SGQVPWEEP (HNP401-C-8; SEQ ID NO: 28), PWEEPYYVVKKSSGG (HNP401-N-4 with GG linker; SEQ ID NO: 118), EEPYYVVKKSSGG (HNP401-N-6 with GG linker; SEQ ID NO: 119), PYYVVKKSSGG (HNP401-N-8 with GG linker; SEQ ID NO: 120), SGQVPWEEPYYVVKKGG (HNP401-C-2; with GG linker; SEQ ID NO: 121), SGQVPWEEPYYVVGG (HNP401-C-4 with GG linker; SEQ ID NO: 122), SGQVPWEEPYYGG, (HNP401-C-6 with GG linker; SEQ ID NO: 123), and SGQVPWEEPGG (HNP401-C-8 with GG linker; SEQ ID NO: 124).