# Bismuth Bicycles

**Authors:** Saan Voss, Amin Sagar, Arnaud Tiberghien, Richard J. L. Hughes, Liuhong Chen, Inmaculada Rioja, Mark Frigerio, Michael J. Skynner, David R. Spring

PMC · DOI: 10.1002/psc.70071 · Journal of Peptide Science · 2026-02-03

## TL;DR

Bismuth-based bicyclic peptides are a new type of therapeutic that combines the benefits of antibodies and small molecules.

## Contribution

This paper introduces bismuth bicycle molecules as a novel class of therapeutics using inorganic chemistry.

## Key findings

- Bismuth bicycles offer unique structural properties for binding challenging protein surfaces.
- They expand chemical space by using bismuth instead of traditional organic scaffolds.
- These molecules have potential for future therapeutic applications.

## Abstract

Bicyclic peptides are emerging as next generation therapeutics by combining the affinity and specificity of antibodies with the synthetic convenience of small molecules. Phage‐encoded libraries of bicyclic peptides enable the discovery of high‐affinity molecules against virtually any protein target. The generation of bicyclic peptides that advanced into clinical development involves the reaction of three cysteines in a peptide to a C3‐symmetric alkylating agent. In phage display, this chemical modification transforms a pool of conformationally flexible peptides into a library of structurally unique protein mimetics that are able to bind traditionally challenging protein surfaces like those with limited structural definition. In recent years, a new class of bicyclic peptides has emerged using a single atom—bismuth—in place of C3‐symmetric organic scaffolds, thus expanding into an unexplored chemical space at the intersection of inorganic chemistry and biology. This mini‐review aims to reflect on the discovery, evolution and potential future applications of bismuth bicycle molecules.

Discovery, evolution and potential future applications of bismuth bicycle molecules—a novel class of therapeutics with unique properties.

## Linked entities

- **Chemicals:** bismuth (PubChem CID 5359367)

## Full-text entities

- **Genes:** NECTIN4 (nectin cell adhesion molecule 4) [NCBI Gene 81607] {aka EDSS1, LNIR, PRR4, PVRL4, nectin-4}, FOLH1 (folate hydrolase 1) [NCBI Gene 2346] {aka FGCP, FOLH, GCP2, GCPII, NAALAD1, PSM}
- **Diseases:** gastrointestinal infections (MESH:D005767), infectious diseases (MESH:D003141), cancer (MESH:D009369)
- **Chemicals:** selenium (MESH:D012643), selenocysteine (MESH:D017279), Lutathera (MESH:C447941), chloride (MESH:D002712), TATB (MESH:C512607), water (MESH:D014867), histidine (MESH:D006639), Bromine (MESH:D001966), Gastrodenol (MESH:C002791), naphthalimide (MESH:D053644), EDTA (MESH:D004492), dimethyl sulfoxide (MESH:D004121), TCEP (MESH:C080938), amine (MESH:D000588), Apixaban (MESH:C522181), 209Bi (MESH:C000617037), rhodamine (MESH:D012235), aspartate (MESH:D001224), CPP (MESH:D057846), oxygen (MESH:D010100), rottlerin (MESH:C085746), serine (MESH:D012694), cysteine (MESH:D003545), acetonitrile (MESH:C032159), thiol (MESH:D013438), Pepto-Bismol (MESH:C015715), Bismuth Bicycle (-), Bismuth (MESH:D001729), metal (MESH:D008670), Rhodamine B (MESH:C029773), 13C (MESH:C000615229), peptides (MESH:D010455), carboxylic acid (MESH:D002264), S (MESH:D013455), Bismuth-213 (MESH:C000615137), DTPA (MESH:D004369), nitrogen (MESH:D009584), 1,3,5-triacryloylhexahydro-1,3,5-triazine (MESH:C049485), GSH (MESH:D005978), Bosutinib (MESH:C471992), penetratin (MESH:C414409), arsenic (MESH:D001151), amino acid (MESH:D000596), amide (MESH:D000577), Lewis acids (MESH:D058116), coumarin (MESH:C030123), antimony (MESH:D000965)
- **Species:** Homo sapiens (human, species) [taxon 9606], West Nile virus (no rank) [taxon 11082], Escherichia coli (E. coli, species) [taxon 562], Bacteriophage sp. (species) [taxon 38018], Helicobacter pylori (species) [taxon 210]

## Full text

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## Figures

5 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12868410/full.md

## References

99 references — full list in the complete paper: https://tomesphere.com/paper/PMC12868410/full.md

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Source: https://tomesphere.com/paper/PMC12868410