The immune system is our primary defense towards microbial pathogens and foreign substances [1] [2] [3] . It is composed of a variety of cells that can recognize and destroy pathogens, and later gain immunity to them in the event of future encounters. To aid the immune system, antibiotics and vaccines have been developed to treat and prevent many illnesses [4, 5] . Antibiotics assist the innate immune system in eliminating existing bacterial and fungal infections [4] . Alternatively, vaccines exploit the adaptive immune system to gain immunity towards disease, such as those transmitted by viruses [5] . For example, several vaccines have been developed to successfully prevent communicable illnesses including smallpox, diphtheria, measles, mumps, and polio. In addition, the vaccine, Gardasil 1 , has been approved for the prevention of anal, cervical, vulvar, and vaginal cancers. The first therapeutic cancer vaccine for metastatic prostate cancer, Provenge 1 , was recently FDA-approved, and at the time of this writing, Prostvac TM was in Phase III clinical trials for prostate cancer. Recently, the emergence of antibiotic resistant microbes and rapidly mutating viruses has greatly compromised current therapies [6] . In addition, there are illnesses, such as cancer and autoimmune diseases, in which the immune system fails [7] . These diseases necessitate the development of alternative and more advanced therapies.
An emerging platform for the treatment of cancer and transmittable disease is the use of materials formed via peptide assembly where the bulk material itself acts as the therapeutic [8, 9] . Over the last several decades, peptide materials have been extensively developed as tissue engineering scaffolds or drug delivery vehicles, where the material serves in a passive role for the intended therapy [10] [11] [12] [13] [14] [15] [16] [17] [18] [19] . Currently, design efforts are being made to exploit the nanoscale definition of the material formed by assembling peptides to target cancer and microbial cells and to function as vaccines. These materials are not passive bystanders that simply deliver drugs or serve as rebarb for cellular attachment and extracellular matrix elaboration, but actively engage intended biological targets to exert an anticipated functional outcome. This review will focus on assembled peptide materials that actively participate in the biological processes important to cancer and transmittable diseases. As will be highlighted, these higher ordered structures with defined chemistry are capable of cellular targeting, recognition, and internalization, and represent promising leads towards the treatment of these human ailments.
Why use self-assembling peptides as the building blocks for material construction rather than more traditional polymers? Peptides, in general, are biocompatible, biodegradable, provide exquisite selectivity in binding, and many are weakly immunogenic, contrary to common belief [11, 20, 21 ] . A seemingly endless array of structural and functional diversity can be designed at the peptide monomer level that can be directly translated to the materials that are formed from their self-assembly ( Figure 1 ). Peptides can be conveniently synthesized using solid phase methodology, taking advantage of a vast array of commercially available natural and nonnatural amino acid residues. Peptides can be elaborated functionally by conjugating other peptides, biologically active ligands, lipids, and even polymers using synthetic bioconjugation strategies, such as native chemical ligation and oxime chemistry, to name a few [22] . Peptides can be designed to adopt desired structures such as helices and sheets that can serve as the structural building blocks for higher-ordered structures. Facial and block amphiphilicity can be engineered into monomeric folded structures to drive self-assembly yielding targeted morphologies. Common material morphologies realized in peptide assembly include micelles, nanoparticles, wormlike micelles, fibrillar networks, and hybrid networks composed of mixtures of peptides and polymers. In these materials, the side chains of bioactive amino acid residues in the peptide sequence or appended ligands can be displayed with spatial fidelity and high copy number; if more than one bioactive moiety is displayed, multifunctionality can be realized from a single material. Each type of material shown in Figure 1 possesses distinct structural and mechanical properties that enable their use in targeted applications. For example, fibrillar networks that form hydrogels are easily administered topically for dermal applications. As will be discussed in this review, hybrid networks, micelles, nanoparticles, and wormlike micelles can be engineered to facilitate cell recognition and uptake. Although monomeric peptides introduced systemically can suffer from short circulation half-lives and conformational denaturation induced by components of the serum, such as albumin, peptides contained within assemblies can enjoy increased half-lives in serum and conformational stability [8,23-25,26 ,27] .
An ideal treatment for cancer is the one that can discriminate between cancerous and healthy tissue [7] . The repertoire of proteins expressed on the surface of tumor cells are largely similar to those on cells comprising healthy tissue, thus allowing malignant cells to remain indistinguishable to the immune system [3] . However, some proteins, which are overexpressed or have mutations, can be exploited by cancer specific therapies [1, 7] . A self assembling peptide system was recently designed to target and bind to cell membrane proteins present on cancerous cells by Kopecek et al., Figure 2a (1) [28 ] . Here, a strategy employing coiled coil peptides targets CD20 membrane proteins on the surface of Bur- 
Peptides can be prepared chemically on solid support and functionalized via ligation chemistry with other peptides, ligands, lipids, and polymers to impart functionality and control folding and self assembly. Self-assembled materials can be engineered to controllably display biofunctionality that enables targeted applications. Assemblies are not drawn to scale.
kitt's non-Hodgkin lymphoma Raji B-cells. One of the coiled coils, CCE, is attached to a Fab 0 fragment of the 1F5 anti-CD20 antibody, whereas the other peptide, CCK, is bound to a HPMA (N-(2-hydroxypropyl)methacrylamide) polymer. When the antibody fragment binds to CD20, the bound CD20 protein remains on the cell surface, exposing the random coil CCE peptide. Recognition of the polymer-bound complementary peptide CCK results in coiled coil assembly of the two peptides and, according to the authors, concomitant cross-linking of CD20 receptors, which leads to apoptosis of Raji Bcells. The premixing of the antibody-conjugate with the polymer-conjugate induces high levels of apoptosis after six hour incubation as shown in Figure 2b , and the consecutive administration of the two components shows greater levels of apoptosis over 24 hours. The positive control, crosslinking of the 1F5 anti-CD20 antibody with a GAM secondary antibody, is shown for reference. Importantly, at higher concentrations, the activity of the assembled peptide system demonstrates comparable apoptotic activity as the positive control (data not shown).
The upregulation of enzymes, both extracellular and intracellular, is also common within tumors [29] [30] [31] [32] [33] [34] . Outside of the cell, proteases are excreted to breakdown the extracellular matrix and allow migration of malignant cells (2) Pro-peptide (blue) with a leaving group (yellow) enters easily into cells, where it is hydrolyzed by an enzyme (purple), liberating a peptide that self assembles into nanofibers; (3) wormlike micelles or nanofibers (blue and red) formed from peptide amphiphiles disrupt lipids on the cellular membrane; (4) interaction between p53 protein (blue) and its oncoprotein counterparts, MDM2 or MDM4 (green), are inhibited by micelles formed from a peptide amphiphile containing the antagonistic peptide, p53 14-28 ; (5) interaction between HOX (orange) and its cofactor, PBX (yellow), to DNA is inhibited by micelles formed from a peptide amphiphile containing the antagonistic peptide, WYPWMKKHH. [ 29, 30] . Inside the cell, enzymes control cell signaling pathways necessary for cell proliferation, migration, and survival [31] [32] [33] [34] . Peptides designed to take advantage of enzymes are particularly advantageous because their activity is dependent on the occurrence and quantity of enzyme present, allowing for spatial and temporal resolution of the therapy at the cancer site. Xu et al. have developed a small peptide hydrogelator whose selfassembly is triggered by an endogenous esterase within HeLa cervical cancer cells [35 ] . A pro-peptide was designed that remains soluble outside of cells and can diffuse easily into cells. Within the cellular cytoplasm, the pro-peptide is hydrolyzed, liberating a peptide that self assembles into nanofibers. Fibril formation within the cell results in cell death, Figure 2a (2). The proliferation of cells whose level of enzyme expression is low, is not affected by the presence of the pro-peptide, demonstrating the specificity in the peptide design.
Pre-assembled peptide nanostructures have also been designed as cancer therapies. For example, Stupp et al.
have designed peptide amphiphiles composed of bioactive peptides conjugated to alkyl tails that promote micellar self-assembly in aqueous solution [15] . The ability of these assemblies to target tumors relies on the enhanced permeability and retention (EPR) effect found at developing tumors [36] [37] [38] . Leaky vasculature and poor lymphatic drainage allow nanostructures on the order of 10-500 nm to passively diffuse through vessel gaps and accumulate at the local tumor site. In one particular design, a peptide amphiphile (CH 3 (CH 2 ) 14 CO-A 4 G 3 (KLAKLAK) 2 ) was prepared containing a cytotoxic, cationic peptide sequence, (KLAK-LAK) 2 appended to a palmitic alkyl tail. The peptidic portion is designed to form an amphiphilic a-helix that disrupts cellular and mitochondrial membranes (Figure 2a (3)) [39 ] . This peptide amphiphile assembles into nanofibers that stabilize the helical conformation of the KLAK sequence and facilitate its interaction with the membranes of MDA-MB-231 and SKBR-3 breast cancer cells to ultimately disrupt membrane integrity and cause cell death. The data in Figure 2c clearly show that the self-assembled material, itself, is responsible for this activity. Here, the peptidic portion of the peptide alone, which is presumably monomeric in solution, is not active. The data also show that only the amphiphile containing the peptide of correct sequence is active, nicely demonstrating the power of peptides to facilitate selective activity from the materials in which they are contained.
Peptide micelles can be used to actively engage cellular membranes and facilitate internalization to target intracellular proteins, such as upregulated oncoproteins and downregulated tumor suppressor proteins in cancer cells (Figure 2a(4, 5) ) [15, 40 ] . For example, inhibition of the interaction between wild-type p53 protein and its oncoprotein counterparts, MDM2 or MDM4, is possible by a 16 residue sequence, p53 14 Figure 2d , P2 is capable of inhibiting growth of the T3M4 cells by 7.5-fold after 7 days, whereas P1, the peptide without the alkyl chain, inhibits cell growth only 2fold. Control peptides comprised of the cell penetrating portion or the antagonistic portion alone and their palmityl chain derivatives (P3-P6) show no effect on cell growth. Therefore, by simply preparing self-assembling peptide amphiphiles from bioactive peptides, their intracellular activity can be strongly enhanced. In all of these examples, the self-assembled material, itself, exerts action, which precludes the necessity of adding drugs that are eventually delivered from the material to elicit activity.
The emergence of multi-drug resistant microbes that challenge the immune response and current therapy has also drawn attention to peptide materials. Antimicrobial peptides are cationic, amphiphilic peptides that display non-specific, broad-spectrum activities towards several microorganisms and are typically monomeric in solution [42, 43] . They are amphiphilic in a facial sense, which is quite different from the linear or block amphiphilicity that is typical of the peptide amphiphiles designed by Stupp, Tirrell, and Hartgerink. The folded structures of most antimicrobial peptides are typically helical or bsheet and display a cation-rich face and a distinct, opposing hydrophobic face. Unlike small molecule antibiotics that have a particular cellular target, cationic peptides depend solely on their non-specific interaction with negatively charged bacterial cell surfaces. Here, the polycationic face of the peptide facilitates initial engagement of the cell wall. On binding to the cell surface, peptide insertion into the membrane occurs, which is facilitated by the hydrophobic face of the peptide; the peptide then typically assembles, forming pores that disrupt the membrane and causes cell death [44] .
Self-association of the peptides in solution prior to cell engagement can increase the potency of some cationic peptides. To take advantage of this self assembly effect, Yang et al. have developed nanoparticles comprised of an arginine-rich TAT peptide shell and a hydrophobic cholesterol core (Figure 3a (1)) [45 ] . The nanoparticles showed strong antimicrobial activity against several bacteria, including drug-resistant strains, as well as yeast and fungi. Also, the minimal inhibitory concentration of the nanoparticle was six times lower than the peptide portion of the amphiphile from which it was made, suggesting that the high density of positive charge displayed from the particle leads to greater membrane disruption as compared to the peptide alone.
Similar to their design targeting cancer cells, Xu et al. have designed pro-peptides that are taken up by Escherichia coli and cleaved by an intracellular phosphatase. The cleaved peptide self assembles into nanofibers that inhibit bacterial growth [46] .
Our group has designed a hydrogel scaffold from selfassembling peptides that exhibits inherent antibacterial activity [47 ,48] . MAX1 is a twenty amino acid peptide that can undergo triggered intramolecular folding to adopt an amphiphilic b-hairpin that subsequently self-assembles into b-sheet rich fibrils, which constitute a mechanically rigid hydrogel. Solvent exposed cationic lysines on the surface of the fibrils interact with negatively charged bacterial cell surfaces ultimately compromising membrane integrity, Figure 3a (2). MAX1 gels show bacteriocidal activity towards Gram-negative E. coli and K. pneumoniae, and Gram-positive S. epidermidis, S. pyrogenes, and drug-susceptible Staphylococcus aureus [47 ] . In this system, it is the material afforded by self-assembly that is active, namely fibrils that display a high density of positively charged amino acid side chains from their surface. In a subsequent design, the substitution of two lysines in the primary sequence of MAX1 with arginine residues, results in a peptide named MARG1. This peptide selfassembles to form a hydrogel that is active against Methicillin-resistant S. aureus (MRSA) [48] . Figure 3b shows an experiment wherein thin strips of MARG1 hydrogel are syringe delivered to a bed of MRSA grown on an agar surface. Live-dead assays employing confocal microscopy show that bacteria beneath the delivered hydrogel are dead, and bacterial growth only occurs on the outlying Treatment of cancer and transmittable disease Branco, Sigano and Schneider 431 agar that was not exposed to the gel, Figure 3 (c) and 3(d). Taken together, these peptide material examples demonstrate how higher ordered structures with defined chemistry resulting from self assembly can offer excellent bacterial cell targeting and activity.
Preventative measures such as vaccines for cancer and transmittable disease are also being explored to prime the immune response prior to exposure to such formidable illnesses. In addition, vaccines can be administered therapeutically to treat existing conditions, as is the case with the previously mentioned Provenge 1 . Often, the effectiveness of immunotherapies is complicated by nonoptimal epitope display and use of heterogeneous adjuvants which fail to induce a robust antibody response [26 ] . The use of self-assembling peptides as antigens holds promise since synthetic peptides can be prepared with precise chemical definition for optimized epitope display [49, 50] . In addition, their self-assembled structures can present epitopes in a spatially defined, multivalent fashion, resulting in enhanced biorecognition by immune cells. Collier et al. prepared nanofibers from selfassembling peptides that display a T and B cell epitope from chicken egg ovalbumin [26 ] . The nanofibers are able to elicit high antibody titers without the need of an additional adjuvant. The immune response to epitope is also dependent on its covalent attachment to the selfassembled fibril, and is comparable to the response observed for the epitope with complete Freund's adjuvant. This observation suggests that the fibril, itself, is an active participant in generating a response and not an innocent bystander that simply presents the epitope to the immune cells.
High antigen surface presentation can also be obtained using coiled coil peptide motifs [51] [52] [53] . Synthetic virus-like particles were derived by Robinson et al. from lipopeptides that first self assemble into a-helix bundles and then further assemble into spherical micelles through the clustering of lipid chains, Figure 4a . [54, 55 ] From the surface of the coiled bundles, multiple copies of a desired antigen can be displayed for adjuvant-free stimulation of the immune system. Burkhard et al. have also developed nanoparticles from self-assembling coiled coil peptides (Figure 4b) [56, 57 ] . Epitopes for malaria and severe acute respiratory syndrome (SARS) were displayed on the surface of separate nanoparticles. For both systems, the immune response is high and long-lived, and the resultant antibodies display high avidity to the epitope. Overall, self-assembling peptides are a novel strategy to construct simple, chemically defined particles as potential vaccines capable of productive presentation of desired antigens.
As the prevalence of cancer and infectious disease persists, the development of new and more advanced therapies remains a priority in the health research community. Novel therapies that show high specificity and enhanced potency are needed for diseases that confound the immune system and are unresponsive to current available treatments. The design of materials via peptide assembly has the potential to impact this need. Peptides, in general, are a growing class of therapeutics with over 50 products now in the market, and more in clinical trials [21 ] . Materials made from these exquisite molecules represent a novel frontier in therapeutic design. With that said, the examples provided in this review are mainly academic in nature, and if warranted, a large amount of work must be done to translate them to the clinic. As with their small molecule cousins, many materials will fail somewhere along the costly, arduous path of development. However, the materials that do fail as therapies will surely find use as 432 Molecular Diversity tools to further our understanding of the biological processes that govern disease. Therefore, the design of novel materials that have the potential to significantly impact human ailments is important and is the first necessary step, namely discovery, in bringing any therapy into the clinic.