The beta -turn is a common recognition feature between peptide ligands and
their macromolecular targets. The cyclization of a short peptide segment wi
th a linker is one method of imitating this conformation. The first part of
this review discusses tethering strategies which have resulted in the deve
lopment of mimetics for the enkephalins and somatostatin as well as in the
discovery of antagonists for targets such as thrombin, the CD4 protein on T
lymphocytes, the integrins, and other receptors involved in inflammatory d
iseases. The second portion of this review describes the application of ami
nocaproic acid (Aca) as a tether in cyclic peptide beta -turn mimics. Alkyl
substituents on Aca may influence the beta -turn preference of the dipepti
de. The synthesis of the substituted Aca linkers and their incorporation in
to the macrocycles is highlighted.