The present invention relates to a grafted
cyclotide comprising a cyclic
cystine knot (CCK) derived from kalata B1 (kB1) and an
amino acid sequence derived from dynorphin A (dynA sequence) grafted into the the inter-
cysteine loop 3, 5 or 6 of said CCK. The present invention further relates to a pharmaceutical composition comprising the grafted
cyclotide according to the invention. The present invention further relates to the grafted
cyclotide or the pharmaceutical composition according to the invention for use in the treatment, amelioration or prophylaxis of a KOR-related
disease, in particular of a
disease resulting from or coming along with a decreased KOR activity and / or which is treatable by KOR agonism / an increased KOR activity. The present invention further relates to a method of preparing the grafted cyclotide according to the invention, namely the '
plug and play' synthesis approach of the invention. The present invention also relates to '
plug and play'-produced kB1-derived grafted cyclotides with loop 3-, loop 5- or loop 6- inserted dynA-derived grafts. The present invention further relates to the the disclosed kB1-derived acyclic
grafting scaffold; as well as to the (linear) (kB1-derived)
peptide backbone as comprised therein.