Naturally occurring peptides and protein domains with amphipathic sequences play a dominant role in physiological, lipid membrane-reorganizing processes Like fusion, disruption, or pore formation. More recently this capacity to modulate membrane integrity has been exploited for drug delivery into cells. Incorporation of synthetic membrane-active peptides into delivery systems has been found to enhance intracellular delivery of drugs including oligonucleotides, peptides, or plasmid DNA. In the majority of applications, the amphipathic peptides are designed to act after uptake by endocytosis, releasing the delivered agent from intracellular vesicles to the cytoplasm. Alternatively, peptides might mediate direct drug transfer across the plasma membrane. Although encouraging results have been obtained with the use of synthetic peptides to enhance cellular delivery of various compounds, the naturally evolved mechanisms observed in the entry of viruses or protein toxins are still far more efficient. For the development of improved synthetic peptides and carrier systems a better understanding of the molecular details of membrane-destabilization and reorganization will be essential. (C) 1998 Elsevier Science B.V. All rights reserved.