RFPeptides: De novo design of protein-binding macrocycles using deep learning Researchers introduced RFpeptides, a denoising diffusion-based deep learning pipeline for de novo design of protein-binding macrocycles, reporting medium to high affinity binders against all four diverse protein targets tested with 20 or fewer designed macrocycles per target. For the target Rhombotarget A (RbtA), the team obtained a high-affinity binder with a dissociation constant (Kd) below 10 nM starting from the predicted target structure, and X-ray structures of macrocycle-bound myeloid cell leukemia 1, γ-aminobutyric acid type A receptor-associated protein and RbtA complexes matched the computational models with a Cα root-mean-square deviation under 1.5 Å. The work, published in Nature Chemical Biology, offers a framework for rapid, custom design of macrocyclic peptides for diagnostic and therapeutic applications. Abstract Developing macrocyclic binders to therapeutic proteins typically relies on large-scale screening methods that are resource intensive and provide little control over binding mode. Despite progress in protein design, there are currently no robust approaches for de novo design of protein-binding macrocycles. Here we introduce RFpeptides, a denoising diffusion-based pipeline for designing macrocyclic binders against protein targets of interest. We tested 20 or fewer designed macrocycles against each of four diverse proteins and obtained binders with medium to high affinity against all targets. For one of the targets, Rhombotarget A RbtA , we designed a high-affinity binder K