CTSB and neoplasm: However, it should be noted that other factors may play a role in controlling the rate of drug release: (i) rate of conjugate diffusion through the tumour interstitium [39], (ii) the rate of endocytic internalisation (endocytic gateways and intracellular trafficking pathways are often dysregulated in cancer [40]) and (iii) exposure to cathepsin B in the extracellular milieu.