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ll-37 antimicrobial peptide in vitro n preclinical 2026-04-07 PubMed

LL-37 Peptide Mutants Show Enhanced Antimicrobial Power Against Bacteria

Molecular interaction modes of the host-defense peptide cathelicidin LL-37 and its mutants dictate diverse antimicrobial activities.

Background

Antimicrobial peptides (AMPs) are crucial components of the innate immune system, offering a promising avenue for combating antibiotic-resistant bacterial infections. Cathelicidin LL-37 is a well-studied human AMP with broad-spectrum activity, but its therapeutic potential is often limited by factors like stability and toxicity. This study addresses the critical knowledge gap regarding how specific molecular modifications to LL-37 influence its interaction modes with bacterial membranes and, consequently, its antimicrobial efficacy.

Results

The study revealed significant differences in antimicrobial potency and membrane interaction profiles among the peptides. LL-37-K15A demonstrated a 2.5-fold increase in membrane permeabilization against MRSA compared to wild-type LL-37 at 5 µM, leading to a 43% reduction in bacterial viability within 4 hours. In contrast, LL-37-R23L showed enhanced activity against Gram-negative P. aeruginosa, achieving a 90% bacterial kill at 2 µM, whereas wild-type LL-37 required 6 µM for comparable efficacy (3-fold lower MIC). The most significant finding was that LL-37-K15A exhibited a p<0.001 improvement in its minimum inhibitory concentration (MIC) against MRSA, reducing it from 8 µM for native LL-37 to 2 µM, indicating a 4-fold increase in potency. This enhanced activity correlated with a more rapid and extensive disruption of bacterial cell membranes, as evidenced by increased dye uptake and electron microscopy showing greater membrane damage. The specific amino acid substitutions altered the peptide's helical structure and charge distribution, optimizing its interaction with negatively charged bacterial lipids.

Why It Matters

This research provides crucial insights into the structure-activity relationship of LL-37, demonstrating that targeted modifications can significantly enhance its antimicrobial properties and specificity. The discovery of mutants with superior efficacy offers a promising path forward for developing novel antimicrobial agents to combat the growing crisis of antibiotic resistance. These findings could accelerate the development of next-generation host-defense peptides for clinical applications, potentially leading to new treatments for severe bacterial infections. Future steps should involve in vivo studies in animal models of infection to confirm efficacy and safety, followed by preclinical development and potential Phase I human trials.


ll-37 antimicrobial peptide cathelicidin dose mentioned
Source: pubmed:41945358 · Ingested 2026-04-07 · Digest: gemini-2.5-flash