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Antimicrobial Agents and Chemotherapy, July 2005, p. 2665-2672, Vol. 49, No. 7
0066-4804/05/$08.00+0 doi:10.1128/AAC.49.7.2665-2672.2005
Copyright © 2005, American Society for Microbiology. All Rights Reserved.
Andrea Giuliani,1,
Chiara Falciani,1
Ylenia Runci,1
Claudia Ricci,1
Barbara Lelli,1
Monica Malossi,2
Paolo Neri,1
Gian Maria Rossolini,2 and
Luisa Bracci1
Sezione di Biochimica,1 Sezione di Microbiologia, Dipartimento di Biologia Molecolare, Università degli Studi di Siena, 53100 Siena, Italy2
Received 25 November 2004/ Returned for modification 16 January 2005/ Accepted 23 March 2005
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The use of peptides in vivo has largely been limited by their short half-lives, since peptides are mainly broken down by endogenous proteases and peptidases. Peptide half-life is, therefore, the bottleneck in the development of new peptide drugs. Many laboratories throughout the world use different strategies to increase peptide stability. These include introduction of D-amino acids or pseudo-amino acids (1) and peptide cyclization (10).
In a previous study (6), we reported that the synthesis of bioactive peptides in dendrimeric form (multiple antigen peptide [MAP]) can result in increased half-life due to acquired resistance to protease and peptidase activity. These dendrimeric molecules, first developed in the 1980s (21, 26), have a peptidyl core of radially branched lysine residues onto which peptide sequences can be added using standard solid-phase chemistry.
Phage display is a powerful tool for selecting peptides or proteins with specific binding properties from a large number of variants (22, 25). Here, we describe the characterization of novel peptides with antimicrobial activity, by phage library selection and rational modification, synthesized in dendrimeric MAP4 form on a core of three lysines.
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The degenerate oligonucleotide and pIII-encoding gene were PCR amplified separately. The PCR fragments were agarose gel purified and assembled by PCR with an equimolar mixture of Biot1 primer (5'-CTCGCGGCCCAGCCGGCC-3') and EcopIIIfor primer (5'-CGGAATTCTTAAGACTCCTTATTACGCAG-3'); the latter has an EcoRI site for cloning. The single recombinant gene was double digested with restriction enzymes NcoI and EcoRI (Takara) and ligated (5 µg) into the phagemid vector pDN332 (4 to 7 µg). The ligated DNA was then purified in Qiaquick PCR purification columns (QIAGEN) and electroporated into TG1 Escherichia coli electrocompetent cells. Each electroporation entailed the introduction of 100 ng of ligation mixture into 50 µl of high-efficiency TG1 E. coli competent cells (transformation efficiency, >109 CFU). The cell library showed a complexity of
1.2 x 109 different clones. The presence of the recombinant fusion gene in the phagemid was assessed by PCR screening. A total of 50% of the clones analyzed showed the expected molecular weight insert. Phage particles were rescued from the library after infection with VCS-M13 helper phage (>1011 transforming units [TU]/ml; Stratagene) and 20% polyethylene glycol 6000-2.5 M NaCl (PEG/NaCl) precipitation.
Phage peptide selection. Library screening was performed using three rounds of affinity selection. Selection against E. coli whole cells was performed by incubating 1014 phages with approximately 8 x 107 TG1 E. coli cells (optical density at 600 nm [OD600] = 0.1) in phosphate-buffered saline (PBS; 1 ml) for 60 min at room temperature with gentle agitation. Bacteria and phages were pelleted by spinning for 3 min at 17,000 x g, and the pellet was washed 10 times with PBS-Tween 0.1% in the first round of selection and with PBS-Tween 0.5% in subsequent rounds. Bound phages were pelleted with cells and eluted nonspecifically with 1 ml of 0.2 M glycine-HCl (pH 2.2) with gentle shaking at room temperature for 5 min, followed by neutralization with 150 µl of 1 M Tris-HCl (pH 9.0). A total of 100 µl of eluted phages was used to infect 10 ml of exponentially growing TG1 E. coli cells for 30 min at 37°C. After infection, the bacteria were pelleted by being spun for 10 min at 6,000 x g, resuspended in 1 ml of 2xTY medium (16 g/liter tryptone, 10 g/liter yeast extract, and 5 g/liter NaCl; pH adjusted to 7.4), and spread on a large agar plate containing ampicillin (100 µg/ml)-glucose (1%). After overnight incubation at 30°C, the colonies were recovered from the agar plate with a glass spreader, and 5 to 10 ml of 2xTY buffer was added until a homogenous suspension was obtained. A total of 100 ml of 2xTY-ampicillin (100 µg/ml)-glucose (1%) was inoculated with 100 µl of bacterial suspension to yield an OD600 of 0.05 to 0.1. After growth to OD600 of 0.4 to 0.5 at 37°C, 10 ml of culture was infected with 100 µl of VCS-M13 helper phage (>1011 TU/ml, Stratagene). The infected bacteria were spun down at 6,000 x g for 10 min, the pellet was gently resuspended in 100 ml of 2x TY-ampicillin (100 µg/ml)-kanamycin (25 µg/ml) and shaken overnight at 30°C. The phages were concentrated by precipitation with PEG 6000/NaCl and resuspended in 2 ml PBS. Phage preparation and further panning were repeated as previously described.
Screening positive phages by ELISA. Phage enzyme-linked immunosorbent assay (ELISA) was performed with bacteria by coating the wells with 100 µl of a suspension of 2.5 x 108 CFU/ml E. coli cells in PBS and incubating the cells for 1 h at 37°C, followed by overnight incubation at 4°C as previously described (10). A total of 94 colonies from the third-round were picked and inoculated into 150 µl 2xTY-ampicillin (100 µg/ml)-glucose (1%) in a 96-well plate. Individual clones were propagated with gentle agitation at 37°C for 3 h. Then, 25 µl 2x TY-ampicillin (100 µg/ml)-glucose (1%) containing VCS-M13 helper phage (109 TU) was added to each well. After incubation for 30 min at 37°C, the plate was spun at 600 x g for 10 min, and the supernatant was aspirated. The bacterial pellet was resuspended in 200 µl 2xTY-ampicillin (100 µg/ml)--kanamycin (25 µg/ml) and grown overnight at 30°C. The amplified phage particles were separated from cells by centrifugation at 800 x g for 20 min and incubated in TG1 E. coli-coated ELISA wells for 1 h at 37°C. The wells were blocked with 3% bovine serum albumin in PBS buffer for 1 h and washed with PBS.
Anti-M13 peroxidase conjugate antibody (Amersham) was added at a dilution of 1/2,500 in 3% bovine serum albumin-PBS. After further washing, antibody binding was detected by adding TMB substrate. Optical absorbance was recorded at 450 nm. Positive phage clones were selected randomly for DNA sequencing.
Peptide synthesis. Monomeric peptide was synthesized as peptide amide by an automated synthesizer (MultiSynTech, Witten, Germany) on a Rink Amide MBHA resin (Nova Biochem) using 9-fluorenylmethoxycarbonyl chemistry and O-(benzotriazol-1-yl)-N,N,N',N'-tetramethyluronium hexafluorophosphate/1,3-diisopropylethylamine activation. MAPs were synthesized on (9-fluorenylmethoxy carbonyl)4-Lys2-Lys-ßAla Wang resin. Side-chain-protecting groups were tert-butyl ester for Glu, trityl for Gln, tert-butoxycarbonyl for Lys and Trp, 2,2,4,6,7-pentamethyldihydrobenzofuran-5-sulfonyl for Arg, and tert-butyl ether for Ser. Peptides were then cleaved from the resin and deprotected by treatment with trifluoroacetic acid-containing water and triisopropylsilane (at a 95/2.5/2.5 ratio). Crude peptides were purified by reversed-phase chromatography with a Vydac C18 column. Identity and purity of final products were confirmed by Ettan matrix-assisted laser desorptionionization-time of flight mass spectrometry (MS) (Amersham Biosciences).
Evaluation of the antibacterial activity of peptides. TG1 E. coli was used in preliminary studies of antimicrobial activity of some peptides as follows. Peptide dilutions in 10 mM sodium phosphate buffer (pH 7.4) were added (25 µl) to 25 µl of early-growth-phase TG1 E. coli cells (final concentration, 8 x 107 CFU/ml) in 2xTY medium, and the mixtures were incubated at 37°C for 75 min. CFU counts were then determined by plating dilutions of each mixture in 2xTY medium. A test without added peptide was always carried out in parallel as a control.
Reference strains (Escherichia coli ATCC 25922, Pseudomonas aeruginosa ATCC 27853, Staphylococus aureus ATCC 25923, Enterococcus faecalis ATCC 29213, and Chryseobacterium meningosepticum CCUG 4310) and several recent clinical isolates (including multidrug-resistant ones) of various species (Table 1) were used for conventional susceptibility testing experiments. MIC was determined by a standard microdilution assay as recommended by CLSI (formerly NCCLS) using cation-supplemented Mueller-Hinton (MH) broth (Oxoid, Ltd., Basingstoke, United Kingdom) and a bacterial inoculum of 5 x 104 CFU per well in a final volume of 100 µl. Results were recorded by visual inspection after 24 h of incubation at 37°C. Minimum bactericidal concentration (MBC), defined as the concentration at which
99.9% of the bacterial inoculum is killed, was determined as recommended by CLSI (18) after MIC testing.
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TABLE 1. MICs of antimicrobial peptides for various gram-negative and gram-positive bacteria
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Hemolysis assay. Hemolysis of fresh human erythrocytes was determined using the method of Parpart et al. (19). Briefly, a calibration curve was constructed by suspending fresh human erythrocytes in phosphate buffer (pH 7.4; 110 mM sodium phosphate) with various concentrations of NaCl and incubated for 30 min at room temperature. Samples were centrifuged at 500 x g for 5 min, and hemoglobin release was monitored by measuring the absorbance of supernatants at 540 nm. The absorbance obtained with 0.1% NaCl corresponded to 100% lysis and that with 1% NaCl to 0% lysis. Peptides dissolved in PBS were added to a human erythrocyte solution at several concentrations. The resulting suspension was incubated separately at 37°C for 2 h and 24 h. Release of hemoglobin was monitored by measuring the absorbance of the suspernatant at 540 nm after centrifuging; the percentage of hemolysis was calculated by using the calibration curve.
Cytoplasmic membrane permeabilization assay. ML-35 E. coli, a lactose permease-deficient strain with constitutive production of ß-galactosidase, was used in the cytoplasmic membrane permeabilization assay. Inner membrane permeability was determined by measuring ß-galactosidase activity in ML-35 E. coli cells with p-nitrophenyl-ß-D-galactopyranoside as a substrate. Logarithmic-phase bacteria were washed in 10 mM sodium phosphate (pH 7.4) containing 100 mM NaCl and resuspended in 0.7 ml of the same buffer containing 1.5 mM p-nitrophenyl-ß-D-galactopyranoside. At time zero, different amounts of peptide were added, and the production of p-nitrophenol over time was monitored spectrophotometrically at 420 nm.
Peptide stability in serum and plasma. A total of 10 µl of a 10 mM solution of peptides was incubated at 37°C with 10 µl human plasma and serum. Samples were collected after 2 or 24 h of incubation, precipitated with 150 µl methanol, and centrifuged for 2 min at 10,000 x g. The crude solution was then analyzed by high-performance liquid chromatography (HPLC) and MS. HPLC was performed on all samples with a Vydac C18 column, and the crude solutions were diluted five times with 0.1% trifluoroacetic acid before injection and monitored at 280 nm.
Cell toxicity assay. The toxicity of peptides for the mouse macrophage cell line J774.A1 and the human HaCaT keratinocytes was determined by the 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-tetrazolium bromide (MTT; Sigma-Aldrich) cytotoxicity assay. J774.A1 and HaCaT cells were cultured in Dulbecco's modified Eagle's medium (Sigma) supplemented with 5% fetal bovine serum (BioWhittaker), glutamine (2 mM), and antibiotics and plated in triplicate wells at 6 x 104 and 3 x 104 cells/well, respectively. Peptides, previously filtered with a 0.2-µm filter disk (Whatman), were added at various concentrations and incubated overnight with the cells at 37°C in a 5% CO2 atmosphere. MTT (final concentration, 0.5 mg/ml) was then added for 90 min at 37°C. Solubilization of formazan, formed by the metabolic reduction of MTT, was obtained using lysis buffer (10% sodium dodecyl sulfate-45% dimethyl formamide, adjusted to pH 4.5 with glacial acetic acid). The plates were read with an automatic ELISA plate reader. Cultures exposed to peptides or exposed to the medium alone were measured spectrophotometrically at dual wavelengths (595 to 650 nm).
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tossi/antimic.html), and no significant similarities were found in other conventional databases for proteins. Although phage particles displaying the sequence QEKIRVRLSA did not show any antibacterial activity against TG1 E. coli cells (not shown), the linear monomeric peptide L1 (synthesized as described in Materials and Methods) almost completely prevented (1.5% survival) colony growth of TG1 E. coli at a concentration of 2 mg/ml and remained effective up to a concentration of 125 µg/ml (12.2% survival) (Fig. 1A). The dendrimeric MAP4 form of the same sequence (peptide M1), allowed 3.2% survival at 125 µg/ml (Fig. 1B). A noncorrelated dendrimeric tetra-branched peptide, used under the same conditions, allowed the same survival of untreated cells (100% survival up to 2 mg/ml; not shown).
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FIG. 1. (A) Antibacterial activity of monomeric linear peptides L1 (columns in black), L4 (columns with dots), L5 (columns with cross-hatching), and L6 (columns in white). (B) Antibacterial activity of tetrabranched MAP4 form M1 (columns in black), M4 (columns with dots), M5 (columns with cross-hatching), and M6 (columns in white). Experiments were performed by incubating E. coli TG1 cells (8 x 107 CFU/ml) with the indicated amounts of peptide. The survival percentage is the number of living colonies with respect to the number of colonies in controls without peptides.
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The original sequence QEKIRVRLSA was consequently modified to obviate this problem. The new peptide amino acid sequences were QAKIRVRLSA (peptide 4), KIRVRLSA (peptide 5), and QKKIRVRLSA (peptide 6), all having a greater cationic charge than the lead sequence. In dendrimeric MAP4 form, those peptides (M4, M5, and M6) showed greater stability and activity than the linear homologs (L4, L5, and L6) when tested against TG1 E. coli cells (Fig. 1A and B). Notably, M5 and M6 prevented TG1 E. coli colony growth at concentrations down to 6.25 µg/ml, whereas M1 and M4 appeared less effective at the same concentrations (Fig. 1B).
MICs of M4, M5, and M6 were determined for the reference strains S. aureus ATCC 25923, E. coli ATCC 25922, and P. aeruginosa ATCC 27853 and for a number of recent clinical isolates of the same or different species (Table 1). All three peptides showed relatively poor activity against S. aureus, appearing to be more active against the gram-negative strains (MICs, 4 to 128 µg/ml), with M6 the most active against all species. MICs of M6 were then determined against a larger panel of bacteria (Table 1). These experiments confirmed the good activity of M6 (MICs, 4 to 16 µg/ml) against E. coli, Klebsiella pneumoniae, Enterobacter spp., and P. aeruginosa, including clinical isolates showing a multidrug-resistant phenotype. A somewhat lower activity (MICs, 16 to 32 µg/ml) was observed against Citrobacter freundii and Acinetobacter baumannii and even lower activity against Proteus mirabilis, Morganella morganii, Providencia stuartii, Stenotrophomonas maltophilia, Burkholderia cepacia, and Chryseobacterium meningosepticum (Table 1).
MBCs of M6 tested against E. coli ATCC 25922 and P. aeruginosa ATCC 27853 were identical to MICs, indicating bactericidal activity of the MAP.
In time-kill experiments, M6 exhibited rapid bactericidal activity against E. coli ATCC 25922 and P. aeruginosa ATCC 27853, reducing an inoculum of >107 CFU by >99.9% in 4 h at a concentration of 32 or 16 µg/ml, respectively (Fig. 2). Bactericidal activity appeared to be concentration dependent, especially with P. aeruginosa.
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FIG. 2. Time-kill kinetics of M6 against E. coli ATCC 25922 (A) and P. aeruginosa ATCC 27853 (B). Symbols: , growth control; , 2x MIC (16 µg/ml for E. coli ATCC 25922 and 8 µg/ml for P. aeruginosa ATCC 27853); , 4x MIC (32 µg/ml for E. coli ATCC 25922 and 16 µg/ml for P. aeruginosa ATCC 27853).
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Monomeric peptide L1 was completely degraded within 2 h in serum, whereas the dendrimeric form of the same peptide (M1) was still detected after 24 h in plasma and serum (Fig. 3). Comparable results were obtained with dendrimeric peptides M4, M5, and M6 (not shown).
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FIG. 3. HPLC profiles of linear (L1) and dendrimeric (M1) peptides in serum. (A) L1 in serum at 0 h. (B) L1 after incubation in serum for 2 h; peptide is no longer detectable. (C) M1 in serum at 0 h. (D) M1 after incubation in serum for 24 h; the peptide is still present. The vertical bar indicates peptide retention time. x axis, retention time (min); y axis, absorbance at 220 nm.
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250 µg/ml and with peptides M5 and M6 at
125 µg/ml. The same dendrimeric peptides showed low toxicity for human keratinocyte HaCaT cells (Fig. 4B), even when used at high concentrations (1 mg/ml).
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FIG. 4. Toxicity of M4 (*), M5 ( ), and M6 () dendrimeric peptides for mouse macrophage cell line J774.A1 (A) and human HaCaT keratinocytes (B). Cell viability was measured by a MTT colorimetric assay. Data points represent means of three replicates.
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Mechanism of action. The permeabilization assays showed that peptides M4, M5, and M6 permeabilize the bacterial inner membrane, unmasking cytoplasmic ß-galactosidase in ML-35 E. coli permease-negative mutant (Fig. 5). The activity of dendrimeric peptides against the inner membrane was evaluated at concentrations of 16, 32, and 64 µg/ml. All dendrimeric peptides permeabilized bacterial inner membrane at 16 µg/ml. Permeabilization occurred after a lag of <1 min, and the rate of permeabilization depended on peptide concentrations (not shown).
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FIG. 5. Kinetics of the membrane permeabilization of ML-35 E. coli by M4 (*), M5 ( ), M6 (), and untreated cells ( ). Bacteria were treated with 16 µg of dendrimeric peptides/ml.
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TABLE 2. MICs of alanine scanning and Arg-to-Lys substitution in M6
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Furthermore, since recent studies reported the effect of different basic residues on antibacterial peptide activity and cell selectivity (28, 31), we also substituted lysines in M6 sequence with arginines and synthesized the following peptides: QKRIRVRLSA (M28), QRKIRVRLSA (M29), and QRRIRVRLSA (M30). The M28 peptide showed a slight reduction in MIC for E. coli with respect to M6, whereas its activity against the other bacteria was unmodified. Substitution of Lys at position 3 (M29) and substitution of both Lys (M30) worsened antimicrobial activity (Table 2).
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Our work is based on traditional selections of a large combinatorial phage peptide library panned against whole E. coli cells and the isolation and modification of a specific sequence (QEKIRVRLSA), which showed antimicrobial activity once synthesized as a soluble peptide. As long as the sequence was displayed on the phage particles, it bound E. coli cells but did not affect their viability. The possibility that antimicrobial peptides can be selected by phage libraries and amplified in E. coli cells without affecting bacterial viability during the selection phases is extremely promising for the discovery of new peptide sequences with antimicrobial activity. Peptides seem to be unable to accomplish antimicrobial activity as long as they are linked to the phage particle by fusion with the phage pIII protein. This may be due to interference by the phage particle with the carpeting mechanism on the bacterial membrane or with peptide entrance into the cell cytoplasm. Moreover, it might be related to the low concentration of peptides on phages, which might not be high enough to kill bacteria.
The tetrabranched form (MAP) of QEKIRVRLSA (peptide M1) was found to be more effective than the linear homolog when tested on TG1 E. coli cells. We previously demonstrated that branched peptides are much more active in vivo than corresponding monomeric sequences (15), due to their high resistance to proteases and peptidases of biological fluids (6). The higher antimicrobial activity of MAPs with respect to monomeric peptides had already been described for short peptides (27) and may be related to the multimeric nature of the molecule. Multiple peptide copies in very close proximity not only may allow multivalent binding but also may generate a higher local concentration of the antimicrobial peptide, thus increasing the destabilizing effect on the bacterial membrane.
In this study, the M1 peptide was unstable in solution. The original peptide sequence was consequently modified to produce the following peptides synthesized either as monomers or as tetrabranched MAPs: QAKIRVRLSA, KIRVRLSA, and QKKIRVRLSA. These peptides showed high stability to prolonged storage and, particularly when synthesized in MAP4 form, also a better antimicrobial activity when tested with TG1 E. coli cells (Fig. 1B).
The best antimicrobrial peptides known in the literature kill susceptible bacteria in vitro, including certain antibiotic-resistant strains, with MICs ranging from 1 to 8 µg/ml (12). Our dendrimeric peptides M4, M5, and M6 showed antimicrobial activity against a panel of gram-negative bacteria. In particular, M6 was the most effective against the gram-negative bacteria tested, with a MIC of 8 to 4 µg/ml for E. coli ATCC 25922, P. aeruginosa ATCC 27853, and a clinical isolate of K. pneumoniae. Moreover, the MBC/MIC ratio of 1 indicated bactericidal activity against E. coli ATCC 25922 and P. aeruginosa ATCC 27853 (18).
The lack of effect of M4, M5, and M6 on gram-positive S. aureus was probably due to the different structure and composition of the membrane with respect to gram negative bacteria.
The very low cytotoxicity of the peptides for keratinocytes, even after prolonged exposure, makes these molecules good candidates for topical use. We tested the cytotoxicity of M4, M5, and M6 on HaCaT immortalized keratinocytes (5), because they closely resemble normal keratinocytes in growth and differentiation (8). On the contrary, a significantly higher cytotoxicity was observed for J774.A1 murine macrophages tested in the same way. Cytotoxic effects were evident at concentrations of around 0.5 to 1 mg/ml, whereas at lower concentrations the cytotoxic response was quite similar to that measured in HaCaT cells. The difference in toxicity between keratinocytes and macrophages also relies on the phagocytic ability of the latter, which could improve internalization of the peptide by these cells. Nonetheless, since peptide MIC and peptide concentrations inducing toxicity in macrophages differ by at least 1 order of magnitude, these data suggest that the MAP therapeutic index for the treatment of bacterial infections could be favorable. In addition, the general lack of hemolysis of human erythrocytes, even at concentrations of 120 µg/ml and after prolonged incubation (24 h) is encouraging for in vivo use of these compounds.
Inner membrane permeabilization by M4, M5, and M6, as assayed by unmasking of cytoplasm ß-galactosidase, occurred with minimal lag. Although the exact mechanism of action of the peptides on bacteria is unclear, the evidence reported here is consistent with the "carpeting" model of Shai (23, 24). We also presume that our dendrimeric peptides act by coating the membrane until they reach a trigger concentration, at which they collapse inward, disrupting the lipid bilayer and behaving like detergents.
Recent studies have investigated the effect of different basic residues on peptide antibacterial activity and cell selectivity (28, 31). The primary amine of Lys and the guanidinium group of Arg seem to interact differently with phospholipids (28). We found that replacement of Lys in position 3 by Arg (M28) improved antimicrobial activity against E. coli ATCC 25922, whereas replacement of Lys in position 2 (M29) and replacement of Lys in positions 2 and 3 (M30) decreased peptide activity. Peptides derived from the alanine scanning of M6 all had lower levels of antimicrobial activity. These findings suggest that the activity of M6 is determined by a combination of factors such as sequence, hydrophobicity, and position of cationic residue.
In conclusion, these studies demonstrate that peptides with antimicrobial activity can be selected from random phage display libraries. Synthesis of antimicrobial peptides in tetrabranched form increases peptide activity, both by decreasing peptide MIC and MBC and by dramatically increasing peptide stability to proteolysis by biological fluids.
The tetrabranched peptides described here (M4, M5, M6, and M28) are potent, protease-stable antimicrobial agents with in vitro activity against bacteria of clinical importance. Due to their low MICs, low cytotoxcity, and high stability, these novel antimicrobial peptides seem promising candidates for the clinical development of new antibacterial drugs.
Special thanks go to Silvia Scali for peptide synthesis.
These two authors contributed equally to the work. ![]()
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