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Antimicrobial Agents and Chemotherapy, December 2008, p. 4463-4465, Vol. 52, No. 12
0066-4804/08/$08.00+0 doi:10.1128/AAC.00810-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
Lysine-Enriched Cecropin-Mellitin Antimicrobial Peptides with Enhanced Selectivity 
Hiromi Sato1 and
Jimmy B. Feix2*
Department of Microbiology and Molecular Genetics and Center for Biopreparedness and Infectious Disease,1
Department of Biophysics, Medical College of Wisconsin, Milwaukee, Wisconsin 532262
Received 19 June 2008/
Returned for modification 4 August 2008/
Accepted 7 October 2008

ABSTRACT
Lysine-enriched analogs of the cecropin-mellitin hybrid peptide,
CA
1-7 M
2-9 (designated CM15), designed with optimized amphipathicity,
retained antimicrobial activities similar to that of wild-type
CM15 and had substantially reduced levels of hemolytic activity
and cytotoxicity toward cultured macrophages, resulting in enhanced
selectivity. These lysine-enriched analogs provide templates
for improved CM15 peptide or peptidomimetic antibiotics.

TEXT
Antimicrobial peptides (AMPs) play an important role in the
innate immune response (
6,
13,
21) and have generated considerable
interest as templates for the design of new antibiotics. Among
the most promising AMPs are synthetic hybrids of cecropin and
mellitin (
1,
2,
5,
7,
10,
14,
18), and in particular, a 15-residue
peptide composed of the first seven amino acids of cecropin
A and residues 2 to 9 of mellitin, CA
1-7 M
2-9 (designated CM15
hereafter). In this study, we have examined the effects of introducing
additional lysine residues into CM15 at positions designed to
enhance the amphipathic distribution of amino acids. We find
that these lysine-enriched peptides retain strong antimicrobial
activity and, most importantly, have markedly reduced toxicity
toward eukaryotic cells.
The results of previous studies have shown that CM15 is
-helical in the presence of helix-promoting solvents (15) or membranes (15, 16). In an
-helical configuration, CM15 has an almost-ideal amphipathic distribution of amino acid side chains (3, 16). Omitting the first two residues (Lys1 Trp2), which are not in a helical configuration in either full-length cecropins (12, 19) or a 26-residue cecropin-mellitin hybrid (20), the remaining four lysine residues lie along one surface of the helix, and the opposite face is composed entirely of nonpolar residues (Fig. 1). However, two sites on the polar face of the helix, alanine 10 and valine 14, are occupied by nonpolar amino acids. We replaced these two residues, individually and in combination, with lysines to yield analogs with enhanced amphipathicity (Fig. 1 and Table 1). In addition, we also examined analogs containing a leucine-to-lysine substitution in the N-terminal domain at residue 4. In contrast to alanine 10 and valine 14, this site is located on the hydrophobic face of the helix and the mutation therefore results in peptides with overall hydrophobicities similar to those ofthe other lysine-enriched peptides but with reduced amphipathicity (Table 1).
Peptides were synthesized with acetylated N termini and amidated
C termini and purified by semipreparative reverse-phase high-pressure
liquid chromatography (RP-HPLC) as described previously (
3).
Analytical RP-HPLC and mass spectrometry were used to verify
purity and composition. MICs were determined by standard methods
(
17). All of the peptides retained excellent activity against
two gram-negative organisms,
Escherichia coli and
Pseudomonas aeruginosa (Table
2). In contrast, peptides containing a lysine
substitution at position 4 had significantly diminished activity
against each of two different strains (methicillin-sensitive
6538p and the methicillin-resistant BBA-41) of
Staphyloccus aureus. The reason for this is still under investigation, but
it suggests that the retention of the highly amphipathic character
of the N-terminal domain is essential for activity against
S. aureus. This loss of activity was not general for gram-positive
organisms, as all of the lysine-enriched peptides displayed
excellent activity against
Staphylococcus epidermidis (Table
2).
The peptide-induced hemolysis was tested by incubating peptides
with a 1% solution of fresh human erythrocytes at 37°C for
1 h, followed by measurement of the hemoglobin released. High
concentrations of peptide (32 to 256 times the MIC for
E. coli)
were required in order to observe appreciable hemolysis, consistent
with the results of previous studies showing that CM hybrid
peptides are relatively nonhemolytic (
2,
14). All of the lysine-enriched
peptides except K10 (lysine substitution at residue 10) showed
decreased hemolysis relative to that of wild-type CM15 (Fig.
2 and Table
2). In particular, the levels of hemolysis for the
peptides containing two additional lysines (K410, K414, and
K1014 [lysine substitutions at residues 4 and 10, 4 and 14,
and 10 and 14, respectively]), along with the level of hemolysis
for K14 (lysine substitution at residue 14), were very low,
with less than 10% hemolysis observed at all peptide concentrations
tested (Fig.
2).
As a measure of relative efficacy, we calculated a selectivity
index, defined as the inverse of the product of the MIC and
the fraction of hemolysis observed at a standard peptide concentration
of 64 µM. Thus, a lower MIC and decreased hemolysis both
contribute to a higher index. K4 (with a lysine substitution
at residue 4), K14, K410, K414, and K1014 all had improved selectivity
indices relative to that of CM15 against the two gram-negative
strains. K410 displayed the highest degree of selectivity, with
selectivity indices against
E. coli and
P. aeruginosa that were
10 to 20 times greater, respectively, than that of CM15 (Table
3). Several of the analogs had extremely high selectivity indices
for
S. epidermidis, as much as 30 times greater than that of
CM15, owing to a combination of good antimicrobial activity
and low hemolytic activity. In contrast, only K14 had an appreciably
improved selectivity index against
S. aureus (Table
3).
The selectivity indices against
E. coli and
P. aeruginosa correlated
well with the mean residue hydrophobicities (
r2 values of 0.887
and 0.895, respectively), with the selectivity index increasing
as the peptides became more hydrophilic. There was no correlation
between the selectivity indices and calculated hydrophobic moments
(
r2 values,

0.25). The efficacy did not simply correlate with
the peptide charge: K4, with a charge of +6, had higher selectivity
indices than K1014, with a charge of +7; K14 had indices equal
to those of K1014; and K10 had lower selectivity than CM15.
To further examine the interaction of these peptides with eukaryotic cells, we examined cytotoxicity to cultured murine macrophages. Each of the lysine-enriched peptides was significantly less toxic than CM15 (P values of <0.05 to <0.001 when compared at a single concentration) (Table 4). In general, the cytotoxicity of AMPs to macrophages correlated with the data for erythrocytes, except in the case of K1014.
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TABLE 4. Percent survival of cultured murine macrophages following treatment with CM15 and its lysine-enriched analogs
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The ability of AMPs to interact with membranes is thought to
be governed by a relative balance of hydrophobic and hydrophilic
amino acids, as well as their amphipathic distribution (
4,
8,
9,
11,
22). In this study, all of the peptides tested contained
a sufficient number of nonpolar residues (8 to 10 out of 15
total) to retain antimicrobial activity. There was a strong
inverse correlation between peptide hydrophobicity and hemolytic
activity, and this general trend held for toxicity to murine
macrophages. To our knowledge, this is the first report of CM15
analogs with improved selectivity. Our results suggest that
optimization of amphipathicity should be incorporated when using
CM15 in the design of peptide or peptidomimetic antibiotics.
The lysine-enriched analogs of CM15 described in this study
may therefore serve as templates for even further improvements
in selectivity.

ACKNOWLEDGMENTS
This work was supported by Public Health Service grant GM068829
from the U.S. National Institutes of Health.

FOOTNOTES
* Corresponding author. Mailing address: Department of Biophysics, Medical College of Wisconsin, Milwaukee, WI 53226. Phone: (414) 456-4037. Fax: (414) 456-6512. E-mail:
jfeix{at}mcw.edu 
Published ahead of print on 13 October 2008. 

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Antimicrobial Agents and Chemotherapy, December 2008, p. 4463-4465, Vol. 52, No. 12
0066-4804/08/$08.00+0 doi:10.1128/AAC.00810-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
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