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Antimicrobial Agents and Chemotherapy, September 2008, p. 3438-3440, Vol. 52, No. 9
0066-4804/08/$08.00+0 doi:10.1128/AAC.00452-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
Anti-Human Immunodeficiency Virus Type 1 Activities of Antimicrobial Peptides Derived from Human and Bovine Cathelicidins 
Guangshun Wang,1*
Karen M. Watson,2 and
Robert W. Buckheit Jr.2
The Structure-Fun Laboratory, Eppley Institute for Research in Cancer and Allied Diseases, University of Nebraska Medical Center, 986805 Nebraska Medical Center, Omaha, Nebraska 68198,1
ImQuest BioSciences, Inc., 7340 Executive Way, Suite R, Frederick, Maryland 217042
Received 4 April 2008/
Returned for modification 23 May 2008/
Accepted 20 June 2008

ABSTRACT
From among 15 human cathelicidin LL-37-derived peptides, FK-13
was identified as the smallest peptide active against human
immunodeficiency virus (HIV) and GI-20 had the highest therapeutic
index, which was twice that of LL-37. BMAP-18, which is derived
from bovine cathelicidin BMAP-27, possessed a therapeutic index
similar to that of GI-20. Peptide sequence order, helical structures,
and aromatic residues are important in HIV inhibition.

TEXT
AIDS has become the fourth leading cause of death worldwide,
and the majority of human immunodeficiency virus (HIV) infections
are acquired through heterosexual intercourse. The United Nations
estimates that there are now 40 million people living with HIV
infection or AIDS. Thus, it is urgent that novel therapeutic
and preventative agents, including topical microbicides that
block the sexual transmission of HIV, be developed (
5,
26).
Antimicrobial peptides are ancient and potent host defense molecules
in nearly all forms of life (
3,
12,
37). More than 870 such
peptides have been registered in the updated antimicrobial peptide
database (
http://aps.unmc.edu/AP/main.html) (
33). However, only
a few have been subjected to antiviral assays (
8,
12). Known
examples are brevinin-1 (
35), caerin 1.1, caerin 1.9, and maculatin
1.1 (
27), dermaseptin S4 (
15), esculentin 2P and ranatuerin
2P (
7), and the magainins (
17) from amphibians and cecropin
A and melittin from insects (
28). In mammals, defensins and
cathelicidins are the two major classes of antimicrobial peptides.
While the three types of defensins, the

-, β-, and

-defensins,
contain several β strands, which are further stabilized
by three pairs of disulfide bonds, the cathelicidins vary in
both their sequences and their three-dimensional structures
(usually extended or

-helical structures). Another important
difference is that there are at least 10 different defensins
in humans, but only one cathelicidin (LL-37) has been identified
(
29,
36). All human

-defensins and human β-defensin-3 inhibit
HIV infection (
11), but the

-defensins are more effective (
9,
10,
18,
31,
32). Cathelicidins have been shown to have effects
on bacteria, fungi, and viruses (
36). Among them, LL-37 (
2),
protegrin-1 (
25), and indolicidin (
16,
23) have been demonstrated
to have anti-HIV activities. As the only cathelicidin in humans,
LL-37 can be cleaved in vivo into active fragments. While KS-30,
KR-20, and RK-31 were identified in human sweat, LL-23, KS-27,
and LL-29 were detected in human skin (
19,
34). Furthermore,
several laboratories have identified active fragments within
LL-37 by synthesizing peptides corresponding to different regions
(
4,
20,
21,
29). Using nuclear magnetic resonance spectroscopy,
we previously identified a minimally antimicrobial and anticancer
region corresponding to residues 17 to 29 (FK-13 in Table
1)
(
13). Here, we report on the anti-HIV activities of 20 synthetic
peptides (>95% purity; Genemed Synthesis, Inc.) derived from
human and bovine cathelicidins.
Inhibition assays for determination of the anti-HIV cytopathic
effect were conducted as described previously (
6). Briefly,
serially diluted peptides were added to a 96-well round-bottom
microtiter plate in triplicate. CEM-SS cells at a concentration
of 2.5
x 10
3 cells per well and HIV type 1
IIIB (HIV-1
IIIB) at
the appropriate predetermined titer were sequentially added
to the microtiter plate. The cultures were incubated at 5% CO
2 and 37°C for 6 days. Following the incubation, the microtiter
plates were stained with 2,3-bis(2-methoxy-4-nitro-5-sulfophenyl)-5-[(phenylamino)carbonyl]-2
H-tetrazolium
hydroxide dye to evaluate the efficacy and toxicity of the test
compound(s). By using the Microsoft Excel program, the 50% effective
concentration for inhibition of virus replication (EC
50), the
concentration that reduced cell viability by 50% (TC
50), and
a therapeutic index (TI; which is equal to TC
50/EC
50) were obtained.
Consistent with the findings of Bergman et al. (
2), we found
that synthetic LL-37 is active against HIV-1
IIIB (Table
1).
However, LL-23 and KR-20, the naturally occurring N- and C-terminal
fragments of LL-37, respectively, showed no effect on the virus
even at a high peptide concentration of 100 µg/ml (in
µM in Table
1), suggesting that the HIV-active region
of LL-37 is located in the middle region. Indeed, SK-21, which
is composed of LL-37 with 8 residues truncated from each end,
was active. We predict that naturally occurring LL-37 fragments,
such as KS-27, LL-29, KS-30, and RK-31, inhibit HIV, as they
all contain the sequence of SK-21. Inactive terminal fragments
LL-23 and KR-20 were apparently not produced to protect humans
from HIV or retrovirus infection, but they are bactericidal
(
19,
34).
Our previously identified 13-residue antibacterial peptide FK-13 (13) also displayed an effect on HIV (Table 1). When F-17 (as numbered in LL-37; Table 1) was removed, the resultant KR-12 peptide lost its activity, indicating that F-17 is essential and that FK-13 represents the minimal anti-HIV region of human LL-37. Furthermore, reversal of the FK-13 sequence (retro-FK-13) led to a peptide that was inactive against HIV, although the peptide retained its antibacterial activity (14). Thus, there is no correlation between the antibacterial and the anti-HIV activities of these peptides. To obtain peptide templates with improved TIs, additional peptides were designed on the basis of the sequence of FK-13. GF-17 (i.e., FK-13 plus the NLV segment) had a TI slightly less than that of LL-37, whereas GI-20 (30), obtained by adding GIKE to the N terminus of GF-17, had a TI twice that of LL-37. We found that the incorporation of D-amino acids into GF-17 at position 24 (GF-17d1) or both position 24 and position 28 (GF-17d2) disrupted the activity of the peptide, but the cytotoxicity of the peptide to human cells decreased with an increase in the number of D-amino acids (Table 1). Since D-amino acid incorporation tends to reduce helicity (13, 22), the putative helical structure of GF-17 might be important for anti-HIV activity. In the case of GI-20, a change of F-17 to phenylglycine (GI-20X17 in Table 1) led to the loss of activity. Likewise, a change of F-17 to W (GI-20W17 in Table 1) also reduced the anti-HIV activity of the peptide. These results further substantiated the essential role of F-17 of LL-37 in inhibiting HIV infection. Interestingly, when E-16 of GI-20 was replaced by Q-16 (GI-20Q16 in Table 1), the peptide became more toxic to human cells without any change in the anti-HIV activity observed. Thus, E-16 endowed selectivity to the peptide. Since F-17 is critical for the anti-HIV effect and E-16 modulates selectivity, we also tested the effects of this amino acid pair by substituting I19V20 for E19F20 (GI-20EF in Table 1). While the antiviral efficacy of the resulting peptide was reduced only slightly, cellular toxicity increased twofold relative to that of GI-20. Clearly, the effect of F overrode the effect of E in this case. Hence, both the anti-HIV efficacy and the cellular toxicity of GI-20 are subjected to modulation, laying the basis for peptide engineering.
To obtain additional peptide templates, we also evaluated the anti-HIV activity of a few peptides (Table 2) based on BMAP-27. BMAP-27 is a 27-residue bovine cathelicidin peptide with the potential to form an
-helical conformation followed by a hydrophobic tail (24). To identify the region within BMAP-27 active against HIV, we first deleted the hydrophobic tail to obtain BMAP-18. BMAP-18 was found to be more active against HIV than GI-20, but it was also more toxic to human cells than GI-20, although the overall TI of BMAP-18 was slightly better (Table 2). Further deletion of the three residues from the C terminus of BMAP-18 disrupted both the antiviral and the cytotoxic effects of the resulting peptide (BMAP-15). Subsequent mutational studies revealed that changing F-6 and F-10 of BMAP-18 to phenylglycines slightly reduced the anti-HIV activity of BMAP-18. The peptide became inactive when the two phenylalanines were changed to isoleucine/leucine residues, suggesting that the aromatic rings of BMAP-18 are critical for its anti-HIV activity. Also, the antiviral effect was decreased when K-9 of BMAP-18 was replaced with a proline residue. The introduction of a proline (1, 10 ) could distort the helical structure of the peptide (24), which might also be critical for anti-HIV activity.
In conclusion, our evaluation of 20 synthetic peptides derived
from LL-37 and BMAP-27 led to the identification of the most
important regions in both human and bovine cathelicidins active
against HIV. Peptide sequence order, aromatic phenylalanine
residues, and potential helical structures were found to play
important roles in blocking HIV-1 infection. Because GI-20 and
BMAP-18 have TIs superior to the TI of LL-37, they may now be
used as templates for the engineering of novel anti-HIV microbicides.

FOOTNOTES
* Corresponding author. Mailing address: Eppley Cancer Institute, Room ECI 3018, University of Nebraska Medical Center, 986805 Nebraska Medical Center, Omaha, NE 68198-6805. Phone: (402) 559-4176. Fax: (402) 559-4651. E-mail:
gwang{at}unmc.edu 
Published ahead of print on 30 June 2008. 

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Antimicrobial Agents and Chemotherapy, September 2008, p. 3438-3440, Vol. 52, No. 9
0066-4804/08/$08.00+0 doi:10.1128/AAC.00452-08
Copyright © 2008, American Society for Microbiology. All Rights Reserved.
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