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Antimicrobial Agents and Chemotherapy, September 2006, p. 2983-2989, Vol. 50, No. 9
0066-4804/06/$08.00+0 doi:10.1128/AAC.01583-05
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Section of Anesthesiology and Intensive Care,1 Section for Dermatology and Venereology, Department of Clinical Sciences, Lund University, SE-221 85 Lund, Sweden,2 Department of Pharmacy, Uppsala University, Box 580, SE-751 23 Uppsala, Sweden3
Received 13 December 2005/ Returned for modification 15 March 2006/ Accepted 2 July 2006
Bacterial lipopolysaccharides (LPS) are important triggers of the widespread inflammatory response, which contributes to the development of multiple organ failure during sepsis. The helical 37-amino-acid-long human antimicrobial peptide LL-37 not only possesses a broad-spectrum antimicrobial activity but also binds and neutralizes LPS. However, the use of LL-37 in sepsis treatment is hampered by the fact that it is also cytotoxic. To find a less toxic analog of LL-37, we used in silico analysis to identify amphipathic helical regions of LL-37. A 21-amino-acid fragment (GKE) was synthesized, the biological actions of which were compared to those of two equally long peptides derived from the N and C termini of LL-37 as well as native LL-37. GKE displayed antimicrobial activity against Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, Candida albicans, and Candida parapsilosis that was similar to or even stronger than LL-37. GKE, as well as the equally long control peptides, attracted granulocytes in a fashion similar to that of LL-37, while only GKE was as potent as LL-37 in inhibiting LPS-induced vascular nitric oxide production. GKE caused less hemolysis and apoptosis in human cultured smooth muscle cells than LL-37. In summary, we have identified an active domain of LL-37, GKE, which displays antimicrobial activity in vitro and LPS-binding activity similar to those of LL-37 but is less toxic. GKE therefore holds promise as a template for the development of peptide antibiotics for the treatment of sepsis.
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