Beaumont Paula E, McHugh Brian, Gwyer Findlay Emily, Mackellar Annie, Mackenzie Karen J, Gallo Richard L, Govan John R W, Simpson A John, Davidson Donald J
MRC Centre for Inflammation Research, Queen's Medical Research Institute, The University of Edinburgh, Edinburgh, United Kingdom.
Division of Dermatology, Department of Medicine, University of California at San Diego and VA San Diego Health Care System, San Diego, California, United States of America.
PLoS One. 2014 Jun 2;9(6):e99029. doi: 10.1371/journal.pone.0099029. eCollection 2014.
Cathelicidins are multifunctional cationic host-defence peptides (CHDP; also known as antimicrobial peptides) and an important component of innate host defence against infection. In addition to microbicidal potential, these peptides have properties with the capacity to modulate inflammation and immunity. However, the extent to which such properties play a significant role during infection in vivo has remained unclear. A murine model of acute P. aeruginosa lung infection was utilised, demonstrating cathelicidin-mediated enhancement of bacterial clearance in vivo. The delivery of exogenous synthetic human cathelicidin LL-37 was found to enhance a protective pro-inflammatory response to infection, effectively promoting bacterial clearance from the lung in the absence of direct microbicidal activity, with an enhanced early neutrophil response that required both infection and peptide exposure and was independent of native cathelicidin production. Furthermore, although cathelicidin-deficient mice had an intact early cellular inflammatory response, later phase neutrophil response to infection was absent in these animals, with significantly impaired clearance of P. aeruginosa. These findings demonstrate the importance of the modulatory properties of cathelicidins in pulmonary infection in vivo and highlight a key role for cathelicidins in the induction of protective pulmonary neutrophil responses, specific to the infectious milieu. In additional to their physiological roles, CHDP have been proposed as future antimicrobial therapeutics. Elucidating and utilising the modulatory properties of cathelicidins has the potential to inform the development of synthetic peptide analogues and novel therapeutic approaches based on enhancing innate host defence against infection with or without direct microbicidal targeting of pathogens.
cathelicidin是多功能阳离子宿主防御肽(CHDP;也称为抗菌肽),是宿主天然抗感染防御的重要组成部分。除了具有杀菌潜力外,这些肽还具有调节炎症和免疫的特性。然而,这些特性在体内感染过程中发挥重要作用的程度仍不清楚。利用急性铜绿假单胞菌肺部感染的小鼠模型,证明了cathelicidin在体内介导细菌清除的增强作用。研究发现,外源性合成人cathelicidin LL-37的递送可增强对感染的保护性促炎反应,在没有直接杀菌活性的情况下有效促进肺部细菌清除,早期中性粒细胞反应增强,这需要感染和肽暴露,且与天然cathelicidin的产生无关。此外,尽管缺乏cathelicidin的小鼠具有完整的早期细胞炎症反应,但这些动物在感染后期缺乏中性粒细胞反应,铜绿假单胞菌的清除明显受损。这些发现证明了cathelicidin的调节特性在体内肺部感染中的重要性,并突出了cathelicidin在诱导针对感染环境特异性的保护性肺部中性粒细胞反应中的关键作用。除了其生理作用外,CHDP已被提议作为未来抗菌治疗药物。阐明和利用cathelicidin的调节特性有可能为基于增强宿主天然抗感染防御的合成肽类似物和新治疗方法的开发提供信息,无论是否直接针对病原体进行杀菌。