Biotechnology Research Center, Pasteur Institute of Iran, Tehran, Iran.
World J Microbiol Biotechnol. 2023 Feb 14;39(4):99. doi: 10.1007/s11274-023-03545-z.
Notwithstanding ceaseless endeavors toward developing effective antibiofilm chemotherapeutics, biofilm-associated infections continue to be one of the most perplexing challenges confronting medicine today. Endogenous host defense peptides, such as the human cathelicidin LL-37, are being propounded as promising options for treating such infectious diseases. Over the past decennium, LL-37 has duly received tremendous research attention by virtue of its broad-spectrum antimicrobial activity and immunomodulatory properties. No attempt has hitherto been made, as far as we are aware, to comprehensively review the antibiofilm effects of LL-37. Accordingly, the intent in this paper is to provide a fairly all-embracing review of the literature available on the subject. Accumulating evidence suggests that LL-37 is able to prevent biofilm establishment by different bacterial pathogens such as Acinetobacter baumannii, Aggregatibacter actinomycetemcomitans, Bacteroides fragilis, Burkholderia thailandensis, Cutibacterium acnes, Escherichia coli, Francisella tularensis, Helicobacter pylori, Klebsiella pneumoniae, Pseudomonas aeruginosa, Staphylococcus aureus, and Streptococcus pyogenes. Inhibition of bacterial adhesion, downregulation of biofilm-associated genes, suppression of quorum-sensing pathways, degradation of biofilm matrix, and eradication of biofilm-residing cells are the major mechanisms responsible for antibiofilm properties of LL-37. In terms of its efficacy and safety in vivo, there are still many questions to be answered. Undoubtedly, LL-37 can open up new windows of opportunity to prevent and treat obstinate biofilm-mediated infections.
尽管人们一直在不懈努力开发有效的抗生物膜化学疗法,但生物膜相关感染仍然是当今医学面临的最棘手挑战之一。内源性宿主防御肽,如人源杀菌肽 LL-37,正被提出作为治疗此类感染性疾病的有前途的选择。在过去的十年中,由于其广谱抗菌活性和免疫调节特性,LL-37 受到了极大的研究关注。据我们所知,迄今为止,尚未有人试图全面综述 LL-37 的抗生物膜作用。因此,本文旨在对该主题的现有文献进行全面综述。越来越多的证据表明,LL-37 能够预防不同细菌病原体(如鲍曼不动杆菌、伴放线放线杆菌、脆弱拟杆菌、泰国伯克霍尔德菌、痤疮丙酸杆菌、大肠杆菌、土拉弗朗西斯菌、幽门螺杆菌、肺炎克雷伯菌、铜绿假单胞菌、金黄色葡萄球菌和化脓性链球菌)形成生物膜。抑制细菌黏附、下调生物膜相关基因、抑制群体感应途径、降解生物膜基质和消除生物膜内的细胞是 LL-37 发挥抗生物膜作用的主要机制。就其在体内的疗效和安全性而言,仍有许多问题需要回答。毫无疑问,LL-37 可以为预防和治疗顽固的生物膜介导的感染开辟新的机会。
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