用于治疗骨科感染的LL-37衍生合成肽的抗菌特性和细胞毒性

Antimicrobial Properties and Cytotoxicity of LL-37-Derived Synthetic Peptides to Treat Orthopedic Infections.

作者信息

Pennone Vincenzo, Angelini Elisa, Sarlah David, Lovati Arianna B

机构信息

Cell and Tissue Engineering Laboratory, IRCCS Istituto Ortopedico Galeazzi, 20157 Milan, Italy.

Department of Chemistry, University of Pavia, 27100 Pavia, Italy.

出版信息

Antibiotics (Basel). 2024 Aug 14;13(8):764. doi: 10.3390/antibiotics13080764.

Abstract

Open fractures and prosthetic joints are prone to bacterial infections, especially those involving biofilms, and are worsened by antibiotic inefficacy and resistance. This highlights the need for targeted treatments against orthopedic infections. LL-37, a human cathelicidin, is known for its antimicrobial properties. This study aimed to synthesize and evaluate LL-37-derived antimicrobial peptides (AMPs) for antibacterial efficacy and toxicity. Several truncated LL-37 analogues were created and tested against 18 bacterial strains, both ATCC and orthopedic clinical isolates, using MIC and MBC assays. Synergy with antibiotics and resistance development were also analyzed, alongside cytotoxicity on NIH-3T3 fibroblasts and hemolytic activity assessments. Six AMPs were synthesized, with FK-16 and GF-17 emerging as the most effective. The MIC values ranged from 4.69 to 18.75 µg/mL and 2.34 to 18.75 µg/mL, respectively, against and , with the MBC values matching the MIC values. Cytotoxicity tests showed no toxicity at concentrations below 75 µg/mL for GF-17 and 150 µg/mL for FK-16. Hemolytic activity was below 1% at 18.75 µg/mL for GF-17 and 75 µg/mL for FK-16. These AMPs showed no synergistic effects with antibiotics and no resistance development. FK-16 and GF-17 effectively removed biofilms, particularly against . Incorporating these AMPs into surgical materials (hydrogels, cements, etc.) could enhance infection control in orthopedic procedures, warranting further in vivo studies.

摘要

开放性骨折和人工关节容易发生细菌感染,尤其是那些涉及生物膜的感染,并且抗生素疗效不佳和耐药性会使情况恶化。这凸显了针对骨科感染进行靶向治疗的必要性。LL-37是一种人源cathelicidin,以其抗菌特性而闻名。本研究旨在合成并评估源自LL-37的抗菌肽(AMPs)的抗菌功效和毒性。创建了几种截短的LL-37类似物,并使用MIC和MBC测定法对18种细菌菌株(包括ATCC菌株和骨科临床分离株)进行了测试。还分析了与抗生素的协同作用和耐药性发展情况,同时评估了对NIH-3T3成纤维细胞的细胞毒性和溶血活性。合成了六种AMPs,其中FK-16和GF-17最为有效。针对金黄色葡萄球菌和表皮葡萄球菌,MIC值分别为4.69至18.75μg/mL和2.34至18.75μg/mL,MBC值与MIC值匹配。细胞毒性测试表明,在GF-17浓度低于75μg/mL和FK-16浓度低于150μg/mL时无毒性。在GF-17浓度为18.75μg/mL和FK-16浓度为75μg/mL时,溶血活性低于1%。这些AMPs与抗生素没有协同作用,也没有产生耐药性。FK-16和GF-17能有效去除生物膜,尤其是针对金黄色葡萄球菌。将这些AMPs整合到手术材料(水凝胶、骨水泥等)中可以增强骨科手术中的感染控制,值得进一步进行体内研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c492/11350787/1c74d601b28b/antibiotics-13-00764-g001.jpg

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索