Department of Emergency Medicine, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Academy of Medical Sciences, Zhengzhou University, Zhengzhou 450052, China.
Nanoscale. 2024 Jan 3;16(2):887-902. doi: 10.1039/d3nr05174a.
Gram-negative sepsis has become a substantial and escalating global healthcare challenge due to the growing antibiotic resistance crisis and the sluggish development of new antibiotics. LL-37, a unique Cathelicidin species found in humans, exhibits a wide range of bioactive properties, including direct bactericidal effects, inflammation regulation, and LPS neutralization. KR-12, the smallest yet potent peptide fragment of LL-37, has been modified to create more effective antimicrobials. In this study, we designed two myristoylated derivatives of KR-12, referred to as Myr-KR-12N and Myr-KR-12C. These derivatives displayed remarkable ability to spontaneously assemble into nanoparticles when mixed with deionized water. Myristoylated KR-12 derivatives exhibited broad-spectrum and intensified bactericidal activity by disrupting bacterial cell membranes. In particular, Myr-KR-12N showed superior capability to rescue mice from lethal -induced sepsis in comparison with the conventional antibiotic meropenem. We also confirmed that the myristoylated KR-12 nanobiotic possesses significant LPS binding capacity and effectively reduces inflammation . In an context, Myr-KR-12N outperformed polymyxin B in rescuing mice from LPS-induced sepsis. Crucially, toxicological assessments revealed that neither Myr-KR-12N nor Myr-KR-12C nanobiotics induced meaningful hemolysis or caused damage to the liver and kidneys. Collectively, our study has yielded an innovative nanobiotic with dual capabilities of bactericidal action and LPS-neutralization, offering substantial promise for advancing the clinical translation of antimicrobial peptides and the development of novel antibiotics. This addresses the critical need for effective solutions to combat Gram-negative sepsis, a pressing global medical challenge.
革兰氏阴性菌脓毒症由于抗生素耐药危机的加剧和新抗生素的研发缓慢,已成为一个重大且日益严重的全球医疗保健挑战。LL-37 是人类特有的一种独特的抗菌肽,具有广泛的生物活性特性,包括直接杀菌作用、炎症调节和 LPS 中和作用。KR-12 是 LL-37 的最小但最有效的肽片段,经过修饰后可以创造更有效的抗菌药物。在这项研究中,我们设计了两种豆蔻酰化的 KR-12 衍生物,分别称为 Myr-KR-12N 和 Myr-KR-12C。当这些衍生物与去离子水混合时,它们能够自发组装成纳米颗粒。豆蔻酰化的 KR-12 衍生物通过破坏细菌细胞膜表现出广谱和增强的杀菌活性。特别是,与传统抗生素美罗培南相比,Myr-KR-12N 能够更有效地拯救由致死性诱导的脓毒症小鼠。我们还证实,豆蔻酰化的 KR-12 纳米生物制剂具有显著的 LPS 结合能力,并能有效减轻炎症。在这种情况下,Myr-KR-12N 在拯救 LPS 诱导的脓毒症小鼠方面优于多粘菌素 B。至关重要的是,毒理学评估显示,Myr-KR-12N 和 Myr-KR-12C 纳米生物制剂均不会引起明显的溶血,也不会对肝脏和肾脏造成损害。总的来说,我们的研究产生了一种具有杀菌作用和 LPS 中和作用的双重功能的创新纳米生物制剂,为推进抗菌肽的临床转化和新型抗生素的开发提供了巨大的希望。这一发现满足了应对革兰氏阴性菌脓毒症这一紧迫的全球医疗挑战的有效解决方案的迫切需求。