Abstract

According to the World Health Organization (WHO) the development of resistance against antibiotics by microbes is one of the most pressing health concerns. The situation will intensify since only a few pharmacological companies are currently developing novel antimicrobial compounds. Discovery and development of novel antimicrobial compounds with new modes of action are urgently needed. Antimicrobial peptides (AMPs) are known to be able to kill multidrug-resistant bacteria and, therefore, of interest to be developed into antimicrobial drugs. Proteolytic stability and toxicities of these peptides are challenges to overcome, and one strategy frequently used to address stability is cyclization. Here we introduced a disulfide-bond to cyclize a potent and nontoxic 9mer peptide and, in addition, as a proof-of-concept study, grafted this peptide into loop 6 of the cyclotide MCoTI-II. This is the first time an antimicrobial peptide has been successfully grafted onto the cyclotide scaffold. The disulfide-cyclized and grafted cyclotide showed moderate activity in broth and strong activity in 1/5 broth against clinically relevant resistant pathogens. The linear peptide showed superior activity in both conditions. The half-life time in 100% human serum was determined, for the linear peptide, to be 13 min, for the simple disulfide-cyclized peptide, 9 min, and, for the grafted cyclotide 7 h 15 min. The addition of 10% human serum led to a loss of antimicrobial activity for the different organisms, ranging from 1 to >8-fold for the cyclotide. For the disulfide-cyclized version and the linear version, activity also dropped to different degrees, 2 to 18-fold, and 1 to 30-fold respectively. Despite the massive difference in stability, the linear peptide still showed superior antimicrobial activity. The cyclotide and the disulfide-cyclized version demonstrated a slower bactericidal effect than the linear version. All three peptides were stable at high and low pH, and had very low hemolytic and cytotoxic activity.

Highlights

  • The 9mer Antimicrobial peptides (AMPs) was grafted into loops 5 and 6 of MCoTI-II

  • In a proof-of-principle study, we demonstrated that it is possible to graft a short antimicrobial peptide into a cyclotide and retain some antimicrobial activity

  • Simple cyclization and grafting a peptide into a complex cyclized molecule, like a cyclotide, reduces the antimicrobial activity compared to the linear variant, and slowed the killing kinetics

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Summary

Introduction

Among the most serious problems health care is facing is the increasing number of infections caused by antibiotic-resistant bacteria that can no longer be treated with previously effective antibiotics. In 2013, the World Health Organization (WHO) identified the development of antibiotic resistance as one of the major global threats to human society. Problematic are the so-called ESKAPE pathogens, with the six letters of ESKAPE representing the genera of the following bacteria: Enterococcus faecium, Staphylococcus aureus, Klebsiella pneumoniae, Acinetobacter baumannii, Pseudomonas aeruginosa, and Enterobacter spp [1]. Alternatives for antibiotics, especially with novel modes of action, are urgently needed [2]

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