Cationic antimicrobial peptides (AMPs; synonyms: host defence peptides, HDPs; defensins) are most frequently occurring antibiotics and are produced by virtually every life form as a first line of host defence. They do have both direct antibiotic activities which lead to rapid killing of microbes as well a immunomodulatory actvities which lead to upregulation of defence pathways and recruitment of immune cells (1). Both actvities are highly interesting for the development of innovative antiinfective strategies. However, in spite of considerable development activities, AMP-based antibiotics did not reach the market so far, and it may be necessary to better understand their molecular activities for AMP based rational drug design. Unlike conventional antibiotics which act via defined target molecules, antimicrobial host defence peptides are assumed to act unspecifically by permeabilising cell membranes. We used various naturally occurring HDPs and synthetic AMPs to study their antimicrobial activity in more detail. We found that the antibiotic activity of cationic amphiphilic peptides is based on multiple inhibitory activities and that the perturbation of the membrane lipid bilayer may be just one of the multiple activities. In general terms, AMPs appear to disturb the coordinated function of highly dynamic, membrane bound multi-enzyme machineries such as the cell wall biosynthesis machinery and respiratory chains. Defensins sensu strictu, as defined by the presence of a disulfide-bridged γ-core motif such as the human ß-defensins 2 and 3 (hBD2, hBD3) may, in addition, gain specificity for defined molecular targets. In particular, the fungal defensin plectasin, which binds with high affinity to the bacterial cell wall precursor Lipid II and thus blocks cell wall biosynthesis is taken forward through preclinical antibiotic development. 1) Hancock, R.E.W., Sahl H.G.: Antimicrobial and host defence peptides as novel anti-infective therapeutic strategies. Nature Biotechnology, 24, 1551-1557 (2006)
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