Trends in Immunology
Volume 30, Issue 3, March 2009, Pages 131-141
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Review
Feature Review
AMPed up immunity: how antimicrobial peptides have multiple roles in immune defense

https://doi.org/10.1016/j.it.2008.12.003Get rights and content

Antimicrobial peptides (AMPs) are widely expressed and rapidly induced at epithelial surfaces to repel assault from diverse infectious agents including bacteria, viruses, fungi and parasites. Much information suggests that AMPs act by mechanisms that extend beyond their capacity to serve as gene-encoded antibiotics. For example, some AMPs alter the properties of the mammalian membrane or interact with its receptors to influence diverse cellular processes including cytokine release, chemotaxis, antigen presentation, angiogenesis and wound healing. These functions complement their antimicrobial action and favor resolution of infection and repair of damaged epithelia. Opposing this, some microbes have evolved mechanisms to inactivate or avoid AMPs and subsequently become pathogens. Thus, AMPs are multifunctional molecules that have a central role in infection and inflammation.

Section snippets

Antimicrobial peptides

Initially, the importance of antimicrobial peptides (AMPs) to mammalian immunity was underestimated compared to their role in less complex immune systems such as those found in plants and invertebrates. However, as the importance of innate immune defense systems of mammals was steadily uncovered, the essential role of AMPs in mammalian immunity became firmly established. Today, we are beginning to see that much of the importance of AMPs in mammals might lie in their multifunctional role. To

Expression and regulation of AMPs

Most AMPs are encoded in groups in the genome. For example, the human α-defensins HNP1 and 4 and HD5 and 6, and the β-defensins hBD1 and 2 are all mapped to a similar chromosomal location, 8p23, whereas human cathelicidin is located in chromosome 3p21.3 [24]. Their expression can be regulated both at the transcriptional and post-transcriptional levels, and the coordinated transcriptional regulation of AMP genes can lead to expression of multiple AMPs at a single site. As discussed earlier,

The selective antimicrobial activity of AMPs

In vitro, most AMPs act against many different types of microbes including gram-negative and gram-positive bacteria, protozoa, fungi and some viruses. This is particularly true for the mammalian AMPs that have maximal effectiveness against specific groups of organisms relevant to the tissue where the AMP is expressed. For instance, β-defensins exhibit activity against Staphylococcus aureus and Pseudomonas aeruginosa[38], which are relevant to skin infections, whereas α-defensins expressed in

AMP modulation of host inflammatory responses

As discussed previously, AMPs exhibit multiple functions related to their capacity to disrupt membranes. They have the ability to confer protection against a variety of pathogens and the potential to act as cytotoxic agents against certain type of cancers. However, the direct antimicrobial activity implicit to the term ‘AMP’ has strongly biased interpretation of the function of these peptides as ‘natural antibiotics’. This bias perhaps has delayed discovery of their other roles in immunity.

The

AMPs and their participation in disease

As discussed previously, AMPs have been shown to participate in alerting, mobilizing and amplifying innate and adaptive immune responses of the host, and will confer protection against microbial infections. Decreased expression of AMPs can increase susceptibility to infectious diseases. For example, the expression of AMPs such as cathelicidin, hBD2 and hBD3 is not increased in individuals with atopic dermatitis, despite the presence of skin inflammation. By contrast, patients with psoriasis

Microbial resistance to AMPs

Thus far, we have discussed AMPs as multifunctional peptides, acting directly to kill microbes and also through multiple indirect strategies that influence cellular function in the host. What is the benefit of a multidimensional strategy to respond to microbial invasion? The answer might lie in the lessons learned through use of pharmaceutically produced antibiotics, and how ineffective they can become with the evolution of microbial resistance. By acting through a single approach, antibiotic

Conclusions and perspectives

Great progress has been achieved in the last decade with respect to the mechanisms of AMP action and their complex role in our immune system. Along with the capacity of AMPs to directly kill microbes, AMPs also boost specific innate immune responses and exert selective immunomodulatory effects on the host. Upon exposure to danger, AMPs create an overall balance by inhibiting microbial growth, attenuating exacerbated inflammatory responses and stimulating certain beneficial aspects of

Acknowledgements

Work in the laboratory of R.L.G. is supported by NIH grants R01AR052728, R01AI052453, contract HHSN266200400029 and a VA Merit Award. We apologize to those authors whose work could not be cited because of space constraints.

References (116)

  • Y. Kida

    Sodium butyrate up-regulates cathelicidin gene expression via activator protein-1 and histone acetylation at the promoter region in a human lung epithelial cell line, EBC-1

    Mol. Immunol.

    (2006)
  • J. Schauber

    Histone-deacetylase inhibitors induce the cathelicidin LL-37 in gastrointestinal cells

    Mol. Immunol.

    (2004)
  • G. Weber

    Vitamin D induces the antimicrobial protein hCAP18 in human skin

    J. Invest. Dermatol.

    (2005)
  • J. Schauber

    Histone acetylation in keratinocytes enables control of the expression of cathelicidin and CD14 by 1,25-dihydroxyvitamin D3

    J. Invest. Dermatol.

    (2008)
  • R.I. Lehrer et al.

    Antimicrobial peptides in mammalian and insect host defence

    Curr. Opin. Immunol.

    (1999)
  • M.D. Howell

    Cathelicidin deficiency predisposes to eczema herpeticum

    J. Allergy Clin. Immunol.

    (2006)
  • Y. Shai

    Mechanism of the binding, insertion and destabilization of phospholipid bilayer membranes by alpha-helical antimicrobial and cell non-selective membrane-lytic peptides

    Biochim. Biophys. Acta

    (1999)
  • Y. Nakajima

    Interaction between liposomes and sarcotoxin IA, a potent antibacterial protein of Sarcophaga peregrina (flesh fly)

    J. Biol. Chem.

    (1987)
  • K. Matsuzaki

    Why and how are peptide-lipid interactions utilized for self-defense? Magainins and tachyplesins as archetypes

    Biochim. Biophys. Acta

    (1999)
  • O. Sorensen

    The human antibacterial cathelicidin, hCAP-18, is bound to lipoproteins in plasma

    J. Biol. Chem.

    (1999)
  • G. Maisetta

    Evaluation of the inhibitory effects of human serum components on bactericidal activity of human beta defensin 3

    Peptides

    (2008)
  • J. Johansson

    Conformation-dependent antibacterial activity of the naturally occurring human peptide LL-37

    J. Biol. Chem.

    (1998)
  • R.S. Bullard

    Functional analysis of the host defense peptide Human Beta Defensin-1: new insight into its potential role in cancer

    Mol. Immunol.

    (2008)
  • R.A. Dorschner

    Cutaneous injury induces the release of cathelicidin anti-microbial peptides active against group A Streptococcus

    J. Invest. Dermatol.

    (2001)
  • D. Yang

    Mammalian defensins in immunity: more than just microbicidal

    Trends Immunol.

    (2002)
  • K. Taylor

    Analysis and separation of residues important for the chemoattractant and antimicrobial activities of beta-defensin 3

    J. Biol. Chem.

    (2008)
  • F. Niyonsaba

    Antimicrobial peptides human beta-defensins stimulate epidermal keratinocyte migration, proliferation and production of proinflammatory cytokines and chemokines

    J. Invest. Dermatol.

    (2007)
  • G. Yibin

    A synthesized cationic tetradecapeptide from hornet venom kills bacteria and neutralizes lipopolysaccharide in vivo and in vitro

    Biochem. Pharmacol.

    (2005)
  • Y. Rosenfeld

    Endotoxin (lipopolysaccharide) neutralization by innate immunity host-defense peptides. Peptide properties and plausible modes of action

    J. Biol. Chem.

    (2006)
  • J.D. Heilborn

    The cathelicidin anti-microbial peptide LL-37 is involved in re-epithelialization of human skin wounds and is lacking in chronic ulcer epithelium

    J. Invest. Dermatol.

    (2003)
  • A. Baroni

    Antimicrobial human beta-defensin-2 stimulates migration, proliferation and tube formation of human umbilical vein endothelial cells

    Peptides

    (2009)
  • M. Carretero

    In vitro and in vivo wound healing-promoting activities of human cathelicidin LL-37

    J. Invest. Dermatol.

    (2008)
  • K. Fellermann

    A chromosome 8 gene-cluster polymorphism with low human beta-defensin 2 gene copy number predisposes to Crohn disease of the colon

    Am. J. Hum. Genet.

    (2006)
  • R.M. Linzmeier et al.

    Human defensin gene copy number polymorphisms: comprehensive analysis of independent variation in alpha- and beta-defensin regions at 8p22-p23

    Genomics

    (2005)
  • M.H. Braff et al.

    Antimicrobial peptides: an essential component of the skin defensive barrier

    Curr. Top. Microbiol. Immunol.

    (2006)
  • Y. Wang

    Snake cathelicidin from Bungarus fasciatus is a potent peptide antibiotics

    PLoS One

    (2008)
  • J.F. Sanchez

    Overexpression and structural study of the cathelicidin motif of the protegrin-3 precursor

    Biochemistry

    (2002)
  • P. Storici

    Purification and structural characterization of bovine cathelicidins, precursors of antimicrobial peptides

    Eur. J. Biochem.

    (1996)
  • M. Murakami

    Expression and secretion of cathelicidin antimicrobial peptides in murine mammary glands and human milk

    Pediatr. Res.

    (2005)
  • M. Murakami

    Postsecretory processing generates multiple cathelicidins for enhanced topical antimicrobial defense

    J. Immunol.

    (2004)
  • R. Bals

    The peptide antibiotic LL-37/hCAP-18 is expressed in epithelia of the human lung where it has broad antimicrobial activity at the airway surface

    Proc. Natl. Acad. Sci. U. S. A.

    (1998)
  • J. Malm

    The human cationic antimicrobial protein (hCAP-18) is expressed in the epithelium of human epididymis, is present in seminal plasma at high concentrations, and is attached to spermatozoa

    Infect. Immun.

    (2000)
  • M. Zanetti

    Cathelicidins, multifunctional peptides of the innate immunity

    J. Leukoc. Biol.

    (2004)
  • K. Yamasaki

    Kallikrein-mediated proteolysis regulates the antimicrobial effects of cathelicidins in skin

    FASEB J.

    (2006)
  • X. Li

    Solution structures of human LL-37 fragments and NMR-based identification of a minimal membrane-targeting antimicrobial and anticancer region

    J. Am. Chem. Soc.

    (2006)
  • L.A. Duits

    Expression of beta-defensin 1 and 2 mRNA by human monocytes, macrophages and dendritic cells

    Immunology

    (2002)
  • C.L. Wilson

    Regulation of intestinal alpha-defensin activation by the metalloproteinase matrilysin in innate host defense

    Science

    (1999)
  • D. Yang

    Multiple roles of antimicrobial defensins, cathelicidins, and eosinophil-derived neurotoxin in host defense

    Annu. Rev. Immunol.

    (2004)
  • S. Menard

    Developmental switch of intestinal antimicrobial peptide expression

    J. Exp. Med.

    (2008)
  • P. Li

    An antimicrobial peptide gene found in the male reproductive system of rats

    Science

    (2001)
  • Cited by (988)

    View all citing articles on Scopus
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