LL-37 is a 37-amino acid antimicrobial peptide derived from the human cathelicidin precursor protein, hCAP-18. It plays a crucial role in the innate immune system by exhibiting broad-spectrum antimicrobial activity against bacteria, viruses, fungi, and parasites. LL-37 is also involved in modulating inflammation, promoting wound healing, and regulating immune responses.
Though LL-37 is mainly known as an antimicrobial peptide, it also plays important roles in various inflammatory conditions including psoriasis, lupus, rheumatoid arthritis, and atherosclerosis. Its immune-modulating actions vary depending on the local inflammation and cell types involved. Key effects of LL-37 include:
Interestingly, LL-37’s immune effects are not fixed; for example, it can either increase or decrease inflammatory responses of T-cells based on whether the T-cells are activated or not. This suggests LL-37 helps maintain immune balance and prevent excessive inflammation during infections. This balancing role may explain why LL-37 levels are elevated in autoimmune diseases—not as a cause, but possibly as a protective mechanism against excessive immune activation.
LL-37 is a crucial part of the innate immune system and acts early during infections. Normally, skin contains very low levels of LL-37, but these levels rise quickly when pathogens invade. LL-37 works alongside other antimicrobial proteins like human beta-defensin 2 to fight infections effectively.
The peptide’s primary mechanism is binding to lipopolysaccharide (LPS), a critical molecule in the outer membrane of gram-negative bacteria, disrupting bacterial integrity and killing the pathogens. Beyond gram-negative bacteria, LL-37 also enhances the action of enzymes like lysozyme that target gram-positive bacteria, making it effective against infections such as Staphylococcus aureus.
LPS is also found in airborne contaminants like mold spores, which can trigger respiratory diseases including asthma and COPD. Research into inhaled LL-37 treatment aims to protect against these conditions by boosting lung defense. Additionally, LL-37 promotes lung epithelial cell growth and wound healing by attracting these cells to injury sites and supporting blood vessel growth for tissue repair, acting as a key regulator of airway health.
In rheumatoid arthritis, LL-37 is found at high levels in affected joints. While it is unclear if LL-37 causes arthritis, evidence suggests it plays a protective role. Animal studies show that peptides derived from LL-37 reduce joint damage and inflammation. LL-37 also modulates inflammation caused by molecules linked to arthritis severity, such as interleukin-32.
LL-37 interacts with toll-like receptors (TLRs), which influence inflammation in arthritis, but whether it promotes or inhibits inflammation in this context is still under investigation. However, its selective suppression of pro-inflammatory macrophage responses supports its role in controlling inflammation.
LL-37 supports intestinal health by promoting the migration of cells that maintain the gut lining and reducing cell death during inflammation. This makes it a promising adjunct for treating inflammatory bowel disease (IBD), post-surgical healing, and infections. It also works alongside human beta-defensin 2 to repair intestinal tissue and reduce tumor necrosis factor-alpha (TNF-α)-related cell death, which could reduce dependence on TNF inhibitors that have serious side effects.
The relationship between LL-37 and cancer is complex, but it appears to help protect against certain intestinal and gastric cancers. Its anti-cancer activity may depend on vitamin D pathways, which could explain the protective effects of vitamin D against gastrointestinal cancers by stimulating tumor-associated macrophages via LL-37.
LL-37 stimulates production of prostaglandin E2 (PGE2) in endothelial cells, a molecule involved in both pain and blood vessel formation (angiogenesis). The regulation of angiogenesis is critical in many diseases, including cancer, heart disease, stroke, and wound healing. LL-37 offers a useful model to explore and potentially control blood vessel growth beneficially or detrimentally, depending on the disease context.
LL-37 is primarily utilized in scientific studies focusing on:
LL-37 is intended strictly for laboratory research and is not approved for human consumption. Handle with care, following appropriate safety protocols. Ensure proper storage conditions to maintain the integrity and efficacy of the compound.
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