1. Introduction
Antimicrobial peptides are peptides, although varying in size, not usually longer than 100 amino acid residues [
1]. They are an important part of the defense and the innate immune system of many living organisms such as bacteria, fungi, plants, fish, invertebrates, amphibians, crustaceans, insects, reptiles, mammals, humans etc. [
1]. The review will focus on three in particular: plants, animals and humans and their respective modes of action.
AMPs are positively charged and have both hydrophilic and lipophilic properties, characterizing them as amphiphilic [
2]. Their amphiphilic structure and cationic charge allow them to bind to a negatively-charged pathogen cell surface and insert themselves into the membrane, forming pores and channels, which eventually leads to cell death [
2]. AMPs can be by their biosynthetic origin ribosomal or enzymatic (NRPS pathway). Ribosomally synthesized AMPs are divided into unmodified ribosomally synthesized peptides and ribosomally synthesized and posttranslationally modified peptides (RiPPs). RiPPs are being considered as potential alternatives of conventionally used antibiotics. Among these RiPPs are sactipeptides, which are a small subfamily of peptides. Sactipeptides (Sulfur-to-alpha carbon thioether cross-linked peptides) show various biological activities, such as antibacterial and hemolytic properties [
3]. Nonribosomal peptide synthetases (NRPS) are large multimodular enzymes that synthesize a diverse variety of peptides. Many of these are currently used as pharmaceuticals, thanks to their antimicrobial activities (penicillin, vancomycin, daptomycin, echinocandin), immunosuppressant (cyclosporin) and anticancer compounds (bleomycin) [
4].
AMPs use several modes of action when acting on pathogens, some of which target the membrane and others that focus on intracellular targets such as nucleic acids, protein synthesis, and repair pathways [
5]. The antimicrobial peptides have a broad spectrum of action and are active against both Gram-positive and Gram-negative bacteria, viruses, fungi, and other pathogens [
6]. They have been shown to be an effective substitute for antibiotics as they can act against antibiotic resistant strains and are naturally found in many living organisms, thus easy to access. In Kumar et al.’s review it is discussed how antimicrobial peptides can be chemically modified in order to improve their stability against proteolytic digestion while also retaining their strong antibacterial activity [
7].
To date there are multiple antimicrobial peptides isolated from nature and because of their diversity they can also be classified in multiple categories based on their size, structure, modes of action etc. [
7]. AMPs also differ in their activities; some can be active against bacteria – Gram-negative, Gram-positive or both – while others can be active against fungi or viruses. That said, AMPs can also possess some combination of antibacterial, antifungal and antiviral activities, or all of these activities at once. [
7]. Based on their structure, AMPs can be divided into three subclasses [
7,
8], (
Figure 1). The first one is AMPs with an alpha helical structure, mainly found in animals, specifically frogs and insects [
7,
8]. Some of the members of this subclass are cathelicidins, including LL-37 (also found in humans), and also magainins and aurein peptides. The second subclass are β-sheet AMPs, which include some members of the cathelicidin class, such as protegrins, and other classes like defensins and tachyplesins [
7,
8]. The third subclass of AMPs are known as having an extended coil structure The members of this subclass consist of mostly cathelicidins (indolicidin) and histatins [
7,
8]. Of note then, cathelicidins can be found across all three of these subclasses.
Cryptic peptides (cryptides) are small bioactive molecules obtained
via the degradation of functionally active proteins [
9,
10,
11]. Fesenko et al. describe that the winter moss
Phycomitrella patens produces over 4 000 intracellular proteins, about 500 of them being secreted [
10]. The moss was grown in stress conditions derived from adding the stress hormone methyl jasmonate. As a result, specific proteolysis was induced leading to the release of peptides with antimicrobial activities. Especially, the enzymes are considered as a reservoir of such cryptic peptides [
12]. In their review, the authors describe host defense peptides (HDPs) in all canonical classes of enzymes and corresponding hydrolases. A promising anti-biofilm and immunomodulatory activity of human HDPGVF27 on two clinically relevant strains
Burkholderia multivorans and
Burkholderia cenocepacia were reported by Bosso et al. [
13].
Burkholderia cenocepacia ia an opportunistic pathogen that commonly infect immunocompromised patients. Another study by Ciociola et al. [
14] discussed the antifungal activity
in vitro and
in vivo of peptide derived from the C-terminus of albumin. This 13-residue peptide can penetrate and accumulate in
Candida albicans cells causing gross morphological alterations in the fungus cellular structure. Novel cryptic peptides from PD-L1/2, a type 1 ribosome-inactivating protein (RIP) were reported in the study of Pizzo et al. [
15]. The bioactive peptides were found in
Phytolacca dioica L. The authors describe biofilm biomass, thickness, and structural components reduction in Gram-negative bacteria.
In this review we describe in details three key sources of antimicrobial peptides. We discuss the sources of AMPs in plants, their structures and activity as they are a crucial source of defense in plants against various pathogens, including viruses, bacteria and fungi [
7,
8]. Antimicrobial peptides are of particular importance in plants, as mentioned in Kumar et al.’s review, one of the reasons being their lack of adaptive immunity, meaning B-cell and T-cell mediated immunity [
7].
The animal kingdom is also an important source of AMPs, and over the course of the review we cover the main classes of AMPs found in the different groups of animals. Vertebrate animals, contrary to plants, have at their disposal both an innate and adaptive immune system [
7]. Nevertheless, some AMPs have been shown to have a critical role in their immune modulation and reduction of inflammation [
7,
16].
Although humans are mammals, the human body doesn’t produce the same amount of AMPs as other animals. This is discussed in the review by Li et al.[
1], where it is mentioned that the only AMP from the cathelicidin family present in the human body is LL-37, as well as the inability of the human organism to express θ-defensins [
1]. In this review we focus on human antimicrobial peptides, where they are produced and their activity against pathogens.
The last section of the review is dedicated to the different modes of action that antimicrobial peptides use to target and eliminate viruses, bacteria and fungi, the main ones being membrane targeting methods or focusing on intracellular targets.
3. AMPs from Animals
AMPs are widely observed in animals, with the defensin and cathelicidin families being the most common. Cathelicidins are positively charged, amphipathic AMPs, which vary in size and structure[
1,
46]. Defensins are proven to be an important part of animal’s defense system [
1,
47,
48]. They are cationic and made up of around 29 to 42 amino acids and three pairs of intramolecular disulfide bonds [
18,
47,
48]. Defensins are divided into three groups based on the position of the disulfide bonds, those being α-defensins, β-defensins and θ-defensins [
1,
47,
48].
AMPs in invertebrates are extremely important as these organisms lack an adaptive immune response [
6]. Some of the main classes of AMPs found in invertebrates are: in insects (defensins and cecropins), molluscs and nematodes (defensins), horseshoe crabs (big defensins), invertebrate β-defensins and crustaceans (crustins) [
6]. There has been a recent discovery of a novel AMP found in marine worms, inhabiting contrasted habitats. The identified AMPs are alvinellacin (ALV), arenicin (ARE) and polaricin (POL – the novel AMP) All three of the AMPs show bactericidal activity against the bacteria typical of the habitat [
49].
Vertebrate AMPs largely vary in size (15-200 residues) and are present in fish, amphibians, birds and mammals [
6]. AMPs found in fish include β-defensins, cathelicidins, hepicidins, histone-derived peptides and piscidins [
18]. Cathelicidins are secreted by secretory granules of immune cells and activate when cleaved [
6,
46]. After being activated they permeabilize lipid membranes and can act against Gram-positive and negative bacteria [
6,
46,
50]. Fish β-defensins have antibacterial activity and act also against fish-specific viruses. Fish hepcidins are described as cysteine-rich hormones that regulate iron homeostasis and demonstrate antibacterial activity against both Gram-negative and positive bacteria [
6].
The main source of AMPs in amphibians are frogs and toads [
1]. The most common class that has been observed in them are the magainins, which have an antibacterial activity against both Gram-negative and -positive bacteria and even some fungi [
1], (
Figure 3).
Insects have also been described to have a large amount of AMPs such as cecropins, which again have been found to have a broad activity against Gram-negative and positive bacteria and some fungi. Other classes of insect AMPs include defensins, proline-rich peptides and attacins [
1,
52].
Reptile and avian AMPs have been described to be cathelicidins and defensins [
6]. A cathelicidin named OH-CATH is a peptide secreted from a king cobra and is active against bacteria such as Pseudomonas aeruginosa and Enterobacter aerogenes. Avian cathelicidins in chicken are fowlicidines which are active against both Gram-negative and positive bacteria [
6]. Besides in chicken, cathelicidins or cathelicidin-like peptides are described in duck, turkey, pheasant and quail. Reptile β-defensins were first found in the leukocytes of a European pond turtle TBD-1. Crotamine, pelovaterin and turtle egg-white protein are other AMPs found in reptiles. Whereas avian β-defensins are discovered in chicken-AvBD-1; ostrich-ostricacins and mallard duck-AvBD2, AvBD9 [
6].
Mammalian-derived AMPs are mostly from the cathelicidin and defensin classes but others include platelet antimicrobial proteins, hepcidins and dermicidins [
6]. As mentioned, LL-37 from the cathelicidin family is the most studied and understood cathelicidin [
6,
46]. It is active against various Gram-negative and positive bacteria and, if applied on wounds, promotes healing [
6,
46]. Another member from the cathelicidin family present in mammals is cathelicidin 4, or indolicidin, which is a tryptophan and proline-rich peptide, secreted from bovine neutrophils, which can act against both Gram-negative and positive bacteria [
6,
46], (
Figure 4).
It forms pores in the cell membrane and inhibits DNA synthesis [
6,
46]. Protegrins (PG) are also from the cathelicidin family, which are secreted from porcine white blood cells and act by increasing the membrane permeabilization and inhibiting RNA synthesis [
6,
46,
54]. Mammalian α-defensins are secreted by promyelocytes, neutrophil precursor cells, and Paneth cells [
6,
48]. α-defensins isolated from a guinea pig’s neutrophils can be used against S. aureus and E. coli, and those isolated from rabbits have a broad activity against Gram-negative and positive bacteria. Mammalian β-defensins were first isolated from bovine mucosal epithelial cells and have been identified to be active against Gram-positive and negative pathogens [
6,
48]. Θ-defensins structure is different to α- and β-defensins and are active against B. anthrax, S. aureus and C. albicans [
6].
Table 4.
Different classes of AMPs found in animal hosts. Optimized after [
18] .
Table 4.
Different classes of AMPs found in animal hosts. Optimized after [
18] .
Animals |
AMPs |
Reference |
Mammalians |
Cathelicidins
Defensins
Platelet antimicrobial proteins
Dermicidins
Hepcidins
|
[6,18,46]
|
Reptiles |
Defensins
Cathelicidins
|
[6,18]
|
Fish |
β-defensins
Cathelicidins
Hepicidins (HAMP1 and HAMP2)
Histone-derived peptides
Piscidins (1-7)
|
[6,18] |
Amphibians |
Magainins
Cancrins
|
[1,6,18] |
Crustaceans |
Crustins
|
[6,18] |
4. AMPs from Humans
Humans, similarly to animals, can produce AMPs, with LL-37 being the only member from the cathelicidin family that is present in humans [
1,
46]. LL-37 is produced by epithelial cells and neutrophils and has many activities, such as antibacterial activity, regulation of inflammation, modulation of cell death and has further potential in treating drug-resistant bacterial infections. Although LL-37 is primarily found on newborns’ skin, human AMPs can be found in various parts of the body including eyes, ears, skin, the respiratory tract and lungs, intestines and urethra [
1,
46]. Some AMPs are constantly being produced in the body, whereas others only when there is an infection or inflammation present [
1].
Another class of human AMPs are the defensins. Human α-defensins HNP1-4 are found to be secreted by neutrophils and HD5-6 in the intestinal tract by Paneth cells [
6,
55]. The most studied and understood defensin is the HNP1, which has antibacterial activity against E. coli, S. aureus, S. epidermis by inhibiting DNA and protein synthesis. Human β-defensins (HBD1-4) have been found to be expressed in many parts of the body including the respiratory, gastrointestinal and urinary tracts, testis and keratinocytes [
6,
55]. Human β-defensin 2 (HBD-2) is primarily found in elders [
1,
55], but HBD1-3 has antibacterial activity against Gram-negative bacteria including P. aeruginosa and E. coli and yeasts such as C. albicans. HBD-3 also expresses antibacterial activities against Gram-positive bacteria such as S. pyogenes and S. aureus [
6,
55]. θ-defensins are not expressed in humans or primates [
6].
6. Discussion on the benefits and limitations of AMPs
Antibiotic-resistant pathogens have become an urgent contemporary problem as many resistant strains continue to emerge [
68]. Antimicrobial peptides can be considered as an alternative therapeutic agent and may therefore be crucial for the fight against antibiotic resistance [
6,
69]. As AMPs have many mechanisms of actions against pathogens, additional to clinical, they also have potential benefits for agricultural biotechnology [
17,
69]. There is potential with natural AMPs, such as plant-based AMPs, in terms of large scale production yield, particularly as biotechnological applications in their cultivation [
8]. Their clinical efficacy has already been shown [
6]. AMPs also have potential as natural food preservatives for food and packaging, as well as a range of health benefits when included in food [
19,
70]. Interestingly, defatted egg yolk proteins, have been found to be a great source for bioactive peptides, which can potentially find application as natural preservatives [
71].
Along with their advantages, natural AMPs have shown to face some limitations as well, such as poor absorption, metabolism, short half-life and low permeability, which have all proven to be a challenge in developing drug-alternative AMPs [
6,
72]. According to multiple articles, one of the main limitations are their poor stability and susceptibly to proteolytic degradation, which can lead to a reduced half-life and limit their possible route of administration in the pathogen [
18,
73]. Environmental stress can also be a contributing factor, also leading to degradation of the peptides [
74]. While there have been some strategies to address these challenges, there is still perhaps more work to be done to ensure the frequent future use of natural AMPs [
6,
72]. Another disadvantage is that large-scale production and high cost of production limit their use [
18]. Furthermore, as of yet, only a few substances have been approved by regulatory bodies. Those approved include glycopeptides such as vancomycin and teicoplanin, daptomycin and polymyxin B, but many more are currently being investigated and tested for their use [
6]. So far many strategies have been developed to increase the stability of AMPs, but that has shown to decrease their antimicrobial activity [
75].
Multiple strategies are currently in development to counter the above AMP limitations and so far various design strategies have been used to improve proteolytic stability such as sequence modification, cyclization, peptidomimetics, and nanotechnology [
6,
17,
54,
71,
73]. Many of the plant-based limitations in particular have already been addressed in recent years [
17]. Chemical modification has been shown to be the most frequent and easiest way to improve AMPs activity and biocompatibility [
7,
72]. For example, modifying CLEC3A – derived AMPs, has shown an increase in their activity, especially against drug-resistant bacteria [
76]. Strategies have been developed to reduce the proteolytic degradation of AMPs, one of which is the development of fully functional mimics of CAMPs (cationic AMPs), which are able to evade proteases [
77]. In Cafaro et. al’s study a peptoid, named P13#1 is designed to mimic cathelicidins. The authors report strong biological activities of the peptoid, similar to those of human cathelicidin LL-37 and antimicrobial and anti-inflammatory activities comparable to ampicillin and gentamicin, without showing toxicity [
77]. A different strategy implemented by Tortorella et. al to overcome the easy degradation of AMPs was to synthesize the N-glycosilated form of LL-III AMP [
74]. The authors concluded that glycosylation did not affect the peptide’s mode of action and biological activity, and it in fact made it more resistant to proteolytic degradation [
74]. Another way to tackle the disadvantage of reduced antimicrobial activity, when increasing the stability of AMPs was described by He et. al [
75]. In their research the authors introduced hydrophobic group modifications at the N-terminus of proteolysis-resistant AMPs D1 [
75]. By end-tagging an Nal, the peptide N1 showed strong antimicrobial activity by damaging bacterial cell membranes and inhibiting the bacterial energy metabolism and retained its stability [R11]. Potential approaches to boost the synthesis of next-generation AMPs to be used as antimicrobial drugs are (i) modification of the amide bond, (ii) encapsulation of the peptide in a suitable matrix, (iii) modification of the amino acid composition, and (iv) insertion of diastereomers, combined with de novo design strategies [
57]. With regards to regulation and approval, for plant-derived AMPs, regulatory bodies have been providing frameworks in recent years, which for example, has led to the approval of the therapeutic enzyme Elelyso by the FDA [
17,
78]. Hopefully in future years more plant-derived products will be made available for use [
17,
78].
The overall future use of AMPs is promising [
79,
80,
81]. Recent advancements have brought us closer to successful implementation [
6,
78,
79]. As studies continue, so too does our ability to increase bioavailability and efficacy, as well as improve the efficiency of production and lower production costs, therefore allowing for greater quantities to be produced [
82]. Over the coming decade, we are likely to see further advances in capability, more successful case studies on a trial level, greater capacity to produce and distribute, as well as widespread regulatory approval.