Curbing gastrointestinal infections by defensin fragment modifications without harming commensal microbiota

Commun Biol. 2021 Jan 8;4(1):47. doi: 10.1038/s42003-020-01582-0.

Abstract

The occurrence and spread of multidrug-resistant pathogens, especially bacteria from the ESKAPE panel, increases the risk to succumb to untreatable infections. We developed a novel antimicrobial peptide, Pam-3, with antibacterial and antibiofilm properties to counter this threat. The peptide is based on an eight-amino acid carboxyl-terminal fragment of human β-defensin 1. Pam-3 exhibited prominent antimicrobial activity against multidrug-resistant ESKAPE pathogens and additionally eradicated already established biofilms in vitro, primarily by disrupting membrane integrity of its target cell. Importantly, prolonged exposure did not result in drug-resistance to Pam-3. In mouse models, Pam-3 selectively reduced acute intestinal Salmonella and established Citrobacter infections, without compromising the core microbiota, hence displaying an added benefit to traditional broad-spectrum antibiotics. In conclusion, our data support the development of defensin-derived antimicrobial agents as a novel approach to fight multidrug-resistant bacteria, where Pam-3 appears as a particularly promising microbiota-preserving candidate.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biofilms / drug effects
  • Disease Models, Animal
  • Drug Resistance, Multiple, Bacterial
  • Enterobacteriaceae Infections / drug therapy*
  • Female
  • Gastrointestinal Diseases / drug therapy*
  • Gastrointestinal Microbiome / drug effects*
  • Male
  • Mice
  • Mice, Inbred C57BL
  • Microbial Sensitivity Tests
  • Salmonella Infections, Animal / drug therapy*