Human antimicrobial peptide, LL-37, induces non-inheritable reduced susceptibility to vancomycin in Staphylococcus aureus

Abstract Antimicrobial peptides (AMPs) are central components of the innate immune system providing protection against pathogens. Yet, serum and tissue concentrations vary between individuals and with disease conditions. We demonstrate that the human AMP LL-37 lowers the susceptibility to vancomycin...

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Autores principales: Cathrine Friberg, Jakob Krause Haaber, Martin Vestergaard, Anaëlle Fait, Veronique Perrot, Bruce R. Levin, Hanne Ingmer
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Publicado: Nature Portfolio 2020
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Acceso en línea:https://doaj.org/article/ba630a69cf7542e0b6becc235507cbc4
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spelling oai:doaj.org-article:ba630a69cf7542e0b6becc235507cbc42021-12-02T16:34:04ZHuman antimicrobial peptide, LL-37, induces non-inheritable reduced susceptibility to vancomycin in Staphylococcus aureus10.1038/s41598-020-69962-42045-2322https://doaj.org/article/ba630a69cf7542e0b6becc235507cbc42020-08-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-69962-4https://doaj.org/toc/2045-2322Abstract Antimicrobial peptides (AMPs) are central components of the innate immune system providing protection against pathogens. Yet, serum and tissue concentrations vary between individuals and with disease conditions. We demonstrate that the human AMP LL-37 lowers the susceptibility to vancomycin in the community-associated methicillin-resistant S. aureus (CA-MRSA) strain FPR3757 (USA300). Vancomycin is used to treat serious MRSA infections, but treatment failures occur despite MRSA strains being tested susceptible according to standard susceptibility methods. Exposure to physiologically relevant concentrations of LL-37 increased the minimum inhibitory concentration (MIC) of S. aureus towards vancomycin by 75%, and resulted in shortened lag-phase and increased colony formation at sub-inhibitory concentrations of vancomycin. Computer simulations using a mathematical antibiotic treatment model indicated that a small increase in MIC might decrease the efficacy of vancomycin in clearing a S. aureus infection. This prediction was supported in a Galleria mellonella infection model, where exposure of S. aureus to LL-37 abolished the antimicrobial effect of vancomycin. Thus, physiological relevant concentrations of LL-37 reduce susceptibility to vancomycin, indicating that tissue and host specific variations in LL-37 concentrations may influence vancomycin susceptibility in vivo.Cathrine FribergJakob Krause HaaberMartin VestergaardAnaëlle FaitVeronique PerrotBruce R. LevinHanne IngmerNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-8 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Cathrine Friberg
Jakob Krause Haaber
Martin Vestergaard
Anaëlle Fait
Veronique Perrot
Bruce R. Levin
Hanne Ingmer
Human antimicrobial peptide, LL-37, induces non-inheritable reduced susceptibility to vancomycin in Staphylococcus aureus
description Abstract Antimicrobial peptides (AMPs) are central components of the innate immune system providing protection against pathogens. Yet, serum and tissue concentrations vary between individuals and with disease conditions. We demonstrate that the human AMP LL-37 lowers the susceptibility to vancomycin in the community-associated methicillin-resistant S. aureus (CA-MRSA) strain FPR3757 (USA300). Vancomycin is used to treat serious MRSA infections, but treatment failures occur despite MRSA strains being tested susceptible according to standard susceptibility methods. Exposure to physiologically relevant concentrations of LL-37 increased the minimum inhibitory concentration (MIC) of S. aureus towards vancomycin by 75%, and resulted in shortened lag-phase and increased colony formation at sub-inhibitory concentrations of vancomycin. Computer simulations using a mathematical antibiotic treatment model indicated that a small increase in MIC might decrease the efficacy of vancomycin in clearing a S. aureus infection. This prediction was supported in a Galleria mellonella infection model, where exposure of S. aureus to LL-37 abolished the antimicrobial effect of vancomycin. Thus, physiological relevant concentrations of LL-37 reduce susceptibility to vancomycin, indicating that tissue and host specific variations in LL-37 concentrations may influence vancomycin susceptibility in vivo.
format article
author Cathrine Friberg
Jakob Krause Haaber
Martin Vestergaard
Anaëlle Fait
Veronique Perrot
Bruce R. Levin
Hanne Ingmer
author_facet Cathrine Friberg
Jakob Krause Haaber
Martin Vestergaard
Anaëlle Fait
Veronique Perrot
Bruce R. Levin
Hanne Ingmer
author_sort Cathrine Friberg
title Human antimicrobial peptide, LL-37, induces non-inheritable reduced susceptibility to vancomycin in Staphylococcus aureus
title_short Human antimicrobial peptide, LL-37, induces non-inheritable reduced susceptibility to vancomycin in Staphylococcus aureus
title_full Human antimicrobial peptide, LL-37, induces non-inheritable reduced susceptibility to vancomycin in Staphylococcus aureus
title_fullStr Human antimicrobial peptide, LL-37, induces non-inheritable reduced susceptibility to vancomycin in Staphylococcus aureus
title_full_unstemmed Human antimicrobial peptide, LL-37, induces non-inheritable reduced susceptibility to vancomycin in Staphylococcus aureus
title_sort human antimicrobial peptide, ll-37, induces non-inheritable reduced susceptibility to vancomycin in staphylococcus aureus
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/ba630a69cf7542e0b6becc235507cbc4
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