Characterization of the Antimicrobial Activities of Cecropin A as a High-Potency Therapeutic against Colistin-Resistant .

The spread of colistin-resistant bacteria is a serious threat to public health. As an alternative to traditional antibiotics, antimicrobial peptides (AMPs) show promise against multidrug resistance. In this study, we investigated the activity of the insect AMP cecropin A ( cecropin) against colistin-resistant bacteria. cecropin exhibited significant antibacterial and antibiofilm activities against colistin-resistant (ColREC) with low cytotoxicity against mammalian cells in vitro. Results of permeabilization of the ColREC outer membrane as monitored through 1-N-phenylnaphthylamine uptake, scanning electron microscopy, lipopolysaccharide (LPS) neutralization, and LPS-binding interaction revealed that cecropin manifested antibacterial activity by targeting the outer membrane of with strong interaction with LPS. cecropin specifically targeted toll-like receptor 4 (TLR4) and showed anti-inflammatory activities with a significant reduction of inflammatory cytokines in macrophages stimulated with either LPS or ColREC via blockade of TLR4-mediated inflammatory signaling. Moreover, cecropin exhibited anti-septic effects in an LPS-induced endotoxemia mouse model, confirming its LPS-neutralizing activity, immunosuppressive effect, and recovery of organ damage in vivo. These findings demonstrate that cecropin exerts strong antimicrobial activities against ColREC and could serve as a foundation for the development of AMP therapeutics.