1. Introduction
The emergence of multi-drug resistant bacteria is a major threat to the healthcare system [
1]. To counteract the impact of antimicrobial resistance, alternatives to common antibiotics, such as antimicrobial peptides (AMPs), are sorely needed [
1,
2]. AMPs are short peptides of 10 to 50 amino acids with, in the majority of cases, highly positive net charges [
1]. Besides β sheet formations, loops, and extended random coils, AMPs often display amphipathic α helices as a secondary structure [
3]. They exhibit potent antimicrobial activity and are commonly found as a component of immunity in various species [
4], where they play an important role in pathogen defense. In mammals, they provide innate immunity by binding to the membranes of microbes, causing membrane disruption [
5,
6]. AMPs act by inducing membrane destabilization and pore formation, or by causing membrane lysis via the carpet model [
5,
6,
7].
AMPs are most commonly synthesized as inactive precursors that become activated via proteolytic cleavage [
8,
9]. An example of these are peptides derived from C-type lectin domain family 3 member A (CLEC3A) [
10], a cartilage-specific member of the C-type lectin superfamily [
8]. Besides its carbohydrate recognition domain (CRD) encoded by exon 3, CLEC3A contains an α-helical oligomerization domain encoded by exon 2 as well as a 16 amino acid-long region with 8 positively charged amino acid residues and a signal peptide at the N-terminus encoded by exon 1 [
10]. CLEC3A shows great similarity to AMP precursors and, in prior works, the CLEC3A-derived peptide HT-16, which includes the positively charged N-terminus, and HT-47, which additionally includes the α-helical oligomerization domain, have shown considerable antimicrobial activity against gram-positive and gram-negative bacteria [
11]. The assessed antimicrobial activity of the peptides is comparable to the human cathelicidin LL-37, one of the best-studied AMPs [
11]. However, in contrast to LL-37, HT-16 and HT-47 show no toxic effects to primary human cartilage cells after a two-hour incubation [
11]. Moreover, coating the commonly used prosthetic material titanium with HT-16 and HT-47, respectively, significantly reduced the number of bacteria adhering to titanium [
11].
In recent years, intensive research has been conducted on antimicrobial peptides and their therapeutic use. In addition to antimicrobial efficacy, cytotoxicity on eukaryotic cells plays a decisive role in their therapeutic application. LL-37, for example, plays a major role in the innate immune defense of bacterial infections. However, the cytotoxic properties of LL-37 on eukaryotic cells limit the use of this peptide for therapeutic applications. Another common disadvantage of natural AMPs is their low biostability as they are severely susceptible to proteases [
12,
13]. Sequence modifications can positively influence the therapeutic characteristics of antimicrobial peptides by enhancing their antimicrobial activity and biostability as well as reducing their cytotoxicity.
With the aim to identify novel AMPs with improved therapeutic properties, here we apply different sequence modifications of the CLEC3A-derived AMPs HT 16 and HT 47 to enhance their antimicrobial activity against P. aeruginosa, S. aureus, and in particular, against methicillin-resistant S. aureus (MRSA). Furthermore, we investigate the cytotoxicity and biostability of the modified CLEC3A-derived peptides as these are important aspects of in vivo applications.
3. Discussion
The number of newly approved antibiotics has decreased significantly in the last few decades and scientists are warning of a “post-antibiotic age”. AMPs are promising candidates for the treatment of bacterial infections [
20] and several antimicrobial peptides such as LL-37, nisin, or melittin are currently being investigated in clinical trials [
21]. In addition to their antimicrobial activity, their biostability and cytotoxicity for eukaryotic cells play an important role in potential therapeutic applications. Furthermore, the length of the peptides plays a crucial role in production costs and thus profitability. In this study, we modified the CLEC3A-derived AMPs HT 16 and HT 47 and assessed their therapeutic characteristics.
AMPs have core sequences that are critical for their antimicrobial activity. A crucial characteristic of AMPs is their positive net charge and a high number of consecutive lysins and arginines [
22]. We have therefore truncated HT-16 by the first 7 amino acids, which include only one lysine and one arginine. The truncation of the first 7 amino acid residues of HT-16 resulted in the formation of peptides with reduced antimicrobial activity, indicating a loss of amino acids important for antimicrobial activity. By CD analysis, we could show that HT-16, RK-9, and WRK-9 are entirely unstructured and do not form an α helix. Thus, their mechanism of action cannot rely on amphipathic α helices, but possibly on a carpet model, by which the peptides accumulate at the membrane surface and disrupt the lipid layers, instead of permeabilizing it [
22]. The net charge of HT-16 is +8, while the net charge of RK-9 and WRK-9 is +6. We may therefore have excluded important positively charged amino acids that are necessary for the interaction with the bacterial cell membrane. However, it is likely that uncharged amino acids also contribute to an interaction with the bacterial membrane, for example as spacers, in order to organize the positively charged amino acid residues in the optimal position to bind the negatively charged lipids of the bacterial wall.
Another important structural feature of AMPs is the formation of an α-helix. In the case of HT-47, exon 2 codes for the α-helical sequence consisting of 31 amino acids. Analysis of exon 2 with a prediction tool revealed a core sequence of 18 amino acid residues critical for the formation of an α-helix. Therefore, we truncated the α-helical part of HT-47 down to the core sequence of the 18 amino acid residues. CD analyses showed that HT-47 forms an α-helix in phosphate buffer and TFE buffer. In contrast, WRK-30 with a truncated α-helix is unstructured in phosphate buffer but possesses an α-helical structure in a more hydrophobic environment. Since WRK-30 exhibits enhanced antimicrobial activity compared to HT-47, we conclude that the formation of an α-helix in a hydrophobic environment is more important for antimicrobial activity than a permanent α-helix and that the α-helix of WRK-30 forms after binding to the bacterial wall.
The molecular mechanism of action of the native CLEC3A-derived peptide HT-47 includes binding of the bacterial membrane through the positively charged region of the peptide and an insertion of the amphipathic α-helix into the bacterial membrane, leading to cell lysis via pore formation [
11]. For the α-helix to be inserted into the membrane, there needs to be enough flexibility between it and the positively charged domain. To improve the flexibility between the positively charged N-terminal domain and the α-helical C-terminal part, we introduced a triple-glycine linker instead of the native linker with the amino acid sequence DKDGD. Although a double-glycine linker would have had a similar beneficial effect as a triple glycine linker, the addition of more glycine residues would probably have the effect of a hyperflexible linker that does not allow targeted insertion of the α helix into the membrane. Truncation of the α-helix combined with the native DKDGD-linker probably led to peptide stiffness and therefore decreased antimicrobial activity of the modified peptides RK-31 and WRK-31. The insertion of a triple-glycine linker seems to solve the issue of steric tension as the modified peptides RK-30 and WRK-30 showed enhanced antimicrobial activity. Moreover, the native linker, which consists of the amino acid sequence DKDGD, has three negatively charged amino acid residues (D), in contrast to the triple-glycine linker. It is therefore conceivable that the three negatively charged amino acid residues of the DKDGD-linker lead to the electrostatic repulsion of negatively charged molecules on the bacterial membrane. The addition of a triple-glycine linker to the peptides, therefore, is likely to lead to an enhanced and more stable membrane binding.
Tryptophan, a highly hydrophobic amino acid, plays an important role in strengthening the binding and perturbation of AMPs to the bacterial membrane [
5,
23,
24]. Although the C-terminal part of our peptides, namely the α-helix, is in charge of membrane insertion, a C-terminal placement of tryptophan in AMPs with amphipathic α-helices has been reported to not influence the antimicrobial activity [
25]. On the other hand, the addition of an N-terminal tryptophan residue to cationic AMPs enhances their antimicrobial activity [
16]. The indole ring found in tryptophan has the ability to interact with the headgroups of phospholipids of membranes. Additionally, due to the quadrupole of the indole ring, tryptophan residues tend to favor the interfacial region of lipid bilayers. This allows for interactions between the π–electron system of tryptophan and neighboring cations such as arginine, resulting in a cation–π interaction. This interaction leads to arginine being more firmly anchored within the lipid bilayer, resulting in a prolonged association with the membrane [
16,
26]. The addition of a tryptophan residue to CLEC3A AMPs indeed resulted in an enhanced antimicrobial activity with a reduction of MIC50 values of at least 30%.
The modified peptide WRK-30 showed enhanced antimicrobial activity but decreased biostability compared to the native HT-47 in murine serum. Since proteolytic enzymes usually catalyze stereospecific reactions, the use of D-amino acids may improve biostability [
27]. Therefore, we substituted all amino acids of WRK-30 with D-amino acids (dWRK-30). Indeed, dWRK-30 was more stable than the L-amino acid version WRK-30. However, this led to a significant increase in cytotoxicity of dWRK-30 compared to WRK-30. The longer biostability is possibly associated with increased cytotoxicity, as cells are exposed to the cytotoxic effect of the peptide for a longer time. Therefore, it is important to always assess the therapeutic properties of AMPs, such as antimicrobial activity, biostability, and cytotoxicity as a whole, rather than separately. The possibility of using dWRK-30 in in vivo applications at a lower concentration but for longer periods due to its longer biostability does not seem reasonable, as lower concentrations do not exhibit sufficient antimicrobial activity.
For potential in vivo applications, we investigated the cytotoxicity of the peptides toward eukaryotic cells. All of the modified CLEC3A-derived peptides showed less cytotoxicity towards murine fibroblasts compared to the native CLEC3A-derived peptides. Even in high concentrations up to 80 µM, WRK-30 was not cytotoxic, in contrast to the native HT-47. The positively charged HT-16 does not show any signs of cytotoxicity. Our results indicate that the interaction of amphipathic α-helices with membranes is the cause of the cytotoxic tendency of HT-47. Furthermore, in light of our CD spectroscopy results, the less stable amphipathic α-helix of WRK-30 compared to that of HT-47 could be the reason for the decrease in cytotoxicity of WRK-30. A more stable amphipathic α-helix might incorporate itself better into the membrane of eukaryotic cells. Additionally, a pre-formed α-helix in a hydrophilic solution, as in the case of HT-47, might facilitate an even faster transition to a fully formed α-helix in the more hydrophobic environment of a eukaryotic cell membrane.
Modifications to HT-47 resulted in WRK-30 with enhanced antimicrobial activity and decreased cytotoxicity. However, this led to a decreased biostability of WRK-30 in murine serum compared to HT-47. Low biostability and increased degradation levels are common challenges in the in vivo use of antimicrobial peptides. Still, it is important to note that antibiotics commonly used in clinical settings only have a serum half-life of 1–2 h [
28]. To overcome these challenges, additional adjustments to WRK-30, such as creating derivatives with non-natural side chains, incorporating β-amino acids, or modifying the N- and C-termini, could improve the peptide’s stability in serum [
29,
30,
31]. Furthermore, it should be noted that AMPs are well-suited for local applications, where different biostabilities may be observed as compared to serum.
In conclusion, shortening the α-helix of CLEC3A-derived HT-47, introducing a triple-glycine linker between the N-terminal domain and the C-terminal α-helix, and adding an N-terminal tryptophan residue to the peptide sequence resulted in the formation of the novel AMP WRK-30 with improved therapeutic properties. WRK-30 shows significantly improved antimicrobial activity, in particular against methicillin-resistant S. aureus, as well as reduced cytotoxicity, making it a suitable candidate for future in vivo experiments.
4. Materials and Methods
4.1. Bacterial Strains
Pseudomonas aeruginosa (Psae-27853), Staphylococcus aureus (ATCC-29213), and methicillin-resistant Staphylococcus aureus (MRSA-43300) were used. Bacteria were cultivated in tryptic soy broth (TSB) (Merck, Darmstadt, Germany) at 37 °C and 225rpm or on TSB–agarose plates at 37 °C.
4.2. Peptide Design/Modification
The amino acid sequence of CLEC3A-derived peptides was modified in line with their secondary structure using Network Protein Sequence Analysis tool from prabi [
14] and Helical Wheel Projections from NetWheels “
http://lbqp.unb.br/NetWheels (accessed on 1 April 2021)”. First, CLEC3A-derived peptides were truncated. Second, a small, flexible glycine-linker was introduced, instead of the endogenous linker, to modified peptides of the CLEC3A-derived HT-47. Third, a tryptophan residue was added to the N-terminus. Lastly, D-amino acids were introduced to the modified peptide WRK-30.
4.3. Peptide Synthesis
Peptides were synthesized on Fmoc-Wang resin beads to receive peptides with a free C-terminus. The first amino acid was already coupled to the resin with a loading of 0.4–0.8 mmol/g. Further, amino acids were coupled using an automated peptide synthesizer (MultiSynTech I, Biotage) by double coupling steps with 8 equivalents (eq.) Fmoc-aa-OH, Oxyma pure
®, and N,N′-diisopropylcarbodiimide (DIC). Aspartic acid and glycine (DG)-motives were coupled manually as a Fmoc-Asp(OtBu)-(Dmb)Gly-OH dipeptide using hexafluorophosphate azabenzotriazole tetramethyl uronium (HATU) (2 eq.) and N,N-diisopropylethylamine (DIPEA) (2 eq.) in N,N-dimethylformamide (DMF). Then, peptide synthesis was finalized using the automated peptide synthesizer. Peptides HT-16, RK-9, and WRK-9 were removed from the resin using trifluoroacetic acid (TFA)/triisopropylsilane (TIS)/H
2O (95:2.5:2.5
v/
v/
v) for 3 h, followed by precipitation in ice-cold diethyl ether. The other peptides were removed from the resin using TFA/ethanedithiol/thioanisole (90:3:7) and then precipitated in ice-cold diethyl ether. The peptides were purified by reversed-phase high-performance liquid chromatography (RP–HPLC) with a C18 column using acetonitrile in water (0.1% TFA), and fractions were analyzed by analytical liquid chromatography–mass spectrometry (LC–MS). The final purity of all peptides was 99%, except for that of HT-47, with 91% (
Supplementary Figures S1 and S2).
Peptides LL-37, ST-16 (Ctrl 1), HT-47, and dWRK-30 were custom ordered from Genosphere (Paris, France) with a purity of >95%. Peptide DK-29 (Ctrl 2) was custom-ordered from Biomatik (Wilmington, NC, USA) with a purity of >95%.
4.4. Antimicrobial Activity Assay
Bacteria were grown to an OD
620 of 0.5, harvested by centrifugation, and washed with tris-glucose buffer (TG buffer: 10 mM tris, 5 mM glucose; pH = 7.4) (
P. aeruginosa and
S. aureus) or phosphate–glucose buffer (PG buffer: 10 mM K
2HPO
4, 5 mM glucose; pH = 7.4) (
MRSA). Bacteria were adjusted to 2
× 10
6 colony forming units (CFU)/mL and were incubated in 1:2 dilutions for 2 h at 37 °C with CLEC3A-derived and modified CLEC3A-derived peptides in TG buffer or PG buffer. The known AMP LL-37 was used as a positive control, while the CLEC3A-derived peptides ST-16 (Ctrl 1) and DK-29 (Ctrl 2) and untreated bacteria were used as negative controls. The bacteria were then plated onto TSB–agarose plates in previously determined dilutions and cultured overnight at 37 °C. The number of grown colonies was determined with the ImageJ cell counter plugin and is presented as a percentage of the number of grown colonies from the untreated control. The minimal inhibitory concentration (MIC50) was defined as the concentration of antimicrobial peptide where only 50% of bacteria survived. Used peptide concentrations are provided in
Supplementary Table S1.
4.5. Interaction of WRK-30 with Giant Unilamellar Vesicles
Giant unilamellar vesicles (GUVs) were produced by coating a clean microscope slide with 200 µL of 1% super low melting agarose and drying the slide for 30 min at 50 °C. 10 mL of a lipid mixture containing 30 mol% DOPG, 40 mol% DOPC, 30 mol% DOPE (Avanti Polar Lipids, Inc. Alabaster, AL, USA), and 0.2 mol% Atto550 labeled DOPE (Atto Tec, Siegen, Germany) in chloroform was added onto the thin agarose layer and dried for 1 h using an exicator under vacuum. A sealing ring was placed around the lipid film and the lipids were hydrated for 2 h at room temperature with 300 µL dextran buffer (10 mM HEPES buffer (pH 7.4), 50 mM KCl, 50 mM NaCl and 1 mg/mL Dextran) containing 3 µL Oyster405 (Luminaris GmbH, Münster, Germany). Afterward, the hydrated lipid solution was transferred into 1.5 mL tubes and centrifuged for 10 min at maximum speed. The supernatant was discarded and the pellet was resuspended in 300 µL dextran buffer. For fluorescence microscopy, 40 µL of GUV solution mixed with 0 µM, 1 µM, 5 µM, and 10 µM 5,6-carboxyfluorescein (CF)-labeled WRK-30 filled up to 100 µL with dextran buffer were added to an eight well Ibidi® plate. After a 30 min incubation with the peptide at room temperature 100 µL of dextran buffer was added to each well and pictures of the GUVs were taken using a BZ-X800E microscope (Keyence, Osaka, Japan). Pictures were processed with ImageJ to subtract the background.
4.6. Cytotoxicity Assay
NIH3T3 cells (murine fibroblasts), obtained from Prof. Dr. Wielckens, were seeded and precultured overnight. For 24 h incubation with peptides, a density of 1
× 10
4 cells/well and for 96 h incubation with peptides a density of 5
× 10
3 cells/well was used. After preculturing, the culture medium was replaced and cells were incubated with a peptide-containing medium for 24 h and 96 h. Afterward, the peptide-containing medium was removed and cells were washed with PBS before adding CellTiter 96
® AQueous One Solution (Promega, Madison, WI, USA) containing 3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium (MTS) to the culture medium. Cells incubated with peptides for 24 h were incubated with MTS medium for 1 h at 37 °C, and absorbance was measured at 490 nm. Cells incubated with peptides for 96 h were incubated with MTS medium for 2 h at 37 °C before measuring the absorbance. Samples were measured in triplicates, and the cell viability of three individual experiments is presented as a percentage of the measured OD from the untreated control. As further controls, vancomycin (final concentration 7.35 µg/mL), colistin (final concentration 147 µg/mL), and 1% TritonX in culture medium were used. Used peptide concentrations are provided in
Supplementary Table S2.
4.7. Circular Dichroism Spectroscopy
Peptides were diluted in 10 mM phosphate buffer (PB) (pH 7.4) or PB (pH 7) containing 50% trifluoroethanol (50% TFE in PB) to a final concentration of 20 µM and 100 µM. Samples were measured in a 1 mm thick quartz cuvette and spectra were recorded from 180 to 260 nm. The molar ellipticity was calculated from θ
measured in degree using the following equation:
R-values were calculated using the equation R = θ222 nm/θ207 nm to determine the quality of a formed α-helix. An R-value of 1 represents a perfect α-helix.
The fractional helicity (FH) of the peptides was calculated via the mean residue ellipticity at 222 nm using the equation FH = (θ
222 nm − θ
u)/(θ
h − θ
u), wherein θ
u = −3000 represents the value of θ at 222 nm if the measured peptide is 0% helical and θ
h = −39,500 represents the value of θ at 222 nm if the measured peptide is 100% helical [
32].
4.8. Biostability Assay
The peptides (HT-47, WRK-30, and dWRK-30) were mixed with pooled murine serum, obtained from C57BL6/N wildtype mice via cardiac puncture immediately after death by cervical dislocation (the procedure was approved by the local government authority LANUV under permit no. UniKöln_Anzeige§4.22.001), to a final concentration of 30 µM. In parallel, a control with water and pooled murine serum was prepared. Both mixtures were incubated at room temperature, and samples were taken at the time points indicated in
Supplementary Table S3. The samples were immediately added to a Novex Tricine SDS Sample Buffer containing a NuPage Sample Reducing Agent and incubated at 85 °C for 2 min. Boiled samples were stored at 4 °C. After the collection of all time points, samples were separated into 10–20% Tricine Gels. Gels with HT-47 and WRK-30 were subsequently transferred onto PVDF membranes (0.2 µm pore size) and immunoblot analysis with 1:200 dilutions of a custom-ordered and affinity-purified rabbit anti-WRK-30 (Eurogentec, Seraing, Belgium) antibody was performed. Gels with dWRK-30 were stained with Coomassie brilliant blue.
4.9. Statistical Analysis
Statistical analysis of results was performed with Prism 9.3.1 (471) (GraphPad, San Diego, CA, USA). All tables and graphs show calculated averages and standard deviations obtained from three individual experiments. Bar charts of the MIC50 include numerical values with confidence intervals (95%) as the legend. Statistical significance was determined with a paired ANOVA test followed by a Dunnett test and multiple comparisons, comparing each peptide with the respective parent peptide HT-16, HT-47, or WRK-30 as indicated in the figure captions.