Abstract
The immune system of humans can be viewed as two parallel and communicating units, i.e. innate and adaptive immunity. Innate immunity provides a readily available, sometimes inducible, and less specific defense against potentially harmful pathogens of the environment. Adaptive immunity is slower, highly specific via production of immunoglobulins, and has an immunologic memory (e.g. as seen in vaccination). The mechanisms and functions of innate immunity have caught increasing attention in recent years. An important part, executing antimicrobial activity of innate immunity, is antimicrobial polypeptides (AMPs). Midkine shares several features with AMPs, including cationicity at physiological pH, heparin-binding properties, domains containing anti-parallel β-sheets (similar to the classical AMPs β-defensins), and expression by epithelial cells. In addition, midkine recruits and activates neutrophils, and acts as a growth factor, features shared with many AMPs. Recently, midkine was shown to have strong bactericidal activity against both gram-positive and gram-negative bacteria in vitro, an activity exerted through membrane-disrupting properties. Bactericidal activity was also found in the early midkine-orthologue Miple2 of Drosophila melanogaster, indicating conserved antibacterial activity in this small family of molecules during evolution. In this review, we discuss midkine in the context of innate immunity in general and particularly as an AMP.
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Funding: The work was supported by grants from the Swedish Research Council, the Swedish Heart and Lung Foundation, the Swedish Government Funds for Clinical Research (ALF), the foundations of Bergh, Greta & Johan Kock, and Alfred Österlund.
Conflict of interest: The authors have a patent application concerning the antimicrobial activity of midkine.
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Nordin, S.L., Egesten, A. (2012). Midkine: A Player in Innate Immunity. In: Ergüven, M., Muramatsu, T., Bilir, A. (eds) Midkine: From Embryogenesis to Pathogenesis and Therapy. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-4234-5_3
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DOI: https://doi.org/10.1007/978-94-007-4234-5_3
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