Abstract
Pseudomonas aeruginosa is the primary bacterial pathogen causing contact lens related keratitis. Available ophthalmic agents have reduced efficacy and antimicrobial peptides (AMPs) hold promise as future antibiotics. Here we investigated the in vitro and in vivo anti-Pseudomonal activity of esculentin-1a(1-21)NH2, derived from a frog skin AMP. The data revealed a minimum inhibitory concentration between 2 and 16 μM against reference strains or drug-resistant clinical isolates of P. aeruginosa without showing toxicity to human corneal epithelial cells up to 50 μM. At 1 μM the peptide rapidly killed bacterial cells and this activity was fully retained in 150 mM sodium chloride and 70 % (v/v) human basal tears, particularly against the virulent ATCC 19660 strain. Furthermore, its dropwise administration at 40 μM to the ocular surface in a murine model of P. aeruginosa keratitis (three times daily, for 5 days post-infection) resulted in a significant reduction of infection. The mean clinical score was 2.89 ± 0.26 compared to 3.92 ± 0.08 for the vehicle control. In addition, the corneal level of viable bacteria in the peptide treated animals was significantly lower with a difference of 4 log10 colony counts, compared to 7.7 log10 cells recovered in the control. In parallel, recruitment of inflammatory cells was reduced by half compared to that found in the untreated eyes. Similar results were obtained when esculentin-1a(1-21)NH2 was applied prior to induction of keratitis. Overall, our findings highlight esculentin-1a(1-21)NH2 as an attractive candidate for the development of novel topical pharmaceuticals against Pseudomonas keratitis.
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Abbreviations
- AMP:
-
Antimicrobial peptide
- BAC:
-
Benzalkonium chloride
- CFU:
-
Colony-forming units
- Esc-1a(1-21)NH2 :
-
Esculentin-1a(1-21)NH2
- hTCEpi:
-
Telomerase-immortalized human cornel epithelial cells
- LB:
-
Luria-Bertani
- MH:
-
Mueller–Hinton
- MIC:
-
Minimal inhibitory concentration
- MTT:
-
3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide
- MPO:
-
Myeloperoxidase
- PB:
-
Phosphate buffer
- PBS:
-
Phosphate buffered saline
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Acknowledgments
We thank Prof. Santi Maria Recupero, Head of DESMOS Department, Faculty of Medicine and Psychology, Sapienza University of Rome, for allowing access to the ambulatory centre of S. Andrea Hospital to collect tears from consenting volunteers. We thank Dr. Anna Rita Blanco, at SIFI, Catania, Italy, for providing the clinical isolates from human ocular surface infections. This work was supported by grants NIH EY13175 (AMM), NIH EY07551 (UHCO Core grant), Sapienza University of Rome (prot. C26A12NPXZ).
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Kolar, S.S.N., Luca, V., Baidouri, H. et al. Esculentin-1a(1-21)NH2: a frog skin-derived peptide for microbial keratitis. Cell. Mol. Life Sci. 72, 617–627 (2015). https://doi.org/10.1007/s00018-014-1694-0
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DOI: https://doi.org/10.1007/s00018-014-1694-0