This special Issue on “Host Defence Peptides in medicinal chemistry: identification, engineering,
characterization and beyond” has been edited with the purpose of providing current achievements and
future perspectives in the exciting field of peptide-based medicinal chemistry. In particular, attention is
focused on naturally occurring Host Defence Peptides (HDPs), a suggestive source of peptide-based
therapeutic agents.
Issue gives an overview of recent advances in the research area of antimicrobial peptides (AMPs),
more properly named host defence peptides (HDPs) to better reflect their roles as immunomodulatory
mediators and, under some circumstances, antimicrobial agents, actually considered as promising candidates
for the development of new anti-infective agents. The World Health Organization (WHO) has
recently raised serious concerns about the increasing worldwide spread of microbes resistant to the
available antibiotics/antimycotics and the shortage of new and effective drugs in the pharmaceutical industry [1]. Indeed, while
multidrug-resistant bacteria have rapidly spread in the past several decades, the discovery of novel classes of antibiotics has
slowed down since 1987 due to reduced economic incentives and challenging regulatory requirements [2,3]. This makes antibiotic
resistance one of the biggest threats to global health, food security, and development today. In this scenario, HDPs, a ubiquitous
part of the innate immune defence in all classes of life, have been widely studied and show great potentialities as small
molecule antibiotics effective even on bacterial biofilms [4-7]. Indeed, in contrast with traditional antibiotics which generally
target intracellular enzymes whose mutations can mediate the development of resistance phenotype, most HDPs are endowed
with multiple activities [8]. Since bacterial membrane is their main target, acquisition of resistance to HDPs would require a
deep reorganization of membrane lipids composition, with a consequent significant harm to the same bacteria [9]. This feature
associated to HDPs selectivity for bacterial/fungal cells and to their wide range of activities (e.g. chemotactic, wound healing,
angiogenic, anti-endotoxin activities) make them very attractive templates for the generation of new antimicrobials with expanding
properties [8,9]. More than 3,000 HDPs have been reported and characterized so far [10], and six of them have been
approved by the U.S. Food and Drug Administration (FDA), i.e. gramicidin D (Neosporin® manufactured by Monarch Pharmaceuticals,
Inc., Bristol, TN, USA), daptomycin (Cubicin® manufactured by Merck & Co., Inc., Kenilworth, NJ, USA), vancomycin
(Vancocin®HCl manufactured by ANI Pharmaceuticals, Inc., Baudette, MN, USA), oritavancin (Orbactiv® manufactured
by Melinta Therapeutics, Inc., New Haven, CT, USA), dalbavancin (DalvanceTM manufactured by Allergan Sales, LLC, Irvine,
CA, USA), telavancin (Vibativ® manufactured by Theravance Biopharma, Inc., San Francisco, CA, USA) [11]. Indeed, despite
the great therapeutic potentialities of HDPs, their use as drugs has been limited so far by several factors, such as: (i) high production
costs, (ii) low stability and bioavailability in vivo, (iii) the potential to induce an immunogenic response, (iv) toxic effects,
and (v) binding to serum proteins with consequent peptide inactivation. However, several experimental strategies have
been adopted to overcome the disadvantages related to the development of peptide molecules as new therapeutics, and HDPs
continue to attract the interest of biopharma companies due to their unique ability to act in synergism with conventional antibiotics,
their relatively small size, the capability to neutralize endotoxins, their low minimum inhibitory concentration (MIC) values,
their effectiveness against bacterial biofilms, their antiviral properties, and their anticancer activity against multidrug resistant
(MDR) cancer cells.
The goal of the present Issue is to provide a comprehensive overview of the pharmacological potentialities of HDPs, with a
special focus on naturally occurring HDPs. It has been reported that several eukaryotic proteins, with functions not necessarily
related to host defence, act as a source of cryptic antimicrobial peptides endowed with several biological activities of potential
pharmacological interest [12-15]. Based on this observation, human proteome could be fascinatingly seen as a yet unexplored
source of bioactive molecules with great therapeutic potential. To cite Albert Einstein: “Imagination is more important than
knowledge. Knowledge is limited. Imagination encircles the world”. Indeed, recently discovered “cryptides”, derived from
many well-studied proteins, have been found to be involved in the regulation of a wide range of cellular processes including
neuronal signalling, inflammatory response, adaptive immune response, differentiation, cell proliferation, wound healing and
angiogenesis [8,9].
In the present Issue, the review by Li and co-workers focuses on the ability of HDPs to act in synergism with conventional
antibiotics. It is emphasized how synergistic effects open the way to the development of successful combinatorial therapeutic
approaches, in which effective doses of conventional antibiotics are significantly lowered, with the possibility to manage the
serious global health threat of antimicrobial resistance. Being HDPs able to work as adjuvants at non-toxic concentrations also
in animal models, they are presented as ideal safe agents to develop novel effective combinatorial therapies.
The review by Casciaro and co-workers also focuses on the ability of HDPs to synergize with different antibiotic classes or
different natural compounds. In particular, authors focus on the effects that HDPs cause at concentrations below the minimum
growth inhibitory concentration (MIC) value and on the underlying molecular mechanisms. The effects that sub-MIC levels of HDPs can have on bacterial pathogenicity are clearly summarized by showing how signalling pathways can be valid therapeutic
targets to threat infectious diseases, thus supporting the high potentiality of HDPs as lead compounds for the development of
new drugs with antibacterial and immunomodulatory activities.
In an attempt to highlight the great potentiality of human proteome as a yet unexplored source of bioactive host defence
peptides (HDPs) endowed with multiple activities of pharmacological interest, reviews by de Oliveira Costa and Franco, Bosso
and co-workers, Gaglione and co-workers, and by Boutin and Dalpke are focused on “cryptic” HDPs. In particular, review by
Oliveira Costa and Franco is focused on the development of optimized sequences based on natural cryptic HDPs by also presenting
clinical-phase studies of cryptic HDPs (natural or optimized), thus pointing out the great potentiality of these molecules
to be applied in medicinal chemistry. Bosso and co-workers focus on enzymes as a precious source of novel cryptic HDPs, thus
consolidating the fascinating hypothesis that proteins have a second or even multiple biological missions in the form of one or
more bioactive peptides. In particular, the review by Bosso and co-workers focuses on a panel of HDPs, identified in all canonical
classes of enzymes, and provides a detailed description of hydrolases and their corresponding HDPs, showing that this
structurally sophisticated class of enzymes is characterized by a high content in cationic and amphipathic cryptic bioactive peptides.
Review by Gaglione and co-workers also focuses on cryptic HDPs released, in specific circumstances, by several eukaryotic
proteins with defined physiological roles upon protein cleavage by host and/or bacterial proteases. In particular, authors
focus on promising bioactive peptides identified into human apolipoproteins E, B, and A-I sequences. Several human apolipoproteins
derived peptides are described and reported to be endowed with antibacterial, anti-biofilm, antiviral, antiinflammatory,
anti-atherogenic, antioxidant, or anticancer activities in in vitro assays and, in some cases, also in in vivo experiments
on animal models, thus opening interesting perspectives to the applicability of Apo-derived HDPs in biomedical
field. Review by Boutin and Dalpke focuses on the ability of eukaryotes or microorganisms to produce antimicrobial compounds
playing key functional roles. Since most of producing organisms are uncultivable by using classical methods, the use of
extended culture or DNA based methods (metagenomics) to discover novel compounds is clearly described. An overview of the
environmental sources to discover new natural compounds from microbiome is presented together with the description of culture-
based and culture independent (metagenomic) approaches developed to identify novel antimicrobials.
Finally, in an attempt to explore practical applications of HDPs, the review from Kurbasic and co-workers reports on the
applicability of self-assembling HDPs in the design and production of supramolecular antimicrobial hydrogels based on peptides.
These soft materials are described as promising agents to threat infections, also considering that stimuli-responsive systems
could be assembled/disassembled ad hoc with the consequent opportunity to switch on/off their bioactivity as needed.
Developments in this emerging area are extensively described, thus highlighting the great potentiality of the next generation of
supramolecular antimicrobial peptides as innovative therapeutic materials.
I really hope that this special Issue will increase the interest in host defence peptides by providing a fascinating picture of
the huge potentialities of synthetic and naturally occurring HDPs as novel promising therapeutics. Indeed, reported evidence
clearly indicate that the future of HDPs is still bright and that they represent a precious starting point to develop a new generation
of drugs and therapeutic approaches in the near future.
I’m greatly thankful to all the authors and the reviewers and express my sincere appreciation for their valuable contributions
to this Issue. I’m also very grateful to the Associate Editor Dr. Ambreen Irshad Sheikh and to the Assistant Manager Mr. Yasir
M. Maqsood for giving me the opportunity to organize and edit such an interesting Issue and for their continuous support and
assistance throughout the production process in a peculiar time of my life characterized by the birth, in the last November, of
my second daughter Beatrice.