Rational ab initio design, redesigning and optimizing existing AMPs, de novo design, quantitative structure-activity relationship (QSAR) computational modeling, screening, and other computational techniques have all been utilized to help us design new AMPs. Nevertheless, only a few synthetic AMPs have attained clinical therapeutic benefits. Given that AMP discovery and in vitro analysis can be time-consuming and expensive, computational tools can be used to design and anticipate AMP's function through various AMP databases and different machine learning algorithms (such as ANN, SVMs, RF, discriminate analysis (DA), WEKA, and deep learning) (
37).
In the present study, a rational design approach was used to design a novel multifunctional AMP. For this purpose, CTHL-2 was selected as the template protein because previous studies confirmed that this protein exhibits promising antimicrobial properties (
30). This sequence was previously used as a template to identify peptide sequences with antimicrobial properties. Molhoek et al. showed that a short sequence derived from CTHL2 (F (2, 5, 12) W) had bactericidal activity and neutralizing effect on bacterial lipopolysaccharide. They reported that this peptide could inhibit
Staphylococcus epidermidis. In another study by Molhoek et al., head-to-tail cyclization of F(2, 5, 12)W and substitution of I- to D- amino acids caused a dramatic increase in antibacterial activity and lipopolysaccharide neutralization effect (
38,
39). Since some members of cathelicidins have the potential to heal wounds, the peptide motifs extracted from CTHL2 might also have wound-healing and anti-microbial activities.
In this study, the amino acid sequence from 131 to 140 on the CTHL2 was identified as a possible antibacterial peptide using the CAMPR4 server. Two amino acids of phenylalanine were replaced with tryptophan, and 2 amino acids of lysine were added to the sequence to improve the antimicrobial potential and reduce the hemolytic activity of the putative AMP. Bioinformatics study using freely available online servers predicted that RKWLRKIRRWRK was highly likely to have anti-bacterial, anti-biofilm, anti-fungal, and anti-viral properties.
Jiang et al. demonstrated how net charge and positively charged residues on the polar face considerably affect the antibacterial and hemolytic action of alpha-helical AMPs. They first selected V618—a peptide with antibacterial action. They declared that by lowering the net charge to (+4), the antibacterial and hemolytic actions became completely inert. In contrast, the analogs of the V618 were made more active in antibacterial activity with low-level hemolytic activity by systemically increasing the net charge from +4 to +8 (
40). This newly designed peptide has a net charge of +8, which is expected to be a reasonably positive charge and provide strong antibacterial activity. Some studies have shown a direct relationship between the charge and hemolytic properties of the peptides (
41). However, despite having 8 net positive charges, mCHTL131-140 did not show any hemolytic properties.
The mCHTL131-140 had the best performance against A. baumannii and E. faecium with the MIC of 7.8 µg.mL-1 and 62.5 µg.mL-1, respectively. In addition, the MIC against P. aeruginosa was 62.5 µg.mL-1. Since A. baumannii and P. aeruginosa are gram-negative bacteria, and E. faecium is a gram-positive bacterium, we can conclude that mCHTL131-140 would be active against both Gram-positive and Gram-negative bacteria. Nevertheless, its performance was even better on gram-negative bacteria.
A. baumannii is a gram-negative bacterial pathogen that has developed several resistant strains that have caused serious problems in treatment. It can cause a range of wound, skin, and urinary tract infections, as well as pneumonia and bacteremia. Multidrug-resistant (MDR)
Acinetobacter may be resistant to one or more of the 3 classes of antibiotics, including penicillin and cephalosporin, aminoglycoside, and fluoroquinolones. Recently, carbapenem-resistant
A. baumannii has ranked first in terms of warning for bacterial infection according to the World Health Organization's (WHO) list of 12 bacteria, indicating an urgent need to design new drugs (
42).
Previously, Jakiewicz et al. examined how 8 well-known AMPs (CAMEL, LL-37, aurein 1.2, citropin 1.1, omiganan, pexiganan, temporin A, and r-omiganan) could kill
A. baumannii, which is one of the most problematic pathogens to treat due to its proclivity to develop resistance and cause severe, difficult-to-treat illnesses. The outcomes showed that all peptides were highly active against the bacteria's planktonic forms; among them, Pexiganan and CAMEL had the highest potency. Citropin and LL-37 ranked second, with a lower level of activity (
43). The MIC of mCHTL131-140 for
A. baumannii (7.8 µg.mL
-1) is comparable with that of LL-37 (16 µg.mL
-1), one of the most famous natural cathelicidins. Furthermore, the peptide's MIC is comparable to that of another synthetic peptide (Octominin), which has an MIC of 5 µg.mL
-1 for
A. baumannii (
44).
Similar to the target model protein in the current study, Dijk et al. looked for key components in the host defense peptide cathelicidin-2 (CATH-2) from chickens. To this end, hinge proline-altered analogs of CATH-2 and shortened peptides were created and evaluated for their antibacterial, immunomodulatory, and cytotoxic properties. They discovered that peptide C1-15, which corresponds to CATH-2's N-terminal helix and the hinge region, displayed the most growth inhibition against all the examined Gram-positive and Gram-negative bacteria (
45). The mCHTL131-140 was extracted from a different part of the CATH-2 sequence compared to the peptide C1-15; however, it showed comparable antimicrobial features.
The findings revealed that mCHTL131-140 could also have anti-fungal activities against 2 of the most prevalent pathogenic fungi:
C. albicans and
A. flavus. Some studies focused on the in silico design of peptides that could show greater antifungal activities than the source sequence. For instance, the study by Ciociola et al. examined the structural and candidacidal capabilities of in silico-designed peptides (ISDPs), which were produced by changing the amino acids in the parent peptide KKVTMTCSAS. All of the ISDPs were able to treat the Candida infection model without harming mammalian cells, and they were more effective in vitro than the original peptide (
46).
Moreover, although the in silico anti-biofilm activity prediction results were promising, the results of the experimental test on
P. aeruginosa were not highly reasonable. The most effective anti-biofilm peptides available today have broad-spectrum activity against the biofilms created by the most dreaded antibiotic-resistant organisms and can eradicate biofilms at concentrations as low as 1 µg.mL
-1 (
47). Compared to the results reported, mCHTL131-140 did not have significant anti-biofilm activity (1000 μg.mL
-1 compared to 1 μg.mL
-1).
In terms of cytotoxicity to human cells, the results of hemolytic and toxicity tests against fibroblast cells showed that in the concentration range of antimicrobial activities, mCHTL131-140 did not cause lysis of red blood cells, and it also did not have a toxic effect on the growth of fibroblast cells. Consequently, it could be predicted that the designed AMP would not have toxic effects on all human cells. In fact, it was assumed that hemolysis could be employed as the primary index for the initial assessment of cellular toxicity; however, a study showed that the peptides with more hemolytic activity were less toxic against the HaCaT, HepG2, and HeLa cells. These researchers also proposed that the studied peptides would display similar toxicities against different cell types (
41).
5.1. Conclusions
In conclusion, the capability to rapidly eliminate bacterial infections and accelerate wound healing makes antimicrobial peptides an excellent candidate for treating ulcers. However, their clinical applications are limited since many natural antimicrobial peptides exhibit cytotoxic activities. On the other hand, identifying and extracting bioactive peptides from natural resources is a laborious and low-yielded process. In this study, a peptide was designed through an in silico approach, which had anti-bacterial and anti-fungal properties and was not toxic to human red blood and human dermal fibroblast cells. These promising results confirmed that using bioinformatics methods makes it possible to reduce the time and effort and overcomes the disadvantages of experimental approaches in finding the bioactive peptides. We will be examining the in vitro and in vivo performance of the peptide for wound healing in future studies. If the anti-inflammatory and regenerative capabilities of this peptide are approved by further studies, it can be clinically applied with high potential for treating chronic wounds.