Therapeutic antimicrobial peptides may compromise natural immunity

Antimicrobial peptides (AMPs) have been proposed as a promising new class of antimicrobials despite warnings that therapeutic use could drive the evolution of pathogens resistant to our own immunity peptides. Using experimental evolution, we demonstrate that Staphylococcus aureus rapidly evolved res...

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Veröffentlicht in:Biology letters (2005) 2012-06, Vol.8 (3), p.416-418
Hauptverfasser: Habets, Michelle G. J. L., Brockhurst, Michael A.
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container_title Biology letters (2005)
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creator Habets, Michelle G. J. L.
Brockhurst, Michael A.
description Antimicrobial peptides (AMPs) have been proposed as a promising new class of antimicrobials despite warnings that therapeutic use could drive the evolution of pathogens resistant to our own immunity peptides. Using experimental evolution, we demonstrate that Staphylococcus aureus rapidly evolved resistance to pexiganan, a drug-candidate for diabetic leg ulcer infections. Evolved resistance was costly in terms of impaired growth rate, but costs-of-resistance were completely ameliorated by compensatory adaptation. Crucially, we show that, in some populations, experimentally evolved resistance to pexiganan provided S. aureus with cross-resistance to human-neutrophil-defensin-1, a key component of the innate immune response to infection. This unintended consequence of therapeutic use could drastically undermine our innate immune system's ability to control and clear microbial infections. Our results therefore highlight grave potential risks of AMP therapies, with implications for their development.
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subjects alpha-Defensins - pharmacology
Anti-Infective Agents - pharmacology
Antibiotic Resistance
Antimicrobial Cationic Peptides - pharmacology
Antimicrobial Peptide
Biological Evolution
Compensatory Adaptation
Cost-Of-Resistance
Drug Resistance, Bacterial
Drug Resistance, Multiple
Evolutionary Biology
Experimental Evolution
Humans
Immunity, Innate
Innate Immunity
Selection, Genetic
Staphylococcal Infections - immunology
Staphylococcal Infections - microbiology
Staphylococcus aureus
Staphylococcus aureus - drug effects
Staphylococcus aureus - genetics
title Therapeutic antimicrobial peptides may compromise natural immunity
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