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World Journal of Emergency Medicine ›› 2024, Vol. 15 ›› Issue (1): 28-34.doi: 10.5847/wjem.j.1920-8642.2024.014

• Original Article • Previous Articles     Next Articles

Protective effect and mechanism of nanoantimicrobial peptide ND-C14 against Streptococcus pneumoniae infection

Yangyang Guo1, Yaqi Sun2, Hongxia Wu3, Jian Lu4, Yuan Lin5, Jiaqing Zhu1, Meihong Lai1, Meiqi Zhang1, Jun Wang5(), Jungang Zheng5,6,7()   

  1. 1Department of Intensive Care Medicine, Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou 310021, China
    2National Children’s Regional Medical Center, National Clinical Research Center for Child Health, Children’s Hospital, Zhejiang University School of Medicine, Hangzhou 310052, China
    3Department of Spleen and Stomach Diseases, Hangzhou Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou 310021, China
    4Department of Ultrasonic Medicine, the First Affiliated Hospital of Ningbo University, Ningbo 315010, China
    5Department of Anesthesiology, the First Affiliated Hospital of Ningbo University, Ningbo 315010, China
    6Zhejiang University School of Medicine, Hangzhou 310058, China
    7The First People’s Hospital of Yuexi County, Yuexi 616650, China
  • Received:2023-07-18 Accepted:2023-11-26 Online:2023-12-31 Published:2024-01-01
  • Contact: Jun Wang,Jungang Zheng E-mail:0430wangjun0430@163.com;b2018064@zju.edu.cn

Abstract:

BACKGROUND: Streptococcus pneumoniae (S. pneumoniae) is a common pathogen that causes bacterial pneumonia. However, with increasing bacterial resistance, there is an urgent need to develop new drugs to treat S. pneumoniae infections. Nanodefensin with a 14-carbon saturated fatty acid (ND-C14) is a novel nanoantimicrobial peptide designed by modifying myristic acid at the C-terminus of human α-defensin 5 (HD5) via an amide bond. However, it is unclear whether ND-C14 is effective against lung infections caused by S. pneumoniae.
METHODS: In vitro, three groups were established, including the control group, and the HD5 and ND-C14 treatment groups. A virtual colony-count assay was used to evaluate the antibacterial activity of HD5 and ND-C14 against S. pneumoniae. The morphological changes of S. pneumoniae treated with HD5 or ND-C14 were observed by scanning electron microscopy. In vivo, mice were divided into sham, vehicle, and ND-C14 treatment groups. Mice in the sham group were treated with 25 µL of phosphate-buffered saline (PBS). Mice in the vehicle and ND-C14 treatment groups were treated with intratracheal instillation of 25 µL of bacterial suspension with 2×108 CFU/mL (total bacterial count: 5×106 CFU), and then the mice were given 25 μL PBS or intratracheally injected with 25 μL of ND-C14 (including 20 µg or 50 µg), respectively. Survival rates were evaluated in the vehicle and ND-C14 treatment groups. Bacterial burden in the blood and bronchoalveolar lavage fluid were counted. The lung histology of the mice was assessed. A propidium iodide uptake assay was used to clarify the destructive effect of ND-C14 against S. pneumoniae.
RESULTS: Compared with HD5, ND-C14 had a better bactericidal effect against S. pneumoniae because of its stronger ability to destroy the membrane structure of S. pneumoniae in vitro. In vivo, ND-C14 significantly delayed the death time and improved the survival rate of mice infected with S. pneumoniae. ND-C14 reduced bacterial burden and lung tissue injury. Moreover, ND-C14 had a membrane permeation effect on S. pneumoniae, and its destructive ability increased with increasing ND-C14 concentration.
CONCLUSION: The ND-C14 may improve bactericidal effects on S. pneumoniae both in vitro and in vivo.

Key words: Streptococcus pneumoniae, Antimicrobial peptides, Human α-defensin 5, Infection