Naturally occurring antimicrobial peptides have emerged as alternative classes of antimicrobials. In general, these antimicrobial peptides exhibit selectivity for prokaryotes and minimize the problems of engendering microbial resistance. As an alternative method to search for more effective broadspectrum peptide antimicrobials, investigators have developed peptide libraries by using synthetic combinatorial technology. A novel decapeptide, KKVVFKVKFK (KSL), has been identified that shows a broad range of antibacterial activity. The purpose of this study was to test the efficacy of this antimicrobial peptide in killing selected strains of oral pathogens and resident saliva bacteria collected from human subjects. Cytotoxic activity of KSL against mammalian cells and the structural features of this decapeptide were also investigated, the latter by using two-dimensional NMR in aqueous and DMSO solutions. MICs of KSL for the majority of oral bacteria tested in vitro ranged from 3 to 100 ìg ml À1 . Minimal bactericidal concentrations of KSL were, in general, within one to two dilutions of the MICs. KSL exhibited an ED 99 (the dose at which 99 % killing was observed after 15 min at 37 8C) of 6 . 25 ìg ml À1 against selected strains of Lactobacillus salivarius, Streptococcus mutans, Streptococcus gordonii and Actinobacillus actinomycetemcomitans. In addition, KSL damaged bacterial cell membranes and caused 1 . 05 log units reduction of viability counts of saliva bacteria. In vitro toxicity studies showed that KSL, at concentrations up to 1 mg ml À1 , did not induce cell death or compromise the membrane integrity of human gingival fibroblasts. NMR studies suggest that KSL adopts an AE-helical structure in DMSO solution, which mimics the polar aprotic membrane environment, whereas it remains unstructured in aqueous medium. This study shows that KSL may be a useful antimicrobial agent for inhibiting the growth of oral bacteria that are associated with caries development and early plaque formation. INTRODUCTIONWe have witnessed the declining efficacy of conventional antibiotics in recent years, due to the progressive increase and proliferation of antibiotic-resistant organisms (Davies, 1994;Schutze et al., 1994). The discovery of a large number of naturally occurring invertebrate and vertebrate antimicrobial peptides has resulted in the emergence of alternative classes of peptide antibiotics that exhibit selectivity for prokaryotes and minimize the problems of introducing microbial resistance (Boman, 1998;Hancock & Lehrer, 1998;Hancock & Chapple, 1999;Nizet et al., 2001;Zasloff, 2002). These peptide antibiotics interact directly with microbial surfaces, often leading to the formation of pores or in some way compromising membrane permeability (Zasloff, 1992;Hancock, 1997a;Hancock & Rozek, 2002;Koczulla & Bals, 2003;Yeaman & Yount, 2003). Aside from their antimicrobial activities, some of these peptides also possess other biological activities that have impacts on cell proliferation, immune induction, cytokine release, chemota...
Oral biofilms are mixed-species microbial communities, and their uncontrolled outgrowth can express as oral diseases. Antimicrobial peptides represent alternative classes of antimicrobials that exhibit selectivity for prokaryotes. We wanted to test the effect of a synthetic decapeptide antimicrobial, KSL, on the development of oral biofilms formed by isolated human salivary bacteria. We used differential interference contrast microscopy, coupled with a dual-flow cell system, to determine the effect of KSL on oral biofilm development. We used reductions of viable counts and confocal microscopy to assess the bactericidal activity of KSL on mature oral biofilms. KSL effectively blocked biofilm development. A significant effect on the viability of mature biofilms was observed when KSL was used in the presence of a surface-active agent, or after biofilms were mechanically disrupted. This study shows that KSL may be a useful adjunct for conventional oral hygiene to prevent plaque-mediated dental diseases.
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