“…Host defense peptides (HDPs) exert rapid and broad-spectrum antibacterial activity and avoid harming host cells as well as reduce the potential for inducing drug resistance. HDPs tend to segregate a so-called “facially amphiphilic” structure, in which the hydrophilic cationic and hydrophobic residues are facially located on their secondary structures and facilitate the direct membrane disruption of bacteria. − Synthetic polymers have been designed to mimic the activity of HDPs, and one of the most challenging topics is how best to spatially arrange the cationic and hydrophobic residues to form a facially amphiphilic structure within the macromolecular architecture. − Bile acids (BAs), such as cholic acid (CA) and lithocholic acid (LCA), derived from cholesterol in mammals, have a rigid skeleton of four condensed rings and multiple functional groups. − Along with excellent biocompatibility, the hydroxyl groups of CA and polycyclic hydrocarbon structures are located on the α and β surfaces of the rigid skeleton, respectively, and form a rare facially amphiphilic structure similar to HDPs, − promoting a selective localization and penetration into bacterial membranes − and making BAs suitable blocks for designing antimicrobials. ,, In the past decades, by utilizing facially amphiphilic skeletons of BAs, there have been extensive efforts in the development of BA-based antimicrobials in which facially amphiphilic BA skeletons are usually conjugated with some positive segments. − For example, Savage et al − converted the three hydroxyl groups on CA into three flexible primary amine groups . In contrast, to reduce the residual toxicity of small molecules and increase the density of cationic charges, the Tang group , designed a series of antibacterial macromolecules bearing CA quaternary ammonium pendants.…”