The increasing threat of antibiotic resistance in pathogenic bacteria and
the dwindling supply of antibiotics available to combat these infections poses a
significant threat to human health throughout the world. Antimicrobial peptides
have long been touted as the next generation of antibiotics capable of filling
the anti-infective void. Unfortunately, peptide based antibiotics have yet to
realize their potential as novel pharmaceuticals, in spite of the immense number
of known antimicrobial peptide sequences and our improved understanding of their
antibacterial mechanism of action. Recently, the immunomodulatory properties of
certain antimicrobial peptides have become appreciated. The ability of small
synthetic peptides to protect against infection in vivo has
demonstrated that modulation of the innate immune response is an effective
strategy to further develop peptides as novel anti-infectives. This review
focuses on the screening methods that have been employed to assess novel peptide
sequences for their antibacterial and immunomodulatory properties. It will also
examine how we have progressed in our ability to identify and optimize peptides
with desired biological characteristics and enhanced therapeutic potential. In
addition, the current challenges to the development of peptides as
anti-infectives are examined and the strategies being used to overcome these
issues are discussed.