Treatment of Gram-negative bacterial infections with antimicrobial agents can cause release of the endotoxin lipopolysaccharide (LPS), the potent initiator of sepsis, which is the major cause of mortality in intensive care units worldwide. Structural information on peptides bound to LPS can lead to the development of more effective endotoxin neutralizers. Short linear antimicrobial and endotoxin-neutralizing peptide LF11, based on the human lactoferrin, binds to LPS, inducing a peptide fold with a "T-shaped" arrangement of a hydrophobic core and two clusters of basic residues that match the distance between the two phosphate groups of LPS. Side chain arrangement of LF11 bound to LPS extends the previously proposed LPS binding pattern, emphasizing the importance of both electrostatic and hydrophobic interactions in a defined geometric arrangement. In anionic micelles, the LF11 forms amphipathic conformation with a smaller hydrophobic core than in LPS, whereas in zwitterionic micelles, the structure is even less defined. Protection of tryptophan fluorescence quenching in the order SDS>LPS>DPC and hydrogen exchange protection indicates the decreasing extent of insertion of the N terminus and potential role of peptide plasticity in differentiation between bacterial and eukaryotic membranes.
Bacterial lipopolysaccharide (LPS)1 is one of the most potent inducers of the innate immune response. In contrast to the adaptive immune system, innate immunity engaging "pattern recognition receptors" recognizes the conserved motif of molecules characteristic for the pathogens. Pathogen-associated molecular patterns, rather than highly variable strain-specific molecules, allow recognition and response to the broad range of pathogens. Recognition of various forms of LPS from different strains of Gram-negative bacteria, where the lipid A moiety represents the pathogen-associated molecular pattern, triggers the signaling cascade, resulting in release of pro-inflammatory mediators, such as cytokines, as well as small molecules, such as lipid mediators and reactive oxygen species (1). In advanced stages of sepsis, when the immune response is overstimulated and deregulated, the pathological consequences are so diverse (ranging from hypotension to intravascular coagulation and multiple organ failure) that treatment of a single target, such as tumor necrosis factor ␣, is insufficient. Sepsis claims each year more than 200,000 lives in the United States alone. Mortality of patients with sepsis is still above 30% and higher in the elderly (2), in large extent due to the lack of the effective treatment of the underlying pathology. The preferable treatment, at early stages of sepsis, or prevention, in the case of high risk of sepsis, might be to combine antimicrobial activity to destroy bacteria with neutralization of endotoxin to prevent its interaction with serum and cellular receptors (such as LBP, CD14, and the MD2/TLR4 complex (3)), which directly recognize endotoxin and initiate the immune response. The small cyclic lipopeptide polymy...