Host defense peptides (HDPs), also named antimicrobial
peptides
(AMPs), are increasingly being recognized for serving multiple functions
in protecting the host from infection and disease. Previous studies
have shown that various HDPs can also neutralize lipopolysaccharide
(LPS, endotoxin), as well as lipoteichoic acid (LTA), inducing macrophage
activation. However, antimicrobial activity is usually accompanied
by systemic toxicity which makes it difficult to use HDPs as antiendotoxin
agents. Here we report that key parameters can uncouple these two
functions yielding nontoxic peptides with potent LPS and LTA neutralization
activities in vitro and in animal models. The data reveal that peptide
length, the number, and the placement of positive charges are important
parameters involved in LPS neutralization. Crucially, the peptide
exhibited a separation between its membrane-disrupting and antimicrobial
properties, effectively decoupling them from its ability to neutralize
LPS. This essential distinction prevented systemic toxicity and led
to the peptide’s complete rescue of mice suffering from severe
septic shock in two distinct models. Strong binding to LPS, changes
in structure, and oligomerization state upon LPS binding were important
factors that determined the activity of the peptides. In the face
of the increasing threat of septic shock worldwide, it is crucial
to grasp how we can neutralize harmful substances like LPS. This knowledge
is vital for creating nontoxic treatments for sepsis.