Retrocyclins are humanized versions of the -defensin peptides expressed by the leukocytes of several nonhuman primates. Previous studies, performed in serum-free media, determined that retrocyclins 1 (RC1) and RC2 could prevent successful germination of Bacillus anthracis spores, kill vegetative B. anthracis cells, and inactivate anthrax lethal factor. We now report that retrocyclins are extensively bound by components of native mouse, human, and fetal calf sera, that heat-inactivated sera show greatly enhanced retrocyclin binding, and that native and (especially) heat-inactivated sera greatly reduce the direct activities of retrocyclins against spores and vegetative cells of B. anthracis. Nevertheless, we also found that retrocyclins protected mice challenged in vivo by subcutaneous, intraperitoneal, or intranasal instillation of B. anthracis spores. Retrocyclin 1 bound extensively to B. anthracis spores and enhanced their phagocytosis and killing by murine RAW264.7 cells. Based on the assumption that spore-bound RC1 enters phagosomes by "piggyback phagocytosis," model calculations showed that the intraphagosomal concentration of RC1 would greatly exceed its extracellular concentration. Murine alveolar macrophages took up fluorescently labeled retrocyclin, suggesting that macrophages may also acquire extracellular RC1 directly. Overall, these data demonstrate that retrocyclins are effective in vivo against experimental murine anthrax infections and suggest that enhanced macrophage function contributes to this property.The infectious form of Bacillus anthracis is the dormant spore. To cause anthrax, this spore must germinate, grow within the host, form a capsule, and release various exotoxins, which include lethal toxin, edema toxin, and anthrolysin (18,23,39,47). Without effective treatment, B. anthracis can proliferate and cause death. Agents that neutralize B. anthracis toxins, permanently prevent germination of B. anthracis spores, and/or kill or control vegetative B. anthracis growth could protect against this natural pathogen and class A bioterrorism agent.Defensins and defensin-like peptides are components of the innate immune system. (21, 31). Three defensin subfamilies, designated ␣, , and , exist among mammals. Three ␣-defensins, called human neutrophil peptides (HNPs) 1, 2, and 3, collectively constitute 5 to 7% of the total protein of human neutrophils (polymorphonuclear cells [PMN]) (33) and can kill B. anthracis bacilli, inactivate anthrax lethal toxin in vitro, and protect mice injected with anthrax lethal toxin in vivo (27). The same ␣-defensins also play an important role in the potent anti-B. anthracis activity of human neutrophils (37). Retrocyclins, the synthetic peptides examined in this study, are humanized analogs of the -defensin peptides found in the leukocytes of rhesus macaques and other nonhuman primates (22, 45). -Defensin genes arose by mutation of ␣-defensin genes (22,40,45). Human -defensin genes exist and are transcribed, but the human genes and transcripts contain a premature s...