Conspectus
Human α-defensin 6 (HD6) is a 32-residue cysteine-rich peptide that contributes to innate immunity by protecting the host at mucosal sites. This peptide is produced in small intestinal Paneth cells as an 81-residue precursor peptide that is stored in granules, and is released into the lumen. One unusual feature of HD6 is that it lacks the broad-spectrum antimicrobial activity observed for other human α-defensins. HD6 exhibits unprecedented self-assembly properties, which confer an unusual host-defense function. HD6 monomers self-assemble into higher-order oligomers termed “nanonets,” which entrap microbes and prevent invasive pathogens from entering host cells. One possible advantage of this host-defense mechanism is that HD6 helps to keep microbes in the lumen where they can be killed or removed by other components of the immune system, such as recruited neutrophils, or excreted.
In this Account, we report our current understanding of HD6 and focus on work published since 2012 when Bevins and co-workers first described HD6 nanonets in the literature. First, we present studies that address the biosynthesis, storage and maturation of HD6, which demonstrate that Nature uses a propeptide strategy to spatially and temporally control the formation of HD6 nanonets in the small intestine. We subsequently highlight structure-function studies that provide a foundation for understanding the molecular basis for why HD6 exhibits unprecedented self-assembly properties compared to other characterized defensins. Lastly, we consider functional studies that illuminate how HD6 contributes to the mucosal immunity. In addition to blocking bacterial invasion into host epithelial cells, we recently discovered that HD6 suppresses virulence traits displayed by the opportunistic human fungal pathogen Candida albicans. In particular, we found that HD6 inhibits C. albicans biofilm formation, which causes complications in the treatment of candidiasis. We intend for this Account to inspire further biochemical, biophysical, and biological investigations that will advance our understanding of HD6 in mucosal immunity and the host-microbe interaction.