Antimicrobial peptides (AMPs) are part of the innate immunity, aiding in
the defense against pathogens. Cathelicidins represent a class of
cationic AMPs distributed across various organisms, including mammals,
birds, reptiles, amphibians, and fish. These peptides perform several
important functions for the host, contributing to the direct elimination
of pathogens by their microbicidal activities, while also promoting
immune modulation, wound healing, and anti-tumor effects. Based on their
versatility, cathelicidins have been investigated as therapeutic agents
against infections, inflammatory and autoimmune diseases, and tumors.
The present review summarizes the most recent discoveries regarding the
use of cathelicidins in therapy, while addressing challenges such as
cytotoxicity, production costs, and bacterial resistance. Additionally,
combining nanomaterials with active, natural antimicrobial peptides,
including LL-37 and synthetic analogs like ceragenins, leads to the
creation of innovative nanoagents with significant clinical promise.
Despite the vast number of pre-clinical studies, very few peptides have
progressed to clinical trials. Nevertheless, the recent advances in
nanomaterials and synthetic biology may help overcome the current
limitations, enabling the use of cathelicidins in future therapeutics.