title: Antimicrobial activity of the recombinant designer host defence peptide P-novispirin G10 in infected full-thickness wounds of porcine skin.
abstract: OBJECTIVE
  The growing number of patients with impaired wound healing and the development of multidrug-resistant bacteria demand the investigation of alternatives in wound care. The antimicrobial activity of naturally occurring host defence peptides and their derivatives could be one alternative to the existing therapy options for topical treatment of wound infection. Therefore, the aim of this study was to investigate the antimicrobial activity of proline-novispirin G10 (P-novispirin G10) in vitro and in the infected porcine titanium wound chamber model.
  
  
  METHODS
  The new derived designer host defence peptide P-novispirin G10 was tested in vitro against Gram-positive and Gram-negative bacterial strains. Additionally, cytotoxicity and haemolytic activities of P-novispirin G10 and protegrin-1 were measured. For in vivo studies, six wound chambers were implanted on each flank of Göttinger minipigs (n = 2, female, 6 months old, 15-20 kg). Eleven wound chambers were inoculated 8 days post-operatively with 5 x 10(8) of Staphylococcus aureus; one wound chamber remained uninfected as a system control. After wound infection had been established (4 days after inoculation), each wound chamber was topically treated with P-novispirin G10, protegrin-1 or carrier control. Wound fluid was harvested every hour for a total follow up of 3 h.
  
  
  RESULTS
  P-novispirin G10 demonstrated broad-spectrum antimicrobial activity with moderate haemolytic and cytotoxic activities compared with protegrin-1. In the infected wound chamber model P-novispirin G10 demonstrated a 4 log(10) reduction in bacterial counts.
  
  
  CONCLUSIONS
  This implicates the potential of P-novispirin G10 as an alternative in future antimicrobial wound care. However, more studies are necessary to further define clinical applications and potential side effects in greater detail.
authors.affiliation: Department of Plastic Surgery, Burn Centre, BG University Hospital Bergmannsheil, Ruhr University Bochum, Buerkle-de-la Camp Platz 1, 44789 Bochum, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Jacobsen
authors.forename: A
authors.initials: A
authors.lastname: Mohammadi-Tabrisi
authors.forename: T
authors.initials: T
authors.lastname: Hirsch
authors.forename: D
authors.initials: D
authors.lastname: Mittler
authors.forename: P H
authors.initials: PH
authors.lastname: Mygind
authors.forename: C P
authors.initials: CP
authors.lastname: Sonksen
authors.forename: D
authors.initials: D
authors.lastname: Raventos
authors.forename: H H
authors.initials: HH
authors.lastname: Kristensen
authors.forename: S
authors.initials: S
authors.lastname: Gatermann
authors.forename: M
authors.initials: M
authors.lastname: Lehnhardt
authors.forename: A
authors.initials: A
authors.lastname: Daigeler
authors.forename: H U
authors.initials: HU
authors.lastname: Steinau
authors.forename: L
authors.initials: L
authors.lastname: Steinstraesser
mesh_terms: D000595:Amino Acid Sequence; D000818:Animals; D000900:Anti-Bacterial Agents / Q000494:pharmacology*; D023181:Antimicrobial Cationic Peptides / Q000494:pharmacology* / Q000627:therapeutic use; D002478:Cells, Cultured; D005260:Female; D006461:Hemolysis / Q000187:drug effects; D006801:Humans; D008969:Molecular Sequence Data; D011994:Recombinant Proteins / Q000494:pharmacology; D012874:Skin Diseases, Infectious / Q000188:drug therapy; D013552:Swine; D013556:Swine, Miniature; D014946:Wound Infection / Q000188:drug therapy*
chemical_list: D000900:Anti-Bacterial Agents; D023181:Antimicrobial Cationic Peptides; D011994:Recombinant Proteins; C466663:novispirin G10