Immune & Inflammation

LL-37

LL-37 (Cathelicidin LL-37)

The only human cathelicidin antimicrobial peptide, LL-37 is a first-line innate immune defense molecule with broad-spectrum antimicrobial, antiviral, and immunomodulatory activity. Critical for mucosal immunity, wound healing, and defense against drug-resistant pathogens.

ImmuneAntimicrobialAntiviralWound HealingInflammationSkin

Quick Reference

Category
Immune & Inflammation
Research Claims
6 reviewed
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Mechanism of Action

LL-37 is derived from the C-terminus of the human cathelicidin protein hCAP18. It disrupts bacterial cell membranes via electrostatic interaction, neutralizes lipopolysaccharide (LPS) to prevent septic shock, and directly kills a broad spectrum of bacteria, fungi, and enveloped viruses. Beyond direct killing, it activates dendritic cells, promotes neutrophil recruitment, stimulates angiogenesis and keratinocyte migration for wound healing, and modulates TLR signaling to prevent excessive inflammation. It also has anti-biofilm activity against drug-resistant organisms including MRSA and Pseudomonas.

Health Claims & Evidence

Broad-spectrum antimicrobial activity including MRSA and drug-resistant pathogens

Strongextensive in vitro and animal model data; clinical trials ongoing for wound infections

Antiviral activity against influenza, HIV, and respiratory viruses

Moderatedemonstrated in cell culture and animal models; mechanism involves membrane disruption

Accelerates wound healing and skin repair

Moderatepromotes keratinocyte migration, angiogenesis, and re-epithelialization in wound models

Prevents LPS-induced septic shock by neutralizing endotoxin

Moderatereduced mortality in animal sepsis models; human data limited

Anti-biofilm activity against chronic wound and implant infections

Moderatedisrupts established biofilms of MRSA, P. aeruginosa in vitro

Immunomodulatory — reduces chronic inflammation while preserving acute response

Preliminarycontext-dependent; may reduce inflammatory cytokines in chronic disease models

Short-Term Effects

Reduced infection susceptibility, accelerated wound healing, improved mucosal immunity.

Long-Term Effects

Enhanced innate immune defense, reduced chronic infection burden, potential skin health benefits.

Side Effects

Injection site reactions common. High systemic doses may cause transient inflammation. Topical use generally well-tolerated.

Contraindications

Caution in autoimmune conditions — immunostimulatory effects may exacerbate. Avoid in known hypersensitivity to cathelicidin peptides.

This profile is provided for educational research only. It is not a treatment recommendation or dosing guide. Human evidence, safety information and regulatory status vary by substance. Verify primary sources and consult a qualified healthcare professional for medical decisions.

Research Papers

LL-37: the only human member of the cathelicidin family of antimicrobial peptides

Zanetti M · Biochimica et Biophysica Acta · 2004

Cathelicidin LL-37 promotes wound healing and angiogenesis

Koczulla R et al. · Journal of Clinical Investigation · 2003

Antiviral activity of cathelicidin peptides against respiratory viruses

Barlow PG et al. · PLOS ONE · 2011

Educational research only. This profile is not a treatment recommendation or dosing guide. Human evidence, safety information and regulatory status vary by substance. Consult a qualified healthcare professional for medical decisions.

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