Identification of heptapeptides targeting a lethal bacterial strain in septic mice through an integrative approach
Open accessAbstract
Effectively killing pathogenic bacteria is key for the treatment of sepsis. Although various anti-infective drugs have been used for the treatment of sepsis, the therapeutic effect is largely limited by the lack of a specific bacterium-targeting delivery system. This study aimed to develop antibacterial peptides that specifically target pathogenic bacteria for the treatment of sepsis. The lethal bacterial strain Escherichia coli MSI001 was isolated from mice of a cecal ligation and puncture (CLP) model and was used as a target to screen bacterial binding heptapeptides through an integrative bioinformatics approach based on phage display technology and high-throughput sequencing (HTS). Heptapeptides binding to E. coli MSI001 with high affinity were acquired after normalization by the heptapeptide frequency of the library. A representative heptapeptide VTKLGSL (VTK) was selected for fusion with the antibacterial peptide LL-37 to construct the specific-targeting antibacterial peptide VTK-LL37. We found that, in comparison with LL37, VTK-LL37 showed prominent bacteriostatic activity and an inhibitive effect on biofilm formation in vitro. In vivo experiments demonstrated that VTK-LL37 significantly inhibited bacterial growth, reduced HMGB1 expression, alleviated lesions of vital organs and improved the survival of mice subjected to CLP modeling. Furthermore, membrane DEGP and DEGQ were identified as VTK-binding proteins by proteomic methods. This study provides a novel strategy for targeted pathogen killing, which is helpful for the treatment of sepsis in the era of precise medicine.
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Written from the paper’s full text.
TL;DR
A lethal *E. coli* strain (MSI001) was isolated from CLP septic mice, and phage display plus high-throughput sequencing identified heptapeptides that bind it with high affinity after library-frequency normalization. Fusing a representative heptapeptide, VTKLGSL, to LL-37 produced VTK-LL37, which showed enhanced antibacterial activity in vitro and improved survival and organ injury in septic mice.
Key findings
- The isolated strain MSI001 was lethal in mice: low-dose challenge (5 × 10⁶ CFU/g) gave a 24 h survival rate of 10%, and high-dose challenge (1 × 10⁷ CFU/g) gave no survival, significantly lower than control (P < 0.05, n = 10).
- Normalizing heptapeptide frequencies against the phage library changed binding-peptide rankings and improved correlation with binding: unnormalized frequency versus His-EGFP-C7C fluorescence gave R² = 0.02 (P > 0.05), whereas normalized frequency gave R² = 0.77 (P < 0.01).
- VTK-LL37 inhibited MSI001 growth and biofilm formation more strongly than LL37 alone in vitro, and in vivo it significantly increased survival of septic mice, suppressed blood bacterial growth, reduced serum HMGB1, and alleviated liver, lung, kidney, and heart injury.
- VTK bound membrane proteins DEGP and DEGQ, with SPRi equilibrium dissociation constants (KD) of 1.73 nM for DEGQ and 15.8 nM for DEGP; no interaction was detected with control HEE heptapeptide.
Methods
- CLP was performed in C57BL/6 mice; bacteria were isolated from blood/peritoneal fluid, and MSI001 was identified by genomic DNA sequencing, BLAST, phylogenetic inference, and whole-genome alignment.
- A C7C phage display library was biopanned against MSI001, followed by HTS of heptapeptide-encoding DNA; heptapeptide frequencies were normalized to the phage library, and binding was validated using His-EGFP-C7C fusion proteins and fluorescence quantitation.
- In vitro assays measured bacterial growth and biofilm formation; in vivo sepsis models used intraperitoneal MSI001 or CLP followed by intravenous peptides. VTK-binding membrane proteins were identified by biotinylated-peptide pull-down, LC-MS/MS, bioinformatics, and SPRi.
Limitations
- The paper does not state a limitations section.
- Evident from the text: all therapeutic and safety evaluations were performed in C57BL/6 mice, with no human clinical data; safety was assessed in mice even at 10× therapeutic dosage.
- Efficacy was characterized mainly against the specific *E. coli* MSI001 strain and CLP polymicrobial sepsis, so broader clinical isolate coverage is not established in the paper.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
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Cites
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Claims the paper makes
15 of 33 cited sources checked · 3 supported · 0 flagged · accuracy not yet measured
- Findingown data
The MSI001 strain was highly homologous to E. coli strains LR134216 and LR134231 in genomic evolution.
“Whole-genome alignment (WGA) visualization showed that the MSI001 strain was highly homologous to E. coli strains LR134216 and LR134231 in genomic evolution (Fig. 1e).”
Quote in the paperSubstantial claim - Findingown data
The lethal strain isolated from the blood of CLP mice belonged to the species Escherichia coli with a neighborhood of LR134216 and LR134231 in evolution.
“The BLAST results showed that the lethal strain isolated from the blood of CLP mice belonged to the species Escherichia coli (E. coli) with a neighborhood of LR134216 and LR134231 in evolution (Fig. 1d).”
Quote in the paperSubstantial claim - Findingown data
Some bacterial strains isolated from CLP mice were of high mortality for mice challenged with bacterial injection.
“we analyzed the mortality of the mice subjected to peritoneal injection of bacteria and found that some bacterial strains were of high mortality for the mice challenged with bacterial injection (Supplementary Fig. S1).”
Quote in the paperSubstantial claim - Findingown data
Samples collected from blood or peritoneal fluid from CLP mice, but not sham mice, led to bacterial colony growth on agar plates.
“Samples collected from either blood or peritoneal fluid from CLP mice, but not sham mice, led to bacterial colony growth on agar plates (Fig. 1a).”
Quote in the paperSubstantial claim - Findingown data
At AAs 1 to 7 across the heptapeptides, asparagine (N), proline (P), serine (S), threonine (T), threonine (T), arginine (R) and serine (S) were the most abundant residues.
“At AAs 1 to 7 across the heptapeptides, asparagine (N), proline (P), serine (S), threonine (T), threonine (T), arginine (R) and serine (S) were the most abundant residues (Fig. 4b).”
Quote in the paperNot a substantial claim
- Findingown data
In comparison with the control group, VTK-interacting proteins displayed a different clustering profile.
“We further performed clustering analysis to assess the relationship of proteins interacting with the heptapeptide VTK and found that in comparison with the control group, VTK-interacting proteins indeed displayed a different clustering profile (Fig. 8b).”
Quote in the paperNot a substantial claim - Findingown data
After normalization by the heptapeptide frequencies in the phage library, the frequencies of most heptapeptides had been substantially adjusted.
“After normalization by the heptapeptide frequencies in the phage library, we found that the frequencies of most heptapeptides had been substantially adjusted (Fig. 3; Supplementary Tables 4, 5).”
Quote in the paperSubstantial claim - Findingown data
VTK-LL37 inhibited pathogen growth in septic mice.
“Furthermore, an in vivo experiment demonstrated that VTK-LL37 improved the survival of septic mice by inhibiting pathogen growth, suppressing HMGB1 production and alleviating lesions of vital organs.”
Quote in the paperSubstantial claim - Findingown data
The peptide IHSPTAL was originally ranked at position 1 but ranked 564,599 after normalization against the library.
“For example, the peptide IHSPTAL was originally ranked at position 1 but ranked 564,599 after normalization against the library (Supplementary Table S4);”
Quote in the paperNot a substantial claim - Findingown data
Some peptide fragments, such as GAFVSQVLPNSSAAK and NIAELRK from DEGP, were identified with high binding activity to VTK heptapeptide.
“Some peptide fragments, such as GAFVSQVLPNSSAAK and NIAELRK from DEGP, were identified with high binding activity to VTK heptapeptide (Supplementary Fig. S8).”
Quote in the paperNot a substantial claim - Findingown data
Different heptapeptides had different frequencies in the library.
“To define the bias of the phage library, we analyzed the frequency distribution of heptapeptides and found that different heptapeptides had different frequencies in the library.”
Quote in the paperSubstantial claim - Findingown data
VTK-LL37 had a stronger capability to suppress the bacterial growth of E. coli MSI001 in the blood of septic mice than LL37.
“we drew blood from mice for bacterial culture and found that VTK-LL37 had the stronger capability to suppress the bacterial growth of E. coli MSI001 in the blood of septic mice than LL37 (Fig. 7c).”
Quote in the paperSubstantial claim - Findingown data
VTK-LL37 showed an inhibitory effect on the growth of Pseudomonas aeruginosa.
“In addition, VTK-LL37 showed inhibitory effect on the growth of Pseudomonas aeruginosa (Supplementary Fig. S4b).”
Quote in the paperSubstantial claim - Findingown data
There was no interaction signal of DEGQ/DEGP with the control HEE heptapeptide.
“Convincingly, there was no interaction signals of DEGQ/DEGP with the control HEE heptapeptide (Fig. 8e).”
Quote in the paperSubstantial claim - Findingown data
VTK-LL37 was superior to LL37 in early bacteriostatic activity.
“In vitro experiments demonstrated that VTK-LL37 was superior to LL37 not only in early bacteriostatic activity but also in the inhibition of biofilm formation.”
Quote in the paperSubstantial claim - Findingown data
DEGQ and DEGP were highly enriched in comparison with either the input or HEE groups.
“Interestingly, we found that DEGQ and DEGP were highly enriched in comparison with either the input or HEE groups.”
Quote in the paperNot a substantial claim - Findingown data
There were no perceivable side-effects on the vital organs, including heart, liver, kidney and lung, of mice even treated with 10× therapeutic dosage of VTK-LL37.
“we performed experiment to clarify the safety of VTK-LL37 in vivo, and found that there were no perceivable side-effects on the vital organs, including heart, liver, kidney and lung, of mice even treated with 10× therapeutic dosage of VTK-LL37 (Supplementary Fig. S6).”
Quote in the paperSubstantial claim - Findingown data
Frequency normalization notably changed the overall distribution profiles of binding heptapeptides.
“In fact, frequency normalization notably changed the overall distribution profiles of binding heptapeptides (Fig. 3g, h).”
Quote in the paperSubstantial claim - Findingown data
VTK-LL37 also significantly increased the survival of sepsis mice induced by CLP modeling.
“Kaplan-Meier survival analysis showed that VTK-LL37 also significantly increased the survival of sepsis mice induced by CLP modeling (Fig. 7b), which showed a 24 h survival rate similar to the mice subjected to E. coli MSI001 injection (Supplementary Fig. S5).”
Quote in the paperSubstantial claim - Findingown data
VTK-LL37 was superior to LL37 in the inhibition of biofilm formation.
“In vitro experiments demonstrated that VTK-LL37 was superior to LL37 not only in early bacteriostatic activity but also in the inhibition of biofilm formation.”
Quote in the paperSubstantial claim - Findingown data
VTK-LL37 improved the survival of septic mice.
“Furthermore, an in vivo experiment demonstrated that VTK-LL37 improved the survival of septic mice by inhibiting pathogen growth, suppressing HMGB1 production and alleviating lesions of vital organs.”
Quote in the paperSubstantial claim - Findingown data
The high-affinity heptapeptide and LL37 fusion peptide had stronger bacteriostatic activity than LL37 alone.
“Interestingly, we found that the high-affinity heptapeptide and LL37 fusion peptide had stronger bacteriostatic activity than LL37 alone.”
Quote in the paperSubstantial claim - Findingown data
Some bacteria isolated in clinic, such as Pseudomonas aeruginosa, Salmonella typhimurium and Klebsiella pneumonia, express conserved DEGQ/DEGP proteins.
“Importantly, we found that some bacteria isolated in clinic, such as Pseudomonas aeruginosa, Salmonella typhimurium and Klebsiella pneumonia, express conserved DEGQ/DEGP proteins (Supplementary Fig. S4c,d), indicating that VTK-LL37 has potential applications in the treatment of clinical infections.”
Quote in the paperSubstantial claim - Findingreasoning
Both VTK-LL37 and LL37-VTK showed stronger bacteriostatic activity than other LL37 fusion peptides, such as KYY-LL37, ISS-LL37 and INS-LL37.
“Both VTK-LL37 and LL37-VTK showed stronger bacteriostatic activity than other LL37 fusion peptides, such as KYY-LL37, ISS-LL37 and INS-LL37, which might be associated with their hydrophobicity and positively charges (Supplementary Table 7).”
Quote in the paperSubstantial claim - Findingown data
VTK-LL37 alleviated lesions of vital organs in septic mice.
“Furthermore, an in vivo experiment demonstrated that VTK-LL37 improved the survival of septic mice by inhibiting pathogen growth, suppressing HMGB1 production and alleviating lesions of vital organs.”
Quote in the paperSubstantial claim - Findingown data
The heptapeptide VTK has binding activity to DEGP and DEGQ proteins of E. coli MSI001.
“In this study, the heptapeptide VTK was found to have binding activity to DEGP and DEGQ proteins of E. coli MSI001.”
Quote in the paperSubstantial claim - Findingown data
VTK-LL37 alleviated sepsis-induced injury to multiple organs, including the liver, lung, kidney and heart.
“We further evaluated the efficacy of VTK-LL37 on organ injury induced by sepsis and found that VTK-LL37 alleviated sepsis-induced injury to multiple organs, including the liver, lung, kidney and heart (Fig. 7e, f).”
Quote in the paperSubstantial claim - Findingown data
The log-transformed heptapeptide frequency without normalization and the fluorescence intensity of His-EGFP-C7C failed to show any significant correlation (R2 = 0.02, P > 0.05).
“we found that the log-transformed heptapeptide frequency without normalization and the fluorescence intensity of His-EGFP-C7C failed to show any significant correlation (R² = 0.02, P > 0.05) (Fig. 5f).”
Quote in the paperSubstantial claim - Findingown data
The frequencies of the binding heptapeptides except those along the red line were substantially adjusted after normalization.
“The frequencies of the binding heptapeptides except those along the red line were substantially adjusted (Fig. 3i).”
Quote in the paperSubstantial claim - Findingown data
The binding heptapeptides were composed of hydrophilic and hydrophobic AAs.
“The binding heptapeptides were composed of hydrophilic and hydrophobic AAs.”
Quote in the paperNot a substantial claim - Findingown data
VTK-LL37 suppressed HMGB1 production in septic mice.
“Furthermore, an in vivo experiment demonstrated that VTK-LL37 improved the survival of septic mice by inhibiting pathogen growth, suppressing HMGB1 production and alleviating lesions of vital organs.”
Quote in the paperSubstantial claim - Findingown data
Normalization of heptapeptide frequency against the library brought about a significant correlation (R2 = 0.77, P < 0.01) between log-transformed frequency and the fluorescence intensity of His-EGFP-C7C.
“Intriguingly, normalization of heptapeptide frequency against the library brought about a significant correlation (R² = 0.77, P < 0.01) between log-transformed frequency and the fluorescence intensity of His-EGFP-C7C (Fig. 5g).”
Quote in the paperSubstantial claim - Findingown data
VTK-LL37 significantly increased the survival of septic mice subjected to septic modeling with E. coli MSI001.
“Kaplan-Meier survival analysis showed that VTK-LL37 significantly increased the survival of septic mice (Fig. 7a).”
Quote in the paperSubstantial claim - Findingown data
Normalization of binding heptapeptide frequencies by the frequency of a corresponding peptide in the phage library resulted in a substantial adjustment to the ranking of the binding heptapeptides.
“The frequencies of binding heptapeptides were normalized by the frequency of a corresponding peptide in the phage library, resulting in a substantial adjustment to the ranking of the binding heptapeptides.”
Quote in the paperSubstantial claim - Findingown data
DEGQ and DEGP were highly homologous.
“The results of sequence alignment in the UniProt database showed that DEGQ and DEGP were highly homologous, and the identity of both proteins in the alignment is illustrated in Fig. 8d.”
Quote in the paperNot a substantial claim - Findingown data
VTK-LL37 had a more significant inhibitive effect on the bacterial growth of the ampicillin-resistant MSI001 bacteria in comparison with LL37.
“we performed an experiment with the MSI001 strain transformed with a plasmid containing an Amp+ gene, and found that VTK-LL37 had a more significant inhibitive effect on the bacterial growth of the ampicillin-resistant MSI001 bacteria in comparison with LL37 (Supplementary Fig. S4a).”
Quote in the paperSubstantial claim - Findingown data
Many bacteria isolated in clinic, such as Pseudomonas aeruginosa, Salmonella typhimurium and Klebsiella pneumonia, have conserved DEGQ/DEGP proteins.
“Intriguingly, many bacteria isolated in clinic, such as Pseudomonas aeruginosa, Salmonella typhimurium and Klebsiella pneumonia, have conserved DEGQ/DEGP proteins (Supplementary Fig. S4c, d), indicating that VTK-LL37 has potential applications in the clinical control of infections.”
Quote in the paperSubstantial claim - Interpretationreasoning
Calibration was required to reduce the bias effect of the phage library.
“Thus, calibration was required to reduce the bias effect of the phage library.”
Quote in the paperSubstantial claim - Premisecitation
Pathogen infection is the fundamental cause of sepsis.
“Pathogen infection is the fundamental cause of sepsis.11”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [11] Shane, A. L., Sanchez, P. J. & Stoll, B. J. Neonatal sepsis. Lancet 390, 1770–1780 (2017). source
- Interpretationown data
High-quality sequencing data had been acquired.
“The results showed that high-quality sequencing data had been acquired.”
Quote in the paperSubstantial claim - Interpretationown data
Diminishing bias of the phage library could increase the opportunity to obtain high-affinity heptapeptides binding to the lethal bacterial strain.
“Diminishing bias of the phage library could increase the opportunity to obtain high-affinity heptapeptides binding to the lethal bacterial strain.”
Quote in the paperSubstantial claim - Interpretationreasoning
VTK-LL37 has potential applications in the treatment of clinical infections.
“indicating that VTK-LL37 has potential applications in the treatment of clinical infections.”
Quote in the paperSubstantial claim - Interpretationreasoning
VTK-LL37 had a potent antibacterial effect through the interaction between the VTK peptide and DEGP or DEGQ proteins.
“Our finding that VTK-LL37 had a potent antibacterial effect through the interaction between the VTK peptide and DEGP or DEGQ proteins might provide a novel approach with precise drug targeting for the treatment of sepsis.”
Quote in the paperSubstantial claim - Interpretationreasoning
The increased bacterial killing effect of the VTK-LL37 fusion peptide might be explained by the cooperation between LL37 to increase membrane permeability and VTK heptapeptide with high-affinity binding to DEGP.
“The increased bacterial killing effect of the VTK-LL37 fusion peptide might be explained by the cooperation between LL37 to increase membrane permeability and VTK heptapeptide with high-affinity binding to DEGP.”
Quote in the paperSubstantial claim - Interpretationreasoning
VTK-LL37 might provide a novel approach with precise drug targeting for the treatment of sepsis.
“Our finding that VTK-LL37 had a potent antibacterial effect through the interaction between the VTK peptide and DEGP or DEGQ proteins might provide a novel approach with precise drug targeting for the treatment of sepsis.”
Quote in the paperSubstantial claim - Interpretationreasoning
VTK-LL37 has potential applications in the clinical control of infections.
“Intriguingly, many bacteria isolated in clinic, such as Pseudomonas aeruginosa, Salmonella typhimurium and Klebsiella pneumonia, have conserved DEGQ/DEGP proteins (Supplementary Fig. S4c, d), indicating that VTK-LL37 has potential applications in the clinical control of infections.”
Quote in the paperSubstantial claim
- Classified as probably not a substantial claim. 25
- May combine two claims. 32
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationThe antibacterial peptide LL-37 from humans has broad-spectrum antibacterial activity by increasing the membrane permeability of bacteria, neutralizing endotoxins, and suppressing the production of proinflammatory factors.
“The antibacterial peptide LL-37 from humans was found to have broad-spectrum antibacterial activity31–34 by increasing the membrane permeability of bacteria, neutralizing endotoxins, and suppressing the production of proinflammatory factors.35”
Quote in the paperNot a substantial claim2 of 5 sources checked- cites [31] de Breij, A. et al. The antimicrobial peptide SAAP-148 combats drug-resistant bacteria and biofilms. Sci. Transl. Med. 10, eaan4044 (2018). source
- cites [32] Zhou, Y. Q. et al. Genetically engineered distal airway stem cell transplantation protects mice from pulmonary infection. EMBO Mol. Med. 12, e10233 (2020). source
The Introduction says human LL-37 has broad bactericidal activity against Gram-negative and Gram-positive bacteria. The Results report lower IL-6 and IL-1β mRNA in infected LL-37 transgenic mouse lungs, but do not establish that LL-37 directly suppresses their production. Neither the Introduction nor the retrieved Results and Discussion passages establish increased bacterial membrane permeability or endotoxin neutralization as mechanisms. (LLM, conf=0.86)
Experimental — accuracy not yet measured - cites [33] Fan, D. et al. Activation of HIF-1alpha and LL-37 by commensal bacteria inhibits Candida albicans colonization. Nat. Med. 21, 808–814 (2015). source
The paper discusses LL-37’s activity against Candida albicans (Abstract; page unavailable), but citation 35 is attached to the proposed antibacterial mechanisms. Searches for bacterial membrane permeability, endotoxin neutralization, and suppression of proinflammatory factors found no passage addressing those mechanisms. (LLM, conf=0.76)
Experimental — accuracy not yet measured - cites [34] Chromek, M. et al. The antimicrobial peptide cathelicidin protects the urinary tract against invasive bacterial infection. Nat. Med. 12, 636–641 (2006). source
- cites [35] Sorensen, O. E. et al. Human cathelicidin, hCAP-18, is processed to the antimicrobial peptide LL-37 by extracellular cleavage with proteinase 3. Blood 97, 3951–3959 (2001). source
Classified as probably not a substantial claim.
PremisecitationLL-37 is considered an ideal template or molecular skeleton for the development of new antimicrobial drugs.
“For this reason, LL-37 is considered an ideal template or a molecular skeleton for the development of new antimicrobial drugs.36”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [36] Pachon-Ibanez, M. E., Smani, Y., Pachon, J. & Sanchez-Cespedes, J. Perspectives for clinical use of engineered human host defense antimicrobial peptides. FEMS Microbiol. Rev. 41, 323–342 (2017). source
Classified as probably not a substantial claim.
PremisecitationEarly and effective inhibition or killing of pathogens is essential for the prevention and treatment of sepsis.
“Early and effective inhibition or killing of pathogens is essential for the prevention and treatment of sepsis.12”
Quote in the paperSubstantial claim1 of 1 sources checked- cites [12] Evans, L. et al. Surviving sepsis campaign: international guidelines for management of sepsis and septic shock 2021. Intensive Care Med. 47, 1181–1247 (2021). source
The Infection rationale (page not provided) says early, appropriate antimicrobials reduce mortality in patients with sepsis, supporting the treatment portion. It does not establish that inhibiting or killing pathogens prevents sepsis; its recommendations concern patients with suspected or established sepsis. (LLM, conf=0.86)
Experimental — accuracy not yet measured
May combine two claims.
PremisecitationVarious commercially available antimicrobial drugs exhibit prominent defects, including nonspecific targeting and low concentrations in the lesion, leading to low efficiency, high toxicity, various side effects and multidrug resistance.
“At present, various commercially available antimicrobial drugs exhibit some prominent defects, including nonspecific targeting and low concentrations in the lesion, which leads to low efficiency, high toxicity, various side effects15 and multidrug resistance.16,17”
Quote in the paperSubstantial claim2 of 3 sources checked- cites [15] Amabile-Cuevas, C. Society must seize control of the antibiotics crisis. Nature 533, 439 (2016). source
The passage labelled Abstract (page not provided) says antibiotic resistance is growing and that more multiresistant bacteria are emerging. It does not link multidrug resistance to nonspecific targeting or low drug concentrations at lesions, and it does not discuss the claimed efficiency or toxicity defects. (LLM, conf=0.83)
Experimental — accuracy not yet measured - cites [16] Chaurasia, S. et al. Neonatal sepsis in South Asia: huge burden and spiralling antimicrobial resistance. BMJ 364, k5314 (2019). source
The ‘Spiralling antimicrobial resistance’ section (Table 2; page unavailable) reports substantial multidrug resistance among pathogens isolated from babies with neonatal sepsis in South Asian hospitals. It does not attribute that resistance to nonspecific drug targeting or low concentrations at lesions, nor does it establish those defects for commercially available antimicrobials generally. The adjacent side-effects claim is cited separately in the citing sentence. (LLM, conf=0.86)
Experimental — accuracy not yet measured - cites [17] Gandhi, T. N. & Malani, P. N. Combination therapy for methicillin-resistant staphylococcus aureus bacteremia: not ready for prime time. JAMA 323, 515–516 (2020). source
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationHSPs protect essential proteins under physiological conditions and degrade damaged or misfolded proteins and recover raw materials for protein synthesis, thus helping cells maintain normal physiological activities.
“HSPs not only protect essential proteins under physiological conditions but also degrade damaged or misfolded proteins and recover raw materials for protein synthesis, thus helping cells maintain normal physiological activities.53,54”
Quote in the paperNot a substantial claim1 of 2 sources checked- cites [53] Joutsen, J. et al. Heat shock factor 2 protects against proteotoxicity by maintaining cell-cell adhesion. Cell Rep. 30, 583–597 (2020). e586. source
The Introduction (page unavailable) says HSPs help maintain a correct protein-folding environment by refolding misfolded proteins or directing them to degradation machinery. It does not say that HSPs themselves degrade proteins or recover raw materials for protein synthesis, and it does not specifically describe protection of essential proteins under physiological conditions. (LLM, conf=0.86)
Experimental — accuracy not yet measured - cites [54] Dubrez, L. et al. Heat-shock proteins: chaperoning DNA repair. Oncogene 39, 516–529 (2020). source
Classified as probably not a substantial claim.
PremisecitationDEGP and DEGQ play a central role in protein quality control in the bacterial periplasmic space, through degrading denatured and misfolded proteins accumulated under adverse conditions.
“As HSP homologous proteases, DEGP and DEGQ were found to play a central role in protein quality control in the bacterial periplasmic space, through degrading denatured and misfolded proteins accumulated under adverse conditions.55,56”
Quote in the paperSubstantial claim1 of 2 sources checkedProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe frequencies of the peptides displayed on phages are not even in the library.
“Usually, the frequencies of the peptides displayed on phages are not even in the library. There were some reasons for the heterogenous phage amount, such as biases in library construction, variance in the use of cryptography,45,46 the different growth rates of phages and peptide degradation by protease.47”
Quote in the paperNot a substantial claim2 of 3 sources checked- cites [45] Sharp, P. M. & Li, W. H. The codon adaptation index−a measure of directional synonymous codon usage bias, and its potential applications. Nucleic Acids Res. 15, 1281–1295 (1987). source
The Introduction discusses uneven synonymous codon usage, and ‘Predicting levels of heterologous gene expression’ discusses codon usage in phage genes. Neither addresses whether peptides displayed in a phage library occur at uneven frequencies; searches for phage-display libraries and peptide frequencies found no such passage. (LLM, conf=0.76)
Experimental — accuracy not yet measured - cites [46] Lee, S., Weon, S., Lee, S. & Kang, C. Relative codon adaptation index, a sensitive measure of codon usage bias. Evol. Bioinform. Online 6, 47–55 (2010). source
The Results and Discussion section discusses codon usage in bacteriophage λ genes, not the frequencies of peptides displayed in a phage library. A search for phage-display library abundance and uneven peptide frequencies found no passage addressing the claim. (LLM, conf=0.76)
Experimental — accuracy not yet measured - cites [47] Cheng, Y. et al. Protease-responsive prodrug with aggregation-induced emission probe for controlled drug delivery and drug release tracking in living cells. Anal. Chem. 88, 8913–8919 (2016). source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationEarly antibacterial therapy is important for increasing the survival of patients with sepsis.
“Clinical epidemiological investigation shows that 95% of sepsis in patients is caused by bacterial infections, and early antibacterial therapy is important for increasing the survival of patients with sepsis.37,38”
Quote in the paperNot a substantial claim1 of 2 sources checked- cites [37] Tong, S. Y. C. et al. Effect of vancomycin or daptomycin with vs without an antistaphylococcal beta-lactam on mortality, bacteremia, relapse, or treatment failure in patients with MRSA bacteremia: a randomized clinical trial. JAMA 323, 527–537 (2020). source
The Abstract and Discussion compare antibiotic regimens in patients with MRSA bacteremia, not early versus delayed treatment in patients with sepsis. A search for treatment timing and sepsis survival found no passage in our copy addressing whether early antibacterial therapy increases survival. (LLM, conf=0.75)
Experimental — accuracy not yet measured - cites [38] Lagu, T. et al. Hospitalizations, costs, and outcomes of severe sepsis in the United States 2003 to 2007. Crit. Care Med. 40, 754–761 (2012). source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationLL37 interacts with negatively charged groups of lipopolysaccharides (LPSs) through its positively charged group, leading to weakened toxicity to the body.
“Previous studies demonstrated that LL37 interacts with negatively charged groups of lipopolysaccharides (LPSs) through its positively charged group, leading to weakened toxicity to the body.52”
Quote in the paperNot a substantial claim1 of 1 sources checked- cites [52] Nagaoka, I. et al. Cathelicidin family of antibacterial peptides CAP18 and CAP11 inhibit the expression of TNF-alpha by blocking the binding of LPS to CD14(+) cells. J. Immunol. 167, 3329–3338 (2001). source
The Discussion (page unavailable) reports that the 37-residue human CAP18 peptide binds and neutralizes LPS, and the murine endotoxin-shock Results report improved survival after CAP18 administration. But the Discussion describes an interaction between the peptide’s positive charges and LPS’s negative charges as a proposed explanation, not a demonstrated mechanism for this peptide. (LLM, conf=0.86)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing).
Premisecitation95% of sepsis in patients is caused by bacterial infections.
“Clinical epidemiological investigation shows that 95% of sepsis in patients is caused by bacterial infections, and early antibacterial therapy is important for increasing the survival of patients with sepsis.37,38”
Quote in the paperNot a substantial claim1 of 2 sources checked- cites [37] Tong, S. Y. C. et al. Effect of vancomycin or daptomycin with vs without an antistaphylococcal beta-lactam on mortality, bacteremia, relapse, or treatment failure in patients with MRSA bacteremia: a randomized clinical trial. JAMA 323, 527–537 (2020). source
The paper’s Abstract and Discussion address treatment and outcomes in patients with MRSA bacteremia, not the causes of sepsis across patients generally. Searches for the 95% figure and for bacterial causes of sepsis found no passage supporting the claimed proportion. (LLM, conf=0.75)
Experimental — accuracy not yet measured - cites [38] Lagu, T. et al. Hospitalizations, costs, and outcomes of severe sepsis in the United States 2003 to 2007. Crit. Care Med. 40, 754–761 (2012). source
Classified as probably not a substantial claim.
PremisecitationMost AMPs lack precise molecular targets.
“Although AMPs have the characteristics of broad-spectrum antibacterial activity, overcoming multidrug resistance50,51 and mitigating dangerous side effects, most of these AMPs lack precise molecular targets.”
Quote in the paperSubstantial claim1 of 2 sources checked- cites [50] Zasloff, M. Antimicrobial peptides of multicellular organisms. Nature 415, 389–395 (2002). source
- cites [51] Mookherjee, N., Anderson, M. A., Haagsman, H. P. & Davidson, D. J. Antimicrobial host defence peptides: functions and clinical potential. Nat. Rev. Drug Discov. 19, 311–332 (2020). source
May combine two claims.
PremisecitationTraditional antibacterial drugs are prone to become drug resistant due to their low efficiency and lack of targeting.
“However, traditional antibacterial drugs are prone to become drug resistant due to their low efficiency and lack of targeting.39,40”
Quote in the paperSubstantial claim1 of 2 sources checked- cites [39] Kuehn, B. M. Multidrug-resistant candida auris concern stems from New York cases. JAMA 323, 702 (2020). source
- cites [40] Hou, X. et al. Vitamin lipid nanoparticles enable adoptive macrophage transfer for the treatment of multidrug-resistant bacterial sepsis. Nat. Nanotechnol. 15, 41–46 (2020). source
The Abstract (page unavailable) describes antimicrobial resistance as a challenge in treating sepsis and says persistent infections indicate a paucity of effective antimicrobial agents. It does not say that traditional antibacterial drugs cause resistance because of low efficiency or lack of targeting; the targeting it describes concerns the proposed nanoparticle therapy. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Probably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe sequencing data for the phage library or sublibraries of phages binding to the pathogenic bacteria were obtained with a volume of 46.63 G and 4.45 G, respectively.
“The sequencing data for the phage library or sublibraries of phages binding to the pathogenic bacteria were obtained with a volume of 46.63 G and 4.45 G, respectively (Supplementary Table S1).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe 24 h survival rate of mice challenged with low-dose (5 × 10^6 CFU/g) pathogenic bacteria was 10%, and there was no survival for mice subjected to high-dose (1 × 10^7 CFU/g) injection of this strain, which was significantly lower than that of the control group (P < 0.05).
“The 24 h survival rate of mice challenged with low-dose (5 × 106 CFU/g) pathogenic bacteria was 10%, and there was no survival for the mice subjected to high-dose (1 × 107 CFU/g) injection of this strain, which was significantly lower than that of the control group (P < 0.05) (Fig. 1b).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S4 (based). May combine two claims.
Findingnone givenThe C7C phage library has a diversity of 1.28 × 10^9, which covers almost all possible combinations of amino acids (AAs).
“The C7C phage library has a diversity of 1.28 × 109, which covers almost all possible combinations of amino acids (AAs).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataThe sequences with stop codons or without up- and/or downstream labels were removed, and clean sequence data were acquired from the samples or phage library with overall percentages of 83.51% and 87.25%, respectively.
“The sequences with stop codons or without up- and/or downstream labels were removed, and clean sequence data were acquired from the samples or phage library with overall percentages of 83.51% and 87.25%, respectively (Fig. 3b).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataDifferent heptapeptides encoded by phages were found with different frequencies in the phage library; the frequency of heptapeptide distribution was extremely heterogenous.
“Due to the bias in the composition of phages, different heptapeptides encoded by these phages were found with different frequencies in the phage library. For example, the frequencies of GSAPVRS and LTAKHMQ were 7,741 and 7,257, respectively (Supplementary Table S2), whereas the lowest frequency was only 1, indicating that the frequency of heptapeptide distribution was extremely heterogenous.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataCompared to the control, 21 proteins were upregulated and 57 proteins were downregulated in the VKT group.
“We found 21 upregulated proteins and 57 downregulated proteins in the VKT group (Fig. 8c).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn comparison with the input, 112 and 131 proteins were significantly upregulated in the HEE and VTK groups, respectively.
“we found that 112 and 131 proteins were significantly upregulated in the HEE and VTK groups, respectively (Supplementary Fig. S7a, b).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe net charge distribution of the binding heptapeptides was between −3 and 2 with a peak between −1 and 0.
“We found that the net charge distribution of the binding heptapeptides was between −3 and 2 with a peak between −1 and 0 (Fig. 4c)”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataVTK-LL37 significantly suppressed the production of HMGB1 in the serum of septic mice, which was superior to LL37.
“We found that VTK-LL37 significantly suppressed the production of HMGB1 in the serum of septic mice, which was superior to LL37 (Fig. 7d).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe lethal bacterial strain MSI001 from CLP mice belongs to the species E. coli and is closest to LR134216 and LR134231 in evolution.
“Consistent with the epidemiology of sepsis, the lethal bacterial strain MSI001 from CLP mice was identified to belong to the species E. coli and was closest to LR134216 and LR134231 in evolution (Fig. 1d, e).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe frequency of the heptapeptide GSAPVRS was the maximum (7,741), while the frequency of the heptapeptide DEWWLPE was the minimum (1).
“For example, the frequency of the heptapeptide GSAPVRS was the maximum (7,741), while the frequency of the heptapeptide DEWWLPE was the minimum (1), which confirmed the concept that the frequencies of heptapeptides presented by phages were extremely uneven.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataBoth VTK-LL37 and LL37-VTK inhibited MSI001 bacterial growth and showed stronger antibiotic activity than LL37 alone in the early stage (1-3 h) of bacterial growth.
“Importantly, we found that both VTK-LL37 and LL37-VTK not only inhibited MSI001 bacterial growth but also showed stronger antibiotic activity than LL37 alone in the early stage (1-3 h) of bacterial growth (Fig. 6b).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Findingown dataThe PI of the binding heptapeptides was distributed between 3 and 12 with an outline of double peaks.
“their PI was distributed between 3 and 12 with an outline of double peaks (Fig. 4d)”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataA lethal E. coli strain was isolated from the blood of mice subjected to CLP modeling and identified by DNA sequencing.
“In this study, a lethal E. coli strain was isolated from the blood of mice subjected to CLP modeling and identified by DNA sequencing (Fig. 1a-e).”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe peptide QTYHSGH ranked 106 before normalization, whereas its ranking was elevated to position 1 after normalization against the library.
“in contrast, the peptide QTYHSGH ranked 106 before normalization, whereas its ranking was elevated to position 1 after normalization against the library (Supplementary Table S5).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThere was dose-dependent binding between DEGQ/DEGP and VTK, with equilibrium dissociation rate constants (KD) of VTK toward DEGQ/DEGP proteins of 1.73 nM and 15.8 nM, respectively.
“The results displayed that there was dose-dependent binding signals between DEGQ/DEGP and VTK, and the binding affinity represented by equilibrium dissociation rate constants (KD) of VTK toward DEGQ/DEGP proteins were 1.73 nM and 15.8 nM, respectively.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThere were 27 heptapeptides binding to pathogenic bacteria with a frequency higher than 2,000, and the highest frequency was 5,124.
“There were 27 heptapeptides binding to pathogenic bacteria with a frequency higher than 2,000, and the highest frequency was 5,124 (Fig. 3c, d; Supplementary Table S3).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataWe performed phage display biopanning and acquired high-affinity heptapeptides binding to the pathogenic bacterium after normalization of the library.
“In this study, we performed phage display biopanning and acquired high-affinity heptapeptides binding to the pathogenic bacterium after normalization of the library.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThere was no apparent correlation between the heptapeptide frequency and the binding activity before normalization, whereas their correlation was significantly improved after normalization.
“Interestingly, we found that there was no apparent correlation between the heptapeptide frequency and the binding activity before normalization, whereas their correlation was significantly improved after normalization.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThe grand average of hydropathicity (GRAVY) value distribution of the binding heptapeptides was between −4 and 3 with an apex between −1 and 0.
“and the grand average of hydropathicity (GRAVY) value distribution was between −4 and 3 with an apex between −1 and 0 (Fig. 4e).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataVTK-LL37 inhibited biofilm formation of E. coli MSI001, and VTK-LL37 had a stronger inhibition of biofilm formation at a low dose than LL37 alone.
“Moreover, we also found that VTK-LL37 inhibited biofilm formation of E. coli MSI001, and VTK-LL37 had a stronger inhibition of biofilm formation at a low dose than LL37 alone (Fig. 6c, d).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Findingown dataOverall, the most abundant AA residue was threonine (T), and the rarest was cysteine (C).
“Overall, the most abundant AA residue was threonine (T), and the rarest was cysteine (C).”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim. May combine two claims.
PremisecitationDifferent pathogens have different sensitivities to antibacterial drugs, characteristics of organ distribution and other biological behaviors, which lead to different clinical manifestations and prognoses.
“It is well established that different pathogens have different sensitivities to antibacterial drugs, characteristics of organ distribution and other biological behaviors, which lead to different clinical manifestations and prognoses.13,14”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [13] Brun-Buisson, C. et al. EPISEPSIS: a reappraisal of the epidemiology and outcome of severe sepsis in French intensive care units. Intensive Care Med. 30, 580–588 (2004). source
- cites [14] Bhattacharjya, S. De novo designed lipopolysaccharide binding peptides: structure based development of antiendotoxic and antimicrobial drugs. Curr. Med. Chem. 17, 3080–3093 (2010). source
May combine two claims.
Interpretationown dataThe bacterial strain isolated from the blood of CLP mice was lethal and suitable for the reproduction of sepsis.
“This result indicated that this bacterial strain isolated from the blood of CLP mice was lethal and suitable for the reproduction of sepsis.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductown dataThe sequencing data were composed of 98.98% clean reads, 0.09% containing N reads, 0.64% adapter-related reads and 0.29% low-quality reads.
“Generally, the sequencing data were composed of 98.98% clean reads, 0.09% containing N reads, 0.64% adapter-related reads and 0.29% low-quality reads (Fig. 2e).”
Quote in the paperNot a substantial claimMay combine two claims.
Study design and conductown dataSequencing quality along reads was distributed in Q30 to Q40, with an accuracy higher than 99.9%, and the error rate for most reads was below 0.025%.
“Sequencing quality along reads was distributed in Q30 to Q40, with an accuracy higher than 99.9% (Fig. 2c), and the error rate for most reads was below 0.025% (Fig. 2d).”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationAntimicrobial peptides (AMPs) induced by bacterial infections are small, active peptides with the capability to stimulate the innate immune activity of living organisms.
“Antimicrobial peptides (AMPs) induced by bacterial infections are small, active peptides with the capability to stimulate the innate immune activity of living organisms.49”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [49] Hancock, R. E. Cationic peptides: effectors in innate immunity and novel antimicrobials. Lancet Infect. Dis. 1, 156–164 (2001). source
May combine two claims.
Study design and conductown dataConstrained principal coordinates analysis (cPCoA) found that the intragroup reproducibility was satisfied and that the difference between groups was significant.
“Constrained principal coordinates analysis (cPCoA) was performed to test the intragroup reproducibility and difference between groups, and found that the intragroup reproducibility was satisfied and that the difference between groups was significant (Fig. 8a).”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationEffective antibacterial therapy is a hopeful approach to significantly reducing the fatality of sepsis.
“Effective antibacterial therapy is a hopeful approach to significantly reducing the fatality of sepsis.48”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [48] Kumar, A. et al. Duration of hypotension before initiation of effective antimicrobial therapy is the critical determinant of survival in human septic shock. Crit. Care Med. 34, 1589–1596 (2006). source
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationPhage display technology has been widely applied in various studies, including protein-protein interactions, antigen epitope screening, and peptide screening.
“Phage display technology has been widely applied in various studies, including protein-protein interactions (PPIs), antigen epitope screening,42 peptide screening and so on.43”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [42] Pande, J., Szewczyk, M. M. & Grover, A. K. Phage display: concept, innovations, applications and future. Biotechnol. Adv. 28, 849–858 (2010). source
- cites [43] Smothers, J. F., Henikoff, S. & Carter, P. Tech.Sight. Phage display. Affinity selection from biological libraries. Science 298, 621–622 (2002). source
May combine two claims.
Interpretationown dataThe antibacterial activity of VTK-LL37 was superior to LL37 both in vitro and in vivo by specifically targeting DEGP or DEGQ membrane proteins on lethal E. coli MSI001.
“We demonstrated that the antibacterial activity of VTK-LL37 was superior to LL37 both in vitro and in vivo by specifically targeting DEGP or DEGQ membrane proteins on lethal E. coli MSI001.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductnone givenC57BL/6 mice were randomly divided into sham and CLP groups.
“C57BL/6 mice were randomly divided into sham and CLP groups.”
Quote in the paperSubstantial claimClassified as probably not a substantial claim.
Study design and conductown dataC57BL/6 mice were randomly divided into 4 groups for the therapeutic effect study.
“To study the therapeutic effect of synthetic peptides, C57BL/6 mice were randomly divided into 4 groups.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S2 (checkable).
Interpretationown dataOur study provides tremendous potential for the application of a systematic approach to killing pathogens by precise targeting, especially in the treatment of sepsis.
“Our study provides tremendous potential for the application of a systematic approach to killing pathogens by precise targeting, especially in the treatment of sepsis.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenThe animal procedures were conducted in compliance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals and were approved by the local Animal Care and Use Committee of Southern Medical University.
“The animal procedures were conducted in compliance with the National Institutes of Health Guide for the Care and Use of Laboratory Animals and were approved by the local Animal Care and Use Committee of Southern Medical University.”
Quote in the paperNot a substantial claimClassified as probably not a substantial claim.
Study design and conductown dataA total of 30 C57BL/6 mice were randomly assigned evenly to 3 groups (low-dose, high-dose, and control).
“To study the lethal bacterial strain MSI001, we randomly assigned a total of 30 C57BL/6 mice evenly to 3 groups, i.e., the low-dose group, high-dose group and control group, in which the mice were subjected to peritoneal injection with 5 × 106 or 1 × 107 CFU/g bodyweight bacteria or an equivalent volume of NS, respectively.”
Quote in the paperSubstantial claim
The paper relies on this without support.
Bacterial infection is a prerequisite for the diagnosis of sepsis.
“Bacterial infection is considered to be a prerequisite for the diagnosis of sepsis.”
The paper relies on this without support.
Gram-negative bacterial infection accounts for 62.2% of severe sepsis cases.
“Epidemiological studies demonstrate that gram-negative (G-) bacterial infection accounts for 62.2% of severe sepsis cases, among which E. coli, Klebsiella pneumoniae and Pseudomonas aeruginosa are the major pathogens causing severe sepsis in the clinic.”
The paper relies on this without support.
E. coli, Klebsiella pneumoniae and Pseudomonas aeruginosa are the major pathogens causing severe sepsis in the clinic.
“Epidemiological studies demonstrate that gram-negative (G-) bacterial infection accounts for 62.2% of severe sepsis cases, among which E. coli, Klebsiella pneumoniae and Pseudomonas aeruginosa are the major pathogens causing severe sepsis in the clinic.”
The paper relies on this without support.
Effective killing of pathogens in the early stage of infection is a key step for the treatment of sepsis.
“It is well established that effective killing of pathogens in the early stage of infection is a key step for the treatment of sepsis.”
The paper relies on this without support.
LL-37 shows bacteriostatic activity against various bacterial strains, such as E. coli, Pseudomonas, Enterococcus, and Staphylococcus aureus.
“As a representative AMP from mammals, LL-37 shows bacteriostatic activity against various bacterial strains, such as E. coli, Pseudomonas, Enterococcus, and Staphylococcus aureus.”
The paper relies on this without support.
LL-37 is an amphiphilic, helical AMP with a typical amphiphilic spiral structure and induces oligomer formation through its highly hydrophobic N-terminus, leading to increased stability by avoiding proteolytic degradation.
“LL-37 is an amphiphilic, helical AMP with a typical amphiphilic spiral structure and induces oligomer formation through its highly hydrophobic N-terminus, leading to an increased stability of LL-37 by avoiding proteolytic degradation.”
The paper relies on this without support.
DEGP and DEGQ belong to the superfamily of heat shock proteins (HSPs).
“Previous studies demonstrated that DEGP and DEGQ belong to the superfamily of heat shock proteins (HSPs).”
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Figure reverses the pull-down and digestion steps
MinorThe figure caption says the membrane proteins were digested with trypsin before pull-down. The Methods instead describe pulling down membrane proteins with peptide-bound beads, with trypsin digestion occurring during subsequent sample preparation.
“The outer membrane proteins of MSI001 bacteria were digested with trypsin and pulled down by VTK or HEE heptapeptide as described in the Methods.”
“The heptapeptide-bound magnetic beads were incubated with the bacterial membrane proteins at 37 °C for 4 h to pull down the membrane proteins interacting with the heptapeptide.”
Figure 1 survival comparison names the wrong mice
MinorFigure 1b describes survival after injecting mice with isolated bacteria, but its caption says the survival test compared CLP mice with controls.
“Kaplan-Meier log-rank analysis was applied to test the significance of the difference in survival between the CLP mice and the control mice.”
“C57 mice were injected with bacteria at 5 × 106 CFU/g body weight (low-dose group, green line) or 1 × 107 CFU/g body weight (high-dose group, red line.”
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MethodSevere Sepsis and Septic Shock
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“However, traditional antibacterial drugs are prone to become drug resistant due to their low efficiency and lack of targeting.(39,40) Therefore, it is important to construct a new drug delivery system with a high capability of pathogen killing by improving the targeting specificity of antimicrobial drugs, mitigating m…”
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“Previous studies demonstrated that LL37 interacts with negatively charged groups of lipopolysaccharides (LPSs) through its positively charged group, leading to weakened toxicity to the body.(52) LL-37 is an amphiphilic, helical AMP with a typical amphiphilic spiral structure and induces oligomer formation through its…”
BackgroundNeonatal sepsis in South Asia: huge burden and spiralling antimicrobial resistance
Chaurasia, S., Sivanandan, S., Agarwal, R., Ellis, S., Sharland, M., & Sankar, M. J. (2019) · BMJ · doi:10.1136/bmj.k5314 · Cited by 258 · cited 1× · see citing works
“At present, various commercially available antimicrobial drugs exhibit some prominent defects, including nonspecific targeting and low concentrations in the lesion, which leads to low efficiency, high toxicity, various side effects(15) and multidrug resistance.(16,17) In the era of precision medicine, targeted drug de…”
BackgroundMacrophage endocytosis of high-mobility group box 1 triggers pyroptosis
Xu, J., Jiang, Y., Wang, J., Shi, X., Liu, Q., Liu, Z., Li, Y., Scott, M. J., Xiao, G., Li, S., et al. (2014) · Cell Death & Differentiation · doi:10.1038/cdd.2014.40 · Cited by 239 · cited 1× · see citing works
“Construction of His-tagged fusion protein expression plasmids After enzyme digestion with BamHI, the pET14b/His-EGFP plasmid was linearized and used as the template for PCR amplification.(62) The DNA sequences encoding heptapeptides were fused to the His-EGFP-encoding sequence to construct the expression plasmid pET14…”
MethodSelf-citationHeat-shock proteins: chaperoning DNA repair
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Phage Selection of Cyclic Peptides for Application in Research and Drug Development
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Treatment of severe sepsis with nanoparticulate cell-free DNA scavengers
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“The detail criteria were based on a previously established method.(64)”
MethodGong, S., Yan, Z., Liu, Z., Niu, M., Fang, H., Li, N., Huang, C., Li, L., Chen, G., Luo, H., et al. (2019) · Hepatology · doi:10.1002/hep.30361 · Cited by 188 · cited 1× · see citing works
“The CLP model was prepared with mice as described previously.(57,58) Briefly, mice were anesthetized with 1.”
MethodSelf-citationPerspectives for clinical use of engineered human host defense antimicrobial peptides
Pachón-Ibáñez, M. E., Smani, Y., Pachón, J., & Sánchez-Céspedes, J. (2017) · FEMS Microbiology Reviews · doi:10.1093/femsre/fux012 · Cited by 159 · cited 1× · see citing works
“For this reason, LL-37 is considered an ideal template or a molecular skeleton for the development of new antimicrobial drugs.(36)”
BackgroundOsteoblast-Targeting-Peptide Modified Nanoparticle for siRNA/microRNA Delivery
Sun, Y., Ye, X., Cai, M., Liu, X., Xiao, J., Zhang, C., Wang, Y., Yang, L., Liu, J., Li, S., et al. (2016) · ACS Nano · doi:10.1021/acsnano.5b07828 · Cited by 155 · cited 1× · see citing works
“As a potent tool for the screening of binding partners, phage display has been widely applied in the discovery of blood-brain barrier (BBB) shuttle peptides,(21) the identification of antibodies,(22,23) antigen epitope screening,(24,25) the development of new vaccines and drugs and the characterization of peptides for…”
MethodSelf-citationKahn, J. M., Davis, B. S., Yabes, J. G., Chang, C.-C. H., Chong, D. H., Hershey, T. B., Martsolf, G. R., & Angus, D. C. (2019) · JAMA · doi:10.1001/jama.2019.9021 · Cited by 149 · see citing works
Yang, Y., Ding, Y., Fan, B. Q., Wang, Y., Mao, Z., Wang, W., & Wu, J. (2020) · Journal of Controlled Release · doi:10.1016/j.jconrel.2020.02.030 · Cited by 131 · cited 1× · see citing works
“Therefore, it is important to construct a new drug delivery system with a high capability of pathogen killing by improving the targeting specificity of antimicrobial drugs, mitigating multidrug resistance.(41) Phage display technology has been widely applied in various studies, including protein-protein interactions (…”
BackgroundExosomes Derived From Septic Mouse Serum Modulate Immune Responses via Exosome-Associated Cytokines
Gao, K., Jin, J., Huang, C., Li, J., Luo, H., Li, L., Huang, Y., & Jiang, Y. (2019) · Frontiers in Immunology · doi:10.3389/fimmu.2019.01560 · Cited by 111 · cited 1× · see citing works
“Hematoxylin and eosin (H&E) staining was performed for observation under an Axio Imager Z2 microscope (Zeiss, Germany).(63)”
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“There were some reasons for the heterogenous phage amount, such as biases in library construction, variance in the use of cryptography,(45,46) the different growth rates of phages and peptide degradation by protease.(47) To define the bias of the phage library, we analyzed the frequency distribution of heptapeptides a…”
BackgroundHospital Case Volume and Outcomes among Patients Hospitalized with Severe Sepsis
Walkey, A. J., & Wiener, R. S. (2014) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201311-1967oc · Cited by 93 · see citing works
Christiansen, A. B., Kringelum, J. V., Hansen, C. S., Bøgh, K. L., Sullivan, E. H., Patel, J., Rigby, N. M., Eiwegger, T., Szépfalusi, Z., Masi, F. D., et al. (2015) · Scientific Reports · doi:10.1038/srep12913 · Cited by 80 · see citing works
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“It is well established that different pathogens have different sensitivities to antibacterial drugs, characteristics of organ distribution and other biological behaviors, which lead to different clinical manifestations and prognoses.(13,14) Therefore, it is urgent to establish an individualized medical strategy target…”
BackgroundRelative Codon Adaptation Index, a Sensitive Measure of Codon Usage Bias
Lee, S., Weon, S., Lee, S., & Kang, C. (2010) · Evolutionary Bioinformatics · doi:10.4137/ebo.s4608 · Cited by 68 · see citing works
Affinity Selection from Biological Libraries
Smothers, J. F., Henikoff, S., & Carter, P. (2002) · Science · doi:10.1126/science.298.5593.621 · Cited by 67 · see citing works
Newly folded substrates inside the molecular cage of the HtrA chaperone DegQ
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“As HSP homologous proteases, DEGP and DEGQ were found to play a central role in protein quality control in the bacterial periplasmic space, through degrading denatured and misfolded proteins accumulated under adverse conditions.(55,56) The increased bacterial killing effect of the VTK-LL37 fusion peptide might be expl…”
BackgroundThe right dose for every patient: a key step for precision medicine
Peck, R. (2015) · Nature Reviews Drug Discovery · doi:10.1038/nrd.2015.22 · Cited by 55 · see citing works
Kim, J. H., Kim, S., Kline, M. A., et al. (2019) · ACS Nano · doi:10.1021/acsnano.9b07498 · Cited by 55 · see citing works
Targeting adaptor protein SLP76 of RAGE as a therapeutic approach for lethal sepsis
Yan, Z., Luo, H., Xie, B., Tian, T., Li, S., Chen, Z., Liu, J., Zhao, X., Zhang, L., Deng, Y., et al. (2021) · Nature Communications · doi:10.1038/s41467-020-20577-3 · Cited by 54 · cited 1× · see citing works
“The operation details for the PlexArray HT were as described previously.(65) The purified protein samples were prepared at determined concentrations in PBS running buffer, while glycine-HCl buffer (10 mmol/L, pH 2.”
MethodSelf-citationHeat Shock Factor 2 Protects against Proteotoxicity by Maintaining Cell-Cell Adhesion
Joutsen, J., Da Silva, A. J., Luoto, J. C., Budzynski, M. A., Nylund, A. S., de Thonel, A., Concordet, J.-P., Mezger, V., Sabéran-Djoneidi, D., Henriksson, E., et al. (2020) · Cell Reports · doi:10.1016/j.celrep.2019.12.037 · Cited by 51 · cited 1× · see citing works
“damaged or misfolded proteins and recover raw materials for protein synthesis, thus helping cells maintain normal physiological activities.(53,54) As HSP homologous proteases, DEGP and DEGQ were found to play a central role in protein quality control in the bacterial periplasmic space, through degrading denatured and…”
BackgroundWagner, S. N., Häfner, C., Allwardt, D., Jasińska, J., Ferrone, S., Zielinski, C. C., Scheiner, O., Wiedermann, U., Pehamberger, H., & Breiteneder, H. (2005) · The Journal of Immunology · doi:10.4049/jimmunol.174.2.976 · Cited by 49 · see citing works
Novel Blood–Brain Barrier Shuttle Peptides Discovered through the Phage Display Method
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DegP functions as a critical protease for bacterial acid resistance
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“As HSP homologous proteases, DEGP and DEGQ were found to play a central role in protein quality control in the bacterial periplasmic space, through degrading denatured and misfolded proteins accumulated under adverse conditions.(55,56) The increased bacterial killing effect of the VTK-LL37 fusion peptide might be expl…”
BackgroundSociety must seize control of the antibiotics crisis
Amábile-Cuevas, C. (2016) · Nature · doi:10.1038/533439a · Cited by 33 · see citing works
Phage Display to Detect and Identify Autoantibodies in Disease
Deutscher, S. L. (2019) · New England Journal of Medicine · doi:10.1056/nejmcibr1903249 · Cited by 22 · see citing works
SnapShot: High-Throughput Sequencing Applications
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“As a potent tool for the screening of binding partners, phage display has been widely applied in the discovery of blood-brain barrier (BBB) shuttle peptides,(21) the identification of antibodies,(22,23) antigen epitope screening,(24,25) the development of new vaccines and drugs and the characterization of peptides for…”
MethodSelf-citationGandhi, T. N., & Malani, P. N. (2020) · JAMA · doi:10.1001/jama.2019.21472 · Cited by 14 · see citing works
Multidrug-Resistant <i>Candida auris</i> Concern Stems From New York Cases
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“However, traditional antibacterial drugs are prone to become drug resistant due to their low efficiency and lack of targeting.(39,40) Therefore, it is important to construct a new drug delivery system with a high capability of pathogen killing by improving the targeting specificity of antimicrobial drugs, mitigating m…”
Background
Flagged first, then by citations
Cited by
Sorted by citations
Synthetic biology-inspired cell engineering in diagnosis, treatment and drug development
Zhao, N., Song, Y., Xie, X., Zhu, Z., Duan, C., Nong, C., Wang, H., & Bao, R. (2023) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-023-01375-x · Cited by 105 · see citing works
“coli MSI001, a lethal strain, was isolated from mice; the strain was used for screening bacteria-binding heptapeptides based on an integrative bioinformatics approach, phage display technology, and high-throughput sequencing.(277) Yeast is another promising cell factory for the production of peptides.”
MethodLi, M., Zhao, P., Wang, J., Zhang, X., & Li, J. (2024) · Materials Horizons · doi:10.1039/d4mh01124d · Cited by 46 · see citing works
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A pro-healing short-chain antimicrobial peptide that inhibits sepsis
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Functional hyaluronic acid/gelatin hydrogel accelerates the closure and healing of diabetic wounds
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Epigenetic Mechanisms in Sepsis-Induced Cardiomyopathy: From Pathophysiology to Therapeutic Targets
Jiang, C., Li, Z., Dong, X., Wang, Y.-C., Zhong, X., & Wang, K. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27156767
“For instance, SIRT3-dependent deacetylation of SDHA dampens aerobic glycolysis in sepsis models, whereas acetylation of mitochondrial proteins in other septic organ injuries aggravates ROS production, mitochondrial dysfunction, and apoptosis [75,76].”
- Authors
- Zhang, X., Li, S., Luo, H., He, S., Yang, H., Li, L., Tian, T., Han, Q., Ye, J., Huang, C., Liu, A., & Jiang, Y.
- Affiliations
- Southern Medical University (CN)
- Nanfang Hospital (CN)
- Corresponding author
- Liu, Aihua
- Jiang, Yong
- Venue
- Signal Transduction and Targeted Therapy
- Published
- 2022-07-25
- Volume
- 7
- Issue
- 1
- Pages
- 245-245
- ISSN
- 2059-3635 (ISSN-L)
- PMC
- PMC9309159
- OpenAlex
- W4286945342
- Semantic Scholar
- 540893d1ca838b9f38ab902cdb95a4c58b4060ed
- Cited by
- 14
- References
- 67
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 5 · 2023: 2
- FWCI
- 1.39
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Signal Transduction and Targeted Therapy (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PubMed Central (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (82130063, 81671965, 2016A020216015, U1601225, 2019JC05Y340)
- Topics
- Life Sciences › Immunology and Microbiology › Microbiology › Antimicrobial Peptides and Activities
- Health Sciences › Medicine › Epidemiology › Sepsis Diagnosis and Treatment
- Physical Sciences › Chemistry › Organic Chemistry › Antimicrobial agents and applications
- Keywords
- sepsis, antibacterial peptides, heptapeptide, Escherichia coli, cecal ligation and puncture, LL-37, phage display, biofilm inhibition, HMGB1, protein-peptide interactions
- MeSH terms
- Animals, Anti-Bacterial Agents, Cecum, Escherichia coli, Sepsis, Proteomics, Mice
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Claims read by deepseek-v4.1-flash under definition version 3 (extract-v3) on 2026-10-23.
Classified by jev-1.13-20260917 (gold-guideline-v0.2) on 2026-10-23.
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Statistics and arithmetic are recomputed, not judged.
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