Cited by 14Antimicrobial Peptides and ActivitiesSepsis Diagnosis and TreatmentAntimicrobial agents and applications

Identification of heptapeptides targeting a lethal bacterial strain in septic mice through an integrative approach

Open access
Zhang, Xiaoyan, Li, Shan, Luo, Haihua, He, Shuyue, Yang, Huangda, Li, Lei, Tian, Tian, Han, Qizheng +4 more·2022·Signal Transduction and Targeted Therapy

Abstract

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.

AI snapshot

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

Registry

Crossref · 10.1038/s41392-022-01035-6

Cites

67 of 67 references verified0 citation errors · 0 not checkable

Statistics

Nothing to recompute.

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
  • 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.

    Premisecitation

    The 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.

    Premisecitation

    LL-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.

    Premisecitation

    Early 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.

    Premisecitation

    Various 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.

    Premisecitation

    HSPs 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.

    Premisecitation

    DEGP 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 checked
    • cites [55] Fu, X. et al. DegP functions as a critical protease for bacterial acid resistance. FEBS J. 285, 3525–3538 (2018). source
    • cites [56] Malet, H. et al. Newly folded substrates inside the molecular cage of the HtrA chaperone DegQ. Nat. Struct. Mol. Biol. 19, 152–157 (2012). source
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    The 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).

    Premisecitation

    Early 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).

    Premisecitation

    LL37 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).

    Premisecitation

    95% 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.

    Premisecitation

    Most 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.

    Premisecitation

    Traditional 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 data

    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.

    “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 claim
  • May combine two claims.

    Findingown data

    The 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 claim
  • Probably not a substantial claim: may not pass S4 (based). May combine two claims.

    Findingnone given

    The 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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data

    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.

    “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 claim
  • May combine two claims.

    Findingown data

    Different 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 claim
  • May combine two claims.

    Findingown data

    Compared 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 claim
  • May combine two claims.

    Findingown data

    In 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 claim
  • May combine two claims.

    Findingown data

    The 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 claim
  • May combine two claims.

    Findingown data

    VTK-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 claim
  • May combine two claims.

    Findingown data

    The 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 claim
  • May combine two claims.

    Findingown data

    The 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 claim
  • May combine two claims.

    Findingown data

    Both 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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Findingown data

    The 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 claim
  • May combine two claims.

    Findingown data

    A 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 claim
  • May combine two claims.

    Findingown data

    The 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 claim
  • May combine two claims.

    Findingown data

    There 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 claim
  • May combine two claims.

    Findingown data

    There 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 claim
  • May combine two claims.

    Findingown data

    We 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 claim
  • May combine two claims.

    Findingown data

    There 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 claim
  • May combine two claims.

    Findingown data

    The 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 claim
  • May combine two claims.

    Findingown data

    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.

    “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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Findingown data

    Overall, 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 claim
  • Classified as probably not a substantial claim. May combine two claims.

    Premisecitation

    Different 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 data

    The 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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductown data

    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.

    “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 claim
  • May combine two claims.

    Study design and conductown data

    Sequencing 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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Premisecitation

    Antimicrobial 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 data

    Constrained 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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing).

    Premisecitation

    Effective 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).

    Premisecitation

    Phage 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 data

    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.

    “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 claim
  • Classified as probably not a substantial claim.

    Study design and conductnone given

    C57BL/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 claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    C57BL/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 claim
  • Probably not a substantial claim: may not pass S2 (checkable).

    Interpretationown data

    Our 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 claim
  • Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.

    Study design and conductnone given

    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.

    “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 claim
  • Classified as probably not a substantial claim.

    Study design and conductown data

    A 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
48 of 48
  • 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).”
7 of 7

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

    Minor

    The 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.

  • Figure 1 survival comparison names the wrong mice

    Minor

    Figure 1b describes survival after injecting mice with isolated bacteria, but its caption says the survival test compared CLP mice with controls.

2 of 2

Cites

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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)
OpenAlex
W4286945342
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
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.

Cited sources are checked by gpt-6-sol.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

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