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RESEARCHARTICLE Insight into the mechanism of action of temporin-SHa, a new broad-spectrum antiparasitic and antibacterial agent ZahidRaja1☯,SoniaAndre´1☯,FetenAbbassi1¤,VincentHumblot2,OlivierLequin3,4, TaharBouceba5,IsabelleCorreia3,4,SandraCasale2,ThierryFoulon1,DenisSereno6,7, BrunoOury6,7‡,AliLadram1‡* 1 SorbonneUniversite´s,UPMCUnivParis06,CNRS,InstitutdeBiologieParis-Seine(IBPS),Biogenèsedes SignauxPeptidiques(BIOSIPE),Paris,France,2 SorbonneUniversite´s,UPMCUnivParis06,CNRS, a1111111111 LaboratoiredeRe´activite´deSurface(LRS),Paris,France,3 SorbonneUniversite´s,UPMCUnivParis06, a1111111111 EcoleNormaleSupe´rieure,CNRS,LaboratoiredesBiomole´cules,Paris,France,4 DepartmentofChemistry, a1111111111 EcoleNormaleSupe´rieure,PSLResearchUniversity,UPMCUnivParis06,CNRS,Laboratoiredes a1111111111 Biomole´cules,Paris,France,5 SorbonneUniversite´s,UPMCUnivParis06,CNRS,InstitutdeBiologie a1111111111 Paris-Seine(IBPS),Plate-formeInteractionsMole´culaires,Paris,France,6 InstitutdeRecherchepourle De´veloppement(IRD),UMR224IRD-CNRS-UnivMontpellier1et2MaladiesinfectieusesetVecteurs: e´cologie,ge´ne´tique,e´volutionetcontroˆle(MiVegec),Montpellier,France,7 IRD,UMR177IRD-CIRAD, InteractionsHoˆtes-Vecteurs-Parasites-Environnementdanslesmaladiestropicalesne´glige´esduesaux Trypanosomatidae(InterTryp),Montpellier,France OPENACCESS ☯Theseauthorscontributedequallytothiswork. ¤ Currentaddress:EcoleSupe´rieuredesSciencesetTechniquesdelaSante´deMonastir(ESSTSM), Citation:RajaZ,Andre´S,AbbassiF,HumblotV, Universite´deMonastir,Monastir,Tunisia. LequinO,BoucebaT,etal.(2017)Insightintothe ‡Theseauthorsalsocontributedequallytothiswork. mechanismofactionoftemporin-SHa,anew *[email protected] broad-spectrumantiparasiticandantibacterial agent.PLoSONE12(3):e0174024.https://doi.org/ 10.1371/journal.pone.0174024 Abstract Editor:SurajitBhattacharjya,Nanyang TechnologicalUniversity,SINGAPORE Antimicrobialpeptides(AMPs)arepromisingdrugstokillresistantpathogens.Incontrastto Received:December5,2016 bacteria,protozoanparasites,suchasLeishmania,werelittlestudied.Therefore,theanti- parasiticmechanismofAMPsisstillunclear.Inthisstudy,wesoughttogetfurtherinsight Accepted:February22,2017 intothismechanismbyfocusingourattentionontemporin-SHa(SHa),asmallbroad-spec- Published:March20,2017 trumAMPpreviouslyshowntobeactiveagainstLeishmaniainfantum.Toimproveactivity, Copyright:©2017Rajaetal.Thisisanopen wedesignedanalogsofSHaandcomparedtheantibacterialandantiparasiticmechanisms. accessarticledistributedunderthetermsofthe [K3]SHaemergedasahighlypotentcompoundactiveagainstawiderangeofbacteria, CreativeCommonsAttributionLicense,which permitsunrestricteduse,distribution,and yeasts/fungi,andtrypanosomatids(LeishmaniaandTrypanosoma),withleishmanicidal reproductioninanymedium,providedtheoriginal intramacrophagicactivityandefficiencytowardantibiotic-resistantstrainsofS.aureusand authorandsourcearecredited. antimony-resistantL.infantum.Multipassageresistanceselectiondemonstratedthattem- DataAvailabilityStatement:Allrelevantdataare porins-SH,particularly[K3]SHa,arenotpronetoinduceresistanceinEscherichiacoli.Anal- withinthepaperanditsSupportingInformation ysisofthemodeofactionrevealedthatbacterialandparasitekillingoccurthroughasimilar files. membranolyticmechanisminvolvingrapidmembranepermeabilizationanddepolarization. Funding:Thisworkwassupportedbythe Thiswasconfirmedbyhigh-resolutionimaging(atomicforcemicroscopyandfieldemission UniversityPierreandMarieCurie(UPMC),Institute ofResearchforDevelopment(IRD–AAPLeishmed gun-scanningelectronmicroscopy).Multiplecombinedtechniques(nuclearmagneticreso- 2010),FrenchstatefundsmanagedbytheANR nance,surfaceplasmonresonance,differentialscanningcalorimetry)allowedustodetail (Investissementsd’Avenirprogram,reference peptide-membraneinteractions.[K3]SHawasshowntointeractselectivelywithanionic ANR-11-IDEX-0004-02,withintheframeworkof modelmembraneswitha4-foldhigheraffinity(K =3x10−8M)thanSHa.Theamphipathic theClusterofExcellenceMATISSE),andbyfunds D fromtheConvergenceMECV2011programof α-helicalpeptideinsertsin-planeinthehydrophobiclipidbilayeranddisruptstheacylchain PLOSONE|https://doi.org/10.1371/journal.pone.0174024 March20,2017 1/41 Antiparasitic/antibacterialmechanismoftemporin-SHa UPMC.ZRandSAweresupportedbyafellowship packingviaadetergent-likeeffect.Interestingly,cellularevents,suchasmitochondrial fromtheFrenchMinistèredel’Enseignement membranedepolarizationorDNAfragmentation,wereobservedinL.infantumpromasti- Supe´rieuretdelaRecherche,allocatedbythe gotesafterexposuretoSHaand[K3]SHaatconcentrationsaboveIC .Ourresultsindicate EcoleDoctoraleiViv(ED387,UPMC,Paris, 50 France).Thefundershadnoroleinstudydesign, thatthesetemporinsexertleishmanicidalactivityviaaprimarymembranolyticmechanism datacollectionandanalysis,decisiontopublish,or butcanalsotriggerapoptotis-likedeath.Themanyassetsdemonstratedfor[K3]SHamake preparationofthemanuscript. thissmallanaloganattractivetemplatetodevelopnewantibacterial/antiparasiticdrugs. Competinginterests:Theauthorshavedeclared thatnocompetinginterestsexist. Introduction Antimicrobialpeptides(AMPs)areaubiquitousgroupofnaturalcompoundsthatplaya majorroleintheinnateimmunesystem[1,2].Becauseoftheirabilitytorapidlykillawide rangeofmicroorganismsbyinducingthelysisoftheirmembranesand/oractingonintracellu- lartargets[3],thesepeptidesarelesssusceptibletoinducemicrobialresistance.Naturally occurringAMPs,suchasthosefromamphibians,areconsideredpromisingcandidatesforthe developmentoftherapeuticdrugs,includinganti-infectiveagentstotreatresistantpathogens aswellasanticancer,antidiabeticandimmunomodulatoryagents[4,5]. AmphibianAMPsofthetemporinfamily[6–10]representparticularlyattractivepotential therapeuticcandidates.Thesepeptidesaresynthesizedfromprecursorsofthedermaseptin superfamilyanddisplaythecharacteristicstructuralfeatures:ahighlyconservedN-terminal region(signalpeptidefollowedbyanacidicpropiece)andahypervariableC-terminalregion encodingtheprogenitorsequenceoftheAMP[11,12].Maturetemporinsshareuniqueprop- ertiesthatdistinguishthemfromotherAMPs.Thesepeptideshaveasmallsize,usually13–14 residues[13].However,werecentlyisolatedanatypicalmemberofthetemporinfamilycon- tainingonly8aminoacidresidues,namedtemporin-SHf(FFFLSRIF ),whichisthesmall- NH2 estnaturallinearAMPfoundtodate,withthehighestpercentageofPheresidues(50%)for anyknownpeptideorprotein[14].IncontrasttomostAMPs,temporinshavealownetposi- tivecharge(0to+3).AlltemporinsareC-terminallyamidatedandadoptanamphipathicα- helicalstructureinapolarmediaorinmembranemimeticenvironments[15–17].Recently, suchstructureforatemporinwasalsoobservedinamediacontainingbacterialcells[18], usingapreviouscirculardichroismprotocolthatwasusedforthefirsttimetostudythesec- ondarystructureofAMPs(cecropinAandmagainin-2)inthepresenceofE.colicells[19]. Thisamphipathicα-helicalstructureenablesthetemporinstointeractwithanddestabilize microbialcytoplasmicmembrane,therebypromotingmembranepermeabilizationand/ordis- ruptionviaa“carpet-like”mechanismthatcaninvolvetheformationoftoroidalpores,chan- nelaggregatesormorecomplexstructuresdependingontheconcentration,lengthand sequenceofthepeptide[13,15,20,21].Atveryhighpeptideconcentrations,themembrane canbedisintegratedinadetergent-likemanner. Temporinshavearelativelynarrowspectrumofactivity,predominantlyagainstGram-pos- itivebacteria[7–9].However,afewmembersofthisfamilydisplayawiderspectrum,with potentactivityagainstGram-negativebacteriaandyeasts[22–25].Moreover,asmallnumber oftemporinsareabletokillparasites.Currently,onlysixtemporinshavebeenreportedto haveleishmanicidalactivity(Table1).OtheramphibianAMPswithalargersizewerealso showntoactonLeishmaniaparasites,suchasdermaseptin-S1(34residues),thefirstdiscov- eredleishmanicidalpeptide,orbombininsH2(20residues)andH4(21residues)[26,27]. DifferentAMPantiparasiticactivitiesareobserveddependingonthenatureoftheAMP andtheparasiteandalsoonthestageoftheparasite.Severalantiparasiticmechanismshave PLOSONE|https://doi.org/10.1371/journal.pone.0174024 March20,2017 2/41 Antiparasitic/antibacterialmechanismoftemporin-SHa Table1. Temporinsreportedtohaveleishmanicidalactivity. Temporin Sequence Netchargea Reference Ta FLPLIGRVLSGIL +2 [28] NH2 Tb LLPIVGNLLKSLL +2 [28] NH2 SHa FLSGIVGMLGKLF +2 [22] NH2 SHd FLPAALAGIGGILGKLF +2 [23] Tl FVQWFSKFLGRIL +3 [29] NH2 Tf FLPLIGKVLSGIL +2 [29] NH2 apH7.4. https://doi.org/10.1371/journal.pone.0174024.t001 beendescribed[30–32],whichinvolvedisruptionoftheparasitemembraneinthecaseof temporin-TaandTb[28]oractivityagainstintracellulartargetsinthecaseofhistatine-5[33]. Thefactthatamastigotes(theintracellularforminthevertebratehost)aregenerallymore resistanttoAMPscomparedtopromastigotes(theextracellularformintheinsectvector)sug- geststhatthesurfacecompositionoftheLeishmaniaparasitesisimportantandthatthenega- tivelychargedglycocalyxofpromastigotes,composedmainlyoflipophosphoglycan(LPG)and proteophosphoglycan(PPG),playsasignificantroleinAMPactivity.ArecentstudybyEggi- mannandcollaboratorsindicatedthatPPGisamajorfactorfortheactivityoftemporin-SHa againstL.mexicanapromastigotesandthatthelackofPPGandLPGonthesurfaceincreases theresistanceofthisLeishmaniaspeciestotemporins[29].Temporinsareamongthesmallest naturalantiparasiticpeptidesreportedtohaveactivityagainstbothpromastigotesandamasti- gotes.Moreover,itappearsthatthesmallsizeandlowchargeoftemporinsfavordiffusion acrosstheglycocalyxintotheplasmamembrane.Therefore,thesepeptidesmaybeusefultools toelucidatetheantiparasiticmechanismandarealsoattractivecandidatestoreinforcethelim- itedarsenalofchemotherapeuticagentsforwhichthereisevidenceofemergingresistance, suchaspentavalentantimonials[34–36]ormiltefosine[37]. Wepreviouslyshowedthattemporin-SHa(SHa)hasabroad-spectrumactivitytoward Gram-positiveandGram-negativebacteria,yeastsandLeishmaniaparasites[22].Thispeptide inhibitedthegrowthofL.infantumpromastigotesandaxenicamastigotes.Basedonthecom- plexbalanceofstructuralandphysicochemicalparameters(length,secondarystructure,net positivecharge,hydrophobicity,helicityandamphipathicity)thatgoverntheantimicrobial activityofAMPs[4,38–41],wedesignedsubstitutedanalogsofSHa([K3]temporin-SHa:[K3] SHa;[A2,6,9]temporin-SHa:[A2,6,9]SHa;[A2,6,9,K3]temporin-SHa:[A2,6,9,K3]SHa)toimprove theantibacterial/antiparasiticactivityoftheparentpeptide. Inthisstudy,thestructureofthepeptidesandtheircytotoxicityagainstseveralmammalian cellsweredetermined,andadetailedcomparisonoftheantibacterialandantiparasiticactivi- tiesofSHaanditsanalog[K3]SHawascarriedout.WescreenedalargepanelofGram-nega- tiveandGram-positivebacteriaofclinicalinterestandalsovarioustrypanosomatidparasites (LeishmaniaandTrypanosoma),includingantibiotic-resistantstrainsofS.aureusandanti- mony-resistantL.infantum.Multipassageresistanceselectionwasperformedtodetermine whetherbacterialresistancecouldoccuragainstSHaanditsanalogs.Biochemicalandbio- physicalstudiesallowedustocomparetheantiparasiticandantibacterialmechanismsofthe temporinsindetail.Wefirstcarriedoutmembranepermeabilization,depolarizationand time-killassays.Thetemporin-inducedmembranedamageswerethenvisualizedbyatomic forcemicroscopy(AFM)andfieldemissiongun-scanningelectronmicroscopy(FEG-SEM) imagingofbacteriaandparasites.WealsoanalyzedthetypicalhallmarksofapoptosisinL. infantumpromastigotes,suchasmitochondrialdepolarizationandDNAfragmentation. PLOSONE|https://doi.org/10.1371/journal.pone.0174024 March20,2017 3/41 Antiparasitic/antibacterialmechanismoftemporin-SHa Finally,peptide-membraneinteractionswerestudiedbysurfaceplasmonresonance(SPR)and differentialscanningcalorimetry(DSC)usingmodelsofeukaryoticandprokaryoticcellmem- branesandalsobynuclearmagneticresonance(NMR)spectroscopyusingbicellesasamem- branemimetic. Results DesignofSHaanalogs TheSHaanalogsweredesignedandsynthetizedbymodifyingthestructuralandphysicochem- icalparametersknowntocontroltheantimicrobialactivityofAMPs,suchasnetpositive charge,hydrophobicity,helicityandamphipathicity.Specificaminoacidpositionsinthe sequenceofSHaweresubstitutedtoimprovetheantibacterialandantiparasiticactivityofSHa whilereducingitscytotoxicactivity.First,thenetpositivechargeofSHawasincreasedtoa valueof+3,yieldingtheanalog[K3]SHa(Table2).ThisanaloghasaLysresidueinposition3, whichislocatedonthepolarfaceoftheα-helix(Fig1),insteadofaSerresidue.Becausehigh hydrophobicitywasshowntoincreasecytotoxicactivity[4],wealsodesignedtwoanalogswith reducedhydrophobicityontheapolarfaceoftheα-helix(Fig1).TheresiduesLeu2,9andVal6 werereplacedwithAla,yieldingtheanalog[A2,6,9]SHaandalso[A2,6,9,K3]SHa(Table2).As shownbytheSchiffer-Edmundsonhelicalwheelprojections(Fig1),allanalogswerepredicted toconservetheamphipathiccharacterofSHa. [K3]SHadisplaysmorepotentantimicrobialactivitythanSHa WefirstinvestigatedtheantimicrobialactivityofSHaandanalogsbydeterminingminimal inhibitoryconcentrations(MICs)againstawidepanelofGram-negativeandGram-positive bacteriaandyeasts/fungi(Table3).Thetwoanalogs[A2,6,9]SHaand[A2,6,9,K3]SHawereinac- tiveagainstallstrains(MIC>200μM).Thesetwopeptideswerethenusedasnegativecon- trols.Incontrast,theanalog[K3]SHawasfoundtobehighlyactiveagainstallthetested bacteria(MIC=1–6μM)andyeasts/fungi(MIC=3–25μM),includingthemultidrug-resis- tantstrainsoftheclinicallyrelevantpathogenicspeciesS.aureus,ATCC43300andATCC BAA-44.Asignificantincreaseinactivitywasobservedforthisanalogcomparedtotheparent peptide,especiallyforGram-negativebacteriaandyeasts/fungi(Table3).Indeed,forGram- negativestrains,MICvaluesdecreasedbyapproximately8-foldforP.aeruginosa,aspecies thatfrequentlydevelopshighintrinsicresistancetomanyconventionalantibiotics,4-foldfor S.enterica(serotypeEnteritidis)andK.pneumoniae,3-foldforE.coli,and2-foldforA.bau- mannii.Moreover,[K3]SHawas4-foldmorepotentagainstyeasts/fungi,eventowardthe Table2. Sequenceandphysicochemicalpropertiesoftemporin-SHaanditsanalogs. Peptide Sequencea M b(Da) Netchargec <H>d <μH>e w SHa FLSGIVGMLGKLF 1380.76 +2 0.91 0.69 NH2 [K3]SHa FLKGIVGMLGKLF 1421.86 +3 0.84 0.74 NH2 [A2,6,9]SHa FASGIAGMAGKLF 1268.55 +2 0.63 0.51 NH2 [A2,6,9,K3]SHa FAKGIAGMAGKLF 1309.64 +3 0.56 0.57 NH2 aThesubstitutedresiduesareindicatedinboldinthesequenceoftheanalogs. bTheoreticalaveragemolecularmassusingPeptideMassCalculatorv3.2(http://rna.rega.kuleuven.ac.be/masspec/pepcalc.htm). cpH7.4. dHydrophobicityand ehydrophobicmomentwerecalculatedusingHeliQuest(http://heliquest.ipmc.cnrs.fr/). https://doi.org/10.1371/journal.pone.0174024.t002 PLOSONE|https://doi.org/10.1371/journal.pone.0174024 March20,2017 4/41 Antiparasitic/antibacterialmechanismoftemporin-SHa Fig1.Schiffer-Edmundsonhelicalwheelrepresentationoftemporin-SHaanditsanalogs.SHa,temporin-SHa;[K3]SHa, [K3]temporin-SHa;[A2,6,9]SHa,[A2,6,9]temporin-SHa;[A2,6,9,K3]SHa,[A2,6,9,K3]temporin-SHa.Apolarresiduesarerepresented inblackandpolar/basicresiduesingray/white.Aminoacidmodificationsareinbold.Anamphipathiccharacter,withtwowell- separatedpolarandapolarfaces,isobserved.AdaptedfromHeliquest. https://doi.org/10.1371/journal.pone.0174024.g001 SHa-insensitivespeciesC.parapsilosis(MIC=25μM).Table3alsoindicatesthat[K3]SHa retainedthehighpotencyoftheparentpeptideagainstS.aureusATCC25923(MIC=3μM) butwasslightlymoreactivetowardotherGram-positivebacteria(2-fold)andsignificantly moreactivetowardS.pyogenes(6-fold).ThegeometricmeanoftheMICvalues(MIC )was GM calculatedforseveralstrainsoftheTable3toprovideanoverallevaluationoftheantimicrobial activityagainstGram-negativebacteria,Gram-positivebacteriaandyeast/fungi,andthento useitforthedeterminationofthetherapeuticindexofSHaand[K3]SHa.MIC valuesindi- GM catedinTable3(inbold)underlinethehigherantimicrobialpotencyof[K3]SHa,particularly againstGram-negativebacteriaandyeasts/fungi.Ataconcentration2-foldabovetheMIC, PLOSONE|https://doi.org/10.1371/journal.pone.0174024 March20,2017 5/41 Antiparasitic/antibacterialmechanismoftemporin-SHa Table3. Antibacterialactivityoftemporin-SHaanalogscomparedtotheparentpeptide. MICa,MIC b(μM) GM SHa [K3]SHa [A2,6,9]SHa [A2,6,9,K3]SHa Gram-negativebacteria E.coliATCC25922 10 3 >200 >200 E.coliML-35p 10 3 >200 >200 P.aeruginosaATCC27853 50 6 >200 >200 S.entericac 25 6 >200 >200 A.baumanniiATCC19606 6 3 >200 >200 K.pneumoniaeATCC13883 12 3 >200 >200 14.4 3.8 - - Gram-positivebacteria S.aureusATCC25923 3 3 >200 >200 S.aureusST1065 6 3 >200 >200 S.aureusATCC43300d 6 3 - - S.aureusATCCBAA-44e 6 3 - - S.pyogenesATCC19615 6 1 >200 100 L.ivanovii 6 3 >200 >200 E.faecalisATCC29212 12 6 >200 >200 6 2.8 - - Yeasts/fungi C.albicansATCC90028 25 6 >200 >200 C.parapsilosisATCC22019 100 25 >200 >200 S.cerevisiae 12 3 >200 >200 31.1 7.7 - - aValuesrepresentthemeansofthreeindependentexperimentsperformedintriplicate. bMIC denotesthegeometricmeanoftheMICvalues(indicatedinbold)forallGram-negative,Gram-positiveandyeast/fungalstrains. GM cSerotypeEnteritidis. dResistanttomethicillinandoxacillin. eResistanttoamoxicillin/clavulanicacid,cephalothin,ciprofloxacin,erythromycin,gentamicin,imipenem,oxacillin,penicillin,tetracycline,ampicillin, doxycycline,methicillin,azithromycin,ceftriaxone,clindamycin,lincomycin,perfloxacin,rifampin,andtobramycin. https://doi.org/10.1371/journal.pone.0174024.t003 temporin-SHa(12μM)and[K3]SHa(6μM)werebothabletocompletelykillGram-positive bacteria,suchasS.aureus,within5min(Fig2A).However,atsimilarconcentrations,[K3]SHa wasmoreefficientthanSHainkillingGram-negativebacteria(Fig2B).Whilea120-minexpo- surewasneededforapproximately93%killingbySHa,only15minwasneededforthe[K3] SHaanalogtoachievecompletelethalityinE.colicells. Leishmanicidalactivitywasanalyzedonbothpromastigotesandamastigotes(axenicand intramacrophagic).PotentandrapidantiprotozoalactivitieswereobtainedforSHaandits analog[K3]SHa(Table4andFig3).Theeffectoftemporin-SHaagainstL.infantumcan bevisualizedinrealtime(S1Movie).AsshowninTable4,agrowthinhibitoryeffectwas observedwithpromastigotesofseveralspeciesofLeishmaniaresponsibleforvisceral(L.infan- tum),cutaneous(L.majorandL.amazonensis)andmucocutaneous(L.braziliensis)leishmani- ases,withslightlyhigheractivityfor[K3]SHa(IC valuesintherangeof5–10μM)compared 50 totheparentpeptideSHa(IC =7–18μM).Wenoticeda2-foldimprovementofleishmanici- 50 dalactivity(IC =8μMforSHaand5μMfor[K3]SHa)whenpeptideswereincubatedwith 50 L.infantumpromastigotesinserum-freemedium.Moreover,time-killcurvesrevealedclear differencesintheparasite-killingefficiencyoftemporin-SHa(Fig3A)and[K3]SHa(Fig3B). PLOSONE|https://doi.org/10.1371/journal.pone.0174024 March20,2017 6/41 Antiparasitic/antibacterialmechanismoftemporin-SHa Fig2. Time-killingcurvesofSHaanditsanalog[K3]SHaagainstS.aureusST1065(A)andE.coli ML-35p(B).Bacteria(106cfu/ml)wereincubatedinphosphate-bufferedsaline(PBS)withtemporinsat concentrations2-foldabovetheMICobtainedforS.aureusST1065(6μMfor[K3]SHaand12μMforSHa). ThenegativecontrolcorrespondstobacteriaincubatedinPBSwithoutpeptide(w/opeptide).Thedataare shownasthemeans±SEMfromasingleexperimentcarriedoutintriplicateandarerepresentativeofthree independentexperiments. https://doi.org/10.1371/journal.pone.0174024.g002 WhilebothpeptideswereactiveagainstL.infantumpromastigotesat3μM(38%and49%kill- ingforSHaand[K3]SHa,respectively,at180min),[K3]SHainduceddeathinstantlyat12μM (withinthefirstmin)comparedto5minforSHa.However,at6μM,[K3]SHawasabletorap- idly(15min)andcompletelykillpromastigotes,whereasasignificantreductioninthenumber ofparasites(~91%)wasobservedonlyaftera180-minincubationwithtemporin-SHa.Con- sistentwiththeirlackofantibacterialeffect,[A2,6,9]SHaand[A2,6,9,K3]SHashowednoanti- parasiticactivityagainstL.infantumpromastigotes(IC >200μM,Table4).AsshowninFig 50 3C,nokillingwasobservedwhenparasiteswereincubatedwith96μM[A2,6,9,K3]SHa.As observedforantibiotic-susceptibleandantibiotic-resistantS.aureusstrains,[K3]SHaandSHa retainedtheabilitytokillL.infantumparasitessusceptibleandresistanttoantimonywiththe sameefficiency(Table4).Interestingly,leishmanicidalactivitywasdemonstratedfor[K3]SHa (IC =5μM)andSHa(IC =9μM)againstintramacrophagicamastigotesaswellasagainst 50 50 theaxenicforms(IC =20μM)(Table4).Othertrypanosomatids,suchasT.bruceigambiense 50 (responsibleforsleepingsickness)andT.cruzi(theetiologicalagentofChagasdisease),were PLOSONE|https://doi.org/10.1371/journal.pone.0174024 March20,2017 7/41 Antiparasitic/antibacterialmechanismoftemporin-SHa Table4. Antiprotozoalactivityoftemporin-SHaand[K3]temporin-SHa. IC (μM) 50 SHa [K3]SHa Leishmaniapromastigotes L.infantuma 18(8)b 10(5)b L.infantum(antimonyresistant) 14 9 L.major 13 10 L.braziliensis 7 5 L.amazonensis 13 8 Leishmaniaamastigotes L.infantum(axenic) 20 20 L.infantum(intramacrophagic) 9 5 Trypanosomaepimastigotes T.bruceigambiense 14 16 T.cruzi 17 10 a[A2,6,9]SHaand[A2,6,9,K3]SHawereinactiveagainstL.infantumpromastigotes(IC >200μM). 50 bvaluesinparentheseswereobtainedinserum-freemedium. https://doi.org/10.1371/journal.pone.0174024.t004 susceptibletotemporins(Table4).TheactivityagainstT.bruceigambiensewasquitesimilar forSHaand[K3]SHa(IC ~15μM)butT.cruziwasslightlymoresusceptibletothepeptide 50 analog(~2-fold).Thetrypanocidaleffectoftemporin-SHaisshownintheS2Movie. Asapositivecontrol,wealsoevaluatedtheleishmanicidaleffectofdermaseptinB2,apotent 33-residueAMPisolatedfromfrogskin(Phyllomedusabicolor)thatkillsmicroorganismsby thecarpetmechanism[42].AhighleishmanicidalactivityagainstL.infantumpromastigotes wasobservedforthispeptide(IC =2.5μM). 50 [K3]SHadisplaysabettertherapeuticindex Thecytotoxicityoftemporinswasevaluatedtowardratandhumanerythrocytes,andseveral humancelllines(Table5).Atantimicrobialconcentrations(3–6μMforbacteriaandvirtually allyeaststrains;5–15μMforparasites),lowcytotoxicity(humanerythrocytes,THP-1mono- cytesandTHP-1-derivedmacrophages)ornocytotoxicity(HepG2cellsandfibroblasts)was observedfor[K3]SHa.ForSHa,similarresultswereobtained,witha2-foldhigherhemolytic activityonhumanerythrocytes(25μM)comparedto[K3]SHa.However,this2-foldhigher activitywasalsofoundforbothpeptidesonraterythrocytes.Theseresultsindicatethatintra- macrophagicamastigotescanbekilledbytemporinswithoutdamagetothehostcellatleish- manicidalconcentrations.Asforbacteriaandparasites,theanalogs[A2,6,9]SHaand[A2,6,9,K3] SHawereinactivetowarderythrocytes,andnocytotoxicityhasbeendetectedwhen[A2,6,9] SHawasalsotestedonTHP-1monocytes(IC >60μM)andHepG2cells(IC >600μM) 50 50 (Table5).Incontrast,thepositivecontrol,dermaseptinB2,washighlycytotoxictowardTHP- 1monocytes(IC ~7μM). 50 Toevaluatethecellselectivity(microorganismsversushumancells),thetherapeuticindices of[K3]SHaandSHawerecalculatedastheratioofIC orLC valuesforthedifferenthuman 50 50 cellsovertheMIC valuesobtainedforGram-negativebacteria,Gram-positivebacteriaand GM yeasts/fungi.TheresultsshowedinTable6revealthat[K3]SHadisplaysabettertherapeutic indexwithvalues1.37-foldto8.12-foldhigherthanthoseofSHadependingonthetypeof microorganismsandcellsconsidered.Thetherapeuticindicesof[K3]SHawerealsobetter whentheywerecalculatedwithLC valuesagainstraterythrocytes(indicatedinTable5)and 50 PLOSONE|https://doi.org/10.1371/journal.pone.0174024 March20,2017 8/41 Antiparasitic/antibacterialmechanismoftemporin-SHa Fig3.Time-killcurvesoftemporinsagainstL.infantum.Parasites(2x106cells/ml)wereincubatedin HBSSwithvariousconcentrations(3,6and12μM)ofsyntheticSHa(A)and[K3]SHa(B).HBSSwithout peptide(w/opeptide)orcontaining96μM[A2,6,9,K3]SHawasusedasanegativecontrol(C).Thedataare shownasthemeans±SEMofonerepresentativeexperimentobtainedfromthreeindependentexperiments carriedoutinduplicate. https://doi.org/10.1371/journal.pone.0174024.g003 PLOSONE|https://doi.org/10.1371/journal.pone.0174024 March20,2017 9/41 Antiparasitic/antibacterialmechanismoftemporin-SHa Table5. CytotoxicactivityoftemporinsSHaandanalogsagainsthumancellsandraterythrocytes. IC orLC (μM) 50 50 Cells SHa [K3]SHa [A2,6,9]SHa [A2,6,9,K3]SHa Raterythrocytes 25 26 >200 >200 Humanerythrocytes 25 50 >100 ND HumanTHP-1monocytes >60 48 >60 ND HumanTHP-1-derivedmacrophages 60 55 ND ND HumanHepG2 560 358 >600 ND Humanfibroblasts >100 >100 ND ND ValuesweredeterminedwithGraphPadPrism6.0softwareandarethemeansofthreeindependentexperimentsperformedintriplicate.IC ,halfmaximal 50 inhibitoryconcentration;LC ,halfmaximallyticconcentration(erythrocytesandmacrophages). 50 ND:notdetermined. https://doi.org/10.1371/journal.pone.0174024.t005 MIC :Gram-negativebacteria,T.I.(SHa)=1.7,T.I.([K3]SHa)=6.8(4-foldhigher);Gram- GM positivebacteria,T.I.(SHa)=4.2,T.I.([K3]SHa)=9.3(2.21-foldhigher);yeasts/fungi,T.I. (SHa)=0.8,T.I.([K3]SHa)=3.4(4.25-foldhigher).Therefore,theoverallresultsindicate greaterantimicrobialspecificityfortheanalog[K3]SHacomparedtotheparentpeptide. [K3]SHaaltersmoreefficientlytheintegrityofthebacterialandparasite plasmamembrane Theeffectsoftemporinsonthemembraneintegrityofbacteriaandparasiteswereinvestigated bytwocomplementaryapproaches(ONPGandSYTOXGreenassays)toanalyzemembrane permeabilization.First,weincubatedSHaand[K3]SHawithE.coliML-35p,abacterialstrain constitutivelyexpressingcytoplasmicβ-galactosidase,andwemeasuredthetime-dependent hydrolysisofthesmallchromogenicsubstrateo-nitrophenyl-β-D-galactopyranoside(ONPG) intoo-nitrophenol(ONP)bycytoplasmicβ-galactosidase(Fig4).AsindicatedinFig4Aand 4B,bothpeptideswereabletopermeabilizethebacterialcytoplasmicmembrane.However, [K3]SHainducedamorerapidandpotentpermeabilizationoftheGram-negativestrainE.coli ML-35pcomparedtotheparentpeptide.Interestingly,at10μM,this13-residueanalogwasas efficientasthetwopositivecontrolsusedinourstudy,dermaseptinB2(33residues)and Table6. Therapeuticindices(T.I.)of[K3]SHaandSHaa. T.I.b Human THP1- THP1-derived HepG2 Fibroblasts [K3]SHa(SHa) erythrocytes monocytes macrophages Gram-negativestrains 13.1(1.7) 12.6(8.3) 14.5(4.2) 94.2(38.9) 52.6(13.9) 7.70c 1.52 3.45 2.42 3.78 Gram-positivestrains 17.8(4.2) 17.1(20) 19.6(10) 127.8(93.3) 71.4(33.3) 4.24 0.85 1.96 1.37 2.14 Yeast/fungalstrains 6.5(0.8) 6.2(3.8) 7.1(1.9) 46.5(18) 26(6.4) 8.12 1.63 3.37 2.58 4.06 aTherapeuticindicesofSHaareindicatedinparentheses. bRatioofIC orLC values(forhumancellsfromTable5)overthegeometricmeanofMICvalues(fromTable3andcorrespondingtoGram-negative, 50 50 Gram-positive,andyeast/fungalstrains).WhenIC orLC valueswerehigherthanthemaximumconcentrationtested,aminimal2-foldconcentration 50 50 valuewasusedtocalculatethetherapeuticindexbecauseIC orLC valuesweredeterminedbycarryingoutserial2-folddilutions(forexample,LC > 50 50 50 100wasconsideredas200). cValuesinboldrepresentthefoldimprovementinthetherapeuticindexof[K3]SHacomparedtoSHa. https://doi.org/10.1371/journal.pone.0174024.t006 PLOSONE|https://doi.org/10.1371/journal.pone.0174024 March20,2017 10/41

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1 Sorbonne Universités, UPMC Univ Paris 06, CNRS, Institut de Biologie Paris-Seine (IBPS), Biogenèse des. Signaux Peptidiques (BIOSIPE), Paris, France, . nel aggregates or more complex structures depending on the concentration, length and sequence of the peptide [13, 15, 20, 21]. At very high
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