LL-37
Endogenous human cathelicidin antimicrobial peptide with broad-spectrum antibacterial, immunomodulatory, and wound-healing properties.
LL-37 is the sole human cathelicidin and a key component of innate immunity, with broad-spectrum activity against bacteria, fungi, viruses, and biofilms. In vitro and animal studies demonstrate potent antibiofilm properties against pathogens including Pseudomonas aeruginosa, Staphylococcus aureus, and Escherichia coli. LL-37 promotes wound healing, bone regeneration, and neovascularization, and has been investigated for roles in cardiovascular disease, periodontal regeneration, and inflammatory bowel disease. However, clinical evidence in humans is extremely limited, and LL-37 exhibits cytotoxicity to host cells (including osteoblasts) at concentrations near physiological levels induced by vitamin D stimulation. Its rapid degradation by serum proteases and potential for pro-inflammatory effects at elevated concentrations remain significant translational challenges.