1. Introduction
The rise of multidrug-resistant (MDR) bacteria has created a global public health crisis. According to a recent Antimicrobial Resistance Collaborators review, it is estimated that 1.91 million (confidence interval (CI) 1.56–2.26) deaths attributable to antimicrobial resistance (AMR) and 8.22 million (CI 6.85–9.65) deaths associated with AMR could occur globally in 2050 [
1]. Among the pathogens of concern,
Staphylococcus aureus is particularly relevant due to its prevalence in community and hospital settings [
2]. This Gram-positive pathogen causes a wide variety of infections, including bacteremia, pneumoniae, endocarditis, and skin, soft tissue, and device-related infections [
3]. In particular, methicillin-resistant
S. aureus (MRSA) is frequently associated with outbreaks in healthcare environments [
4,
5]. Its high pathogenicity is attributed to the increased resistance to methicillin and several other β-lactam antibiotics [
6] and the ability to form biofilms [
7,
8]. For instance, the Centers for Disease Control and Prevention (CDC) reported a 13% increase in the incidence of hospital-acquired MRSA infections in the USA during the COVID-19 pandemic [
9]. Importantly, the increased resistance of MRSA has limited the use of current therapeutic options, which are limited to a few antibiotics, including vancomycin, mupirocin, daptomycin, and linezolid [
10,
11]. However, the use of these agents is restricted by treatment failure, high toxicity, slow bactericidal action, and low tissue penetration [
12,
13,
14].
Antimicrobial peptides (AMPs) have been widely explored as promising antimicrobial agents against MDR bacteria. AMPs are small molecules produced by a wide variety of organisms, including amphibians, arthropods, plants, humans, and microorganisms [
15]. In addition to their potent antimicrobial effects due to membrane interaction, AMPs also present antibiofilm [
16,
17] and immunomodulatory activities [
18,
19]. However, their clinical use is limited by factors such as high production costs, low stability, and elevated cytotoxicity [
15]. To address these challenges, structural modifications, such as amino acid substitutions, insertions or deletions, cyclization, and conjugation to hydrophobic residues, have been commonly employed [
20].
Arthropod venoms, such as those from spiders and bees, are important sources of bioactive molecules, including AMPs [
21,
22]. Our research group has focused on the isolation, biochemical characterization, synthesis, structural modification, and evaluation of the biological effects of peptides from arthropod venoms [
23,
24,
25]. Among the molecules studied is LyeTx I (H-IWLTALKFLGKNLGKHLAKQQLAKL-NH
2; Molecular weight: 2832.48 Da), isolated from the venom of the spider
Lycosa erythrognatha [
26], a species commonly found in Brazil and popularly known as “
aranha-de-grama”, “
tarântula”, “
aranha-de-jardim” or “
aranha lobo” [
27]. LyeTx I presented a promising antimicrobial effect against
Escherichia coli,
S. aureus, Candida krusei (currently referred to as
Pichia kudriavzevii), and
Cryptococcus neoformans, probably by membrane disruption [
26]. Follow-up studies focused on structural modifications of LyeTx I to improve its antimicrobial activity. In this vein, the removal of amino acid residues from the C-terminal region of LyeTx I and the insertion of a lysine at position 5 resulted in a short peptide of 16 amino acid residues called LyeTx I mnΔK (H-IWLTKALKFLGKNLGK-NH2; Molecular weight: 1829.28 Da; charge: +5) [
28]. The antimicrobial effect of LyeTx I mnΔK has been shown against bacterial and fungal species, including
Acinetobacter baumannii [
23,
28], MRSA [
25],
E. coli,
Pseudomonas aeruginosa,
P. kudriavzevii,
C. neoformans,
C. gattii [
28], and
Candida albicans [
29].
Based on the promising activity of LyeTx I mnΔK and given that modifications to peptide structure can increase their antimicrobial properties, we designed a novel peptide by inserting a leucine residue (L) at the C-terminal region of LyeTx I mnΔK. This modification was chosen since leucine increases hydrophobic interactions with bacterial membranes, potentiating the antimicrobial activity of AMPs [
30,
31]. The novel synthetic peptide was called LyeTx I mnΔKL (H-IWLTKALKFLGKNLGKL-NH
2; Molecular weight: 1942.44 Da; 17 amino acids; charge: +5). Therefore, this study aimed to evaluate the antibacterial activity of LyeTx I mnΔKL against MRSA, its interaction with bacterial membranes, cytotoxicity, antibiofilm activity, and synergism with vancomycin. In addition, we evaluated the interaction of this peptide with lipid bilayers by circular dichroism (CD) and isothermal titration calorimetry (ITC). Furthermore, we also evaluated the potential use of LyeTx I mnΔKL as a topical agent using an in vivo wound/abscess infection model. The insertion of an L on the structure of LyeTx I mnΔKL increased its anti-MRSA activity compared to the prototype LyeTx I mnΔK. Furthermore, LyeTx I mnΔKL presented a rapid bactericidal effect and led to a reduction of biofilm formation and mature biofilms. In vivo, LyeTx I mnΔKL presented a more pronounced effect in a wound/abscess murine model.
3. Discussion
Although significant progress has been made over the past decades in characterizing the antimicrobial effect of AMPs and their analogs, to date, only a few have been approved for clinical use (i.e., gramicidin, colistin, polymyxin B, daptomycin, vancomycin, oritavancin, dalbavancin, and telavancin) [
41]. This is attributed to several challenges associated with the use of these molecules, including high synthesis costs, low stability under physiological conditions, and potential toxicity to human cells [
42]. In this study, we designed a novel AMP molecule, LyeTx I mnΔKL, derived from the natural peptide LyeTx I [
26] and the synthetic modified AMP LyeTx I mnΔK [
28]. We showed that LyeTx I mnΔKL presented increased in vitro and in vivo antimicrobial and killing effects against MRSA clinical isolates compared to its prototype (i.e., LyeTx I mnΔK). Furthermore, similar to LyeTx I mnΔK, we show that LyeTx I mnΔKL acts on the membrane of
S. aureus, possibly as its primary mode of action. However, the peptide presented high toxicity. Importantly, we demonstrate that LyeTx I mnΔKL affects biofilm formation and mature MRSA biofilms.
The natural peptide LyeTx I, derived from a
L. erythrognatha toxin, was first isolated and its antimicrobial activity described by our group in 2010 [
26]. It exhibited antimicrobial activity against
E. coli (MIC 7.81 μM),
S. aureus (MIC 3.79 μM),
P. kudriavzevii (MIC 26.3 μM), and
C. neoformans (MIC 13.2 μM), with a more pronounced effect on Gram-positive bacteria. However, its hemolytic activity at high concentrations and relatively long chain (25 amino acid residues) may limit its applicability as an antimicrobial agent. Then, in a follow-up study, three shortened LyeTx I analogs were synthesized: LyeTx I mn with 15 amino acid residues, LyeTx I mnΔK with a lysine inserted at position 5, and its acetylated variation LyeTx I mnΔKAc. Although LyeTx I showed an increased antimicrobial effect against Gram-negative, Gram-positive, and fungal species compared to its analogs, the synthetic derivatives showed reduced hemolytic activity. Moreover, LyeTx I and all three analogs were shown to adopt an α-helical conformation and exhibit membranolytic effects. Among the analogs studied, LyeTx I mnΔK presented more promising effects with higher antimicrobial activity and lower cytotoxicity [
28]. Consistently, follow-up studies demonstrated the activity of LyeTx I mnΔK against carbapenem-resistant
A. baumannii (CRAB) strains (MIC
50 of 4 μM) by disrupting bacterial cell membranes [
23]. Importantly, LyeTx I mnΔK showed lower cytotoxicity and hemolytic activities compared to LyeTx I [
23]. It also exhibited promising antifungal activity against
Candida species [
29] and efficacy against MRSA cells [
25]. The reduction in antimicrobial potency of LyeTx I mnΔK compared to LyeTx I could be attributed to decreases in net positive charge and hydrophobicity, as well as to the overall reduction in peptide size. However, LyeTx I mnΔK displayed low stability in fetal bovine serum and human plasma [
23], which may impact its potential applicability. In addition, PEGylation may represent a valuable strategy to improve the in vivo stability of these peptides while reducing their toxicity, as previously demonstrated for LyeTx I-b, another derivative of LyeTx I, which showed efficacy against multidrug-resistant
A. baumannii pneumonia in mice [
43].
In accordance with our studies, it has been previously shown that adding leucine residues to peptides can increase the helicity potential [
31] and hydrophobicity, promoting membrane permeabilization [
30] and enhancing biological activity [
31]. Indeed, leucine zipper sequences have been reported as promising modulators of toxicity and antimicrobial activity [
44]. In this context, the rapid killing observed in the kill-curve assay for LyeTx I mnΔKL compared to LyeTx I mnΔK and vancomycin, which is known to have limited bactericidal activity [
45], could be attributed, at least in part, to the leucine addition to the peptide structure. In fact, the presence of carboxyamidated leucine at the
C-terminal position of cationic short-chain peptides obtained from the toxins of insects of the order Hymenoptera [
46,
47,
48], as well as most proline-rich peptides from insects in general [
49], appears to be a mandatory structural requirement for the antimicrobial activity of these natural products.
Biofilms are recognized as the predominant form of bacteria in nature and represent a chemical and physical barrier against environmental stressors [
32,
50,
51]. In addition to the presence of an extracellular polymeric substance matrix, the increased resistance of biofilms to antimicrobial agents and host immune factors is attributed to multiple mechanisms, including the presence of persister cells, low-metabolic or non-replicating cells, and gradients of oxygen and nutrients [
33]. Therefore, the development of antimicrobial agents that target not only mature biofilms but also the initial stages of biofilm formation represents a promising strategy to enhance infection control. Here, we show that the modified peptide LyeTx I mnΔKL had a more pronounced effect on biofilm formation and 24-h MRSA biofilms than LyeTx I mnΔK. In addition to biomass quantification, analysis of biofilm cell viability revealed that LyeTx I mnΔKL reduced the viability of 24-h biofilms at the highest concentrations tested (i.e., 4 and 10 × MIC), compared to LyeTx I mnΔK, which was effective only at 10 × MIC. In accordance with our results, LyeTx I was previously shown to reduce the biomass of 24- and 48-h
A. baumannii [
23] and
C. albicans [
29] biofilms. Among the mechanisms involved in the antibiofilm effect of AMPs are the downregulation of adhesion genes, cell-surface modification (e.g., hydrophobicity and charge), and bacterial cell killing [
52]. Given that LyeTx I mnΔKL affected only the viability of 24-h biofilms, we hypothesize that this modified AMP may act on non-growing cells. Indeed, the limited efficacy of traditional antibiotics in eradicating biofilms is, at least in part, due to their poor activity against slow-growing or stationary-phase cells [
53,
54]. The enhanced activity of LyeTx I mnΔKL could also involve interactions with components of the biofilm matrix. For instance, cationic antibiotics, such as colistin, polymyxin B, and tobramycin, interact electrostatically with the biofilm matrix of
P. aeruginosa, quenching its components and enhancing the antimicrobial activity of the antibiotics [
55,
56].
The primary mode of action of AMPs involves the interaction with bacterial membranes, leading to membrane disruption and cell lysis [
57]. In accordance with previous studies demonstrating the membranolytic activity of LyeTx I and LyeTx I mnΔK [
23,
25,
28], the novel analog LyeTx I mnΔKL presented a strong affinity for anionic lipid membranes, a key feature of AMPs [
28]. However, biophysical characterization revealed important differences between LyeTx I mnΔK and LyeTx I mnΔK L that help explain the enhanced antimicrobial activity of LyeTx I mnΔKL. CD spectroscopy showed that both peptides underwent a transition from a predominantly disordered conformation in aqueous solution to an α-helical structure upon interaction with POPC vesicles. Such membrane-induced folding is a common feature of amphipathic AMPs and is generally associated with membrane insertion and disruption [
58]. Notably, LyeTx I mnΔKL showed a markedly higher α-helical content in the membrane-bound state. These findings suggest that the additional C-terminal leucine promotes a more efficient membrane-induced folding process and stabilizes the amphipathic α-helical conformation, thereby favoring peptide partitioning into the lipid bilayer.
Thermodynamic data obtained by ITC further support this interpretation. The dominant positive entropy contribution observed for both peptides is consistent with membrane desolvation resulting from peptide–membrane association [
59]. Although both peptides exhibited favorable, predominantly entropy-driven interactions with POPC:POPG vesicles, LyeTx I mnΔKL displayed an apparent association constant approximately twofold higher than that of LyeTx I mnΔK. Moreover, the enthalpic contribution associated with membrane binding was nearly three-fold greater for LyeTx I mnΔKL.
Further evidence of enhanced membrane interaction was provided by
Dh and ζ-potential measurements. The increase in ζ-potential and
Dh indicates not only electrostatic interactions of both peptides but also deeper insertion and membrane remodeling. The observed enlargement of vesicle size suggests fusion or aggregation, driven by peptide–membrane interactions [
60]. While LyeTx I mnΔKL and LyeTx I mnΔK induced changes in the surface charge of POPC vesicles, LyeTx I mnΔKL nearly completely neutralized the negative membrane surface, whereas LyeTx I mnΔK produced only partial neutralization, reaching approximately −10 mV at the highest concentration tested. This greater charge neutralization is consistent with higher membrane affinity observed by ITC and the increased membrane-induced helicity detected by CD.
Collectively, the CD, ITC, and ζ-potential data establish the impact of structural modification on peptide–membrane interactions and the improved biological activity of LyeTx I mnΔKL. These results corroborate the findings of Vieira et al. (2024) [
25] and reinforce that LyeTx I mn∆KL exerts its antimicrobial activity by targeting the bacterial membrane, leading to physical destabilization. The addition of a single leucine residue enhances membrane affinity and increases membrane charge neutralization, ultimately leading to more efficient membrane perturbation. These properties likely contribute to the lower MIC values, faster bactericidal kinetics, and improved antibiofilm activity observed for LyeTx I mnΔKL relative to its precursor peptide.
The membranolytic activity of LyeTx I mnΔKL could also explain the rapid killing observed in the kill-curve assays and its efficacy against biofilms [
52]. Furthermore, the membrane-targeting mechanism of AMPs limits the propensity of resistance induction, an important advantage over conventional antimicrobial agents [
42]. Supporting this, previous studies showed that exposure to sublethal concentrations of LyeTx I mnΔK did not induce resistance in
A. baumannii [
23] or
C. albicans [
29] over 14 and 21 days, respectively. In the study by Lima et al. (2021), colistin, the positive control used, induced a 4-fold increase in the MIC of
A. baumannii after 14 days of exposure [
23].
Additionally, the antimicrobial effect of several antibiotics, such as ampicillin, kanamycin, norfloxacin, and ciprofloxacin, is also mediated by the generation of oxidative stress [
61,
62,
63] by varied mechanisms, including induction of the Fenton reaction [
62]. The accumulation of these toxic reactive oxygen species (ROS) damages several cellular molecules, leading to cell death [
64]. To expand on the other possible modes of action of LyeTx I mnΔKL, we tested if it induces oxidative stress in MRSA cells by the indirect ascorbic acid method. We showed that, although no effect of LyeTx I mnΔKL on oxidative stress was observed, LyeTx I mnΔK induced oxidative stress in MRSA cells. These results show that the antimicrobial mechanism of action of the prototype was altered after the addition of leucine to its
C-terminal region. Thus, future studies will focus on an in-depth characterization of alternative modes of action of LyeTx I mnΔKL.
While the membranolytic effect of AMPs confers several advantages, as discussed above, it also contributes to a significant challenge in using AMPs in the clinic—toxicity. Although the peptide structure modification increased the antibacterial effect of LyeTx I mnΔKL, it presented increased toxicity compared to the prototype [
23,
25,
28].
A promising alternative widely explored in antimicrobial therapy is the combination of antimicrobial agents to increase treatment efficacy while reducing their required dose. For instance, membrane-targeting agents are known to disrupt the cell membrane, facilitating the entry of a second antimicrobial into the cell, where it can act on intracellular targets [
65]. In our analysis, the combination of LyeTx I mnΔKL or of the LyeTx I mnΔK with vancomycin did not enhance the antimicrobial activity of either agent. However, the resensitizing effect of LyeTx I mnΔKL on MRSA cells to oxacillin and levofloxacin could make this AMP still an option for combination therapy or as an adjuvant, as resensitization is currently under exploration [
6].
The toxicity of LyeTx I mnΔKL against kidney and hepatic cells is not a limiting factor for its potential use as an antimicrobial agent. Therefore, given that MRSA is an important pathogen associated with skin and wound infections and that the treatment options for this condition are limited [
11,
66], the topical use of LyeTx I mnΔKL as a gel was evaluated. The peptide presented a promising effect in reducing MRSA load in wound/abscess infections compared to the prototype. In accordance, LyeTx I mnΔK was previously shown to produce a similar anti-MRSA effect in murine wounds/abscesses at 0.25, 0.5, and 1% in a dose-independent manner [
25]. Supporting the promising use of LyeTx I derivatives, a mouse model of arthritis induced by
S. aureus showed that LyeTx I mnΔK reduced bacterial load and pain and inflammation in mice [
28], and the use of this AMP to treat CRAB-induced pneumoniae significantly reduced bacterial load in the lungs [
23].
Taken together, our results show, for the first time, that LyeTx I mnΔKL is a promising compound for the development of new antibacterial agents against MDR infections. We show that modifying an AMP molecule by adding a leucine residue drastically increased the peptide’s antimicrobial activity in vitro and in vivo. Despite these promising results, this study has limitations. Although cytotoxicity was evaluated in HEK-293 and HepG2 cells, toxicity was not assessed in skin-relevant cell lines, such as keratinocytes or primary dermal fibroblasts, despite the use of a cutaneous infection model. In addition, membrane damage was evaluated indirectly through the extracellular release of nucleic acids and proteins, whereas a direct membrane-permeabilization assay, such as propidium iodide uptake, was not performed.
4. Materials and Methods
4.1. Bacterial Strains, Cell Lineages, and Growth Conditions
MRSA USA 300 and clinical isolates were used in this study. MRSA USA 300 was kindly provided by the Reference Laboratory in Microbiology of the Oswaldo Cruz Foundation (FIOCRUZ-RJ, Rio de Janeiro, Brazil), and clinical isolates (identified as 11, 29, 49, 130, 472, 659, and 685) were obtained from wound infections of patients admitted to the Santa Casa Hospital of Belo Horizonte (Belo Horizonte, MG, Brazil). Clinical isolates were identified by standard morphological and biochemical methods, and the MRSA phenotype was confirmed by disk-diffusion testing using a 30 µg cefoxitin disk, according to BrCAST guidelines. Isolates with an inhibition-zone diameter of <25 mm were classified as MRSA [
67]. MRSA strains were maintained on mannitol salt agar (MSA; Kasvi, Brazil) and cultured on Mueller–Hinton agar (MHA; Kasvi, Brazil) for 24 h at 37 °C before the experiments.
For cytotoxicity assays, human embryonic kidney epithelial cells (HEK-293) and human hepatocellular carcinoma epithelial cells (HepG2) were used. Cells were cultured in Dulbecco’s Modified Eagle’s Medium (DMEM) supplemented with 5% fetal bovine serum (FBS), L-glutamine (50 mg/mL), and 0.3% penicillin-streptomycin-amphotericin B solution (10,000 U/mL + 10 mg/mL + 2 mg/mL, respectively) at 37 °C in a 5% CO2 atmosphere.
Stock solutions of vancomycin (Sigma-Aldrich, São Paulo, Brazil) and peptides were prepared in sterile distilled water at a concentration of 1.28 mM. Stock solutions were divided into single-use aliquots and stored at −20 °C until use.
4.2. Peptide Synthesis and Purification
LyeTx I mn∆KL and LyeTx I mn∆K were manually synthesized using the Fmoc-based solid-phase peptide synthesis strategy [
68] on Rink-amide resin (substitution degree: 0.60 mmol·g
−1). Successive coupling steps were carried out in a solution containing 1.5 mL of N,N-dimethylformamide (DMF) and activating agents, such as 1,3-diisopropylcarbodiimide (DIC) and 1-hydroxybenzotriazole (HOBt), under constant stirring (240 rpm) for 2 h. Deprotection reactions were performed using a 25% (
v/
v) 4-methylpiperidine/DMF solution in two 15-min steps. The deprotection and coupling processes were monitored using a qualitative Kaiser test [
69]. Peptide cleavage from the resin was achieved with a TFA/triisopropylsilane/water (95:2.5:2.5,
v/
v/
v) solution under stirring for 1 h and 30 min. Subsequently, the peptide was precipitated with diisopropyl ether, dissolved in water, and lyophilized.
The purity of LyeTx I mn∆K and LyeTx I mn∆KL was evaluated using high-performance liquid chromatography and mass spectrometry (
Supplementary Figure S1). (HPLC). A mobile phase gradient consisting of acetonitrile/TFA (0.08%,
v/
v) and water/TFA (0.1%,
v/
v) was used. The analysis was performed on a Pro Star
® 315 chromatograph (Varian
®, Inc., Walnut Creek, CA, USA), equipped with a 100 μL loop and a Jupiter 4 Mm Proteo 90 Å, LC column 250 × 10 mm (Phenomenex, Inc., Torrance, CA, USA). A 500 μL injection of the crude sample at 5 mg/mL was carried out at a flow rate of 3 mL/min. Elution was achieved using a linear gradient of acetonitrile (35 to 47.5%) over 25 min.
4.3. Antibacterial Assay
The MIC was determined by the broth microdilution method in MHB supplemented with 0.002% Tween-80
TM (Kasvi, Pinhais, Brazil), according to Document M07 of the Clinical and Laboratory Standards Institute [
70]. Briefly, isolated colonies of MRSA grown on MHA were suspended in 0.9% saline solution and adjusted to a 0.5 McFarland standard (~10
8 CFU/mL). The bacterial suspension was then diluted in MHB to obtain a final inoculum of 10
6 CFU/mL. Standard twofold serial dilutions of the antimicrobial agents (0.125–64 μM) were prepared in MHB, and the plates were incubated at 37 °C for 24 h. Bacterial suspensions incubated in MHB without antimicrobial agents served as the growth control, while MHB without bacteria was used as the sterility control. Vancomycin was included as the reference antimicrobial. The plates were incubated at 37 °C for 24 h, and the MIC was defined as the lowest concentration of an antimicrobial agent that completely inhibited visible bacterial growth.
The MBC was determined by transferring 50 μL from MIC wells in which no visible growth was detected onto MHA plates, followed by incubation at 37 °C for 24 h. The MBC was defined as the lowest concentration that reduced bacterial growth by 99% compared to the untreated control.
4.4. Time-Kill Kinetics
The effect of LyeTx I mnΔKL on MRSA cells over time was assessed by CFU determination. Isolated colonies of MRSA USA 300 were resuspended in 0.9% saline, adjusted to the 0.5 McFarland standard (~108 CFU/mL), and diluted 1:200 in MHB (~106 CFU/mL). The cells were treated with 20 μM of the antimicrobial agents, corresponding to 10 × MIC of LyeTx I mnΔKL, for 3 h at 37 °C. After 30, 60, 90, 120, 150, and 180 min of incubation, aliquots of 100 μL were collected, serially diluted, and plated out on MSA. The plates were incubated for 24 h at 37 °C and the CFU/mL determined. LyeTx I mnΔK-, untreated-, and vancomycin-treated cells were used as controls.
4.5. Effect of LyeTx I mnΔKL on Biofilm Formation and Mature Biofilms
The effect of LyeTx I mnΔK and LyeTx I mnΔKL on MRSA biofilm formation and mature biofilms was evaluated by crystal violet staining [
71] and cell viability assays [
72]. Isolated colonies of MRSA USA 300 were resuspended in 0.9% saline and adjusted to the 0.5 McFarland standard (~10
8 CFU/mL), followed by a 1:200 dilution in MHB supplemented with 1% glucose (10
6 CFU/mL). For the biofilm formation inhibition assay, MRSA was inoculated into 96-well microtiter plates and incubated with sub-lethal concentrations of the antimicrobial agents (1/8 ×, ¼ ×, and ½ × MIC) for 24 h at 37 °C under static conditions to allow biofilm establishment. For the mature biofilm inhibition assay, MRSA was transferred to 96-well microtiter plates and incubated for 24 h at 37 °C under static conditions to allow biofilm formation. Wells were then treated with the antimicrobial agents at 2 ×, 4 ×, and 10 × MIC for 24 h at 37 °C. The medium was removed, and biofilm cells were washed and fixed with methanol for 5 min at 37 °C. Biofilms were then washed and stained with 0.1% crystal violet solution for 30 min at room temperature. Glacial acetic acid at 33% was added, and the OD
595nm was measured using a microplate reader (Bio-Tek Instruments, Winooski, VT, USA). Untreated and vancomycin-treated cells were used as negative and positive controls, respectively.
Cell viability of biofilms was assessed by the MTT assay, as described above.
4.6. Cytotoxicity Assay
The cytotoxic effect of LyeTx I mnΔK and LyeTx I mnΔKL was evaluated using HEK-293 and HepG2. Cells were cultivated in DMEM supplemented with 5% FBS and antimicrobial agents at 37 °C in a 5% CO
2 atmosphere to a confluence of ~80%. Approximately 3 × 10
4 cells were seeded into 96-well microtiter plates and exposed to LyeTx I mnΔKL, diluted in DMEM at concentrations ranging from 0.5 to 100 μM, for 24 h at 37 °C. Cell viability was assessed by the MTT assay [
73]. The cytotoxic concentration for 50% of the cells (CC
50) and the selective index (SI;
) were determined.
4.7. Combination Effect by the Checkerboard Assay
The synergistic effect of the combination of LyeTx I mnΔKL with vancomycin was evaluated by the checkerboard assay, as previously described [
35,
74]. LyeTx I mnΔK was used as a control. Serial dilutions of the peptides (1–32 μM) were prepared in MHB, mixed at a 1:1 ratio, and added to MRSA USA 300 (10
6 CFU/mL), followed by incubation at 37 °C for 24 h. The FICI was calculated as the sum of the FIC of the peptide and the FIC of vancomycin, in which each FIC is defined as the MIC of the compound in combination divided by the MIC of the compound alone. The interaction was classified as synergistic if FICI ≤ 0.5, additive if 0.5 < FICI ≤ 1.0, indifferent if 1.0 < FICI ≤ 4.0, and antagonistic if FICI > 4.0 [
35].
4.8. Effect of Pre-Exposure on Antimicrobial Susceptibility
The effect of pre-exposure of MRSA USA 300 to LyeTx I mnΔK or LyeTx I mnΔKL on antimicrobial resistance was evaluated by MIC determination. Briefly, MRSA USA 300 (106 CFU/mL) was incubated with a sub-lethal concentration of ¼ × MIC of the peptides for 1 h at 37 °C. Cells were collected by centrifugation and resuspended in MHB. The MIC of oxacillin, levofloxacin, kanamycin, and erythromycin was determined as described above.
4.9. Evaluation of Oxidative Stress Induction
To evaluate whether LyeTx I mnΔK and LyeTx I mnΔKL induce oxidative stress in MRSA cells, ascorbic acid, a strong antioxidant [
75], was used. For this, the MIC was determined using MHB supplemented with 100 μg/mL ascorbic acid, as described above.
4.10. Release of Intracellular Material
The release of intracellular material was evaluated spectrophotometrically by measuring the leakage of nucleic acids and proteins, as previously described [
23]. For the release of nucleic acids, MRSA USA 300 (~10
8 CFU/mL) was treated with 20 μM of LyeTx I mnΔK, LyeTx I mnΔKL, and vancomycin for 24 h at 37 °C. This lethal concentration represents 10 × MIC of LyeTx I mnΔKL. Cells were centrifuged at 3000×
g for 25 min at 4 °C, and the absorbance of the supernatant was recorded at 260 nm using a spectrophotometer (Bio-Tek Instruments, Winooski, USA).
Protein leakage was evaluated by the Bradford method [
76]. Briefly, 150 μL of MRSA USA 300 cells at 10
8 CFU/mL, treated with 20 μM of the antimicrobial agents for 24 h at 37 °C was mixed with Coomassie Brilliant Blue G-250 for 2 min. The optical density (OD) at 595 nm (OD
595nm) was measured using a spectrophotometer (Bio-Tek Instruments; Winooski, USA), and protein concentrations were determined using a bovine serum albumin standard curve. Untreated and vancomycin-treated cells were used as negative and positive controls, respectively.
4.11. Vesicle Preparation
Large unilamellar vesicles (LUVs) were obtained using the dehydration-rehydration technique, as described by Kirby and Gregoriadis (1984) [
77]. A phospholipid mixture of POPC:POPG (1-palmitoyl-2-oleoyl-sn-glycero-3-phosphocholine: 1-palmitoyl-2-oleoyl-sn-glycero-3-phosphoglycerol) at a 3:1 (mol:mol) ratio was used to mimic bacterial membranes. Lipids were dissolved in chloroform, and the solvent was evaporated under a nitrogen gas stream to form a lipid film. This film was then rehydrated with Tris-HCl buffer (10 mM) containing NaCl (20 mM), pH 8.5. The resulting multilamellar vesicles underwent five cycles of freezing and thawing at 40 °C, followed by sonication, to form unilamellar vesicles. Finally, extrusion through polycarbonate membranes (100 nm) was performed to ensure uniform vesicle size, suitable for studies involving antimicrobial peptides.
4.12. Circular Dichroism (CD)
Conformational studies of both LyeTx I mn∆K and LyeTx I mnΔKL were investigated by CD in the presence of POPC:POPG (3:1, mol:mol) vesicles, in 20 mM Tris-HCl buffer (pH 7.5). Samples contained 50 μM peptide and increasing concentrations of phospholipids. Spectra were recorded at 30 °C using a JASCO® J-810 spectropolarimeter (JASCO Corporation, Hachioji, Tokyo, Japan) equipped with a Jasco® PFD-425S Peltier temperature control system (JASCO Corporation, Hachioji, Tokyo, Japan), using a wavelength range of 190−260 nm. Similar experiments were conducted with the peptide in 20 mM Tris-HCl (pH 7.5). For all experiments, blank solutions were prepared, and the resulting spectra were subtracted from each sample measurement.
4.13. Isothermal Titration Calorimetry (ITC)
ITC was employed to investigate the interaction of LyeTx I mn∆K and LyeTx I mnΔKL with membrane-mimetic environments. The titrations consisted of 30 successive 2-s injections of 5 μL of 50 μM peptide solutions into 20 mM POPC:POPG (3:1, mol:mol) LUVs in 10 mM aqueous Tris-HCl buffer (pH 7.5) at 30 °C. The interval between the injections was 250 s. All solutions were previously degassed using an ultrasonic bath and vacuum (140 mbar, 5 min) to remove air bubbles. ITC experiments were performed on a Malvern® VP-ITC microcalorimeter (Malvern Panalytical Ltd., Malvern, United Kingdom), and the isotherms were processed and analyzed using Microcal Origin® 6.0 software for ITC (Wellesley Hills, MA, USA).
4.14. Dynamic Light Scattering and Zeta Potential (ζ)
The effects of LyeTx I mnΔKL and LyeTx I mnΔK on the hydrodynamic diameter (Dh) and zeta potential (ζ-potential) of POPC (3:1, mol) LUVs were evaluated at 25 °C using a Zetasizer Nano ZS Malvern model BI-900 (Malvern Panalytical Ltd., Malvern, United Kingdom). Measurements were performed in 700 µL polyethylene cuvettes (model DTS1060) using a 4 mW He-Ne laser (λ = 633 nm) for light scattering detection. 500 μL of LUVs (500 μM) were incubated, and the peptide was added at 15-min intervals after each addition to allow system stabilization prior to measurement. All experiments were performed in triplicate.
4.15. Peptide Formulation
The peptide formulation used for the in vivo assay consisted of a gel prepared according to the 6th edition of the Brazilian Pharmacopoeia [
78], containing components for gel stabilization and preservation (
Table 7). Methylparaben (Nipagin
®; Fragon, Curitiba, SC, Brazil) was dissolved in water (70 °C), and hydroxyethylcellulose (Natrosol
®; Fragon, Curitiba, SC, Brazil) was added under constant stirring to form the gel. The preparation process alternated between stirring and resting periods, resulting in a colorless gel with a pH of 6. Sodium metabisulfite was included as an antioxidant.
4.16. Murine MRSA Wound/Abscess Infection Model
Five-week-old female Balb/c mice (Biotério Central da UFMG, Belo Horizonte, MG, Brazil) were used in this study. All animal procedures were approved by the Laboratory Animal Research Ethics Committee of the Faculdade de Saúde Santa Casa de Belo Horizonte (CEUA-Santa Casa: 001-2023). A murine wound/abscess infection model was used, as previously described [
79,
80]. Initially, mice were anesthetized with ketamine (60 mg/kg) and xylazine (8 mg/kg) via intraperitoneal injection, the dorsal hair was removed, and the skin was disinfected with 70% ethanol. Then, 50 μL of MRSA USA 300 (~10
8 CFU/mL) was injected subcutaneously, and after 48 h, a visible wound/abscess was observed at the inoculation site. Mice were randomly divided into five groups, and the topical treatment was initiated using the following formulations: (i) 0.5% (
w/
w) LyeTx I mnΔKL (2.57 µM/g of gel); (ii) 0.5% (
w/
w) LyeTx I mnΔK (2.73 µM/g of gel); (iii) 0.5% (
w/
w) mupirocin solution (9.99 µM/g of gel) (GlaxoSmithKline Brasil Ltda., Rio de Janeiro, RJ, Brazil); (iv) saline solution; or (v) formulation gel. Treatments were applied daily for three consecutive days.
Twenty-four h after the last treatment, mice were euthanized, the area around the wound/abscess was disinfected with ethanol, excised, homogenized in saline, serially diluted, and plated out on MHA supplemented with 8 μg/mL oxacillin for CFU enumeration.
4.17. Statistical Analyses
Statistical analyses were performed using GraphPad Prism (version 10.0, San Diego, CA, USA). All experiments were conducted in triplicate, and the results were expressed as the mean ± standard deviation (SD). Data normality was evaluated by the Shapiro–Wilk test. For normal data, One-way ANOVA with Tukey’s or Dunnett’s post hoc tests for multiple comparisons and Student’s t-test for pairwise comparisons were used. For non-normal data, the t-test or the Mann–Whitney test was used for comparisons between two groups. Area under the curve was determined for the time-kill kinetics assay. Results were considered statistically significant when p < 0.05.