journal article Open Access Nov 12, 2025

Antimicrobial Peptides: Current Status, Mechanisms of Action, and Strategies to Overcome Therapeutic Limitations

Microorganisms Vol. 13 No. 11 pp. 2574 · MDPI AG
View at Publisher Save 10.3390/microorganisms13112574
Abstract
Antimicrobial peptides (AMPs), evolutionarily conserved components of the immune system, have attracted considerable attention as promising therapeutic candidates. Derived from diverse organisms, AMPs represent a heterogeneous class of molecules, typically cationic, which facilitates their initial electrostatic interaction with anionic microbial membranes. Unlike conventional single-target antibiotics, AMPs utilize rapid, multi-target mechanisms, primarily physical membrane disruption, which results in a significantly lower incidence of resistance emergence. Their broad-spectrum antimicrobial activity, capacity to modulate host immunity, and unique mechanisms of action make them inherently less susceptible to resistance compared with traditional antibiotics. Despite these advantages, the clinical translation of natural AMPs remains limited by several challenges, including poor in vivo stability, and potential cytotoxicity. Bioengineering technology offers innovative solutions to these limitations of AMPs. Two techniques have demonstrated promise: (i) a chimeric recombinant of AMPs with stable scaffold, such as human serum albumin and antibody Fc domain and (ii) chemical modification approaches, such as lipidation. This review provides a comprehensive overview of AMPs, highlighting their origins, structures, and mechanisms of antimicrobial activity, followed by recent advances in bioengineering platforms designed to overcome their therapeutic limitations. By integrating natural AMPs with bioengineering and nanotechnologies, AMPs may be developed into next-generation antibiotics.
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References
190
[1]
Morrison "Antimicrobial resistance. Gastrointest. Endosc" Clin. N. Am. (2020)
[2]
World Bank (2025, August 29). Antimicrobial Resistance (AMR). Available online: https://www.worldbank.org/en/topic/health/brief/antimicrobial-resistance-amr.
[3]
Lai "Increased antimicrobial resistance during the COVID-19 pandemic" Int. J. Antimicrob. Agents (2021) 10.1016/j.ijantimicag.2021.106324
[4]
Tiri, B., Sensi, E., Marsiliani, V., Cantarini, M., Priante, G., Vernelli, C., Martella, L.A., Costantini, M., Mariottini, A., and Andreani, P. (2020). Antimicrobial Stewardship Program, COVID-19, and Infection Control: Spread of Carbapenem-Resistant Klebsiella Pneumoniae Colonization in ICU COVID-19 Patients. What Did Not Work?. J. Clin. Med., 9. 10.3390/jcm9092744
[5]
Antibiotics: past, present and future

Matthew I Hutchings, Andrew W Truman, Barrie Wilkinson

Current Opinion in Microbiology 2019 10.1016/j.mib.2019.10.008
[6]
β-Lactams and β-Lactamase Inhibitors: An Overview

KAREN BUSH, Patricia A. Bradford

Cold Spring Harbor Perspectives in Medicine 2016 10.1101/cshperspect.a025247
[7]
Eiamphungporn, W., Schaduangrat, N., Malik, A.A., and Nantasenamat, C. (2018). Tackling the Antibiotic Resistance Caused by Class A β-Lactamases through the Use of β-Lactamase Inhibitory Protein. Int. J. Mol. Sci., 19. 10.3390/ijms19082222
[8]
Rice "Mechanisms of resistance and clinical relevance of resistance to β-lactams, glycopeptides, and fluoroquinolones" Mayo Clin. Proc. (2012) 10.1016/j.mayocp.2011.12.003
[9]
Zhang "Antimicrobial peptides: Mechanism of action, activity and clinical potential" Mil. Med. Res. (2021)
[10]
Hypervirulent Klebsiella pneumoniae: Insights into Virulence, Antibiotic Resistance, and Fight Strategies Against a Superbug

Helal F. Hetta, Fawaz E. Alanazi, Mostafa A. Sayed Ali et al.

Pharmaceuticals 10.3390/ph18050724
[11]
Chung "Antimicrobial peptides as potential anti-biofilm agents against multidrug-resistant bacteria" J. Microbiol. Immunol. Infect. (2017) 10.1016/j.jmii.2016.12.005
[12]
Guilhelmelli, F., Vilela, N., Albuquerque, P., Derengowski, L.S., Silva-Pereira, I., and Kyaw, C.M. (2013). Antibiotic development challenges: The various mechanisms of action of antimicrobial peptides and of bacterial resistance. Front. Microbiol., 4. 10.3389/fmicb.2013.00353
[13]
Talapko, J., Meštrović, T., Juzbašić, M., Tomas, M., Erić, S., Horvat Aleksijević, L., Bekić, S., Schwarz, D., Matić, S., and Neuberg, M. (2022). Antimicrobial peptides-Mechanisms of action, antimicrobial effects and clinical applications. Antibiotics, 11. 10.3390/antibiotics11101417
[14]
Antimicrobial peptides (AMPs): A promising class of antimicrobial compounds

Mine Erdem Büyükkiraz, Zülal Kesmen

Journal of Applied Microbiology 2022 10.1111/jam.15314
[15]
Hagemann "Therapeutic potential of antimicrobial peptides against pathogenic protozoa" Parasitol. Res. (2024) 10.1007/s00436-024-08133-0
[16]
Meng "Research advances of antimicrobialpeptides and applications in food industry and agriculture" Curr. Protein Pept. Sci. (2010) 10.2174/138920310791233369
[17]
Kocagoz, T., Temur, B.Z., Unubol, N., Acikel Elmas, M., Kanlidere, Z., Cilingir, S., Acar, D., Boskan, G., Akcelik Deveci, S., and Aybakan, E. (2025). Protease-Resistant, Broad-Spectrum Antimicrobial Peptides with High Antibacterial and Antifungal Activity. Life, 15. 10.3390/life15020242
[18]
Mahlapuu, M., Håkansson, J., Ringstad, L., and Björn, C. (2016). Antimicrobial Peptides: An Emerging Category of Therapeutic Agents. Front. Cell. Infect. Microbiol., 6. 10.3389/fcimb.2016.00194
[19]
Mahlapuu "Antimicrobial peptides as therapeutic agents: Opportunities and challenges" Crit. Rev. Biotechnol. (2020) 10.1080/07388551.2020.1796576
[20]
Werle "Strategies to improve plasma half life time of peptide and protein drugs" Amino Acids (2006) 10.1007/s00726-005-0289-3
[21]
Ngambenjawong "Conditional Antimicrobial Peptide Therapeutics" ACS Nano (2022) 10.1021/acsnano.2c04162
[22]
[23]
Sun "Relationship between peptide structure and antimicrobial activity as studied by de novo designed peptides" Biochim. Biophys. Acta (2014) 10.1016/j.bbamem.2014.08.018
[24]
Tajer, L., Paillart, J.C., Dib, H., Sabatier, J.M., Fajloun, Z., and Abi Khattar, Z. (2024). Molecular Mechanisms of Bacterial Resistance to Antimicrobial Peptides in the Modern Era: An Updated Review. Microorganisms, 12. 10.3390/microorganisms12071259
[25]
Antimicrobial Peptides: Classification, Design, Application and Research Progress in Multiple Fields

Yuchen Huan, Qing Kong, Haijin Mou et al.

Frontiers in Microbiology 10.3389/fmicb.2020.582779
[26]
"The human cathelicidin hCAP18/LL-37: A multifunctional peptide involved in mycobacterial infections" Peptides (2010) 10.1016/j.peptides.2010.06.016
[27]
Heilborn "The cathelicidin anti-microbial peptide LL-37 is involved in re-epithelialization of human skin wounds and is lacking in chronic ulcer epithelium" J. Investig. Dermatol. (2003) 10.1046/j.1523-1747.2003.12069.x
[28]
Craik "Plant cyclotides: A unique family of cyclic and knotted proteins that defines the cyclic cystine knot structural motif" J. Mol. Biol. (1999) 10.1006/jmbi.1999.3383
[29]
APD3 (2025, August 03). The Antimicrobial Peptide Database. Available online: https://aps.unmc.edu.
[30]
Mookherjee "Antimicrobial host defence peptides: Functions and clinical potential" Nat. Rev. Drug Discov. (2020) 10.1038/s41573-019-0058-8
[31]
van Harten, R.M., van Woudenbergh, E., van Dijk, A., and Haagsman, H.P. (2018). Cathelicidins: Immunomodulatory Antimicrobials. Vaccines, 6. 10.3390/vaccines6030063
[32]
Hancock "Cationic peptides: A new source of antibiotics" Trends Biotechnol. (1998) 10.1016/s0167-7799(97)01156-6
[33]
Lisowski "Cathelicidins: Family of antimicrobial peptides. A review" Mol. Biol. Rep. (2012) 10.1007/s11033-012-1997-x
[34]
Gudmundsson "The human gene FALL39 and processing of the cathelin precursor to the antibacterial peptide LL-37 in granulocytes" Eur. J. Biochem. (1996) 10.1111/j.1432-1033.1996.0325z.x
[35]
Bhattacharjya, S., Zhang, Z., and Ramamoorthy, A. (2024). LL-37: Structures, Antimicrobial Activity, and Influence on Amyloid-Related Diseases. Biomolecules, 14. 10.3390/biom14030320
[36]
Duplantier, A.J., and van Hoek, M.L. (2013). The Human Cathelicidin Antimicrobial Peptide LL-37 as a Potential Treatment for Polymicrobial Infected Wounds. Front. Immunol., 4. 10.3389/fimmu.2013.00143
[37]
Xhindoli "The human cathelicidin LL-37—A pore-forming antibacterial peptide and host-cell modulator" Biochim. Biophys. Acta (2016) 10.1016/j.bbamem.2015.11.003
[38]
Overhage "Human host defense peptide LL-37 prevents bacterial biofilm formation" Infect. Immun. (2008) 10.1128/iai.00318-08
[39]
Immunomodulatory Role of the Antimicrobial LL-37 Peptide in Autoimmune Diseases and Viral Infections

Bapi Pahar, Stefania Madonna, Arpita Das et al.

Vaccines 10.3390/vaccines8030517
[40]
White "Structure, function, and membrane integration of defensins" Curr. Opin. Struct. Biol. (1995) 10.1016/0959-440x(95)80038-7
[41]
Nagib "Human Defensins: Structure, Function, and Potential as Therapeutic Antimicrobial Agents with Highlights Against SARS CoV-2" Probiotics Antimicrob. Proteins (2025) 10.1007/s12602-024-10436-8
[42]
Mercuri "Prevention and detection of prosthetic temporomandibular joint infections-update" Int. J. Oral Maxillofac. Surg. (2019) 10.1016/j.ijom.2018.09.011
[43]
Strauss, J.H., and Strauss, E.G. (2008). Host Defenses against Viral Infection and Viral Counterdefenses. Viruses and Human Disease, Academic Press. [2nd ed.]. 10.1016/b978-0-12-373741-0.50013-1
[44]
Fu "Mechanisms and regulation of defensins in host defense" Signal Transduct. Target. Ther. (2023) 10.1038/s41392-023-01553-x
[45]
Evolutionary plasticity of insect immunity

Andreas Vilcinskas

Journal of Insect Physiology 2013 10.1016/j.jinsphys.2012.08.018
[46]
Sheehan "Immune priming: The secret weapon of the insect world" Virulence (2020) 10.1080/21505594.2020.1731137
[47]
Fallon "Pre-exposure of Galleria mellonella larvae to different doses of Aspergillus fumigatus conidia causes differential activation of cellular and humoral immune responses" Virulence (2011) 10.4161/viru.2.5.17811
[48]
Bergin "Pre-exposure to yeast protects larvae of Galleria mellonella from a subsequent lethal infection by Candida albicans and is mediated by the increased expression of antimicrobial peptides" Microbes Infect. (2006) 10.1016/j.micinf.2006.03.005
[49]
Lemaitre "The host defense of Drosophila melanogaster" Annu. Rev. Immunol. (2007) 10.1146/annurev.immunol.25.022106.141615
[50]
Wicker "Insect immunity. Characterization of a Drosophila cDNA encoding a novel member of the diptericin family of immune peptides" J. Biol. Chem. (1990) 10.1016/s0021-9258(18)45732-8

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Published
Nov 12, 2025
Vol/Issue
13(11)
Pages
2574
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Funding
National Research Foundation of Korea
Ministry of Education Award: 2022R1F1A1074456
Cite This Article
Seong Hwan Kim, Yu-Hong Min, Min Chul Park (2025). Antimicrobial Peptides: Current Status, Mechanisms of Action, and Strategies to Overcome Therapeutic Limitations. Microorganisms, 13(11), 2574. https://doi.org/10.3390/microorganisms13112574
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