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Immunology · Innate Immunity

Antimicrobial peptides and enzymes

Antimicrobial peptides and enzymes are key factors of innate immunity that ensure the destruction of pathogens within phagolysosomes and in the extracellular space. They disrupt bacterial cell walls, deprive them of nutrients, and puncture their membranes.

EnzymesNeutrophil phagolysosomes contain over 60 different enzymes.
LactoferrinCaptures iron, turning red, and deprives microbes of resources for growth.
pH dependenceThe set of active enzymes in the phagosome changes as the medium becomes acidified.
PeptidesPuncture bacterial membranes, forming pores via a «barrel-stave» mechanism.
4 min readFor medical studentsUpdated Sep 25, 2026
Material prepared by WhiteCoat Pro editorial team based on platform study guidesReviewed by medical editor: Aulov A. A., general practitioner · 09/24/2026

Phagolysosomal enzymes and cationic proteins

During phagocytosis, the destruction of microorganisms is carried out by more than 60 enzymes derived from neutrophil granules. Membrane fusion occurs in two stages and strongly depends on the pH of the medium:

  1. Fusion with specific granules. Occurs at neutral or slightly alkaline pH. Enzymes active in this environment enter the phagosome: alkaline phosphatase and lysozyme.
  2. Fusion with azurophilic granules. Occurs as the medium becomes acidified. The granules deliver acid hydrolases (myeloperoxidase, glycosidases, acid glycerophosphatase, $5'$-nucleotidase) and additional portions of lysozyme.

A special role is played by cationic proteins, whose positive charge is due to a high content of basic amino acids. These include enzymes (lysozyme, serprocidins) and competitive proteins.

Lysozyme (15 kDa) is an enzyme with muramidase activity. It depolymerizes peptidoglycans of the microbial cell wall. However, in an intact bacterium, the substrate is hidden by surface molecules, so lysozyme only works in combination with other phagolysosomal enzymes.

Serprocidins, lactoferrin, and BPI proteins

Serprocidins (Serine protease cidin) are a group of proteins with protease activity with a mass of 25–29 kDa (cathepsin G, elastase, azurocidin, proteinase-3). Their microbicidal effect in vitro does not correlate with enzymatic activity. Cathepsin G has the highest efficacy, functioning even in a fragmented state. Extracellularly, their activity is inhibited by special inhibitors — serpins.

Lactoferrin is a marker of specific granules. In the presence of bicarbonate ions, it tightly binds two $Fe^{3+}$ ions, which is why it was originally called the «red protein». Its main mechanism is bacteriostatic: it creates an iron deficiency without which bacteria cannot multiply.

BPI proteins (Bacteria permeability inducing) are eosinophil and neutrophil proteins that selectively target Gram-negative bacteria. They recognize lipopolysaccharide (LPS), block its activity, and sharply increase the permeability of the bacterial wall to proteins.

Test your knowledge on this topicTasks from the WhiteCoat Pro Immunology bank — instant answers and explanations.

Bactericidal peptides: defensins and cathelicidins

These are small amphipathic molecules that kill pathogens independently of receptors.

Defensins are peptides (3–5 kDa) with a $\beta$-sheet structure. Their spatial framework is maintained by 3 disulfide bonds formed by 6 cysteine residues. Classification depends on the arrangement of these bonds:

  • $\alpha$-defensins (cyclic due to the 1–6 bond). Make up to 5–7% of total neutrophil protein, present in macrophages and intestinal crypt epithelium.
  • $\beta$-defensins (non-cyclic). Located in the respiratory epithelium. Important: they are absent in human leukocytes.
  • $\theta$-defensins form a cycle via a peptide bond.

Cathelicidins are peptides whose structure is dominated by $\alpha$-helices. Homologous to cathepsin L. Human neutrophils contain only one cathelicidin variant — LL-37.

Mechanism of peptide action and degranulation

Antimicrobial peptides disrupt membranes via the «barrel-stave» model:

  1. Due to electrostatic forces, the positively charged regions of the peptide bind to negative groups (LPS, peptidoglycans) on the bacterial surface.
  2. Hydrophobic regions of the amphipathic molecule insert into the lipid bilayer of the microbe.
  3. Monomers assemble to form a cyclic structure («barrel») — a transmembrane channel. Ions leak through it, and the bacterium dies.

The release of granule contents to the outside (e.g., upon completion of phagocytosis) is called degranulation. Phagolysosomes move along microtubules (via actomyosin) toward the cell membrane. A key stage is the recognition of membranes using proteins of the SNARE family. SNAP-23 and syntaxin-4 appear on the cell membrane, docking with syntaxin-6 and VAMP-2 on the granule membrane to ensure fusion.

Briefly: answers to topical questions

What is the biochemical mechanism of iron ion binding by lactoferrin with the participation of bicarbonate?

Lactoferrin binds iron ions by forming a stable chelate complex:

  • Complex formation — the protein binds two Fe³⁺ ions (or other transition metals) with the participation of bicarbonate ions.
  • Change in properties — upon binding iron, a red-colored substance is formed.
  • Bacteriostatic effect — chelation sequesters iron ions, creating a deficiency and depriving microorganisms of a critically important factor for reproduction.
How to memorize

To remember the arrangement of disulfide bonds in $\alpha$-defensins (1–6, 2–4, 3–5), imagine the scheme: «outer with outer, even with even, odd with odd». The 1–6 bond closes the molecule into a ring.

Class and exam questions

Why can't lysozyme always destroy a bacterium on its own?

In an intact bacterial cell, the target of lysozyme (peptidoglycans) is masked by surface molecules. It requires the help of other phagolysosomal enzymes to «expose» the substrate.

What is the main difference in the localization of alpha- and beta-defensins?

Alpha-defensins are located predominantly in leukocytes (neutrophils, macrophages) and the intestinal epithelium. Beta-defensins are localized in the respiratory epithelium and are completely absent in leukocytes.

What mechanism ensures precise membrane recognition during degranulation?

It occurs due to proteins of the SNARE family. Cell membrane proteins (SNAP-23, syntaxin-4) bind to complementary proteins on the granule membrane (syntaxin-6, VAMP-2).

How does lactoferrin work?

Its main action is bacteriostatic. In the presence of bicarbonate, it binds $Fe^{3+}$ iron ions, depriving bacteria of a critically important resource for reproduction.

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What else to study on this topic

  • The effect of an acidic environment on the electrostatic membrane potential of a microbial cell.
  • The role of serpins in suppressing the extracellular activity of serprocidins and defensins.
  • Phagocyte secretion dependent on the Golgi apparatus (an alternative to degranulation).
  • Chemokine-like and immunoregulatory properties of extracellular defensins.
  • Features and role of degranulation in mast cells, eosinophils, and basophils.

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