LL-37 (Human Cathelicidin)

Human Cathelicidin | Antimicrobial Peptide

Half-life: Short (rapid proteolytic degradation)
Chain: 37 amino acids
4 studies
2019 latest
1 recent
Well Studied
Dose 0.5-1.6 mg/mL topical gel or 100-150 mcg injectable
Frequency Topical: Daily to twice weekly on wounds. Injectable: Once daily subcutaneous
Cycle 2-8 weeks depending on wound healing progress
Storage Lyophilized: 2-8°C. Reconstituted: 2-8°C, maintain sterility

Community Research

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LL-37 is the only human cathelicidin antimicrobial peptide, a 37-amino acid cationic peptide derived from hCAP18 that exhibits broad-spectrum antimicrobial activity against bacteria, viruses, and fungi while modulating immune responses.

Mechanism of Action

Provides direct antimicrobial activity through membrane disruption, promotes wound healing by enhancing keratinocyte migration and angiogenesis, and modulates immune responses without systemic exposure when used topically.

01 Direct wound healing acceleration
02 Broad-spectrum antimicrobial activity
03 Activity against resistant bacteria (MRSA, MDRPA)
04 Enhanced tissue regeneration
05 Immune modulation
06 Local antimicrobial protection

Molecular Data

Chain Length
37 amino acids
Type
Cationic antimicrobial peptide

Research Indications

Wound Healing
Chronic Venous Leg Ulcers most effective

68% ulcer area reduction demonstrated with 0.5mg/mL concentration in clinical trials.

Diabetic Foot Ulcers effective

Enhanced granulation tissue formation and wound closure.

Pressure Ulcers effective

Accelerated healing demonstrated in animal models.

Immunity
Innate Immune Enhancement effective

Boosts natural immune defenses against pathogens.

Antimicrobial Resistance effective

Active against MRSA and multi-drug resistant bacteria with >4 log reduction in biofilms.

Immunomodulation effective

Balances immune responses without causing immunosuppression.

Skin Health
Epithelial Cell Proliferation moderate

Stimulates skin cell growth and regeneration.

Angiogenesis Promotion moderate

Promotes new blood vessel formation for tissue repair.

Collagen Synthesis moderate

Supports collagen production for wound healing.

Dosing Protocols

Topical application is the most established route, providing direct access to wound sites with minimal systemic exposure.

GoalDoseFrequencyRoute
Wound healing - Standard0.5mg/mL gel/creamDaily to twice weeklyDirect wound application
Wound healing - Intensive1.6mg/mL gel/creamDailyDirect wound application

Reconstitution Instructions

  1. 1 Clean and debride wound area
  2. 2 Apply thin layer directly to wound surface
  3. 3 Cover with sterile dressing if needed
  4. 4 Change per clinical protocol (daily to twice weekly)
  5. 5 Monitor healing progress and adjust frequency
  6. 6 Document wound measurements and progression

Interactions

++
BPC-157
Enhanced wound healing through complementary mechanisms.
synergistic
++
TB-500
Combined anti-inflammatory and healing effects.
synergistic
++
Conventional Antibiotics
FICI values 0.25-0.5 against resistant bacteria when combined.
synergistic
++
Vitamin D3
Acts as cofactor for endogenous LL-37 production.
synergistic
+
Lactoferrin
Safe combined use with no negative interactions.
compatible
~
Physiological Salt Solutions
High salt concentrations may reduce antimicrobial activity.
monitor
!
Amino Acid Solutions
Physical incompatibility, especially with IV formulations.
avoid

What to Expect

Week 1-2
Reduced bacterial load, initial wound bed preparation
Week 2-4
Increased granulation tissue formation, epithelial migration
Week 4-6
Significant wound size reduction
Week 6-8
Continued healing toward wound closure

Side Effects & Safety

Common Side Effects

  • Generally well-tolerated
  • Mild injection site reactions (injectable)
  • Local irritation at application site (topical)

Stop Signs - Discontinue if:

  • Severe injection site reactions with spreading inflammation
  • Allergic reaction signs (rash, difficulty breathing, swelling)
  • Persistent flu-like symptoms
  • Signs of wound infection (increased redness, warmth, drainage)
  • Worsening wound condition or delayed healing
  • Unusual pain or irritation at application site

Contraindications

  • Pre-existing hypersensitivity to peptides
  • Compromised immune status (relative contraindication)
  • Non-sterile wound environments

Quality Checklist

Good Signs

  • Sterile, clear formulation
  • ≥98% purity by HPLC
  • White to off-white lyophilized powder
  • Proper cold chain maintenance (2-8°C)
  • Appropriate gel base compatible with peptide activity
  • Clinical-grade concentrations (0.5-1.6mg/mL)

Warning Signs

  • Brief room temperature exposure acceptable if promptly refrigerated
  • Homemade topical formulations may lack sterility

Bad Signs

  • Discolored or cloudy solutions
  • Yellow discoloration or visible particles
  • Pre-mixed liquid formulations (LL-37 unstable long-term)
  • Non-sterile preparations
  • Microbial contamination

References

  • Venous Leg Ulcer Trial - Grönberg et al.
    Wound Repair and Regeneration (2014)

    68% ulcer area reduction demonstrated at optimal doses in chronic venous leg ulcers.

  • Melanoma Phase I Trial
    (2015)

    Intratumoral LL-37 in melanoma patients demonstrated safety and immune stimulation (NCT02225366).

  • MRSA Biofilm Study - Noore et al.
    PLOS ONE (2019)

    >4 log reduction in MRSA biofilms compared to conventional antibiotics.

  • Structural Analysis - Wang et al.
    Journal of Biological Chemistry (2008)

    NMR spectroscopy determining 3D structure of LL-37.

Disclaimer

This information is for educational and research purposes only. Consult a healthcare professional before use.