LL37 promotes angiogenesis: a potential therapeutic strategy for lower limb ischemic diseases

PurposeTo study the angiogenic capacity of antimicrobial peptide LL37 (cathelicidin antimicrobial peptide), explore its molecular mechanisms, and provide new ideas for treating lower limb ischemic diseases.MethodsLL37 was applied exogenously to human umbilical vein endothelial cells (HUVECs), and it...

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Main Authors: Yingying Yang, Gang Wu, Yini Wang, Qiancheng Mao, Dongxu Zhang, Jitao Wu
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Pharmacology
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Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2025.1587351/full
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author Yingying Yang
Gang Wu
Yini Wang
Qiancheng Mao
Dongxu Zhang
Jitao Wu
author_facet Yingying Yang
Gang Wu
Yini Wang
Qiancheng Mao
Dongxu Zhang
Jitao Wu
author_sort Yingying Yang
collection DOAJ
description PurposeTo study the angiogenic capacity of antimicrobial peptide LL37 (cathelicidin antimicrobial peptide), explore its molecular mechanisms, and provide new ideas for treating lower limb ischemic diseases.MethodsLL37 was applied exogenously to human umbilical vein endothelial cells (HUVECs), and its effects on cell proliferation, migration, and angiogenesis were assessed using Cell Counting Kit-8 (CCK-8), plate cloning, scratch, and angiogenesis assays. A mouse lower limb ischemia model was established, with LL37 injected intramuscularly on days 0, 4, and 8. Blood flow recovery was evaluated by laser Doppler flowmetry. Immunofluorescence staining detected cluster of differentiation 31 (CD31) and cluster of differentiation 34 (CD34) expression, while Hematoxylin and Eosin (H&E) staining assessed muscle cell morphology. Quantitative real-time polymerase chain reaction (qRT-PCR) and Western blotting analyzed gene and protein expression changes in HUVECs.ResultsLL37 enhanced the proliferative, migratory, and pro-angiogenic abilities of HUVECs. It significantly improved blood flow recovery in ischemic limbs, with higher CD31/CD34 expression and more intact muscle morphology. qRT-PCR analysis demonstrated elevated expression of angiogenesis-related genes in LL37-treated HUVECs. Western blotting revealed increased vascular endothelial growth factor A (VEGFA) expression and enhanced phosphorylation levels of the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) pathway in LL37-treated cells.ConclusionLL37 promotes angiogenesis via the VEGFA-PI3K/AKT/mTOR pathway, showing potential for treating lower limb ischemia by improving perfusion.
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spelling doaj-art-8d9a3c4420b74807a9dba7ff882fc48b2025-08-20T03:14:47ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122025-04-011610.3389/fphar.2025.15873511587351LL37 promotes angiogenesis: a potential therapeutic strategy for lower limb ischemic diseasesYingying YangGang WuYini WangQiancheng MaoDongxu ZhangJitao WuPurposeTo study the angiogenic capacity of antimicrobial peptide LL37 (cathelicidin antimicrobial peptide), explore its molecular mechanisms, and provide new ideas for treating lower limb ischemic diseases.MethodsLL37 was applied exogenously to human umbilical vein endothelial cells (HUVECs), and its effects on cell proliferation, migration, and angiogenesis were assessed using Cell Counting Kit-8 (CCK-8), plate cloning, scratch, and angiogenesis assays. A mouse lower limb ischemia model was established, with LL37 injected intramuscularly on days 0, 4, and 8. Blood flow recovery was evaluated by laser Doppler flowmetry. Immunofluorescence staining detected cluster of differentiation 31 (CD31) and cluster of differentiation 34 (CD34) expression, while Hematoxylin and Eosin (H&E) staining assessed muscle cell morphology. Quantitative real-time polymerase chain reaction (qRT-PCR) and Western blotting analyzed gene and protein expression changes in HUVECs.ResultsLL37 enhanced the proliferative, migratory, and pro-angiogenic abilities of HUVECs. It significantly improved blood flow recovery in ischemic limbs, with higher CD31/CD34 expression and more intact muscle morphology. qRT-PCR analysis demonstrated elevated expression of angiogenesis-related genes in LL37-treated HUVECs. Western blotting revealed increased vascular endothelial growth factor A (VEGFA) expression and enhanced phosphorylation levels of the phosphatidylinositol 3-kinase (PI3K)/protein kinase B (AKT)/mammalian target of rapamycin (mTOR) pathway in LL37-treated cells.ConclusionLL37 promotes angiogenesis via the VEGFA-PI3K/AKT/mTOR pathway, showing potential for treating lower limb ischemia by improving perfusion.https://www.frontiersin.org/articles/10.3389/fphar.2025.1587351/fullantimicrobial peptideLL37VEGFA-PI3K/AKT/mTOR pathwayangiogenesislower limb ischemia
spellingShingle Yingying Yang
Gang Wu
Yini Wang
Qiancheng Mao
Dongxu Zhang
Jitao Wu
LL37 promotes angiogenesis: a potential therapeutic strategy for lower limb ischemic diseases
Frontiers in Pharmacology
antimicrobial peptide
LL37
VEGFA-PI3K/AKT/mTOR pathway
angiogenesis
lower limb ischemia
title LL37 promotes angiogenesis: a potential therapeutic strategy for lower limb ischemic diseases
title_full LL37 promotes angiogenesis: a potential therapeutic strategy for lower limb ischemic diseases
title_fullStr LL37 promotes angiogenesis: a potential therapeutic strategy for lower limb ischemic diseases
title_full_unstemmed LL37 promotes angiogenesis: a potential therapeutic strategy for lower limb ischemic diseases
title_short LL37 promotes angiogenesis: a potential therapeutic strategy for lower limb ischemic diseases
title_sort ll37 promotes angiogenesis a potential therapeutic strategy for lower limb ischemic diseases
topic antimicrobial peptide
LL37
VEGFA-PI3K/AKT/mTOR pathway
angiogenesis
lower limb ischemia
url https://www.frontiersin.org/articles/10.3389/fphar.2025.1587351/full
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AT qianchengmao ll37promotesangiogenesisapotentialtherapeuticstrategyforlowerlimbischemicdiseases
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