Outer Membrane Lipoprotein Lpp Is Gram-negative Bacterial Cell Surface Receptor for Cationic Antimicrobial Peptides*

Background: Outer membrane protein Lpp of Gram-negative bacteria acts as a receptor for antimicrobial peptide. Results: We identify and characterize the Lpp, which is responsible for the recognition of cationic antimicrobial peptide. Conclusion: Lpp is a new target of antimicrobial peptide. Significance: Lpp may be used as a ligand to develop antimicrobial materials. Antimicrobial peptides/proteins (AMPs) are important components of the host innate defense mechanisms. Here we demonstrate that the outer membrane lipoprotein, Lpp, of Enterobacteriaceae interacts with and promotes susceptibility to the bactericidal activities of AMPs. The oligomeric Lpp was specifically recognized by several cationic α-helical AMPs, including SMAP-29, CAP-18, and LL-37; AMP-mediated bactericidal activities were blocked by anti-Lpp antibody blocking. Blebbing of the outer membrane and increase in membrane permeability occurred in association with the coordinate internalization of Lpp and AMP. Interestingly, the specific binding of AMP to Lpp was resistant to divalent cations and salts, which were able to inhibit the bactericidal activities of some AMPs. Furthermore, using His-tagged Lpp as a ligand, we retrieved several characterized AMPs, including SMAP-29 and hRNase 7, from a peptide library containing crude mammalian cell lysates. Overall, this study explores a new mechanism and target of antimicrobial activity and provides a novel method for screening of antimicrobials for use against drug-resistant bacteria.

Antimicrobial peptides/proteins (AMPs) are important components of the host innate defense mechanisms. Here we demonstrate that the outer membrane lipoprotein, Lpp, of Enterobacteriaceae interacts with and promotes susceptibility to the bactericidal activities of AMPs. The oligomeric Lpp was specifically recognized by several cationic ␣-helical AMPs, including SMAP-29, CAP-18, and LL-37; AMP-mediated bactericidal activities were blocked by anti-Lpp antibody blocking. Blebbing of the outer membrane and increase in membrane permeability occurred in association with the coordinate internalization of Lpp and AMP. Interestingly, the specific binding of AMP to Lpp was resistant to divalent cations and salts, which were able to inhibit the bactericidal activities of some AMPs. Furthermore, using His-tagged Lpp as a ligand, we retrieved several characterized AMPs, including SMAP-29 and hRNase 7, from a peptide library containing crude mammalian cell lysates. Overall, this study explores a new mechanism and target of antimicrobial activity and provides a novel method for screening of antimicrobials for use against drug-resistant bacteria.
Antimicrobial peptides/proteins (AMPs) 2 are produced by all living organisms and are important components promoting innate immunity against invading pathogens (1-3). As but a few examples, human skin is perpetually exposed to microorganisms but is largely free of infection; the biochemical barrier provided by defensins, psoriasin (S100A7), and ribonuclease 7 (hRNase 7) contributes substantially to the natural defense against microbial invasion (4 -7). The sheep myeloid antimicrobial peptide 29 (SMAP-29), a leukocyte peptide of the cathelicidin family, reduces the bacterial concentration in both bronchoalveolar lavage fluid and consolidated pulmonary tissues of infected lambs (8). The LL-37, proteolytic fragment from human cathelicidin-like protein hCAP18, is bactericidal for several pathogens including Escherichia coli and methicillinresistant Staphylococcus aureus (9). Likewise, the CAP-18, C-terminal fragment from rabbit granulocytes, possesses bactericidal activity (10). Protegrin-1, another prominent AMP, is a cysteine-rich, 18-residue ␤-sheet peptide isolated from porcine leukocytes with antimicrobial activity against a broad range of microorganisms (11). Finally, Polymyxin B is a lipopeptide antibiotic isolated from Bacillus polymyxa and is composed of a polycationic peptide ring and a tripeptide side chain with a fatty acid tail. Both Polymyxin B and colistin (also known as polymyxin E) are used clinically for the therapy of bacterial infection (12).
Although cationic AMPs possess diverse secondary structures, their surfaces are uniformly amphipathic with both hydrophobic and hydrophilic residues, like SMAP-29 and CAP-18 (8,10). However, some AMP possesses higher percentage of ␣-helical structure in the presence of hydrophobic environments, like LL37 in trifluoroethanol or lipid A (13). These AMPs have multiple modes of action that are generally perceived as differing from those of conventional antibiotics (1,7,14). Most studies have proceeded on the tacit assumption that these AMPs act on bacteria through electrostatic interactions and that lipopolysaccharide (LPS), a component of the outer membrane of most Gram-negative bacteria, serves as the initial AMP binding site. However, recent studies have shown that LPS is not universally associated with susceptibility to the bactericidal effects of AMPs (15,16). Consistent with this notion, we recently examined the mechanism of antimicrobial action of hRNase 7 against the Gram-negative bacteria, Pseudomonas aeruginosa, which is not mediated through LPS but via the outer membrane protein, OprI (17).
In this report we identify a distinct group of outer membrane lipoprotein (Lpp) of the Enterobacteriaceae family of Gramnegative bacteria that contribute directly to their susceptibilities to ␣-helical cationic AMPs. The Lpp is one of major outer membrane proteins of E. coli, which anchors to outer membrane and cell wall through the modified N-terminal N-acyl-Sdiacylglycerylcysteine residue and C-terminal lysine residue, respectively (18,19). Lpp is proposed to consist of oligomeric ␣-helices and act as a barrier against antibiotics and metabolites (20,21). Here, we provide direct evidence for the cationic ␣-helical AMP to bind and internalize the surface oligomeric Lpp and present a novel method for screening potential antimicrobials for use against antibiotic-resistant bacteria.
Preparation of Bacterial Membrane Fraction and Human Cell Lysate-The preparation of membrane fraction was modified and briefly described as follows (22). Overnight culture of K. pneumoniae was resuspended in 20 mM HEPES, pH 7.5, 50 mM NaCl and disrupted by sonication. The pellet of bacterial lysate after centrifugation at 17,000 ϫ g for 60 min at 4°C was extracted with the buffer (2% Triton X-100, 10 mM Tris-HCl, pH 7.8) at 30°C for 60 min. The supernatant after ultracentrifugation at 100,000 ϫ g for 60 min at 4°C was collected for the analysis of native Lpp. The confluent human lung adenocarcinoma cells CL1-0 in a 100-mm plate was washed with phosphate-buffered saline and incubated with 1 ml of ProteoJET TM Mammalian Cell Lysis Reagent (Thermo Scientific, Waltham, MA) at room temperature for 10 min. The supernatant of the total lysate after centrifugation at 16,000 ϫ g for 15 min was collected and stored at Ϫ70°C for use.
Cloning, Expression, and Purification of Lpp-The DNA fragment encoding Lpp (V00302) was cloned from the genomic DNA of E. coli by PCR by the use of two primers 5Ј-CATATG-TGCTCCAGCAACGCTAAAATC3-Ј and 5Ј-GTATACCTT-GCGGTATTTAGTAGCC-3Ј). The PCR product was cloned into the pGEM-T vector (Promega, Madison, WI) then further tagged with a DNA fragment at the 5Ј end (CCATGGCTCAT-CATCATCATCATCATGTCGACAAGCTTATCGAAGGC-CGTTGCTCCAGCAACGCTAAA) containing NcoI, His 6 , SalI-HindIII, and a Factor Xa cleavage site and subcloned into the expression vector pET32a (Novagen) through HindIII and XhoI sites (17). The genes encoding the Lpps of K. pneumoniae and S. typhimurium were made by a QuikChange TM site-directed mutagenesis kit in pET32a using E. coli Lpp as a template and two pairs of oligonucleotides, 5Ј-GCAAGCTTATCGAA-GGCCGTTGCTCCAGCAACGCTAAAATC-3Ј/5ЈCGCTC-GAGTTACTTGCGGTATGAATGAGCCTGGTTGTCCAG-ACGCTGGTTAGC3Ј and 5Ј-GCAAGCTTATCGAAGGCC-GTTGCTCCAGCAACGCTAAAATC-3Ј/5Ј-CGCTCGAGT-TACTTGCGGTATTTAGTAGCCTGGTTGTCCAGACGC-TGGTTAGC-3Ј, respectively, as primers. The OprI and Lpp were expressed in E. coli BL21(DE3) at 26°C overnight in the presence of 0.5 mM isopropyl-␤-D-thiogalactopyranoside. The recombinant fusion protein was purified by use of a nickel nitrilotriacetic acid-agarose gel (Qiagen) column and digested by protease Factor Xa (Ni-NTA Agarose, Novagen). The flowthrough from a second nickel-nitrilotriacetic acid column was further purified by fast protein liquid chromatography Superose 12 TM column chromatography.
Binding of AMPs to K. pneumoniae-The bacteria (5-10 ϫ 10 6 cfu in 45 l of 10 mM sodium phosphate, pH 7.5) were incubated with various AMPs (3 g in 5 l) in the presence of 4 mM MgCl 2 or 150 mM NaCl for 30 min at 37°C and subjected to centrifugation at 13,000 ϫ g for 20 min, then washed 5 times with 10 mM sodium phosphate before SDS-PAGE and Coomassie Blue staining.
Assays of Permeability of Bacterial Membrane-The overnight culture of bacteria (10 7 cfu) was washed and resuspended in 100 l of water and incubated with 1 M SYTOX Green (Molecular Probes) in a dark 96-well plate for 15 min in the dark. After the addition of AMP, the increase of fluorescence due to the binding of the dye to intracellular DNA was measured in the same microplate reader using 485-and 520-nm filters for excitation and emission wavelengths, respectively (17).
Morphological Analysis by Transmission Electron Microscopy-Bacteria (10 7 cfu in 95 l) were treated with 40 M biotinylated SMAP-29 at 37°C for 0 -20 min as indicated. The bacteria were fixed by 4% paraformaldehyde in 0.1 M cacodylate buffer, pH 7.4, and embedded in 2% agarose. Small cubes (1 mm 3 ) were submerged in cryoprotectant (30% glycerol) at room temperature overnight, frozen in nitrogen slurry, transferred to a Leica ASF2 unit at Ϫ140°C, then substituted with methanol at 90°C, methanol/HM20 (Electron Microscopy Sciences) (1:1), methanol/HM20 (1:2) ,and pure HM20 at 50°C. Thin sections were obtained and incubated with rabbit anti-Lpp and mouse anti-biotin antibodies, then with 18-nm and 12-nm gold particle-labeled secondary antibodies, respectively. The morphologies of SMAP-29-treated bacteria were examined under a Hitachi H-7000 transmission electron microscope after double-staining with uranyl acetate and lead citrate (23).
Cross-linking Assay-Small aliquots of recombinant Lpp (0.8 g in 10 l) or bacterial suspensions (5-10 ϫ 10 6 cfu in 45 l) were incubated with increasing concentrations of EDC and glutaraldehyde in 10 mM sodium phosphate, pH 5.5 and 7.5, respectively, at 37°C for 30 min. The cross-linked complexes were separated by reducing SDS-PAGE followed by silver staining or Western blotting using anti-Lpp and anti-biotin antibody, respectively.
The Lpp Family Proteins in Gram-negative Bacteria-Among the cationic AMPs tested, SMAP-29, and LL-37 were able to bind susceptible bacteria K. pneumoniae even in the presence of 0.15 M NaCl or 4 mM MgCl 2 , at which the binding abilities of Polymyxin B and (R 3 S 1 ) 3 were markedly reduced (Fig. 1D). These results suggest that the bindings of cationic SMAP-29 and LL-37 to the susceptible bacteria are mediated through a specific receptor rather than nonspecific ionic interaction, as that occurs between cationic AMP and anionic LPS in most Gram-negative bacteria. A search of the National Center for Biotechnology Information protein data base with the primary amino acid sequence of P. aeruginosa OprI protein, a known binding protein for the AMP, human RNase 7 (24), we identified a homologous lipoprotein, Lpp, which is expressed in all the Enterobacteriaceae and Vibrio cholerae. Lpp protein sequence from these bacterial species is 23 and 25% identical, respectively, to P. aeruginosa OprI but interestingly was not detected in Gram-positive bacteria or fungi (Fig. 1E); these microbes clearly have other targets for AMP binding that remain to be explored.
Oligomerization of Recombinant Lpp/OprI-The primary sequences of Lpp family proteins in the Enterobacteriaceae were highly homologous to one another with minor variations primarily at C terminus. We cloned Lpp genes of K. pneumoniae, E. coli, and S. typhimurium, expressed them in E. coli BL21-DE3 as thioredoxin-fused proteins, and purified them to high homogeneity after cleavage with protease Factor Xa (Fig.  2, A and B). Both recombinant OprI and Lpp proteins (shown by arrowhead and arrow, respectively) were detected predominantly in monomer form and with minor amounts in dimer conformation on reducing SDS-PAGE visualized by Coomassie Blue staining (Fig. 2B). However, three major bands were observed by Western blot using antibodies raised against recombinant OprI from P. aeruginosa and Lpp from E. coli (Fig.  2C). The antibody raised against E. coli Lpp could react with the Lpps of E. coli, K. pneumoniae, and S. typhimurium but not with the OprI of P. aeruginosa and vice versa. To investigate the stronger antigenicity of dimeric Lpp than monomeric Lpp to anti-Lpp antibody as shown in Fig. 2C, a His-tagged Lpp of K. pneumoniae was contact-transferred onto duplicate PVDF membranes and detected by antibodies against His 6 and Lpp, respectively. The antigenicity of dimeric His 6 -tagged Lpp to anti-Lpp antibody was stronger than that to anti-His 6 antibody (see supplemental Fig. S1). The preference of anti-Lpp antibody to dimeric Lpp indicates that the Lpp used as immunogen to raise antibody may exist in the form of dimer or more linked by a disulfide bond at the N terminus. To further examine the status of polymerization, the recombinant Lpp of K. pneumoniae was cross-linked with an increasing amount of EDC and analyzed by silver staining and Western blot (Fig. 2, D and  E). The presence of oligomers ranging dimer to hexamer suggests that the recombinant Lpp exists in hexamer.
Specific Binding of Cationic ␣-Helical AMPs to Recombinant Lpp Family Proteins-Only cationic ␣-helical AMPs, like SMAP-29, CAP-18, and LL-37, were recognized by His-tagged Lpp and pulled down by Ni-NTA Agarose, whereas the non-␣helical cationic AMPs, like Protegrin-1, Polymyxin B, and (R 3 S 1 ) 3 , were not (Fig. 3A). The specific interaction between Lpp and biotinyl-SMAP-29 was further validated by glutaraldehyde cross-linking followed by SDS-PAGE, silver staining, and Western blot using anti-Lpp and anti-biotin antibodies, respectively (Fig. 3, B-D). Oligomers of Lpp from monomer to hexamer were observed upon glutaraldehyde cross-linking (marked with numbers 1-6). Interestingly, the Lpp⅐biotinyl-SMAP-29 complexes were detected in the presence of biotinyl-SMAP-29 (marked with a-d). In addition to K. pneumoniae Lpp, the Lpp of E. coli and S. typhimurium was also recognized by biotinylated SMAP-29 and pulled down by streptavidin-conjugated beads detected by Western blot using anti-Lpp antibody. The formation of Lpp⅐biotinyl-SMAP-29 complex were abolished by anti-Lpp antibody but not by anti-OprI antibody (Fig. 3E). Similarly, the P. aeruginosa OprI was also bound to biotinyl-SMAP-29 and abolished by anti-OprI antibody but not by anti-Lpp antibody. It is interesting to note that the signal of dimer is stronger than that of monomer probably due to the preference of biotinyl-SMAP-29 to recognize and bind disulfide bond-linked oligomer to monomer. These results indicate that cationic ␣-helical AMP could specifically recognize both OprI of P. aeruginosa and Lpp of Enterobacteriaceae bacteria.
Specific Recognition of Native K. pneumoniae Lpp by Cationic ␣-Helical AMPs-In contrast to recombinant Lpp/OprI, only one signal with slower mobility than that of monomeric recombinant Lpp/OprI was observed for the crude total lysates of tested Gram-negative bacteria by Western blot as shown in Fig.  4A. The native Lpp of membrane fraction of K. pneumoniae was recognized by biotinyl-SMAP-29 and pulled down by streptavidin-conjugated beads detected by Western blot. The specific interaction was abolished by anti-Lpp antibody but not by anti-OprI antibody (Fig. 4B). Furthermore, the interaction was competed by excess amounts of free SMAP-29 and other cationic ␣-helical AMPs, like CAP-18 and LL-37, but not by Polymyxin B (Fig. 4C).

Role of Lpp in Susceptibility of Bacteria to Cationic ␣-Helical
AMPs-To determine whether Lpp is the target of cationic ␣-helical AMP in vivo, increasing amounts of recombinant Lpp were employed for the competition of AMP action in a colonyforming unit assay. We found that the antimicrobial activities of cationic ␣-helical AMPs, like SMAP-29, CAP-18, and LL37, against K. pneumoniae were blocked by exogenous Lpp, but those of Polymyxin B and Protegrin-1 were not. As a control, we found that the antimicrobial activity of SMAP-29 against P. aeruginosa was also inhibited by exogenous Lpp (Fig. 5A). These results indicate that the actions of SMAP-29 were blocked by exogenous Lpp regardless of the nature of the specific susceptible target bacteria, as this is a distinct property of the ligand. Furthermore, the surface Lpp of K. pneumoniae was  protected from the actions of these cationic ␣-helical AMPs, including SMAP-29, by anti-Lpp antibody but not by anti-OprI antibody. However, the actions of Polymyxin B and Protegrin-1 were not blocked by the anti-Lpp antibody (Fig. 5B). In addition to K. pneumoniae, several bacteria of the Enterobacteriaceae family (Y. enterocolitica, S. marcescens, S. typhimurium, and E. coli) were also protected by the anti-Lpp antibody, but the P. aeruginosa, S. aureus, and C. albicans not belonging to Enterobacteriaceae were not protected by the anti-Lpp antibody (Fig. 5C). The increase in membrane permeability caused by SMAP-29 or CAP-18 was inhibited by anti-Lpp antibody, but that caused by Polymyxin B was not (Fig. 5D). These results demonstrate that surface Lpp plays a key role in the susceptibility of Enterobacteriaceae bacteria, but not that of P. aeruginosa, to cationic ␣-helical AMPs.
Morphological Changes and Entry of Surface Lpp Caused by SMAP-29-Morphologically, the outer membrane of K. pneumoniae detached from inner cytoplasmic membrane and blebbed outward 5 min after SMAP-29 treatment. The cytosol condensed into a heavily stained body, leaving behind a lightly stained space beneath the membrane 20 min after SMAP-29 treatment (Fig. 6A). Most Lpp as well as biotinylated SMAP-29 (large and small gold particles shown as L and S, respectively) relocated from outer membrane to the condensed cytosolic area. To further investigate whether Lpp is depleted from the outer membrane, we found that the surface Lpp was accessible to EDC and cross-linked into a large complex without SMAP-29 treatment because the complex was unable to be dissociated into monomer by SDS-PAGE analysis (Fig. 6B); however, the Lpp became inaccessible to EDC after SMAP-29 treatment probably due to internalization into cytosol (Fig. 6C). In addition, the anti-Lpp antibody could not recognize and bind the SMAP-29-treated bacteria anymore, although the total amount of Lpp remained constant (Fig. 6D). These results indicate that the abundant surface Lpp was targeted and internalized into cytosol by SMAP-29.
Factors Interfere with Bactericidal Activity of AMPs-To explore and identify factors that could reduce the efficacy of AMPs in clinical trials and the possible bactericidal pathway of AMP, we found that the bactericidal activities, analyzed by the diameter of inhibition zone on Luria Broth agar plate, of hRNase 7, (R 3 S 1 ) 3 , and Indolicidin (4 g each) against E. coli and K. pneumoniae were reduced, whereas those of Polymyxin B and SMAP-29 were only slightly reduced (Fig. 7m, A and B). To investigate the possible factors involved in Luria Broth culture medium, which contains divalent cations and salts (0.17 M NaCl), we found the bactericidal activities of LL-37 and (R 3 S 1 ) 3 against K. pneumoniae were markedly repressed by 1.5 mM MgCl 2 or 0.15 M NaCl, but those of SMAP-29 and Polymyxin B were not (Fig. 7, C and D). To investigate whether the inhibitory  effects of ions and salts are mediated through the reduced binding of AMP to Lpp, we found that the binding ability of LL-37 as well as SMAP-29 to His-tagged Lpp was not inhibited by MgCl 2 (0ϳ4 mM) in the presence of 0.15 M NaCl, although the bactericidal activity of LL-37 was susceptible to the inhibition by 1.5 mM MgCl 2 or 0.15 M NaCl. Thus, other downstream events in the bactericidal pathway or the structure of LL-37 are suspected to be affected by divalent cations and salts because the structure of LL-37 varies with the hydrophobicities of solvents (13).
Screening of AMPs by His-tagged Lpp-Because Lpp/OprI is the target of cationic ␣-helical AMP, we intended to screen for AMPs from natural source using the His-tagged Lpp as a ligand. For proteins in the RNase A superfamily, human hRNase 7 possesses bactericidal activity, whereas the oocytic ribonuclease from bullfrog, Rana Catesbeiana (RC-RNase) does not. For bactericidal cationic peptides, SMAP-29 is an ␣-helical AMP, whereas Polymyxin B is not. To mimic the complicate environments of natural source of AMPs including ions, salts, and other cellular components, we retrieved hRNase 7 and SMAP-29 from the above-mentioned RNase/peptide mixture in the presence of crude lysate of human lung adenocarcinoma cell CL1-0 by the His-tagged Lpp (Fig. 8). The result provides a novel method for screening of antimicrobials from natural sources for use against drug-resistant bacteria.

DISCUSSION
The widespread use of antibiotics in both medicine and agriculture plays a significant role in the emergence of drug-resis- were incubated with 60 g of biotinyl-SMAP-29 at 37°C for 5 and 20 min, respectively. Thin sections of bacteria were incubated with both anti-Lpp antibody from rabbit and anti-biotin antibody from mouse then with secondary antibody conjugated with large gold particles (18 nm, for Lpp (L)), for rabbit antibody and small gold particles (12 nm, SMAP-29 (S)), and for mouse antibody and examined under transmission electron microscopy. OM and IM represent outer membrane and inner membrane, respectively. B, cross-linking of bacterial surface Lpp by EDC is shown. Small aliquots of K. pneumoniae were incubated with EDC as indicated in 10 mM sodium phosphate, pH 5.5, and analyzed by Western blot using anti-Lpp antibodies. C, shown is protection of surface Lpp from EDC cross-linking by SMAP-29 treatment. The bacteria were treated with SMAP-29 for 10 min before cross-linking with 5 mM EDC and analyzed as described above. tant bacteria. Conventional antibiotics typically inhibit the synthesis of nucleic acids, proteins, or cell wall components. Microorganisms develop resistance to these antibiotics through their inactivation/modification by enzymes, modification of target site, alteration of metabolic pathway, and reduction of drug accumulation by decreasing drug permeability or increasing active efflux (25)(26)(27)(28). Thus, development of new antimicrobials with unique targets and action mechanisms is an acute and urgent need. Natural AMP that fill this need have been isolated from multiple sources (1,2,14,16). Although these AMPs possess different secondary structures like ␣-helix, ␤-strand, and random coils, as a group they exert antimicrobial activity by increasing membrane permeability, ostensibly via mechanisms that are different from those exerted by conventional antibiotics (1,7,14).
Although primary studies on the action mechanism of AMPs on bacterial membrane concluded that LPS was the initial and direct binding site of cationic oligopeptides, it is now clear that the susceptibility of a given bacterial strain to AMPs is not strictly correlated with the presence of LPS on bacteria or divalent cations in the assay environments (15,16). In our previous study we determined that the susceptibility of P. aeruginosa to hRNase 7, a lysine-enriched cationic protein from human skin, was not via LPS but by the outer membrane protein, OprI (17). Here, we identify another AMP-binding protein, Lpp, found in Enterobacteriaceae and V. cholerae that is likewise responsible for their susceptibilities to cationic ␣-helical AMPs. These proteins are highly homologous to each other except for minor variations at the C termini. Direct binding of cationic ␣-helical AMP to Lpp was shown by the pulldown experiment and crosslinking of Lpp⅐SMAP-29 complex followed by Western blot analysis (Fig. 3). The formation of biotinylated SMAP-29⅐Lpp complex was specifically competed by free cationic ␣-helical AMPs and inhibited by anti-Lpp antibody (Fig. 4). In addition, the role of Lpp on the susceptibility of bacteria to these AMPs was further shown by the blocking of bactericidal activity with anti-Lpp antibody (Fig. 5). These results clearly demonstrated the Lpp interacts with and promotes susceptibilities of Enterobacteriaceae bacteria to the bactericidal activities of cationic ␣-helical AMPs.
Hundreds of natural AMPs have been isolated, although only few AMPs exhibit promising antimicrobial activity in animal models or human clinical trials because components in serum and/or body fluids, such as divalent cations and salts, inhibit their bioactivities. For instance, the bactericidal activity of human skin-derived psoriasin, a CaCl 2 -binding protein, is mediated by the depletion of zinc from bacteria, but its activity is inhibited by divalent cations (4). Thus, AMPs like psoriasin and hRNase 7 exert bactericidal activity only in environments deficient in divalent cations, and they cannot be employed as therapeutic agents (4,6,17). Here, we find that the bactericidal activity, the binding abilities to the whole bacteria and Lpp protein of SMAP-29, were resistant to 4 mM MgCl 2 and 0.15 M NaCl. However, the bactericidal activity of LL-37 was labile to the above-mentioned divalent cations and salts, although its binding abilities to the whole bacteria and Lpp protein were resistant. With respect to the coiled Arg-riched oligopeptide, (R 3 S 1 ) 3, both bactericidal activity and binding ability to the whole bacteria were inhibited by these two compounds (Figs. 1  and 7). SMAP-29 contains two major domains, the N-terminal amphipathic ␣-helical region (residues 8 -17) for antimicrobial activity and the C-terminal hydrophobic region (residues 20 -28) for hemolytic activity. It shows disordered structure in aqueous buffers and significant helicity in membrane-like environments (29,30). In addition, the secondary structure (percentage of ␣-helix) of cationic ␣-helical LL-37 varies with the concentrations of trifluoroethanol or lipid A in the environments (13). Therefore, we suggest that cationic ␣-helical AMP may be composed of two domains, one for Lpp-binding and the other for bactericidal activity. The structure of the individual domain is critical for its function and labile to the components in environments, like divalent cations, salts, and hydrophobicity.
It is interesting to find the role of Lpp on the bactericidal pathway caused by AMP. Lpp is known to be one of major outer membrane proteins of E. coli (7.2 ϫ 10 5 molecules/cell), which exists in two major forms, one bound form linked to the peptidoglycan of cell wall through C-terminal lysine residue and the other free form without anchoring, but both contain modified N-acyl-S-diacylglycerylcysteine at the N terminus for the outer membrane integration (18,19,31,32). E. coli mutants deficient in Lpp form large blebs on their surface, leak periplasmic enzymes into the medium, and have difficulty forming septa during cell division (33). The structure of Lpp is proposed to form a tubular channel through the outer membrane with a hydrophilic interior and hydrophobic outer surface, which act as a barrier against antibiotics and metabolites (20). The Lpp assembly is stabilized in the outer membrane not only by the hydrophobic interaction between its hydrophobic outer surface and the membrane lipid bilayer but also by three lipid acids linked to N-terminal cysteine. Furthermore, the Lpp is also linked to the peptidoglycan of cell wall by C-terminal lysine (19). By contrast, the Lpp is proposed to be composed of trimeric polypeptides from studies using recombinant Lpp proteins devoid of the N-terminal cysteine. The structure of one Lpphybrid protein, which contains the signal peptide, and the Ala-Glu residue of the OmpF N terminus and the Cys-1-deficient Lpp, is determined to be trimeric by the cross-linking with dithiobis (succinimidyl propionate) and dimethyl suberimidate, respectively (34). The structure of a truncated Lpp, Lpp56, deficient in Cys-1 and Lys-58 at both ends, has been determined to be a trimeric ␣-helix with a diameter of ϳ21 Å and a length of ϳ83 Å on x-ray crystallography (21). With respect to native Lpp of E. coli in the addition to monomer, dimer, and trimer, a fourth band of free form Lpp, probably tetramer or more, is observed on SDS-PAGE after cross-linking with increasing concentrations of disuccinimidyl suberate (32). In this study the recombinant Lpp possessed an N-terminal Cys-1 residue at which lipid acids were added for outer membrane integration and a C-terminal Lys-58 residue for cell wall anchoring. Based on the cross-linking experiments of recombinant Lpp with EDC and Lpp⅐SMAP-29 complex with glutaraldehyde, we suggest that the functional recombinant Lpp is composed of six ␣-helical polypeptides (hexamer). In addition, pairs of these oligopeptides may be tethered by disulfide bonds as well as intermolecular interactions because some dimeric Lpps are still tightly associated and preferentially recognized by anti-Lpp antibody, even reduced by 2-mercaptoethanol and separated by SDS-PAGE (Figs. 2, B-E, and 3, B-E).
In this report we found that interaction of SMAP-29 with Lpp resulted in the outward blebbing of the outer membrane, membrane permeability markedly increased, and the Lpp relocated from outer membrane to cytosol in K. pneumoniae (Fig.  6A). The dramatic damages to cellular structure caused by AMP occurring within minutes of primary challenge would not most likely allow bacteria to survive nor permit them to generate drug-resistant progeny. Although Lpp and OprI belong to different bacterial families, they possess three identical residues (Cys-Ser-Ser) at the N termini and could be recognized by SMAP-29, EDC cross-linking agent, and respective antibodies on bacterial surface. However, the Lpp was internalized into cytosol and not detectable on the bacterial surface in minutes through an unknown mechanism after SMA-29 treatment (17) (Figs. 1E and 6, B-D). Thus, a specific motif near N terminus of Lpp/OprI is exposed to outer environments of bacteria and is suggested to be a target site for cationic AMP. Screening or design of drugs against the specific motif of Lpp/OprI would provide a good chance to circumvent the current emergence of drug-resistance in Gram-negative bacteria. In this report, we retrieved cationic ␣-helical SMAP-29 and cationic ␣-helixcontaining hRNase 7 from a library that contains crude lysate of human cancer cell CL1-0 to mimic the natural source of materials (Fig. 8).