journal article·2025-05-12Open access

AMP-IBP5: A Multifunctional Antimicrobial Peptide for Advanced Wound Healing and Inflammatory Skin Disorders

Alafate Abudouwanli, Ge Peng, Mengyao Yang, Wanchen Zhao, Quan Sun, Shan Wang, Yi Tan, Arisa Ikeda, Hideoki Ogawa, Ko Okumura, François Niyonsaba

Abstract

Wound healing is a complex, multiphase process crucial for restoring tissue integrity and functionality after injury. Among the emerging therapeutic approaches, antimicrobial peptides (AMPs) have shown substantial promise because of their dual role in microbial defense and cellular modulation. AMP-IBP5, a novel AMP derived from insulin-like growth factor-binding protein 5, exhibits both antimicrobial and wound-healing properties, making it a promising therapeutic candidate. This peptide exhibits robust antimicrobial activity, augments keratinocyte proliferation, increases fibroblast migration, induces angiogenesis, and modulates the immune response. Mechanistically, AMP-IBP5 activates Mas-related G protein-coupled receptors and low-density lipoprotein receptor-related protein 1 (LRP1) in keratinocytes, stimulating IL-8 production and vascular endothelial growth factor expression to accelerate wound healing. This molecule also interacts with LRP1 in fibroblasts to increase cell migration and promote angiogenesis while mitigating inflammatory responses through targeted cytokine modulation. Preclinical studies have demonstrated its remarkable efficacy in promoting tissue repair in diabetic wounds and inflammatory skin conditions, including atopic dermatitis and psoriasis. This review delves into the broad therapeutic potential of AMP-IBP5 across dermatological applications, focusing on its intricate mechanisms of action, comparative advantages, and its path toward clinical and commercial application.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Antimicrobial Peptides and Activities · Wound Healing and Treatments · Exercise and Physiological Responses

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Atopy (Allergy) Research Center, Juntendo University Graduate School of Medicine, Tokyo 113-8421, Japan

Department of Dermatology, The First Hospital of China Medical University, Shenyang 110001, China

Department of Dermatology, Beijing Children’s Hospital, Capital Medical University, National Center for Children’s Health, Beijing 100045, China

Department of Nephrology, Juntendo University Graduate School of Medicine, Tokyo 113-8421, Japan

Faculty of International Liberal Arts, Juntendo University, Tokyo 113-8421, Japan

Funding

Ministry of Education, Culture, Sports, Science and Technology · Mochida Memorial Foundation · Takeda Science Foundation · Kao Foundation for Arts and Sciences · Tanuma Green House Foundation · Mishima Kaiun Memorial Foundation · Koyanaki Foundation · Kowa Life Science Foundation · National Eczema Association · Juntendo University

References (90)

Show source-provided references
1. Antimicrobial Peptides and Wound Healing: Biological and Therapeutic Considerations10.1111/exd.12929 ↗
2. Wound Repair and Regeneration10.1159/000339613 ↗
3. Wound Healing: A Cellular Perspective10.1152/physrev.00067.2017 ↗
4. Soliman, A.M., and Barreda, D.R. (2022). Acute Inflammation in Tissue Healing. Int. J. Mol. Sci., 24.10.3390/ijms24010641 ↗
5. Solarte David, V.A., Güiza-Argüello, V.R., Arango-Rodríguez, M.L., Sossa, C.L., and Becerra-Bayona, S.M. (2022). Decellularized Tissues for Wound Healing: Towards Closing the Gap between Scaffold Design and Effective Extracellular Matrix Remodeling. Front. Bioeng. Biotechnol., 10.10.3389/fbioe.2022.821852 ↗
6. Human Wounds and Its Burden: An Updated Compendium of Estimates10.1089/wound.2019.0946 ↗
7. Human Skin Wounds: A Major and Snowballing Threat to Public Health and the Economy10.1111/j.1524-475X.2009.00543.x ↗
8. Cohort Study Evaluating the Burden of Wounds to the UK’s National Health Service in 2017/2018: Update from 2012/201310.1136/bmjopen-2020-045253 ↗
9. Challenges in the Treatment of Chronic Wounds10.1089/wound.2015.0635 ↗
10. Antimicrobial-Wound Healing Peptides: Dual-Function Molecules for the Treatment of Skin Injuries10.1016/j.peptides.2021.170707 ↗
11. Antimicrobial Peptide Derived from Insulin-Like Growth Factor-Binding Protein 5 Improves Diabetic Wound Healing10.1111/wrr.12997 ↗
12. Peptidomics-Based Discovery of an Antimicrobial Peptide Derived from Insulin-like Growth Factor-Binding Protein 510.1021/pr101114a ↗
13. Antimicrobial Peptides: Mechanism of Action, Activity and Clinical Potential
14. (2025, April 04). Adp3, Antimicrobial Peptides Database. Available online: https://aps.unmc.edu/.
15. Antimicrobial Peptides and the Skin Immune Defense System10.1016/j.jaci.2008.03.027 ↗
16. Antimicrobial Peptides in Human Skin Disease
17. Dermcidin: A Novel Human Antibiotic Peptide Secreted by Sweat Glands10.1038/ni732 ↗
18. The Role of Antimicrobial Peptides in Human Skin and in Skin Infectious Diseases10.2174/1871526510808030135 ↗
19. A Review of the Mechanism of Action of Amphibian Antimicrobial Peptides Focusing on Peptide-Membrane Interaction and Membrane Curvature
20. Current Status of Development and Biomedical Applications of Peptide-Based Antimicrobial Hydrogels10.1016/j.cis.2024.103099 ↗
21. Bin Hafeez, A., Jiang, X., Bergen, P.J., and Zhu, Y. (2021). Antimicrobial Peptides: An Update on Classifications and Databases. Int. J. Mol. Sci., 22.10.3390/ijms222111691 ↗
22. Plant Antimicrobial Peptides: Structures, Functions, and Applications10.1186/s40529-021-00312-x ↗
23. Cathelicidin Peptides Restrict Bacterial Growth Via Membrane Perturbation and Induction of Reactive Oxygen Species10.1128/mBio.02021-19 ↗
24. Human Beta-Defensin 3 Inhibits Cell Wall Biosynthesis in Staphylococci10.1128/IAI.00688-09 ↗
25. Between Good and Evil: Complexation of the Human Cathelicidin LL-37 with Nucleic Acids10.1016/j.bpj.2023.10.035 ↗
26. Influence of Histatin 5 on Candida Albicans Mitochondrial Protein Expression Assessed by Quantitative Mass Spectrometry10.1021/pr100861k ↗
27. Antimicrobial Peptides10.1016/j.cub.2015.11.017 ↗
28. Designing Antimicrobial Peptides: Form Follows Function10.1038/nrd3591 ↗
29. Antimicrobial Peptides Human Beta-Defensins Stimulate Epidermal Keratinocyte Migration, Proliferation and Production of Proinflammatory Cytokines and Chemokines10.1038/sj.jid.5700599 ↗
30. Catestatin, a Neuroendocrine Antimicrobial Peptide, Induces Human Mast Cell Migration, Degranulation and Production of Cytokines and Chemokines10.1111/j.1365-2567.2010.03395.x ↗
31. Induction of Keratinocyte Migration Via Transactivation of the Epidermal Growth Factor Receptor by the Antimicrobial Peptide LL-3710.4049/jimmunol.175.7.4662 ↗
32. Takahashi, M., Umehara, Y., Yue, H., Trujillo-Paez, J.V., Peng, G., Nguyen, H.L.T., Ikutama, R., Okumura, K., Ogawa, H., and Ikeda, S. (2021). The Antimicrobial Peptide Human β-Defensin-3 Accelerates Wound Healing by Promoting Angiogenesis, Cell Migration, and Proliferation through the FGFR/JAK2/STAT3 Signaling Pathway. Front. Immunol., 12.10.3389/fimmu.2021.712781 ↗
33. The Antimicrobial Peptide Esculentin-1a(1-21)NH2 Stimulates Wound Healing by Promoting Angiogenesis through the PI3K/AKT Pathway10.1248/bpb.b22-00098 ↗
34. Choi, K.Y., and Mookherjee, N. (2012). Multiple Immune-Modulatory Functions of Cathelicidin Host Defense Peptides. Front. Immunol., 3.10.3389/fimmu.2012.00149 ↗
35. The Human Antimicrobial Peptide LL-37 Is a Multifunctional Modulator of Innate Immune Responses10.4049/jimmunol.169.7.3883 ↗
36. Antimicrobial Peptides Human Beta-Defensins and Cathelicidin LL-37 Induce the Secretion of a Pruritogenic Cytokine IL-31 by Human Mast Cells10.4049/jimmunol.0900712 ↗
37. The Antimicrobial Peptide Human Beta-Defensin-3 Is Induced by Platelet-Released Growth Factors in Primary Keratinocytes
38. In Vitro and in Vivo Wound Healing-Promoting Activities of Human Cathelicidin LL-3710.1038/sj.jid.5701043 ↗
39. Wound Healing Activity of the Human Antimicrobial Peptide LL3710.1016/j.peptides.2011.06.005 ↗
40. Nanoparticle-Based Dressing: The Future of Wound Treatment?10.1016/j.tibtech.2017.05.005 ↗
41. Sánchez-Peña, F.J., Romero-Tlalolini, M.L.Á., Torres-Aguilar, H., Cruz-Hernández, D.S., Baltiérrez-Hoyos, R., Sánchez-Aparicio, S.R., Aquino-Domínguez, A.S., and Aguilar-Ruiz, S.R. (2023). LL-37 Triggers Antimicrobial Activity in Human Platelets. Int. J. Mol. Sci., 24.10.3390/ijms24032816 ↗
42. The Endogenous Antimicrobial Cathelicidin LL37 Induces Platelet Activation and Augments Thrombus Formation10.1182/bloodadvances.2018021758 ↗
43. Platelet Rich Plasma: A Short Overview of Certain Bioactive Components10.1515/med-2016-0048 ↗
44. Kraemer, B.F., Campbell, R.A., Schwertz, H., Cody, M.J., Franks, Z., Tolley, N.D., Kahr, W.H., Lindemann, S., Seizer, P., and Yost, C.C. (2011). Novel Anti-Bacterial Activities of β-Defensin 1 in Human Platelets: Suppression of Pathogen Growth and Signaling of Neutrophil Extracellular Trap Formation. PLoS Pathog., 7.10.1371/journal.ppat.1002355 ↗
45. Neutrophil Migration in Infection and Wound Repair: Going Forward in Reverse10.1038/nri.2016.49 ↗
46. Inflammation and Wound Healing: The Role of the Macrophage10.1017/S1462399411001943 ↗
47. Injury Is a Major Inducer of Epidermal Innate Immune Responses during Wound Healing10.1038/jid.2009.284 ↗
48. Keratinocyte Function in Normal and Diabetic Wounds and Modulation by FOXO110.1155/2020/3714704 ↗
49. Keratinocyte-Fibroblast Interactions in Wound Healing10.1038/sj.jid.5700786 ↗
50. Peripheral Blood Fibrocytes: Enhancement of Wound Healing by Cell Proliferation, Re-Epithelialization, Contraction, and Angiogenesis10.1097/SLA.0b013e3182251559 ↗
51. Shams, F., Moravvej, H., Hosseinzadeh, S., Mostafavi, E., Bayat, H., Kazemi, B., Bandehpour, M., Rostami, E., Rahimpour, A., and Moosavian, H. (2022). Overexpression of VEGF in Dermal Fibroblast Cells Accelerates the Angiogenesis and Wound Healing Function: In Vitro and in Vivo Studies. Sci. Rep., 12.10.1038/s41598-022-23304-8 ↗
52. Tomioka, H., Nakagami, H., Tenma, A., Saito, Y., Kaga, T., Kanamori, T., Tamura, N., Tomono, K., Kaneda, Y., and Morishita, R. (2014). Novel Anti-Microbial Peptide SR-0379 Accelerates Wound Healing Via the PI3 kinase/Akt/mTOR Pathway. PLoS ONE, 9.10.1371/journal.pone.0092597 ↗
53. Ding, H., and Wu, T. (2018). Insulin-Like Growth Factor Binding Proteins in Autoimmune Diseases. Front. Endocrinol., 9.10.3389/fendo.2018.00499 ↗
54. (2025, April 09). IGFBP5, the Human Protein Atlas. Available online: https://www.proteinatlas.org/ENSG00000115461-IGFBP5.
55. Regulation of IGFBP-5 Expression during Tumourigenesis and Differentiation of Oral Keratinocytes10.1002/path.1220 ↗
56. Study of the Mechanism of Action of Anoplin, a Helical Antimicrobial Decapeptide with Ion Channel-Like Activity, and the Role of the Amidated C-Terminus10.1002/psc.960 ↗
57. Structure Determination of Human and Murine Beta-Defensins Reveals Structural Conservation in the Absence of Significant Sequence Similarity
58. The Antimicrobial Peptide Derived from Insulin-Like Growth Factor-Binding Protein 5, AMP-IBP5, Regulates Keratinocyte Functions through Mas-Related Gene X Receptors10.1016/j.jdermsci.2017.05.008 ↗
59. Involvement of the Lipoprotein Receptor Lrp1 in AMP-IBP5-Mediated Migration and Proliferation of Human Keratinocytes and Fibroblasts10.1016/j.jdermsci.2020.07.003 ↗
60. Antimicrobial Peptide Derived from Insulin-Like Growth Factor-Binding Protein 5 Activates Mast Cells Via Mas-Related G Protein-Coupled Receptor X210.1111/all.13975 ↗
61. Raziyeva, K., Kim, Y., Zharkinbekov, Z., Kassymbek, K., Jimi, S., and Saparov, A. (2021). Immunology of Acute and Chronic Wound Healing. Biomolecules, 11.10.3390/biom11050700 ↗
62. Immune Regulation of Skin Wound Healing: Mechanisms and Novel Therapeutic Targets10.1089/wound.2017.0761 ↗
63. Tsai, Y.C., and Tsai, T.F. (2022). Overlapping Features of Psoriasis and Atopic Dermatitis: From Genetics to Immunopathogenesis to Phenotypes. Int. J. Mol. Sci., 23.10.3390/ijms23105518 ↗
64. Growth Factors and Cytokines in Wound Healing10.1111/j.1524-475X.2008.00410.x ↗
65. Nirenjen, S., Narayanan, J., Tamilanban, T., Subramaniyan, V., Chitra, V., Fuloria, N.K., Wong, L.S., Ramachawolran, G., Sekar, M., and Gupta, G. (2023). Exploring the Contribution of Pro-Inflammatory Cytokines to Impaired Wound Healing in Diabetes. Front. Immunol., 14.10.3389/fimmu.2023.1216321 ↗
66. Nguyen, H.L.T., Peng, G., Trujillo-Paez, J.V., Yue, H., Ikutama, R., Takahashi, M., Umehara, Y., Okumura, K., Ogawa, H., and Ikeda, S. (2023). The Antimicrobial Peptide AMP-IBP5 Suppresses Dermatitis-Like Lesions in a Mouse Model of Atopic Dermatitis through the Low-Density Lipoprotein Receptor-Related Protein-1 Receptor. Int. J. Mol. Sci., 24.10.3390/ijms24065200 ↗
67. Atopic Dermatitis10.1056/NEJMra2023911 ↗
68. Pathophysiology of Atopic Dermatitis: Clinical Implications10.2500/aap.2019.40.4202 ↗
69. Decreased Serum LL-37 and Vitamin D3 Levels in Atopic Dermatitis: Relationship between Il-31 and Oncostatin M10.1111/j.1398-9995.2012.02824.x ↗
70. The Role of TSLP in Atopic Dermatitis: From Pathogenetic Molecule to Therapeutical Target10.1155/2023/7697699 ↗
71. IL-31-Generating Network in Atopic Dermatitis Comprising Macrophages, Basophils, Thymic Stromal Lymphopoietin, and Periostin10.1016/j.jaci.2022.11.009 ↗
73. Psoriasis Is Associated with Increased Beta-Defensin Genomic Copy Number10.1038/ng.2007.48 ↗
74. Autoantigens ADAMTSL5 and LL37 Are Significantly Upregulated in Active Psoriasis and Localized with Keratinocytes, Dendritic Cells and Other Leukocytes10.1111/exd.13378 ↗
75. The Antimicrobial Protein Psoriasin (S100A7) Is Upregulated in Atopic Dermatitis and after Experimental Skin Barrier Disruption10.1038/jid.2008.268 ↗
76. A Skin-Derived Antimicrobial Peptide Derived from Insulin-Like Growth Factor-Binding Protein 5 (AMP-IBP5) as Therapeutic Candidate for Psoriasis10.14789/jmj.JMJ22-0050-OT ↗
77. Liang, W., and Diana, J. (2020). The Dual Role of Antimicrobial Peptides in Autoimmunity. Front. Immunol., 11.10.3389/fimmu.2020.02077 ↗
78. Little Peptide, Big Effects: The Role of LL-37 in Inflammation and Autoimmune Disease10.4049/jimmunol.1302005 ↗
79. Nagaoka, I., Tamura, H., and Reich, J. (2020). Therapeutic Potential of Cathelicidin Peptide LL-37, an Antimicrobial Agent, in a Murine Sepsis Model. Int. J. Mol. Sci., 21.10.3390/ijms21175973 ↗
80. Current Insights into the Role of Human β-Defensins in Atopic Dermatitis10.1111/cei.13013 ↗
81. Friends or Foes? Host Defense (Antimicrobial) Peptides and Proteins in Human Skin Diseases10.1111/exd.13314 ↗
82. The 500 Dalton Rule for the Skin Penetration of Chemical Compounds and Drugs10.1034/j.1600-0625.2000.009003165.x ↗
83. Role of Solvent in Interactions between Fatty Acids-Based Formulations and Lipids in Porcine Stratum Corneum10.1016/j.jconrel.2003.10.016 ↗
84. Canè, C., Tammaro, L., Duilio, A., and Di Somma, A. (2024). Investigation of the Mechanism of Action of AMPs from Amphibians to Identify Bacterial Protein Targets for Therapeutic Applications. Antibiotics, 13.10.3390/antibiotics13111076 ↗
85. Pegylation and Formulation Strategy of Anti-Microbial Peptide (AMP) According to the Quality by Design Approach10.1016/j.ejps.2019.105197 ↗
86. The Unexpected Advantages of Using D-Amino Acids for Peptide Self- Assembly into Nanostructured Hydrogels for Medicine10.2174/1568026616999160212120302 ↗
87. Li, Y., Liu, T., Liu, Y., Tan, Z., Ju, Y., Yang, Y., and Dong, W. (2019). Antimicrobial Activity, Membrane Interaction and Stability of the D-Amino Acid Substituted Analogs of Antimicrobial Peptide W3R6. J. Photochem. Photobiol. B, 200.10.1016/j.jphotobiol.2019.111645 ↗
88. On the Utility of Chemical Strategies to Improve Peptide Gut Stability10.1021/acs.jmedchem.2c00094 ↗
89. Lin, X., Zhang, X., Wang, Y., Chen, W., Zhu, Z., and Wang, S. (2025). Hydrogels and Hydrogel-Based Drug Delivery Systems for Promoting Refractory Wound Healing: Applications and Prospects. Int. J. Biol. Macromol., 285.10.1016/j.ijbiomac.2024.138098 ↗
90. Bioactive Hydrogels Based on Polysaccharides and Peptides for Soft Tissue Wound Management10.1039/D2TB00591C ↗