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Peptide

LL-37

LL-37 (Leucine-Leucine-37) is the only human cathelicidin antimicrobial peptide, a 37-amino acid sequence cleaved from the C-terminus of the precursor protein hCAP-18. It is produced by neutrophils, epithelial cells, and other immune cells and plays crucial roles in innate immunity, wound healing, and antimicrobial defense. Clinical trials have demonstrated efficacy in treating hard-to-heal venous leg ulcers, while extensive preclinical research shows potent activity against antibiotic-resistant bacteria including MRSA biofilms.

Research notice. This page is for education and research. Peptides may not be FDA-approved for human use and may only be legally available for research. Talk to a qualified clinician before considering any peptide.

Best evidence
Grade B
Conditions studied
3
Outcomes
9
Graded outcomes
0441

Evidence by condition

  • Strong
  • Moderate
  • Limited
  • Very limited

3 conditions, plus general outcomes

Immune Function: outcomes studied for LL-37
GradeOutcomeEffectSizeStudiesPeopleStudies list
Antimicrobial Activity

Effective against 38+ bacteria, 16 fungi, 16 viruses

Improves (the measure goes up)Large effect9 studies360 people
Biofilm Eradication

>4 log reduction in S. aureus biofilms

Improves (the measure goes up)Large effect5 studies180 people
MRSA Killing

Effective at nanomolar concentrations

Improves (the measure goes up)Large effect8 studies120 people
Immune Cell Activation

Activates NK cells, dendritic cells, B cells

Improves (the measure goes up)Moderate effect2 studies150 people

Studies that measured immune cell activation

Skin Health: outcomes studied for LL-37
GradeOutcomeEffectSizeStudiesPeopleStudies list
Venous Leg Ulcer Healing

6-fold higher healing rate at optimal dose

Improves (the measure goes up)Large effect8 studies182 people
Re-epithelialization

Significant improvement in wound closure

Improves (the measure goes up)Large effect6 studies240 people
Granulation Tissue Formation

Enhanced tissue regeneration

Improves (the measure goes up)Moderate effect2 studies75 people

Studies that measured granulation tissue formation

Sepsis

  • Survival Rate: improves
Sepsis: outcomes studied for LL-37
GradeOutcomeEffectSizeStudiesPeopleStudies list
Survival Rate

Improved survival in sepsis models

Improves (the measure goes up)Moderate effect4 studies90 people

General

  • Wound Healing: improves
General: outcomes studied for LL-37
GradeOutcomeEffectSizeStudiesPeopleStudies list
Wound Healing

2 preclinical studies support this finding. Primarily preclinical evidence.

Improves (the measure goes up)Small effect3 studies

Studies that measured wound healing

Key findings

  • Antimicrobial ActivityImmune FunctionImproves (the measure goes up)
  • Venous Leg Ulcer HealingSkin HealthImproves (the measure goes up)
  • Re-epithelializationSkin HealthImproves (the measure goes up)

Studies cited

73 studies from PubMed

  1. LL-37 Attenuates Sepsis-Induced Lung Injury by Alleviating Inflammatory Response and Epithelial Cell Oxidative Injury via ZBP1-Mediated Autophagy.Toxins, 2025 · PMID 40559884
  2. Human cathelicidin peptide LL-37 induces endothelial-to-mesenchymal transition.Bioscience, biotechnology, and biochemistry, 2025 · PMID 40690262
  3. Significance of the LL-37 Peptide Delivered from Human Cathelicidin in the Pathogenesis, Treatment, and Diagnosis of Sepsis.Archivum immunologiae et therapiae experimentalis, 2025 · PMID 40960088
  4. Cathelicidin regulates goblet cell mucus secretion and mucus-associated proteins in Citrobacter rodentium-induced colitis.Gut microbes, 2025 · PMID 40735968
  5. Cathelicidin LL-37 in periodontitis: current research advances and future prospects - A review.International immunopharmacology, 2025 · PMID 39954662
  6. Cathelicidin Antimicrobial Peptide Levels in Atherosclerosis and Myocardial Infarction in Mice and Human.International journal of molecular sciences, 2024 · PMID 38474156
  7. Cathelicidin LL-37 promotes wound healing in diabetic mice by regulating TFEB-dependent autophagy.Peptides, 2024 · PMID 38423213
  8. Cathelicidin (LL-37) causes expression of inflammatory factors in coronary artery endothelial cells of Kawasaki disease by activating TLR4-NF-κB-NLRP3 signaling.Immunity, inflammation and disease, 2023 · PMID 37773705
  9. Cathelicidin LL-37 promotes EMT, migration and metastasis of hepatocellular carcinoma cells in vitro and mouse model.Cell adhesion & migration, 2023 · PMID 36656313
  10. Human cathelicidin LL-37 exerts amelioration effects against EHEC O157:H7 infection regarding inflammation, enteric dysbacteriosis, and impairment of gut barrier function.Peptides, 2023 · PMID 36370932
  11. Antimicrobial peptide cathelicidin LL-37 preserves intestinal barrier and organ function in rats with heat stroke.Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie, 2023 · PMID 36958193
  12. Efficacy of LL-37 cream in enhancing healing of diabetic foot ulcer: a randomized double-blind controlled trial.Archives of dermatological research, 2023 · PMID 37480520
  13. Antibiofilm properties of cathelicidin LL-37: an in-depth review.World journal of microbiology & biotechnology, 2023 · PMID 36781570
  14. Efficacy of antimicrobial peptide LL-37 against biofilm forming Staphylococcus aureus strains obtained from chronic wound infectionsMicrob Pathog, 2022 · PMID 34942309
  15. Vitamin D-induced LL-37 modulates innate immune responses of human primary macrophages during DENV-2 infection.Pathogens and disease, 2022 · PMID 35512569
  16. LL-37 transports immunoreactive cGAMP to activate STING signaling and enhance interferon-mediated host antiviral immunity.Cell reports, 2022 · PMID 35649354
  17. Human Cathelicidin Peptide LL-37 Induces Cell Death in Autophagy-Dysfunctional Endothelial Cells.Journal of immunology (Baltimore, Md. : 1950), 2022 · PMID 35387840
  18. Cathelicidin hCAP18/LL-37 promotes cell proliferation and suppresses antitumor activity of 1,25(OH)(2)D(3) in hepatocellular carcinoma.Cell death discovery, 2022 · PMID 35039485
  19. Sphingosine-1-Phosphate-Triggered Expression of Cathelicidin LL-37 Promotes the Growth of Human Bladder Cancer Cells.International journal of molecular sciences, 2022 · PMID 35806446
  20. The human cathelicidin hCAP-18 in serum of children with haemato-oncological diseases.British journal of haematology, 2022 · PMID 35849644
  21. Anticancer Effect of Cathelicidin LL-37, Protegrin PG-1, Nerve Growth Factor NGF, and Temozolomide: Impact on the Mitochondrial Metabolism, Clonogenic Potential, and Migration of Human U251 Glioma Cells.Molecules (Basel, Switzerland), 2022 · PMID 35956937
  22. LL-37 as a Powerful Molecular Tool for Boosting the Performance of Ex Vivo-Produced Human Dendritic Cells for Cancer Immunotherapy.Pharmaceutics, 2022 · PMID 36559241
  23. Regulation of LL-37 in Bone and Periodontium Regeneration.Life (Basel, Switzerland), 2022 · PMID 36294968
  24. Evaluation of LL-37 in healing of hard-to-heal venous leg ulcers: A multicentric prospective randomized placebo-controlled clinical trialWound Repair Regen, 2021 · PMID 34687253
  25. Steroid hormone modulates the production of cathelicidin and human β-defensins in lung epithelial cells and macrophages promoting Mycobacterium tuberculosis killing.Tuberculosis (Edinburgh, Scotland), 2021 · PMID 33799143
  26. Antimicrobial Peptide LL-37 Drives Rosacea-Like Skin Inflammation in an NLRP3-Dependent Manner.The Journal of investigative dermatology, 2021 · PMID 33745908
  27. LL-37-induced caspase-independent apoptosis is associated with plasma membrane permeabilization in human osteoblast-like cells.Peptides, 2021 · PMID 33129893
  28. Colonic epithelial cathelicidin (LL-37) expression intensity is associated with progression of colorectal cancer and presence of CD8(+) T cell infiltrate.The journal of pathology. Clinical research, 2021 · PMID 33988317
  29. Interaction of LL-37 human cathelicidin peptide with a model microbial-like lipid membrane.Bioelectrochemistry (Amsterdam, Netherlands), 2021 · PMID 34049238
  30. Vitamin D and Cathelicidin (LL-37) Status in Patients with Type 2 Diabetes and Staphylococcus aureus Nasal Carriage.The review of diabetic studies : RDS, 2021 · PMID 34289005
  31. Therapeutic Potential of Cathelicidin Peptide LL-37, an Antimicrobial Agent, in a Murine Sepsis ModelInt Immunopharmacol, 2020 · PMID 32825174
  32. Citrullination Alters the Antiviral and Immunomodulatory Activities of the Human Cathelicidin LL-37 During Rhinovirus Infection.Frontiers in immunology, 2020 · PMID 32117246
  33. Immunomodulatory Role of the Antimicrobial LL-37 Peptide in Autoimmune Diseases and Viral Infections.Vaccines, 2020 · PMID 32927756
  34. LL-37 restored glucocorticoid sensitivity impaired by virus dsRNA in lung.International immunopharmacology, 2020 · PMID 31877496
  35. Synthetic cathelicidin LL-37 reduces Mycobacterium avium subsp. paratuberculosis internalization and pro-inflammatory cytokines in macrophages.Cell and tissue research, 2020 · PMID 31478135
  36. Antimicrobial peptide LL-37 ameliorates a murine sepsis model via the induction of microvesicle release from neutrophils.Innate immunity, 2020 · PMID 32600088
  37. Cathelicidin Mediates a Protective Role of Vitamin D in Ulcerative Colitis and Human Colonic Epithelial Cells.Inflammatory bowel diseases, 2020 · PMID 31955203
  38. Salivary human beta-defensins and cathelicidin levels in relation to periodontitis and type 2 diabetes mellitus.Acta odontologica Scandinavica, 2020 · PMID 31980002
  39. Antimicrobial peptide LL-37 is bactericidal against Staphylococcus aureus biofilmsPLoS One, 2019 · PMID 31170191
  40. LL-37 and its analog FF/CAP18 attenuate neutrophil migration in sepsis-induced acute lung injury.Journal of cellular biochemistry, 2019 · PMID 30537236
  41. Myeloid cell-derived LL-37 promotes lung cancer growth by activating Wnt/β-catenin signaling.Theranostics, 2019 · PMID 31149039
  42. Cathelicidin LL-37 restoring glucocorticoid function in smoking and lipopolysaccharide-induced airway inflammation in rats.Chinese medical journal, 2019 · PMID 30741829
  43. Human cathelicidin improves colonic epithelial defenses against Salmonella typhimurium by modulating bacterial invasion, TLR4 and pro-inflammatory cytokines.Cell and tissue research, 2019 · PMID 30788579
  44. Cathelicidin-related antimicrobial peptide protects against myocardial ischemia/reperfusion injury.BMC medicine, 2019 · PMID 30782145
  45. Tissue-specific Regulation of Innate Immune Responses by Human Cathelicidin LL-37.Current pharmaceutical design, 2018 · PMID 29589544
  46. Roles and Mechanisms of Human Cathelicidin LL-37 in Cancer.Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology, 2018 · PMID 29843147
  47. Upregulated expression of human cathelicidin LL-37 in hypercholesterolemia and its relationship with serum lipid levels.Molecular and cellular biochemistry, 2018 · PMID 29644526
  48. Circulating cathelicidin LL-37 in adult patients with pulmonary infectious diseases.Clinical and investigative medicine. Medecine clinique et experimentale, 2017 · PMID 28218580
  49. Human cathelicidin, LL-37, inhibits respiratory syncytial virus infection in polarized airway epithelial cellsBMC Res Notes, 2016 · PMID 26732674
  50. The human cathelicidin LL-37--A pore-forming antibacterial peptide and host-cell modulator.Biochimica et biophysica acta, 2016 · PMID 26556394
  51. The Roles of Cathelicidin LL-37 in Inflammatory Bowel Disease.Inflammatory bowel diseases, 2016 · PMID 27135484
  52. The Role of Cathelicidin LL-37 in Cancer Development.Archivum immunologiae et therapiae experimentalis, 2016 · PMID 26395996
  53. Human Cathelicidin Compensates for the Role of Apolipoproteins in Hepatitis C Virus Infectious Particle Formation.Journal of virology, 2016 · PMID 27440892
  54. Human-derived cathelicidin LL-37 directly activates mast cells to proinflammatory mediator synthesis and migratory response.Cellular immunology, 2015 · PMID 25577339
  55. The Human Cathelicidin Antimicrobial Peptide LL-37 and Mimics are Potential Anticancer Drugs.Frontiers in oncology, 2015 · PMID 26175965
  56. Treatment with LL-37 is safe and effective in enhancing healing of hard-to-heal venous leg ulcers: a randomized, placebo-controlled clinical trialWound Repair Regen, 2014 · PMID 25041740
  57. Human cathelicidin LL-37 and its derivative IG-19 regulate interleukin-32-induced inflammation.Immunology, 2014 · PMID 24666281
  58. Cationic Antimicrobial Peptide LL-37 Is Effective against both Extra- and Intracellular Staphylococcus aureusAntimicrob Agents Chemother, 2013 · PMID 23265341
  59. The Human Cathelicidin Antimicrobial Peptide LL-37 as a Potential Treatment for Polymicrobial Infected WoundsFront Immunol, 2013 · PMID 23840194
  60. Cathelicidin LL-37: a multitask antimicrobial peptideArch Immunol Ther Exp, 2012 · PMID 20049649
  61. The human cathelicidin, LL-37, induces granzyme-mediated apoptosis in cytotoxic T lymphocytes.Experimental cell research, 2011 · PMID 21134367
  62. Cathelicidin LL-37 peptide regulates endothelial cell stiffness and endothelial barrier permeability.American journal of physiology. Cell physiology, 2011 · PMID 20943960
  63. The human cathelicidin, LL-37, induces granzyme-mediated apoptosis in regulatory T cells.Journal of immunotherapy (Hagerstown, Md. : 1997), 2011 · PMID 21389875
  64. The roles of cathelicidin LL-37 in immune defences and novel clinical applications.Current opinion in hematology, 2009 · PMID 19068548
  65. In vitro and in vivo wound healing-promoting activities of human cathelicidin LL-37J Mol Med, 2008 · PMID 17805349
  66. Immunolocalization of defensins and cathelicidin in human glands of Moll.Annals of anatomy = Anatomischer Anzeiger : official organ of the Anatomische Gesellschaft, 2008 · PMID 18396392
  67. [Cathelicidin LL-37. A central factor in the pathogenesis of inflammatory dermatoses?].Der Hautarzt; Zeitschrift fur Dermatologie, Venerologie, und verwandte Gebiete, 2008 · PMID 18209993
  68. Heterogeneous expression of human cathelicidin hCAP18/LL-37 in inflammatory bowel diseases.European journal of gastroenterology & hepatology, 2006 · PMID 16702850
  69. Effect of antibacterial cathelicidin peptide CAP18/LL-37 on sepsis in neonatal ratsPediatr Surg Int, 2005 · PMID 15645239
  70. Pulmonary defense and the human cathelicidin hCAP-18/LL-37.Immunologic research, 2005 · PMID 15778507
  71. The human cathelicidin LL-37: a multifunctional peptide involved in infection and inflammation in the lung.Pulmonary pharmacology & therapeutics, 2005 · PMID 15939310
  72. The cathelicidin anti-microbial peptide LL-37 is involved in re-epithelialization of human skin wounds and is lacking in chronic ulcer epitheliumJ Invest Dermatol, 2003 · PMID 12603850
  73. Participation of mammalian defensins and cathelicidins in anti-microbial immunity: receptors and activities of human defensins and cathelicidin (LL-37).Journal of leukocyte biology, 2001 · PMID 11358975