PR Peptides Research

Regenerative Peptide · Checked

LL-37

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LL-37 product vial
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Methodology

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Regenerative Peptide

About LL-37

Written in full

H-Leu-Leu-Gly-Asp-Phe-Phe-Arg-Lys-Ser-Lys-Glu-Lys-Ile-Gly-Lys- Glu-Phe-Lys-Arg-Ile-Val-Gln-Arg-Ile-Lys-Asp-Phe-Leu-Arg-Asn-Leu- Val-Pro-Arg-Thr-Glu-Ser-OH

Structure class
cationic, amphipathic, α-helical
Appearance
white lyophilized powder
Solubility
aqueous laboratory buffers

Designations and synonyms

LL-37 · CAP-18 · hCAP-18 · Cathelicidin LL-37 · Antibacterial peptide LL-37 · FALL-39 · CRAMP (murine ortholog) · HSD26 · Ropocamptide (INN)

Where the name comes from

Two N-terminal leucine residues and a length of 37 residues. Amino Club's account of this is correct.

Where FALL-39 comes from

The peptide was originally described as FALL-39, a 39-residue form beginning Phe-Ala-Leu-Leu. LL-37 is the processed 37-residue form, two residues shorter at the N-terminus. Both names persist in catalogues and databases, and FALL-39 appears in supplier synonym lists as though it were an alias — it is a different length of the same peptide.

Ropocamptide

The INN assigned to LL-37 as a drug candidate. Worth knowing, because it is the name the clinical trial literature uses.

A useful internal consistency check

LL-37 contains no methionine and no cysteine. A correct molecular formula therefore has no sulfur. C205H340N60O53 satisfies this. Any supplier listing a sulfur-containing formula for LL-37 has an error.

One supplier examined lists C205H340N50O53 — N50 rather than N60.

Their own stated molecular weight of 4493.34 only resolves with N60, so this is a transcription error rather than a different species.

The only human cathelicidin

Mammals carry cathelicidin genes in varying numbers. Humans have exactly one, CAMP, and LL-37 is its only antimicrobial product.

Every other compound in a peptide catalogue has analogues and relatives; this one is singular in the human genome. That is the fact worth leading with.

Origin and release

hCAP-18 is the 18 kDa precursor stored in neutrophil secondary granules and expressed by epithelial cells, keratinocytes and macrophages. LL-37 is released by proteolytic cleavage from its C-terminus. Expression rises sharply on injury or infection rather than being maintained at constant levels.

Structure and mechanism

The peptide is cationic and amphipathic and adopts an α-helix under physiological conditions. The cationic face is attracted to anionic microbial membranes; the hydrophobic face inserts. Disruption is described as detergent-like or "carpet" mode rather than discrete pore formation, with oligomerization reported and activity against both zwitterionic and negatively charged membranes.

Reported to retain activity in high-salt environments, though methicillin-resistant S. aureus and Candida albicans show resistance under those conditions.

LPS neutralization

LL-37 binds lipopolysaccharide directly. This contributes both to antibacterial action against Gram-negatives and to blunting of endotoxin-driven inflammation — the basis for the description of LL-37 as an LPS-neutralizing, pleiotropic peptide.

Receptors

Chemotactic activity is reported through formyl peptide receptor-like 1 (FPRL1 / FPR2) for neutrophils, monocytes and T cells, and through a Gi-phospholipase C pathway independent of FPRL1 for mast cells. Eosinophil and neutrophil chemoattraction via formyl-peptide receptors is also reported.

Wound-healing effects are reported to involve transactivation of the epidermal growth factor receptor with downstream MAPK and PI3K/Akt signalling.

Nucleic acid handling involves scavenger receptors, with SR-A6 and SR-B1 named, and clathrin-mediated endocytosis.

The double-edged problem

This is the part most vendor pages omit, and it is the single most important thing for anyone writing about LL-37 to understand.

LL-37 complexes with self nucleic acids. Those complexes are immunostimulatory — they enable self-DNA and self-RNA to reach and activate intracellular nucleic acid sensors that would normally ignore them. The consequence is that LL-37 is implicated as a driver in autoimmune disease, not only as a defensive peptide.

Reported associations include psoriasis, systemic lupus

erythematosus, rheumatoid arthritis and atherosclerosis. The literature title "Between good and evil: complexation of the human cathelicidin LL-37 with nucleic acids" captures the position accurately.

Context dependence is the rule, not the exception Reported effects invert depending on cell type and inflammatory environment:

TLR4 signalling suppressed in some models

TLR3 signalling enhanced in others, reported to be pH-dependent T cells pro-inflammatory when resting, anti-inflammatory when activated Cancer models both antitumor and pro-tumorigenic effects reported, varying by tumor type Arthritis models LL-37 deficiency reported not to change disease outcome, suggesting elevated cathelicidin may be incidental rather than causal in that setting

Practical consequence

"Antimicrobial peptide, therefore beneficial" is not a defensible framing for this compound. The honest framing is a context-dependent immune modulator with a documented role on both sides of inflammatory disease. Cytotoxicity at higher concentrations and rapid proteolytic degradation are also cited as the principal obstacles to therapeutic development.

Clinical and research context

Venous leg ulcers — the real clinical programme Unusually for this catalogue, LL-37 has randomized placebo-controlled human trial data. A Phase I/II trial in hard-to-heal venous leg ulcers reported the treatment safe and effective in enhancing healing, with reported reduction in ulcer size of up to 68% at optimal doses, and a dose-response in which the highest dose was less effective than intermediate doses. A later multicentric prospective randomized placebo-controlled trial followed.

(Grönberg et al., Wound Repair Regen, 2014; Mahlapuu et al., 2021)

Wound healing and re-epithelialization

Reported enhancement of keratinocyte migration and proliferation via EGFR transactivation. LL-37 is reported to be essential for re-epithelialization of skin wounds and to be absent or reduced in chronic ulcer epithelium — a deficiency finding rather than a supplementation claim.

(Heilborn et al., J Invest Dermatol, 2003; Carretero et al., 2008)

Biofilms

Reported inhibition of biofilm formation and disruption of mature biofilms, including on titanium alloy surfaces — relevant to implant-associated infection.

(Ridyard & Overhage, 2021; Wei et al., 2021)

Sepsis

Reported inhibition of macrophage pyroptosis with improved survival in polybacterial septic mice.

(Hu et al., Int Immunol, 2016)

Cardiac

Reported protection against myocardial ischemia/reperfusion injury via Akt and ERK1/2 activation with nuclear export of FoxO3a, and reported association between lower LL-37 levels and worse outcomes after myocardial infarction.

(Bei et al., BMC Medicine, 2019; Miao et al., Pharmacol Res, 2024)

Angiogenesis

Reported induction of angiogenesis through PGE2-EP3 signalling in endothelial cells, with in vivo inhibition by aspirin — a specific and testable mechanism.

(Salvado et al., ATVB, 2013)

Anti-inflammatory signalling

Reported reduction of IL-6, IL-8 and TNF-α with enhanced mitochondrial biogenesis, described as mTOR-dependent.

(Sun et al., Int J Biochem Cell Biol, 2014)

COPD

Lower circulating LL-37 reported in patients at high risk of frequent exacerbations.

(Yang et al., J Thorac Dis, 2015)

Mucosal and ocular immunity

Expressed by corneal and conjunctival epithelia, with reported antibacterial and antiviral activity at the ocular surface.

(Gordon et al., Curr Eye Res, 2005)

Gastrointestinal

Reported roles in intestinal epithelial migration and barrier maintenance, reduction of TNF-related cell death in combination with beta-defensin 2, and expression changes in inflammatory bowel disease. TLR3 activation by poly(I:C) reported to induce LL-37 expression via TRIF, TRAF6 and TAK1.

(Kusaka et al., 2018; Piktel et al., 2016)

Delivery and stabilization

Because proteolytic degradation limits utility, engineering work includes a collagen-binding-domain variant reported to improve retention on collagen wound dressings.

(Wei, Rolle & Camesano, ACS Omega, 2023)

Regulatory status

LL-37 is an endogenous human peptide. As a drug candidate it carries the INN ropocamptide and has completed randomized placebo-controlled trials in venous leg ulcers, but it is not approved by the FDA or any other regulatory agency for any indication.

Material supplied for laboratory use is a research chemical. It is not a drug, food, cosmetic, or dietary supplement, has not been evaluated by the FDA, and is not intended for human or veterinary use.

Svensson D, Nilsson BO. Human antimicrobial/host defense peptide LL-37 may prevent the spread of a local infection through multiple mechanisms: an update. Inflamm Res. 2025;74(1):36.

PMCID PMC11893641

Reference chemistry

Specifications

LL-37 specifications
AttributeValue
Molecular formulaC205H340N60O53
Molecular weight4493 g/mol
CAS Number154947-66-7
PubChem CID16198951 ↗
GeneCAMP
Parent proteinhCAP-18 (human cathelicidin,
Residue count37
Cited sources

Peer-reviewed literature

[1]
Oren Z, Lerman J, Gudmundsson G, Agerberth B, Shai Y. Structure and organization of the human antimicrobial peptide LL-37 in phospholipid membranes: relevance to the molecular basis for its non-cell-selective activity
Biochem J. 1999;341(Pt 3):501-13
Citation only
[2]
Yang D, Chen Q, Schmidt A, et al. LL-37, the neutrophil granule- and epithelial cell-derived cathelicidin, utilizes formyl peptide receptor-like 1 (FPRL1) as a receptor to chemoattract human peripheral blood neutrophils, monocytes, and T cells
J Exp Med. 2000;192:1069-74
Citation only
[3]
Niyonsaba F, Iwabuchi K, Someya A, et al. A cathelicidin family of human antibacterial peptide LL-37 induces mast cell chemotaxis
Immunology. 2002;106
Citation only
[4]
Heilborn J, Nilsson M, Kratz G, et al. The cathelicidin antimicrobial peptide LL-37 is involved in re-epithelialization of human skin wounds and is lacking in chronic ulcer epithelium
J Invest Dermatol. 2003;120(3):379-89
Citation only
[5]
Gordon YJ, Huang LC, Romanowski EG, et al. Human cathelicidin (LL-37), a multifunctional peptide, is expressed by ocular surface epithelia and has potent antibacterial and antiviral activity
Curr Eye Res. 2005;30(5):385-94
View source ↗
[6]
Tjabringa G, Ninaber D, Drijfhout J, Rabe K, Hiemstra P. Human cathelicidin LL-37 is a chemoattractant for eosinophils and neutrophils that acts via formyl-peptide receptors
Int Arch Allergy Immunol. 2006;140:103-12
Citation only
[7]
Golec M. Cathelicidin LL-37: LPS-neutralizing, pleiotropic peptide
Ann Agric Environ Med. 2007;14(1):1-4
View source ↗
[8]
Carretero M, Escámez M, García M, et al. In vitro and in vivo wound healing-promoting activities of human cathelicidin LL-37. J Invest Dermatol. 2008;128(1):223-36
Citation only
[9]
Alalwani SM, Sierigk J, Herr C, et al. The antimicrobial peptide LL-37 modulates the inflammatory and host defense response of human neutrophils
Eur J Immunol. 2010;40(4):1118-26
View source ↗
[10]
Ramos R, Silva JP, Rodrigues AC, et al. Wound healing activity of the human antimicrobial peptide LL37. Peptides. 2011;32(7):1469-76
View source ↗
[11]
Reinholz M, Ruzicka T, Schauber J. Cathelicidin LL-37: an antimicrobial peptide with a role in inflammatory skin disease
Ann Dermatol. 2012;24(2):126-35
View source ↗
[12]
Kahlenberg JM, Kaplan MJ. Little peptide, big effects: the role of LL-37 in inflammation and autoimmune disease
J Immunol. 2013;191(10):4895-901
View source ↗
[13]
Salvado MD, Di Gennaro A, Lindbom L, Agerberth B, Haeggström JZ. Cathelicidin LL-37 induces angiogenesis via PGE2-EP3 signaling in endothelial cells, in vivo inhibition by aspirin
Arterioscler Thromb Vasc Biol. 2013;33(8):1965-72
View source ↗
[14]
Grönberg A, Mahlapuu M, Ståhle M, et al. Treatment with LL-37 is safe and effective in enhancing healing of hard-to-heal venous leg ulcers: a randomized, placebo-controlled clinical trial
Wound Repair Regen. 2014;22(5):613-21
View source ↗
[15]
Singh D, Vaughan R, Kao CC. LL-37 peptide enhancement of signal transduction by Toll-like receptor 3 is regulated by pH: identification of a peptide antagonist of LL-37. J Biol Chem. 2014;289(40):27614-24
View source ↗
[16]
Sun W, Zheng Y, Lu Z, et al. LL-37 attenuates inflammatory impairment via mTOR signaling-dependent mitochondrial protection
Int J Biochem Cell Biol. 2014;54:26-35
Citation only
[17]
Yang YM, Guo YF, Zhang HS, Sun TY. Antimicrobial peptide LL-37 circulating levels in chronic obstructive pulmonary disease patients with high risk of frequent exacerbations
J Thorac Dis. 2015;7(4):740-5
View source ↗
[18]
Hu Z, Murakami T, Suzuki K, et al. Antimicrobial cathelicidin peptide LL-37 inhibits the pyroptosis of macrophages and improves the survival of polybacterial septic mice
Int Immunol. 2016;28(5):245-53
Citation only
[19]
Piktel E, Niemirowicz K, Wnorowska U, et al. The role of cathelicidin LL-37 in cancer development
Arch Immunol Ther Exp (Warsz). 2016;64(1):33-46
View source ↗
[20]
Takahashi T, Kulkarni NN, Lee EY, et al. Cathelicidin promotes inflammation by enabling binding of self-RNA to cell surface scavenger receptors
Sci Rep. 2018;8:4032
Citation only
[21]
Kusaka S, et al. Expression of human cathelicidin peptide LL-37 in inflammatory bowel disease
Clin Exp Immunol. 2018
View source ↗
[22]
Bei Y, Pan LL, Zhou Q, et al. Cathelicidin-related antimicrobial peptide protects against myocardial ischemia/reperfusion injury
BMC Med. 2019;17(1):42
View source ↗
[23]
Moreno-Angarita A, Aragón CC, Tobón GJ. Cathelicidin LL-37: a new important molecule in the pathophysiology of systemic lupus erythematosus
J Transl Autoimmun. 2019;3:100029
View source ↗
[24]
Yang B, Good D, Mosaiab T, et al. Significance of LL-37 on immunomodulation and disease outcome
Biomed Res Int. 2020. PMCID PMC7246396
Citation only
[25]
Ridyard KE, Overhage J. The potential of human peptide LL-37 as an antimicrobial and anti-biofilm agent. 2021. PMCID PMC8227053
Citation only
[26]
Wei J, Cao X, Qian J, et al. Evaluation of antimicrobial peptide LL-37 for treatment of Staphylococcus aureus biofilm on titanium plate
Medicine (Baltimore). 2021;100(44):e27426
Citation only
[27]
Mahlapuu M, Sidorowicz A, Mikosinski J, et al. Evaluation of LL-37 in healing of hard-to-heal venous leg ulcers: a multicentric prospective randomized placebo-controlled clinical trial
Wound Repair Regen. 2021
Citation only
[28]
Wei Z, Rolle MW, Camesano TA. Characterization of LL37 binding to collagen through peptide modification with a collagen-binding domain
ACS Omega. 2023;8(38):35370-81
Citation only
[29]
Zielke C, Nielsen JE, Lin JS, et al. Between good and evil: complexation of the human cathelicidin LL-37 with nucleic acids
Biophys J. 2024;123(11):1316-28
Citation only
[30]
Miao S, Liu H, Yang Q, et al. Cathelicidin peptide LL-37: a multifunctional peptide involved in heart disease
Pharmacol Res. 2024;210:107529
Citation only
[31]
Keshri AK, Rawat SS, Chaudhary A, et al. LL-37, the master antimicrobial peptide, its multifaceted role from combating infections to cancer immunity
Int J Antimicrob Agents. 2025;65(1):107398
Citation only
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