How LL-37 and Damage Signals Team Up to Trigger Skin Repair Growth Factors

The antimicrobial peptide LL-37 works with damage signals in wounded skin to boost production of multiple growth factors that drive tissue repair.

Adase, Christopher A et al.·The Journal of biological chemistry·2016·
RPEP-028592016RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Not classified
Evidence
Not graded
Sample
Not reported

What This Study Found

Double-stranded RNA acting as a damage signal significantly increased expression of multiple growth factors in keratinocytes, endothelial cells, and fibroblasts. When LL-37 was added alongside dsRNA — mimicking real wound conditions — RNA sequencing revealed even greater growth factor upregulation.

Specifically, keratinocytes exposed to both LL-37 and dsRNA showed increased expression of FGF2 (basic fibroblast growth factor), HBEGF (heparin-binding EGF-like growth factor), VEGFC (vascular endothelial growth factor C), betacellulin, EGF, epiregulin, and members of the TGF-β superfamily. These results were validated by quantitative PCR and ELISA, confirming that antimicrobial peptides play a direct role in stimulating tissue repair — not just fighting infection.

Key Numbers

How They Did This

Researchers exposed cultured human keratinocytes, endothelial cells, and fibroblasts to double-stranded RNA alone or combined with LL-37 peptide. They used RNA sequencing to map the full transcriptome response, then confirmed key findings with quantitative PCR and ELISA protein assays. The combined treatment was designed to mimic the molecular environment of a real skin wound.

Why This Research Matters

This study reveals that LL-37 does more than kill bacteria — it actively promotes wound healing by amplifying growth factor production. Understanding this dual role could lead to new wound-healing therapies that harness the body's own antimicrobial peptides to accelerate skin repair, particularly for chronic wounds that fail to heal normally.

The Bigger Picture

LL-37 is the only cathelicidin antimicrobial peptide in humans, and most research has focused on its bacteria-killing properties. This study expands our understanding by showing it also orchestrates tissue repair through growth factor signaling. This connects to the broader field of wound healing research and suggests antimicrobial peptides could be therapeutic tools for promoting skin regeneration, not just fighting infection.

What This Study Doesn't Tell Us

This was an in vitro study using cultured cells, so the results may not fully translate to living tissue. The study did not test specific dose-response relationships for LL-37 or measure how long the growth factor boost lasted. No animal or human wound models were used to confirm these effects in a real healing environment.

Questions This Raises

  • ?Could topical LL-37 application accelerate wound healing in chronic non-healing wounds?
  • ?What is the optimal concentration of LL-37 needed to maximize growth factor production without triggering excessive inflammation?
  • ?Do other antimicrobial peptides besides LL-37 have similar growth factor-stimulating effects?

Trust & Context

Key Stat:
7+ growth factors upregulated Including FGF2, VEGFC, EGF, and HBEGF — when LL-37 was combined with damage signals in skin cells
Evidence Grade:
This is a laboratory (in vitro) study using cultured human cells. While it provides mechanistic insight into how LL-37 affects growth factor expression, the findings have not been validated in animal models or human clinical trials, placing it at a preclinical evidence level.
Study Age:
Published in 2016, this study is about 10 years old. The fundamental findings about LL-37 and growth factor signaling remain relevant, as subsequent research has continued to explore cathelicidins in wound healing contexts.
Original Title:
Non-coding Double-stranded RNA and Antimicrobial Peptide LL-37 Induce Growth Factor Expression from Keratinocytes and Endothelial Cells.
Published In:
The Journal of biological chemistry, 291(22), 11635-46 (2016)
Database ID:
RPEP-02859

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study
What do these levels mean? →

Frequently Asked Questions

What does LL-37 do besides kill bacteria?

This study shows LL-37 also stimulates skin cells to produce growth factors like FGF2, VEGFC, and EGF that promote wound healing and tissue repair — revealing it has a dual role as both an antimicrobial and a repair signal.

Could this research lead to new wound treatments?

Potentially. By understanding how LL-37 boosts growth factor production in wounded skin, researchers could develop peptide-based therapies that accelerate healing in chronic wounds, burns, or surgical sites — though clinical testing is still needed.

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Cite This Study

RPEP-02859·https://rethinkpeptides.com/research/RPEP-02859

APA

Adase, Christopher A; Borkowski, Andrew W; Zhang, Ling-Juan; Williams, Michael R; Sato, Emi; Sanford, James A; Gallo, Richard L. (2016). Non-coding Double-stranded RNA and Antimicrobial Peptide LL-37 Induce Growth Factor Expression from Keratinocytes and Endothelial Cells.. The Journal of biological chemistry, 291(22), 11635-46. https://doi.org/10.1074/jbc.M116.725317

MLA

Adase, Christopher A, et al. "Non-coding Double-stranded RNA and Antimicrobial Peptide LL-37 Induce Growth Factor Expression from Keratinocytes and Endothelial Cells.." The Journal of biological chemistry, 2016. https://doi.org/10.1074/jbc.M116.725317

RethinkPeptides

RethinkPeptides Research Database. "Non-coding Double-stranded RNA and Antimicrobial Peptide LL-..." RPEP-02859. Retrieved from https://rethinkpeptides.com/research/adase-2016-noncoding-doublestranded-rna-and

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkPeptides research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.