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Phase IVendors pendingFacts verified · 2026-05-25

LL-37

Also known as cathelicidin, hcap-18 (c-terminal peptide) · Wikipedia

LL-37 is the only human cathelicidin antimicrobial peptide, a 37-amino-acid amphipathic alpha-helix cleaved from the C-terminus of hCAP-18 by proteinase 3 in neutrophils and other cells. It is both a direct broad-spectrum antimicrobial against bacteria, fungi, and enveloped viruses and a potent immunomodulator with pro-healing actions on skin and mucosa. Synthetic LL-37 has been studied in Phase I/II topical trials for hard-to-heal venous leg ulcers and diabetic foot ulcers, with low doses showing benefit and high doses showing dose-limiting necrosis/inflammation (https://pmc.ncbi.nlm.nih.gov/articles/PMC9298190/). No LL-37 drug product is FDA-approved. Also known as: Cathelicidin; hCAP-18 (C-terminal peptide).

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Mechanism of action

LL-37 is an amphipathic cationic alpha-helix that directly disrupts microbial membranes by electrostatic insertion and toroidal-pore formation, killing Gram-positive and Gram-negative bacteria, fungi, and enveloped viruses (https://pmc.ncbi.

LL-37 is an amphipathic cationic alpha-helix that directly disrupts microbial membranes by electrostatic insertion and toroidal-pore formation, killing Gram-positive and Gram-negative bacteria, fungi, and enveloped viruses (https://pmc.ncbi.nlm.nih.gov/articles/PMC11762488/). Beyond direct microbicidal action, LL-37 is a major immunomodulator: it binds FPR2 and P2X7 on immune cells, chemoattracts neutrophils, monocytes, and T-cells, modulates TLR signaling, neutralizes LPS, and promotes wound re-epithelialization and angiogenesis (https://pmc.ncbi.nlm.nih.gov/articles/PMC7565865/). Critically, at high concentrations or in disease contexts, LL-37 complexes with extracellular self-DNA and self-RNA to license TLR7/8/9 activation of plasmacytoid dendritic cells and type-I-interferon production - a recognized pathogenic mechanism in psoriasis, cutaneous lupus, and SLE, where LL-37 itself acts as an autoantigen (https://pmc.ncbi.nlm.nih.gov/articles/PMC2737167/, https://pmc.ncbi.nlm.nih.gov/articles/PMC7125190/).

Pharmacokinetic properties

Half-life

short - minutes in plasma due to proteolysis; longer at mucosal/skin sites

Routes

subcutaneous · topical · intranasal

Bioavailability

Highly susceptible to serum protease degradation. Local/topical delivery favored for skin and respiratory targets. Cationic, can bind albumin and lipids.

Amino-acid sequence

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

Use & research dosing

There is no standardized human SC dose. Self-experimentation protocols report 100-1000 mcg SC daily or every other day in short cycles, with no PK or efficacy validation. The most rigorous human data come from the HEAL LL-37 Phase IIb trial in venous leg ulcers (n=148): topical LL-37 at 0.5 or 1.6 mg/mL applied with compression therapy showed safety and a healing signal at the low dose, while the high dose was associated with ulcer necrosis and severe inflammatory reactions (https://pmc.ncbi.nlm.nih.gov/articles/PMC9298190/). A diabetic-foot-ulcer trial reported similar benefit with topical low-dose application (https://pmc.ncbi.nlm.nih.gov/articles/PMC10514151/).

Research-use framing only. SavePeptides sells nothing for human consumption. Doses above reflect reported research / self-experimentation ranges, not clinical recommendations.

Editorial perspective

LL-37 is genuinely controversial - it is simultaneously a pro-healing antimicrobial and a recognized driver of inflammatory skin and autoimmune disease via self-nucleic-acid sensing. Risk profile differs sharply by dose, route, and target tissue: low-dose topical for wound healing has the cleanest evidence, while high-dose or systemic use risks both cytotoxicity (HEAL trial high-dose arm) and autoimmune amplification. Subjects with psoriasis, lupus, or other type-I-interferon-driven autoimmune conditions should be considered contraindicated.

— SavePeptides editorial desk · last updated 2026-05-25

Cautions & contraindications

Before researching this compound, note:

  • Dose-dependent pro-inflammatory effect - implicated in psoriasis, rosacea, and lupus flares (https://pmc.ncbi.nlm.nih.gov/articles/PMC7565865/)
  • High topical doses cause ulcer necrosis and severe inflammatory reactions (HEAL LL-37 Phase IIb high-dose arm)
  • Cytotoxic to human cells at high concentrations (low-micromolar range)
  • Theoretical autoimmune trigger - LL-37/self-nucleic-acid complexes activate pDCs and drive type-I IFN; LL-37 is a confirmed autoantigen in psoriasis and SLE (https://pmc.ncbi.nlm.nih.gov/articles/PMC7125190/)
  • Avoid in patients with active psoriasis, cutaneous or systemic lupus, rheumatoid arthritis, or psoriatic arthritis
  • No FDA-approved formulation; no completed Phase III trials
  • Limited human safety data for systemic (SC) administration; most published trials are topical
  • Pregnancy and lactation safety not established
  • Susceptible to plasma proteases - SC bioavailability and systemic exposure poorly characterized

Facts verified

2026-05-25

Confidence

medium

What this means

  • dose-dependent pro-inflammatory effect; autoimmune trigger in psoriasis/SLE
  • no systemic human SC data

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