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Updated: May 28, 2026

Production and Testing of Antimicrobial Peptides and Their Mimics
Published on: April 10, 2026
Efficacy and toxicity of the antimicrobial peptide M33 produced with different counter-ions
Alessandro Pini1, Luisa Lozzi, Andrea Bernini
1Dipartimento di Biotecnologie, Università degli Studi di Siena, and Azienda Ospedaliera Universitaria Senese, Policlinico Le Scotte, Via Fiorentina 1, Siena, Italy. pinia@unisi.it
Abstract:
The tetra-branched peptide M33 (Pini et al. in FASEB J 24:1015-1022, 2010) is under evaluation in animal models for its activity as antimicrobial agent in lung infections and sepsis. The preclinical development of a new drug requires medium-scale manufacture for tests of efficacy, biodistribution, pharmacokinetics and toxicity. In order to produce the most suitable peptide form for these purposes, we evaluated the behaviour of the peptide M33 obtained with different counter-ions. We compared activity and toxicity in vitro and in vivo of the peptide M33 produced as trifluoroacetate salt (TFacetate) and as acetate salt. The two forms did not differ substantially in terms of efficacy in vitro or in vivo but showed different toxicities for human cells and in animals. M33-TFacetate proved to be 5-30% more toxic than M33-acetate for cells derived from normal bronchi and cells carrying ΔF508 mutation in the CFTR gene, the most frequent variant in cystic fibrosis. M33-TFacetate produced manifest signs of in vivo toxicity immediately after administration, whereas M33-acetate only generated mild signs, which disappeared within a few hours. The peptide M33-acetate proved more suitable for the development of a new drug, and was therefore chosen for further characterization.
Insights
The antimicrobial peptide M33 was tested in two salt forms for preclinical drug development. M33-acetate demonstrated lower toxicity and is more suitable for further development than M33-trifluoroacetate.
Area of Science:
- Pharmacology
- Drug Development
- Biochemistry
Background:
- The tetra-branched peptide M33 shows potential as an antimicrobial agent for lung infections and sepsis.
- Preclinical drug development necessitates medium-scale peptide manufacturing for comprehensive testing.
Purpose of the Study:
- To evaluate the behavior of peptide M33 with different counter-ions for optimal drug development.
- To compare the activity and toxicity of M33 trifluoroacetate (TFacetate) and M33 acetate salts.
Main Methods:
- Comparative in vitro and in vivo analysis of M33-TFacetate and M33-acetate.
- Assessment of cytotoxicity in normal human bronchial cells and cystic fibrosis (CFTR-ΔF508) cells.
- Evaluation of in vivo toxicity signs and duration post-administration in animal models.
Main Results:
- Both M33-TFacetate and M33-acetate exhibited comparable efficacy in vitro and in vivo.
- M33-TFacetate displayed significantly higher toxicity (5-30%) towards human bronchial and CFTR-ΔF508 cells compared to M33-acetate.
- M33-TFacetate induced immediate and pronounced in vivo toxicity, while M33-acetate caused only transient, mild signs.
Conclusions:
- M33-acetate is a more suitable salt form for the preclinical development of peptide M33 due to its improved safety profile.
- The choice of counter-ion significantly impacts the toxicity of peptide M33 without affecting its antimicrobial efficacy.
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