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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell. Infect. Microbiol.</journal-id>
<journal-title>Frontiers in Cellular and Infection Microbiology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell. Infect. Microbiol.</abbrev-journal-title>
<issn pub-type="epub">2235-2988</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcimb.2025.1634825</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cellular and Infection Microbiology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Antimicrobial activity and mechanistic insights of AMP-17 against drug-resistant <italic>Pseudomonas aeruginosa</italic> and its efficacy in wound infection management</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Tao</surname>
<given-names>Ruyu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
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<contrib contrib-type="author">
<name>
<surname>Tian</surname>
<given-names>Chunren</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<xref ref-type="author-notes" rid="fn003">
<sup>&#x2020;</sup>
</xref>
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<contrib contrib-type="author">
<name>
<surname>Su</surname>
<given-names>Ting</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
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<xref ref-type="aff" rid="aff2">
<sup>2</sup>
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<contrib contrib-type="author">
<name>
<surname>Cai</surname>
<given-names>Ruxia</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
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<contrib contrib-type="author">
<name>
<surname>Song</surname>
<given-names>Dongxu</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
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<xref ref-type="aff" rid="aff3">
<sup>3</sup>
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<xref ref-type="aff" rid="aff4">
<sup>4</sup>
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<contrib contrib-type="author">
<name>
<surname>Zhao</surname>
<given-names>Na</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
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<contrib contrib-type="author">
<name>
<surname>Lei</surname>
<given-names>Yuansan</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
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<contrib contrib-type="author">
<name>
<surname>Jiao</surname>
<given-names>Zhenlong</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
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<contrib contrib-type="author" corresp="yes">
<name>
<surname>Guo</surname>
<given-names>Guo</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Center of Laboratory Medicine, The Second Affiliated Hospital of Guizhou Medical University</institution>, <addr-line>Kaili</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>School of Basic Medical Sciences, Guizhou Key Laboratory of Microbio and Infectious Disease Prevention &amp; Control, Guizhou Medical University</institution>, <addr-line>Guiyang</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Key Laboratory of Environmental Pollution Monitoring and Disease Control, Ministry of Education, Guizhou Medical University</institution>, <addr-line>Guiyang</addr-line>,&#xa0;<country>China</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Translational Medicine Research Center, Guizhou Medical University</institution>, <addr-line>Guiyang</addr-line>,&#xa0;<country>China</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: Simon Gibbons, University of Nizwa, Oman</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Maria Ligia Rodrigues Macedo, Federal University of Mato Grosso do Sul, Brazil</p>
<p>Nicolas Jacquier, Centre Hospitalier Universitaire Vaudois (CHUV), Switzerland</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Guo Guo, <email xlink:href="mailto:guoguojsc@163.com">guoguojsc@163.com</email>
</p>
</fn>
<fn fn-type="other" id="fn003">
<p>&#x2020;These authors share first authorship</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>08</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>15</volume>
<elocation-id>1634825</elocation-id>
<history>
<date date-type="received">
<day>25</day>
<month>05</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>21</day>
<month>07</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Tao, Tian, Su, Cai, Song, Zhao, Lei, Jiao and Guo.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Tao, Tian, Su, Cai, Song, Zhao, Lei, Jiao and Guo</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec>
<title>Introduction</title>
<p>Chronic wound infections caused by drug-resistant bacteria have emerged as a global health challenge, affecting millions of patients annually and imposing a substantial economic and societal burden. However, current therapeutic approaches exhibit limited efficacy in treating drug-resistant wound infections, highlighting an urgent need for novel treatment strategies. Our previous studies have demonstrated that the <italic>Musca domestica</italic> antimicrobial peptide-17 (AMP-17) exhibits potent antibacterial activity, suggesting its potential as a promising anti-infective agent. Building on these findings, the present study isolated clinically relevant drug-resistant <italic>Pseudomonas aeruginosa</italic> (<italic>P. aeruginosa</italic>) strains and employed a combination of <italic>in vitro</italic> and <italic>in vivo</italic> experiments to systematically evaluate the efficacy of AMP-17 in combating drug-resistant infections and promoting wound healing. Furthermore, we preliminarily investigated the underlying mechanisms involved.</p>
</sec>
<sec>
<title>Materials and methods</title>
<p>MIC/MBC of AMP-17 against drug-resistant <italic>P. aeruginosa</italic> were determined by microbroth dilution and agar spot assays. Biofilm inhibition/eradication was assessed via crystal violet staining, while swarming motility was tested on semi-solid agar. A murine wound infection model was established to evaluate the <italic>in vivo</italic> antimicrobial activity of AMP-17, and the levels of relevant cytokines were measured to preliminarily explore its anti-inflammatory mechanisms. Furthermore, the effects of AMP-17 on membrane permeability, proton motive force (PMF), pyocyanin production, and reactive oxygen species (ROS) levels in drug-resistant Pseudomonas aeruginosa were systematically investigated using scanning electron microscopy (SEM), confocal laser scanning microscopy (CLSM), and a multifunctional fluorescence microplate reader.</p>
</sec>
<sec>
<title>Results and discussion</title>
<p>The results of this study demonstrate that AMP-17 exhibits significant antimicrobial activity against drug-resistant Pseudomonas aeruginosa. The underlying mechanisms primarily involve disruption of bacterial membrane integrity, alteration of proton motive force (PMF), increased intracellular ROS levels, and inhibition of bacterial motility, ultimately leading to bacterial cell death. Additionally, AMP-17 shows promising efficacy in inhibiting biofilm formation and eradicating mature biofilms of drug-resistant <italic>P. aeruginosa</italic>. In a murine wound infection model, AMP-17 displayed potent <italic>in vivo</italic> antimicrobial activity, significantly reducing bacterial load and downregulating pro-inflammatory cytokine expression, thereby effectively promoting wound healing. Collectively, these findings highlight the potential of AMP-17 as a promising therapeutic agent for combating drug-resistant <italic>P. aeruginosa</italic> infections and enhancing wound healing.</p>
</sec>
</abstract>
<kwd-group>
<kwd>AMP-17</kwd>
<kwd>
<italic>Pseudomonas aeruginosa</italic>
</kwd>
<kwd>antimicrobial peptide</kwd>
<kwd>wound infection</kwd>
<kwd>mechanism of action</kwd>
</kwd-group>
<counts>
<fig-count count="7"/>
<table-count count="2"/>
<equation-count count="3"/>
<ref-count count="47"/>
<page-count count="17"/>
<word-count count="7706"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-in-acceptance</meta-name>
<meta-value>Antibiotic Resistance and New Antimicrobial drugs</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<label>1</label>
<title>Introduction</title>
<p>
<italic>P. aeruginosa</italic> belongs to non-fermentative Gram-negative bacilli and is one of the most common conditional pathogens in hospital-acquired infections (<xref ref-type="bibr" rid="B38">Tenover et&#xa0;al., 2022</xref>), which can cause pneumonia, urinary tract infections, and wound infections (<xref ref-type="bibr" rid="B7">de Sousa et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B40">Uberoi et&#xa0;al., 2024</xref>). The overuse and misuse of antibiotics is associated with an explosion of antimicrobial drug resistance. <italic>P. aeruginosa</italic> was also included in the list of global priority pathogens posing the greatest threat to human health by the World Health Organization (WHO) in 2017 for multi-drug resistance and pan-drug resistance (<xref ref-type="bibr" rid="B36">Tacconelli et&#xa0;al., 2018</xref>). The CDC report on antibiotic resistance warns us that we are already living in a post-antibiotic era and that the development of new antibiotics is being challenged (<xref ref-type="bibr" rid="B42">Wang et&#xa0;al., 2020</xref>; <xref ref-type="bibr" rid="B10">Flynn and Guarner, 2023</xref>). Currently, more than 700,000 people die each year from &#x201c;superbug&#x201d; infections. If no action is taken, the number of deaths could increase to 10 million by 2050 (<xref ref-type="bibr" rid="B6">de Oliveira et&#xa0;al., 2024</xref>). A U.S. retrospective analysis revealed that bloodstream infections with difficult-to-treat strains increased adjusted mortality by 40%, while a prospective Italian cohort demonstrated significantly higher 30-day mortality in carbapenem-resistant <italic>P. aeruginosa</italic> infections versus susceptible strains (<xref ref-type="bibr" rid="B27">Miller and Arias, 2024</xref>). These escalating regional epidemics highlight the urgent need for novel antimicrobial strategies. Therefore, research and development of novel antimicrobial drugs to address the growing problem of <italic>P. aeruginosa</italic> resistance is imminent.</p>
<p>
<italic>Musca domestica</italic> demonstrates remarkable adaptability to highly contaminated environments with elevated microbial loads (<xref ref-type="bibr" rid="B24">Manniello et&#xa0;al., 2021</xref>). Even under such extreme conditions, this species maintains an efficient innate immune defense system, in which antimicrobial peptides (AMPs) serve as crucial components of its immunological mechanisms (<xref ref-type="bibr" rid="B47">Zhou et&#xa0;al., 2024</xref>). AMPs are some small molecular peptides with antimicrobial activity in living organisms, which are produced when the organism is induced by infection or immune stimulation and have a unique antimicrobial mechanism and antibacterial activity against bacteria, fungi and viruses. With the misuse of antibiotics and the emergence of super-resistant bacteria, insect antimicrobial peptides have become an important resource for the design and development of novel antimicrobial drugs.</p>
<p>Compared to traditional antibiotics, AMPs exhibit a broader spectrum of antimicrobial activity and employ a unique membrane-disrupting mechanism that reduces the risk of bacterial resistance development (<xref ref-type="bibr" rid="B17">Ji et&#xa0;al., 2024</xref>). Furthermore, AMPs demonstrate distinct advantages in wound infection management, as certain anti-inflammatory peptides can downregulate pro-inflammatory cytokines, thereby mitigating chronic inflammation and promoting healing (<xref ref-type="bibr" rid="B22">Li et&#xa0;al., 2025</xref>). With their broad-spectrum efficacy, low propensity for resistance induction, and wound-healing properties, AMPs represent a promising therapeutic candidate for combating drug-resistant wound infections, holding considerable potential for clinical applications.</p>
<p>In previous investigations, our research group conducted whole transcriptome sequencing of third-instar larvae of <italic>Musca domestica</italic>, identifying a gene significantly involved in the immune defense mechanisms of this species. Utilizing genetic engineering techniques, we successfully synthesized a recombinant protein designated as AMP-17. Subsequent studies have elucidated the spatiotemporal expression profile and antifungal properties of AMP-17 (<xref ref-type="bibr" rid="B13">Guo et&#xa0;al., 2017</xref>; <xref ref-type="bibr" rid="B35">Sun et&#xa0;al., 2022</xref>). Although we refer to this molecule as AMP-17 (Antimicrobial Peptide-17) in accordance with its historical designation, it should be noted that based on its molecular weight, it could alternatively be classified as an antimicrobial protein. Intriguingly, our preliminary experiments demonstrated that AMP-17 exhibits potent antibacterial activity against both standard strains and clinically isolated multidrug-resistant <italic>P. aeruginosa</italic>. Nevertheless, the precise molecular pathways through which AMP-17 exerts its antimicrobial effects remain to be fully elucidated, and its underlying antibacterial mechanisms warrant further investigation. Therefore, this study aimed to evaluate the <italic>in vitro</italic> antimicrobial activity of AMP-17 against <italic>P. aeruginosa</italic> CMCC 10104 and its multidrug-resistant clinical isolates, and further validate the <italic>in vivo</italic> antibacterial efficacy of AMP-17 by establishing a wound infection model. By investigating the morphological alterations, changes in membrane permeability, and intracellular ROS levels following AMP-17 treatment, we preliminarily elucidated the antibacterial mechanism of AMP-17 against <italic>P. aeruginosa</italic>. The findings of this study will provide a theoretical foundation for developing novel antimicrobial peptide antibiotics and offer new strategies for the clinical treatment of multidrug-resistant <italic>P. aeruginosa</italic> infections.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<label>2</label>
<title>Materials and methods</title>
<sec id="s2_1">
<label>2.1</label>
<title>Experimental strains and culture</title>
<p>The clinical drug-resistant strains (<italic>P. aeruginosa</italic> 01~10) were obtained from a tertiary care hospital located in Kaili City, Guizhou Province, with all isolates originating from hospitalized patients. The <italic>P. aeruginosa</italic> CMCC 10104 was obtained from the Key and Characteristic Laboratory of Modern Pathogen Biology at Guizhou Medical University. All strains were preserved in 15% glycerol at -80&#xb0;C and cultured in LB medium at 37&#xb0;C with shaking at 220 rpm until reaching the logarithmic growth phase.</p>
</sec>
<sec id="s2_2">
<label>2.2</label>
<title>Antimicrobial peptide</title>
<p>The preparation of AMP-17 was carried out according to the method described by (<xref ref-type="bibr" rid="B44">Yang et&#xa0;al., 2022</xref>). The protein was purified using a Ni-NTA column, and the concentration of AMP-17 was determined using a BCA protein assay kit.</p>
</sec>
<sec id="s2_3">
<label>2.3</label>
<title>Antibacterial assays</title>
<p>Referring to the judgment criteria in the American Committee for Clinical Laboratory Standardization (CLSI), the subculturing of bacterial broth in MHB medium was repeated twice. One monoclonal colony was selected, and inoculated into 5 mL of LB liquid medium until the logarithmic growth phase. The bacterial suspension was adjusted to a McFarland turbidity standard using a densitometer, followed by conversion to colony-forming units (CFU). The bacterial concentration was then standardized to 1&#xd7;10<sup>6</sup> CFU/mL using 1&#xd7; PBS for subsequent experiments. The concentration of AMP-17 and 1.0&#xd7;10<sup>6</sup> CFU/mL bacterial suspension were incubated in 96-well plates at 37&#xb0;C for 16 h. The MIC value was determined as the concentration of the drug in the wells with no visible bacterial growth. The concentration of the antimicrobial peptide corresponding to no bacterial growth on the LB plate was used as the MBC. 100 &#x3bc;L of bacterial suspension was diluted to the appropriate concentration from the wells judged as MIC and the wells higher than the concentration of the drug in the wells, and then evenly coated on LB plates and incubated at 37&#xb0;C for 24 h. MHB medium was used for the blank control, MHB medium with bacterial suspension for the negative control, and 4 &#x3bc;g/mL of polymyxin B for the positive control.</p>
</sec>
<sec id="s2_4">
<label>2.4</label>
<title>Detection of growth curve and time-kill kinetics</title>
<p>The growth curve analysis of bacteria was based on previous methods with modifications (<xref ref-type="bibr" rid="B3">Boulaamane et&#xa0;al., 2024</xref>). The bacterial suspension (1.0&#xd7;10<sup>6</sup> CFU/mL) was added into 96-well plates and incubated with different concentrations (1/2~2 &#xd7;MIC) of AMP-17 at 37&#xb0;C for 24 h. The absorbance values at 600 nm were measured hourly, and the results were recorded and the growth curves were plotted. The peptide antibiotic Polymyxin B (2&#xd7;MIC) was used as the positive control, MHB as the blank control, and MHB medium with bacterial suspension was used as the negative control.</p>
<p>The time-kill kinetics experiment was performed as described in previous study (<xref ref-type="bibr" rid="B21">Lasko et&#xa0;al., 2022</xref>). AMP-17 (1/2~2 &#xd7;MIC) was incubated with 1&#xd7;10<sup>6</sup> CFU/mL of <italic>P. aeruginosa</italic> CMCC 10104 and 04 suspension at 37&#xb0;C for 24 h. When incubated for 0, 1, 2, 4, 6, 8, 10, 12, 24 h, 10 &#x3bc;L of the AMP-17-activated suspension was serially diluted in MHB medium at ten-fold dilution to the appropriate concentration. 5 &#x3bc;L of the dilution was pipetted onto LB plates, and the colonies were counted and the time-kill curve was plotted after the colonies had grown.</p>
</sec>
<sec id="s2_5">
<label>2.5</label>
<title>Effects of salt and serum on AMP-17 activity</title>
<p>To investigate the activity of AMP-17 under salt conditions and in the presence of serum, we performed MIC assays using the microbroth dilution method. <italic>P. aeruginosa</italic> CMCC10104 and 04 were inoculated in Mueller-Hinton broth (MHB) containing gradient concentrations of AMP-17. The culture media were supplemented with either 150 mM NaCl, 4.5 mM KCl, 2.5 mM CaCl<sub>2</sub>, 10% murine serum, or fetal bovine serum (FBS). The inoculated 96-well plates were incubated at 37&#xb0;C for 16 h, followed by MIC determination to evaluate potential alterations in the antibacterial activity of AMP-17.</p>
</sec>
<sec id="s2_6">
<label>2.6</label>
<title>Bacterial motility assay</title>
<p>The motility assay refers to the theory of (<xref ref-type="bibr" rid="B9">Fang et&#xa0;al., 2022</xref>). <italic>P. aeruginosa</italic> CMCC 10104 and 04 in logarithmic growth phase was prepared into 1.0 &#xd7; 10<sup>6</sup> CFU/mL bacterial suspension and set aside. When the medium temperature was lowered to 50&#xb0;C, AMP-17 at final concentrations of 1/4 &#xd7;MIC and 1/2 &#xd7;MIC was added to the medium, and 2 &#x3bc;L of the suspension was pipetted onto 0.3% (w/v) agar medium containing tryptic peptone (10 g/L), NaCl (10 g/L) and yeast extract (5 g/L). The plates were allowed to dry naturally and then incubated orthotropically at 37&#xb0;C for 24 h. The bacterial motility area was measured and the effect of AMP-17 on the motility of <italic>P. aeruginosa</italic> was assessed.</p>
</sec>
<sec id="s2_7">
<label>2.7</label>
<title>Biofilm formation inhibition experiment</title>
<p>Biofilm formation is a prevalent phenomenon in wound environments and constitutes a significant barrier to the efficacy of antimicrobial agents. In order to evaluate the potential of AMP-17 against biofilms formation <italic>in vitro</italic>, an antibiofilm assay was performed as follows (<xref ref-type="bibr" rid="B29">Rajan et&#xa0;al., 2023</xref>). A bacterial suspension of <italic>P. aeruginosa</italic> CMCC10104 and 04 (1.0&#xd7;10<sup>6</sup> CFU/mL) was prepared in Tryptic Soy Broth (TSB) and co-cultured with serial dilutions of AMP-17 (1/2~2 &#xd7;MIC) in 96-well microtiter plates at 37&#xb0;C for 24 hours. Sterile TSB served as a blank control, while MHB with bacteria acted as a negative control. After incubation, non-adherent cells were removed by aspirating the supernatant and washing twice with sterile phosphate-buffered saline (PBS). The remaining biofilms were methanol-fixed (15 min), air-dried, and stained with 0.1% (w/v) crystal violet for 30 min at room temperature. Excess stain was washed off with PBS, and biofilm-associated dye was solubilized in anhydrous ethanol (200 &#xb5;L/well) at 37&#xb0;C for 30 min. The absorbance at 595 nm was measured using a microplate reader to quantify biofilm biomass.</p>
</sec>
<sec id="s2_8">
<label>2.8</label>
<title>Mature biofilm removal experiment <italic>in vitro</italic>
</title>
<p>A bacterial suspension of <italic>P. aeruginosa</italic> CMCC 10104 and 04 at a concentration of 1.0&#xd7;10<sup>6</sup> CFU/mL was prepared and incubated at 37&#xb0;C for 24 h. Following the removal of nonadherent bacteria by washing with sterile phosphate-buffered saline, 200 &#x3bc;L of AMP-17 at varying concentrations were added to the wells and incubated at 37&#xb0;C for 2 hours. Subsequently, the biofilm biomass was quantified by measuring the absorbance at 595 nm after staining with crystalline violet. TSB served as the blank control, whereas MHB containing the bacterial suspension functioned as the negative control.</p>
<p>To visualize biofilm eradication more comprehensively, the experiment refers to the theory of (<xref ref-type="bibr" rid="B37">Tchatchiashvili et&#xa0;al., 2024</xref>). The biofilms were dual-stained with 10 &#x3bc;M propidium iodide (PI) and 5 &#x3bc;M SYTO 9. PI selectively labels dead or membrane-compromised bacterial cells, while SYTO 9 stains both live and dead cells, enabling the differentiation of cell viability within the biofilm. The stained biofilms were then subjected to imaging using a CLSM with excitation wavelengths of 488 nm and 561 nm for SYTO 9 and PI, respectively.</p>
</sec>
<sec id="s2_9">
<label>2.9</label>
<title>Determination of pyocyanin</title>
<p>The quantification of pyocyanin was performed by the method of (<xref ref-type="bibr" rid="B11">Gasu et&#xa0;al., 2019</xref>). A bacterial suspension of <italic>P. aeruginosa</italic> CMCC 10104 was prepared at a concentration of 1.0&#xd7;10<sup>6</sup> CFU/mL. AMP-17 was then added to achieve final concentrations of 1/2 to 2 &#xd7;MIC, and the mixture was incubated at 37&#xb0;C for 24 hours. Following incubation, the culture was centrifuged at 5000 rpm for 10 minutes to obtain the supernatant. Prior to pyocyanin measurement, bacterial concentrations in all samples were adjusted to 1 &#xd7; 10<sup>6</sup> CFU/mL through turbidimetric assessment and plate counting to ensure standardized comparisons. 5 mL of chloroform was added to the supernatant, and after thorough vortexing, the mixture was allowed to stand for 8 minutes. The sample was then centrifuged at 4500 rpm for 10 minutes, and the lower, blue-colored chloroform phase was collected. Next, 1 mL of 0.2 mol/L hydrochloric acid was added to the collected phase, and the mixture was allowed to stand for 30 minutes with intermittent vortexing until extraction was complete. After a final centrifugation at 4500 rpm for 8 minutes, the resulting pink supernatant was collected. The pyocyanin concentration (&#x3bc;g/mL) was calculated using the following formula, where 17.072 represents the molar extinction coefficient of pyocyanin at 520 nm:</p>
<disp-formula>
<mml:math display="block" id="M1">
<mml:mrow>
<mml:mtext>pyocyanin&#xa0;content</mml:mtext>
<mml:mo>&#xa0;</mml:mo>
<mml:mi>(</mml:mi>
<mml:mtext>mg</mml:mtext>
<mml:mo stretchy="false">/</mml:mo>
<mml:mtext>mL</mml:mtext>
<mml:mi>)</mml:mi>
<mml:mo>=</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mtext>&#xa0;OD</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mn>520</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mo>&#xd7;</mml:mo>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mn>17.072</mml:mn>
</mml:mrow>
</mml:math>
</disp-formula>
</sec>
<sec id="s2_10">
<label>2.10</label>
<title>Morphological characterization by electron microscopy</title>
<p>Bacterial suspension of <italic>P. aeruginosa</italic> CMCC 10104 and 04 were prepared at 1.0&#xd7;10<sup>6</sup> CFU/mL and treated with AMP-17 at a final concentration of 2 &#xd7;MIC. The sample was incubated at 37&#xb0;C for 8 hours, then centrifuged at 3000 g for 10 minutes to pellet the cells. The pellet was washed once with sterile PBS, discarding the supernatant thereafter. The cells were resuspended in 2.5% glutaraldehyde and fixed overnight at 4&#xb0;C in the dark. Following fixation, the cells underwent sequential dehydration in graded ethanol solutions (30%, 50%, 70%, 80%, 90%, 95%, and 100%). The dehydrated samples were dried under reduced pressure and subsequently sputter-coated with gold using an ion sputterer. SEM was then employed to observe the cellular morphology, and representative micrographs were collected. A PBS-treated group served as the negative control.</p>
<p>For TEM observation, the samples were prepared in a manner analogous to that used for scanning electron microscopy. Briefly, the samples were centrifuged at 3000 g for 10 minutes, and the supernatant was discarded. The pellet was then fixed in 2.5% glutaraldehyde at 4&#xb0;C overnight in the dark. Following this primary fixation, the samples were post-fixed in 1% ephorbic acid at 4&#xb0;C for 2 hours. Subsequently, the specimens underwent graded dehydration in ethanol for 20 minutes per concentration step, followed by two washes in 100% acetone, each lasting 15 minutes. The dehydrated samples were then embedded in Epon 812 by immersion. Ultrathin sections were prepared, double-stained with uranyl acetate and lead nitrate, and examined using TEM, with micrographs collected.</p>
</sec>
<sec id="s2_11">
<label>2.11</label>
<title>Membrane fluidity</title>
<p>To assess membrane fluidity (<xref ref-type="bibr" rid="B41">Verstraeten et&#xa0;al., 2021</xref>), the bacterial suspension of <italic>P. aeruginosa</italic> CMCC 10104 and 04 were adjusted to a concentration of 1.0&#xd7;10<sup>6</sup> CFU/mL. Laurdan dye was introduced to achieve a final concentration of 10 &#x3bc;M, and the mixture was incubated at 37&#xb0;C for 1 hour. Following incubation, the cells were washed once with sterile PBS. Subsequently, 100 &#x3bc;L aliquots of the bacterial suspension were exposed to AMP-17 at concentrations of 1/2 to 2 &#xd7;MIC for 1 hour. Fluorescence intensity was measured using a multifunctional microplate reader, with an excitation wavelength of 350 nm and emission wavelengths of 435 nm and 490 nm. The Laurdan Generalized Polarization was calculated using the following equation:</p>
<disp-formula>
<mml:math display="block" id="M2">
<mml:mrow>
<mml:mtext>Laurdan&#xa0;GP&#xa0;</mml:mtext>
<mml:mo>=</mml:mo>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:msub>
<mml:mtext>I</mml:mtext>
<mml:mrow>
<mml:mn>435</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mo>&#x2212;</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mtext>&#xa0;I</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mn>490</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mo stretchy="false">/</mml:mo>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:msub>
<mml:mtext>I</mml:mtext>
<mml:mrow>
<mml:mn>435</mml:mn>
</mml:mrow>
</mml:msub>
<mml:mtext>&#xa0;</mml:mtext>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mrow>
<mml:mtext>&#xa0;I</mml:mtext>
</mml:mrow>
<mml:mrow>
<mml:mn>490</mml:mn>
</mml:mrow>
</mml:msub>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</disp-formula>
</sec>
<sec id="s2_12">
<label>2.12</label>
<title>AMP-17 effects on Transmembrane potential (&#x394;&#x3c8;) and &#x394;pH in <italic>P. aeruginosa</italic>
</title>
<p>The transmembrane potential refers to the theory of (<xref ref-type="bibr" rid="B34">Song et&#xa0;al., 2021</xref>). Various concentrations of AMP-17 were introduced to the 1.0&#xd7;10<sup>6</sup> CFU/mL bacterial suspension, followed by the addition of DiSC<sub>3</sub> (5) dye to a final concentration of 0.5 &#x3bc;M. The mixture was incubated in the dark at 37&#xb0;C for 15 minutes. Subsequently, 100 &#x3bc;L of the treated suspension was transferred to a black 96-well microplate. Fluorescence intensity was measured using a multifunctional fluorometer, with excitation and emission wavelengths set at 622 nm and 670 nm, respectively. Fluorescence changes were continuously monitored and recorded over a 1-hour period.</p>
<p>To detect changes in &#x394;pH in <italic>P. aeruginosa</italic>, the 1.0&#xd7;10<sup>6</sup> CFU/mL bacterial cells were then incubated with 1 &#x3bc;M of the pH-sensitive fluorescent probe BCECF-AM at 37&#xb0;C for 30 minutes under low-light conditions (<xref ref-type="bibr" rid="B19">Kim, 2024</xref>). Following this incubation, the cells were treated with varying concentrations of AMP-17 at 37&#xb0;C for 1 hour, again under dark conditions. Fluorescence intensity was measured using a multifunctional fluorometric plate reader, with excitation and emission wavelengths set at 488 nm and 535 nm, respectively.</p>
</sec>
<sec id="s2_13">
<label>2.13</label>
<title>Proportion of live and dead bacteria</title>
<p>
<italic>P. aeruginosa</italic> CMCC 10104 was cultured to a concentration of 1.0&#xd7;10<sup>6</sup> CFU/mL and incubated with AMP-17 at final concentrations of 1/2 to 2 &#xd7;MIC at 37&#xb0;C for 8 hours. A control group was treated with an equal volume of sterile 1&#xd7;PBS under the same conditions. Following incubation, 5 &#x3bc;M SYTO 9 and 10 &#x3bc;M PI were added to each sample, and the mixtures were incubated at 37&#xb0;C for 15 minutes in the dark. Subsequently, bacterial suspension was placed on microscope slides. Fluorescence images were captured using a CLSM.</p>
</sec>
<sec id="s2_14">
<label>2.14</label>
<title>Membrane permeability</title>
<p>To assess outer membrane permeability, we referred to the method of (<xref ref-type="bibr" rid="B45">Yang et&#xa0;al., 2023</xref>). The 1.0&#xd7;10<sup>6</sup> CFU/mL bacterial suspension was incubated with AMP-17 (at final concentrations of 1/2~2 &#xd7;MIC) at 37&#xb0;C in a 96-well black microplate. Following this, N-phenyl-1-naphthylamine (NPN) dye was added to each well to a final concentration of 10 &#x3bc;M, and the mixtures were incubated in the dark. Fluorescence intensity was measured using a multifunctional microplate reader, with excitation and emission wavelengths set at 350 nm and 420 nm, respectively.</p>
<p>The inner membrane permeability experiment was performed as described in previous study (<xref ref-type="bibr" rid="B26">Mikkola et&#xa0;al., 2019</xref>). The 1.0&#xd7;10<sup>6</sup> CFU/mL bacterial suspension was incubated with PI at a final concentration of 10 &#x3bc;M for 15 minutes in the dark. Subsequently, AMP-17 was added to achieve final concentrations of 1/2 to 2 &#xd7;MIC, and the mixture was incubated at 37&#xb0;C for 1 hour in 96-well black microplates. Fluorescence intensity was measured using a multifunctional microplate reader, with excitation and emission wavelengths set at 622 nm and 670 nm, respectively.</p>
</sec>
<sec id="s2_15">
<label>2.15</label>
<title>Reactive oxygen level detection</title>
<p>To evaluate ROS production, the experiment was performed as described in previous study (<xref ref-type="bibr" rid="B2">Baker et&#xa0;al., 2021</xref>). The 1.0&#xd7;10<sup>6</sup> CFU/mL bacterial suspension was incubated with AMP-17 (the final concentrations of 1/2~2 &#xd7;MIC). Subsequently, 2&#x2019;,7&#x2019;-dichlorodihydrofluorescein diacetate (DCFH-DA) was added to a final concentration of 10 &#x3bc;M, and fluorescence intensity was continuously monitored at 37&#xb0;C for 1 hour. Real-time fluorescence measurements were conducted using a multifunctional microplate reader, with excitation and emission wavelengths set at 485 nm and 528 nm, respectively.</p>
</sec>
<sec id="s2_16">
<label>2.16</label>
<title>Establishment of a mice wound model</title>
<p>To establish a mouse wound model, female Balb/c mice (6 weeks old, 18 ~ 20 g) were purchased from SPF Biotechnology Co., Ltd (Beijing, China). The animals were housed under a standard 12-hour light/12-hour dark cycle. All animal experiments were conducted in accordance with the Ethical Principles in Animal Research adopted by Guizhou Medical University and were approved by the Institutional Animal Care and Use Committee (The animal ethics review form number: No. 2302013).</p>
<p>After anesthetizing the mice, full-thickness oval wounds with a long axis of 10 mm were created on their backs using a puncher. Subsequently, 100 &#x3bc;L of <italic>P. aeruginosa</italic> solution (1.0 &#xd7; 10<sup>8</sup> CFU/mL) was applied to induce infection. The wound infection model was established by maintaining continuous infection for 2 days. The mice were then randomly divided into three groups (n = 6): control, vehicle and AMP-17. Wounds not infected with <italic>P. aeruginosa</italic> and treated with 100 &#x3bc;L volume of normal saline were designated as the control group, while wounds infected with <italic>P. aeruginosa</italic> and treated with the same volume of normal saline were designated as the vehicle group. AMP-17 was administered at a concentration of 2 &#xd7;MIC. A 100 &#x3bc;L volume of the respective sample was applied dropwise to the wound surface using a 1 mL syringe. Infected wounds received daily treatments for 7 days (100 &#x3bc;L once a day), with daily monitoring of wound changes. After 11 days, the mice were sacrificed, and the healing effects of each group were evaluated through hematoxylin-eosin (H&amp;E) staining and Masson staining.</p>
<p>Wound tissue was collected in a sterile environment, weighed, and homogenized in 1 mL of normal saline. Serial dilutions were prepared, and the homogenate was inoculated onto LB solid culture plates, which were incubated for 24 hours at 37 &#xb0;C. The bacterial load on the wound surface was calculated using the formula:</p>
<disp-formula>
<mml:math display="block" id="M3">
<mml:mrow>
<mml:mtext>Bacterial&#xa0;load&#xa0;</mml:mtext>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mrow>
<mml:mtext>CFU/g</mml:mtext>
</mml:mrow>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
<mml:mtext>&#xa0;=&#xa0;single&#xa0;colony&#xa0;count&#xa0;</mml:mtext>
<mml:mo>&#xd7;</mml:mo>
<mml:mtext>&#xa0;dilution&#xa0;ratio/tissue&#xa0;mass&#xa0;</mml:mtext>
<mml:mrow>
<mml:mo stretchy="false">(</mml:mo>
<mml:mtext>g</mml:mtext>
<mml:mo stretchy="false">)</mml:mo>
</mml:mrow>
</mml:mrow>
</mml:math>
</disp-formula>
<p>Additionally, the wound tissue was homogenized in RIPA buffer for 5 minutes at 4&#xb0;C. The levels of vascular endothelial growth factor (VEGF), interleukin-6 (IL-6), and tumor necrosis factor-alpha (TNF-&#x3b1;) in the supernatant were determined using ELISA kits.</p>
</sec>
<sec id="s2_17">
<label>2.17</label>
<title>Statistical analysis</title>
<p>The experiment was performed with three biological replicates per group. All data were processed by Graph Pad Prism 8.0.1 and expressed as mean &#xb1; standard deviation. T-test was used to analyze the differences between the two groups, and <italic>P</italic>&lt; 0.05 was considered significant. The wound area was measured and calculated using ImageJ software.</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<label>3</label>
<title>Results</title>
<sec id="s3_1">
<label>3.1</label>
<title>Detection of antibacterial activity of AMP-17 against <italic>P. aeruginosa</italic>
</title>
<p>Ten multidrug-resistant <italic>P. aeruginosa</italic> strains were collected from clinical samples and exhibited varying degrees of resistance to five commonly used antibiotics: cephalosporins, carbapenems, aminoglycosides, quinolones, and peptides (<xref ref-type="table" rid="T1">
<bold>Table&#xa0;1</bold>
</xref>). AMP-17 showed 1 &#xd7;MIC values of 25 &#xb5;g/mL and MBC of 50 &#xb5;g/mL against both the standard strain <italic>P. aeruginosa</italic> CMCC 10104 and the clinical isolates. Subsequent experiments were conducted using <italic>P. aeruginosa</italic> 04 as the representative clinical strain, selected based on its extensive multidrug resistance profile among the tested isolates.</p>
<table-wrap id="T1" position="float">
<label>Table&#xa0;1</label>
<caption>
<p>MIC values of several antimicrobial agents against <italic>P. aeruginosa</italic>.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" rowspan="2" align="left">
<italic>P. aeruginosa</italic> Strains</th>
<th valign="middle" rowspan="2" align="left">Sample source types</th>
<th valign="middle" colspan="7" align="left">MIC (&#x3bc;g/mL)</th>
<th valign="middle" align="left">MBC (&#x3bc;g/mL)</th>
</tr>
<tr>
<th valign="middle" align="left">AMP-17</th>
<th valign="middle" align="left">CAZ</th>
<th valign="middle" align="left">MEM</th>
<th valign="middle" align="left">PB</th>
<th valign="middle" align="left">SCF</th>
<th valign="middle" align="left">COL</th>
<th valign="middle" align="left">LVX</th>
<th valign="middle" align="left">AMP-17</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">CMCC 10104</td>
<td valign="middle" align="center">lab</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">2 (S)</td>
<td valign="middle" align="center">&#x2264;0.25 (S)</td>
<td valign="middle" align="center">&#x2264;2 (S)</td>
<td valign="middle" align="center">&#x2264;8 (S)</td>
<td valign="middle" align="center">2 (I)</td>
<td valign="middle" align="center">0.5 (S)</td>
<td valign="middle" align="center">50</td>
</tr>
<tr>
<td valign="middle" align="center">01</td>
<td valign="middle" align="center">sputum</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">&#x2265;64 (R)</td>
<td valign="middle" align="center">8 (R)</td>
<td valign="middle" align="center">&#x2264;2 (S)</td>
<td valign="middle" align="center">&#x2265;64 (R)</td>
<td valign="middle" align="center">&#x2264;0.5 (S)</td>
<td valign="middle" align="center">2 (I)</td>
<td valign="middle" align="center">50</td>
</tr>
<tr>
<td valign="middle" align="center">02</td>
<td valign="middle" align="center">sputum</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">&#x2265;64 (R)</td>
<td valign="middle" align="center">&#x2265;16 (R)</td>
<td valign="middle" align="center">&#x2264;2 (S)</td>
<td valign="middle" align="center">&#x2265;64 (R)</td>
<td valign="middle" align="center">&#x2264;0.5 (S)</td>
<td valign="middle" align="center">0.25 (S)</td>
<td valign="middle" align="center">50</td>
</tr>
<tr>
<td valign="middle" align="center">03</td>
<td valign="middle" align="center">urine</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">&#x2265;64 (R)</td>
<td valign="middle" align="center">8 (R)</td>
<td valign="middle" align="center">&#x2264;2 (S)</td>
<td valign="middle" align="center">&#x2265;64 (R)</td>
<td valign="middle" align="center">&#x2264;0.5 (S)</td>
<td valign="middle" align="center">1 (S)</td>
<td valign="middle" align="center">50</td>
</tr>
<tr>
<td valign="middle" align="center">04</td>
<td valign="middle" align="center">wound exudate</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">&#x2265;64 (R)</td>
<td valign="middle" align="center">&#x2265;16 (R)</td>
<td valign="middle" align="center">&#x2264;2 (S)</td>
<td valign="middle" align="center">&#x2265;64 (R)</td>
<td valign="middle" align="center">4 (R)</td>
<td valign="middle" align="center">&#x2265;8 (R)</td>
<td valign="middle" align="center">50</td>
</tr>
<tr>
<td valign="middle" align="center">05</td>
<td valign="middle" align="center">wound exudate</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">16 (I)</td>
<td valign="middle" align="center">&#x2265;16 (R)</td>
<td valign="middle" align="center">&#x2264;2 (S)</td>
<td valign="middle" align="center">&#x2265;64 (R)</td>
<td valign="middle" align="center">&#x2264;0.5 (S)</td>
<td valign="middle" align="center">2 (I)</td>
<td valign="middle" align="center">50</td>
</tr>
<tr>
<td valign="middle" align="center">06</td>
<td valign="middle" align="center">wound exudate</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">16 (I)</td>
<td valign="middle" align="center">&#x2265;16 (R)</td>
<td valign="middle" align="center">&#x2264;2 (S)</td>
<td valign="middle" align="center">&#x2265;64 (R)</td>
<td valign="middle" align="center">&#x2264;0.5 (S)</td>
<td valign="middle" align="center">4 (R)</td>
<td valign="middle" align="center">50</td>
</tr>
<tr>
<td valign="middle" align="center">07</td>
<td valign="middle" align="center">wound exudate</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">2 (S)</td>
<td valign="middle" align="center">4 (I)</td>
<td valign="middle" align="center">&#x2264;2 (S)</td>
<td valign="middle" align="center">&#x2264;8 (S)</td>
<td valign="middle" align="center">&#x2264;0.5 (S)</td>
<td valign="middle" align="center">2 (I)</td>
<td valign="middle" align="center">50</td>
</tr>
<tr>
<td valign="middle" align="center">08</td>
<td valign="middle" align="center">sputum</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">32 (R)</td>
<td valign="middle" align="center">8 (R)</td>
<td valign="middle" align="center">&#x2264;2 (S)</td>
<td valign="middle" align="center">&#x2264;8 (S)</td>
<td valign="middle" align="center">&#x2264;0.5 (S)</td>
<td valign="middle" align="center">1 (S)</td>
<td valign="middle" align="center">50</td>
</tr>
<tr>
<td valign="middle" align="center">09</td>
<td valign="middle" align="center">sputum</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">32 (R)</td>
<td valign="middle" align="center">8 (R)</td>
<td valign="middle" align="center">&#x2264;2 (S)</td>
<td valign="middle" align="center">32 (I)</td>
<td valign="middle" align="center">&#x2264;0.5 (S)</td>
<td valign="middle" align="center">&#x2265;8 (R)</td>
<td valign="middle" align="center">50</td>
</tr>
<tr>
<td valign="middle" align="center">10</td>
<td valign="middle" align="center">sputum</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">&#x2265;64 (R)</td>
<td valign="middle" align="center">&#x2265;16 (R)</td>
<td valign="middle" align="center">&#x2264;2 (S)</td>
<td valign="middle" align="center">&#x2265;64 (R)</td>
<td valign="middle" align="center">&#x2264;0.5 (S)</td>
<td valign="middle" align="center">1 (S)</td>
<td valign="middle" align="center">50</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>CAZ, ceftazidime; MEM, meropenem; PB, polymyxin B; SCF, cefoperazone/sulbactam; COL, colistin; LVX, levofloxacin; I, intermediate; S, susceptible; R, resistant.</p>
</fn>
</table-wrap-foot>
</table-wrap>
</sec>
<sec id="s3_2">
<label>3.2</label>
<title>Bactericidal activity of AMP-17</title>
<p>The growth curve of <italic>P. aeruginosa</italic> CMCC 10104 and 04 without AMP-17 treatment was &#x201c;S&#x201d; shaped, and the bacterial growth reached the stationary phase after 16 h. Treatment with 1 &#xd7;MIC of AMP-17 inhibited bacterial growth within 10 hours, with only marginal OD<sub>600</sub> increase observed by 24 hours. In contrast, 2&#xd7;MIC treatment completely suppressed growth throughout the 24-hour incubation period. (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>). Time-kill kinetics experiments confirmed that AMP-17 exhibits bactericidal effects in a concentration- and time-dependent manner. At a concentration corresponding to 2 &#xd7;MIC, complete eradication of the bacterial population was achieved within 8 hours, and this inhibitory effect persisted for an additional 16 hours without any evidence of regrowth (<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>). Notably, at the 6-hour time point, AMP-17 (2 &#xd7;MIC) demonstrated significantly enhanced bactericidal activity against the drug-resistant <italic>P. aeruginosa</italic> strain 04 compared to the reference strain CMCC10104, with the bacterial load being reduced by 3.091 log<sub>10</sub> CFU/mL.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>AMP-17 is an antimicrobial peptide exhibiting potent bactericidal activity. <bold>(A)</bold> The growth curve of <italic>P. aeruginosa</italic> CMCC 10104 and 04 were recorded over a 24 h incubation by measuring the optical density at 600 nm in the presence or absence of AMP-17 at concentrations ranging from 1/2 to 2 &#xd7;MIC. <bold>(B)</bold> The time-kill kinetics of AMP-17 against <italic>P. aeruginosa</italic> CMCC 10104 and 04 were determined by incubating bacterial cells with AMP-17 (1/2 to 2 &#xd7;MIC) for 24 hours, with colony counts performed every 2 hours.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1634825-g001.tif">
<alt-text content-type="machine-generated">Graphs showing the effect of different concentrations of antibiotics on P. aeruginosa strains CMCC 10104 and 04. Panel A displays absorbance over 24 hours, indicating bacterial growth under various conditions. Panel B shows CFU per mL over 24 hours, representing bacterial viability. Different concentrations include 1/4 MIC, 1/2 MIC, 1 MIC, 2 MIC, and Polymyxin B, compared to a control group. The 2 MIC and Polymyxin B treatments demonstrate significant reduction or inhibition of bacterial growth and viability, shown by the blue and orange lines.</alt-text>
</graphic>
</fig>
<p>Notably, systematic evaluation of the salt and serum stability of AMP-17 revealed the following findings (<xref ref-type="table" rid="T2">
<bold>Table&#xa0;2</bold>
</xref>). The MIC of AMP-17 demonstrated remarkable stability, showing no significant alterations in the presence of physiological concentrations (150 mM NaCl, 4.5 mM KCl, or 2.5 mM CaCl<sub>2</sub>) compared to the control group. Importantly, under simulated physiological conditions using culture media supplemented with 10% FBS or murine serum, AMP-17 maintained antimicrobial efficacy, with no change in MIC values.</p>
<table-wrap id="T2" position="float">
<label>Table&#xa0;2</label>
<caption>
<p>Effects of salt and serum on AMP-17 against <italic>P. aeruginosa</italic>.</p>
</caption>
<table frame="hsides">
<thead>
<tr>
<th valign="middle" rowspan="2" align="center">Treatments</th>
<th valign="middle" colspan="2" align="center">AMP-17 (MIC, &#x3bc;g/mL)</th>
</tr>
<tr>
<th valign="middle" align="center">
<italic>P. aeruginosa</italic> CMCC 10104</th>
<th valign="middle" align="center">
<italic>P. aeruginosa</italic> 04</th>
</tr>
</thead>
<tbody>
<tr>
<td valign="middle" align="center">150 mM NaCl</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">25</td>
</tr>
<tr>
<td valign="middle" align="center">4.5 mM KCl</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">25</td>
</tr>
<tr>
<td valign="middle" align="center">2 mM CaCl<sub>2</sub>
</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">25</td>
</tr>
<tr>
<td valign="middle" align="center">10% Fetal bovine serum</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">25</td>
</tr>
<tr>
<td valign="middle" align="center">10% Murine serum</td>
<td valign="middle" align="center">25</td>
<td valign="middle" align="center">25</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="s3_3">
<label>3.3</label>
<title>Bacterial motility assay</title>
<p>To investigate the effect of AMP-17 on <italic>P. aeruginosa</italic> motility, we utilized semisolid agar plates (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>). Bacterial migration was significantly reduced in the presence of AMP-17 after 24 hours of incubation. Notably, compared to the untreated control, exposure to AMP-17 at 1/4 &#xd7;MIC concentration induced reductions in swarming motility areas of <italic>P. aeruginosa</italic> CMCC10104 and strain 04 by 47.63% and 48.91%, respectively. Upon escalating the AMP-17 concentration to 1/2 &#xd7;MIC, both strains exhibited remarkably diminished motility zones with more pronounced inhibition rates of 88.04% and 90.26% (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>). These findings collectively suggest that AMP-17 may exert its antimicrobial effects through suppression of bacterial motility mechanisms. These findings suggest that AMP-17 impairs bacterial motility, thereby enhancing its bactericidal activity.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>Effect of AMP-17 on <italic>P. aeruginosa</italic> CMCC 10104 and 04 bacterial motility and biofilm. <bold>(A)</bold> Image showing the colony area. <bold>(B)</bold> Measurement of colony area from the image. <bold>(C)</bold> Effect of AMP-17 on pyocyanin production. <bold>(D)</bold> Inhibition of biofilm formation by various concentrations of AMP-17. <bold>(E)</bold> Disruption of mature biofilms by different concentrations of AMP-17. <bold>(F)</bold> Live/Dead bacterial ratio in biofilm. <bold>(G)</bold> Confocal laser scanning microscopy images illustrating the effect of AMP-17 on mature <italic>P. aeruginosa</italic> CMCC 10104 and 04 biofilms. Statistical significance was determined by comparing each treatment group to the control group, with <italic>P</italic> values indicated as follows: **<italic>P</italic>&#x202f;&lt;&#x202f;0.01 and  ***<italic>P</italic>&#x202f;&lt;&#x202f;0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1634825-g002.tif">
<alt-text content-type="machine-generated">Scientific study on P. aeruginosa visualizing effects at various concentrations of antimicrobial agent. Panels (A-G) show petri dish growth, bar graphs of swimming motility, pyocyanin production, biofilm inhibition and eradication, and live/dead biofilm imaging. Results indicate dose-dependent reductions in motility and biofilm, with fluorescence images highlighting the transition from live (green) to dead (red) cells at increasing concentrations. Scale bar included for reference in images.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_4">
<label>3.4</label>
<title>Pyocyanin content assay</title>
<p>Pyocyanin, a virulence factor produced by <italic>P. aeruginosa</italic>, plays a significant role in disrupting the host defense system and contributes to the pathogenesis of infections. As shown in <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2C</bold>
</xref>, increasing concentrations of AMP-17 led to a significant reduction in pyocyanin production across all groups compared to the untreated strains. These findings suggest that AMP-17 effectively inhibits pyocyanin production, thereby potentially reducing the virulence of <italic>P. aeruginosa</italic> and aiding in infection control.</p>
</sec>
<sec id="s3_5">
<label>3.5</label>
<title>Effect of AMP-17 on the biofilm</title>
<p>Biofilms serve as protective barriers for bacteria, shielding them from antibiotic-induced eradication and contributing to the development of bacterial resistance. As illustrated in <xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2D</bold>
</xref>, the formation of <italic>P. aeruginosa</italic> biofilm was effectively inhibited by 1/2 &#xd7;MIC of AMP-17. Significantly, no statistically discernible eradication of mature biofilms was observed compared to the untreated control at 1/2&#xd7;MIC (<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2E</bold>
</xref>). However, AMP-17 at concentrations (1 and 2 &#xd7;MIC) elicited significant structural disintegration of biofilms.</p>
<p>To assess the bactericidal activity against biofilm-resident viable cells, we conducted SYTO9/PI dual fluorescence staining with confocal laser scanning microscopy and evaluated the proportion of live to dead bacteria within the biofilm (<xref ref-type="fig" rid="f2">
<bold>Figures&#xa0;2F, G</bold>
</xref>). Results revealed a dose-dependent intensification of red fluorescence (indicative of membrane-compromised cells) concomitant with diminished green fluorescence (viable cells), demonstrating that AMP-17 not only disrupts biofilm architecture but also induces substantial bacterial mortality within the biofilm.</p>
</sec>
<sec id="s3_6">
<label>3.6</label>
<title>Morphological changes induced by AMP-17</title>
<p>SEM revealed that untreated <italic>P. aeruginosa</italic> cells exhibited intact morphology with smooth, undamaged surfaces (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>). Following 24-hour treatment with 2&#xd7;MIC AMP-17, both <italic>P. aeruginosa</italic> CMCC 10104 and 04 strains exhibited distinct ultrastructural alterations. SEM analysis revealed localized membrane rupture accompanied by cytoplasmic efflux in CMCC 10104 cells, whereas 04 cells displayed characteristic depression-like pores distributed across the bacterial surface. These morphological modifications suggest that AMP-17 may compromise cellular integrity through disruption of membrane architecture in <italic>P. aeruginosa</italic>.</p>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>SEM and TEM images of <italic>P. aeruginosa</italic> CMCC 10104 and 04. <bold>(A)</bold> SEM images. <bold>(B)</bold> TEM images. <italic>P. aeruginosa</italic> treatment with AMP-17 (2 &#xd7;MIC) for 8 <bold>(h)</bold> White arrows indicate cell lysis products.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1634825-g003.tif">
<alt-text content-type="machine-generated">Electron microscopy images showing Pseudomonas aeruginosa strains. Panel A: Control groups on the left show normal bacterial morphology, while AMP-17 treated groups on the right exhibit disrupted and clustered cells. Panel B: Close-up views demonstrate intact bacterial cells on the left and AMP-17-induced damage on the right, with visible cell wall deformation and lysis. Arrows highlight structural changes.</alt-text>
</graphic>
</fig>
<p>TEM analysis further predicted the membrane-targeting effects of AMP-17. Untreated controls maintained characteristic membrane architecture with preserved cytoplasmic density and organelle organization (<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>). In contrast, AMP-17-treated cells (2 &#xd7;MIC) exhibited discontinuous membrane continuity, accompanied by periplasmic space dilation. Notably, cytoplasmic content redistribution and nucleoid material dispersion were observed in treated specimens. These ultrastructural perturbations collectively indicate simultaneous disruption of membrane architecture and intracellular organization.</p>
</sec>
<sec id="s3_7">
<label>3.7</label>
<title>Effect of AMP-17 on membrane permeability</title>
<p>Fluorescence analysis using the NPN probe revealed modulatory effects of AMP-17 on the outer membrane permeability of <italic>P. aeruginosa.</italic> The control group exhibited minimal fluorescence signal fluctuations during the initial 5-minute monitoring period (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4A</bold>
</xref>), whereas AMP-17-treated samples demonstrated a progressive increase in fluorescence intensity, suggesting outer membrane permeability alterations. Parallel experiments with PI staining showed time-dependent enhancement of fluorescence signals (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4B</bold>
</xref>), correlating with modifications in inner membrane permeability. Live/dead cell viability assays (<xref ref-type="fig" rid="f4">
<bold>Figure&#xa0;4C</bold>
</xref>) revealed concentration-dependent responses to AMP-17 treatment. Bacterial samples treated with 1/2&#xd7;MIC AMP-17 showed limited red fluorescence emission, whereas 1&#xd7;MIC exposure elevated red fluorescence intensity relative to untreated controls, suggesting compromised membrane integrity. At 2&#xd7;MIC concentration, the entire bacterial population exhibited complete red fluorescence conversion. These findings imply that AMP-17&#x2019;s antibacterial mechanism likely involves coordinated modulation of both outer and inner membrane permeability.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>Effect of AMP-17 on membrane permeability of <italic>P. aeruginosa</italic> CMCC 10104 and 04. <bold>(A)</bold> Effect of AMP-17 on outer membrane permeability. <bold>(B)</bold> Effect of AMP-17 on inner membrane permeability. <bold>(C)</bold> CLSM images show the proportion of live and dead bacteria.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1634825-g004.tif">
<alt-text content-type="machine-generated">Graphs and micrographs depict Pseudomonas aeruginosa responses to treatments. Graph A shows fluorescence intensity of NPN over time for outer membranes in two strains, with varying treatment concentrations. Graph B displays PI fluorescence for inner membranes. Micrograph C illustrates SYTO9 and PI staining of two strains under different conditions, showing cell viability and damage.</alt-text>
</graphic>
</fig>
</sec>
<sec id="s3_8">
<label>3.8</label>
<title>PMF and ROS changes</title>
<p>Laurdan GP analysis revealed concentration-dependent elevation of generalized polarization values in AMP-17-treated groups (1 &#xd7;MIC and 2 &#xd7;MIC) relative to untreated controls, implying potential compound-mediated modulations in membrane fluidity (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>). This phenomenon appears consistent with previously documented alterations in membrane permeability.</p>
<p>Given the well-established correlation between membrane permeability changes and PMF dynamics, a critical bioenergetic parameter that integrates membrane potential (&#x394;&#x3c8;) and transmembrane proton gradient (&#x394;pH) to support bacterial survival, we systematically investigated these components. Membrane potential perturbations were evaluated using a DiSC<sub>3</sub>(5) fluorescent probe. Following co-incubation with <italic>P. aeruginosa</italic>, fluorescence baselines remained stable throughout the 5-minute equilibration period. Subsequent administration of AMP-17 at varying concentrations induced dose-responsive fluorescence intensity increases (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>), indicative of possible membrane depolarization events. For transmembrane proton gradient assessment, the BCECF-AM probe was implemented. This non-fluorescent compound undergoes intracellular esterase-mediated conversion to BCECF, a pH-sensitive fluorophore whose emission intensity demonstrated a positive correlation with AMP-17 concentrations (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>), suggesting potential disruption of proton gradient homeostasis.</p>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>Effect of AMP-17 on PMF of <italic>P. aeruginosa</italic> CMCC 10104 and 04. <bold>(A)</bold> Effect of AMP-17 on membrane fluidity. <bold>(B)</bold> Effect of AMP-17 on the membrane potential of <italic>P. aeruginosa</italic> CMCC 10104 and 04. <bold>(C)</bold> Effect of AMP-17 on the &#x394;pH of <italic>P. aeruginosa</italic> CMCC 10104 and 04. <bold>(D)</bold> AMP-17 induced the accumulation of ROS in <italic>P. aeruginosa</italic> CMCC 10104 and 04. Compared with the control group, NS means non-significance, *<italic>P</italic>&lt; 0.05, **<italic>P</italic>&lt; 0.01, ***<italic>P</italic>&lt; 0.001. PC, the positive control group.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1634825-g005.tif">
<alt-text content-type="machine-generated">Graphs illustrate various effects on two strains of *P. aeruginosa*. Chart A shows membrane fluidity variations with concentration. Charts B and C depict membrane potential changes over time. Chart D shows ROS level changes over time. Different conditions, concentrations, and control samples are compared across graphs. Numeric values and error bars indicate statistical significance at various concentration levels.</alt-text>
</graphic>
</fig>
<p>In this study, intracellular ROS accumulation in <italic>P. aeruginosa</italic> cells was quantitatively assessed using the non-fluorescent probe DCFH-DA. Upon oxidation by ROS, DCFH-DA is converted to the highly fluorescent compound DCF, the fluorescence intensity of which was measured using a fluorescence microplate reader to determine ROS levels. Treatment with 2 &#xd7;MIC of AMP-17 resulted in a higher concentration of ROS compared to the 1 &#xd7;MIC group, with ROS levels increasing over time (<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5D</bold>
</xref>). These findings suggest that AMP-17 induces ROS accumulation in <italic>P. aeruginosa</italic> cells and induces bacterial death.</p>
</sec>
<sec id="s3_9">
<label>3.9</label>
<title>AMP-17 promotes wound healing in a mice model</title>
<p>To evaluate the <italic>in vivo</italic> efficacy of AMP-17, a murine wound infection model was established. One hour after creating full-thickness skin wounds on the dorsum of BALB/c mice, the wounds were topically inoculated with 1&#xd7;10<sup>8</sup> CFU/mL of <italic>P. aeruginosa</italic> 04 (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>). At 48 hours post-wounding, the AMP-17 treatment group received a topical application of 50 &#x3bc;g/mL AMP-17, while the vehicle group was treated with an equal volume of PBS as a control. Wound tissues were harvested on days 7, 9, and 11 for analysis. In the absence of <italic>P. aeruginosa</italic> infection, the wound healing rate in the control group reached 74.18% by day 11, whereas the vehicle and AMP-17 group exhibited healing rates of 39.25% and 86.35%, respectively (<xref ref-type="fig" rid="f6">
<bold>Figures&#xa0;6B, C</bold>
</xref>). Bacterial load analysis revealed that AMP-17 treatment significantly reduced the wound bacterial burden by 1.22 Log<sub>10</sub> CUF/g, 2.29 Log<sub>10</sub> CUF/g, and 3.73 Log<sub>10</sub> CUF/g on days 7, 9, and 11, respectively, compared to the model group (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6D</bold>
</xref>). Histopathological examination demonstrated that the AMP-17 group exhibited markedly reduced inflammatory cell infiltration and fibroblast proliferation, along with enhanced collagen deposition, compared to both the control and model groups (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6E</bold>
</xref>), and the expression of VEGF was increased, suggesting that AMP-17 promotes wound healing (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6F</bold>
</xref>). Furthermore, while the expression levels of pro-inflammatory cytokines IL-6 and TNF-&#x3b1; were significantly upregulated in the model group, AMP-17 treatment markedly downregulated their expression. Collectively, these results indicate that AMP-17 exhibits potent antimicrobial activity against P. aeruginosa 04 infection <italic>in vivo</italic> and promotes wound healing by suppressing infection-induced inflammatory responses.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>Effect of AMP-17 on wound healing <italic>in vivo</italic>. <bold>(A)</bold> Schematic illustration of the experimental design for the murine wound healing model. <bold>(B)</bold> Percent change in wound area over time. Compared with the vehicle group, **<italic>P</italic>&lt; 0.01, ***<italic>P</italic>&lt; 0.001. <bold>(C)</bold> Representative photographic images of wounds on days 1, 3, 5, 7, 9, and 11 post-injury. Scal, 0.5 cm. <bold>(D)</bold> Bacterial load of <italic>P. aeruginosa</italic> 04 in wound tissues, expressed as colony-forming units per gram (CFU/g). Compared with the vehicle group, ***<italic>P</italic>&lt; 0.001. <bold>(E)</bold> Histopathological analysis of murine tissue sections stained with hematoxylin and eosin (H&amp;E) and Masson&#x2019;s trichrome. Scal, 200 &#x3bc;m. <bold>(F)</bold> Expression levels of inflammation-related cytokines in wound tissues. Compared with the control group, NS means non-significance, *<italic>P</italic>&lt; 0.05, **<italic>P</italic>&lt; 0.01, ***<italic>P</italic>&lt; 0.001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1634825-g006.tif">
<alt-text content-type="machine-generated">Experimental study with six panels showing the effects of AMP-17 on wound healing. Panel A depicts a timeline of P. aeruginosa infection and AMP-17 treatment in mice. Panel B shows a line graph indicating wound area reduction over time for control, vehicle, and AMP-17 treatments. Panel C displays wound images over 11 days, comparing treatments. Panel D presents a bar chart of bacterial load for each treatment. Panel E contains histological images (H&amp;E and Masson staining) at days seven, nine, and eleven. Panel F features bar charts of IL-6, VEGF, and TNF-&#x3b1; levels.</alt-text>
</graphic>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<label>4</label>
<title>Discussion</title>
<p>The escalating prevalence of multidrug-resistant <italic>P. aeruginosa</italic> strains, exacerbated by the misuse of antibiotics, has significantly complicated clinical treatment strategies (<xref ref-type="bibr" rid="B1">Aggarwal et&#xa0;al., 2024</xref>). Concurrently, the biofilm formation by <italic>P. aeruginosa</italic> impedes the efficacy of external drugs and immune responses, leading to persistent infection (<xref ref-type="bibr" rid="B18">Karruli et&#xa0;al., 2023</xref>). Traditional antibiotics exhibit diminished effectiveness against these resistant strains, underscoring the urgent need for novel antimicrobial agents. Antimicrobial peptides, as essential components of novel antibacterial agents, have emerged as promising therapeutic candidates due to their broad-spectrum antimicrobial activities against bacteria, fungi, and viruses, coupled with their unique mechanisms of action and low tendency for resistance development (<xref ref-type="bibr" rid="B43">Xuan et&#xa0;al., 2023</xref>).</p>
<p>In this study, we evaluated the <italic>in vitro</italic> antibacterial activity of AMP-17 against multi-drug resistant <italic>P. aeruginosa</italic>, determining MIC and MBC values of 25 &#x3bc;g/mL and 50 &#x3bc;g/mL, respectively. Growth curve analysis and bactericidal kinetics revealed that AMP-17 exhibits significant antibacterial and bactericidal effects, with activity positively correlated to the duration of exposure. In addition to their potent antimicrobial properties, the physiological stability of AMPs constitutes a key factor in their potential clinical development (<xref ref-type="bibr" rid="B28">Mwangi et&#xa0;al., 2023</xref>). Our experimental data indicate that AMP-17 maintains consistent anti-pseudomonal activity against <italic>P. aeruginosa</italic> when exposed to physiological salt concentrations and serum components, suggesting favorable characteristics for potential therapeutic applications.</p>
<p>Biofilm formation, a complex developmental process encompassing bacterial adhesion, aggregation, maturation, and subsequent dispersion (<xref ref-type="bibr" rid="B14">Guzman-Soto et&#xa0;al., 2021</xref>), represents a significant therapeutic challenge. Notably, <italic>P. aeruginosa</italic> biofilms demonstrate substantially enhanced antibiotic resistance compared to their planktonic counterparts (<xref ref-type="bibr" rid="B4">Cendra and Torrents, 2021</xref>). While current antimicrobial strategies predominantly target planktonic bacteria in acute infections, effective therapeutic options against established biofilms remain limited (<xref ref-type="bibr" rid="B46">Yu and Chua, 2020</xref>). Given the established correlation between bacterial motility and biofilm-associated pathogenicity (<xref ref-type="bibr" rid="B20">Kuhn et&#xa0;al., 2021</xref>), our findings that AMP-17 significantly inhibits <italic>P. aeruginosa</italic> motility suggest its potential to disrupt initial biofilm adhesion. Remarkably, AMP-17 demonstrated concentration-dependent antibiofilm activity, inhibiting biofilm formation at 1/2 &#xd7; MIC and disrupting mature biofilms at MIC levels. These observations indicate that AMP-17 may interfere with critical biofilm developmental processes through inhibition of bacterial adhesion and aggregation. Although AMP-17 has demonstrated preliminary anti-biofilm activity against <italic>P. aeruginosa in vitro</italic>, further validation through dynamic or <italic>in vivo</italic> experimental systems is warranted to account for the complexity of physiological environments in future. Furthermore, considering the well-established role of pyocyanin as a key virulence factor in <italic>P. aeruginosa</italic> pathogenesis (<xref ref-type="bibr" rid="B12">Goncalves and Vasconcelos, 2021</xref>) - particularly in mediating host inflammatory responses and facilitating bacterial colonization (<xref ref-type="bibr" rid="B39">Thees et&#xa0;al., 2021</xref>) - our observation of AMP-17-mediated pyocyanin suppression provides mechanistic insights. This reduction in virulence factor production may contribute to the observed antibiofilm effects, suggesting a potential dual mechanism of action targeting both biofilm formation and virulence expression.</p>
<p>The interaction between AMPs and bacterial membranes constitutes a fundamental mechanism of their antimicrobial activity. The integration of membrane-disrupting compounds into lipid bilayers typically induces substantial alterations in membrane fluidity, culminating in the displacement of membrane proteins, efflux of intracellular components, and ultimately, bacterial cell death (<xref ref-type="bibr" rid="B23">Li et&#xa0;al., 2022</xref>; <xref ref-type="bibr" rid="B31">Saeed et&#xa0;al., 2022</xref>). Recent investigations have demonstrated that amphiphilic AMPs can enhance bacterial membrane permeability, triggering membrane depolarization and subsequent ROS generation (<xref ref-type="bibr" rid="B33">Shi et&#xa0;al., 2021</xref>). Our findings suggest that AMP-17 may exert its bactericidal effects through modulation of membrane fluidity properties. This membrane permeabilization is concomitant with the disruption of transmembrane potential and interference with PMF maintenance. These coordinated bioenergetic disturbances likely impair essential PMF-dependent cellular processes, ultimately leading to cell death. Furthermore, the antimicrobial efficacy of AMP-17 appears to be augmented through ROS-mediated mechanisms. Exposure to AMP-17 induces antimicrobial stress, stimulating intracellular ROS accumulation, which subsequently inflicts additional cellular damage, thereby compromising bacterial viability (<xref ref-type="bibr" rid="B5">Chen et&#xa0;al., 2023</xref>).</p>
<p>The skin barrier serves as the primary physical defense against pathogenic infections, with intact skin structure being crucial for maintaining organismal health. When the skin barrier function is compromised, pathogenic bacteria readily colonize the wound site and initiate infections (<xref ref-type="bibr" rid="B40">Uberoi et&#xa0;al., 2024</xref>). With the escalating prevalence of drug-resistant bacterial infections, the limitations of conventional antibiotic therapies have become increasingly apparent. In addressing wound infections caused by drug-resistant bacteria, antimicrobial peptides have emerged as a focal point in current research as next-generation antimicrobial agents (<xref ref-type="bibr" rid="B15">Haidari et&#xa0;al., 2023</xref>). Previous studies have demonstrated that AMPs significantly inhibit bacterial colonization in skin wounds and promote tissue repair processes (<xref ref-type="bibr" rid="B32">Satapathy et&#xa0;al., 2024</xref>). Furthermore, AMPs have been shown to possess multiple beneficial effects, including promoting wound healing, inhibiting bacterial colonization, and reducing inflammatory responses (<xref ref-type="bibr" rid="B25">Miao et&#xa0;al., 2021</xref>). During the complex physiological process of wound healing, VEGF plays a pivotal regulatory role, while the dynamic changes in pro-inflammatory cytokines IL-6 and TNF-&#x3b1; significantly influence the healing progression (<xref ref-type="bibr" rid="B16">Hirano, 2021</xref>; <xref ref-type="bibr" rid="B30">Raziyeva et&#xa0;al., 2021</xref>; <xref ref-type="bibr" rid="B8">de Souza et&#xa0;al., 2022</xref>). Our study demonstrates that AMP-17 not only exhibits remarkable therapeutic effects on wound healing by effectively inhibiting the colonization of drug-resistant bacterial, but also potentially promotes tissue repair through a dual regulatory mechanism: upregulating VEGF expression and collagen deposition while downregulating IL-6 and TNF-&#x3b1; levels to mitigate inflammatory responses, thereby synergistically enhancing the wound healing process (<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6F</bold>
</xref>).</p>
<p>In summary, our study reveals that AMP-17 exerts its antimicrobial and wound-healing promoting effects through multiple mechanisms. Regarding its antimicrobial action, AMP-17 induces bacterial cell death by disrupting membrane fluidity and increasing the permeability of both inner and outer membranes in <italic>P. aeruginosa</italic>. This process leads to cytoplasmic leakage, dissipation of proton motive force, and subsequent deformation and rupture of the cellular membrane. Furthermore, AMP-17 promotes the generation and accumulation of ROS, exacerbating cellular damage and ultimately resulting in bacterial death. As for its wound-healing properties, AMP-17 enhances the expression of VEGF and deposition of collagen while downregulating the levels of pro-inflammatory cytokines IL-6 and TNF-&#x3b1; in wound tissues, thereby promoting the wound healing process (<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7</bold>
</xref>).</p>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>Mechanism of AMP-17 against <italic>P. aeruginosa</italic> and its promotion of wound healing. AMP-17 exerts its antimicrobial activity against <italic>P. aeruginosa</italic> through multiple mechanisms, including increased membrane permeability and fluidity, reduced pyocyanin production, accumulation of intracellular ROS, and disruption of PMF. Additionally, AMP-17 promotes wound healing by enhancing VEGF and collagen expression and downregulating pro-inflammatory cytokines IL-6 and TNF-&#x3b1; in skin tissues.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fcimb-15-1634825-g007.tif">
<alt-text content-type="machine-generated">Illustration showing the treatment process of infected tissue. A mouse with an infected area is depicted on the left. An infected tissue section shows the presence of bacteria. Treatment with AMP-17 is represented, leading to reduced TNF-alpha and IL-6 levels, and increased VEGF. This results in healed tissue, shown on the right. A diagram of cell membranes depicts AMP-17 permeabilizing the outer membrane, affecting PMF and pyocyanin, leading to bacterial cell death due to increased reactive oxygen species. Arrows indicate the flow of these processes.</alt-text>
</graphic>
</fig>
<p>The escalating prevalence of antibiotic-resistant bacterial strains and resistance genes has rendered the identification of viable alternatives to conventional antibiotics an urgent priority in contemporary medicine. AMPs have emerged as promising candidates due to their superior safety profile, minimal residual effects, and low propensity for resistance development. Their distinctive antimicrobial mechanisms exhibit considerable potential in combating antibiotic resistance. Notably, AMP-17 demonstrates salt tolerance, serum stability, and membrane-disruptive activity, endowing it with advantages over traditional antibiotics. Future investigations should focus on validating AMP-17&#x2019;s pharmacokinetic properties, long-term toxicological safety, and therapeutic efficacy across diverse infection models. Furthermore, elucidating its synergistic potential with other antimicrobial agents will be paramount for clinical translation. These collective efforts may ultimately establish AMP-17 as a cornerstone in our antimicrobial armamentarium against drug-resistant pathogens.</p>
</sec>
</body>
<back>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s6" sec-type="ethics-statement">
<title>Ethics statement</title>
<p>The animal study was approved by The animal care welfare committee of Guizhou Medical University. The study was conducted in accordance with the local legislation and institutional requirements.</p>
</sec>
<sec id="s7" sec-type="author-contributions">
<title>Author contributions</title>
<p>RT: Funding acquisition, Formal analysis, Writing &#x2013; review &amp; editing, Conceptualization, Methodology, Writing &#x2013; original draft, Validation, Project administration, Supervision. CT: Validation, Methodology, Investigation, Conceptualization, Data curation, Writing &#x2013; review &amp; editing, Formal analysis, Writing &#x2013; original draft, Visualization. TS: Methodology, Investigation, Writing &#x2013; review &amp; editing, Writing &#x2013; original draft, Visualization. RC: Visualization, Methodology, Formal analysis, Writing &#x2013; review &amp; editing. DS: Formal analysis, Supervision, Project administration, Writing &#x2013; review &amp; editing, Funding acquisition, Resources. NZ: Writing &#x2013; review &amp; editing, Formal analysis, Resources, Supervision. YL: Validation, Writing &#x2013; review &amp; editing, Formal analysis. GG:&#xa0;Writing &#x2013; original draft, Formal analysis, Visualization, Methodology, Project administration, Resources, Writing &#x2013; review &amp; editing, Conceptualization, Supervision, Funding acquisition. ZJ: Funding acquisition, Methodology, Project administration, Writing &#x2013; review &amp; editing.</p>
</sec>
<sec id="s8" sec-type="funding-information">
<title>Funding</title>
<p>The author(s) declare financial support was received for the research and/or publication of this article. This research was supported by the National Natural Science Foundation of China (No.82460406); National Natural Science Foundation of China Cultivation Project (22NSFCP12); Science and Technology Planning Project of Guizhou Province (ZK(2022) general project 345); Excellent Young Talents Plan of Guizhou Medical University (No. (2021)104); Guizhou Provincial College Students&#x2019; innovation and Entrepreneurship Training Program (S202310660111); Guizhou Key Laboratory (ZDSYS(2023)004); Basic Research Plan of Qiandongnan Prefecture (Qiandongnan Kehe Foundation (2023) 15); the Self-funded Science and Technology Plan of Qiandongnan Prefecture (Qiandongnan Kehe J (2023) 72); the Guizhou Provincial Health Commission Project (gzwkj 2025-205); and Science and Technology Planning Project of Guizhou Province (ZK (2023) general project 329). The funders had no role in study design, data collection or analysis, preparation of the manuscript, or the decision to publish it.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>The authors thank Yiyunke Zhang for her invaluable assistance in drawing the schematic illustration of the mechanism.</p>
</ack>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="ai-statement">
<title>Generative AI statement</title>
<p>The author(s) declare that no Generative AI was used in the creation of this manuscript.</p>
</sec>
<sec id="s11" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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