Review Article

Defensins: The Case for Their Use against Mycobacterial Infections

Table 1

Relevance of defensins in tuberculosis.

DefensinsSourceImportance against mycobacteriaReference

Human neutrophil α-defensin 1 (HNP-1)Polymorphonuclear neutrophils, macrophages, Paneth cellsInduced by mycobacterial infection and reduces the bacteria load. The application with antituberculosis drugs[8, 1012, 60, 6770, 74, 86, 87]

Human neutrophil α-defensin 2 (HNP-2)Polymorphonuclear neutrophils, macrophages, Paneth cellsKills both tuberculosis and nontuberculous mycobacteria effectively by increasing cell wall and membrane permeability. Reduces the therapeutic dosage of drugs[8, 1013, 69, 74, 86, 87]

Human neutrophil α-defensin 3 (HNP-3)Polymorphonuclear neutrophils, macrophages, Paneth cellsReduces the tuberculosis and nontuberculous mycobacterial load in vitro and in vivo[8, 1012, 69, 74, 87]

Human neutrophil α-defensin 4 (HNP-4)Polymorphonuclear neutrophils, macrophages, Paneth cellsShows antimicrobial activity against M. tuberculosis in vitro by increasing the permeability of the mycobacterial cell envelope and the immune enhancing effects. Shows synergy with antituberculosis drugs[8, 1013]

α-defensin 5Paneth cells, alveolar macrophagesShows antimicrobial activity; the linear peptide from it can enhance activity against M. tuberculosis[1517, 71]

α-defensin 6Paneth cells, alveolar macrophagesShows antimicrobial activity[14]

Human β-defensin 1 (HBD-1)Epithelial cellsInduced by mycobacteria infection and shows antimicrobial activity on stimulation with mycobacteria. Combination with isoniazid significantly reduced M. tuberculosis[24, 25, 31, 48, 79, 80]

Human β-defensin 2 (HBD-2)Epithelial cellsImproves the capacity of macrophages to control M. tuberculosis. Greatest antimicrobial activity. Combination with Bacillus Calmette-Guerin (BCG) can enhance its activity[18, 19, 2628, 31, 41, 42, 45, 48, 7678, 85]

Human β-defensin 3 (HBD-3)Epithelial cellsInduced by mycobacteria infection and shows antimicrobial activity and can be stimulated by L-isoleucine when infected with tuberculosis. Related to long-term control of mycobacterial infection[29, 31, 32, 41, 48]

Human β-defensin 4 (HBD-4)Epithelial cellsStable production during latent infection and correlated with long-term control of mycobacterial infection[3032, 81]

θ-Defensins 1–3Monocytes, neutrophilsN/A[3337, 93, 94]