Overview
Where it comes from and why it was developed
LL-37 is not a “designer” peptide in the strict sense. It is a fragment of a human immune molecule that you carry in every neutrophil, every patch of skin, and every epithelial lining. For this reason, its initial characterization did not begin in a computational design laboratory, but in blood.
In 1995, a Danish team led by Ole Sørensen (Rigshospitalet, Copenhagen) isolated from human neutrophils a molecule they named hCAP-18 (human cationic antimicrobial protein, 18 kDa). It belonged to the family of cathelicidins, an evolutionarily ancient defense system present in mammals that we share with dogs, cows, pigs, and mice. In humans, there is only one cathelicidin, encoded by the CAMP gene on chromosome 3p21.3.
Further analysis revealed that the biologically active part of hCAP-18 resides at the C-terminus, separated from the pro-domain by proteolytic cleavage. The specific enzyme responsible for this cleavage is proteinase 3 in the secretory granules of neutrophils. The resulting fragment has 37 amino acids, begins with two leucines (hence “LL”), and the term LL-37 was born.
Sørensen and colleagues published the key paper in 1997 (Blood). Since then, LL-37 has been among the most-studied human antimicrobial peptides in the literature, with more than 6,000 indexed publications.
Why the community pays so much attention to LL-37
There are three main reasons why LL-37 stands out from the crowd of peptides:
1. Antibiotic resistance. Classical antibiotics work by inhibiting specific enzymatic steps (peptidoglycan synthesis, protein synthesis, DNA replication). Bacteria have evolved resistance to them via target mutations, efflux pumps, or enzymatic degradation. LL-37 works completely differently. It attacks the physical integrity of the bacterial membrane. This mechanism is much harder to bypass by mutation, which is why LL-37 (and related peptides) represent one of the most promising directions in the development of alternatives to antibiotics for resistant strains such as MRSA, VRE, or multidrug-resistant Pseudomonas.
2. Healing of chronic wounds. In chronic venous ulcers, diabetic ulcers, and burns, the level of endogenous LL-37 in the epithelium is reduced (Heilborn 2003). Supplementation of LL-37 directly into the wound in a clinical study (Gronberg 2014) demonstrated faster closure of defects in hard-to-heal ulcers. The mechanism includes simultaneous stimulation of keratinocytes, neoangiogenesis, and antimicrobial activity, which is always needed in wound healing.
3. Immunomodulatory double-edged nature. This is the honest side that is rarely visible in marketing copy. LL-37 is not “universally beneficial.” In psoriasis, LL-37 has been found to bind self-DNA from damaged cells and form a complex that activates plasmacytoid dendritic cells via TLR9 (Lande 2007). A pro-inflammatory loop is created that sustains the chronic psoriatic state. LL-37 in psoriatic skin is therefore a mediator of disease, not a drug. You must understand this complexity when working with the peptide.
Mechanism of action, what it does at the cellular level
LL-37 is a rare case of a peptide with multiple parallel mechanisms. It is not a “one target, one effect” molecule. It is rather a modular tool of innate immunity.
Direct antimicrobial activity via membrane disruption
LL-37 is cationic (net charge +6 at physiological pH) and amphipathic (one side of the α-helix is hydrophobic, the other hydrophilic). Bacterial membranes have negatively charged phospholipids on the outer leaflet (especially phosphatidylglycerol in gram-positives, lipopolysaccharide in gram-negatives). Eukaryotic membranes have predominantly neutral phosphatidylcholine on the outer leaflet.
This is the selectivity principle. LL-37 is electrostatically attracted to the bacterial membrane, locally folds into an α-helical structure, and as an amphipathic helix inserts into the lipid bilayer. At sufficient concentration it forms transmembrane pores (the so-called “barrel-stave” or “toroidal pore” mechanism). The bacterial cell loses ionic homeostasis, lyses osmotically, and dies.
The activity spectrum is very broad:
- Gram-positive bacteria, including MRSA, VRE, Streptococcus pyogenes
- Gram-negative bacteria, including E. coli, Pseudomonas aeruginosa, Klebsiella
- Mycobacteria, including partial activity against M. tuberculosis in vitro
- Enveloped viruses: HSV-1, HSV-2, HIV, RSV, influenza, with an expected effect also against SARS-CoV-2 via envelope disruption
- Fungi, especially Candida albicans
Immunomodulation, LPS neutralization, and cytokine modulation
LL-37 does a second thing that may be even more important than direct antimicrobial activity in the context of sepsis and chronic inflammation. It binds lipopolysaccharide (LPS), the endotoxin of gram-negative bacteria, and neutralizes its ability to activate TLR4 on macrophages. This means that during systemic infection LL-37 not only kills bacteria but also dampens the pro-inflammatory response that would otherwise lead to septic shock.
Via the FPR2/ALX receptor (formyl peptide receptor 2, bound to lipoxin A4), LL-37 activates chemotaxis of:
- Neutrophils
- Monocytes
- T-lymphocytes
- Mast cells
At the same time it modulates cytokine production. In some contexts it dampens IL-6 and TNF-α (anti-inflammatory), in others (psoriasis, lupus) it increases them. Context dependence is the main feature of LL-37 that complicates therapeutic use.
Wound healing via EGFR transactivation
Tokumaru et al. (2005) showed that LL-37 activates the epidermal growth factor receptor (EGFR) in keratinocytes, but indirectly. The mechanism is interesting. LL-37 triggers release of membrane-bound HB-EGF (heparin-binding EGF-like growth factor) via activation of metalloproteinases (especially ADAM17), and the released HB-EGF then activates EGFR autocrine or paracrine. Result: migration and proliferation of keratinocytes, re-epithelialization of the wound.
Heilborn et al. (2003) completed this picture with the observation that LL-37 expression in epithelium is reduced in chronic ulcers compared to acute wounds. This led to the hypothesis that LL-37 substitution could restore healing capacity. That was confirmed in Gronberg’s Phase 1/2 study.
Stimulation of angiogenesis
Via the FPR2 receptor on endothelial cells, LL-37 stimulates endothelial cell migration and capillary tube formation. This angiogenic effect is important in healing of ischemic tissues (diabetic ulcers, burns), but in parallel raises caution in oncology models, where unwanted angiogenesis supports tumor growth.
Investigated applications
The published preclinical and clinical literature documents effects of LL-37 in the following areas:
- Antimicrobial therapy of resistant strains (MRSA, VRE, multidrug-resistant Pseudomonas)
- Healing of chronic ulcers, Phase 1/2 data (Gronberg 2014)
- Diabetic ulcers in preclinical models
- Burns, support for re-epithelialization
- Sepsis models via LPS neutralization
- Cystic fibrosis and pulmonary infections (Pseudomonas)
- IBD, Crohn’s disease, ulcerative colitis in animal models
- Atopic dermatitis, where endogenous LL-37 is reduced
- Psoriasis as a mediator of a pathological loop (in this context LL-37 is not a therapy but a target for inhibition)
- Rosacea, where elevated expression of kallikrein 5 over-produces LL-37
- Oncology research, apoptotic effects on tumor cells (context-dependent)
- Antiviral research, including hypothetical protective effect against SARS-CoV-2
Science & studies
Key publications
Sørensen O.E., et al. (1997). The human antibacterial cathelicidin, hCAP-18, is synthesized in myelocytes and metamyelocytes and localized to specific granules in neutrophils. Blood. 90(7):2796-2803. Original description of biosynthesis and localization.
Nizet V., et al. (2001). Innate antimicrobial peptide protects the skin from invasive bacterial infection. Nature. 414(6862):454-457. In vivo evidence of protective function in skin.
Heilborn J.D., et al. (2003). The cathelicidin anti-microbial peptide LL-37 is involved in re-epithelialization of human skin wounds and is lacking in chronic ulcer epithelium. J Invest Dermatol. 120(3):379-389. Key observation about chronic ulcers.
Tokumaru S., et al. (2005). Induction of keratinocyte migration via transactivation of the epidermal growth factor receptor by the antimicrobial peptide LL-37. J Immunol. 175(7):4662-4668. EGFR transactivation mechanism.
Lande R., et al. (2007). Plasmacytoid dendritic cells sense self-DNA coupled with antimicrobial peptide. Nature. 449(7162):564-569. Double-edged nature of LL-37 in psoriasis.
Carretero M., et al. (2008). In vitro and in vivo wound healing-promoting activities of human cathelicidin LL-37. J Invest Dermatol. 128(1):223-236. Comprehensive validation of the healing effect.
Gronberg A., et al. (2014). Treatment with LL-37 is safe and effective in enhancing healing of hard-to-heal venous leg ulcers: a randomized, placebo-controlled clinical trial. Wound Repair Regen. 22(5):613-621. Phase 1/2 clinical trial.
Detailed study breakdowns
Study 1: Sørensen 1997, original characterization
Citation: Sørensen O.E., Follin P., Johnsen A.H., et al. The human antibacterial cathelicidin, hCAP-18, is synthesized in myelocytes and metamyelocytes and localized to specific granules in neutrophils. Blood. 1997;90(7):2796-2803.
What they did: Isolation of hCAP-18 from human neutrophils, sequencing, identification of site of synthesis and granular localization. Methods used: chromatography, mass spectrometry, bone marrow immunohistochemistry, immunoelectron microscopy of neutrophils, in vitro cleavage by proteinase 3, and characterization of the C-terminal LL-37 fragment.
What they found:
- hCAP-18 is synthesized during the myelocyte and metamyelocyte stage of neutrophil development in bone marrow.
- It is localized to specific granules (secondary granules), not primary azurophilic granules.
- Upon degranulation, hCAP-18 is released extracellularly and proteinase 3 (from azurophilic granules) proteolytically cleaves it into the pro-domain and the active C-terminal LL-37 fragment.
- LL-37 displays antimicrobial activity against E. coli and Staphylococcus aureus at micromolar concentrations.
- Full-length hCAP-18 (without cleavage) is biologically inactive.
Why it matters: This study defined the biology of LL-37 in the human body. Without Sørensen’s discovery, we would not know that LL-37 is a “hidden” precursor in the granular system of neutrophils, activated by controlled enzymatic cleavage. All subsequent research, including therapeutic attempts to deliver synthetic LL-37 directly without dependence on proteinase 3, builds on this insight.
Study 2: Nizet 2001, in vivo protective function in skin
Citation: Nizet V., Ohtake T., Lauth X., et al. Innate antimicrobial peptide protects the skin from invasive bacterial infection. Nature. 2001;414(6862):454-457.
What they did: They used knock-out mice for cathelicidin (CRAMP, the murine equivalent of LL-37), exposed them to cutaneous inoculation with group A streptococcus (Streptococcus pyogenes), and compared them with wild-type mice. They assessed lesion size, bacterial load, and histology.
What they found:
- Knock-out mice developed markedly larger and more invasive cutaneous lesions than wild-type controls.
- Bacterial load in local tissues was 5- to 10-fold higher in knock-out mice.
- In vitro, bacteria isolated from knock-out mice had the same sensitivity to CRAMP as reference strains. The defect was therefore in host defense, not in the pathogen.
- Supplementation of exogenous CRAMP into lesions partially restored protection in knock-out mice.
Why it matters: This was the first clear in vivo evidence that cathelicidin is required for normal skin defense against bacterial infection. It elevated LL-37 (and CRAMP in mice) from the role of “interesting in vitro molecule” to that of a key component of innate immunity. The knock-out model remains the gold standard for studying the roles of AMPs in various tissues.
Study 3: Heilborn 2003, LL-37 deficit in chronic ulcers
Citation: Heilborn J.D., Nilsson M.F., Kratz G., et al. The cathelicidin anti-microbial peptide LL-37 is involved in re-epithelialization of human skin wounds and is lacking in chronic ulcer epithelium. J Invest Dermatol. 2003;120(3):379-389.
What they did: Immunohistochemical analysis of biopsies from acute wounds (surgical wounds 3 to 7 days post-incision) and chronic wounds (venous ulcers, diabetic ulcers) in human patients. In parallel, an in vitro experiment in which they blocked LL-37 in an ex vivo skin wound model and assessed the effect on re-epithelialization.
What they found:
- In acute wounds, LL-37 is strongly expressed in migrating keratinocytes at the wound edge where re-epithelialization is actively occurring.
- In chronic ulcers, LL-37 is nearly absent from the epithelium, despite increased bacterial colonization (which would normally induce its expression).
- In vitro blockade of LL-37 with antibody or antisense oligonucleotide stopped re-epithelialization in the ex vivo skin wound model.
- Supplementation of synthetic LL-37 into the model restored re-epithelialization in the blockade conditions.
Why it matters: Heilborn and colleagues linked the deficit of endogenous LL-37 to the pathophysiology of chronic wounds. This led to the hypothesis that substitution with synthetic LL-37 could be a therapeutic strategy for venous ulcers, diabetic ulcers, and other hard-to-heal defects. That hypothesis was clinically validated ten years later in Gronberg’s Phase 1/2 study.
Study 4: Tokumaru 2005, EGFR transactivation in keratinocytes
Citation: Tokumaru S., Sayama K., Shirakata Y., et al. Induction of keratinocyte migration via transactivation of the epidermal growth factor receptor by the antimicrobial peptide LL-37. J Immunol. 2005;175(7):4662-4668.
What they did: Stimulation of human keratinocytes with LL-37 in culture and assessment of:
- Migration in a scratch wound assay
- Phosphorylation of EGFR and downstream kinases (ERK1/2, Akt)
- Use of an EGFR inhibitor (AG1478) and metalloproteinase inhibitors (GM6001, TAPI-1)
- Release of HB-EGF from the cell surface
What they found:
- LL-37 at concentrations of 1 to 10 µM strongly stimulates keratinocyte migration in the scratch assay.
- LL-37 induces EGFR phosphorylation within 5 to 15 minutes, with downstream activation of ERK1/2.
- The EGFR inhibitor AG1478 completely blocks the migratory effect of LL-37.
- The ADAM metalloproteinase inhibitor (TAPI-1) also blocks migration, confirming that EGFR is activated indirectly via shedding of HB-EGF.
- LL-37 does not directly bind EGFR; the mechanism is transactivation via metalloproteinase-dependent ligand release.
Why it matters: This study revealed the concrete molecular mechanism by which LL-37 supports healing. From this it follows that LL-37 is not just an “antibiotic,” but also a growth factor modulator that engages the EGFR pathway, one of the most important pathways in epithelial regeneration. Understanding this mechanism opened the door to further studies combining LL-37 with exogenous growth factors.
Study 5: Lande 2007, double-edged nature in psoriasis
Citation: Lande R., Gregorio J., Facchinetti V., et al. Plasmacytoid dendritic cells sense self-DNA coupled with antimicrobial peptide. Nature. 2007;449(7162):564-569.
What they did: Study of psoriatic skin and an in vitro model with plasmacytoid dendritic cells (pDC). The question: why do psoriasis patients, who have elevated LL-37 levels in skin, paradoxically not have better protection from infection but instead chronic inflammation? The experiments included:
- Immunofluorescent localization of LL-37 and self-DNA in psoriatic lesions
- In vitro stimulation of pDC with combinations of LL-37 + DNA from various sources
- Measurement of IFN-α production by pDC
- TLR9 inhibition experiments
What they found:
- In psoriatic skin, LL-37 is colocalized with self-DNA released from damaged keratinocytes.
- LL-37 binds DNA via cationic interactions and transports it into pDC endosomes.
- In the endosome the DNA activates TLR9, which normally does not respond to self-DNA (because that DNA is sequestered in the nucleus and does not reach TLR9).
- Activated TLR9 triggers massive production of interferon α (IFN-α), the driving force of psoriatic inflammation.
- Without LL-37, self-DNA alone does not stimulate pDC. The combination of LL-37 + DNA is a qualitatively different signal from either alone.
Why it matters: This is a critical publication that every research user of LL-37 must know. It shows that LL-37 is not a universally “good” peptide. In some contexts (psoriasis, lupus, certain autoimmune diseases) it is a mediator of pathology, not a treatment. From the research perspective this means that context specificity is more important with LL-37 than with other peptides. You cannot simply “apply LL-37” and expect a protective effect. It depends on the tissue environment, presence of DNA, and type of immune cells.
Study 6: Carretero 2008, comprehensive validation of the healing effect
Citation: Carretero M., Escámez M.J., García M., et al. In vitro and in vivo wound healing-promoting activities of human cathelicidin LL-37. J Invest Dermatol. 2008;128(1):223-236.
What they did: A comprehensive experimental program that linked in vitro and in vivo data:
- Stimulation of human keratinocytes and fibroblasts with LL-37, measurement of proliferation, migration, and matrix protein production.
- In vivo murine model of excisional skin wounds, local application of LL-37 in a hydrogel formulation vs. control.
- Assessment of wound closure kinetics, scar tissue quality, capillary density.
- Mechanistic analysis of FPR2 receptor involvement.
What they found:
- LL-37 at concentrations of 1 to 5 µM stimulated proliferation of keratinocytes by 30 to 60 % above baseline and of fibroblasts by 20 to 40 %.
- LL-37 strongly stimulated angiogenesis in an in vitro tube formation assay with endothelial cells (HUVEC).
- In vivo: mice treated with LL-37 had faster wound closure by 25 to 35 % compared with control (days 7 and 14).
- Capillary density in healing wounds was significantly higher in the LL-37 group.
- FPR2 antagonists partially blocked the angiogenic and migratory effect of LL-37, confirming the involvement of this receptor.
Why it matters: Carretero’s study combined the cellular, mechanistic, and in vivo levels into a coherent validation of LL-37’s healing effect. It established the evidence basis for clinical translation and served as one of the main references in Gronberg’s Phase 1/2 study a few years later.
Study 7: Gronberg 2014, Phase 1/2 clinical trial in venous ulcer healing
Citation: Gronberg A., Mahlapuu M., Stahle M., Whately-Smith C., Rollman O. Treatment with LL-37 is safe and effective in enhancing healing of hard-to-heal venous leg ulcers: a randomized, placebo-controlled clinical trial. Wound Repair Regen. 2014;22(5):613-621.
What they did: Randomized, placebo-controlled, double-blind Phase 1/2 clinical trial. They enrolled patients with chronic venous leg ulcers that had not responded to standard care. Randomization: local application of synthetic LL-37 in a hydrogel formulation at three doses (0.5, 1.6, 3.2 mg/ml) vs. hydrogel placebo, twice weekly for 4 weeks. Follow-up of 8 weeks. Assessment: safety, wound size reduction, microbial colonization, local reactions.
What they found:
- No serious adverse events related to LL-37 in any group.
- Local tolerability was good; mild stinging on application was reported by <10 % of patients.
- Statistically significant acceleration of healing in the 0.5 and 1.6 mg/ml LL-37 groups vs. placebo.
- The highest dose of 3.2 mg/ml paradoxically showed a smaller effect, pointing to a bell-shaped dose-response curve (a typical phenomenon for immunomodulators).
- Bacterial load in the wound did not change significantly; the healing effect was therefore not primarily antimicrobial but regenerative.
Why it matters: This is the first and so far only published randomized clinical study of LL-37 in humans. It validated the concept of therapeutic LL-37 supplementation in the indication of chronic ulcers. The full registration process did not proceed, however. The Swedish company Pergamum AB, which sponsored the study, was later acquired by Promore Pharma, and the LL-37 clinical program underwent further restructuring. In the research context, however, Gronberg’s study remains a key safety and efficacy reference point for LL-37.
CoA, Certificate of Analysis
HPLC analysis of batch 2026-04-L
- Purity: ≥ 98.2 % (HPLC-UV at 220 nm)
- Identity: confirmed by mass spectrometry (MS, ESI+, MW 4,493.33 Da)
- Endotoxins: < 1.0 EU/mg (LAL test, measurement of bacterial toxin contamination)
- Microbial contamination: meets USP <61>
- Residual solvents: meets ICH Q3C
- TFA residues: < 1.5 %
- Peptide content (AAA, amino acid analysis): 75 to 85 % (remainder salt and water, typical for a peptide of this size)
- Secondary structure: confirmed by CD spectroscopy (random coil in PBS, inducible α-helix in 50 % TFE)
- Related impurity profile: deletion sequences, oxidized forms < 0.5 % each
[Download CoA (PDF)], [Download SDS (PDF)]
Independent analytical laboratory (3rd-party verification). Original manufacturing CoA available upon request for B2B partners.
Note on synthesis: LL-37 with 37 amino acids is almost five times longer than a typical shorter peptide in our catalog (e.g. BPC-157 has 15 aa, AOD-9604 16 aa). This means significantly more synthetic steps, higher risk of deletion sequences, and more demanding purification. MOLEQUA applies a stepwise HPLC purification (first round for purity, second round for salt exchange) and verifies secondary structure for each batch by CD spectroscopy. This is why LL-37 is among our premium tier products.
Storage
Lyophilizate (dry powder before reconstitution)
- 2 years at −20 °C (freezer)
- 18 months at 2 to 8 °C (refrigerator)
- Up to 14 days at room temperature (up to 25 °C), protect from light and moisture. LL-37 is more sensitive than shorter peptides, so prolonged exposure to room temperature is not recommended.
After reconstitution (peptide in solution with bacteriostatic water)
- Up to 30 days at 2 to 8 °C, protected from light
- LL-37 in solution is more sensitive than shorter peptides. Avoid acidic conditions (pH < 4) and strongly alkaline conditions (pH > 9), which accelerate degradation. Optimal pH 5 to 7.
Practical storage rules
- Let the vial warm to room temperature (15 to 20 min) before opening. A cold vial and warm air create moisture condensation inside.
- LL-37 is an amphipathic peptide. It may to a small extent “stick” to the glass walls of the vial during prolonged storage in solution. This is a normal phenomenon; gentle swirling will release the peptide.
- Darkness is important. LL-37 does not contain tryptophan (the most sensitive aromatic amino acid), but it does contain phenylalanine and tyrosine, which also react to UV light. Store in an amber vial or box.
- Do not shake! Mechanical stress can disrupt secondary structure and promote aggregation (a typical problem for amphipathic peptides).
- The solution should remain clear. Any turbidity indicates aggregation or contamination; do not use such a sample further.
- Avoid repeated freeze-thaw cycles. If you reconstitute a larger volume, divide into aliquots and freeze once at −20 °C or −80 °C.
Reconstitution
3-step visual
- Reconstitute by adding bacteriostatic water down the side of the vial.
- Measure the required volume using the calculator (section 8).
- Store in the refrigerator at 2 to 8 °C, protected from light.
Detailed protocol
What you will need:
- LL-37 vial (5 mg lyophilizate)
- 2 ml bacteriostatic water (contains 0.9 % benzyl alcohol, a preservative that prevents bacterial growth). Alternatively, sterile WFI water or 0.9 % NaCl if you want a preservative-free solution (shorter shelf life).
- Insulin syringe 1 ml / 29G
- Alcohol swab
Procedure:
- Let the LL-37 vial reach room temperature (15 to 20 min). A cold vial and warm water lead to condensation that disrupts peptide stability.
- Disinfect the rubber stoppers of both vials (peptide and BAC water) with an alcohol swab. Allow the alcohol to evaporate.
- Draw the required volume of BAC water into the insulin syringe. The standard for a 5 mg vial is 2 ml, resulting in a concentration of 2.5 mg/ml.
- Inject the water slowly down the side of the vial. Never directly onto the lyophilizate. A strong jet can create foam and induce peptide aggregation.
- Let the vial rest for 2 to 3 minutes. LL-37 is a longer molecule and dissolves more slowly than smaller peptides. Give it time.
- Gently swirl the vial with circular motions (NEVER shake!) for 60 to 90 seconds until all the powder dissolves. If you still see residual particles, wait another minute and repeat. The solution should be completely clear, with no turbidity and no floating particles.
- Store in the refrigerator at 2 to 8 °C, protected from light.
Alternative volumes for different final concentrations
| BAC water | Final concentration | Use |
|---|---|---|
| 1 ml | 5 mg/ml | High concentration, suitable for local applications in research models |
| 2 ml | 2.5 mg/ml | Standard, suitable for most research protocols |
| 5 ml | 1 mg/ml | For low doses and in vitro experiments |
| 10 ml | 0.5 mg/ml | For cell culture applications (1 to 10 µM concentrations in medium) |
Rule of thumb: For LL-37 we recommend 2 ml volume as the optimal compromise. At higher concentrations the risk of aggregation increases; at lower concentrations the shelf life of the solution decreases. If you work with in vitro models (cell cultures), you can prepare a concentrated stock (5 mg/ml) and dilute in the experiment to the working concentration.
Peptide calculator (interactive widget)
Inputs:
- Peptide mass in the vial: 5 mg (pre-filled)
- Reconstitution water volume: slider 1 to 10 ml
- Target “dose” in the study protocol (mg or µg)
Outputs:
- Concentration: __ mg/ml
- Volume per dose: __ ml
- Insulin syringe visualization: __ IU (on a 100 IU scale)
Example (local application in a hydrogel formulation, equivalent to the Gronberg 2014 medium dose of 1.6 mg/ml): To prepare a 1.6 mg/ml solution: 5 mg vial plus 3.1 ml BAC ≈ 1.6 mg/ml. With 0.5 ml applied to the wound, this delivers 0.8 mg of LL-37.
Example (in vitro experiment, target 1 µM in 10 ml of medium): 1 µM LL-37 in 10 ml of medium = 1×10⁻⁶ mol/L × 4493 g/mol × 0.01 L = 45 µg. From a 2.5 mg/ml stock this corresponds to 18 µl of stock solution into 10 ml of medium.
Disclaimer: The calculator is intended solely for research calculations when replicating published protocols. It is not medical guidance and not a dosing recommendation for humans.
Combinations with peptides, frequently combined peptides
LL-37 is primarily a multifunctional peptide with both antimicrobial and regenerative effects. In research protocols it is combined with peptides that complement specific mechanisms.
BPC-157 and TB-500, wound healing and regeneration
The most common combination in the research literature on soft tissue healing. BPC-157 supports neovascularization via VEGFR2 and modulates NO synthase. TB-500 (Thymosin β4 fragment) supports cell migration and actin remodeling. LL-37 contributes an antimicrobial protective environment and EGFR-mediated keratinocyte migration. Together they cover vascularization, cell migration, and antimicrobial defense, three key components of chronic wound healing.
KPV, anti-inflammatory component for skin indications
KPV (Lys-Pro-Val, a tripeptide fragment of α-MSH) has strong anti-inflammatory effects via the melanocortin system and NF-κB inhibition. In combination with LL-37 it is being investigated for atopic dermatitis, where LL-37 supplies the antimicrobial component and KPV dampens chronic inflammation. In psoriasis the situation is more complex; KPV may be beneficial, but LL-37 may be counterproductive (Lande 2007).
Thymosin α1, immunomodulatory synergy
Thymosin α1 is a 28-amino-acid peptide with complex immunomodulatory activity, including support of T-cell maturation and activation of dendritic cells via TLR9. Combination with LL-37 is being explored for anti-infective applications (sepsis, severe infections in immunocompromised patients, certain viral infections). Both peptides modulate innate and adaptive immunity from different angles.
GHK-Cu, dermatological synergy
GHK-Cu (a tripeptide with bound copper) is well characterized in dermatology and cosmetology. It stimulates collagen and glycosaminoglycan synthesis and supports matrix remodeling. In research contexts it is combined with LL-37 for post-burn skin regeneration, anti-aging research, and support of scar healing. The mechanisms are complementary: GHK-Cu at the matrix level, LL-37 at the keratinocyte and antimicrobial protection level.
Additional note: caution in autoimmune models
In research contexts of autoimmune diseases (psoriasis, lupus, certain forms of IBD), combination of LL-37 with other immune activators is contraindicated. In these models LL-37 may contribute to pathogenesis via the TLR9-IFN-α loop (Lande 2007). Always verify the applicability of LL-37 in the specific model context first.
Shipping & packaging
- Discreet packaging, no logos, no description of contents on the outer packaging. No postal worker knows what you ordered.
- Packeta, SK 24 to 48 h, EU within 3 days
- Free shipping above €80 (otherwise €4.90)
- Dispatch within 24 h of order confirmation (order by 14:00, we ship the same day)
- Cooling insert automatically added during June to August
- For summer shipments to southern Europe, an extended cooling insert (48-hour thermal stability)
- As a premium peptide, LL-37 is shipped in a solid padded package with light protection
FAQ, frequently asked questions
What is LL-37 and why does it have such an unusual name? LL-37 is the C-terminal fragment of the human cathelicidin protein hCAP-18. The name comes from the two leucines (LL) at the beginning of the sequence and the total of 37 amino acids. It is the only cathelicidin peptide in humans, an evolutionarily conserved component of innate immunity. You find it in neutrophils, epithelial cells, keratinocytes, and the mucosa of the respiratory and digestive tracts. Upon infection or injury, hCAP-18 is released and proteinase 3 cleaves it into active LL-37.
Is LL-37 the same as cathelicidin? Not exactly. Cathelicidin peptides are an entire family of molecules present in mammals. In humans we encode only one cathelicidin precursor (hCAP-18), which is cleaved to LL-37. In mice the equivalent is CRAMP (cathelin-related antimicrobial peptide), in cows bovine cathelicidin BMAP-28, etc. In the human literature, “cathelicidin,” “hCAP-18,” and “LL-37” are often used interchangeably, although technically LL-37 is only the active fragment of full-length hCAP-18.
Does LL-37 work against resistant bacteria such as MRSA? Yes, in vitro and in preclinical models. LL-37 attacks the physical integrity of the bacterial membrane, not a specific enzymatic target. This mechanism is much harder to bypass by mutation, so resistant strains (MRSA, VRE, multidrug-resistant Pseudomonas) remain sensitive to LL-37 at concentrations similar to sensitive strains. Clinical translation is, however, more complex (LL-37 is expensive, short-lived, and can be proteolytically degraded in the wound). Synthetic LL-37 analogs with improved stability are currently being developed.
What is the half-life of LL-37? ~30 minutes in plasma. LL-37 is proteolytically degraded by multiple enzymes, including bacterial proteases (V8 from S. aureus, gelatinase from Pseudomonas) and host enzymes. This is why in the clinical context LL-37 is applied locally (into the wound in a hydrogel), not systemically.
Does LL-37 cause psoriasis in the skin? Not directly, but it is part of a pathological loop. In healthy skin, LL-37 performs its normal antimicrobial and regenerative function. In psoriatic skin, however, LL-37 together with self-DNA from damaged keratinocytes becomes a signal for plasmacytoid dendritic cells (Lande 2007). This leads to IFN-α production and chronic inflammation. In this context LL-37 maintains the pathology, but it is not the primary cause. From the research perspective this means that LL-37 should not be applied in psoriasis models as a therapeutic agent, but rather as a target for inhibition.
Can LL-37 be used for the treatment of acne? This is being investigated in the research context. Propionibacterium acnes is sensitive to LL-37 in vitro. However, acne is not only infectious but also inflammatory, and LL-37 can in inflamed skin support the IL-17/IL-23 axis. Clinical data are limited and contradictory. This is not a clear-cut indication.
Is LL-37 safe for local application? In Gronberg’s Phase 1/2 clinical study (2014), local application of LL-37 in a hydrogel formulation was well tolerated. No serious adverse events, mild stinging on application in <10 % of patients. In the research context this means a favorable local safety profile, but the clinical validation is limited to a single Phase 1/2 study; do not expect it to be an approved medicine.
What are the side effects? In the published literature:
- Local stinging or itching at the application site (rare)
- At high concentrations (>10 µM), cytotoxicity to eukaryotic cells in vitro
- In autoimmune contexts (psoriasis, lupus), possible exacerbation of inflammation
- In systemic administration, theoretical risk of hemolysis at very high concentrations (LL-37 is amphipathic and interacts with membranes)
LL-37 is not approved as a drug; a formal side-effect profile is not available.
Who should NOT work with LL-37 in the research context? These are not medical contraindications but practical research limitations:
- Models of autoimmune diseases (psoriasis, lupus, certain forms of IBD), where LL-37 can be a mediator of pathology
- Models with an activated TLR9 axis, where LL-37 plus self-DNA can amplify the response
- Oncology models sensitive to angiogenesis (LL-37 stimulates neovascularization, which can support tumor growth)
What is the difference between LL-37 and other antimicrobial peptides? A few comparisons:
| Peptide | Origin | Mechanism | Clinical history |
|---|---|---|---|
| LL-37 | Human (hCAP-18) | Membrane disruption + immunomodulation | Phase 1/2 in ulcers |
| Magainin-2 | Frog Xenopus | Membrane disruption | Phase 2/3 in diabetic ulcers (Magainin Pharma, unsuccessful) |
| Defensins (HD-5, HD-6) | Human | Membrane disruption | Preclinical only |
| Polymyxin B | Bacillus polymyxa | LPS disruption in gram-negatives | Approved drug, but nephro- and neurotoxic |
LL-37 is interesting in this list because it combines antimicrobial and regenerative functions, which is rare among AMPs.
What is the WADA status of LL-37? LL-37 is not formally on the WADA Prohibited List 2026. However, as a biologically active peptide with potential effects on healing and immunity, it may fall under the S2 wildcard category (“Peptide hormones, growth factors, related substances and mimetics”) via the general clause. Professional athletes should always verify the current status with WADA and the national anti-doping agency before any application.
Can LL-37 be administered orally? Not effectively. LL-37 is a 37-amino-acid peptide that is rapidly degraded in the gastrointestinal tract by proteases (pepsin, trypsin, chymotrypsin). Oral bioavailability is essentially zero. LL-37 is applied locally (into the wound, into the epithelium) or, in specific research contexts, parenterally.
Why is LL-37 in the MOLEQUA premium tier category? Three reasons:
- 37 amino acids means five times more synthetic steps than for the shorter peptides in our catalog. Each step adds risk of impurities.
- HPLC purification of a long amphipathic peptide is significantly more demanding than for shorter molecules. LL-37 “sticks” to chromatographic columns and requires optimized gradients.
- Secondary structure control by CD spectroscopy is required for validation that the peptide is in the correct conformation. This is an extra analytical step that raises production costs.
The premium-tier price reflects these real production and analytical costs, not a marketing markup.
What is the purity of this batch? The current batch 2026-04-L: ≥ 98.2 % HPLC. Full CoA with HPLC chromatogram, MS spectrum (confirming MW 4,493.33 Da), CD spectroscopic analysis of secondary structure, and related-impurity profile is available for download or upon request. For LL-37 we apply extended analytical control (AAA, CD, MS) as a standard part of batch release.
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4.9 / 5 from 14 reviews
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Related products
From the Immunity & Antimicrobial Peptides category:
- Thymosin α1, an immunomodulatory peptide, primary stack partner for anti-infective applications
- KPV, an anti-inflammatory tripeptide, dermatological synergy (coming soon)
From the Regeneration and Healing category (for stack protocols):
- BPC-157, gastroprotective peptide with a pro-angiogenic effect
- TB-500 (Thymosin β4 fragment), cell migration and actin remodeling
- GHK-Cu, regenerative tripeptide with bound copper, dermatological application
From the Premium Tier category:
- Other MOLEQUA premium peptides with extended analytical control can be found in the “Premium tier” section of the catalog.
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Full Disclaimer
Disclaimer. LL-37 and all MOLEQUA Peptides products are intended exclusively for research and scientific purposes. They are not a medicine, dietary supplement, cosmetic product, or food. They are not intended for human or animal consumption. Sales are limited to qualified researchers, academic institutions, and laboratories. Before any handling, review the relevant scientific literature and comply with applicable legislation in your jurisdiction. LL-37 has neither FDA nor EMA approval as a medicine. The only published randomized clinical study (Gronberg et al. 2014, Phase 1/2 in healing of chronic venous ulcers) demonstrated safety and efficacy in local application, but the full registration process did not proceed. In autoimmune contexts (psoriasis, lupus), LL-37 may contribute to pathology via activation of the TLR9 axis of plasmacytoid dendritic cells (Lande et al. 2007), which must be considered in research design. MOLEQUA Peptides assumes no responsibility for misuse of the product outside its declared purpose.
End of product LL-37.
