Immune

LL-37

Also known as: Cathelicidin, CAP18

Clinical Trials
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Key Facts: LL-37

Category
Immune
FDA Status
Not FDA Approved
Clinical Status
Investigational - Clinical trials for wound healing. FDA Category 2 (restricted; expected to remain restricted due to limited safety data and immunogenicity concerns)
Administration
Subcutaneous injection or topical
Typical Dose
100-200 mcg daily
Frequency
Once daily
Duration
Variable by protocol
Also Known As
Cathelicidin, CAP18

Mechanism of Action

LL-37 carries a net positive charge and has a water-loving and fat-loving (amphipathic) structure, which lets it home in on the negatively charged membranes of bacteria and physically punch holes in them. But killing microbes directly is only half the job. It also acts as a signaling molecule: it neutralizes bacterial toxin LPS, calms or tunes the inflammatory response, recruits immune cells to wounds and infection sites, and helps skin re-grow and close over injuries. It is produced by skin, gut, lung, and other epithelial cells, plus immune cells like neutrophils. This dual role, direct antimicrobial plus immune coordinator, is why it is described as a multifunctional host-defense peptide.

Research Summary

The basic biology of LL-37 is well established across many peer-reviewed studies. Its broad antimicrobial activity, membrane-disrupting mechanism, and tissue distribution are documented in reviews such as those in the Journal of Leukocyte Biology and PMC-indexed updates on how it limits the spread of local infection. Research has also explored more speculative directions: LL-37 and engineered mimics have shown anticancer activity in laboratory models, and it has been studied as a possible host-defense factor against Helicobacter pylori in the stomach and against pathogens on the surface of the eye. The important honesty point is that almost all of this is mechanistic and preclinical. LL-37 is firmly proven as a natural part of human immunity, but as a deliberately administered therapy it has not cleared large human clinical trials, and its dual nature means it can also drive inflammation in some disease states. So: rock-solid as biology, still experimental as a treatment.

Trial Progress:Preclinical
Pre
I
II
III
IV
FDA

Dosing Information

Human Trials·Human studies conducted, not FDA approved

Typical Dosing

Community experience

Common Dose

100-200 mcg daily

Range

50-300 mcg daily

Frequency

Once daily

Antimicrobial peptide. Used for infections, biofilm disruption. Some use higher doses for acute infections.

Research Dosing

Scientific studies

Doses from research protocols

Doses from Studies

Duration

Variable by protocol

Administration

Subcutaneous injection or topical

Timing & Administration

Best Time to Take

Morning

As directed, typically once daily

Food Recommendation

With or without food

Why This Timing?

LL-37 is an antimicrobial peptide. Morning use supports daytime immune surveillance.

Possible Side Effects

Not everyone experiences these effects. Individual responses vary based on dosage, duration, and personal factors.

  • Injection site reactions (common)
  • Skin toxicity (ulcers, burning)
  • Allergic reactions
  • May trigger histamine release - use caution with MCAS or histamine sensitivity
  • May contribute to autoimmune conditions
  • High-dose toxicity concerns
  • Limited long-term safety data

References

Research This Peptide Further

Buy in shop

LL-37 from $96/kit

4 verified vendors, ≥99% purity, COAs included.

Compare prices

Frequently Asked Questions

What does LL-37 do?

LL-37 is the only cathelicidin antimicrobial peptide humans make, a 37-amino-acid, positively charged, helical fragment cut from a precursor protein called hCAP-18. It is a frontline player in the innate immune system, part of the body's chemical defense against bacteria, viruses, and fungi. This is mainstream, heavily studied human biology, not a fringe research peptide, though LL-37 itself is not an approved drug.

How does LL-37 work?

LL-37 carries a net positive charge and has a water-loving and fat-loving (amphipathic) structure, which lets it home in on the negatively charged membranes of bacteria and physically punch holes in them. But killing microbes directly is only half the job. It also acts as a signaling molecule: it neutralizes bacterial toxin LPS, calms or tunes the inflammatory response, recruits immune cells to wounds and infection sites, and helps skin re-grow and close over injuries. It is produced by skin, gut, lung, and other epithelial cells, plus immune cells like neutrophils. This dual role, direct antimicrobial plus immune coordinator, is why it is described as a multifunctional host-defense peptide.

Is LL-37 FDA approved?

No, LL-37 is not currently FDA approved. Current status: Investigational - Clinical trials for wound healing. FDA Category 2 (restricted; expected to remain restricted due to limited safety data and immunogenicity concerns)

What are the side effects of LL-37?

Reported side effects include: Injection site reactions (common), Skin toxicity (ulcers, burning), Allergic reactions, May trigger histamine release - use caution with MCAS or histamine sensitivity, May contribute to autoimmune conditions. Individual responses vary based on dosage, duration, and personal health factors.

What is the typical dose of LL-37?

Community-reported common dose: 100-200 mcg daily (Once daily). Range: 50-300 mcg daily. Administration: Subcutaneous injection or topical. Community-reported doses. Not medical advice. Consult healthcare provider.

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Enfuvirtide

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PNC27

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PNC-27 is a 32-amino-acid lab-designed peptide that fuses a fragment of the tumor-suppressor protein p53 (residues 12 to 26) to a membrane-penetrating leader sequence. The interesting claim is that it kills cancer cells while leaving normal cells alone, by punching holes in the cancer cell membrane. It is a research compound only, with no approval and no human clinical trials.

Immune

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