An
“antibiotic-free strategy” provides a viable option
to address bacterial infections, especially for the “superbug”
challenge. However, the undesirable antibacterial activity of antibiotic-free
agents hinders their practical applications. In this study, we developed
a combination antibacterial strategy of coupling peptide-drug therapy
with chemodynamic therapy (CDT) to achieve the effective bacterial
inhibition. An amphiphilic oligopeptide (LAOOH-OPA) containing a therapeutic
unit of D(KLAK)2 peptide and a hydrophobic linoleic
acid hydroperoxide (LAHP) was designed. The positively charged D(KLAK)2 peptide with an α-helical conformation
enabled rapid binding with microbial cells via electrostatic interaction
and subsequent membrane insertion to deactivate the bacterial membrane.
When triggered by Fe2+, moreover, LAHP could generate singlet
oxygen (1O2) to elicit lipid bilayer leakage
for enhanced bacteria inhibition. In vitro assays demonstrated that
the combination strategy possessed excellent antimicrobial activity
not only merely toward susceptible strains (Gram-positive Staphylococcus aureus and Gram-negative Escherichia
coli) but also toward methicillin-resistant Staphylococcus
aureus (MRSA). On the mouse skin abscess model induced by S. aureus, self-assembled LAOOH-OPA exhibited a more significant
bacteria reduction (1.4 log10 reduction) in the bioburden
compared to that of the standard vancomycin (0.9 log10 reduction)
without apparent systemic side effects. This combination antibacterial
strategy shows great potential for effective bacterial inhibition.