Defensins
Alpha/beta defensins
Class of endogenous antimicrobial peptides. No FDA-approved drug product.
Cyclic lipopeptide antibiotic for gram-positive infections.
Daptomycin (Cubicin) is a cyclic lipopeptide antibiotic; the brand-name product Cubicin is FDA-approved for treatment of complicated skin and soft tissue infections, S. aureus bacteremia, and right-sided endocarditis caused by gram-positive organisms.
Daptomycin binds bacterial cell membranes in a calcium-dependent manner, causing membrane depolarization and cell death. The mechanism is distinct from other antibiotic classes and provides utility against multidrug-resistant gram-positive organisms including MRSA and VRE.
IV antibiotic for serious infections requiring hospital or infusion-center administration with appropriate monitoring. Infectious disease consultation typical for indications requiring daptomycin. Not appropriate for an outpatient clinic.
Infectious disease specialists.
Alpha/beta defensins
Class of endogenous antimicrobial peptides. No FDA-approved drug product.
Cathelicidin
The only known human cathelicidin antimicrobial peptide. Not FDA-approved; investigational.