Antimicrobial Peptides: Potential Alternative to Antibiotics and Overcoming Limitations for Future Therapeutic Applications

Among all health-related issues, the rising concerns about drug resistance led to the look for alternative pharmaceutical drugs that are effective against both infectious and noninfectious diseases. Antimicrobial peptides (AMPs) are small molecular peptides that play a crucial role in the innate immunity of various organisms. They have amphiphilic structure and net positive charge, allowing them to interact with membranes and hydrophobic surfaces, showing strong broad-spectrum activity against different microorganisms, including bacteria, fungi, and viruses. They also exhibit other host-beneficial activities, including immunomodulation, anti-inflammatory, tissue regeneration, etc. AMPs exhibit antimicrobial activity through wide mechanisms of action, particularly by focusing on intracellular targets to inhibit the synthesis of nucleic acids and proteins. These wide ranges of mechanisms of action of AMPs have contributed to the slow development of resistance against microorganisms. The increasing pathogen resistance is a major global public health threat, and AMPs are constantly being explored and developed as another treatment for viral diseases such as HIV infection and (COVID-19). This review analyzes the potential of AMPs to combat antimicrobial resistance developed by several antimicrobial-resistant (AMR) microorganisms against existing antibiotics. This review focuses on the highlights of the sources, synthesis, mode, and mechanism of action, the evaluation of several benefits, and the outline of various hurdles. The review has also included the possible solution to the limitations associated with the clinical applications of AMPs, along with its future perspectives and development needed in drug discovery against AMR pathogens.