LL-37
The only human cathelicidin. We read all 60 studies. The protocol is below.
Free — puts LL-37 on your decision board.
Everything you need to start: dose, sourcing, safety, our verdict.
One purchase · yours forever
Built from 60 cited studies.
- you're in the chronic-Lyme / Bartonella / Babesia treatment community and your LLMD mentioned it
- you've been diagnosed with CIRS or mold illness on a Shoemaker-adjacent protocol
- you have biofilm-implicated chronic sinusitis or UTI and you've worked with an integrative MD on it
- you're buying LL-37 partly because a contested diagnosis (Lyme, CIRS, mold/biofilm) is the framing — contested doesn't mean disproven, but it changes the risk math. Without diagnostic certainty there's no objective anchor for dose, duration, or stop criteria, so the experiment is harder to call won or lost. Keep that in front of you, not under it
- you have rosacea, psoriasis, or any lupus-spectrum diagnosis — LL-37 is implicated in those flares
- **you're on antibiotics or immunosuppressants right now.** LL-37 is itself an antimicrobial peptide — synergistic with abx (could amplify both effect and toxicity, including the GI/nephro/oto profile of whatever you're already on); opposed to immunosuppressants (the anti-inflammatory aim of the suppressant defeats the host-defense-amplification aim of LL-37). Don't run it concurrent without the prescriber driving that decision
- you want phase 3 data — there is none for systemic use
- you're shopping for general "immune support" without a specific infection diagnosis
- Any unusual symptoms — especially relevant if you have a personal or family cancer history (angiogenesis mechanism for BPC-157, TB-500).
- 12 weeks with no perceived improvement vs the no-peptide trajectory.
- New pain or symptoms at injection site that don't resolve in 48 hours.
What it is.
LL-37 is the only cathelicidin antimicrobial produced by the human body. It's part of the innate immune system — the first-line defense your skin, lungs, and gut use to kill bacteria, viruses, and fungi before the adaptive immune system shows up.
The "LL" refers to two leucines at the N-terminus; "37" is the amino-acid length. It's released from a precursor protein (hCAP-18) by neutrophils and epithelial cells during infection or injury. Vitamin D regulates its expression, which is part of why low vitamin D correlates with higher infection risk.
Synthetic LL-37 is sold strictly as a research chemical (RUO) in the US. It's used off-label for chronic biofilm infections, some skin conditions, and post-Lyme protocols. It is not FDA approved for any indication and the human evidence base is thin.
TL;DR. 30-second version.
The compressed verdict — what LL-37 actually is, what the human evidence shows, and the watch-for in three bullets. Locked.
Get the report · $19 ↓Mechanism.
How the molecule actually works — receptor profile, downstream signaling, what to expect mechanistically.
Get the report · $19 ↓Evidence. What we actually know in humans.
The trial breakdown — phase, n, primary endpoint, who funded, what hit, what didn't.
Get the report · $19 ↓Dose. The actual protocol.
The specific protocol — dose, titration schedule, cycle pattern, frequency, route.
Sourcing. Where the cohort actually buys.
Sourcing breakdown — vendor methodology, red flags, our published test results, COA checklist.
Safety. Side effects.
The watch-for list — contraindications, drug interactions, monitoring labs, when to stop.
Get the report · $19 ↓Editorial position.
Our editorial position — explicit yes / no / depends, with the reasoning behind it.
Get the report · $19 ↓Citations.
- 01Segreto F, et al. Cathelicidin LL-37 Expression in Human Breast Implant Capsules. Plastic and reconstructive surgery. 2024;153(5):1066-1073. PMID: 37220260.
- 02Leite ML, et al. The LL-37 domain: A clue to cathelicidin immunomodulatory response?. Peptides. 2023;165:171011. PMID: 37068711.
- 03Memariani H, et al. Antibiofilm properties of cathelicidin LL-37: an in-depth review. World journal of microbiology & biotechnology. 2023;39(4):99. PMID: 36781570.
- 04Wnorowska U, et al. Nanoantibiotics containing membrane-active human cathelicidin LL-37 or synthetic ceragenins attached to the surface of magnetic nanoparticles as novel and innovative therapeutic tools: current status and potential future applications. Journal of nanobiotechnology. 2020;18(1):3. PMID: 31898542.
- 05Memariani M, et al. Antifungal properties of cathelicidin LL-37: current knowledge and future research directions. World journal of microbiology & biotechnology. 2023;40(1):34. PMID: 38057654.
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- 06Xi L, et al. Cathelicidin LL-37 promotes wound healing in diabetic mice by regulating TFEB-dependent autophagy. Peptides. 2024;175:171183. PMID: 38423213.
- 07Kilari G, et al. Human cathelicidin LL-37 rapidly disrupted colonic epithelial integrity. Biochimica et biophysica acta. Biomembranes. 2025;1867(3):184410. PMID: 39837472.
- 08Ahmed EM, et al. Human Cathelicidin, LL-37 a potential antiviral therapeutic for Rift Valley Fever Virus in Egypt. Cellular and molecular biology (Noisy-le-Grand, France). 2024;70(8):1-9. PMID: 39262269.
- 09Fabisiak A, et al. LL-37: Cathelicidin-related antimicrobial peptide with pleiotropic activity. Pharmacological reports : PR. 2016;68(4):802-8. PMID: 27117377.
- 10Miao S, et al. Cathelicidin peptide LL-37: A multifunctional peptide involved in heart disease. Pharmacological research. 2024;210:107529. PMID: 39615616.
- 11Nagaoka I, et al. Therapeutic Potential of Cathelicidin Peptide LL-37, an Antimicrobial Agent, in a Murine Sepsis Model. International journal of molecular sciences. 2020;21(17). PMID: 32825174.
- 12Su Y, et al. Engineered Exosomes Containing Cathelicidin/LL-37 Exhibit Multiple Biological Functions. Advanced healthcare materials. 2022;11(20):e2200849. PMID: 35930707.
- 13Chen X, et al. Roles and Mechanisms of Human Cathelicidin LL-37 in Cancer. Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology. 2018;47(3):1060-1073. PMID: 29843147.
- 14Suzuki K, et al. Human cathelicidin peptide LL-37 induces endothelial-to-mesenchymal transition. Bioscience, biotechnology, and biochemistry. 2025;89(10):1464-1473. PMID: 40690262.
- 15Suzuki K, et al. Human Cathelicidin Peptide LL-37 Induces Cell Death in Autophagy-Dysfunctional Endothelial Cells. Journal of immunology (Baltimore, Md. : 1950). 2022;208(9):2163-2172. PMID: 35387840.
- 16Piktel E, et al. The Role of Cathelicidin LL-37 in Cancer Development. Archivum immunologiae et therapiae experimentalis. 2016;64(1):33-46. PMID: 26395996.
- 17Liang J, et al. Cathelicidin LL-37 improves bone metabolic balance in rats with ovariectomy-induced osteoporosis via the Wnt/beta-catenin pathway. Physiological research. 2022;71(3):369-377. PMID: 35616038.
- 18Bucki R, et al. Cathelicidin LL-37: a multitask antimicrobial peptide. Archivum immunologiae et therapiae experimentalis. 2010;58(1):15-25. PMID: 20049649.
- 19Bandurska K, et al. Unique features of human cathelicidin LL-37. BioFactors (Oxford, England). 2015;41(5):289-300. PMID: 26434733.
- 20Aidoukovitch A, et al. Vitamin D triggers hCAP18/LL-37 production: Implications for LL-37-induced human osteoblast cytotoxicity. Biochemical and biophysical research communications. 2024;712-713:149962. PMID: 38642493.
- 21Si F, et al. Cathelicidin (LL-37) causes expression of inflammatory factors in coronary artery endothelial cells of Kawasaki disease by activating TLR4-NF-κB-NLRP3 signaling. Immunity, inflammation and disease. 2023;11(9):e1032. PMID: 37773705.
- 22Ikutama R, et al. Cathelicidin LL-37 Activates Human Keratinocyte Autophagy through the P2X₇, Mechanistic Target of Rapamycin, and MAPK Pathways. The Journal of investigative dermatology. 2023;143(5):751-761.e7. PMID: 36455652.
- 23Sun L, et al. The Roles of Cathelicidin LL-37 in Inflammatory Bowel Disease. Inflammatory bowel diseases. 2016;22(8):1986-91. PMID: 27135484.
- 24Lee JY, et al. Cathelicidin LL-37 (an antimicrobial peptide)-induced colistin dependence in Acinetobacter baumannii. Diagnostic microbiology and infectious disease. 2020;96(4):114965. PMID: 32019695.
- 25Majewska M, et al. Interaction of LL-37 human cathelicidin peptide with a model microbial-like lipid membrane. Bioelectrochemistry (Amsterdam, Netherlands). 2021;141:107842. PMID: 34049238.
- 26Zhang H, et al. Cathelicidin LL-37 promotes EMT, migration and metastasis of hepatocellular carcinoma cells in vitro and mouse model. Cell adhesion & migration. 2023;17(1):20-34. PMID: 36656313.
- 27Voronko OE, et al. Antimicrobial Peptides of the Cathelicidin Family: Focus on LL-37 and Its Modifications. International journal of molecular sciences. 2025;26(16). PMID: 40869425.
- 28Croitoru DO, et al. Cathelicidin LL-37 Ignites Primed NLRP3 Inflammasomes in Rosacea. The Journal of investigative dermatology. 2021;141(12):2780-2782. PMID: 34565561.
- 29He Y, et al. Cathelicidin LL-37 in periodontitis: current research advances and future prospects - A review. International immunopharmacology. 2025;150:114277. PMID: 39954662.
- 30Wang G, et al. Design of Antimicrobial Peptides: Progress Made with Human Cathelicidin LL-37. Advances in experimental medicine and biology. 2019;1117:215-240. PMID: 30980360.
- 31Aloul KM, et al. Upregulating Human Cathelicidin Antimicrobial Peptide LL-37 Expression May Prevent Severe COVID-19 Inflammatory Responses and Reduce Microthrombosis. Frontiers in immunology. 2022;13:880961. PMID: 35634307.
- 32Fang Y, et al. Cathelicidin LL-37-ApoB-100 interaction promotes LDL clearance and attenuates cholesterol accumulation in the liver. Science China. Life sciences. 2026;69(2):492-505. PMID: 40971038.
- 33Zielke C, et al. Between good and evil: Complexation of the human cathelicidin LL-37 with nucleic acids. Biophysical journal. 2024;123(11):1316-1328. PMID: 37919905.
- 34Golec M. Cathelicidin LL-37: LPS-neutralizing, pleiotropic peptide. Annals of agricultural and environmental medicine : AAEM. 2007;14(1):1-4. PMID: 17655171.
- 35Shih CC, et al. Antimicrobial peptide cathelicidin LL-37 preserves intestinal barrier and organ function in rats with heat stroke. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie. 2023;161:114565. PMID: 36958193.
- 36Cheah CW, et al. Salivary and serum cathelicidin LL-37 levels in subjects with rheumatoid arthritis and chronic periodontitis. International journal of rheumatic diseases. 2020;23(10):1344-1352. PMID: 32743970.
- 37Ahmed A, et al. Human cathelicidin peptide LL-37 as a therapeutic antiviral targeting Venezuelan equine encephalitis virus infections. Antiviral research. 2019;164:61-69. PMID: 30738837.
- 38Cirone KM, et al. Synthetic cathelicidin LL-37 reduces Mycobacterium avium subsp. paratuberculosis internalization and pro-inflammatory cytokines in macrophages. Cell and tissue research. 2020;379(1):207-217. PMID: 31478135.
- 39Chieosilapatham P, et al. Tissue-specific Regulation of Innate Immune Responses by Human Cathelicidin LL-37. Current pharmaceutical design. 2018;24(10):1079-1091. PMID: 29589544.
- 40Fang X, et al. Human cathelicidin LL-37 exerts amelioration effects against EHEC O157:H7 infection regarding inflammation, enteric dysbacteriosis, and impairment of gut barrier function. Peptides. 2023;159:170903. PMID: 36370932.
- 41Xhindoli D, et al. The human cathelicidin LL-37--A pore-forming antibacterial peptide and host-cell modulator. Biochimica et biophysica acta. 2016;1858(3):546-66. PMID: 26556394.
- 42Kulkarni NN, et al. Sequence determinants in the cathelicidin LL-37 that promote inflammation via presentation of RNA to scavenger receptors. The Journal of biological chemistry. 2021;297(1):100828. PMID: 34048712.
- 43Nijnik A, et al. The roles of cathelicidin LL-37 in immune defences and novel clinical applications. Current opinion in hematology. 2009;16(1):41-7. PMID: 19068548.
- 44Kozłowska E, et al. Serum levels of peptide cathelicidin LL-37 in elderly patients with depression. Psychiatry research. 2017;255:156-160. PMID: 28550757.
- 45Abdelaal NH, et al. Cathelicidin (LL-37) level in the scalp hair of patients with tinea capitis. Medical mycology. 2017;55(7):733-736. PMID: 27915299.
- 46Elgarhy LH, et al. Study of cathelicidin (LL-37) immunoexpression in the skin of vitiligo patients. Archives of dermatological research. 2025;317(1):316. PMID: 39873762.
- 47Yanagisawa T, et al. Human cathelicidin antimicrobial peptide LL-37 promotes lymphangiogenesis in lymphatic endothelial cells through the ERK and Akt signaling pathways. Molecular biology reports. 2020;47(9):6841-6854. PMID: 32886325.
- 48Porter RJ, et al. Colonic epithelial cathelicidin (LL-37) expression intensity is associated with progression of colorectal cancer and presence of CD8(+) T cell infiltrate. The journal of pathology. Clinical research. 2021;7(5):495-506. PMID: 33988317.
- 49Porto WF, et al. In silico assessment of missense point mutations on human cathelicidin LL-37. Journal of molecular graphics & modelling. 2023;118:108368. PMID: 36335830.
- 50Wlodarczyk J, et al. Increased cathelicidin LL-37 colonic expression is associated with tumor progression in colorectal cancer. Journal of physiology and pharmacology : an official journal of the Polish Physiological Society. 2025;76(6):707-715. PMID: 41569060.
- 51Chernov AN, et al. Anticancer Effect of Cathelicidin LL-37, Protegrin PG-1, Nerve Growth Factor NGF, and Temozolomide: Impact on the Mitochondrial Metabolism, Clonogenic Potential, and Migration of Human U251 Glioma Cells. Molecules (Basel, Switzerland). 2022;27(15). PMID: 35956937.
- 52Mańkowska A, et al. Significance of the LL-37 Peptide Delivered from Human Cathelicidin in the Pathogenesis, Treatment, and Diagnosis of Sepsis. Archivum immunologiae et therapiae experimentalis. 2025;73(1). PMID: 40960088.
- 53Gedik AH, et al. Cathelicidin (LL-37) and human β2-defensin levels of children with post-infectious bronchiolitis obliterans. The clinical respiratory journal. 2017;11(2):243-247. PMID: 26073571.
- 54Majewski K, et al. Serum level of cathelicidin LL-37 in patients with active tuberculosis and other infectious diseases. Journal of biological regulators and homeostatic agents. 2017;31(3):731-736. PMID: 28956425.
- 55Zhang H, et al. Bactericidal synergism between phage endolysin Ply2660 and cathelicidin LL-37 against vancomycin-resistant Enterococcus faecalis biofilms. NPJ biofilms and microbiomes. 2023;9(1):16. PMID: 37024490.
- 56Méndez-Samperio P. The human cathelicidin hCAP18/LL-37: a multifunctional peptide involved in mycobacterial infections. Peptides. 2010;31(9):1791-8. PMID: 20600427.
- 57Tjabringa GS, et al. The human cathelicidin LL-37: a multifunctional peptide involved in infection and inflammation in the lung. Pulmonary pharmacology & therapeutics. 2005;18(5):321-7. PMID: 15939310.
- 58Agier J, et al. Cathelicidin LL-37 Affects Surface and Intracellular Toll-Like Receptor Expression in Tissue Mast Cells. Journal of immunology research. 2018;2018:7357162. PMID: 29670923.
- 59Salvado MD, et al. Cathelicidin LL-37 induces angiogenesis via PGE2-EP3 signaling in endothelial cells, in vivo inhibition by aspirin. Arteriosclerosis, thrombosis, and vascular biology. 2013;33(8):1965-72. PMID: 23766266.
- 60Johansson L, et al. Cathelicidin LL-37 in severe Streptococcus pyogenes soft tissue infections in humans. Infection and immunity. 2008;76(8):3399-404. PMID: 18490458.
Everything you need to start.
Dose, sourcing, safety, our verdict. One purchase. Yours forever.
Built from 60 cited studies.