Biological Role of Paenilarvins, Iturin-Like Lipopeptide Secondary Metabolites Produced by the Honey Bee Pathogen Paenibacillus larvae

The Gram-positive bacterium Paenibacillus larvae (P. larvae) is the causative agent of a deadly honey bee brood disease called American Foulbrood (AFB). AFB is a notifiable epizootic in most countries and, hence, P. larvae is of considerable relevance for veterinarians and apiculturists alike. Over the last decade, much progress has been made in the understanding of the (patho)biology of P. larvae. Recently, several non-ribosomally produced peptides (NRP) and peptide/polyketide (NRP/PK) hybrids produced by P. larvae were identified. Among these NRPs were iturin-like lipopeptides, the paenilarvins A-C. Iturins are known to exhibit strong anti-fungal activity; for some iturins, cytotoxic activity towards mammalian erythrocytes and human cancer cell lines are described. We here present our results on the analysis of the natural function of the paenilarvins during pathogenesis of P. larvae infections. We demonstrated production of paenilarvins in infected larvae. However, we could neither demonstrate cytotoxicity of paenilarvins towards cultured insect cells nor towards larvae in feeding assays. Accordingly, exposure bioassays performed with larvae infected by wild-type P. larvae and a knockout mutant of P. larvae lacking production of paenilarvins did not substantiate a role for the paenilarvins as virulence factor. Further experiments are necessary to analyze the relevance of the paenilarvins’ anti-fungal activity for P. larvae infections in the presence of fungal competitors in the larval midgut or cadaver.


Introduction
Paenibacillus larvae is a Gram-positive, spore-forming bacterial entomopathogen causing a fatal brood disease of honey bees (Apis mellifera, Apis cerana) known as American Foulbrood (AFB). Early larval stages up to the age of 36 hours after egg hatching are most susceptible and both paenilarvins compared to control larvae which were fed a standard larval diet [29] with no peptide added [22]. These results suggested that the paenilarvins have a toxic effect in honey bee larvae and, hence, might act as virulence factors for P. larvae ERIC II. No functional cytotoxins destroying the epithelial cell integrity and thus helping P. larvae ERIC II in breaching the epithelial barrier have been conclusively confirmed in P. larvae ERIC II so far [11,12,15]. Thus, paenilarvins acting as toxins during infection would close a gap in our current understanding of the pathogenic strategy of P. larvae ERIC II. Therefore, the goal of our study was to investigate this highly interesting hypothesis by analyzing the natural biological role of paenilarvins in functional in vivo assays.

Identification of paenilarvin production by P. larvae in infected larvae and in cultured bacteria
The toxicity of purified paenilarvin A and B in larval feeding assays [22] points to a putative role of paenilarvins as toxins and, hence, as virulence factors in P. larvae ERIC II infections. To experimentally address the biological role of paenilarvins during the infection process, first we confirmed the presence of paenilarvins in larvae experimentally infected with spores of the P. larvae ERIC II reference strain DSM25430 [15]. The paenilarvins were successfully detected in larval homogenates via high resolution electrospray ionization mass spectrometry (HR-E-SI-MS) analyses demonstrating that they are indeed synthesized also during experimental infection (Table 1, Fig 1A). Confirmation of paenilarvin synthesis in experimentally infected larvae was a prerequisite for analyzing the role of the paenilarvins during pathogenesis via exposure bioassays performed with a gene inactivation mutant of P. larvae ERIC II, DSM25430 Δitu, which did no longer produce the paenilarvins, and the corresponding wild-type strain, DSM25430 wt, expressing the paenilarvins (Fig 1B and 1C). The measured masses of the paenilarvins from infected larvae and cultured bacteria were identical (Table 1, Fig 1C).

Role of paenilarvins in the pathogenesis of P. larvae infections
Wild-type and mutant bacteria were tested in parallel in exposure bioassays and total as well as cumulative mortality of infected larvae was determined. In the groups infected with wild-type P. larvae, 84.33% ± 8.08% (Fig 2A) died within eight days ( Fig 2B) while the mutant bacteria killed 83.33% ± 8.51% (Fig 2A) also within eight days ( Fig 2B). Hence, no significant differences in larval mortality between the groups infected with wild-type DSM25430 wt or mutant DSM25430 Δitu could be detected for total (Fig 2A; Student's t-test, p-value = 0.89) or for cumulative (Fig 2; two-way ANOVA, p-value = 0.15) mortality suggesting that paenilarvins did not act as virulence factors of P. larvae ERIC II in exposure bioassays.
These results were somewhat surprising considering that paenilarvin A and B had recently been shown to be toxic for honey bee larvae [22]. Therefore, we next performed larval feeding assays with purified paenilarvin A/B and exposed four day old larvae for 24 hours to 65 μg paenilarvin/mL larval food. Given that four day old larvae consume about 30 μL larval food within 24 hours [29], this concentration resulted in a dose of about 1.95 μg paenilarvin A/B taken up by each larva. In the treatment groups, 11.0% ± 1.73% larvae died until day 14 post grafting ( Fig 3A). In the control groups, which received larval diet without any peptide added throughout the entire experiment, total larval mortality after 14 days was 5.33% ± 4.04% (Fig 3A). In addition, we used jellein IV as control peptide. Jelleines represent a family of four antimicrobial peptides (jelleines I-IV) present in royal jelly of honey bees. All four jelleines were shown to possess no cytolytic activity; jelleine IV also lacks antibacterial and antifungal activity exhibited by jelleine I-III [30]. In the groups which were fed with larval diet containing jellein IV at day four post grafting, 4.33% ± 5.13% of the exposed larvae died during the course of the experiment ( Fig 3A). Hence, larval mortality was below 15% for all three groups ( Fig 3A). Statistical analysis did not reveal a significant difference between the control groups and the paenilarvin treatment group (one-way ANOVA, p-value = 0.44) ( Fig 3A). Therefore, paenilarvin A/B has no toxic effect when fed to larvae corroborating that paenilarvins might rather not act as virulence factors during P. larvae infections. In vitro cytotoxicity of paenilarvins towards cultured insect cells Previously, the hypothesis that paenilarvins might act as virulence factors of P. larvae ERIC II was partly based on their cytotoxicity towards a mouse fibroblast cell line [22]. For this mammalian cell line, an IC 50 of 4 μg/mL was determined [22]. Since vertebrate/mammalian and invertebrate/insect cells might differ in their susceptibility towards paenilarvins, we tested the cytotoxicity of purified paenilarvin A/B towards the insect cell line BTI-Tn5B1-4 derived from Analysis of paenilarvin as putative virulence factor during pathogenesis. (A) At the age of 12 hours after egg hatching, honey bee larvae were infected with P. larvae DSM25430 wt and DSM25430 Δitu. Daily mortality due to P. larvae infection was recorded and total mortality after 15 days was determined. Bars represent the percentage of exposed larvae that died from American Foulbrood after 15 days. Bars represent mean values ± SD of three independent exposure bioassays for each group and 30 larvae per group. No significant difference in total mortality (Student´s t-test; p-value = 0.89) was observed. (B) Daily mortality due to P. larvae infection was recorded and cumulative mortality per day was calculated. Curves represent mean cumulative mortality ± SD for each day of 3 replicates with 30 larvae each. Analysis of the data by two-way ANOVA did not reveal any significant difference between the two curves (p-value = 0.15).
doi:10.1371/journal.pone.0164656.g002 the moth Trichoplusia ni (Lepidoptera). This cell line has previously been used to demonstrate the cytotoxicity of the novel P. larvae secondary metabolite paenilamicin [17,20,21]. Cells were incubated for 48 hours with paenilarvin A/B or jellein IV added to the cell culture medium at different concentrations (2 μg/mL, 4 μg/mL, 6 μg/mL). While 100% of the cells incubated with cell lysis buffer (positive control) were dead after 48 hours, about 90% of the cells survived after being incubated with 2 μg/mL, 4 μg/mL, or 6 μg/mL paenilarvin A/B or jellein IV ( Fig 3B). The values differed between 89.41% ± 2.56% for incubation with 2 μg/mL jellein IV and 98.33% ± 3.33% for incubation with 4 μg/mL paenilarvin A/B. No statistically significant toxic effect (one-way ANOVA, p-value = 0.40) on cell viability at any of the tested paenilarvin concentrations could be detected. This result suggested that paenilarvin A/B were not toxic for the tested insect cells. This was an experimental outcome that was consistent with the results obtained in exposure bioassays and larval feeding assays.

Discussion
Elucidation of the molecular pathogenesis of P. larvae infections led to the identification of several virulence factors of P. larvae and the insight that the two genotypes of P. larvae distributed worldwide, ERIC I and II, developed different strategies to attack and kill larvae (for a recent review see [7]). The first steps of the infection process are well described for both genotypes. However, only for P. larvae ERIC I virulence factors attacking the epithelial cells have been identified. For P. larvae ERIC II, the steps following bacterial adhesion to the epithelial cell layer and the proteins involved in attacking host cells still remain elusive. In a recent publication [22] the hypothesis was put forward that paenilarvins, iturin-type lipopeptides produced by the bee pathogen P. larvae, act as cytotoxins and represent P. larvae ERIC II-specific virulence factors. No functional toxins have been found in the genome of P. larvae ERIC II so far and, therefore, the hypothesis that paenilarvins might fill in this position was tempting. To directly validate the role of paenilarvins during P. larvae infection of honey bee larvae, we generated a P. larvae ERIC II gene inactivation mutant lacking the production of all paenilarvin derivatives (Fig 1). Surprisingly, the absence of paenilarvin production did not affect the ability of P. larvae ERIC II to kill larvae. Neither total mortality of larvae (Fig 2A) nor disease progression in larvae ( Fig 2B) was significantly altered when larvae were infected with the paenilarvin deficient strain compared to the lethality of the wild-type bacteria. These results contrasted our initial hypothesis and did not fit to the results obtained in the paenilarvin feeding assay presented recently [22]. Based on the famous citation of Paracelsus: "Sola dosis facit venenum" (Only the dose makes the poison) we considered that a dose of 5 μg paenilarvins per larva as used by Sood and co-workers [22] might have been artificially high. And indeed, according to our estimation based on the number of P. larvae present in larvae at different time points post infection and the amount of paenilarvins produced per bacterium, the amount of paenilarvin produced during infection may vary between 0.75 ng and 46.5 ng. Hence, a dose of 5 μg paenilarvin per larva is >100 fold of the maximum dose estimated to occur naturally. Even a dose of 1.95 μg paenilarvin A/B taken up per larva in our feeding assays exceeded the estimated maximal paenilarvin concentration per larva by around 40 fold. However, even with this rather high paenilarvin dose per larva, larval mortality was below 15% in the feeding assays which corresponds to the "natural mortality" of larvae in the hive [29,31]. We did not test higher dosages because a closer look at the data published by Sood and co-workers [22] revealed that the three replicates of the published feeding assays differed considerably and that in some replicates of the control groups, mortality was even higher than in the treatment groups. In addition, in the published assays mortality in the control groups differed between 30% and close to 50% and, therefore, mortality in all control replicates was above the threshold of 20% that is considered tolerable for artificial rearing of larvae. It is consensus that all experiments involving artificial rearing of larvae which have a control mortality exceeding 20% should be invalidated [29]. In our feeding assays, mortality in the control groups as well as in the treatment group was <15% after 14 days of artificial rearing of larvae. Likewise, total mortality in the control groups of the laboratory infection experiments was 8.8% ± 1.7% at day 15. Therefore, all these experiments are valid and we have to conclude that we could not confirm that paenilarvins act as cytotoxins during infection. Iturins have been described to mediate toxicity towards fungal cells by interacting with cell membrane components leading to pore formation and cell permeabilization [24,25,32]. In addition, some iturin-type lipopeptides have been described to have hemolytic activity and to permeabilize erythrocyte cell membranes [26,33]. However, P. larvae ERIC II grown on Columbia sheep blood agar (CSA) plates does not show hemolytic activity [9] suggesting that paenilarvins do not act as cytotoxins for erythrocytes or that paenilarvins are not produced when cultured on agar plates. Still, to further substantiate the negative outcome of our exposure bioassays and larval feeding assays, we also performed cell toxicity assays with an insect cell line already successfully used to demonstrate the cytotoxicity of paenilamicin [20], another secondary metabolite of P. larvae [17,21]. Because iturins interact with cell membrane components which might differ between mammalian and insect cells, a difference in susceptibility between these cell types towards a certain lipopeptide seemed likely. Indeed, in contrast to the mouse fibroblast cell line [22], the insect cells tested were unaffected by 48 hours of incubation with paenilarvins even at a concentration of 6 μg/mL which exceeded the IC 50 of 4 μg/mL determined for the mouse cells. Although this result again contradicted previously published data [22] they match the data from exposure bioassays and larval feeding assays presented in the study at hand and contribute to a consistent picture: Despite their cytotoxic activity on mammalian cells, the paenilarvins produced by P. larvae were not toxic towards the tested insect cells and were not involved as virulence factors in pathogenesis of P. larvae infections.
How does this revised view on the biological role of paenilarvins fit into the present literature on iturin-type lipopeptide secondary metabolites? In general, iturins are produced by members of the genera Bacillus, Paenibacillus, Burkholderia, Serratia and Pseudomonas. Some of the producing species are known (entomo)pathogens. However, to the best of our knowledge, no iturin-like lipopeptide has ever been identified as essential factor for the virulence of the producing bacterium. Iturins are best known for their strong antifungal activity [34], a feature which was also proven for the paenilarvins [22]. Therefore, it is conceivable that paenilarvins are involved in eliminating fungal competitors in the midgut of the larva still living or during the saprophytic phase of life of P. larvae. For the anti-bacterially active NRP/PK hybrid paenilamicin, produced by P. larvae during infection, it has already been shown that it antagonizes the saprophytic bacterium Paenibacillus alvei, thus helping P. larvae to establish a pure culture in the diseased larva [20,21]. The antifungal activity of paenilarvins might also include activity against the nearly ubiquitously occurring bee pathogenic fungus Ascosphaera apis (etiological agent of chalkbrood) [35]. Further experiments are necessary to address the interesting question of the relevance of paenilarvins' anti-fungal activity during pathogenesis of P. larvae infections.

Bacterial strain and culture conditions
The broadly characterized and recently sequenced type strain of Paenibacillus larvae genotype ERIC II, strain DSM25430, was used in this study [9,15]. Bacteria were cultivated either in Mueller-Hinton-yeast-phosphate-glucose-pyruvate (MYPGP) liquid broth [36] or on CSA plates (Oxoid, Hampshire, UK) at 37°C. Preparation of P. larvae spore suspensions and determination of spore concentration via cultivating serial dilutions on CSA were carried out as previously described [8].

Detection of paenilarvins in infected larvae via HR-ESI-MS
To confirm the presence of paenilarvins in experimentally infected larvae, laboratory infection assays (exposure bioassays) were performed essentially as described [8,9,29]. Briefly, first instar honey bee larvae were grafted into wells of 24-well-plates already containing normal (control groups) artificial larval diet (66% royal jelly (v/v), 33% glucose (w/v) and 33% fructose (w/v)) or larval diet contaminated with spores of DSM25430 at a concentration of 500 colony forming units (cfu)/mL larval diet, which was determined in prior experiments to correspond to the LC 80 (lethal concentration) of this strain. Larvae in the infection groups were exposed to infectious diet during the first 24 hours after grafting and obtained normal larval diet thereafter. Larvae in the control groups were fed with normal larval diet throughout the entire experiment. Representatives of the genotype P. larvae ERIC II kill the first larvae already at day 3 post infection [8,37]. Therefore, AFB-dead larvae were collected days 3 and 4 post infection (2 individuals each), immediately frozen and stored at -20°C until analysis. For high resolution electrospray ionization mass spectrometry (HR-ESI-MS) analyses, larvae were thawed and homogenized in 200 μL of 100% acetonitrile with a pipette tip and by sonication (10 min). Homogenized bee larvae were extracted three times with 100% acetonitrile by 10 min sonication, following centrifugation for 15 min at 14.000 rpm. The supernatants were pooled and dried in vacuo. For mass spectrometry (MS) analytics, dried extracts were resolved in 1 mL 50% aqueous acetonitrile with 0.1% formic acid. 5 μL were subjected to HR-ESI-MS analytics performed on an Exactive Orbitrap mass spectrometer (Thermo Scientific, Bremen, Germany) in medium resolution mode, coupled to an Agilent 1200 HPLC system (Agilent Technologies. Waldbronn, Germany). Samples were analyzed by linear gradient elution using H 2 O + 0.1% formic acid as solvent A and acetonitrile + 0.1% formic acid as solvent B. The gradient was from 30% to 100% solvent B in 16 min with a 4 min isocratic elution at 100% for solvent B. The column was equilibrated with 30% B for 2 min.

Construction of a P. larvae paenilarvin gene cluster inactivation mutant
The generation of the paenilarvin gene cluster inactivation mutant DSM25430 Δitu was achieved via a recently described strategy [14,38] which is based on the TargeTron Gene Knockout System (Sigma-Aldrich, Germany). Targeted group II intron insertion at position 191 from the start codon of the malonyl CoA-acyl carrier protein (ACP) transacylase gene (ERIC2_c18780; NCBI acc. no. WP_024094097.1; [15]) of the paenilarvin gene cluster was achieved by transforming the targetron vector pTT_itu into P. larvae. For constructing the vector pTT_itu, the LI.LtrB targetron of the vector pTT_wsfA243 [38] was modified by primers which had been predicted by a computer algorithm (http://www.sigma-genosys.com/ targetron) to ensure high insertion efficiency of the 900 bp intron at the target site in the malonyl CoA-ACP transacylase gene of the paenilarvin gene cluster. Retargeting of the vector, generation of electrocompetent P. larvae cells, and transformation of P. larvae DSM25430 wildtype bacteria to obtain the P. larvae DSM25430 Δitu mutant strain was performed essentially as already described for several P. larvae genes [4,14,18,39]. The insertion was verified by PCR analysis of the corresponding genomic region using primers flanking the intron insertion site (Fig 4A). Primers used for the generation of the knockout mutant and for PCR verification of intron insertion are given in Table 2. The PCR for knockout generation was carried out according to the manufacturer's instructions (TargeTron Gene Knockout System, Sigma-Aldrich, Germany). PCR verification of intron insertion was performed with a reaction mix containing 2 μl of genomic DNA, 200 μM peqGOLD dNTP mix (peqlab, Erlangen, Germany), 0.4 μM of primers each, and 0.5 U of HotStart Taq Plus polymerase (QIAGEN, Hilden, Germany) in a volume of 25 μl by using a thermal cycler with the following parameters: 95°C for 5 min; 40 cycles at 94°C for 1 min, 58°C for 1 min, and 72°C for 1 min; and a final extension at 72°C for 10 min. Analysis of the growth characteristics of the mutant strain in comparison to the corresponding wild-type strain in liquid broth did not reveal any significant differences between the two strains (three biological replicates with three technical replicates each; two-way ANOVA; p-value = 0.15) (Fig 4B). Wild-type and mutant DSM25430 were cultivated in liquid broth and the culture supernatant containing the bacterial secretome was collected as previously described [20]. The secretomes of the two strains were analyzed by an Agilent 6460 Triple Quadropole LC/MS system coupled to an UHPLC (Ultra High Pressure Liquid Chromatography) 1290 Infinity-Series (Agilent Technologies, Waldbronn, Germany). To this end, extracts were dissolved in 50% aqueous acetonitrile and a 5 μL portion was injected to the UHPLC column. For separation, a GRACE Vision HT C 18 column (50x2 mm, particle size 1.5 μm) was used with linear gradient elution using H 2 O + 0.1% formic acid as solvent A and acetonitril + 0.1% formic acid as solvent B. The gradient was from 5% to 100% solvent B in 10 min, ending at 100% B isocratic for 2 min at a flow rate of 0.3 mL/min. Absence of masses in the Extracted  Ion Chromatogram (EIC) corresponding to the paenilarvins confirmed the successful prevention of paenilarvin production in the knockout strain ( Fig 1B).

Exposure bioassays
To analyze the role of the paenilarvins during infection, laboratory infection assays (exposure bioassays) were performed essentially as described [8,9,29]. Briefly, first instar honey bee larvae were grafted into wells of 24-well-plates already containing normal (control groups) artificial larval diet (see above) or larval diet contaminated with spores of DSM25430 or DSM25430Δitu (infection groups). In order to be able to monitor a decrease as well as an increase in larval mortality, the larvae were exposed to a spore concentration of 500 cfu/mL larval diet, which was determined in prior experiments to correspond to the LC 80 (lethal concentration) of the wild-type strain. Larvae in the infection groups were exposed to infectious diet during the first 24 hours after grafting and obtained normal larval diet thereafter. Larvae in the control groups were fed with normal larval diet throughout the entire experiment. Larval health status and mortality were monitored daily for 14 days. During larval development, living larvae were transferred to new wells containing larval diet every day. With the beginning of the pupal development, larvae that were still alive were transferred into wells not containing any food but lined with filter paper. Dead larvae or pupae were immediately removed, streaked out on CSA, and incubated for two days at 37°C. Larvae were only classified as having died from AFB when vegetative P. larvae could be cultivated from the larval remains. Calculations of total and cumulative mortality are based on these AFB-dead larvae only. Three independent exposure bioassays were performed, each with three groups (one control group, two infection groups) and 30 larvae per group. Total mortality and cumulative mortality were analyzed with Student´s t-test and two-way ANOVA, respectively. Mortality in the control groups was 8.8% ± 1.7%, hence, even below the threshold of 15% considered as natural larval mortality and used as "quality indicator" for the validity of the experiments [29,31].

Isolation and purification of paenilarvins A/B
P. larvae DSM25430 was fermented on a 2 L scale (as described before) and the culture supernatant was treated with 10% w/V XAD- 16

Larval feeding assays
To analyze the toxicity of paenilarvins for honey bee larvae, larval feeding assays with purified paenilarvin A/B were performed. Firstly, we calculated the minimally and maximally possible paenilarvin A/B concentration per larva. 1.5 mg paenilarvin A/B could reproducibly be isolated from 700 mL supernatant of a bacterial culture containing 1.9E+11 P. larvae cells. Hence, one P. larvae cell roughly contributed 7.5E-6 ng paenilarvin A/B to the total yield. To obtain the number of bacterial cells per larva, bacteria were counted in ten dead larvae at days 4, 5, 6, and 7 post infection (p. i.). The least bacteria were present at day 4 p. i. (cfu min = 1.0E+5; cfu max = 1.3E+6) and the maximum of bacteria was counted in larvae at day 7 p. i. (cfu min = 4.5E+6; cfu max = 6.2E+6) corresponding to a minimum concentration of paenilarvin of 0.75 ng per larva and a maximum concentration of paenilarvin of 46.5 ng per larva. For performing the feeding assays, first instar honey bee larvae were grafted into wells of 24-well-plates already containing normal artificial larval diet. Honey bee larvae were reared for 14 days exactly as described above for the exposure bioassays. At day 4 post grafting, larvae were fed normal larval diet which was not supplemented at all (negative control group) or which was supplemented with 65.0 μg paenilarvin A/B purified from P. larvae culture supernatants per mL larval diet (treatment group) or with 65.0 μg of the royal jelly inherent peptide jellein IV purchased from peptides&elephants (Potsdam, Germany) per mL larval diet (peptide control group). Larvae were allowed to consume this supplemented diet for 24 hours; thereafter, normal larval diet was fed until the beginning of pupal development. Larvae were examined every day; dead larvae were recorded and removed. Four day old larvae have been described to consume 30 μL larval food in 24 hours [29]. We, therefore, estimate that each larva consumed 1.95 μg paenilarvin A/B or jellein IV. This paenilarvin concentration was 2,600 times higher than the minimum and 40 times higher than the maximum calculated concentration of paenilarvin (0.75 ng per larva at day 4 p. i. and 46.5 ng per larva at day 7 p. i., see above) to make sure to not overlook any toxic effects caused by an insufficient dose. For each experimental group, three independent experiments with 30 larvae each were performed. Statistical analysis of the results was performed with one-way ANOVA.

Cell cytotoxicity assay
The putative in vitro cytotoxicity of paenilarvin was tested by using the insect cell line BTI-Tn5B1-4 (derived from Trichoplusia ni, Lepidoptera) obtained from the Deutsche Sammlung von Mikroorganismen und Zellkulturen (DSMZ, Braunschweig, Germany). Cell maintenance and cytotoxicity assays were performed essentially as described before [20]. Paenilarvin A/B purified from culture supernatants (see above) was dissolved in water at a concentration of 5 mg/mL and stored at -80°C until further use. The royal jelly inherent antimicrobial peptide jellein IV [30] was used as a negative control peptide. For cytotoxicity assays, BTI-Tn5B1-4 cells were incubated for 48 h either in SF 900 II medium (Lonza, Walkersville, MD, USA) or in SF 900 II medium supplemented with purified paenilarvin A/B (treatment) or jellein IV (negative peptide control). Supplementing the medium with cell lysis buffer (99.4 ml DMSO, 0.6 mL acetic acid, 10% SDS w/v) served as positive control. The peptides were added to the medium at the following final concentrations: 2 μg/mL, 4 μg/mL, and 6 μg/mL. Cell viability was checked by MTT assay performed essentially as already described [20]. This assay is based on the ability of living cells to reduce the water soluble, yellow tetrazolium dye 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) to the purple colored insoluble formazan. The data shown are based on three biological replicates with three technical replicates each. Data were statistically analyzed using one-way ANOVA.