HNP-1
The neutrophil's own antibiotic, discovered in 1985 and now studied as a blood marker of severe illness
Human neutrophil peptide 1 is one of the alpha-defensins stored in the granules of neutrophils, the commonest white blood cells. Discovered in 1985, it kills bacteria and fungi partly by binding a cell-wall building block. In people, blood levels rise with infection and severe disease, but as a test it has had mixed results.
What is it?
In 1985 researchers extracted the granules of normal human neutrophils and found three small antibiotic peptides, which they named human neutrophil peptides 1, 2 and 3 and called defensins. The mixture killed Staphylococcus aureus, Pseudomonas and E. coli in the right conditions and also killed the fungus Cryptococcus. HNP-1 is the prototype of the human alpha-defensins.
How it kills turned out to be more specific than first thought. Defensins were assumed to punch holes in microbial membranes, but a 2010 study found that HNP-1's membrane activity did not track its killing and that it binds lipid II, a precursor of the bacterial cell wall, the same target some antibiotics use.
In people, HNP-1 is mostly measured, usually as HNP1-3 together because the assays cannot separate them. Levels rose stepwise with the severity of decompensated cirrhosis and predicted 30- and 90-day mortality better than the neutrophil-to-lymphocyte ratio; they were higher after heart attacks than in controls; and in feverish children they were higher with bacterial infections, but not useful enough to diagnose them.
HNP-1 has never been given to people as a treatment and has no human dose. Its importance is as part of how neutrophils fight infection and, potentially, as a marker of illness severity.
At a Glance
Every value in this table is printed from the Grey Peptides dataset, the same record the compound explorer and comparison tool read, so the three can never disagree.
Published Research
These studies were read from their PubMed abstracts on October 5, 2026.
Discovery: defensins from human neutrophils
Granule extracts of normal human neutrophils contained three antibiotic peptides under 3.5 kDa, named HNP-1, -2 and -3; the mixture killed S. aureus, P. aeruginosa and E. coli in nutrient-containing buffer and Cryptococcus neoformans in nutrient-free buffer.
It binds the cell-wall precursor lipid II
Membrane activity of human alpha-defensins did not correlate with bacterial killing; HNP-1 bound lipid II, the bacterial cell-wall precursor, pointing to a more specific mechanism than membrane disruption.
A mortality marker in cirrhosis
Plasma HNP1-3 rose stepwise from compensated cirrhosis to acute-on-chronic liver failure grade 3 and independently predicted 30- and 90-day mortality, with areas under the curve of 0.85 and 0.89.
After heart attacks
HNP1-3 was higher in patients with acute myocardial infarction than in controls (6.5 against 2.8 ng/mL), but did not differ significantly with the severity of coronary disease.
Fever in children: not a good test
Among 111 children, HNP1-3 was higher with bacterial infections, but its diagnostic value was low; CRP and neutrophil count did better, and the authors did not recommend it for routine use.
Side Effects & Contraindications
Reported Side Effects
Not applicable.
Contraindications & Cautions
Not a medicine, so there is no label and no formal contraindication.
Legal Status
An endogenous peptide, not a medicine.
Frequently Asked Questions
?What is HNP-1?
An alpha-defensin stored in neutrophils, discovered in 1985, that helps kill bacteria and fungi.
?Is HNP-1 used as a blood test?
Not routinely. Levels rise with severe illness and predicted mortality in cirrhosis, but in feverish children it was not a useful test.
?Is HNP-1 a treatment?
No. It has never been developed or given as a medicine.
References
- [pubmed] Ganz T, et al. "Defensins. Natural peptide antibiotics of human neutrophils." J Clin Invest, 1985;76(4):1427-35. PMID: 2997278.
- [pubmed] de Leeuw E, et al. "Functional interaction of human neutrophil peptide-1 with the cell wall precursor lipid II." FEBS Lett, 2010;584(8):1543-8. PMID: 20214904.
- [pubmed] Huang C, et al. "Plasma human neutrophil peptides as biomarkers of disease severity and mortality in patients with decompensated cirrhosis." Liver Int, 2023;43(5):1096-1106. PMID: 36648384.
- [pubmed] Katkat F, et al. "Human neutrophil peptides 1-3 level in patients with acute myocardial infarction and its relation with coronary artery disease severity." Turk Kardiyol Dern Ars, 2021;49(2):120-126. PMID: 33709917.
- [pubmed] Kassem E, et al. "The Diagnostic Value of Human Neutrophilic Peptides 1-3 in Acute Pediatric Febrile Illness." J Clin Med, 2023;12(20). PMID: 37892652.
- [pubmed] Lehrer RI, et al. "α-Defensins in human innate immunity." Immunol Rev, 2012;245(1):84-112. PMID: 22168415.
Sources & Citations
Studies from their PubMed abstracts, read October 5, 2026.
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