1. Engineering of phosphatidylserine-targeting ROS-responsive polymeric prodrug for the repair of ischemia-reperfusion-induced acute kidney injury.
- Author
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Wang, Jin-Hui, Mao, Hai-Bo, Hu, Jing-Bo, Cheng, Shunhua, and Su, Hao
- Subjects
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ACUTE kidney failure , *RENAL fibrosis , *CHRONIC kidney failure , *KIDNEY physiology , *HEMORRHAGIC shock - Abstract
Ischemia-reperfusion-induced acute kidney injury (IR-AKI) commonly occurs in situations such as hemorrhagic shock, kidney transplantation, and cardiovascular surgery. As one of the significant causes of AKI, IR-AKI is characterized by its high incidence and mortality rates. Currently, effective inflammation control is the key for the treatment of IR-AKI. In this study, we developed an ROS-responsive polymeric prodrugs (Zn-D/DTH) which could target the externalized PS of apoptotic cells, and then responsively released HDM (anti-inflammatory peptides) in the presence of intracellular ROS. Zn-D/DTH effectively ameliorated renal function and mitigated pathological alterations such as the loss of the brush border, tubular dilation, and accumulation of cellular debris within the tubular lumens. Furthermore, Zn-D/DTH greatly reduced the generation of pro-inflammatory factors like IL-6, COX-2, and iNOS in renal tissues, suggesting its protective role largely stems from suppression of the inflammatory response. Additional mechanism exploration revealed that Zn-D/DTH markedly decreased the expression levels of TLR4 and MyD88, as well as the phosphorylation of NF-κB in the damaged kidneys. This, in turn, reduced the number of apoptotic tubular cells and the activity of Caspase 9 and Caspase 3 caused by ischemia-reperfusion. Additionally, Zn-D/DTH treatment showed improvement in the long-term renal damage and fibrosis induced by ischemia-reperfusion. The experimental outcomes indicated that Zn-D/DTH attenuated renal ischemia-reperfusion injury and delayed the transition from acute kidney injury to chronic kidney disease by downregulating the TLR4/MyD88/NF-κB signaling pathway and reducing the expression of apoptotic caspases, thereby inhibiting inflammation and reducing cell apoptosis. Design strategy of Zn-D/DTH and schematic representation of the mode of action proposed for the treatment of IR-AKI. [Display omitted] • A PS-targeting ROS-responsive polymeric prodrug Zn-D/DTH for the treatment of ischemia-reperfusion-induced acute kidney injury. • Zn-D/DTH could effectively ameliorate renal function and mitigate pathological alterations. • Zn-D/DTH reduced pro-inflammatory factors and apoptotic cells via inhibiting TLR4/MyD88/NF-kappaB signaling pathway. • Zn-D/DTH was good at mitigating long-term renal damage and fibrosis triggered by ischemia-reperfusion. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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