Evidence map›Paper›PMID 39067856›Full record

ArticleKidney international2024

Nanotherapeutic kidney cell-specific targeting to ameliorate acute kidney injury.

Yoshio Funahashi, Seung Hun Park, Jessica F Hebert, Mahaba B Eiwaz, Adam C Munhall, Tahnee Groat, Lingxue Zeng, Jonghan Kim, Hak Soo Choi, Michael P Hutchens

Abstract read
In one paragraph

Article in Kidney international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yoshio FunahashiDepartment of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Seung Hun ParkGordon Center for Medical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Jessica F HebertDepartment of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Mahaba B EiwazDepartment of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Adam C MunhallDepartment of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Tahnee GroatDepartment of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Lingxue ZengDepartment of Biomedical & Nutritional Sciences, University of Massachusetts Lowell, Lowell, Massachusetts, USA.
Jonghan KimDepartment of Biomedical & Nutritional Sciences, University of Massachusetts Lowell, Lowell, Massachusetts, USA.
Hak Soo ChoiGordon Center for Medical Imaging, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA.
Michael P HutchensDepartment of Anesthesiology and Perioperative Medicine, Oregon Health and Science University, Portland, Oregon, USA; Operative Care Division, Portland VA Medical Center, Portland, Oregon, USA. Electronic address: hutchenm@ohsu.edu.

Funding

Nanochelation Therapies for Iron Overload DisordersR01HL143020 · NHLBI · UNIVERSITY OF MASSACHUSETTS LOWELL · PI CHOI, HAK SOO, KIM, JONGHAN · 2018 to 2021
$2.6M
Long-Acting, Short-Residing Nanochelators for Iron Overload TherapyR01HL163273 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI CHOI, HAK SOO, KIM, JONGHAN · 2023 to 2025
$2.2M
Myocyte-to-kidney Signaling in Cardiorenal Nephrosclerosis and HypertensionI01BX004288 · VA · PORTLAND VA MEDICAL CENTER · PI Michael P Hutchens · 2020 to 2026
–
BLRD VA I01 BX004288NHLBI NIH HHS R01 HL143020NHLBI NIH HHS R01 HL163273
6 · The paper itself

Abstract

Acute kidney injury (AKI) increases the risk of in-hospital death, adds to expense of care, and risk of early chronic kidney disease. AKI often follows an acute event such that timely treatment could ameliorate AKI and potentially reduce the risk of additional disease. Despite therapeutic success of dexamethasone in animal models, clinical trials have not demonstrated broad success. To improve the safety and efficacy of dexamethasone for AKI, we developed and characterized a novel, kidney-specific nanoparticle enabling specific within-kidney targeting to proximal tubular epithelial cells provided by the megalin ligand cilastatin. Cilastatin and dexamethasone were complexed to H-Dot nanoparticles, which were constructed from generally recognized as safe components. Cilastatin/Dexamethasone/H-Dot nanotherapeutics were found to be stable at plasma pH and demonstrated salutary release kinetics at urine pH. In vivo, they were specifically biodistributed to the kidney and bladder, with 75% recovery in the urine and with reduced systemic toxicity compared to native dexamethasone. Cilastatin complexation conferred proximal tubular epithelial cell specificity within the kidney in vivo and enabled dexamethasone delivery to the proximal tubular epithelial cell nucleus in vitro. The Cilastatin/Dexamethasone/H-Dot nanotherapeutic improved kidney function and reduced kidney cellular injury when administered to male C57BL/6 mice in two translational models of AKI (rhabdomyolysis and bilateral ischemia reperfusion). Thus, our design-based targeting and therapeutic loading of a kidney-specific nanoparticle resulted in preservation of the efficacy of dexamethasone, combined with reduced off-target disposition and toxic effects. Hence, our study illustrates a potential strategy to target AKI and other diseases of the kidney.

Indexed as

Acute Kidney InjuryDexamethasoneEpithelial CellsKidney Tubules, ProximalAnimalsDisease Models, AnimalHumansLow Density Lipoprotein Receptor-Related Protein-2MaleMiceMice, Inbred C57BLNanoparticlesDexamethasoneLow Density Lipoprotein Receptor-Related Protein-2acute kidney injurycilastatindexamethasonemegalinnanoparticlenanotherapeutic

Identifiers

PMID39067856
PMCPMC12711150

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.