Evidence map›Paper›PMID 40268164›Full record

ArticleKidney international2025

Targeted delivery of IL-21 neutralizing nanotherapeutics to lymph nodes and kidney allografts attenuates B cell alloimmunity.

Hengcheng Zhang, Gianmarco Sabiu, Sungwook Jung, Manuel A Podestà, Jing Zhao, Maya Gempler, Minako Yamamura, Jinxu Miao, George C Tsokos, Ahmad Karadagi and 3 more

Abstract read
In one paragraph

Article in Kidney international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Intraorgan and targeted nanodelivery in organ transplantation of nonhuman primates.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  2. Inhibition of CD154:CD11b interactions using a novel nanotherapeutic improves allograft survival.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2026
    Article
  3. 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

13 authors.

Hengcheng ZhangTransplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Gianmarco SabiuTransplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; Renal Division, Department of Biomedical and Clinical Sciences, University of Milan, Milan, Italy.
Sungwook JungTransplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Manuel A PodestàTransplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA; Renal Research Laboratory, Nephrology Department, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Jing ZhaoTransplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Maya GemplerTransplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Minako YamamuraTransplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Jinxu MiaoTransplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
George C TsokosDivision of Rheumatology and Clinical Immunology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Ahmad KaradagiDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Tatsuo KawaiDepartment of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Reza AbdiTransplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. Electronic address: rabdi@bwh.harvard.edu.
Peter T SageTransplantation Research Center, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA. Electronic address: psage@bwh.harvard.edu.

Funding

Transgenic/KnockoutP01AI056299 · NIAID · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI BLAZAR, BRUCE R · 2003 to 2023
$42.5M
Nano Immune-Imaging CoreP01AI175397 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Reza Abdi, Stefan Gunther Tullius · 2024 to 2026
$9.5M
Project 2 - BWHP01AI179405 · NIAID · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Reza Abdi · 2024 to 2026
$8.9M
Humoral Immunoregulation of Allergic Disease by Follicular T Cell SubsetsR01AI153124 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI Peter The Sage · 2021 to 2026
$3.2M
Control of Humoral and Cellular Immunity to Viral Infections of the Lung by Follicular CD8 T CellsR01AI158413 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI SAGE, PETER THE · 2021 to 2025
$2.5M
Lymph Node Delivery in TransplantationU01AI170056 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI ABDI, REZA · 2022 to 2025
$2.3M
NIAID NIH HHS P01 AI056299NIAID NIH HHS P01 AI175397NIAID NIH HHS P01 AI179405NIAID NIH HHS R01 AI153124NIAID NIH HHS R01 AI158413NIAID NIH HHS U01 AI170056
6 · The paper itself

Abstract

introductionAntibody-mediated rejection (ABMR) after allogeneic kidney transplantation is a substantial clinical problem for which there are no specific treatments. High endothelial venules (HEV) are specialized veins which are normally present only in lymph nodes (LN) facilitating immune cell entry. Here, we show that kidneys undergoing rejection develop HEV-like structures derived from host cells.

methodsWe developed a nano-delivery system targeting HEVs to simultaneously deliver therapeutics to draining LN and kidney allografts.

resultsUsing this system, we preferentially delivered IL-21 neutralizing antibody (NP-HEV[αIL21]) to draining LN and kidney allografts resulting in improved graft function and recipient survival. The NP-HEV[αIL21] system also decreased alloreactive B cell responses, donor-specific antibody production, and ABMR-like lesions in kidney grafts.

conclusionsOur study provides a therapeutic strategy to selectively target distinct effector sites to attenuate B-cell alloimmunity while limiting effects of broad systemic immunosuppression in kidney transplantation.

Indexed as

Antibodies, NeutralizingB-LymphocytesGraft RejectionInterleukinsKidney TransplantationLymph NodesAllograftsAnimalsDrug Delivery SystemsGraft SurvivalInterleukin-21IsoantibodiesKidneyMiceMice, Inbred C57BLNanoparticlesAntibodies, NeutralizingInterleukin-21InterleukinsIsoantibodiesABMRalloimmunityhigh endothelial venulesnanotherapeuticstransplantation

Identifiers

PMID40268164
PMCPMC12183000

What OpenQuestion holds

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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.