Evidence map›Paper›PMID 42501291›Full record

ArticleAdvanced materials (Deerfield Beach, Fla.)2026

Chirality-Encoded Biomaterials Regulate Local and Systemic Immune Responses in Transplantation.

Holly C Lewis, Sydney Jeffs, April Espinoza, Reshma Goud, Alejandra Suarez-Arnedo, Samantha Owusu-Antwi, Pablo Cordero Alvarado, Tatiana Segura

Abstract read
In one paragraph

Article in Advanced materials (Deerfield Beach, Fla.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Holly C LewisDepartment of Surgery, Duke University, Durham, North Carolina, USA.
Sydney JeffsDepartment of Biomedical Engineering, Pratt School of Engineering, Durham, North Carolina, USA.
April EspinozaDepartment of Biomedical Engineering, Pratt School of Engineering, Durham, North Carolina, USA.
Reshma GoudDepartment of Biomedical Engineering, Pratt School of Engineering, Durham, North Carolina, USA.
Alejandra Suarez-ArnedoDepartment of Biomedical Engineering, Pratt School of Engineering, Durham, North Carolina, USA.
Samantha Owusu-AntwiDepartment of Biomedical Engineering, Pratt School of Engineering, Durham, North Carolina, USA.
Pablo Cordero AlvaradoDepartment of Biomedical Engineering, Pratt School of Engineering, Durham, North Carolina, USA.
Tatiana SeguraDepartment of Biomedical Engineering, Pratt School of Engineering, Durham, North Carolina, USA.

Funding

Medical Scientist Training Program Training GrantT32GM145449 · NIGMS · DUKE UNIVERSITY · PI Christopher D Kontos · 2022 to 2026
$6.6M
Stimulating Access to Research in Residency (StARR) - NIAIDR38AI140297 · NIAID · DUKE UNIVERSITY · PI Rachel G Greenberg, David H. Harpole · 2018 to 2026
$2.4M
Duke Medical Sciences Training Program T32GM145449NIAID NIH HHS R38 AI140297NIGMS NIH HHS T32 GM145449NIH HHS R01AR077410-01/05NIH HHS R38AI140297
6 · The paper itself

Abstract

Biomaterial-based immune modulation offers an opportunity to achieve localized graft acceptance without systemic immunosuppression. Here, we demonstrate that molecular chirality within microporous annealed particle (MAP) hydrogels governs innate and adaptive immune responses in skin transplantation and is associated with modulation of alloimmune outcomes. By engineering injectable MAP scaffolds composed of microgels crosslinked with L- or D-peptides, we show that chirality directs early antigen-presenting cell (APC) activation and trafficking in draining lymph nodes, leading to distinct T cell polarization profiles. A mixed-chirality formulation (R-MAP) composed of L- and D-microgels is associated with reduced APC co-stimulatory signaling (MHC II, CD80, CD86) and preserves graft architecture and tissue integration in syngeneic transplants. In fully allogeneic skin grafts, local mixed-chirality MAP implantation is associated with reduced donor-specific antibody (DSA) formation and attenuated antimaterial and antidonor IgG responses, achieving sustained attenuation of humoral alloimmunity within the experimental conditions studied. These findings establish stereochemical control of biomaterial composition as a design principle for modulating APC-T-B cell crosstalk, linking local material cues to systemic immune outcomes. Mixed-chirality MAP scaffolds thus provide a versatile platform for spatially confined, chirality-guided immunomodulation, with implications for transplantation, regenerative medicine, and biomaterial-driven tolerance strategies.

Indexed as

Biocompatible MaterialsSkin TransplantationAnimalsAntigen-Presenting CellsHydrogelsMiceMice, Inbred C57BLStereoisomerismBiocompatible MaterialsHydrogelscd80cd86cell biologyimmune systemimmunologyimmunosuppressionmacrophage polarizationregenerative medicinet celltransplantation

Identifiers

PMID42501291
PMCPMC13579174

What OpenQuestion holds

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Registered trials

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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.