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Peer-reviewedCC BY 4.0ACS Omega

Pretransplant Bioconjugation of Renal Endothelial Surfaces for TAK-242 Drug Delivery

  1. 1Cleveland Clinic , , , ,
  2. 2Baylor University , , , ,

Abstract

Transplantation provides a unique opportunity wherein donor tissue is isolated ex vivo and available for tissue-specific manipulation prior to implantation. We previously demonstrated improved graft performance with covalently modified drug-eluting islets. In this work we provide preliminary studies extending the concept of covalent tissue modification for drug delivery to renal transplantation and demonstrate that the perfusion of reactive N-hydroxysuccinimide (NHS) esters through the renal artery affords the covalent modification of kidney vascular surfaces. The fluorescent labeling of vascular surface proteins has minimal impact on clinical markers of kidney function and host immune responses in murine isografts and allografts over 5 weeks. Additionally, histological analysis of modified graft tissue resected on day 35 reveals no gross abnormalities, with some covalent label still detectable. In a preliminary study, bioconjugation of renal vasculature with a slow-release prodrug of TAK-242 (a potent inhibitor of toll-like receptor 4) modulated the expression of inflammatory cytokines and reduced T-cell infiltration into graft tissue 48 h posttransplant.

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BibTeX
@article{nicosia2026pretransplant,
  title = {{Pretransplant Bioconjugation of Renal Endothelial Surfaces for TAK-242 Drug Delivery}},
  author = {Michael Nicosia and Johann W. Karunananthan and Isaiah A. Rivera and William M. Baldwin and Ran Fan and Victoria Gorbacheva and Jose I. Valenzuela and Rahul N. Gaykar and Anna Valujskikh and Robert R. Kane},
  journal = {ACS Omega},
  year = {2026},
  month = oct,
  doi = {10.1021/acsomega.6c07422},
  url = {https://pubs.acs.org/acsodf/article/doi/10.1021/acsomega.6c07422/5461360/Pretransplant-Bioconjugation-of-Renal-Endothelial},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Pretransplant Bioconjugation of Renal Endothelial Surfaces for TAK-242 Drug Delivery
AU  - Michael Nicosia
AU  - Johann W. Karunananthan
AU  - Isaiah A. Rivera
AU  - William M. Baldwin
AU  - Ran Fan
AU  - Victoria Gorbacheva
AU  - Jose I. Valenzuela
AU  - Rahul N. Gaykar
AU  - Anna Valujskikh
AU  - Robert R. Kane
PY  - 2026
DA  - 2026/10/30
JO  - ACS Omega
DO  - 10.1021/acsomega.6c07422
UR  - https://pubs.acs.org/acsodf/article/doi/10.1021/acsomega.6c07422/5461360/Pretransplant-Bioconjugation-of-Renal-Endothelial
AB  - Transplantation provides a unique opportunity wherein donor tissue is isolated ex vivo and available for tissue-specific manipulation prior to implantation. We previously demonstrated improved graft performance with covalently modified drug-eluting islets. In this work we provide preliminary studies extending the concept of covalent tissue modification for drug delivery to renal transplantation and demonstrate that the perfusion of reactive N-hydroxysuccinimide (NHS) esters through the renal artery affords the covalent modification of kidney vascular surfaces. The fluorescent labeling of vascular surface proteins has minimal impact on clinical markers of kidney function and host immune responses in murine isografts and allografts over 5 weeks. Additionally, histological analysis of modified graft tissue resected on day 35 reveals no gross abnormalities, with some covalent label still detectable. In a preliminary study, bioconjugation of renal vasculature with a slow-release prodrug of TAK-242 (a potent inhibitor of toll-like receptor 4) modulated the expression of inflammatory cytokines and reduced T-cell infiltration into graft tissue 48 h posttransplant.
SN  - 2470-1343
ER  -