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Updated: Sep 27, 2025

Technical Refinement of a Bilateral Renal Ischemia-Reperfusion Mouse Model for Acute Kidney Injury Research
Published on: November 3, 2023
Study of Renal Accumulation of Targeted Polycations in Acute Kidney Injury
Weimin Tang1, Sudipta Panja1, Chinmay M Jogdeo1
1Center for Drug Delivery and Nanomedicine, Department of Pharmaceutical Sciences, University of Nebraska Medical Center, Omaha, Nebraska 68198, United States.
Abstract:
Acute kidney injury (AKI) is a global healthcare burden characterized by rapid loss of renal function and high morbidity and mortality. Chemokine receptor CXCR4 participates in the renal infiltration of immune cells following injury and in local inflammatory enhancement. Injured renal tubule cells overexpress CXCR4, which could be used as a target for improved drug delivery in AKI. Plerixafor is a small-molecule CXCR4 antagonist that has shown beneficial effects against AKI and has been previously developed into a polymeric analog (polymeric plerixafor, PP). With the goal of gaining a better understanding of how overall charge and hydrophilicity affect renal accumulation of PP, we have synthesized PP copolymers containing hydroxyl, carboxyl, primary amine, and alkyl moieties using Michael-type addition copolymerization. All synthesized copolymers showed excellent CXCR4-binding and inhibiting ability in vitro and improved cellular uptake in hypoxia-reoxygenation stimulated mouse tubule cells. Analysis of serum protein binding revealed that polymers with hydroxyl group modification showed the least amount of protein binding. Biodistribution of the polymers was tested in a unilateral ischemia reperfusion-induced AKI mouse model. The results showed significant differences in accumulation in the injured kidneys depending on the net charge and hydrophilicity of the polymers. The findings of this study will guide the development of polymeric drug carriers for targeted delivery to injured kidneys for better AKI therapy.
Insights
Researchers developed novel polymeric plerixafor analogs to improve drug delivery for acute kidney injury (AKI). Modifications in charge and hydrophilicity influenced kidney accumulation, guiding future targeted AKI therapies.
Area of Science:
- Biomaterials Science
- Renal Pharmacology
- Drug Delivery Systems
Background:
- Acute kidney injury (AKI) presents a significant global health challenge with high mortality rates.
- Chemokine receptor CXCR4 is implicated in immune cell infiltration and inflammation in AKI.
- Overexpression of CXCR4 on injured renal tubule cells offers a potential therapeutic target for AKI.
Purpose of the Study:
- To synthesize and characterize polymeric plerixafor (PP) copolymers with varying charge and hydrophilicity.
- To evaluate the impact of polymer properties on CXCR4 binding, cellular uptake, and renal accumulation in AKI models.
- To guide the development of advanced polymeric drug carriers for targeted AKI treatment.
Main Methods:
- Synthesis of PP copolymers with hydroxyl, carboxyl, primary amine, and alkyl groups via Michael-type addition copolymerization.
- In vitro assessment of CXCR4 binding affinity and inhibition, and cellular uptake in stimulated mouse tubule cells.
- In vivo biodistribution studies in a unilateral ischemia-reperfusion-induced AKI mouse model.
Main Results:
- All synthesized copolymers demonstrated potent in vitro CXCR4 antagonism and enhanced cellular uptake in kidney tubule cells.
- Polymers modified with hydroxyl groups exhibited minimal serum protein binding.
- Significant variations in polymer accumulation within injured kidneys were observed, correlating with net charge and hydrophilicity.
Conclusions:
- The study successfully developed novel polymeric CXCR4 antagonists with tunable properties for AKI.
- Polymer charge and hydrophilicity are critical determinants for effective renal accumulation and targeted drug delivery in AKI.
- These findings provide a foundation for designing next-generation polymeric drug carriers for enhanced AKI therapeutics.
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