Precision medicine for acute kidney injury: Baicalein-nanodrug delivery system combat oxidative stress and repair
Xue Zhou1, Ning Wang2, Bin Zhao3
1Department of Nephrology, Haihe Hospital, Tianjin University, Tianjin 300350, China; Department of Nephrology, Tianjin Haihe Hospital, Tianjin 300350, China; Haihe Clinical School, Tianjin Medical University, Tianjin 300350, China.
Abstract:
Acute kidney injury (AKI) is characterized by high morbidity and mortality globally and serves as an independent risk factor for chronic kidney disease. Oxidative stress is the main pathogenic mechanism leading to acute kidney injury (AKI) and subsequent renal failure, which is characterized by excessive reactive oxygen species (ROS) and mitochondrial dysfunction. Treatment options for AKI remain supportive care, it is urgent to develop more viable therapeutic strategies. In this study, we engineered a nanodrug delivery system aiming to achieve precise treatment of AKI. The nanocarriers (Apt-NS) exhibited excellent serum stability and biocompatibility and were capable of specifically recognizing AKI renal tubular cells. Apt-NS were loaded with baicalein (BAI) to form a nanodrug delivery system (Apt-NS-BAI). In comparison to the BAI, Apt-NS-BAI demonstrated more pronounced effects in improving cell viability, scavenging ROS and anti-apoptosis. Simultaneously, in vivo animal experiments also confirmed that Apt-NS-BAI could recognize the injury site and exert biological functions of anti-apoptosis and alleviating renal damage. Overall, this study successfully constructed a nanodrug delivery system with the ability to target AKI renal tubular cells, enabling accurate and efficient delivery of baicalein to injury site and exerting protective functions against oxidative stress. This research offers novel insights into the precision treatment of AKI and contributes to the acceleration of the application of nanotechnology in kidney diseases.
Insights
Researchers developed a targeted nanodrug delivery system for acute kidney injury (AKI). This system precisely delivers baicalein to kidney cells, reducing oxidative stress and improving outcomes for AKI treatment.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Nephrology
Background:
- Acute kidney injury (AKI) presents high global morbidity and mortality, acting as a risk factor for chronic kidney disease.
- Oxidative stress, characterized by excessive reactive oxygen species (ROS) and mitochondrial dysfunction, is a primary pathogenic mechanism in AKI.
- Current AKI treatments are primarily supportive, highlighting the need for novel therapeutic strategies.
Purpose of the Study:
- To engineer a novel nanodrug delivery system for the precise treatment of AKI.
- To evaluate the efficacy of baicalein-loaded nanocarriers in targeting and treating AKI.
Main Methods:
- Development of aptamer-functionalized nanocarriers (Apt-NS) engineered for specific recognition of AKI renal tubular cells.
- Loading of baicalein (BAI) into Apt-NS to create the Apt-NS-BAI nanodrug delivery system.
- In vitro assessment of Apt-NS-BAI for cell viability, ROS scavenging, and anti-apoptotic effects compared to BAI alone.
- In vivo validation in animal models to confirm targeted delivery to injury sites and therapeutic effects.
Main Results:
- Apt-NS demonstrated excellent serum stability and biocompatibility, with specific targeting of AKI renal tubular cells.
- Apt-NS-BAI exhibited superior efficacy over BAI in enhancing cell viability, scavenging ROS, and preventing apoptosis in vitro.
- In vivo studies confirmed Apt-NS-BAI's ability to target renal injury sites, reduce apoptosis, and alleviate kidney damage.
Conclusions:
- A novel nanodrug delivery system (Apt-NS-BAI) was successfully constructed for targeted delivery of baicalein to AKI sites.
- This system offers enhanced therapeutic effects against oxidative stress and renal damage in AKI.
- The findings provide a promising nanotechnology-based approach for the precision treatment of kidney diseases.
Related Concept Videos
Electron Transport Chain: Complex I and II
ROS generation is regulated and maintained at moderate levels necessary...
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System


