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Published on: January 3, 2025
Chirality-Encoded Biomaterials Regulate Local and Systemic Immune Responses in Transplantation
Holly C Lewis1,2, Sydney Jeffs2, April Espinoza2
1Department of Surgery, Duke University, Durham, North Carolina, USA.
Advanced Materials (Deerfield Beach, Fla.)
|July 25, 2026
Summary
Molecular chirality in biomaterials guides immune responses for localized graft acceptance. Mixed-chirality hydrogels reduce immune cell activation, promoting transplant tolerance without systemic immunosuppression.
Area of Science:
- Biomaterials Science
- Immunology
- Transplantation Biology
Background:
- Biomaterial-based immune modulation can achieve localized graft acceptance without systemic immunosuppression.
- Molecular chirality is a key material property that can influence biological interactions.
Purpose of the Study:
- To investigate how molecular chirality within microporous annealed particle (MAP) hydrogels influences innate and adaptive immune responses in skin transplantation.
- To determine if chirality can modulate alloimmune outcomes and promote graft acceptance.
Main Methods:
- Engineered injectable MAP hydrogel scaffolds using microgels crosslinked with L- or D-peptides.
- Assessed antigen-presenting cell (APC) activation and trafficking in draining lymph nodes.
- Evaluated T cell polarization profiles, graft architecture, and immune responses in syngeneic and allogeneic skin transplants.
Main Results:
- Chirality directed APC activation and trafficking, leading to distinct T cell polarization.
- Mixed-chirality MAP (R-MAP) reduced APC co-stimulatory signaling and preserved graft integration in syngeneic transplants.
- In allogeneic grafts, R-MAP reduced donor-specific antibody formation and humoral alloimmunity.
Conclusions:
- Stereochemical control of biomaterial composition is a viable design principle for modulating immune responses.
- Mixed-chirality MAP hydrogels offer a platform for localized, chirality-guided immunomodulation.
- These findings have implications for transplantation, regenerative medicine, and biomaterial-driven tolerance strategies.

