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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 aims for localized graft acceptance, avoiding systemic immunosuppression.
- Molecular chirality in biomaterials can influence immune responses.
- Microporous annealed particle (MAP) hydrogels offer a platform for localized immunomodulation.
Purpose of the Study:
- To investigate how molecular chirality within MAP hydrogels governs innate and adaptive immune responses in skin transplantation.
- To determine if chirality modulates alloimmune outcomes and graft acceptance.
- To establish stereochemical control as a design principle for biomaterial-driven tolerance.
Main Methods:
- Engineered injectable MAP hydrogel scaffolds using L- or D-peptides for crosslinking.
- Investigated antigen-presenting cell (APC) activation and trafficking in draining lymph nodes.
- Assessed T cell polarization profiles, graft architecture, and immune responses (DSA, IgG) in syngeneic and allogeneic skin grafts.
Main Results:
- Chirality directed APC activation and trafficking, leading to distinct T cell polarization.
- Mixed-chirality (R-MAP) hydrogels reduced APC co-stimulatory signaling (MHC II, CD80, CD86).
- R-MAP implantation in allogeneic grafts reduced donor-specific antibody formation and IgG responses, attenuating humoral alloimmunity.
Conclusions:
- Molecular chirality in MAP hydrogels is a key factor in modulating immune responses during skin transplantation.
- Mixed-chirality hydrogels promote graft acceptance by reducing alloimmunity.
- Stereochemical control of biomaterials offers a versatile platform for localized immunomodulation in transplantation and regenerative medicine.

