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Updated: Aug 19, 2026

Direct Drug Delivery to Kidney via the Renal Artery
Published on: April 17, 2021
Transport of phosphorothioate oligonucleotides in kidney: implications for molecular therapy
J Rappaport1, B Hanss, J B Kopp
1Division of Nephrology, Mt. Sinai Medical Center, New York, New York, USA.
Abstract:
The systemic administration of phosphorothioated antisense oligonucleotides has been demonstrated to be an effective strategy for the control of gene expression. Because previous studies have suggested both hepatic and renal accumulation of systemically administered oligonucleotides, we explored whether the kidney might be a site of free DNA transport. [32P]-phosphorothioate oligonucleotides (20 mers) were excreted in urine but cleared at only 30% of glomerular filtration rate. Plasma clearance of the label was very rapid (t1/2 approximately 5 min) but the half life of labeled S-deoxynucleotide excreted in urine was much slower (28 min). Infused oligonucleotide appeared in urine with little degradation. By autoradiography of renal tissue, labeled antisense oligonucleotides appeared within Bowman's capsule and the proximal tubule lumen. DNA was detected in association with brush border membrane and within tubular epithelial cells. Brush border membrane preparations from rat kidney contained oligonucleotide binding proteins as determined by gel mobility shift and UV cross linking assays. Because renal epithelial cells efficiently take up phosphorothioate oligonucleotides without apparent degradation, the kidney appears to be an excellent target for site-directed antisense therapy, but may be a site of antisense toxicity as well.
Insights
Systemic administration of phosphorothioated antisense oligonucleotides (ASOs) shows the kidney is a key site for DNA transport. Renal epithelial cells efficiently uptake ASOs, suggesting potential for targeted therapy and toxicity.
Area of Science:
- Molecular Biology
- Pharmacology
- Nephrology
Background:
- Systemic administration of phosphorothioated antisense oligonucleotides (ASOs) is effective for gene expression control.
- Previous studies indicated hepatic and renal accumulation of systemically administered oligonucleotides.
- The kidney's role in free DNA transport requires further investigation.
Purpose of the Study:
- To investigate the kidney as a potential site for free DNA transport.
- To determine the renal handling and cellular uptake of systemically administered ASOs.
Main Methods:
- Administration of [32P]-phosphorothioate oligonucleotides (20-mers) in rats.
- Measurement of oligonucleotide excretion in urine and plasma clearance.
- Autoradiography of renal tissue to localize ASOs.
- Analysis of brush border membrane preparations for oligonucleotide binding proteins using gel mobility shift and UV cross-linking assays.
Main Results:
- Oligonucleotides were excreted in urine but cleared at 30% of glomerular filtration rate.
- Plasma clearance of the label was rapid (t1/2 ≈ 5 min), while urinary excretion was slower (t1/2 ≈ 28 min).
- Autoradiography revealed ASOs within Bowman's capsule and proximal tubules, associated with brush border membranes and tubular epithelial cells.
- Oligonucleotide binding proteins were identified in rat kidney brush border membranes.
Conclusions:
- Renal epithelial cells efficiently take up phosphorothioated oligonucleotides without significant degradation.
- The kidney is a potential target site for site-directed antisense therapy.
- The kidney may also be a site for antisense oligonucleotide-induced toxicity.
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