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Targeted delivery of immune therapeutics to lymph nodes prolongs cardiac allograft survival
Baharak Bahmani, Mayuko Uehara, Liwei Jiang, Farideh Ordikhani, Naima Banouni, Takaharu Ichimura, Zhabiz Solhjou, Georg J. Furtmüller, Gerald Brandacher, David Alvarez, Ulrich H. von Andrian, Kenji Uchimura, Qiaobing Xu, Ishaan Vohra, Osman A. Yilmam, Yousef Haik, Jamil Azzi, Vivek Kasinath, Jonathan S. Bromberg, Martina M. McGrath, Reza Abdi
Baharak Bahmani, Mayuko Uehara, Liwei Jiang, Farideh Ordikhani, Naima Banouni, Takaharu Ichimura, Zhabiz Solhjou, Georg J. Furtmüller, Gerald Brandacher, David Alvarez, Ulrich H. von Andrian, Kenji Uchimura, Qiaobing Xu, Ishaan Vohra, Osman A. Yilmam, Yousef Haik, Jamil Azzi, Vivek Kasinath, Jonathan S. Bromberg, Martina M. McGrath, Reza Abdi
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Research Article Immunology

Targeted delivery of immune therapeutics to lymph nodes prolongs cardiac allograft survival

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Abstract

The targeted delivery of therapeutic drugs to lymph nodes (LNs) provides an unprecedented opportunity to improve the outcomes of transplantation and immune-mediated diseases. The high endothelial venule is a specialized segment of LN vasculature that uniquely expresses peripheral node addressin (PNAd) molecules. PNAd is recognized by MECA79 mAb. We previously generated a MECA79 mAb–coated microparticle (MP) that carries tacrolimus. Although this MP trafficked to LNs, it demonstrated limited therapeutic efficacy in our transplant model. Here, we have synthesized a nanoparticle (NP) as a carrier of anti-CD3, and optimized the conjugation strategy to coat the NP surface with MECA79 mAb (MECA79-anti-CD3-NP) to enhance LN accumulation. As compared with nonconjugated NPs, a significantly higher quantity of MECA79-NPs accumulated in the draining lymph node (DLN). Many MECA79-NPs underwent internalization by T cells and dendritic cells within the LNs. Short-term treatment of murine cardiac allograft recipients with MECA79-anti-CD3-NP resulted in significantly prolonged allograft survival in comparison with the control groups. Prolonged graft survival following treatment with MECA79-anti-CD3-NP was characterized by a significant increase in intragraft and DLN Treg populations. Treg depletion abrogated the prolongation of heart allograft survival. We believe this targeted approach of drug delivery could redefine the methods of administering immune therapeutics in transplantation.

Authors

Baharak Bahmani, Mayuko Uehara, Liwei Jiang, Farideh Ordikhani, Naima Banouni, Takaharu Ichimura, Zhabiz Solhjou, Georg J. Furtmüller, Gerald Brandacher, David Alvarez, Ulrich H. von Andrian, Kenji Uchimura, Qiaobing Xu, Ishaan Vohra, Osman A. Yilmam, Yousef Haik, Jamil Azzi, Vivek Kasinath, Jonathan S. Bromberg, Martina M. McGrath, Reza Abdi

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Figure 3

Optimization of conjugation of MECA79 mAb to the NPs.

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Optimization of conjugation of MECA79 mAb to the NPs.
(A) Native (nonred...
(A) Native (nonreducing) 3%–12% gel showed the effect of the reduction of MECA79 mAb with various MECA79/TCEP ratios on its molecular weight. (B) Corresponding trafficking of MECA79-NPs to LNs, as assessed by fluorescence imaging (mean ± SEM, Student’s t test, ***P < 0.001, n = 3–5 mice per group, 2–4 LNs from each mouse). (C) Hydrodynamic diameter of anti-CD3-NPs versus MECA79-anti-CD3-NPs (mean ± SEM, Student’s t test, **P < 0.01, n = 3 per group). (D) Sustained release profile of anti-CD3 from NPs over a duration of 14 days (n = 3 per group). (E) Western blot analysis of DLNs showed a significant increase in anti-CD3 expression in the MECA79-anti-CD3-NP–treated group (5 μg of anti-CD3) in comparison with the no-treatment and free anti-CD3 groups (5 μg of anti-CD3). β-Actin was used as a loading control. The fold change over the syngeneic sample was calculated after densitometric analysis and correction for β actin (control vs. free anti-CD3 vs. MECA79-anti-CD3-NP: 0 vs. 0.87 ± 0.09 vs. 1.43 ± 0.14, mean ± SEM, Student’s t test, ***P < 0.001, n = 4 mice per group). (F) *anti-CD3-NPs with or without MECA79 antibody conjugation were injected into skin-transplanted mice. The DLNs from MECA79-*anti-CD3-NP–treated mice contained a significantly greater percentage of *anti-CD3–labeled T cells and DCs than controls. No differences were seen in *anti-CD3–labeled B cells (mean ± SEM, Student’s t test, ***P < 0.001, ****P < 0.0001, n = 4 mice per group). (G) DCs were cultured in vitro with *anti-CD3 or *anti-CD3-NPs, washed, and reincubated with CD4+ and CD8+ T cells, and the degree of T cell labeling was analyzed. Significantly greater labeling with *anti-CD3 was observed in both CD4+ and CD8+ T cells incubated with *anti-CD3 NP cultured DCs as compared with those cultured with *anti-CD3 alone (*anti-CD3 vs. *anti-CD3-NP: 2.08 ± 0.35 vs. 39.5 ± 2.01 for CD4+, 2.52 ± 0.23 vs. 26.2 ± 1.97 for CD8+, mean ± SEM, Student’s t test, ****P < 0.0001, n = 4 per group).

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ISSN: 0021-9738 (print), 1558-8238 (online)

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