Why the study?
Non-targeted VEGF promotes recovery from renal ischemia/reperfusion injury, but strategies to deliver and retain VEGF efficiently in the ischemic kidney are needed for clinical application.
Does targeted delivery of VEGF using bi-functional KIT-PR1P peptides improve recovery from renal ischemia/reperfusion injury in rats?
Does targeted delivery of VEGF using bi-functional KIT-PR1P peptides improve recovery from renal ischemia/reperfusion injury in rats?
Targeted delivery of VEGF using bi-functional KIT-PR1P peptides represents a promising strategy for treating acute kidney injury by targeting Kim-1.
Acute kidney injury (AKI) was a disease with a high mortality mainly caused by renal ischemia/reperfusion injury (I/R). Although the current non-targeted administration of vascular endothelial growth factor (VEGF) for AKI had been revealed to facilitate the recovery of renal I/R, how to targeted deliver VEGF and to retain it efficiently in the ischemic kidney was critical for its clinical application. In present study, bi-functional KIT-PR1P peptides were constructed which bond VEGF through PR1P domain, and targeted ischemic kidney through KIT domain to interact with biomarker of AKI-kidney injury molecule-1 (Kim-1). Then the targeted and therapeutic effects of KIT-PR1P/VEGF in AKI was explored in vitro and in vivo. The results showed KIT-PR1P exhibited better angiogenic capacity and targeting ability to hypoxia HK-2 cells with up-regulated Kim-1 in vitro. When KIT-PR1P/VEGF was used for the treatment of renal I/R through intravenous administration in vivo, KIT-PR1P could guide VEGF and retain its effective concentration in ischemic kidney. In addition, KIT-PR1P/VEGF promoted angiogenesis, alleviated renal tubular injury and fibrosis, and finally promoted functional recovery of renal I/R. These results indicated that the bi-functional KIT-PR1P peptides combined with VEGF would be a promising strategy for the treatment of AKI by targeting to Kim-1.
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Zhou et al. (2023) studied this question.
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