PMID- 21883921 OWN - NLM STAT- MEDLINE DCOM- 20120329 LR - 20230124 IS - 1600-6143 (Electronic) IS - 1600-6135 (Linking) VI - 11 IP - 12 DP - 2011 Dec TI - Nanoparticle delivery of mycophenolic acid upregulates PD-L1 on dendritic cells to prolong murine allograft survival. PG - 2582-92 LID - 10.1111/j.1600-6143.2011.03725.x [doi] AB - Conventional immunosuppressive drug delivery requires high systemic drug levels to provide therapeutic benefit, but frequently results in toxic side effects. Novel drug delivery methods, such as FDA-approved poly(lactic-co-glycolic acid) (PLGA) nanoparticles (NPs), are promising drug delivery platforms to reduce drug doses and minimize toxicity. Using murine models of skin transplantation, we investigated whether PLGA NPs would effectively deliver mycophenolic acid (MPA), a common clinical immunosuppressant, and avoid the toxicity of conventional drug delivery. We found that intermittent treatment with NPs encapsulated with MPA (NP-MPA) resulted in a significant extension of allograft survival than intermittent conventional MPA treatment even though the concentration of MPA within NP-MPA was a 1000-fold lower than conventional drug. Importantly, recipients who were administered NP-MPA intermittently avoided drug toxicity, whereas those treated with daily conventional drug manifested cytopenias. Dendritic cells (DCs) endocytosed NP-MPA to upregulate programmed death ligand-1 (PD-L1) and displayed a decreased ability to prime alloreactive T cells. Importantly, the ability of NP-MPA to promote allograft survival was partly PD-L1 dependent. Collectively, this study indicates that NPs are potent drug delivery tools that extend allograft survival without drug toxicity. CI - (c)Copyright 2011 The American Society of Transplantation and the American Society of Transplant Surgeons. FAU - Shirali, A C AU - Shirali AC AD - Department of Internal Medicine and Immunobiology, Yale University, New Haven, CT, USA. FAU - Look, M AU - Look M FAU - Du, W AU - Du W FAU - Kassis, E AU - Kassis E FAU - Stout-Delgado, H W AU - Stout-Delgado HW FAU - Fahmy, T M AU - Fahmy TM FAU - Goldstein, D R AU - Goldstein DR LA - eng GR - AG033049/AG/NIA NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20110830 PL - United States TA - Am J Transplant JT - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JID - 100968638 RN - 0 (Antibiotics, Antineoplastic) RN - 0 (B7-H1 Antigen) RN - 0 (Cd274 protein, mouse) RN - 1SIA8062RS (Polylactic Acid-Polyglycolic Acid Copolymer) RN - 26009-03-0 (Polyglycolic Acid) RN - 33X04XA5AT (Lactic Acid) RN - HU9DX48N0T (Mycophenolic Acid) SB - IM MH - Animals MH - Antibiotics, Antineoplastic/administration & dosage/pharmacokinetics MH - B7-H1 Antigen/*metabolism MH - Cells, Cultured MH - Combined Modality Therapy MH - Dendritic Cells/*drug effects/metabolism MH - *Drug Delivery Systems MH - Enzyme-Linked Immunosorbent Assay MH - Flow Cytometry MH - Graft Survival/*drug effects MH - Lactic Acid/chemistry MH - Mice MH - Mice, Inbred BALB C MH - Mice, Inbred C57BL MH - Mycophenolic Acid/*administration & dosage/pharmacokinetics MH - Nanoparticles/*chemistry MH - Polyglycolic Acid/chemistry MH - Polylactic Acid-Polyglycolic Acid Copolymer MH - Skin Diseases/immunology/mortality/*therapy MH - Skin Transplantation MH - Survival Rate MH - Tissue Distribution MH - Transplantation, Homologous EDAT- 2011/09/03 06:00 MHDA- 2012/03/30 06:00 CRDT- 2011/09/03 06:00 PHST- 2011/09/03 06:00 [entrez] PHST- 2011/09/03 06:00 [pubmed] PHST- 2012/03/30 06:00 [medline] AID - S1600-6135(22)28188-X [pii] AID - 10.1111/j.1600-6143.2011.03725.x [doi] PST - ppublish SO - Am J Transplant. 2011 Dec;11(12):2582-92. doi: 10.1111/j.1600-6143.2011.03725.x. Epub 2011 Aug 30.