PMID- 25153320 OWN - NLM STAT- MEDLINE DCOM- 20150624 LR - 20141006 IS - 1543-8392 (Electronic) IS - 1543-8384 (Linking) VI - 11 IP - 10 DP - 2014 Oct 6 TI - Mechanistic studies of a novel mycophenolic acid-glucosamine conjugate that attenuates renal ischemia/reperfusion injury in rat. PG - 3503-14 LID - 10.1021/mp500282g [doi] AB - Renal ischemia/reperfusion (I/R) injury causes high mortality and morbidity during renal procedures, yet current drugs should be used at high doses or for long periods due to lack of tissue specificity. In previous work we described a novel mycophenolic acid-glucosamine conjugate (MGC) that targets the proximal tubule epithelium, where it efficiently reduces renal I/R injury in rats and promotes recovery from reperfusion. Here we perform mechanistic studies of MGC in rats that suggest that the conjugate works by repressing the activation of renal inosine-5'-monophosphate dehydrogenase 2 (IMPDH2), thereby inhibiting the proliferation and accumulation of lympholeukocytes in the proximal tubules. In addition, MGC appears to inhibit inflammation through various pathways, including inhibition of free oxygen radical production, upregulation of bone morphogenetic protein-7, and downregulation of complement protein 3, TLR 4, intracellular adhesion molecules in the endothelium, proinflammatory cytokines (e.g., TNF-alpha, IL-6, IL-1, TGF-beta), and chemotactic cytokines [e.g., monocyte chemoattractant protein-1 (MCP-1) and IL-8]. These findings suggest that MGC specifically targets the proximal tubules and acts through numerous mechanisms to substantially mitigate I/R injury in rats; this conjugate may provide a more effective alternative to current combination therapy. FAU - Wang, Xiaohong AU - Wang X AD - Key Laboratory of Drug Targeting and Drug Delivery Systems, Ministry of Education, West China School of Pharmacy, Sichuan University , Southern Renmin Road, No. 17, Section 3, Chengdu 610041, P. R. China. FAU - Xiong, Menghua AU - Xiong M FAU - Zeng, Yingchun AU - Zeng Y FAU - Sun, Xun AU - Sun X FAU - Gong, Tao AU - Gong T FAU - Zhang, Zhirong AU - Zhang Z LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20140825 PL - United States TA - Mol Pharm JT - Molecular pharmaceutics JID - 101197791 RN - 0 (Anti-Inflammatory Agents) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) RN - EC 1.1.1.205 (IMP Dehydrogenase) RN - HU9DX48N0T (Mycophenolic Acid) RN - N08U5BOQ1K (Glucosamine) SB - IM MH - Animals MH - Anti-Inflammatory Agents/chemistry/*therapeutic use MH - Glucosamine/*chemistry/*therapeutic use MH - IMP Dehydrogenase/metabolism MH - Interleukin-6/metabolism MH - Kidney/drug effects/metabolism MH - Male MH - Mycophenolic Acid/*chemistry/*therapeutic use MH - Rats MH - Rats, Sprague-Dawley MH - Reperfusion Injury/*drug therapy/*metabolism MH - Tumor Necrosis Factor-alpha/metabolism OTO - NOTNLM OT - inflammation OT - ischemia/reperfusion OT - mycophenolic acid-glucosamine conjugate OT - renal targeting EDAT- 2014/08/26 06:00 MHDA- 2015/06/25 06:00 CRDT- 2014/08/26 06:00 PHST- 2014/08/26 06:00 [entrez] PHST- 2014/08/26 06:00 [pubmed] PHST- 2015/06/25 06:00 [medline] AID - 10.1021/mp500282g [doi] PST - ppublish SO - Mol Pharm. 2014 Oct 6;11(10):3503-14. doi: 10.1021/mp500282g. Epub 2014 Aug 25.