Systemic lupus erythematosus (SLE, or lupus) is a chronic debilitating systemic autoimmune disease involving inflammation and damage to the renal glomeruli and other tissues. Both autoreactive T cells and antibodies are involved in mediating the pathogenic effector responses in lupus. Two of the main challenges for researchers working in the field of SLE are - 1) to define the underlying mechanisms that render the renal glomeruli highly prone to an autoimmune attack, and 2) to devise novel ways to direct the orally-administered or injected drugs primarily to inflamed glomeruli to enhance their efficacy while minimizing adverse effects. We hypothesize that the vascular endothelium of the renal glomeruli is characterized by unique molecular markers that facilitate both selective migration of the pathogenic T cells into the target organ (the kidney) as well as enhanced interaction with the inducers/mediators of inflammation and tissue damage. In collaboration with Dr. Erkki Ruoslahti (Sanford-Burnham, La Jolla &UCSB, CA;member, National Academy of Sciences), we recently completed and published (PNAS 2011, 108: 12857) a study of the synovial vasculature in the rat adjuvant arthritis model. The objective of that study was to identify unique joint-specific vascular endothelial markers using an innovative approach of in vivo enrichment of clones from a phage peptide-display library. This approach was pioneered by Dr. Ruoslahti, who has developed the concept of vascular 'address molecules'or 'zip codes'and has extensively applied it to the areas of tumor biology and tumor immunotherapy. The advantage of the phage system for detection of tissue-specific markers is that there is no a priori bias in predicting the ligand in the vascular endothelial or other cells. In addition, unlike antibodies, the phage- displayed peptides interact with the functional domain of the target molecule. We propose that the vascular endothelial cells of the inflamed renal glomeruli are characterized by unique molecular markers, and that the targeting of drugs via one or more of these markers would downregulate inflammation and tissue damage in the kidney without undue adverse reactions or systemic toxicity.
The aims of our study based on two animal models of lupus, one induced and other spontaneous, are as follows:
Aim 1. To identify unique 'address molecules'for the vascular endothelium of the target organ (the inflamed renal glomeruli) in mice with lupus using the in vivo screening of a phage peptide-display library.
Aim 2. To use the phage-encoded peptides for targeted drug delivery into the inflamed renal glomeruli to control inflammation and tissue damage in the kidney. We believe that the results of this study would advance our understanding of the pathogenesis of lupus, and help designing novel therapeutic approaches for human lupus via translational research.

Public Health Relevance

Systemic lupus erythematosus (SLE, or lupus) is a chronic debilitating autoimmune disease involving inflammation and damage to the kidney (renal glomeruli) and other tissues. The currently available drugs for lupus are potent but have severe adverse reactions affecting other organs. The goal of this study is to develop a novel method of drug delivery such that the drug is primarily targeted to the kidney, thus preventing toxicity to other organs. For this purpose, we will use an innovative method (phage library screening) to identify peptides that preferentially home to inflamed kidneys. These peptides, even when given by injection into the bloodstream, would make their way into the diseased kidneys while sparing other normal organs. We will then use these peptides to decorate the surface of liposomes (small spherical vesicles) containing a drug for directing them into the diseased kidneys. Subsequently, we will extend this approach to refined nanoparticles for drug delivery.

National Institute of Health (NIH)
National Institute of Allergy and Infectious Diseases (NIAID)
Exploratory/Developmental Grants (R21)
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Pathobiology of Kidney Disease Study Section (PBKD)
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Johnson, David R
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University of Maryland Baltimore
Schools of Medicine
United States
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Meka, Rakeshchandra R; Venkatesha, Shivaprasad H; Dudics, Steven et al. (2015) IL-27-induced modulation of autoimmunity and its therapeutic potential. Autoimmun Rev 14:1131-1141
Moudgil, Kamal D (2015) Adaptive and innate immune modulators of inflammation and autoimmunity. Cytokine 75:v-ix