PT - JOURNAL ARTICLE AU - Tang, Tao-Tao AU - Wang, Bin AU - Wu, Min AU - Li, Zuo-Lin AU - Feng, Ye AU - Cao, Jing-Yuan AU - Yin, Di AU - Liu, Hong AU - Tang, Ri-Ning AU - Crowley, Steven D. AU - Lv, Lin-Li AU - Liu, Bi-Cheng TI - Extracellular vesicle–encapsulated IL-10 as novel nanotherapeutics against ischemic AKI AID - 10.1126/sciadv.aaz0748 DP - 2020 Aug 01 TA - Science Advances PG - eaaz0748 VI - 6 IP - 33 4099 - http://advances.sciencemag.org/content/6/33/eaaz0748.short 4100 - http://advances.sciencemag.org/content/6/33/eaaz0748.full SO - Sci Adv2020 Aug 01; 6 AB - Recently, extracellular vesicles (EVs) have been attracting strong research interest for use as natural drug delivery systems. We report an approach to manufacturing interleukin-10 (IL-10)–loaded EVs (IL-10+ EVs) by engineering macrophages for treating ischemic acute kidney injury (AKI). Delivery of IL-10 via EVs enhanced not only the stability of IL-10, but also its targeting to the kidney due to the adhesive components on the EV surface. Treatment with IL-10+ EVs significantly ameliorated renal tubular injury and inflammation caused by ischemia/reperfusion injury, and potently prevented the transition to chronic kidney disease. Mechanistically, IL-10+ EVs targeted tubular epithelial cells, and suppressed mammalian target of rapamycin signaling, thereby promoting mitophagy to maintain mitochondrial fitness. Moreover, IL-10+ EVs efficiently drove M2 macrophage polarization by targeting macrophages in the tubulointerstitium. Our study demonstrates that EVs can serve as a promising delivery platform to manipulate IL-10 for the effective treatment of ischemic AKI.