RT Journal Article SR Electronic T1 ROS-responsive chitosan-SS31 prodrug for AKI therapy via rapid distribution in the kidney and long-term retention in the renal tubule JF Science Advances JO Sci Adv FD American Association for the Advancement of Science SP eabb7422 DO 10.1126/sciadv.abb7422 VO 6 IS 41 A1 Liu, Di A1 Shu, Gaofeng A1 Jin, Feiyang A1 Qi, Jing A1 Xu, Xiaoling A1 Du, Yan A1 Yu, Hui A1 Wang, Jun A1 Sun, Mingchen A1 You, Yuchan A1 Zhu, Minxia A1 Chen, Meixuan A1 Zhu, Luwen A1 Shen, Qiying A1 Ying, Xiaoying A1 Lou, Xuefang A1 Jiang, Saiping A1 Du, Yongzhong YR 2020 UL http://advances.sciencemag.org/content/6/41/eabb7422.abstract AB The development of drugs with rapid distribution in the kidney and long-term retention in the renal tubule is a breakthrough for enhanced treatment of acute kidney injury (AKI). Here, l-serine–modified chitosan (SC) was synthesized as a potential AKI kidney–targeting agent due to the native cationic property of chitosan and specific interaction between kidney injury molecule–1 (Kim-1) and serine. Results indicated that SC was rapidly accumulated and long-term retained in ischemia-reperfusion–induced AKI kidneys, especially in renal tubules, which was possibly due to the specific interactions between SC and Kim-1. SC-TK-SS31 was then prepared by conjugating SS31, a mitochondria-targeted antioxidant, to SC via reactive oxygen species (ROS)–sensitive thioketal linker. Because of the effective renal distribution combined with ROS-responsive drug release behavior, the administration of SC-TK-SS31 led to an enhanced therapeutic effect of SS31 by protecting mitochondria from damage and reducing the oxidative stress, inflammation, and cell apoptosis.