Targeting protein and peptide therapeutics to the heart via tannic acid modification

Mikyung Shin, Hyang Ae Lee, Mihyun Lee, Yoomi Shin, Ji Joon Song, Sun Woong Kang, Dae Hwan Nam, Eun Je Jeon, Mira Cho, Minjae Do, Sunhyun Park, Moon Sue Lee, Jae Hyung Jang, Seung Woo Cho, Ki Suk Kim, Haeshin Lee

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37 Citations (Scopus)


Systemic injection into blood vessels is the most common method of drug administration. However, targeting drugs to the heart is challenging, owing to its dynamic mechanical motions and large cardiac output. Here, we show that the modification of protein and peptide therapeutics with tannic acid - a flavonoid found in plants that adheres to extracellular matrices, elastins and collagens - improves their ability to specifically target heart tissue. Tannic-acid-modified (TANNylated) proteins do not adsorb on endothelial glycocalyx layers in blood vessels, yet they penetrate the endothelium to thermodynamically bind to myocardium extracellular matrix before being internalized by myoblasts. In a rat model of myocardial ischaemia-reperfusion injury, TANNylated basic fibroblast growth factor significantly reduced infarct size and increased cardiac function. TANNylation of systemically injected therapeutic proteins, peptides or viruses may enhance the treatment of heart diseases.

Original languageEnglish
Pages (from-to)304-317
Number of pages14
JournalNature biomedical engineering
Issue number5
Publication statusPublished - 2018 May 1

All Science Journal Classification (ASJC) codes

  • Biotechnology
  • Bioengineering
  • Medicine (miscellaneous)
  • Biomedical Engineering
  • Computer Science Applications

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    Shin, M., Lee, H. A., Lee, M., Shin, Y., Song, J. J., Kang, S. W., Nam, D. H., Jeon, E. J., Cho, M., Do, M., Park, S., Lee, M. S., Jang, J. H., Cho, S. W., Kim, K. S., & Lee, H. (2018). Targeting protein and peptide therapeutics to the heart via tannic acid modification. Nature biomedical engineering, 2(5), 304-317.