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Stimulus-Responsive Drug Delivery Nanoplatforms for Osteoarthritis Therapy
Qi Jiang1,2,3, Shufang Zhang1,2,3
1Dr. Li Dak Sum & Yip Yio Chin Center for Stem Cells and Regenerative Medicine, Department of Orthopedic Surgery of the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 310058, China.
Abstract:
Osteoarthritis (OA) is one of the most prevalent age-related degenerative diseases. With an increasingly aging global population, greater numbers of OA patients are providing clear economic and societal burdens. Surgical and pharmacological treatments are the most common and conventional therapeutic strategies for OA, but often fall considerably short of desired or optimal outcomes. With the development of stimulus-responsive nanoplatforms has come the potential for improved therapeutic strategies for OA. Enhanced control, longer retention time, higher loading rates, and increased sensitivity are among the potential benefits. This review summarizes the advanced application of stimulus-responsive drug delivery nanoplatforms for OA, categorized by either those that depend on endogenous stimulus (reactive oxygen species, pH, enzyme, and temperature), or those that depend on exogenous stimulus (near-infrared ray, ultrasound, magnetic fields). The opportunities, restrictions, and limitations related to these various drug delivery systems, or their combinations, are discussed in areas such as multi-functionality, image guidance, and multi-stimulus response. The remaining constraints and potential solutions that are represented by the clinical application of stimulus-responsive drug delivery nanoplatforms are finally summarized.
Insights
Stimulus-responsive nanoplatforms offer improved osteoarthritis (OA) treatments by responding to internal or external triggers. These advanced drug delivery systems show promise for overcoming limitations of current OA therapies.
Area of Science:
- Biomedical Engineering
- Nanotechnology
- Pharmacology
Background:
- Osteoarthritis (OA) is a prevalent age-related degenerative disease imposing significant economic and societal burdens.
- Conventional surgical and pharmacological treatments for OA often yield suboptimal outcomes.
- Aging global populations are increasing OA prevalence, necessitating novel therapeutic approaches.
Purpose of the Study:
- To review the advanced applications of stimulus-responsive nanoplatforms for osteoarthritis (OA) treatment.
- To categorize nanoplatforms based on endogenous or exogenous stimuli.
- To discuss opportunities, restrictions, and limitations of these nanodrug delivery systems.
Main Methods:
- Review of literature on stimulus-responsive nanoplatforms for OA.
- Categorization of nanoplatforms by stimulus type (endogenous: ROS, pH, enzyme, temperature; exogenous: NIR, ultrasound, magnetic fields).
- Analysis of multi-functionality, image guidance, and multi-stimulus response.
Main Results:
- Stimulus-responsive nanoplatforms offer enhanced control, retention, loading, and sensitivity for OA therapy.
- Endogenous stimulus-responsive systems target OA-specific microenvironments.
- Exogenous stimulus-responsive systems utilize external triggers for targeted drug release.
Conclusions:
- Stimulus-responsive nanoplatforms represent a promising advancement in OA therapeutic strategies.
- Further research is needed to address clinical application constraints and optimize multi-functional systems.
- Overcoming limitations in multi-functionality, image guidance, and multi-stimulus response is key for clinical translation.
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