Cartilage-targeted drug nanocarriers for osteoarthritis therapy

Luca Morici1, Eric Allémann1, Carlos Rodríguez-Nogales1

  • 1School of Pharmaceutical Sciences, University of Geneva, Rue Michel-Servet 1, 1206 Geneva, Switzerland; Institute of Pharmaceutical Sciences of Western Switzerland, Rue Michel-Servet 1, 1206 Geneva, Switzerland.

Insights

Developing effective osteoarthritis treatments requires overcoming cartilage penetration challenges. This review explores cartilage-targeting drug delivery systems (DDSs) using positively charged biomaterials for enhanced osteoarthritis therapy.

Area of Science:

  • Biomaterials Science
  • Drug Delivery
  • Osteoarthritis Research

Background:

  • Osteoarthritis (OA) is a prevalent global joint disease with no current disease-modifying drugs (DMOADs) due to poor cartilage penetration.
  • Targeting the extracellular matrix (ECM) is crucial for OA therapy, necessitating specialized drug delivery systems (DDSs).

Purpose of the Study:

  • To review the physicochemical properties of healthy and OA cartilage.
  • To explore state-of-the-art intra-articular cartilage-targeted DDSs for OA therapy.
  • To understand recent advances in DDSs for OA treatment.

Main Methods:

  • Review of physicochemical properties of articular cartilage (porosity, negative charge).
  • Analysis of positively charged biomaterials (polyaminoacids, proteins, polymers, lipids) for DDSs.
  • Evaluation of passive (electrostatic interaction with GAGs) and active (antibody/peptide targeting) strategies for cartilage penetration.

Main Results:

  • Positively charged DDSs leverage cartilage's negative charge for enhanced penetration and retention.
  • Cationic nanocarriers interact electrostatically with ECM glycosaminoglycans.
  • Active targeting via surface decoration with collagen II/chondrocyte-affinity molecules shows promise.

Conclusions:

  • Understanding cartilage bio-physicochemical properties is key for designing effective DDSs.
  • Positively charged DDSs offer a viable strategy for improving intra-articular drug delivery in OA.
  • Advances in cartilage-targeted DDSs are critical for developing novel OA therapeutics.