Targeted delivery of Prussian blue modified exosomes to CD90-expressing synovial fibroblasts for Rheumatoid arthritis

Hongkai Yang1,2,3, Xinran Hu3,4, Fu Zhu2,3,5

  • 1Department of Orthopedic, Third Affiliated Hospital of Jinzhou Medical University, Jinzhou, Liaoning, 121000, China.

Materials Today. Bio
|December 9, 2025
PubMed

Insights

This study developed a targeted exosome therapy for rheumatoid arthritis (RA). The CD90-modified exosomes loaded with Prussian blue nanoparticles effectively targeted inflamed joints, reducing inflammation and joint swelling in a mouse model.

Area of Science:

  • Biomedical Engineering
  • Nanomedicine
  • Immunology

Background:

  • Rheumatoid arthritis (RA) involves synovial inflammation and joint destruction, with current treatments facing toxicity and targeting issues.
  • Exosomes offer potential as RA therapeutics due to their targeting, low immunogenicity, and delivery capabilities.

Purpose of the Study:

  • To develop and evaluate a CD90-modified exosome system (CD90-exo@PB) loaded with Prussian blue nanoparticles (PB) for targeted RA therapy.
  • To assess the in vitro and in vivo efficacy of CD90-exo@PB in treating rheumatoid arthritis.

Main Methods:

  • Constructed CD90-modified exosomes (CD90-exo) loaded with Prussian blue nanoparticles (PB).
  • Evaluated in vitro internalization by activated synovial fibroblasts (aFLS) and inhibition of migration.
  • Utilized a collagen-induced arthritis (CIA) mouse model for in vivo studies, including near-infrared fluorescence imaging.

Main Results:

  • CD90-exo@PB demonstrated efficient internalization by aFLS and significantly inhibited their migration by reducing pro-inflammatory cytokines.
  • In vivo imaging confirmed targeted accumulation of CD90-exo@PB in inflamed joints of CIA mice.
  • The treatment effectively alleviated joint swelling and inflammation, linked to pro-inflammatory cytokine downregulation.

Conclusions:

  • The CD90-exo@PB system shows promise for targeted rheumatoid arthritis therapy.
  • This system integrates active targeting and synergistic antioxidant effects for precision medicine.
  • The developed nanomedicine strategy holds significant potential for clinical translation in RA treatment.

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