Multimodal modulation of metal-based nanomaterials in osteoarthritis immunotherapy: current landscape and future

Jiayi Chen1, Jun Ma1, Zhuoming Xu1

  • 1Jiaxing Key Laboratory of Basic Research and Clinical Translation on Orthopedic Biomaterials, Department of Orthopedics, The Second Affiliated Hospital of Jiaxing University, Jiaxing, China.

Insights

Metal-based nanomaterials (MNMs) show promise for treating osteoarthritis (OA) by modulating immune responses and reducing inflammation. Further research is needed for safe clinical application of these novel OA therapies.

Area of Science:

  • Biomedical Engineering
  • Immunology
  • Nanomedicine

Background:

  • Osteoarthritis (OA) is a degenerative joint disease driven by immune-metabolic dysregulation, oxidative stress, and chronic inflammation.
  • Current OA treatments provide only symptomatic relief and do not impede disease progression.
  • Metal-based nanomaterials (MNMs) are emerging as a novel therapeutic strategy for OA due to their immunomodulatory properties.

Purpose of the Study:

  • To review the immune-pathological mechanisms underlying osteoarthritis.
  • To examine the potential of metal-based nanomaterials (MNMs) in mitigating these pathological processes.
  • To discuss advanced MNM design strategies and future directions for clinical translation.

Main Methods:

  • Literature review of immune-pathological mechanisms in OA, including macrophage polarization, NLRP3 inflammasome activation, and ferroptosis.
  • Analysis of how MNMs address these mechanisms through ROS scavenging, macrophage reprogramming, and anti-inflammatory signaling.
  • Exploration of material design strategies like surface functionalization and stimulus-responsive release.

Main Results:

  • MNMs demonstrate potential in scavenging reactive oxygen species (ROS), reprogramming macrophages, and inhibiting inflammatory signaling pathways implicated in OA.
  • Advanced design strategies enhance MNM targeting and efficacy for OA treatment.
  • Promising preclinical data suggest MNMs can effectively target key OA pathologies.

Conclusions:

  • MNMs offer a promising therapeutic avenue for osteoarthritis by targeting key immune and metabolic dysregulations.
  • Challenges in long-term biosafety and clinical translation require focused research.
  • Future work should prioritize rational MNM design, omics-based mechanistic studies, and improved disease models for successful clinical application.