Department of Orthopedics, the First Affiliated Hospital of Soochow University, Orthopedic Institute of Soochow University, Suzhou Medical College of Soochow University, 899 Pinghai Road, Suzhou, Jiangsu 215031, China; Department of Orthopedics, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University, Changzhou 213000, China.
Department of Orthopedics, the First Affiliated Hospital of Soochow University, Orthopedic Institute of Soochow University, Suzhou Medical College of Soochow University, 899 Pinghai Road, Suzhou, Jiangsu 215031, China.
Int J Biol Macromol. 2024 Mar;261(Pt 2):129862. doi: 10.1016/j.ijbiomac.2024.129862. Epub 2024 Feb 1.
Osteoarthritis is a long-term degenerative condition of the joints that is characterized by the breakdown of cartilage and inflammation of the synovial membrane. The presence of an inflammatory microenvironment and the degradation of the extracellular matrix produced by chondrocytes leads to the aggravation of cartilage injury, hindering the treatment of osteoarthritis. A promising approach to address this issue is to apply a combined strategy that is sensitive to the specific conditions in osteoarthritic joints and possesses properties that can reduce inflammation and promote cartilage healing. Here, inspired by the structure of chocolate-covered peanuts, we developed an injectable, environment-responsive bilayer hydrogel microsphere using microfluidics technology. The microsphere applied chondroitin sulfate methacryloyl (ChsMA) as its core and was coated with a methacryloyl gelatin (GelMA) shell that was loaded with celecoxib (CLX) liposomes (ChsMA+CLX@Lipo@GelMA). CLX was released from the liposomes when the GelMA shell rapidly degraded in response to the osteoarthritic microenvironment and suppressed the generation of inflammatory agents, demonstrating a beneficial impact of the outer shell in reducing inflammation. While the inner methacryloyl microsphere core degraded, chondroitin sulfate was released to promote chondrocyte anabolism and facilitate cartilage repair. Thus, the synthesized bilayer hydrogel microspheres hold great potential for treating osteoarthritis.
骨关节炎是一种长期的关节退行性疾病,其特征是软骨的破坏和滑膜的炎症。炎症微环境的存在和软骨细胞产生的细胞外基质的降解导致软骨损伤加重,阻碍了骨关节炎的治疗。一种有前途的解决方法是应用一种联合策略,该策略对骨关节炎关节的特定条件敏感,并具有减轻炎症和促进软骨愈合的特性。在这里,受巧克力覆盖花生结构的启发,我们使用微流控技术开发了一种可注射的、对环境敏感的双层水凝胶微球。该微球以硫酸软骨素甲基丙烯酰基(ChsMA)为核心,并涂有载有塞来昔布(CLX)脂质体的甲基丙烯酰化明胶(GelMA)壳(ChsMA+CLX@Lipo@GelMA)。当 GelMA 壳在骨关节炎微环境中快速降解时,CLX 从脂质体中释放出来,并抑制炎症因子的产生,这表明外壳在减轻炎症方面具有有益的影响。当内部甲基丙烯酰微球核心降解时,硫酸软骨素被释放出来,以促进软骨细胞合成代谢并促进软骨修复。因此,合成的双层水凝胶微球在治疗骨关节炎方面具有很大的潜力。