Clinical Research Center, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Clinical Research Center, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China; Department of Joint and Orthopedics, Orthopedic Center, Zhujiang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Biomaterials. 2025 Jan;312:122720. doi: 10.1016/j.biomaterials.2024.122720. Epub 2024 Jul 27.
Mesenchymal stem cells (MSCs) are expected to be useful therapeutics in osteoarthritis (OA), the most common joint disorder characterized by cartilage degradation. However, evidence is limited with regard to cartilage repair in clinical trials because of the uncontrolled differentiation and weak cartilage-targeting ability of MSCs after injection. To overcome these drawbacks, here we synthesized CuO@MSN nanoparticles (NPs) to deliver Sox9 plasmid DNA (favoring chondrogenesis) and recombinant protein Bmp7 (inhibiting hypertrophy). After taking up CuO@MSN/Sox9/Bmp7 (CSB NPs), the expressions of chondrogenic markers were enhanced while hypertrophic markers were decreased in response to these CSB-engineered MSCs. Moreover, a cartilage-targeted peptide (designated as peptide W) was conjugated onto the surface of MSCs via a click chemistry reaction, thereby prolonging the residence time of MSCs in both the knee joint cavity of mice and human-derived cartilage. In a surgery-induced OA mouse model, the NP and peptide dual-modified W-CSB-MSCs showed an enhancing therapeutic effect on cartilage repair in knee joints compared with other engineered MSCs after intra-articular injection. Most importantly, W-CSB-MSCs accelerated cartilage regeneration in damaged cartilage explants derived from OA patients. Thus, this new peptide and NPs dual engineering strategy shows potential for clinical applications to boost cartilage repair in OA using MSC therapy.
间充质干细胞(MSCs)有望成为骨关节炎(OA)的有效治疗方法,OA 是最常见的关节疾病,其特征是软骨退化。然而,由于注射后 MSC 的分化不受控制且对软骨的靶向能力较弱,临床试验中关于软骨修复的证据有限。为了克服这些缺点,我们在这里合成了氧化铜@介孔硅纳米粒子(NPs)来递送 Sox9 质粒 DNA(有利于软骨生成)和重组蛋白 Bmp7(抑制肥大)。在摄取 CuO@MSN/Sox9/Bmp7(CSB NPs)后,这些 CSB 工程 MSC 中的软骨形成标志物的表达增强,而肥大标志物的表达减少。此外,通过点击化学反应将一种靶向软骨的肽(命名为肽 W)偶联到 MSC 表面,从而延长 MSC 在小鼠膝关节腔和人源性软骨中的停留时间。在手术诱导的 OA 小鼠模型中,与其他工程 MSC 相比,NP 和肽双重修饰的 W-CSB-MSCs 在关节内注射后对膝关节软骨修复具有增强的治疗效果。最重要的是,W-CSB-MSCs 加速了源自 OA 患者的受损软骨外植体中的软骨再生。因此,这种新的肽和 NPs 双重工程策略显示出用于 MSC 治疗的 OA 软骨修复的临床应用潜力。
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