School of Pharmacy and Bioengineering, Hornbeam building, Keele University, Staffordshire ST5 5BG, United Kingdom; Guy Hilton Research Centre, School of Pharmacy and Bioengineering, Keele University, Staffordshire ST4 7QB, United Kingdom.
Department of Arthroscopy, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham B31 2AP, United Kingdom; The Robert Jones and Agnes Hunt Hospital, Oswestry, Shropshire SY10 7AG, United Kingdom.
Adv Colloid Interface Sci. 2023 Nov;321:103030. doi: 10.1016/j.cis.2023.103030. Epub 2023 Oct 20.
The impairment of articular cartilage due to traumatic incidents or osteoarthritis has posed significant challenges for healthcare practitioners, researchers, and individuals suffering from these conditions. Due to the absence of an approved treatment strategy for the complete restoration of cartilage defects to their native state, the tissue condition often deteriorates over time, leading to osteoarthritic (OA). However, recent advancements in the field of regenerative medicine have unveiled promising prospects through the utilization of injectable hydrogels. This versatile class of biomaterials, characterized by their ability to emulate the characteristics of native articular cartilage, offers the distinct advantage of minimally invasive administration directly to the site of damage. These hydrogels can also serve as ideal delivery vehicles for a diverse range of bioactive agents, including growth factors, anti-inflammatory drugs, steroids, and cells. The controlled release of such biologically active molecules from hydrogel scaffolds can accelerate cartilage healing, stimulate chondrogenesis, and modulate the inflammatory microenvironment to halt osteoarthritic progression. The present review aims to describe the methods used to design injectable hydrogels, expound upon their applications as delivery vehicles of biologically active molecules, and provide an update on recent advances in leveraging these delivery systems to foster articular cartilage regeneration.
由于创伤事件或骨关节炎导致的关节软骨损伤给医疗保健从业者、研究人员和患有这些疾病的人带来了重大挑战。由于缺乏一种经过批准的治疗策略来将软骨缺陷完全恢复到其原始状态,组织状况往往会随着时间的推移而恶化,导致骨关节炎(OA)。然而,再生医学领域的最新进展通过使用可注射水凝胶揭示了有希望的前景。这种多功能的生物材料类具有模拟天然关节软骨特征的能力,其优势在于可以微创方式直接将其施用于损伤部位。这些水凝胶还可以作为各种生物活性剂(包括生长因子、抗炎药物、类固醇和细胞)的理想输送载体。从水凝胶支架中控制释放这些具有生物活性的分子可以加速软骨愈合、刺激软骨生成并调节炎症微环境以阻止骨关节炎的进展。本综述旨在描述设计可注射水凝胶的方法,阐述其作为生物活性分子输送载体的应用,并介绍利用这些输送系统促进关节软骨再生的最新进展。