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      Bone/cartilage targeted hydrogel: Strategies and applications

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          Abstract

          The skeletal system is responsible for weight-bearing, organ protection, and movement. Bone diseases caused by trauma, infection, and aging can seriously affect a patient's quality of life. Bone targeted biomaterials are suitable for the treatment of bone diseases. Biomaterials with bone-targeted properties can improve drug utilization and reduce side effects. A large number of bone-targeted micro-nano materials have been developed. However, only a few studies addressed bone-targeted hydrogel. The large size of hydrogel makes it difficult to achieve systematic targeting. However, local targeted hydrogel still has significant prospects. Molecules in bone/cartilage extracellular matrix and bone cells provide binding sites for bone-targeted hydrogel. Drug delivery systems featuring microgels with targeting properties is a key construction strategy for bone-targeted hydrogel. Besides, injectable hydrogel drug depot carrying bone-targeted drugs is another strategy. In this review, we summarize the bone-targeted hydrogel through application environment, construction strategies and disease applications. We hope this article will provide a reference for the development of bone-targeted hydrogels. We also hope this article could increase awareness of bone-targeted materials.

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          Highlights

          • Introducing the microenvironment and target molecules in different parts of long bones.

          • Summarizing the construction strategy of micro/nanoparticle hydrogel with bone targeting properties.

          • Summarizing the construction strategy of hydrogel based depot carrying bone-targeted drugs.

          • Reporting the application and effect of bone targeting hydrogel in common bone diseases.

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          Most cited references121

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          Designing hydrogels for controlled drug delivery

          Hydrogel delivery systems can leverage therapeutically beneficial outcomes of drug delivery and have found clinical use. Hydrogels can provide spatial and temporal control over the release of various therapeutic agents, including small-molecule drugs, macromolecular drugs and cells. Owing to their tunable physical properties, controllable degradability and capability to protect labile drugs from degradation, hydrogels serve as a platform in which various physiochemical interactions with the encapsulated drugs control their release. In this Review, we cover multiscale mechanisms underlying the design of hydrogel drug delivery systems, focusing on physical and chemical properties of the hydrogel network and the hydrogel-drug interactions across the network, mesh, and molecular (or atomistic) scales. We discuss how different mechanisms interact and can be integrated to exert fine control in time and space over the drug presentation. We also collect experimental release data from the literature, review clinical translation to date of these systems, and present quantitative comparisons between different systems to provide guidelines for the rational design of hydrogel delivery systems.
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            Organoids as an in vitro model of human development and disease.

            The in vitro organoid model is a major technological breakthrough that has already been established as an essential tool in many basic biology and clinical applications. This near-physiological 3D model facilitates an accurate study of a range of in vivo biological processes including tissue renewal, stem cell/niche functions and tissue responses to drugs, mutation or damage. In this Review, we discuss the current achievements, challenges and potential applications of this technique.
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              Normal bone anatomy and physiology.

              This review describes normal bone anatomy and physiology as an introduction to the subsequent articles in this section that discuss clinical applications of iliac crest bone biopsy. The normal anatomy and functions of the skeleton are reviewed first, followed by a general description of the processes of bone modeling and remodeling. The bone remodeling process regulates the gain and loss of bone mineral density in the adult skeleton and directly influences bone strength. Thorough understanding of the bone remodeling process is critical to appreciation of the value of and interpretation of the results of iliac crest bone histomorphometry. Osteoclast recruitment, activation, and bone resorption is discussed in some detail, followed by a review of osteoblast recruitment and the process of new bone formation. Next, the collagenous and noncollagenous protein components and function of bone extracellular matrix are summarized, followed by a description of the process of mineralization of newly formed bone matrix. The actions of biomechanical forces on bone are sensed by the osteocyte syncytium within bone via the canalicular network and intercellular gap junctions. Finally, concepts regarding bone remodeling, osteoclast and osteoblast function, extracellular matrix, matrix mineralization, and osteocyte function are synthesized in a summary of the currently understood functional determinants of bone strength. This information lays the groundwork for understanding the utility and clinical applications of iliac crest bone biopsy.
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                Author and article information

                Contributors
                Journal
                Bioact Mater
                Bioact Mater
                Bioactive Materials
                KeAi Publishing
                2452-199X
                11 November 2022
                May 2023
                11 November 2022
                : 23
                : 156-169
                Affiliations
                [a ]Institute of Translational Medicine, Shanghai University, Shanghai, 200444, China
                [b ]Musculoskeletal Organoid Research Center, Shanghai University, Shanghai, 200444, China
                [c ]School of Medicine, Shanghai University, Shanghai, 200444, China
                [d ]School of Environmental and Chemical Engineering, Shanghai University, Shanghai, 200444, China
                Author notes
                []Corresponding author. Institute of Translational Medicine, Shanghai University, Shanghai, 200444, China. xjhuyan@ 123456shu.edu.cn
                [∗∗ ]Corresponding author. Institute of Translational Medicine, Shanghai University, Shanghai, 200444, China. nanboshan1987@ 123456163.com
                [∗∗∗ ]Corresponding author. Institute of Translational Medicine, Shanghai University, Shanghai, 200444, China. drsujiacan@ 123456163.com
                [1]

                These authors contributed equally to this article.

                Article
                S2452-199X(22)00452-2
                10.1016/j.bioactmat.2022.10.028
                9661677
                36406248
                4d146351-210a-42c4-be5e-53fbb7d374a8
                © 2022 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 30 July 2022
                : 26 October 2022
                : 27 October 2022
                Categories
                Review Article

                bone,cartilage,hydrogel,target therapy,bone disease
                bone, cartilage, hydrogel, target therapy, bone disease

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