Intra-articular
(IA) injection is an attractive route of administration
for the treatment of osteoarthritis (OA). However, free drugs injected
into the joint space are rapidly cleared and many of them can induce
adverse off-target effects on different IA tissues. To overcome these
limitations, we designed nanocomposite 4-arm-poly(ethylene glycol)-maleimide
(PEG-4MAL) microgels, presenting cartilage- or synoviocyte-binding
peptides, containing poly(lactic-co-glycolic) acid
(PLGA) nanoparticles (NPs) as an IA small molecule drug delivery system.
Microgels containing rhodamine B (model drug)-loaded PLGA NPs were
synthesized using microfluidics technology and exhibited a sustained,
near zero-order release of the fluorophore over 16 days in
vitro. PEG-4MAL microgels presenting synoviocyte- or cartilage-targeting
peptides specifically bound to rabbit and human synoviocytes or to
bovine articular cartilage in vitro, respectively.
Finally, using a rat model of post-traumatic knee OA, PEG-4MAL microgels
were shown to be retained in the joint space for at least 3 weeks
without inducing any joint degenerative changes as measured by EPIC-μCT
and histology. Additionally, all microgel formulations were found
trapped in the synovial membrane and significantly increased the IA
retention time of a model small molecule near-infrared (NIR) dye compared
to that of the free dye. These results suggest that peptide-functionalized
nanocomposite PEG-4MAL microgels represent a promising intra-articular
vehicle for tissue-localized drug delivery and prolonged IA drug retention
for the treatment of OA.
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