4.7 Review

Knee Osteoarthritis Therapy: Recent Advances in Intra-Articular Drug Delivery Systems

Journal

DRUG DESIGN DEVELOPMENT AND THERAPY
Volume 16, Issue -, Pages 1311-1347

Publisher

DOVE MEDICAL PRESS LTD
DOI: 10.2147/DDDT.S357386

Keywords

osteoarthritis; knee; drug delivery; intra-articular

Funding

  1. National Natural Science Foundation of China [81703584]
  2. regional joint fund of natural science foundation of Guangdong province [2020B1515120052]
  3. Guangdong Province Natural Science Foundation of China [2017A030310614, 2018A030313390, 2016ZC0178, 2021A1515010975]
  4. Discipline construction project of Guangdong Medical University [4SG22002G, 4SG21156G]
  5. Special Funds for Scientific Technological Innovation of Undergraduates in Guangdong Province [pdjh2022a0214]
  6. Affiliated Hospital of Guangdong Medical University Clinical Medicine+ CnTech Co-operation Project [CLP2021B012]
  7. Guangdong Medical University scientific research fund [B2017001]
  8. Fund of Southern Marine Science and Engineering Guangdong Laboratory (Zhanjiang) [ZJW-2019-007]

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Drug delivery for osteoarthritis (OA) treatment is a persistent challenge due to low bioavailability and rapid clearance of drugs in the joints. Intra-articular (IA) drug delivery, as a common strategy, largely relies on the effectiveness of the drug-delivery system used for treating OA.
Drug delivery for osteoarthritis (OA) treatment is a continuous challenge because of their poor bioavailability and rapid clearance in joints. Intra-articular (IA) drug delivery is a common strategy and its therapeutic effects depend mainly on the efficacy of the drug-delivery system used for OA therapy. Different types of IA drug-delivery systems, such as microspheres, nanoparticles, and hydrogels, have been rapidly developed over the past decade to improve their therapeutic effects. With the continuous advancement in OA mechanism research, new drugs targeting specific cell/signaling pathways in OA are rapidly evolving and effective drug delivery is critical for treating OA. In this review, recent advances in various IA drug-delivery systems for OA treatment, OA targeted strategies, and related signaling pathways in OA treatment are summarized and analyzed based on current publications.

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