PMID- 35261301 OWN - NLM STAT- MEDLINE DCOM- 20220310 LR - 20220317 IS - 1521-0464 (Electronic) IS - 1071-7544 (Print) IS - 1071-7544 (Linking) VI - 29 IP - 1 DP - 2022 Dec TI - Intra-articular drug delivery systems for osteoarthritis therapy: shifting from sustained release to enhancing penetration into cartilage. PG - 767-791 LID - 10.1080/10717544.2022.2048130 [doi] AB - Osteoarthritis (OA) is a progressive chronic inflammation that leads to cartilage degeneration. OA Patients are commonly given pharmacological treatment, but the available treatments are not sufficiently effective. The development of sustained-release drug delivery systems (DDSs) for OA may be an attractive strategy to prevent rapid drug clearance and improve the half-life of a drug at the joint cavity. Such delivery systems will improve the therapeutic effects of anti-inflammatory effects in the joint cavity. Whereas, for disease-modifying OA drugs (DMOADs) which target chondrocytes or act on mesenchymal stem cells (MSCs), the cartilage-permeable DDSs are required to maximize their efficacy. This review provides an overview of joint structure in healthy and pathological conditions, introduces the advances of the sustained-release DDSs and the permeable DDSs, and discusses the rational design of the permeable DDSs for OA treatment. We hope that the ideas generated in this review will promote the development of effective OA drugs in the future. FAU - Huang, Huirong AU - Huang H AD - Wenzhou Municipal Key Laboratory of Pediatric Pharmacy, Department of Pharmacy, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Lou, Zijian AU - Lou Z AD - Wenzhou Municipal Key Laboratory of Pediatric Pharmacy, Department of Pharmacy, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. AD - Department of Orthopedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Zheng, Shimin AU - Zheng S AD - Wenzhou Municipal Key Laboratory of Pediatric Pharmacy, Department of Pharmacy, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Wu, Jianing AU - Wu J AD - Wenzhou Municipal Key Laboratory of Pediatric Pharmacy, Department of Pharmacy, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Yao, Qing AU - Yao Q AD - School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China. FAU - Chen, Ruijie AU - Chen R AD - Wenzhou Municipal Key Laboratory of Pediatric Pharmacy, Department of Pharmacy, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Kou, Longfa AU - Kou L AD - Wenzhou Municipal Key Laboratory of Pediatric Pharmacy, Department of Pharmacy, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. FAU - Chen, Daosen AU - Chen D AD - Department of Orthopedics, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China. LA - eng PT - Journal Article PT - Review PL - England TA - Drug Deliv JT - Drug delivery JID - 9417471 RN - 0 (Delayed-Action Preparations) SB - IM MH - Cartilage MH - Delayed-Action Preparations/therapeutic use MH - Drug Delivery Systems MH - Humans MH - Injections, Intra-Articular MH - *Osteoarthritis/drug therapy PMC - PMC8920370 OTO - NOTNLM OT - Drug delivery system OT - intra-articular OT - osteoarthritis OT - permeability OT - sustained-release COIS- No potential conflict of interest was reported by the author(s). EDAT- 2022/03/10 06:00 MHDA- 2022/03/11 06:00 PMCR- 2022/03/09 CRDT- 2022/03/09 08:42 PHST- 2022/03/09 08:42 [entrez] PHST- 2022/03/10 06:00 [pubmed] PHST- 2022/03/11 06:00 [medline] PHST- 2022/03/09 00:00 [pmc-release] AID - 2048130 [pii] AID - 10.1080/10717544.2022.2048130 [doi] PST - ppublish SO - Drug Deliv. 2022 Dec;29(1):767-791. doi: 10.1080/10717544.2022.2048130.