PMID- 36773884 OWN - NLM STAT- MEDLINE DCOM- 20230320 LR - 20230326 IS - 1878-7568 (Electronic) IS - 1742-7061 (Linking) VI - 160 DP - 2023 Apr 1 TI - Targeted therapy for peri-prosthetic osteolysis using macrophage membrane-encapsulated human urine-derived stem cell extracellular vesicles. PG - 297-310 LID - S1742-7061(23)00074-0 [pii] LID - 10.1016/j.actbio.2023.02.003 [doi] AB - Aseptic loosening of the prosthesis is a severe complication after joint replacement. It is of great practical significance and social value to discover the prevention and treatment strategies for this condition. Exosomes from urine-derived stem cells (Exos) have great potential in promoting bone repair, reconstruction, and regulating bone metabolism. However, they are easily eliminated by macrophages and incapable of targeting the osteolysis zone. In this study, based on macrophage "homing" into periprosthetic osteolysis region and cell membrane encapsulating nanotechnology, exosomes from urine-derived stem cells were encapsulated with macrophage membrane (MM) to prevent periprosthetic osteolysis. We found that macrophage membrane encapsulated urine-derived stem cell-derived exosomes (MM-Exos) can be targeted delivery to the osteolysis zone and enhance the therapeutic effectiveness of Exos, which alleviated wear particles-induced calvarial osteolysis. Furthermore, MM-Exos could provide immunological camouflage and allow the Exos to avoid phagocytosis by macrophages and stimulate cellular uptake by bone marrow-derived stem cells (BMSCs). Therefore, we demonstrated the unique ability of the macrophage membrane as a targeted transport of exosomes from urine-derived stem cells for the prevention and treatment of periprosthetic osteolysis. These biomimetic nanoparticles provided a new therapeutic exosome delivery system for preventing wear particles-induced osteolysis. STATEMENT OF SIGNIFICANCE: Macrophage membrane encapsulated urine-derived stem cell-derived exosomes (MM-Exos) can be targeted delivery to the osteolysis zone and enhance the therapeutic effect of Exos on peri‑prosthetic osteolysis prevention. MM-Exos could allow the Exos to avoid phagocytosis by macrophages and promote the uptake of Exos by BMSCs. CI - Copyright (c) 2023 Acta Materialia Inc. Published by Elsevier Ltd. All rights reserved. FAU - Xie, Jie AU - Xie J AD - Department of Orthopedics, The First Affiliated Hospital, Zhejiang University School of Medicine, China. FAU - Hu, Yihe AU - Hu Y AD - Department of Orthopedics, The First Affiliated Hospital, Zhejiang University School of Medicine, China; Department of Orthopedics, Xiangya Hospital, Central South University, China. FAU - Li, Hui AU - Li H AD - Department of Orthopedics, The First Affiliated Hospital, Zhejiang University School of Medicine, China. FAU - Wang, Yinan AU - Wang Y AD - Department of Orthopedics, Xiangya Hospital, Central South University, China. FAU - Fan, Xiaolei AU - Fan X AD - Department of Orthopedics, Xiangya Hospital, Central South University, China. FAU - Lu, Wei AU - Lu W AD - Department of Orthopedics, Xiangya Hospital, Central South University, China. FAU - Liao, Runzhi AU - Liao R AD - Department of Orthopedics, Xiangya Hospital, Central South University, China. FAU - Wang, Haoyi AU - Wang H AD - Department of Orthopedics, Xiangya Hospital, Central South University, China. FAU - Cheng, Yurui AU - Cheng Y AD - Department of Orthopedics, Xiangya Hospital, Central South University, China. FAU - Yang, Yute AU - Yang Y AD - Department of Orthopedics, The First Affiliated Hospital, Zhejiang University School of Medicine, China. FAU - Wang, Jiahao AU - Wang J AD - Department of Orthopedics, Xiangya Hospital, Central South University, China. FAU - Liang, Shuailong AU - Liang S AD - Department of Orthopedics, Xiangya Hospital, Central South University, China. FAU - Ma, Tianliang AU - Ma T AD - Department of Orthopedics, Xiangya Hospital, Central South University, China. Electronic address: tianliangma@163.com. FAU - Su, Weiping AU - Su W AD - Department of Orthopedics, The 3rd Xiangya Hospital, Central South University, Changsha, China. Electronic address: weiping_1017@163.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230210 PL - England TA - Acta Biomater JT - Acta biomaterialia JID - 101233144 SB - IM MH - Humans MH - *Osteolysis/chemically induced MH - Stem Cells MH - *Exosomes/metabolism MH - Cell Membrane MH - Macrophages OTO - NOTNLM OT - Aseptic loosening OT - Exosomes OT - Macrophage membrane OT - Osteolysis OT - Urine-derived stem cells COIS- Declaration of Competing Interest All other authors declare no competing interests. EDAT- 2023/02/12 06:00 MHDA- 2023/03/21 06:00 CRDT- 2023/02/11 19:28 PHST- 2022/09/19 00:00 [received] PHST- 2023/02/02 00:00 [revised] PHST- 2023/02/02 00:00 [accepted] PHST- 2023/02/12 06:00 [pubmed] PHST- 2023/03/21 06:00 [medline] PHST- 2023/02/11 19:28 [entrez] AID - S1742-7061(23)00074-0 [pii] AID - 10.1016/j.actbio.2023.02.003 [doi] PST - ppublish SO - Acta Biomater. 2023 Apr 1;160:297-310. doi: 10.1016/j.actbio.2023.02.003. Epub 2023 Feb 10.