PMID- 37453195 OWN - NLM STAT- MEDLINE DCOM- 20230817 LR - 20230817 IS - 1950-6007 (Electronic) IS - 0753-3322 (Linking) VI - 165 DP - 2023 Sep TI - Harnessing exosomes as cutting-edge drug delivery systems for revolutionary osteoarthritis therapy. PG - 115135 LID - S0753-3322(23)00926-5 [pii] LID - 10.1016/j.biopha.2023.115135 [doi] AB - Exosomes, remarkable extracellular vesicles, have emerged as an advanced frontier in intercellular communication. This remarkable capacity positions them as promising contenders in drug delivery systems (DDSs) for osteoarthritis (OA) therapy, capitalizing on their inherent biocompatibility, stability, and minimal immunogenicity. In this comprehensive review, we summarize the emerging developments surrounding exosome-based DDSs for OA therapy. Focusing on exosome origins, we meticulously explore the diverse sources contributing to their production, including invaluable stem cells, immune cells, and an array of other cell types. In addition, we unravel the underlying mechanisms of action that govern these exosome-borne therapeutics, illuminating the intricate interplay between exosomes and recipient cells. In summary, this review highlights the present challenges that permeate exosome-based DDSs for OA therapy. Through an in-depth exploration of the intricacies within this emerging field, this review aims to shed light on the future direction of exosome-based DDSs in OA. It serves as a bridge for fostering collaboration and collective efforts in reshaping the treatment landscape of OA. CI - Copyright (c) 2023 The Authors. Published by Elsevier Masson SAS.. All rights reserved. FAU - Lu, Jun AU - Lu J AD - Department of Foot and Ankle Surgery, Honghui Hospital of Xi'an Jiaotong University, Xi'an City, Shaanxi Province 710054, China. FAU - Zhang, Yan AU - Zhang Y AD - Department of Foot and Ankle Surgery, Honghui Hospital of Xi'an Jiaotong University, Xi'an City, Shaanxi Province 710054, China. FAU - Yang, Xinquan AU - Yang X AD - Department of Foot and Ankle Surgery, Honghui Hospital of Xi'an Jiaotong University, Xi'an City, Shaanxi Province 710054, China. FAU - Zhao, Hongmou AU - Zhao H AD - Department of Foot and Ankle Surgery, Honghui Hospital of Xi'an Jiaotong University, Xi'an City, Shaanxi Province 710054, China. Electronic address: zhaohongmou@xiyi.edu.cn. LA - eng PT - Journal Article PT - Review DEP - 20230713 PL - France TA - Biomed Pharmacother JT - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie JID - 8213295 SB - IM MH - Humans MH - *Exosomes/metabolism MH - Drug Delivery Systems MH - *Osteoarthritis/drug therapy/metabolism MH - Cell Communication MH - Stem Cells OTO - NOTNLM OT - Drug delivery OT - Exosome OT - Nanomedicine OT - Osteoarthritis OT - Pharmacotherapy COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/07/16 01:07 MHDA- 2023/08/17 06:43 CRDT- 2023/07/15 18:01 PHST- 2023/06/07 00:00 [received] PHST- 2023/06/30 00:00 [revised] PHST- 2023/07/07 00:00 [accepted] PHST- 2023/08/17 06:43 [medline] PHST- 2023/07/16 01:07 [pubmed] PHST- 2023/07/15 18:01 [entrez] AID - S0753-3322(23)00926-5 [pii] AID - 10.1016/j.biopha.2023.115135 [doi] PST - ppublish SO - Biomed Pharmacother. 2023 Sep;165:115135. doi: 10.1016/j.biopha.2023.115135. Epub 2023 Jul 13.