PMID- 37939613 OWN - NLM STAT- MEDLINE DCOM- 20231115 LR - 20231115 IS - 1950-6007 (Electronic) IS - 0753-3322 (Linking) VI - 168 DP - 2023 Dec TI - Harnessing the multifunctionality of lipid-based drug delivery systems for the local treatment of osteoarthritis. PG - 115819 LID - S0753-3322(23)01617-7 [pii] LID - 10.1016/j.biopha.2023.115819 [doi] AB - Osteoarthritis (OA) is a widespread joint condition affecting millions globally, presenting a growing socioeconomic burden thus making the development of more effective therapeutic strategies crucial. This review emphasizes recent advancements in lipid-based drug delivery systems (DDSs) for intra-articular administration of OA therapeutics, encompassing non-steroidal anti-inflammatory drugs, corticosteroids, small molecule disease-modifying OA drugs, and RNA therapeutics. Liposomes, lipid nanoparticles, lipidic mesophases, extracellular vesicles and composite systems exhibit enhanced stability, targeted delivery, and extended joint retention, which contribute to improved therapeutic outcomes and minimized systemic drug exposure. Although active targeting strategies hold promise, further research is needed to assess their targeting efficiency in physiologically relevant conditions. Simultaneously, multifunctional DDSs capable of delivering combinations of distinct therapeutic classes offer synergistic effects and superior OA treatment outcomes. The development of such long-acting systems that resist rapid clearance from the joint space is crucial, where particle size and targeting capabilities emerge as vital factors. Additionally, combining cartilage lubrication properties with sustained drug delivery has demonstrated potential in animal models, meriting further investigation in human clinical trials. This review highlights the crucial need for direct, head-to-head comparisons of novel DDSs with standard treatments, particularly within the same drug class. These comparisons are essential in accurately evaluating their effectiveness, safety, and clinical applicability, and are set to significantly shape the future of OA therapy. CI - Copyright (c) 2023 The Authors. Published by Elsevier Masson SAS.. All rights reserved. FAU - Bordon, Gregor AU - Bordon G AD - Department of Chemistry, Biochemistry and Pharmaceutical Sciences, University of Bern, Bern, Switzerland. FAU - Berenbaum, Francis AU - Berenbaum F AD - Sorbonne University, INSERM CRSA, AP-HP Saint-Antoine Hospital, Paris, France. FAU - Distler, Oliver AU - Distler O AD - Department of Rheumatology, University Hospital Zurich, University of Zurich, Zurich, Switzerland. FAU - Luciani, Paola AU - Luciani P AD - Department of Chemistry, Biochemistry and Pharmaceutical Sciences, University of Bern, Bern, Switzerland. Electronic address: paola.luciani@unibe.ch. LA - eng PT - Journal Article PT - Review DEP - 20231106 PL - France TA - Biomed Pharmacother JT - Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie JID - 8213295 RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 0 (Lipids) SB - IM MH - Animals MH - Humans MH - *Drug Delivery Systems MH - *Osteoarthritis/drug therapy MH - Anti-Inflammatory Agents, Non-Steroidal/therapeutic use MH - Treatment Outcome MH - Lipids/therapeutic use OTO - NOTNLM OT - Cartilage lubrication OT - Intra-articular drug delivery OT - Lipid-based drug delivery systems OT - Nanoparticles and microparticles OT - Osteoarthritis therapeutics COIS- Declaration of Competing Interest Gregor Bordon and Oliver Distler declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. Francis Berenbaum is founder and CMO of 4Moving Biotech and has consulted for 4P Pharma, AstraZeneca, Cellprothera, Grunenthal, GSK, Medivir, Novartis, Pfizer, Lilly, Servier. Paola Luciani has consulted and received research funding from Lipoid GmbH, Sanofi-Aventis Deutschland and DSM Nutritional Products Ltd. EDAT- 2023/11/09 00:42 MHDA- 2023/11/15 06:42 CRDT- 2023/11/08 18:10 PHST- 2023/07/06 00:00 [received] PHST- 2023/10/29 00:00 [revised] PHST- 2023/10/31 00:00 [accepted] PHST- 2023/11/15 06:42 [medline] PHST- 2023/11/09 00:42 [pubmed] PHST- 2023/11/08 18:10 [entrez] AID - S0753-3322(23)01617-7 [pii] AID - 10.1016/j.biopha.2023.115819 [doi] PST - ppublish SO - Biomed Pharmacother. 2023 Dec;168:115819. doi: 10.1016/j.biopha.2023.115819. Epub 2023 Nov 6.