Review Article

Nanomaterials for the Local and Targeted Delivery of Osteoarthritis Drugs

Table 3

Proposed assignment of different nanocarriers for delivery of active drugs to different targets within a synovial joint.

TargetDesired properties of nanocarrierPotentially suitable nanocarrier

Cartilage matrix(i) Size smaller than 38 nm*
(ii) Positive surface charge
(iii) Ability to couple peptide ligands (WYRGRL) to target collagen II α1
Micelles, dendrimers

Subchondral bone(i) Size smaller than 38 nm*
(ii) Positive surface charge
(iii) Ability to couple peptide ligands (WYRGRL) to target collagen II α1 to make ECM as a drug reservoir for drugs that can reach subchondral bone in case of early OA
(iv) Ability to target hydroxyapatite of subchondral bone in case of advance OA where subchondral bone is exposed due to cartilage degradation
Micelles, dendrimers

Cartilage surface(i) Variable sizes can be used but if penetration into cartilage has to be avoided, sizes greater than 60 nm are recommended.
(ii) Positive surface charge
(iii) Ability to couple antibodies against epitopes of cartilage degradations such as VDIPEN and NITEGE
Liposomes, dendrimers of higher generation, micelles, nanoparticles

Synovial membrane(i) Variable size can be used but if penetration into cartilage has to be avoided, size greater than 60 nm is recommended
(ii) Ability to retain in intra-articular space with a targeting aspect towards a synovial joint component and subsequent uptake by synovial fibroblast
Liposomes, Dendrimers of higher generation, Micelles, Nanoparticles

Intra articular space(i) Variable size can be used but if penetration into cartilage has to be avoided, sizes greater than 60 nm are recommended
(ii) Ability to form complexes with synovial fluid components that can help in retention of nanocarrier in intra-articular space
Liposomes, Dendrimers of higher generation, Micelles, Nanoparticles

Infrapatellar fat pad(i) Lipophilic properties that allow preferential absorption by fat tissueLiposomes, Dendrimers of higher generation, Micelles, Nanoparticles

*38 nm is the smallest size proven to penetrate articular cartilage. However, based the collagen mesh size, nanoparticles up to 60 nm might penetrate the cartilage.