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. 2021 Oct;5(10):1189-1201.
doi: 10.1038/s41551-021-00785-y. Epub 2021 Oct 4.

Biomimetic cartilage-lubricating polymers regenerate cartilage in rats with early osteoarthritis

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Biomimetic cartilage-lubricating polymers regenerate cartilage in rats with early osteoarthritis

Renjian Xie et al. Nat Biomed Eng. 2021 Oct.

Abstract

The early stages of progressive degeneration of cartilage in articular joints are a hallmark of osteoarthritis. Healthy cartilage is lubricated by brush-like cartilage-binding nanofibres with a hyaluronan backbone and two key side chains (lubricin and lipid). Here, we show that hyaluronan backbones grafted with lubricin-like sulfonate-rich polymers or with lipid-like phosphocholine-rich polymers together enhance cartilage regeneration in a rat model of early osteoarthritis. These biomimetic brush-like nanofibres show a high affinity for cartilage proteins, form a lubrication layer on the cartilage surface and efficiently lubricate damaged human cartilage, lowering its friction coefficient to the low levels typical of native cartilage. Intra-articular injection of the two types of nanofibre into rats with surgically induced osteoarthritic joints led to cartilage regeneration and to the abrogation of osteoarthritis within 8 weeks. Biocompatible injectable lubricants that facilitate cartilage regeneration may offer a translational strategy for the treatment of early osteoarthritis.

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