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DeMoya CD, Joenathan A, Lawson TB, Felson DT, Schaer TP, Bais M, Albro MB, Mäkelä J, Snyder BD, Grinstaff MW. Advances in viscosupplementation and tribosupplementation for early-stage osteoarthritis therapy. Nat Rev Rheumatol 2024; 20:432-451. [PMID: 38858605 PMCID: PMC11348290 DOI: 10.1038/s41584-024-01125-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/10/2024] [Indexed: 06/12/2024]
Abstract
Joint kinematic instability, arising from congenital or acquired musculoskeletal pathoanatomy or from imbalances in anabolism and catabolism induced by pathophysiological factors, leads to deterioration of the composition, structure and function of cartilage and, ultimately, progression to osteoarthritis (OA). Alongside articular cartilage degeneration, synovial fluid lubricity decreases in OA owing to a reduction in the concentration and molecular weight of hyaluronic acid and surface-active mucinous glycoproteins that form a lubricating film over the articulating joint surfaces. Minimizing friction between articulating joint surfaces by lubrication is fundamental for decreasing hyaline cartilage wear and for maintaining the function of synovial joints. Augmentation with highly viscous supplements (that is, viscosupplementation) offers one approach to re-establishing the rheological and tribological properties of synovial fluid in OA. However, this approach has varied clinical outcomes owing to limited intra-articular residence time and ineffective mechanisms of chondroprotection. This Review discusses normal hyaline cartilage function and lubrication and examines the advantages and disadvantages of various strategies for restoring normal joint lubrication. These strategies include contemporary viscosupplements that contain antioxidants, anti-inflammatory drugs or platelet-rich plasma and new synthetic synovial fluid additives and cartilage matrix enhancers. Advanced biomimetic tribosupplements offer promise for mitigating cartilage wear, restoring joint function and, ultimately, improving patient care.
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Affiliation(s)
- Christian D DeMoya
- Department of Biomedical Engineering, Boston University, Boston, MA, USA
| | - Anisha Joenathan
- Division of Materials Science and Engineering, Boston University, Boston, MA, USA
| | - Taylor B Lawson
- Department of Mechanical Engineering, Boston University, Boston, MA, USA
| | - David T Felson
- Section of Rheumatology, Department of Medicine, Boston University Chobanian & Avedisian School of Medicine, Boston, USA
| | - Thomas P Schaer
- PENN VET Institute for Medical Translation, University of Pennsylvania School of Veterinary Medicine New Bolton Center, Kennett Square, PA, USA
| | - Manish Bais
- Boston University, Henry M. Goldman School of Dental Medicine, Boston, MA, USA
| | - Michael B Albro
- Department of Mechanical Engineering, Boston University, Boston, MA, USA
| | - Janne Mäkelä
- Department of Technical Physics, University of Eastern Finland, Kuopio, Finland
| | - Brian D Snyder
- Department of Orthopaedic Surgery, Boston Children's Hospital Boston, Boston, MA, USA.
| | - Mark W Grinstaff
- Department of Biomedical Engineering, Boston University, Boston, MA, USA.
- Division of Materials Science and Engineering, Boston University, Boston, MA, USA.
- Department of Chemistry, Boston University, Boston, MA, USA.
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2
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Elkington RJ, Hall RM, Beadling AR, Pandit H, Bryant MG. Brushing Up on Cartilage Lubrication: Polyelectrolyte-Enhanced Tribological Rehydration. LANGMUIR : THE ACS JOURNAL OF SURFACES AND COLLOIDS 2024; 40:10648-10662. [PMID: 38712915 PMCID: PMC11112737 DOI: 10.1021/acs.langmuir.4c00598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2024] [Revised: 04/14/2024] [Accepted: 04/18/2024] [Indexed: 05/08/2024]
Abstract
This study presents new insights into the potential role of polyelectrolyte interfaces in regulating low friction and interstitial fluid pressurization of cartilage. Polymer brushes composed of hydrophilic 3-sulfopropyl methacrylate potassium salt (SPMK) tethered to a PEEK substrate (SPMK-g-PEEK) are a compelling biomimetic solution for interfacing with cartilage, inspired by the natural lubricating biopolyelectrolyte constituents of synovial fluid. These SPMK-g-PEEK surfaces exhibit a hydrated compliant layer approximately 5 μm thick, demonstrating the ability to maintain low friction coefficients (μ ∼ 0.01) across a wide speed range (0.1-200 mm/s) under physiological loads (0.75-1.2 MPa). A novel polyelectrolyte-enhanced tribological rehydration mechanism is elucidated, capable of recovering up to ∼12% cartilage strain and subsequently facilitating cartilage interstitial fluid recovery, under loads ranging from 0.25 to 2.21 MPa. This is attributed to the combined effects of fluid confinement within the contact gap and the enhanced elastohydrodynamic behavior of polymer brushes. Contrary to conventional theories that emphasize interstitial fluid pressurization in regulating cartilage lubrication, this work demonstrates that SPMK-g-PEEK's frictional behavior with cartilage is independent of these factors and provides unabating aqueous lubrication. Polyelectrolyte-enhanced tribological rehydration can occur within a static contact area and operates independently of known mechanisms of cartilage interstitial fluid recovery established for converging or migrating cartilage contacts. These findings challenge existing paradigms, proposing a novel polyelectrolyte-cartilage tribological mechanism not exclusively reliant on interstitial fluid pressurization or cartilage contact geometry. The implications of this research extend to a broader understanding of synovial joint lubrication, offering insights into the development of joint replacement materials that more accurately replicate the natural functionality of cartilage.
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Affiliation(s)
- Robert J. Elkington
- Institute
of Functional Surfaces, Mechanical Engineering, University of Leeds, Leeds LS2 9JT, Yorkshire, U.K.
| | - Richard M. Hall
- School
of Engineering College of Engineering and Physical Sciences, University of Birmingham, Birmingham B15 2TT, West
Midlands, U.K.
| | - Andrew R. Beadling
- Institute
of Functional Surfaces, Mechanical Engineering, University of Leeds, Leeds LS2 9JT, Yorkshire, U.K.
| | - Hemant Pandit
- Leeds
Institute of Rheumatic and Musculoskeletal Medicine, Chapel Allerton Hospital, Chapeltown Road, Leeds LS7 4SA, Yorkshire, U.K.
| | - Michael G. Bryant
- School
of Engineering College of Engineering and Physical Sciences, University of Birmingham, Birmingham B15 2TT, West
Midlands, U.K.
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3
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Lubricants for osteoarthritis treatment: From natural to bioinspired and alternative strategies. Adv Colloid Interface Sci 2023; 311:102814. [PMID: 36446286 DOI: 10.1016/j.cis.2022.102814] [Citation(s) in RCA: 17] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2022] [Revised: 10/28/2022] [Accepted: 11/11/2022] [Indexed: 11/18/2022]
Abstract
Osteoarthritis is the most common degenerative and highly prevalent joint disease, characterized by progressive loss and destruction of articular cartilage. The damaged cartilage surface has an increased friction, which causes patients to suffer from serious pain. Restoring the lubrication ability of the joint is central to the treatment of osteoarthritis, a key topic in medical research. A variety of lubricants have been designed to reduce friction in joints and promote cartilage tissue repair to alleviate the symptoms of osteoarthritis. Herein, we review the recent progress of lubricants from the three perspectives of natural, bioinspired, and alternative strategies for osteoarthritis treatment, as well as the structural characterization and lubrication properties of such lubricants. Specifically, natural lubricants include glycosaminoglycans, lubricin and lipids in joints, bioinspired lubricants include scaffolds mimicking hyaluronic acid or lubricin, and alternative lubricants include modified lubricants based on hyaluronic acid, lipids, nanoparticles, and peptides. We also discuss the current challenges and long-term perspectives for further research in this area.
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4
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An H, Liu Y, Yi J, Xie H, Li C, Wang X, Chai W. Research progress of cartilage lubrication and biomimetic cartilage lubrication materials. Front Bioeng Biotechnol 2022; 10:1012653. [PMID: 36267457 PMCID: PMC9576862 DOI: 10.3389/fbioe.2022.1012653] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 09/20/2022] [Indexed: 11/16/2022] Open
Abstract
Human joints move thousands of times a day. The articular cartilage plays a vital role in joints’ protection. If there is dysfunction in cartilage lubrication, cartilage cannot maintain its normal function. Eventually, the dysfunction may bring about osteoarthritis (OA). Extensive researches have shown that fluid film lubrication, boundary lubrication, and hydration lubrication are three discovered lubrication models at cartilage surface, and analyzing and simulating the mechanism of cartilage lubrication are fundamental to the treatment of OA. This essay concludes recent researches on the progress of cartilage lubrication and biomimetic cartilage, revealing the pathophysiology of cartilage lubrication and updating bio-inspired cartilage lubrication applications.
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Affiliation(s)
- Haoming An
- Senior Department of Orthopedics, Fourth Medical Center of People’s Liberation Army General Hospital, Beijing, China
- School of Medicine, Nankai University, Tianjin, China
- National Clinical Research Center for Orthopaedics, Sports Medicine and Rehabilitation, Beijing, China
| | - Yubo Liu
- Senior Department of Orthopedics, Fourth Medical Center of People’s Liberation Army General Hospital, Beijing, China
- School of Medicine, Nankai University, Tianjin, China
- National Clinical Research Center for Orthopaedics, Sports Medicine and Rehabilitation, Beijing, China
| | - Jiafeng Yi
- Senior Department of Orthopedics, Fourth Medical Center of People’s Liberation Army General Hospital, Beijing, China
- School of Medicine, Nankai University, Tianjin, China
- National Clinical Research Center for Orthopaedics, Sports Medicine and Rehabilitation, Beijing, China
| | - Hongbin Xie
- Senior Department of Orthopedics, Fourth Medical Center of People’s Liberation Army General Hospital, Beijing, China
- School of Medicine, Nankai University, Tianjin, China
- National Clinical Research Center for Orthopaedics, Sports Medicine and Rehabilitation, Beijing, China
| | - Chao Li
- Senior Department of Orthopedics, Fourth Medical Center of People’s Liberation Army General Hospital, Beijing, China
- National Clinical Research Center for Orthopaedics, Sports Medicine and Rehabilitation, Beijing, China
- *Correspondence: Chao Li, ; Xing Wang, ; Wei Chai,
| | - Xing Wang
- Beijing National Laboratory for Molecular Sciences, Institute of Chemistry, Chinese Academy of Sciences, Beijing, China
- The Institute of Chemistry of the Chinese Academy of Sciences, University of Chinese Academy of Sciences, Beijing, China
- *Correspondence: Chao Li, ; Xing Wang, ; Wei Chai,
| | - Wei Chai
- Senior Department of Orthopedics, Fourth Medical Center of People’s Liberation Army General Hospital, Beijing, China
- National Clinical Research Center for Orthopaedics, Sports Medicine and Rehabilitation, Beijing, China
- *Correspondence: Chao Li, ; Xing Wang, ; Wei Chai,
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6
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Yuan H, Cheng HW, Mears LLE, Huang R, Su R, Qi W, He Z, Valtiner M. Lipid Anchoring Improves Lubrication and Wear Resistance of the Collagen I Matrix. LANGMUIR : THE ACS JOURNAL OF SURFACES AND COLLOIDS 2021; 37:13810-13815. [PMID: 34788036 PMCID: PMC8638261 DOI: 10.1021/acs.langmuir.1c01581] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Revised: 11/06/2021] [Indexed: 05/12/2023]
Abstract
Osteoarthritis is a prevalent degenerative joint disease characterized by progressive articular cartilage loss and destruction. The resultant increase in friction causes severe pain. The collagen I matrix (COL I) has been used clinically for cartilage repair; however, how COL I acts at cartilage surfaces is unclear. Here, we studied adsorption and lubrication of synovial fluid components, albumin, γ-globulin, and the phospholipid DPPC, on COL I under physiological conditions using surface plasmon resonance and an in situ sensing surface force apparatus. Our results revealed COL I had poor lubrication ability, a fairly high coefficient of friction (COF, μ = 0.651 ± 0.013), and surface damage under a 7 mN load. DPPC formed an improved lubricating layer on COL I (μ = 0.072 ± 0.016). In sharp contrast, albumin and γ-globulin exhibited poor lubrication with an order of magnitude higher COF but still provided benefits by protecting COL I from wear. Hence, DPPC on COL I may help optimize COL I implantation design.
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Affiliation(s)
- Hui Yuan
- State
Key Laboratory of Chemical Engineering, Tianjin Key Laboratory of
Membrane Science and Desalination Technology, School of Chemical Engineering
and Technology, Tianjin University and Collaborative
Innovation Center of Chemical Science and Engineering (Tianjin), Tianjin 300072, China
- Institute
of Applied Physics, Vienna University of
Technology, Vienna 1040, Austria
| | - Hsiu-Wei Cheng
- Institute
of Applied Physics, Vienna University of
Technology, Vienna 1040, Austria
| | - Laura LE Mears
- Institute
of Applied Physics, Vienna University of
Technology, Vienna 1040, Austria
| | - Renliang Huang
- School
of Marine Science and Technology, Tianjin
University, Tianjin 300072, China
| | - Rongxin Su
- State
Key Laboratory of Chemical Engineering, Tianjin Key Laboratory of
Membrane Science and Desalination Technology, School of Chemical Engineering
and Technology, Tianjin University and Collaborative
Innovation Center of Chemical Science and Engineering (Tianjin), Tianjin 300072, China
| | - Wei Qi
- State
Key Laboratory of Chemical Engineering, Tianjin Key Laboratory of
Membrane Science and Desalination Technology, School of Chemical Engineering
and Technology, Tianjin University and Collaborative
Innovation Center of Chemical Science and Engineering (Tianjin), Tianjin 300072, China
| | - Zhimin He
- State
Key Laboratory of Chemical Engineering, Tianjin Key Laboratory of
Membrane Science and Desalination Technology, School of Chemical Engineering
and Technology, Tianjin University and Collaborative
Innovation Center of Chemical Science and Engineering (Tianjin), Tianjin 300072, China
| | - Markus Valtiner
- Institute
of Applied Physics, Vienna University of
Technology, Vienna 1040, Austria
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7
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Xue X, Chen Y, Li Y, Liang K, Huang W, Yang H, Jiang L, Jiang Q, Chen F, Jiang T, Lin B, Jiang B, Pu H. Remarkable untangled dynamics behavior of multicyclic branched polystyrenes. Chem Commun (Camb) 2021; 57:399-402. [PMID: 33326513 DOI: 10.1039/d0cc07129c] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
A typical multicyclic branched-topology polystyrene (c-BPS) with high molecular weight (30 K ≤ Mw MALLS ≤ 300 K g mol-1) and narrow dispersity (1.2 ≤ Đ ≤ 1.3) was efficiently synthesized by combining atom transfer radical polymerization (ATRP) and atom transfer radical coupling (ATRC) techniques. The topological constraints imposed by the presence of cyclic units and branch points had a marked influence on the entanglement behaviors of the polymer chains in solution. Therefore, c-BPS possesses the lowest loss modulus (G'') and viscosity (η), the highest diffusion coefficient (D0), the largest mesh size (ξ) and the fastest terminal relaxation (TR), compared with branched and linear precursors.
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Affiliation(s)
- Xiaoqiang Xue
- Jiangsu Key Laboratory of Environmentally Friendly Polymeric Materials, School of Materials Science and Engineering, Jiangsu Collaborative Innovation Center of Photovolatic Science and Engineering, Changzhou University, Changzhou, Jiangsu 213164, People's Republic of China
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8
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Liu Z, Ootani Y, Uehara S, Xu J, Wang Y, Miyazaki N, Higuchi Y, Ozawa N, Kubo M. Coarse-grained Molecular Dynamics Simulation of the Wear Mechanism of Cyclic Polymer Brushes. CHEM LETT 2020. [DOI: 10.1246/cl.200323] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Affiliation(s)
- Zhongmin Liu
- Institute for Materials Research, Tohoku University, 2-1-1 Katahira, Aoba-ku, Sendai, Miyagi 980-8577, Japan
| | - Yusuke Ootani
- Institute for Materials Research, Tohoku University, 2-1-1 Katahira, Aoba-ku, Sendai, Miyagi 980-8577, Japan
| | - Shuichi Uehara
- Institute for Materials Research, Tohoku University, 2-1-1 Katahira, Aoba-ku, Sendai, Miyagi 980-8577, Japan
| | - Jingxiang Xu
- Institute for Materials Research, Tohoku University, 2-1-1 Katahira, Aoba-ku, Sendai, Miyagi 980-8577, Japan
- College of Engineering Science and Technology, Shanghai Ocena University, Shanghai 201306, P. R. China
| | - Yang Wang
- Institute for Materials Research, Tohoku University, 2-1-1 Katahira, Aoba-ku, Sendai, Miyagi 980-8577, Japan
- Department of Mechanical Systems Engineering, Graduate School of Engineering, Tohoku University, 6-6-01 Aramaki-aza-aoba, Aoba-ku, Sendai, Miyagi 980-8579, Japan
| | - Narumasa Miyazaki
- Institute for Materials Research, Tohoku University, 2-1-1 Katahira, Aoba-ku, Sendai, Miyagi 980-8577, Japan
| | - Yuji Higuchi
- Institute for Materials Research, Tohoku University, 2-1-1 Katahira, Aoba-ku, Sendai, Miyagi 980-8577, Japan
| | - Nobuki Ozawa
- Institute for Materials Research, Tohoku University, 2-1-1 Katahira, Aoba-ku, Sendai, Miyagi 980-8577, Japan
| | - Momoji Kubo
- Institute for Materials Research, Tohoku University, 2-1-1 Katahira, Aoba-ku, Sendai, Miyagi 980-8577, Japan
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9
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Morgese G, Verbraeken B, Ramakrishna SN, Gombert Y, Cavalli E, Rosenboom J, Zenobi‐Wong M, Spencer ND, Hoogenboom R, Benetti EM. Chemical Design of Non‐Ionic Polymer Brushes as Biointerfaces: Poly(2‐oxazine)s Outperform Both Poly(2‐oxazoline)s and PEG. Angew Chem Int Ed Engl 2018; 57:11667-11672. [DOI: 10.1002/anie.201805620] [Citation(s) in RCA: 82] [Impact Index Per Article: 13.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2018] [Indexed: 11/06/2022]
Affiliation(s)
- Giulia Morgese
- Polymer Surfaces GroupLaboratory for Surface Science and TechnologyDepartment of MaterialsETH Zürich Switzerland
- Cartilage Engineering + Regeneration LaboratoryDepartment of Health Sciences and TechnologyETH Zürich Switzerland
| | - Bart Verbraeken
- Supramolecular Chemistry GroupDepartment of Organic Chemistry and Macromolecular ChemistryGhent University Belgium
| | - Shivaprakash N. Ramakrishna
- Polymer Surfaces GroupLaboratory for Surface Science and TechnologyDepartment of MaterialsETH Zürich Switzerland
| | - Yvonne Gombert
- Polymer Surfaces GroupLaboratory for Surface Science and TechnologyDepartment of MaterialsETH Zürich Switzerland
| | - Emma Cavalli
- Cartilage Engineering + Regeneration LaboratoryDepartment of Health Sciences and TechnologyETH Zürich Switzerland
| | - Jan‐Georg Rosenboom
- Institute of Chemical and BioengineeringDepartment of Chemistry and Applied BiosciencesETH Zürich Switzerland
| | - Marcy Zenobi‐Wong
- Cartilage Engineering + Regeneration LaboratoryDepartment of Health Sciences and TechnologyETH Zürich Switzerland
| | - Nicholas D. Spencer
- Polymer Surfaces GroupLaboratory for Surface Science and TechnologyDepartment of MaterialsETH Zürich Switzerland
| | - Richard Hoogenboom
- Supramolecular Chemistry GroupDepartment of Organic Chemistry and Macromolecular ChemistryGhent University Belgium
| | - Edmondo M. Benetti
- Polymer Surfaces GroupLaboratory for Surface Science and TechnologyDepartment of MaterialsETH Zürich Switzerland
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Morgese G, Verbraeken B, Ramakrishna SN, Gombert Y, Cavalli E, Rosenboom JG, Zenobi-Wong M, Spencer ND, Hoogenboom R, Benetti EM. Chemical Design of Non-Ionic Polymer Brushes as Biointerfaces: Poly(2-oxazine)s Outperform Both Poly(2-oxazoline)s and PEG. Angew Chem Int Ed Engl 2018. [DOI: 10.1002/ange.201805620] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Giulia Morgese
- Polymer Surfaces Group; Laboratory for Surface Science and Technology; Department of Materials; ETH; Zürich Switzerland
- Cartilage Engineering + Regeneration Laboratory; Department of Health Sciences and Technology; ETH; Zürich Switzerland
| | - Bart Verbraeken
- Supramolecular Chemistry Group; Department of Organic Chemistry and Macromolecular Chemistry; Ghent University; Belgium
| | - Shivaprakash N. Ramakrishna
- Polymer Surfaces Group; Laboratory for Surface Science and Technology; Department of Materials; ETH; Zürich Switzerland
| | - Yvonne Gombert
- Polymer Surfaces Group; Laboratory for Surface Science and Technology; Department of Materials; ETH; Zürich Switzerland
| | - Emma Cavalli
- Cartilage Engineering + Regeneration Laboratory; Department of Health Sciences and Technology; ETH; Zürich Switzerland
| | - Jan-Georg Rosenboom
- Institute of Chemical and Bioengineering; Department of Chemistry and Applied Biosciences; ETH; Zürich Switzerland
| | - Marcy Zenobi-Wong
- Cartilage Engineering + Regeneration Laboratory; Department of Health Sciences and Technology; ETH; Zürich Switzerland
| | - Nicholas D. Spencer
- Polymer Surfaces Group; Laboratory for Surface Science and Technology; Department of Materials; ETH; Zürich Switzerland
| | - Richard Hoogenboom
- Supramolecular Chemistry Group; Department of Organic Chemistry and Macromolecular Chemistry; Ghent University; Belgium
| | - Edmondo M. Benetti
- Polymer Surfaces Group; Laboratory for Surface Science and Technology; Department of Materials; ETH; Zürich Switzerland
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