KMID : 1377020210180010113
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Tissue Engineering and Regenerative Medicine 2021 Volume.18 No. 1 p.113 ~ p.125
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Intra-articular Injection of Chitosan-Based Supramolecular Hydrogel for Osteoarthritis Treatment
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Mou Donggang
Yu Qunying Zhang Jimei Zhou Jianping Li Xinmin Zhuang Weiyi Yang Xuming
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Abstract
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Background: Pain and cartilage destruction caused by osteoarthritis (OA) is a major challenge in clinical treatment. Traditional intra-articular injection of hyaluronic acid (HA) can relieve the disease, but limited by the difficulty of long-term maintenance of efficacy.
Methods: In this study, an injectable and self-healing hydrogel was synthesized by in situ crosslinking of N-carboxyethyl chitosan (N-chitosan), adipic acid dihydrazide (ADH), and hyaluronic acid?aldehyde (HA-ALD).
Results: This supramolecular hydrogel sustains good biocompatibility for chondrocytes. Intra-articular injection of this novel hydrogel can significantly alleviate the local inflammation microenvironment in knee joints, through inhibiting the inflammatory cytokines (such as TNF-¥á, IL-1¥â, IL-6 and IL-17) in the synovial fluid and cartilage at 2- and even 12-weeks post-injection. Histological and behavioral test indicated that hydrogel injection protected cartilage destruction and relieved pain in OA rats, in comparison to HA injection.
Conclusion: This kind of novel hydrogel, which is superior to the traditional HA injection, reveals a great potential for the treatment of OA.
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KEYWORD
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Chitosan, Hyaluronic acid, Hydrogel, Osteoarthritis, Intra-articular injection
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