Zwitterionic polymer-dexamethasone conjugates penetrate and protect cartilage from inflammation

Improving the pharmacokinetics of intra-articularly injected therapeutics is a major challenge in treating joint disease. Small molecules and biologics are often cleared from the joint within hours, which greatly reduces their therapeutic efficacy. Furthermore, they are often injected at high doses,...

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Main Authors: Patrick Weber, Maryam Asadikorayem, František Surman, Marcy Zenobi-Wong
Format: Article
Language:English
Published: Elsevier 2024-06-01
Series:Materials Today Bio
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S259000642400108X
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author Patrick Weber
Maryam Asadikorayem
František Surman
Marcy Zenobi-Wong
author_facet Patrick Weber
Maryam Asadikorayem
František Surman
Marcy Zenobi-Wong
author_sort Patrick Weber
collection DOAJ
description Improving the pharmacokinetics of intra-articularly injected therapeutics is a major challenge in treating joint disease. Small molecules and biologics are often cleared from the joint within hours, which greatly reduces their therapeutic efficacy. Furthermore, they are often injected at high doses, which can lead to local cytotoxicity and systemic side effects. In this study, we present modular polymer-drug conjugates of zwitterionic poly(carboxybetaine acrylamide) (pCBAA) and the anti-inflammatory glucocorticoid dexamethasone (DEX) to create cartilage-targeted carriers with slow-release kinetics. pCBAA polymers showed excellent cartilage penetration (full thickness in 1 h) and retention (>50 % after 2 weeks of washing). DEX was loaded onto the pCBAA polymer by employing two different DEX-bearing comonomers to produce pCBAA-co-DEX conjugates with different release kinetics. The slow-releasing conjugate showed zero-order release kinetics in PBS over 70 days. The conjugates elicited no oxidative stress on chondrocytes compared to dose-matched free DEX and protected bovine cartilage explants from the inflammatory response after treatment with IL-1β. By combining cartilage targeting and sustained drug release properties, the pCBAA-co-DEX conjugates solve many issues of today's intra-articular therapeutics, which could ultimately enable better long-term clinical outcomes with fewer side effects.
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spelling doaj.art-206924424462481da1068e33852525d32024-04-16T04:09:49ZengElsevierMaterials Today Bio2590-00642024-06-0126101049Zwitterionic polymer-dexamethasone conjugates penetrate and protect cartilage from inflammationPatrick Weber0Maryam Asadikorayem1František Surman2Marcy Zenobi-Wong3Tissue Engineering + Biofabrication Laboratory, Department of Health Sciences and Technology, ETH Zürich, Otto-Stern-Weg 7, 8093, Zürich, SwitzerlandTissue Engineering + Biofabrication Laboratory, Department of Health Sciences and Technology, ETH Zürich, Otto-Stern-Weg 7, 8093, Zürich, SwitzerlandTissue Engineering + Biofabrication Laboratory, Department of Health Sciences and Technology, ETH Zürich, Otto-Stern-Weg 7, 8093, Zürich, SwitzerlandCorresponding author.; Tissue Engineering + Biofabrication Laboratory, Department of Health Sciences and Technology, ETH Zürich, Otto-Stern-Weg 7, 8093, Zürich, SwitzerlandImproving the pharmacokinetics of intra-articularly injected therapeutics is a major challenge in treating joint disease. Small molecules and biologics are often cleared from the joint within hours, which greatly reduces their therapeutic efficacy. Furthermore, they are often injected at high doses, which can lead to local cytotoxicity and systemic side effects. In this study, we present modular polymer-drug conjugates of zwitterionic poly(carboxybetaine acrylamide) (pCBAA) and the anti-inflammatory glucocorticoid dexamethasone (DEX) to create cartilage-targeted carriers with slow-release kinetics. pCBAA polymers showed excellent cartilage penetration (full thickness in 1 h) and retention (>50 % after 2 weeks of washing). DEX was loaded onto the pCBAA polymer by employing two different DEX-bearing comonomers to produce pCBAA-co-DEX conjugates with different release kinetics. The slow-releasing conjugate showed zero-order release kinetics in PBS over 70 days. The conjugates elicited no oxidative stress on chondrocytes compared to dose-matched free DEX and protected bovine cartilage explants from the inflammatory response after treatment with IL-1β. By combining cartilage targeting and sustained drug release properties, the pCBAA-co-DEX conjugates solve many issues of today's intra-articular therapeutics, which could ultimately enable better long-term clinical outcomes with fewer side effects.http://www.sciencedirect.com/science/article/pii/S259000642400108XZwitterionicDexamethasonePolymer-drug conjugateCartilageSustained release
spellingShingle Patrick Weber
Maryam Asadikorayem
František Surman
Marcy Zenobi-Wong
Zwitterionic polymer-dexamethasone conjugates penetrate and protect cartilage from inflammation
Materials Today Bio
Zwitterionic
Dexamethasone
Polymer-drug conjugate
Cartilage
Sustained release
title Zwitterionic polymer-dexamethasone conjugates penetrate and protect cartilage from inflammation
title_full Zwitterionic polymer-dexamethasone conjugates penetrate and protect cartilage from inflammation
title_fullStr Zwitterionic polymer-dexamethasone conjugates penetrate and protect cartilage from inflammation
title_full_unstemmed Zwitterionic polymer-dexamethasone conjugates penetrate and protect cartilage from inflammation
title_short Zwitterionic polymer-dexamethasone conjugates penetrate and protect cartilage from inflammation
title_sort zwitterionic polymer dexamethasone conjugates penetrate and protect cartilage from inflammation
topic Zwitterionic
Dexamethasone
Polymer-drug conjugate
Cartilage
Sustained release
url http://www.sciencedirect.com/science/article/pii/S259000642400108X
work_keys_str_mv AT patrickweber zwitterionicpolymerdexamethasoneconjugatespenetrateandprotectcartilagefrominflammation
AT maryamasadikorayem zwitterionicpolymerdexamethasoneconjugatespenetrateandprotectcartilagefrominflammation
AT frantiseksurman zwitterionicpolymerdexamethasoneconjugatespenetrateandprotectcartilagefrominflammation
AT marcyzenobiwong zwitterionicpolymerdexamethasoneconjugatespenetrateandprotectcartilagefrominflammation