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Table 2 Effects of several nano-based drug delivery systems in treating osteoporosis. In nano-based DDSs, the bare NPs can affect bone regeneration by forming a bone matrix or promoting mineralization. In addition, drug-encapsulated NPs can increase the stability of the drug in vivo and decrease side effects from excessive drug delivery. Recently, there have been many studies for the bone tissue targeting of NPs by conjugation and hybridization with peptides, BPs, and lipid-based NPs.

From: Emerging nano-scale delivery systems for the treatment of osteoporosis

Ref. No.

Material

Type of carrier

Drug

Effects

[69, 72, 75, 81, 84]

Silica NPs

Silica NPs

-

Biocompatibility, increased bone mineral density

pentapeptide (GGGGD)-decorated silica NPs

Salmon calcitonin

Increased circulation time and loading efficiency, enhanced bioavailability, sustained release, biocompatibility, biodegradation, avoids the immune system

β-cyclodextrin-modified

MBGNPs

17β-estradiol

Sustained drug release, promoted osteogenesis, deposited HA-like layer (Si2+, Ca2+, and P5+)

Mesoporous silica NPs

Ceria

Stimulated bone forming of OBs and suppressed OC differentiation, modulated deposited HA-like layer solution (Si2+)

Bioactive glass NPs (60SiO2−36CaO4−P2O5)

lncRNA NRON

Induced production of extracellular vesicles enriched in lncRNAs inhibiting OC differentiation, enhanced bioactivity and biocompatibility

[90, 93, 95]

Titanium nanotube

O2-anodized titanium nanotubes with chitosan/alendronate/hyaluronic acid layers

Raloxifene

Sustained drug release, strong binding of bone minerals to the titanium implant, promoted bone formation

O2-anodized titanium nanotubes

Icariin and strontium

Sustained drug release, biocompatibility

O2-anodized titanium nanotubes with polydopamine coating

Calcitonin gene-related peptide

Enhanced bioactivity and biocompatibility

[100,101,102,103,104,105]

Hydroxyapatite NPs

HA NPs

Zoledronic acid

Increased bone formation

HA NPs

Salmon calcitonin

Enhanced bone targeting and penetration of the mucosa layer

Zinc-HA NPs

Risedronate

Enhanced bone targeting, improved bone properties

Multilayer of releasable HA NPs

HA

Bioceramics; highly promoted bone regeneration, reinforced mechanical performance, good potential as a bone graft

Alendronate-modified HA NPs

Alendronate

Enhanced bone targeting, and increased proliferation of pre-OB

Calcium-rich HA NPs

Calcium

Promoted the osteogenic differentiation of BM-MSC

[113,114,115, 118]

Magnetic NPs

Bisphosphonate-conjugated magnetic NPs

Bisphosphonate

Suppressed OC activation

H-coated magnetic NPs

HA

Increased adsorbing of fibronectin, promoted osteoblastic differentiation

HA-coated superparamagnetic NPs

HA

Promoted OB differentiation, inhibited OC differentiation, downregulated expression of genes related to osteoclastic differentiation, prevented bone loss, increased bone mineral density

gold-coated magnetic NPs

MSC-EVs containing miR-150-5p

Activated the Wnt/β-catenin pathway, enhancing the proliferation and maturation of OBs.

[128, 129, 131, 134]

Gold NPs

Gold NPs

Alendronate

Enhanced biocompatibility and biostability, no cytotoxicity or genotoxicity, strong bone-surface affinity, stimulated osteoblastogenesis, and suppressed osteoclastogenesis

β-cyclodextrin–conjugated gold NPs

Curcumin

Stimulated osteoblastogenesis and suppressed osteoclastogenesis, can carry hydrophobic drugs, increased solubility and stability

Gold NPs

Vitamin D

Suppressed osteoclastogenesis, increased uptake by macrophages

Chitosan-modified gold NPs

c-myb gene

Increased DNA stability, suppressed osteoclastogenesis

[140, 142, 144]

PLGA NPs

Tetracycline-PLGA micelles

Simvastatin

Enhanced bone targeting, increased proliferation of pre-OBs, and increased circulation time

PLGA nanocapsules

PEI-RANK-siRNA complex

Increased siRNA stability

PLGA NPs

Estradiol

High dermal permeability, improved bone mineral density in the bone

[149, 153]

Gelatin NPs

Gelatin NPs

Zoledronic acid

Increased drug stability, enhanced drug loading via electrostatic interactions, sustained and stable drug release, avoids phagocytosis

Gelatin NPs/silk fibroin aerogel

Strontium Ranelate

Sustained drug release, controlled drug degradation, enhanced biocompatibility, suitable mechanical properties

[157, 158, 161]

Chitosan NPs

Chitosan NPs

Shilajit

Antioxidant bioactivity, decreased the oxidative stress

Chitosan NPs

Risedronate

Enhanced biocompatibility and bone targeting and reduced therapeutic dose

Chitosan NPs

BMP-2

Stimulated osteoblastogenesis

[165,166,167,168]

Nanogel

Nanoemulsion gels

Lovastatin

Increased biological permeability

PIB nanogel scaffolds

Strontium-loaded mesoporous bioactive glass

Sol-gel transition-dependent temperature, enhanced drug release

CHP nanogels

W9 peptide

Prevented peptide aggregation, increased peptide stability

Nanogels

Raloxifene-HCl–loaded solid lipid NPs

Enhanced permeation and bioavailability

[172, 173]

Polyurethane nanomicelles

ASP8-modified nanomicelles

miRNA

Good biocompatibility and encapsulation efficiency, increased miRNA stability, enhanced bone targeting

Pentapeptide (SDSSD)-modified nanomicelles

siRNA

Good biocompatibility and encapsulation efficiency, increased siRNA stability, enhanced osteoblast targeting

[180, 182, 184, 188]

Lipid-based nanocarriers

Solid lipid NPs

Quercetin

Effective multiple delivery routes (oral, intravenous, pulmonary, and transdermal), enhanced bioavailability and drug solubility

ASP6-modified lipid NPs

Simvastatin

Bone targeting, enhanced biocompatibility and bioavailability, prevented drug degradation by the extracellular environment, increased water solubility, high drug-loading efficiency, large-scale production

ASP8-modified lipid-coated PLGA NPs

Odanacatib

Bone targeting, enhanced biocompatibility and bioavailability, prevented drug degradation by endogenous enzymes, high drug-loading efficiency, large-scale production

Human microvascular endothelial cell membrane- coated PLGA NPs

MSC secretome

inhibited OC differentiation while promoting osteogenic proliferation

  1. NP: nanoparticle; EVs: Extracellular vesicles; PLGA: Poly lactic-co-glycolic acid; NRON: ncRNA repressor of the nuclear factor of activated T cells; PIB: Poly(N-isopropylacrylamide-co-butyl methylacrylate); CHP: Cholesterol-bearing pullulan; ASP: Aspartic acid oligopeptide; OB: Osteoblast; OC: Osteoclast; HA: Hydroxyapatite; MSC: Mesenchymal stem cell; BMP: Bone morphogenetic protein