已发表论文

绿色促进骨愈合:植物源外泌体样纳米颗粒在骨质疏松症和骨关节炎治疗中的新兴作用

 

Authors Yuan S, He DW, Zhou XJ, Jiao HT, Gao Y, Li C

Received 23 September 2025

Accepted for publication 1 January 2026

Published 13 January 2026 Volume 2026:21 569552

DOI https://doi.org/10.2147/IJN.S569552

Checked for plagiarism Yes

Review by Single anonymous peer review

Peer reviewer comments 2

Editor who approved publication: Professor Eng San Thian

Shuai Yuan,1,* Da-Wei He,1,* Xiao-Jie Zhou,1 Hao-Tian Jiao,1,2 Yan Gao,1 Chong Li1 

1Department of Orthopedics, Affiliated Kunshan Hospital of Jiangsu University, Suzhou, Jiangsu, People’s Republic of China; 2Department of Orthopedics, the First People’s Hospital of Kunshan, Gusu School, Nanjing Medical University, Suzhou, Jiangsu, People’s Republic of China

*These authors contributed equally to this work

Correspondence: Yan Gao, Department of Orthopedics, Affiliated Kunshan Hospital of Jiangsu University, No. 566 East of Qianjin Road, Suzhou, Jiangsu, 215300, People’s Republic of China, Tel +86 0512 5753 2362, Email ygao1106@alu.suda.edu.cn Chong Li, Department of Orthopedics, Affiliated Kunshan Hospital of Jiangsu University, No. 566 East of Qianjin Road, Suzhou, Jiangsu, 215300, People’s Republic of China, Tel +86 0512 5753 2362, Email lichong1705@163.com

Abstract: Plant-derived exosome-like nanoparticles (PDENs) have demonstrated unique advantages in the prevention and treatment of osteoporosis and osteoarthritis in recent years. This review systematically summarizes the biological properties of PDENs, methods for their isolation and purification, molecular composition, and their mechanisms of action in bone and joint tissue repair. Current evidence indicates that PDENs can maintain bone homeostasis by promoting the proliferation and differentiation of osteoblasts, inhibiting osteoclast activity, modulating osteogenic differentiation of mesenchymal stem cells, and stimulating angiogenesis. In the context of osteoarthritis, PDENs enhance joint repair by facilitating chondrocyte regeneration, modulating inflammatory responses, and improving extracellular matrix metabolism. Despite the promising therapeutic potential of PDENs in the treatment of bone- and joint-related diseases, challenges remain regarding their precise mechanisms of action, standardization of preparation, and clinical translation. Future research should focus on elucidating the underlying mechanisms, establishing robust quality control methodologies, and conducting comprehensive preclinical evaluations to pave the way for their clinical application.

Keywords: plant-derived exosomes, nanocarriers, osteoporosis, osteoarthritis, tissue repair