1. Academic Validation
  2. A biomimetic multimodal nanoplatform combining neutrophil-coated two-dimensional metalloporphyrinic framework nanosheet and exendin-4 to treat obesity-related osteoporosis

A biomimetic multimodal nanoplatform combining neutrophil-coated two-dimensional metalloporphyrinic framework nanosheet and exendin-4 to treat obesity-related osteoporosis

  • Mater Today Bio. 2025 Jun 21:33:102009. doi: 10.1016/j.mtbio.2025.102009.
Qifan Yang 1 Jing Liu 2 Yanwei Liu 1 Shun Liu 1 Xiaokang Wei 1 Yilin Yang 1 Weijie Zhang 1 Shuqi Zhang 1 Maosheng Zhang 1 Bin Liu 3 Xinyu Wang 4 Dong Zhu 1
Affiliations

Affiliations

  • 1 Department of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, 130000, Jilin Province, PR China.
  • 2 Gynecology and obstetrics, Jinan Maternity and Child Care Hospital Affiliated to Shandong First Medical University, Jinan, 250000, PR China.
  • 3 Department of Hand and Foot Surgery, The First Hospital of Jilin University, Changchun, 130000, Jilin Province, PR China.
  • 4 Department of Pediatric Respiratory Medicine, Children's Medical Center, The First Hospital of Jilin University, Changchun, 130000, Jilin Province, PR China.
Abstract

Background: Obesity-induced osteoporosis is a prevalent complication among obese individuals. Conventional anti-osteoporosis medications often lack therapeutic specificity and may exacerbate lipid metabolism disorders. Consequently, identifying suitable pharmacological interventions for obesity-induced osteoporosis, elucidating its underlying biological mechanisms, and developing nanodrug delivery systems with enhanced biocompatibility and targeted delivery remain significant challenges.

Methods: This study reveals that the pathogenesis of obesity-induced osteoporosis is primarily driven by excessive Mitophagy. Notably, Exendin-4 (Ex-4) has been shown to ameliorate Mitophagy and mitigate obesity-induced osteoporosis. The nanocomposite DSPE-PEG-ALN (DPA)@Neutrophil membrane (NM)@Cu-TCPP(Zn)/Ex-4 (CTZE), characterized by high biocompatibility and Reactive Oxygen Species (ROS) responsiveness, effectively targets bone tissue, reduces ROS levels, and regulates the release of Cu2+, Zn2+, Ex-4, and Alendronate (ALN). This composite interferes with B-cell lymphoma-2 (BCL2)- Beclin-1 (BECN1) binding via the tet methylcytosine dioxygenase 2 (TET2)/PTEN-induced putative kinase protein 1 (PINK1)/Parkin (E3 ubiquitin-protein Ligase parkin) pathway, thereby promoting osteoblast differentiation and mineralization. The safety and efficacy of this nano-delivery platform were validated in a mouse model of obesity-induced osteoporosis.

Conclusions: In summary, our study illustrates that excessive Mitophagy plays a crucial role in obesity-induced osteoporosis. Furthermore, DPA@NM@CTZE exhibits significant potential for the precise treatment of obesity-induced osteoporosis, mitigating the side effects of Ex-4, and enhancing the bone microenvironment.

Keywords

Alendronate; Cu-TCPP(Zn); Exendin- 4; Mitophagy; Obesity-induced osteoporosis.

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