Synthesis and characterizations of MCS NPs
The MCS NPs were synthesized as detailed in the methods and characterized using multiple techniques. The TEM images (Additional file 1: Fig. S1A and Fig. 1A) showed that the diameters of MIL-101-NH2 and MCS NPs are around 200 nm. According to the SEM images (Additional file 1: Fig. S1B and Fig. 1B), both MIL-101-NH2 and MCS NPs exhibited regular octahedron structures, suggesting that the CCM encapsulation did not significantly affect the morphologies or size of MIL-101-NH2. Similarly, as displayed in Fig. 1C, DLS confirmed the size of MCS NPs to be around 200 nm, which is consistent with the TEM results, indicating that the MCS NPs are suitable for cellular and biological applications. The changes of the zeta potential in MIL-101-NH2, MC NPs and MCS NPs were also characterized (Fig. 1D). Because of the encapsulation of CCM molecules on MIL-101-NH2 NPs, the zeta potential of MC NPs decreased from positively charged (18.3 mV to 3.6 mV), and further reversed to negatively charged (− 20.7 mV) upon the conjunction of siHIF-2α.
The FT-IR spectra analysis of CCM, MIL-101-NH2, and MC NPs are shown in Fig. 1E. In the MC, a blue-shift from 3490 to 3426 cm−1 was observed in the stretching peak of the phenolic group, compared with the CCM. To further verify the successful encapsulation of CCM into the MIL-101-NH2, the UV–Vis spectrum was also investigated. As depicted in Fig. 1F, the MIL-101-NH2 had three absorption bands at 238, 335 and 375 nm, while the MC has a strong absorption band that appeared at 425 nm, which was close to the characteristic absorption peak of the CCM, further suggesting that CCM was already encapsulated into the framework of MIL-101- NH2. In the MSC, the absorbance peak was not significantly different from the absorbance peak in MC, because siHIF-2α absorbance locates at 260 nm, which is closed to 238 nm. The PXRD patterns of CCM, MIL-101-NH2 and MC were shown in Fig. 1G. Both CCM and MIL-101-NH2 patterns matched the PXRD pattern of MC, indicating that CCM loading had little impact on the spectrum of MIL-101-NH2. These results confirmed the successful synthesis and drug loading of MIL-101-NH2, and suggested that CCM encapsulation did not apparently affect the MIL-101-NH2 crystal structure. In conclusion, MIL-101-NH2 was successfully synthesized and loaded with CCM, and its crystal structure was not apparently affected by CCM encapsulation.
CCM and siHIF-2α loading affinity in vitro
Based on the UV–Vis absorbance spectrum of CCM in ethanol with different concentrations (Additional file 1: Fig. S2A), the standard curve of CCM (Additional file 1: Fig. S2B) in ethanol is depicted herein by the characteristic absorbance at λ = 425 nm. The MC NPs with various DLCs and DLEs were obtained by incubating MIL-101-NH2 and CCM at different weight ratios for 24 h (Additional file 1: Table S1). As the weight ratios of MIL-101-NH2/CCM varied from 1/2 to 1/0.125, the DLC value of the MC NPs decreased from 42.5% to 25.9%. Meanwhile, the DLE value initially increased and then decreased, peaking at 69.5% when the weight ratio was 1/1. Several studies have shown that the interaction between the metal sites in MIL-101-NH2 and the hydroxyl group of CCM provided drug encapsulation with high DLC [59].
The gene vector loading capacity and transfection efficiency are heavily influenced by the binding affinity between gene vectors and siRNA. Therefore, to determine the siHIF-2α loading capacity of MC NPs, fluorescence spectrum and agarose gel electrophoresis were performed first. The siHIF-2α was loaded onto MC NPs by simply mixing an appropriate amount of siHIF-2α and MC NPs in DEPC-treated water to construct the final MCS NPs. The vacant Fe3+ sites on MIL-101-NH2 surfaces and the phosphate group of siHIF-2α provided the hydrogen bonds and multiple coordination bonds to form the nanoparticle-siRNA composites [39].
As shown in Additional file 1: Fig. S3A and S3B, the siHIF-2α binding capabilities of MC NPs were evaluated by the fluorescence spectrum. The fluorescent excitation/emission properties of siCy5) were examined, and the excitation and emission peaks at 650 and 670 nm, respectively, were observed. With the same concentration of siCy5, the characteristic emission peak declined sharper at the 25.9% DLC (CCM) group than the 42.5% DLC (CCM) after binding to MC NPs. The agarose gel retardation assay also showed the same consequence (Additional file 1: Fig. S4A and B). After binding to MC NPs, siRNA migration bands of MC faded differently depending on their DLC values, indicating that MC NPs can efficiently capture the free siRNA result from the vacant Fe3+ sites of MC NPs. However, compared with the MC NPs with 42.5% DLC (CCM), the band of 25.9% DLC (CCM) had a more efficient binding rate. In addition, the MC NPs with 25.9% DLC also had the highest DLE. On the basis of these results, MC NPs with DLC% of 25.9% and DLE% of 69.5% were selected for follow-up experiments.
In vitro release profiles of CCM and siHIF-2α from MCS
The in vitro release profiles of CCM and siHIF-2α from MCS NPs were recorded to evaluate the ability of MIL-101-NH2 as scaffolds for sustained delivery. According to the standard curve line (Additional file 1: Fig. S5) of CCM in PBS + 1% v/v Tween 80) at different pH values (5.0, 6.5, and 7.4). As shown in Fig. 1H, MC NPs presented a retarded drug release profile, with merely 21.9% ± 1.4% of CCM, even after 300 h in PBS-Tween 80 (pH = 7.4). However, this result was significantly improved in acidic pH, and the cumulative drug release reached 59.7% ± 1.8% at the same time. In addition, the inset of Fig. 1H clearly showed the differences in color of three samples with varying pH values. This pH-induced release property of MIL-101-NH2 could reduce premature drug release in normal chondrocytes and promote drug release in the acidic microenvironments of the inflamed chondrocytes, which is highly beneficial for chronic inflammation treatment.
Likewise, as shown in Fig. 1I, it was found that all MSC NPs released siCy5 for at least seven days with minimal initial burst release. Additionally, about 69% of the siCy5 were diffused from pH 5.0, 6.5, and 7.4 at Day 7. The highest cumulative release rate was found in the lowest pH at Day 7. Meanwhile, this pH-stimulated and sustained release makes it an ideal candidate for OA treatment.
The stability of MCS NPs
Another important consideration was the stability of MCS NPs against salty ions in the synovium. To evaluate the stability of the MCS NPs in vitro, we measured their particle sizes during incubation in PBS, DMEM, and FBS for a predetermined duration (Additional file 1: Fig. S6A and B). The particle sizes of MCS NPs exhibited nearly unchanged particle size during the 14 days of incubation in these solutions, indicating that MCS NPs exhibited excellent stability against salty ions. Then, the PXRD patterns (Additional file 1: Fig. S7) further confirmed that the structures of MCS NPs exhibited no obvious changes during 14 days in various solutions. These results indicated that MCS NPs could remain structurally stable, even in the complex OA microenvironment.
In vitro cytotoxicity of MIL-101-NH2@CCM-siRNA complex
The cell viabilities of the components of MCS NPs were evaluated by MTT tests on chondrocytes before further biomedical applications. According to Fig. 2A, CCM had significant cytotoxicity at relatively low concentration (10 μg/mL) against the chondrocytes. However, MIL-101-NH2 (Fig. 2B) had no obvious cytotoxicity against chondrocytes even at high concentrations (400 μg/mL). The CCM encapsulation in MIL-101-NH2, significantly improved the biocompatibility of CCM (100 μg/mL). At the same time, the MCS NPs also exhibited good biocompatibility, and cell viabilities were all greater than 80% at certain concentrations. These results are predictable since the in vitro analysis was operated after 48 h. However, MIL-101-NH2 requires 300 h to release its total drug load. Additionally, as per the release profiles shown in Fig. 1H at 48 h, only 29.7%, 19.5%, and 10.3% of all drug load can be released at pH 5.0, pH 6.5 and pH 7.4, respectively.
Besides, during the extended incubation period of 3 days, almost no dead cells were detected on the live/dead staining assay (Additional file 1: Fig. S8), and the inflammatory chondrocytes were simulated by post-incubated with 10 ng/mL IL-1β for 24 h. These results suggest that MCS NPs have excellent compatibility with chondrocytes.
Cellular uptake and lysosomal escape of MCS NPs
For further investigating the pathway of MCS NPs delivery into the chondrocytes, the co-localization of siCy5 with lysosome or mitochondria was evaluated by the CLSM. As shown in Fig. 2C, compared with the mitochondria group, the co-localization rate between MCS NPs and lysosomes was more significant. This indicated that the cellular uptake of nanomaterials is mainly through the lysosomal pathway. Then, due to the intrinsic green fluorescence of CCM, the red fluorescence of siCy5, and the blue fluorescence of DAPI were utilized for nucleic acid (nucleus) staining. The cellular uptake of MSC NPs was observed by CLSM. In order to initiate internalization and transfection processes, MCS NPs must first cross cell membranes. For effective siRNA-mediated gene silencing, high levels of siRNA uptake and endosomal escape were essential [60]. As shown in Fig. 2D, the fluorescence intensity in chondrocytes reached saturation after incubation with MCS NPs for 6 h, indicating that MCS NPs can be effectively uptaken by the inflammatory chondrocytes. Additionally, it was crucial to escape from the lysosome after the successful internalization of siRNA for intracellular siRNA delivery to be effective. As shown in Fig. 3A, there were amounts of siCy5 (red) that apparently overlapped with the lysosome (green) in chondrocytes after 60 min of incubation, indicating that MIL-101-NH2@CCM-siCy5 were internalized inside the lysosome of chondrocytes. After 2 h of incubation, the majority of the siCy5 (red) and lysosome tracker (green) fluorescence in the cytoplasm were separated, indicating that the siCy5 escaped from the entrapment of lysosome and then accumulated in the cytoplasm. As a consequence of these results, we speculated that vacant Fe(III) ions of MIL-101-NH2 have a strong affinity for the phosphate ions of siCy5. Therefore, when the high concentration of phosphate ion in lysosomes triggered the internalized MIL-101-NH2 collapse, the lysosome structure turned to be unstable because of the high binding between the released Fe3+ and the phosphate group on the lysosome membrane, so that the siRNA could reduce enzyme degermation and successfully escape. Additionally, relative fluorescence intensity analysis (Fig. 3A), in the areas signed by the white arrow in Fig. 3A, was performed accordingly. Finally, based on the CLSM images, the time-dependent lysosome/siCy5 colocalization studies were investigated (Fig. 3B).
ROS production induced by MIL-101-NH2
An assessment of ROS generated by MIL-101-NH2 was conducted using DCFH fluorescence. Incubation of chondrocytes with Rosup, the cytoplasm of chondrocytes displayed intensive green fluorescence, indicating that the level of ROS in the cells increased. For comparison, Additional file 1: Fig. S9 showed that the MIL-101-NH2 group exhibited only extremely weak green fluorescence by DCFH, similar to the control group, indicating that the amount of ROS induced by MIL-101-NH2 was negligible after incubation for 24 h. Consequently, MIL-101-NH2 did not appear to have any passive effect on chondrocytes, indicating that it was compatible for utilization in OA microenvironments.
The therapeutic effects on IL-1β-induced inflamed chondrocytes
To investigate the therapeutic effects of MCS NPs, the expression of cartilage-specific markers (including Acan, Col2a1, and SOX9) and OA-related catabolic markers (including Adamts-5, COX-2, IL-6, MMP3, MMP13, and HIF-2α) were further evidenced by using the qRT–PCR assay (Fig. 4) first. The expression of the cartilage-specific markers in IL-1β group was the lowest in all groups, with an obvious decrease of 43.1% for Acan, 30.3% for Col2a1, and 89.3% for SOX9 compared with the NC group. In contrast, the expression of OA-related genes in the IL-1β group was sharply up-regulated compared with those in the other groups (Fig. 4), and slightly down-regulated in treatment groups. Particularly, the results showed that MCS NPs significantly down-regulated the expression of MMP3, MMP13, HIF-2α, IL-6, Adamts-5, and COX-2 by 76.1%, 82.5%, 82.4%, 72.5%, 80.9%, and 68.7% and up-regulated the expression of Acan, Col2a1, and SOX9 by 45.3%, 48.4%, and 56.7%, respectively compared with the IL-1β group after treatment for 24 h (Fig. 4). These data ultimately supported that MCS remarkably down-regulated the level of inflammatory cytokines and alleviated cartilage degeneration compared with other treatment groups.
According to the safranin O staining assay (Fig. 5A), the IL-1β group induced weaker positivity (red) than the control group, which indicated that glycosaminoglycan (GAG) production rapidly decreased in OA models. However, the MCS group demonstrated the highest abundance and homogeneity of GAG after 24 h of incubation, which further confirmed the above qRT–PCR results. Additionally, the expression of OA-related biomarkers was also investigated by immunofluorescence staining to further confirm the OA therapeutic effect of MCS NPs.
The results showed strong positive staining of MMP13 in the IL-1β, MC, MS, and MCS groups, particularly in the IL-1β group (Fig. 5B). The MMP13, which plays a crucial role in the development of OA, was less positively secreted in the MCS group than in the other treatment groups, indicating that MCS NPs could synergistically and effectively suppress the inflammatory impairment induced by IL-1β in vitro. In other words, MCS NPs could inhibit the degradation of cartilage matrix, thereby protecting chondrocytes, amplifying the anti-inflammatory effect of the pathological microenvironment associated with OA.
MIL-101-NH2@CCM-siRNA promotes cartilage regeneration in vivo
The DMM surgery has been widely operated to establish mice models of OA. The treatment schedule is shown in Fig. 6A. One week after DMM surgery, the mice were intra-articular injected with saline, MC, MS and MCS (all premixed with HA) once a week. Finally, the mice were sacrificed after treatment for four and eight weeks. Before that, the body weight of mice was measured for four and eight weeks (Additional file 1: Fig. S10).
As shown in Fig. 6B, extensive pathological changes were observed in the DMM group, including joint space narrowing, cartilage destruction, subchondral bone sclerosis, and osteophyte formation. According to the CT images, the widths of the articular space and the volumes of osteophytes were both analyzed. The reconstructed micro-CT images directly showed that osteophyte formation at weeks 4 and 8, as indicated with red circles, was significantly reduced in the MCS group, compared with DMM, MC, and MS groups (Fig. 6B). All groups displayed an increase in the osteophyte volume, but the MCS group had a lower value in comparison with the other groups, indicating that it had an improved therapeutic effect in reducing DMM-induced osteophyte formation. After the treatment for four and eight weeks, the articular space widths of the mice’s knee joints were also estimated, as shown in Fig. 6C. After four weeks of treatment, the articular space widths of the MS, MC, and MCS groups were similar and slightly higher than the DMM group. The joint space significantly narrowed after eight weeks in the five groups, however, the MCS group had a wider articular space than the DMM, MC group, and MS groups. These results further indicated that the synergistic therapy (MCS NPs in the HA solution), which simultaneously improved intra-articular lubrication and inhibits the up-regulation of pro-inflammatory cytokines, efficiently obstructed the development of OA. The CT section imaging results of the subchondral bone of mice were also shown in Fig. 6D. Subchondral bone trabeculae in the DMM group became wide and symphyseal, some were arranged unevenly, and the mesh structure disappeared. The trabecular bone became narrowed, and the fusion phenomenon was improved, in the MC, MS, and MCS groups, especially in the MCS group. These results indicated that the structure of bone and joint has improved more effectively in the MCS group, compared with the other groups.
Additionally, the expression levels of MMP13, the typical marker of articular cartilage, were evaluated via immunohistochemical assays (Fig. 6E). The expression of MMP13 was increased in the DMM group, and this change was reversed in the MC, MS and MCS groups. Remarkably, the expression of MMP13 was the lowest in the MCS group compared with the other treatment groups. These results also showed that the combination of CCM with siHIF-2α produced synergistic action in the treatment of OA.
To further investigate the therapeutic effect of MCS on OA, we performed histological assessments of cartilage tissues by H&E staining, safranin O/fast green staining, and toluidine blue staining. As shown in Fig. 7A, typical OA features, such as vertical fissure, erosion denudation, surface discontinuity and deformation, were observed in the DMM group. Compared to the DMM group, all treatment groups showed varying degrees of improvement in matrix staining, morphological changes, and integrity of tidemarks. Specifically, the MCS group exhibited a greater degree of morphological integrity with fewer severe lesions, less surface denudation, and an increase in tissue cellularity. Additionally, after DMM surgery for four and eight weeks, the MCS group presented more intense safranin O/fast green and toluidine blue positive staining compared with other treatment groups. Based on the results of safranin O/fast green staining and toluidine blue staining, GAG in the five groups was also analyzed (Fig. 7B and C). The MCS group had the best outcome with regard to the GAG level, indicating that MCS can effectively protect articular cartilage during the development of OA in terms of attenuation of cartilage matrix depletion and GAG deposition.
Furthermore, the result of OARSI scores revealed a significant reduction in value for the MCS group compared with the other groups during treatment. After four weeks treatment (Fig. 7D), the MS, MC, and MCS groups respectively showed 29.4%, 21.6%, and 33.3% reduction related to the DMM group. However, after 8 weeks of treatment (Fig. 7E), the MS and MC groups had lower OARSI scores than the DMM group and showed better results with approximately 33.8% and 29.1% reductions, and the MCS group had the highest OARSI score reduction related to DMM group (45.2%) which indicated that CCM and siHIF-2α had a synergistic effect on OA treatment.