

FOLLOWUS
a.Department of Emergency, Tongji Hospital, School of Medicine, Tongji University, Shanghai 200065, China
b.Department of Orthopedics, Shanghai Changzheng Hospital, Naval Medical University, Shanghai 200003, China
c.Department of Polymer Materials, School of Materials Science and Engineering, Shanghai University, Shanghai 200444, China
zhangkunxi@shu.edu.cn (K.X.Z.)
songyanli@tongji.edu.cn (Y.L.S.)
fupeiliang@163.com (P.L.F.)
Received:25 September 2025,
Accepted:21 November 2025,
Online First:22 January 2026,
Published:05 February 2026
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Zhang, M. Z.; Qian, J. T.; Niu, D. W.; Chen, Y. C.; Li, S. A.; Zeng, J. J.; Zhang, K. X.; Song, Y. L.; Fu, P. L. Study on hyaluronic acid-g-lipoic acid microsphere-based injectable hydrogel for treating early knee osteoarthritis. Chinese J. Polym. Sci. 2026, 44, 450–464
Mu-Zhi Zhang, Jia-Tian Qian, Da-Wei Niu, et al. Study on Hyaluronic Acid-
Zhang, M. Z.; Qian, J. T.; Niu, D. W.; Chen, Y. C.; Li, S. A.; Zeng, J. J.; Zhang, K. X.; Song, Y. L.; Fu, P. L. Study on hyaluronic acid-g-lipoic acid microsphere-based injectable hydrogel for treating early knee osteoarthritis. Chinese J. Polym. Sci. 2026, 44, 450–464 DOI: 10.1007/s10118-025-3511-7.
Mu-Zhi Zhang, Jia-Tian Qian, Da-Wei Niu, et al. Study on Hyaluronic Acid-
This study developed an injectable hyaluronic acid-lipoic acid microsphere (HA-LA MS) hydrogel to overcome the limited lubricity and bioactivity of conventional HA in early knee osteoarthritis. The composite exhibited superior lubrication
reactive oxygen species (ROS) scavenging
and anti-inflammatory effects
in vitro
and
in vivo
effectively delaying cartilage degeneration.
Early knee osteoarthritis (KOA) is characterized by progressive degeneration of the articular cartilage
synovial inflammation
and excessive accumulation of reactive oxygen species (ROS). At present
intra-articular injection of hyaluronic acid (HA) is widely used to alleviate symptoms; however
its lubrication persistence
antioxidant
and anti-inflammatory abilities are limited
and it is difficult to effectively delay the early process of cartilage degeneration. Based on this
hyaluronic acid-
g
-lipoic acid (HA-LA) was synthesized by esterification reaction
and HA-LA microspheres were prepared by a reversed-phase emulsion method
which was combined with a macromolecular HA-LA solution to form injectable hydrogels. The objective of this study was to evaluate the efficacy of an injectable hydrogel base
d on hyaluronic acid-
g
-lipoic acid microspheres (HA-LA MS) for the treatment of KOA and to verify its injectability
lubricity
reactive oxygen species (ROS) scavenging ability
and anti-inflammatory effects. The results show that the HA-LA MS hydrogel has excellent shear thinning characteristics and continuous injectability
and its microsphere structure significantly reduces the interfacial friction coefficient through the rolling effect.
In vitro
experiments have shown that the hydrogel can efficiently scavenge ROS
reduce the expression of inflammatory factors
and is non-cytotoxic. The HA-LA MS injectable hydrogel has excellent lubricity
ROS scavenging ability
and anti-inflammatory effects
in vivo
which can effectively delay the degeneration of early KOA cartilage
and its efficacy is significantly better than that of traditional hyaluronic acid
making it a promising intra-articular injection preparation.
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