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Peer-reviewedCC BY-NC-NDJournal of biological engineering

Microdroplet-mediated exosome delivery system for the therapeutic management of radiation-induced bone damage.

8 affiliations
  1. 1Department of Orthopaedic Surgery, The Eighth Affiliated Hospital of Southern Medical University (The First People's Hospital of Shunde), Foshan, Guangdong, 528308, China.
  2. 2Department of Epidemiology and Health Statistics, School of Public Health, Zunyi Medical University, Zunyi, Guizhou, 563000, China.
  3. 3Department of Orthopaedic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563003, China.
  4. 4Department of Orthopaedic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563003, China. [email protected].
  5. 5Department of Orthopaedic Surgery, The Eighth Affiliated Hospital of Southern Medical University (The First People's Hospital of Shunde), Foshan, Guangdong, 528308, China. [email protected].
  6. 6Department of Orthopaedic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563003, China. [email protected].
  7. 7Zunyi Municipal Key Laboratory of Medicinal Biotechnology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563003, China. [email protected].
  8. 8Institute of Medicinal Biotechnology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, 563003, China. [email protected].

Abstract

Radiation-induced skeletal deterioration and bone loss remain major clinical challenges. Although exosomes derived from human bone marrow-derived mesenchymal stromal cells (hBMSCs) (MSC-Exos) are promising cell-free therapeutics, their limited stability and low delivery efficiency hinder translational application. Here, we developed an innovative microdroplet-based exosome delivery platform (MD/Exos) and systematically evaluated its protective effects under irradiation-induced stress. MSC-Exos were successfully isolated and characterized using transmission electron microscopy and western blot analysis. Fluorescence imaging and confocal microscopy confirmed efficient uptake of MSC-Exos by both macrophages and hBMSCs. MD/Exos were fabricated by encapsulating exosomes within bovine serum albumin-stabilized microdroplets. Cytocompatibility assays showed that MD/Exos exhibited no detectable cytotoxicity toward macrophages. Functionally, MD/Exos significantly enhanced the viability, metabolic activity, and cytoskeletal integrity of irradiated hBMSCs. Notably, MD/Exos markedly promoted osteogenic differentiation after irradiation, as evidenced by increased alkaline phosphatase activity, enhanced mineralized matrix deposition, and upregulated osteogenesis-related gene expression. In parallel, MD/Exos modulated macrophage responses to radiation by suppressing aberrant multinucleated giant-cell formation and reducing pro-inflammatory cytokine expression. In vivo, administration of MD/Exos in an irradiation-induced bone injury model significantly attenuated bone loss and promoted bone regeneration, as evidenced by preserved bone microstructure, reduced osteoclast activity, and downregulated tumor necrosis factor-alpha (TNF-α) expression. Further in vivo cytokine analysis indicated that MD/Exos treatment significantly reduced pro-inflammatory cytokines compared to irradiated controls. Collectively, these findings demonstrate that MD/Exos represent a biocompatible and efficient exosome delivery platform capable of mitigating irradiation-induced cellular dysfunction, enhancing osteogenesis, and modulating immune-bone crosstalk. This study highlights the therapeutic potential of MD/Exos as a novel strategy for the prevention and treatment of radiation-induced bone loss.

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BibTeX
@article{zhang2026microdropletmediated,
  title = {{Microdroplet-mediated exosome delivery system for the therapeutic management of radiation-induced bone damage.}},
  author = {Yi Zhang and Wenqing Huang and Xianglin Peng and Haiping Lu and Yaping Ma and Ansu Wang and Xin Wang},
  journal = {Journal of biological engineering},
  year = {2026},
  month = aug,
  doi = {10.1186/s13036-026-00748-4},
  url = {https://europepmc.org/article/MED/42972386},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Microdroplet-mediated exosome delivery system for the therapeutic management of radiation-induced bone damage.
AU  - Yi Zhang
AU  - Wenqing Huang
AU  - Xianglin Peng
AU  - Haiping Lu
AU  - Yaping Ma
AU  - Ansu Wang
AU  - Xin Wang
PY  - 2026
DA  - 2026/08/06
JO  - Journal of biological engineering
DO  - 10.1186/s13036-026-00748-4
UR  - https://europepmc.org/article/MED/42972386
AB  - Radiation-induced skeletal deterioration and bone loss remain major clinical challenges. Although exosomes derived from human bone marrow-derived mesenchymal stromal cells (hBMSCs) (MSC-Exos) are promising cell-free therapeutics, their limited stability and low delivery efficiency hinder translational application. Here, we developed an innovative microdroplet-based exosome delivery platform (MD/Exos) and systematically evaluated its protective effects under irradiation-induced stress. MSC-Exos were successfully isolated and characterized using transmission electron microscopy and western blot analysis. Fluorescence imaging and confocal microscopy confirmed efficient uptake of MSC-Exos by both macrophages and hBMSCs. MD/Exos were fabricated by encapsulating exosomes within bovine serum albumin-stabilized microdroplets. Cytocompatibility assays showed that MD/Exos exhibited no detectable cytotoxicity toward macrophages. Functionally, MD/Exos significantly enhanced the viability, metabolic activity, and cytoskeletal integrity of irradiated hBMSCs. Notably, MD/Exos markedly promoted osteogenic differentiation after irradiation, as evidenced by increased alkaline phosphatase activity, enhanced mineralized matrix deposition, and upregulated osteogenesis-related gene expression. In parallel, MD/Exos modulated macrophage responses to radiation by suppressing aberrant multinucleated giant-cell formation and reducing pro-inflammatory cytokine expression. In vivo, administration of MD/Exos in an irradiation-induced bone injury model significantly attenuated bone loss and promoted bone regeneration, as evidenced by preserved bone microstructure, reduced osteoclast activity, and downregulated tumor necrosis factor-alpha (TNF-α) expression. Further in vivo cytokine analysis indicated that MD/Exos treatment significantly reduced pro-inflammatory cytokines compared to irradiated controls. Collectively, these findings demonstrate that MD/Exos represent a biocompatible and efficient exosome delivery platform capable of mitigating irradiation-induced cellular dysfunction, enhancing osteogenesis, and modulating immune-bone crosstalk. This study highlights the therapeutic potential of MD/Exos as a novel strategy for the prevention and treatment of radiation-induced bone loss.
SN  - 1754-1611
ER  -