Targeted nanoliposomes for precision rheumatoid arthritis therapy: a review on mechanisms and in vivo potential

Rheumatoid arthritis (RA) is an inflammatory immune-triggered disease that causes synovitis, cartilage degradation, and joint injury. In nanotechnology, conventional liposomes were extensively investigated for RA. However, they frequently undergo rapid clearance, reducing circulation time and therap...

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Main Authors: Rushikesh Girase, Nayan A. Gujarathi, Amey Sukhia, Sri Sai Nikitha Kota, Tulshidas S. Patil, Abhijeet A. Aher, Yogeeta O. Agrawal, Shreesh Ojha, Charu Sharma, Sameer N. Goyal
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Drug Delivery
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Online Access:https://www.tandfonline.com/doi/10.1080/10717544.2025.2459772
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author Rushikesh Girase
Nayan A. Gujarathi
Amey Sukhia
Sri Sai Nikitha Kota
Tulshidas S. Patil
Abhijeet A. Aher
Yogeeta O. Agrawal
Shreesh Ojha
Charu Sharma
Sameer N. Goyal
author_facet Rushikesh Girase
Nayan A. Gujarathi
Amey Sukhia
Sri Sai Nikitha Kota
Tulshidas S. Patil
Abhijeet A. Aher
Yogeeta O. Agrawal
Shreesh Ojha
Charu Sharma
Sameer N. Goyal
author_sort Rushikesh Girase
collection DOAJ
description Rheumatoid arthritis (RA) is an inflammatory immune-triggered disease that causes synovitis, cartilage degradation, and joint injury. In nanotechnology, conventional liposomes were extensively investigated for RA. However, they frequently undergo rapid clearance, reducing circulation time and therapeutic efficacy. Additionally, their stability in the bloodstream is often compromised, resulting in premature drug release. The current review explores the potential of targeted liposomal-based nanosystems in the treatment of RA. It highlights the pathophysiology of RA, explores selective targeting sites, and elucidates diverse mechanisms of novel liposomal types and their applications. Furthermore, the targeting strategies of pH-sensitive, flexible, surface-modified, PEGylated, acoustic, ROS-mediated, and biofunctionalized liposomes are addressed. Targeted nanoliposomes showed potential in precisely delivering drugs to CD44, SR-A, FR-β, FLS, and toll-like receptors through the high affinity of ligands. In vitro studies interpreted stable release profiles and improved stability. Ex vivo studies on skin demonstrated that ultradeformable and glycerol-conjugated liposomes enhanced drug penetrability. In vivo experiments for liposomal types in the arthritis rat model depicted remarkable efficacy in reducing joint swelling, pro-inflammatory cytokines, and synovial hyperplasia. In conclusion, these targeted liposomes represented a significant leap forward in drug delivery, offering effective therapeutic options for RA. In the future, integrating these advanced liposomes with artificial intelligence, immunotherapy, and precision medicine holds great promise.
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spelling doaj-art-aa588ad3086f433aa65b3c4b078f3dc72025-02-01T13:35:49ZengTaylor & Francis GroupDrug Delivery1071-75441521-04642025-12-0132110.1080/10717544.2025.2459772Targeted nanoliposomes for precision rheumatoid arthritis therapy: a review on mechanisms and in vivo potentialRushikesh Girase0Nayan A. Gujarathi1Amey Sukhia2Sri Sai Nikitha Kota3Tulshidas S. Patil4Abhijeet A. Aher5Yogeeta O. Agrawal6Shreesh Ojha7Charu Sharma8Sameer N. Goyal9Shri Vile Parle Kelavani Mandal’s Institute of Pharmacy, Dhule, IndiaShri Vile Parle Kelavani Mandal’s Institute of Pharmacy, Dhule, IndiaDepartment of Pharmaceutical Sciences, University of Nebraska Medical Center, Omaha, NE, USADepartment of Molecular Pharmaceutics and Drug Delivery, The University of Texas at Austin, Austin, TX, USAShri Vile Parle Kelavani Mandal’s Institute of Pharmacy, Dhule, IndiaShri Vile Parle Kelavani Mandal’s Institute of Pharmacy, Dhule, IndiaShri Vile Parle Kelavani Mandal’s Institute of Pharmacy, Dhule, IndiaDepartment of Pharmacology and Therapeutics, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab EmiratesDepartment of Internal Medicine, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab EmiratesShri Vile Parle Kelavani Mandal’s Institute of Pharmacy, Dhule, IndiaRheumatoid arthritis (RA) is an inflammatory immune-triggered disease that causes synovitis, cartilage degradation, and joint injury. In nanotechnology, conventional liposomes were extensively investigated for RA. However, they frequently undergo rapid clearance, reducing circulation time and therapeutic efficacy. Additionally, their stability in the bloodstream is often compromised, resulting in premature drug release. The current review explores the potential of targeted liposomal-based nanosystems in the treatment of RA. It highlights the pathophysiology of RA, explores selective targeting sites, and elucidates diverse mechanisms of novel liposomal types and their applications. Furthermore, the targeting strategies of pH-sensitive, flexible, surface-modified, PEGylated, acoustic, ROS-mediated, and biofunctionalized liposomes are addressed. Targeted nanoliposomes showed potential in precisely delivering drugs to CD44, SR-A, FR-β, FLS, and toll-like receptors through the high affinity of ligands. In vitro studies interpreted stable release profiles and improved stability. Ex vivo studies on skin demonstrated that ultradeformable and glycerol-conjugated liposomes enhanced drug penetrability. In vivo experiments for liposomal types in the arthritis rat model depicted remarkable efficacy in reducing joint swelling, pro-inflammatory cytokines, and synovial hyperplasia. In conclusion, these targeted liposomes represented a significant leap forward in drug delivery, offering effective therapeutic options for RA. In the future, integrating these advanced liposomes with artificial intelligence, immunotherapy, and precision medicine holds great promise.https://www.tandfonline.com/doi/10.1080/10717544.2025.2459772Rheumatoid arthritissurface modified liposomespH-sensitive liposomesultradeformable liposomesacoustic liposomesbiofunctionalized liposomes
spellingShingle Rushikesh Girase
Nayan A. Gujarathi
Amey Sukhia
Sri Sai Nikitha Kota
Tulshidas S. Patil
Abhijeet A. Aher
Yogeeta O. Agrawal
Shreesh Ojha
Charu Sharma
Sameer N. Goyal
Targeted nanoliposomes for precision rheumatoid arthritis therapy: a review on mechanisms and in vivo potential
Drug Delivery
Rheumatoid arthritis
surface modified liposomes
pH-sensitive liposomes
ultradeformable liposomes
acoustic liposomes
biofunctionalized liposomes
title Targeted nanoliposomes for precision rheumatoid arthritis therapy: a review on mechanisms and in vivo potential
title_full Targeted nanoliposomes for precision rheumatoid arthritis therapy: a review on mechanisms and in vivo potential
title_fullStr Targeted nanoliposomes for precision rheumatoid arthritis therapy: a review on mechanisms and in vivo potential
title_full_unstemmed Targeted nanoliposomes for precision rheumatoid arthritis therapy: a review on mechanisms and in vivo potential
title_short Targeted nanoliposomes for precision rheumatoid arthritis therapy: a review on mechanisms and in vivo potential
title_sort targeted nanoliposomes for precision rheumatoid arthritis therapy a review on mechanisms and in vivo potential
topic Rheumatoid arthritis
surface modified liposomes
pH-sensitive liposomes
ultradeformable liposomes
acoustic liposomes
biofunctionalized liposomes
url https://www.tandfonline.com/doi/10.1080/10717544.2025.2459772
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