Review Article

Hydrogel-Loaded Exosomes: A Promising Therapeutic Strategy for Musculoskeletal Disorders

Table 3

Trigger conditions and examples of intelligent responsive hydrogels.

Type of stimulationExamplesFeatures and mechanismsApplication directionsReferences

EnzymeMMPUnder the catalysis of specific enzymes, the hydrogels show the characteristics of configuration change or fracture and promote the formation or degradation of hydrogelsBone defect; myocardial infarction; diabetes mellitus; spinal cord injury; oral drug controlled release; cancer; wound healing[199, 200]
Phosphatase[201, 202]
Trypsin[203]
Tyrosinase[204]

TemperaturePoly (n-isopropylacrylamide)It usually contains hydrophilic and hydrophobic groups, which can undergo phase transformation at an undetermined temperature so that the morphology of hydrogels changes with the change of swelling degreeInjectable hydrogels; drug delivery; breast cancer; perforation of digestive tract[205, 206]

LightPolymers containing acrylics/coumarin functional groupsPhotocrosslinked hydrogels can undergo addition polymerization or cyclization under the combined action of photoinitiatorHydrophobic drug delivery; hydrogel crosslinking; development of far-infrared light-responsive hydrogel materials; tissue adhesion[207, 208]
Polymers containing the o-nitrobenzyl groups and their derivativesPhotodegradable hydrogels usually contain groups that break under light irradiation

MagneticThe composite hydrogels containing magnetic nanoparticlesWhen no magnetic field is applied, the drug is released through free diffusion. When the magnetic field is applied, the magnetic particles in the hydrogels aggregate and shrink the 3D network structure of the hydrogels, and the porosity decreases rapidly, resulting in the binding of drug molecules in the hydrogels, and the drug release rate decreases. When the field turns off again, the hydrogels return to original state, increasing the drug’s release rateDiabetes mellitus; cancer; bone defect; articular cartilage injury; arthritis[209211]

Shear forceNatural organic-based hydrogelsIt is usually formed by high polymer with dynamic imine bond crosslinking. Spherical structure with layered fiber network, shear thinning, and self-healing propertiesInjectable hydrogels; drug delivery; cancer; myocardial infarction; ligament rupture; osteoarthritis; articular cartilage injury; gastrointestinal perforation; limb ischemia[212216]

UltrasonicHydrogels with Diels–Alder bonding bondsWhen ultrasound is focused, these connections undergo a reverse reaction, reassembling the hydrogels, and releasing the model protein of internal load. Increasing the amplitude and time of focused ultrasound can improve the rate of protein releaseIntegration of diagnosis and treatment; synergistic therapeutic ultrasound improves therapeutic effect[217]