Quercetin-primed MSC exosomes synergistically attenuate osteoarthritis progression

J Orthop Surg Res. 2025 Apr 15;20(1):373. doi: 10.1186/s13018-025-05785-1.

Abstract

Background: Osteoarthritis (OA), a degenerative joint disease characterized by cartilage degradation and inflammation, lacks effective disease-modifying therapies. Quercetin, a bioactive flavonoid derived from Traditional Chinese Medicine, exhibits anti-inflammatory and chondroprotective properties but is limited by poor bioavailability. Mesenchymal stem cell-derived exosomes (MSC-Exos) offer a promising strategy for targeted drug delivery and cartilage regeneration.

Methods: Bone marrow-derived MSC exosomes (Que-Exo) were isolated after preconditioning with quercetin (1µM, 24 h). Their effects were evaluated in IL-1β-stimulated chondrocytes via RT-qPCR, Western blot, transcriptomics, and proteomics. An ACLT-induced OA mouse model received intra-articular injections of Que-Exo, with cartilage integrity assessed by Safranin O staining and OARSI scoring.

Results: Que-Exo significantly reduced IL-1β-induced pro-inflammatory markers (MMP9 and COX-2) and restored cartilage repair genes (SOX9 and Collagen II) compared to untreated exosomes. Multi-omics analyses revealed activation of PI3K-AKT signaling and glutathione metabolism pathways. In vivo, Que-Exo mitigated cartilage degradation and preserved proteoglycan content.

Conclusions: Quercetin-preconditioned MSC exosomes synergistically enhance chondroprotection and anti-inflammatory effects, offering a novel therapeutic strategy for OA by combining herbal bioactive compounds with exosome-mediated delivery.

Keywords: Chondroprotection; Engineered exosomes; Multi-omics analysis; Osteoarthritis; Quercetin.

MeSH terms

  • Animals
  • Chondrocytes / drug effects
  • Chondrocytes / metabolism
  • Disease Models, Animal
  • Disease Progression*
  • Exosomes* / drug effects
  • Exosomes* / metabolism
  • Male
  • Mesenchymal Stem Cells* / drug effects
  • Mesenchymal Stem Cells* / metabolism
  • Mice
  • Mice, Inbred C57BL
  • Osteoarthritis* / drug therapy
  • Osteoarthritis* / metabolism
  • Osteoarthritis* / pathology
  • Osteoarthritis* / therapy
  • Quercetin* / administration & dosage
  • Quercetin* / pharmacology

Substances

  • Quercetin