Progress in the design and synthesis of viscosupplements for articular joint lubrication

Throughout a lifetime, articular joints experience many loading cycles and are prone to mechanical degradation. To safeguard the cartilage in these joints, the synovial fluid acts as a natural lubricant. However, degenerative joint diseases, like osteoarthritis, alter the composition of synovial fluid, diminishing its protective properties. In such cases, exogenous lubricants or viscosupplements can be injected to enhance the compromised synovial fluid's function. Scientists are now developing next-generation viscosupplements, based on hyaluronic acid (HA), that can better bind to and adhere to cartilage. Additionally, non-HA-based viscosupplements offer benefits over HA-based ones, as they possess more intricate molecular architectures, such as dendrimer or bottlebrush-like structures. These viscosupplements draw inspiration from natural molecules present in synovial fluid, providing them with a distinct advantage.