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Table 1 An easy-to-understand comparison of the effects of ICA on various bone tissue characteristics, emphasizing its potential as a therapeutic agent for bone-related conditions

From: Promoting osteogenesis and bone regeneration employing icariin-loaded nanoplatforms

Compound

Fabrication method

Dosage

Types of experiment

Major findings

Ref.

ICA-PDA@SPEEK

Polymerization

16, 32, 64 µg ml-1

In vitro, in vivo

Regulating cytokine secretion by macrophages increased the proportion of M2-polarized macrophages, facilitated osteogenesis, and impeded osteoclast differentiation

[148]

SF/MBGNs-ICA

Freeze-drying

120 µg ml-1

In vitro

Increased the expression level of OCN, ALP, RUNX2, and OPN

[163]

ICA-Ti particles

MC3T3-E1 cells were pretreated with icariin and then incubated with Ti particles

10-8 M

In vitro

Increased ALP activity, accelerated matrix mineralization, and upregulated the levels of BMP-2, RUNX2, OCN, and miR-21-5p

[198]

ICA-BBL@HA

Thin-film dispersion and mechanical extrusion

-

In vitro, in vivo

Reestablish rat bone microarchitecture afflicted by osteoporosis symptoms

[128]

ICA@PCL-Gelatin

Electrospinning

0.5, 2.0, 5.0 wt.%

In vitro, in vivo

Regulation of the TGF-β and Smad pathways had an impact on adhesion formation in vivo by inhibiting fibroblast proliferation and decreasing collagen synthesis

[90]

ICA-SF/PLCL

Coaxial electrospinning

10−5 mol/L

In vitro, in vivo

Significantly promoted the osteogenesis of BMMSCs in vitro and repair bone defect in vivo

[99]

VCS-ICA

-

10.86 mg/kg/day

In vitro, in vivo

Promoted bone formation by up-regulating BMP-2/ RUNX2 and OPG/RANKL pathways

[191]

PLLA/CS-PDA/ICA/DFO

Electrospinning and thermally induced phase separation

0.02 mg/mL

In vitro

Enhanced cell adhesion, proliferation, osteogenic differentiation and mineralization of MC3T3-E1; significantly promoted the growth and expression of angiogenic-related factors of HUVECs

[93]

ICA-loaded hyaluronic acid/chitosan (HA/CS)

Phase-transited lysozyme (PTL) and layer-by-layer (LbL) self-assembly system

0.5×10-3, 1×10-3, 2×10-3 mol/L

In vitro, in vivo

Increased osteoblast ((MC3T3-E1) proliferation at low doses and aligned calcified bone-like collagen matrix

[151]

ICA-PLGA@TiO2

Coating

2 × 10-3 mol/L

In vitro, in vivo

Sustained release of icariin until two weeks; improved cell adhesion, proliferation, and differentiation of MC3T3-E1

[199]

ICA-PD@TiO2

Electrochemical anodization

500 µM

In vitro, in vivo

The acute inflammatory response was suppressed, resulting in a decrease in the fibrotic capsule around the implant and an increase in the thickness of newly formed bone tissue, first at 1 month and then at 3 months after implantation

[161]

ICA-TIO2-ASP@PLGA

Coating

1.15 mg/mL

In vitro

At the same time, the modified surface provided the ability to modulate the immune response in macrophages and promote bone formation in osteoblasts

[200]

ICA/β-CD-conjugated alginate

Chemical reaction of carboxylated CD with aminated ALG and ICA inclusion

1, 5, 10 µM

In vitro

The osteogenic ability of MC3T3-E1 cells was improved through the release of ICA from the inclusion nanocomplex, which resulted in increased levels of ALP, calcium, and the expression of OCN and OPN

[201]

(β-CD-ALG)

ICA-MTZ@CPC

Sol-gel

2 mg

In vitro

A significant decrease in the growth activity of planktonic porphyromonas gingivalis and bacterial biofilms; promoted the expression level of RUNX2 and BSP

[147]

ICA-NDs

Sol-gel

10 and 50 µg

In vitro

The sustained release of ICA from the NDs increased the expression of early osteogenic-related genes (ALP and RUNX2) and late osteogenic-related genes (COL1A1 and OPN)

[185]

ICA-MSN@ADA-GEL

3D printing

1000 µg/mL

In vitro

Enhanced osteoblast proliferation, adhesion, and differentiation of MC3T3-E1 cells

[187]

PHBV/NLT-HyA/ICA nanofiber

Coaxial electrospinning

ICA with a mass ratio of 1:1 was dissolved into water/ethanol (1:1, v/v) to generate the concentration of 2.4% (w/v)

In vitro

The viability and growth of human fetal osteoblasts (HFOBs) were greatly enhanced, along with their development into mature cells

[186]

PCL/Fe3O4/ICA

Electrospinning and depressurization of subcritical CO2 fluid

0.1 w/v%

In vitro, in vivo

Greatly promoted cell viability, cell penetration, collagen deposition, and angiogenesis

[91]

ICA-CPC tablets

Freeze drying

1 mg

In vitro, in vivo

Increased osteogenic differentiation; Accelerated bone regeneration at 4 and 6 weeks after transplantation

[202]

ICA/HBG/CS

Freeze-drying

10, 25, 50 µM

In vitro, in vivo

The expression levels of osteogenic-related genes (COL1 and RUNX2) and osteogenic-related proteins (ALP and p-Smad1/5) were significantly increased; the formation of new bone tissues was significantly accelerated

[184]

ICA-mHNT@CS-GP

Sol-gel

-

In vitro

Mesenchymal stem cells experience improved cell proliferation and bone differentiation, while the initial burst release of ICA is decreased and entrapment efficiency and loading capacity are increased

[203]

ICA-loaded nHAP/CMCS/PLGA

Emulsion polymerization

10−5 M

In vitro, in vivo

Osteoblast adhesion, proliferation, and differentiation were enhanced by improving mechanical properties and in vitro bioactivity

[166]

ICA@PLGA/PCL-nHAP

Emulsion solvent evaporation and 3D printing

250 μL

In vitro, in vivo

The ICA released facilitated the differentiation of MC3T3-E1cells into bone cells and promoted the healing of calvarial bone

[204]

PLGA/TCP/ICA

3D printing

0.16% (the mass ratio of PLGA to TCP to icariin was (80:20:0.16), 0.32% (80:20:0.32), 0.64% (80:20:0.64)

In vitro, in vivo

The SAON rabbit experienced improved angiogenesis in the implanted region due to increased mechanical support, stable icariin release from the scaffold, and enhanced mechanical properties of new bone tissues

[140]

IC/Sr-BCP

Solidification and H2O2 gas foaming

1.5 μmol

In vitro, in vivo

The co-delivery system has the potential to enhance osteogenesis by increasing the levels of osteogenesis-related proteins such as alkaline phosphatase, osteocalcin, and BMP-2. Additionally, it hinders osteoclastogenesis

[159]

FBS EXO-ICA

Ultracentrifugation

1 mg.ml-1

In vitro

Promoted the proliferation of osteoblasts and bone regeneration

[124]

BG/Sr/ICA

Sol-gel

1 mg.ml−1

In vitro, in vivo

Improved the osteogenic potential presented by BMMSCs from rats with osteoporosis

[205]

PCL/β-TCP/ICA

Extrusion-based 3D printing

0.16, 0.32, and 0.64% of the total stent mass

In vitro

The expression of genes specific to osteoblasts was greatly increased

[206]

PCL/Gelatin/ICA

Electrospinning

 

In vitro

Increased OCN and type collagen I (COL I) expression in MC3T3-E1cells

[88]

PGCL/HA/dECM/ICA

Emulsion-solidification

mass ratio (90:10:0.32)

In vitro, in vivo

Synergistically enhanced the migration and osteogenic differentiation of BMSCs

[145]

PLA/nHAC/ICA

Dyeing

20–30 µg/ml

In vitro, in vivo

By increasing the levels of BMP-2 and OPG proteins, it enhanced the growth of osteoblasts and promoted their proliferation. Additionally, it also stimulated the expression of BMP-2, OPG, and ALP mRNAs

[158]

ICA/HA/Alginate

Freeze drying

10−5, 10−6,10−7 mol/l

In vitro, in vivo

The proliferation of rBMSCs was enhanced without causing harm to them. The expression levels of an osteogenic gene and the genes in the Wnt signaling pathway were increased

[139]

chitosan/gelatin/ICA multilayer-sealed TiO2 nanotube

Physical absorption and electrochemical anodization

0.5 mg/mL

In vitro

Osteoblastic growth was increased and the expression of bone-related genes, such as osteopontin, type I collagen, and osteoprotegerin, was enhanced. The expression of RANKL mRNA was decreased

[207]

PVA/β-TCP/ICA

Direct-ink 3D printing

0.4 g

In vitro, in vivo

Increased the adhesion and proliferation of MC-3T3-E1 cells; accelerated the in-situ bone regeneration in vivo

[156]

ICA-SH/BCP

H2O2 gas foaming

1.5 μmol

In vitro, in vivo

In vitro, the expression of angiogenic genes in human umbilical vein endothelial cells (HUVECs) was increased. This increase promoted the proliferation, migration, and osteoblastic differentiation of bone mesenchymal stem cells from ovariectomized rats (OVX-rBMSCs)

[155]

IC–CS/HA

Freeze-drying

2.0 mg

In vitro

The stimulation of alkaline phosphatase activity and mineralized nodule formation in bone marrow-derived stroma cells was promoted

[208]

CPC/ICA scaffold

Freeze-drying

10, 20, 40 µM

In vitro, in vivo

Up-regulated the expression of osteogenic and angiogenic genes in BMSCs; inhibited osteoclast; enhanced both osteogenesis and angiogenesis in the OVX calvarial defect model

[209]

ICA/micro/nano HAp granules

Wet-chemical precipitation

200, 2000 µM

In vitro, in vivo

There was an increase in ALP activity and gene expression of RUNX2, Col I, OCN, and OCN protein secretion; it also caused the expression of angiogenic genes in BMSCs such as vascular endothelial growth factor (VEGF) and angiotensin 1 (ANG1)

[210]

ICA/BioCaP granules

Co-precipitation

5, 10 mg/L

In vitro, in vivo

The critical-sized bone defects in SD rats saw a notable improvement in new bone formation

[211]

ICA/MgO/PLGA microsphere

Emulsion/solvent evaporation

0.4, 4.0, 40.0 mM

In vitro, in vivo

The expression level of RUNX2, Col I, OCN, and OCN protein secretion was increased, which effectively promoted new bone formation in rat calvarial defects

[212]

ICA/CPC@Gelatin microsphere

W/O emulsion chemically crosslinking

0.25, 0.5, 1.0, 2.0 mM

In vitro, in vivo

Promoted osteoinductivity and bone formation as well as alleviated inflammation

[213]

ICA/3MA

-

0.1, 1.0, 40 µM

In vitro, in vivo

Significantly reduced expression of senescence-associated secretory phenotype (SASP)

[197]