Table 1 Delivery ligands targeting bone matrix

From: Targeting strategies for bone diseases: signaling pathways and clinical studies

Ligand

Binding feature

Advantage

Disadvantage

Ref

Bisphosphonate

Less influenced by the crystallinity of HAP

Higher binding ratio

Intrinsic anti-resorption effect

Easy conjugation with drugs or drug vectors through R1 or R2

Economic convenience

Long-term presence in HAP

Side effects such as ONJ, atypical femoral fractures, esophageal cancer, and nephrotoxicity

Potency to reduce the secretion of insulin-like growth factors and BMPs to promote osteoblast formation

243,244

Phytic acid

Less influenced by the crystallinity of HAP

Natural existing compounds in vivo

Inherent antitumor and anti-osteoclastogenesis ability

Reduced gastrointestinal disturbance

Low oral bioavailability

258

Tetracycline

Prefers low crystallinity HAP and growing surface

Intrinsic anti-collagenolytic ability

Upregulating the expression of procollagen mRNA, thus activating more osteoblasts

Strong affinity toward bone with a high remodeling rate

Teeth staining and enamel hypoplasia

Dose-dependent dual effect on osteogenesis

Permanent chelation

Low chemical stability to conjugate with drugs or vectors

264

Acidic Oligopeptide

HAP on bone-resorbing surface

Faster binding rate

Better drug release and less side effect due to high biodegradation

Usage in virus vectors

Not orally bioavailable

Higher drug release but lower concentration due to lysis of enzymes to linkages

275,286,288

DSS

HAP on bone formation surface

241,297,346

Collagen-binding domain (CBD)

Collagen in bone

Easy combination for agents, cell adhesion and retention effect, especially when used in implant coating

Distribution in skin

306

WYRGRL

Collagen II

Cartilage specific

Much lower collagen II content in cartilage than skin

Rely on intra-articular injection

312