Innovative exosome hydrogel therapy offers new hope for repairing growth plate injuries

Childhood development hinges on the proper functioning of the growth plate, a crucial area of growing tissue near the ends of long bones. When the growth plate is injured, it can lead to the formation of bone bridges, which negatively impact limb development. Traditional treatments and biomaterial scaffolds often fall short due to their lack of essential cartilage components, making effective regeneration difficult. Additionally, stem cell therapies face challenges like high cell death rates and unpredictable differentiation. However, a groundbreaking new approach offers fresh hope.

Researchers at the Children’s Hospital of Nanjing Medical University have developed an innovative injectable composite hydrogel called Exo-AMG to repair growth plate injuries in children and adolescents. This hydrogel combines exosomes (small particles that carry proteins and genetic information between cells) with a specially designed scaffold made of methacrylate-modified acellular cartilage matrix (ACMMA) and gelatin methacrylate (GelMA). This combination aims to overcome the limitations of current treatments by providing a more supportive environment for tissue regeneration.

Key Features of the Exo-AMG Hydrogel

  1. Injectable and Minimally Invasive: The Exo-AMG hydrogel can be administered through a minimally invasive injection, making the procedure less traumatic for young patients. Once injected, the hydrogel is solidified in place using a light-activated process called in-situ photocrosslinking, which helps it fill and stabilize the growth plate defects.
  2. Mechanical Properties and Biodegradation: The hydrogel has been designed to have suitable mechanical properties, meaning it can support the tissue as it heals. It also has an appropriate rate of biodegradation, ensuring it gradually breaks down as the new tissue forms and takes over.
  3. Sustained Exosome Release: Exosomes are critical for cell communication and tissue regeneration. The Exo-AMG hydrogel is capable of sustaining the release of these exosomes over time, enhancing the healing process.

Biological Benefits

  • Promoting M2 Macrophage Polarization: The hydrogel encourages the immune system to shift towards an anti-inflammatory state by promoting the polarization of macrophages to the M2 type. This helps reduce inflammation, which is beneficial for healing.
  • Enhancing Stem Cell Function: The hydrogel also supports the proliferation (growth) and chondrogenic differentiation (formation of cartilage) of bone mesenchymal stem cells (BMSCs). This is crucial for regenerating the cartilage in the growth plate.

In Vivo Success

In animal studies, the Exo-AMG hydrogel successfully induced the regeneration of growth plate cartilage without the undesirable formation of bone bridges. This indicates its potential effectiveness in promoting proper limb development after an injury.


The development of the Exo-AMG hydrogel represents a significant advancement in the treatment of growth plate injuries. By combining the benefits of exosomes with a well-designed scaffold, this new therapy not only promotes healing but also addresses the challenges that have hindered previous treatments. If further studies continue to support its effectiveness, this injectable and photocrosslinkable hydrogel could become a promising solution for repairing growth plate injuries in children, ensuring better outcomes for their future development.

Si X, Zhang Q, Ning B, Qiang L et al. (2024) Injectable photocrosslinkable acellular cartilage matrix hydrogel loaded with exosomes for promoting growth plate injury repair. Chem Eng J [Epub ahead of print]. [article]

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