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Exosome-Based Smart Coatings for Improved Bone Healing in Orthopaedic Implants

Objective

Every year millions of Europeans receive orthopaedic implants such as hip and knee prostheses. While these restore mobility, up to 20% fail within 10 years mainly because of chronic inflammation. Each revision surgery costs an average of €45,000, causing suffering for patients and creating an annual burden of more than €2 billion on EU healthcare. The key reason for implant failure is uncontrolled inflammation in the immediate postoperative period (48–72hours). During this short period immune cells called macrophages must switch from a pro-inflammatory state (M1) to a pro-healing state (M2). Current implant technologies cannot guide this transition with the required timing.

EXOSMART addresses this challenge by creating smart implant coatings that release healing signals precisely when they are needed. The project harnesses exosomes, tiny vesicles naturally secreted by cells that act as biological couriers. These vesicles are loaded with interleukin 4 (IL-4), a protein that calms inflammation and promotes the M2 state for bone repair. Three key innovations make this possible:
-Engineering stem cells to produce IL-4 only under inflammatory conditions and harvesting their exosomes
-Stabilising IL-4 inside exosomes to extend its bioactivity
-Embedding these smart exosomes into layered titanium coatings for spatially and temporally controlled release

The project combines advanced bioengineering at Stanford (USA) with surface engineering expertise at UGent (Belgium). It will generate new knowledge on immune-instructive biomaterials and deliver the first timed, biologically triggered IL-4 delivery system.
For Europe, EXOSMART tackles a major medical and economic challenge. For the host institution, it brings access to complementary approaches and international collaborations. For the researcher, the fellowship provides cutting-edge expertise, fosters independence and builds a transatlantic network, laying the foundation for an independent career in biomedical innovation.

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Topic(s)

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HORIZON-TMA-MSCA-PF-GF - HORIZON TMA MSCA Postdoctoral Fellowships - Global Fellowships

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Call for proposal

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(opens in new window) HORIZON-MSCA-2025-PF

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Coordinator

UNIVERSITEIT GENT
Net EU contribution

Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.

€ 424 129,44
Address
SINT PIETERSNIEUWSTRAAT 25
9000 GENT
Belgium

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Region
Vlaams Gewest Prov. Oost-Vlaanderen Arr. Gent
Activity type
Higher or Secondary Education Establishments
Links
Total cost

The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.

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