Ultrasound-responsive hydrogel microcarriers co-loading dexamethasone and urate oxidase for localized gout management

Introduction Gouty arthritis is characterized by the deposition of monosodium urate crystals, which drive not only joint inflammation but also progressive bone erosion and structural damage. Existing therapeutic strategies remain limited by poor local bioavailability and inadequate protection of bone tissue. Hydrogel drug delivery systems offer significant potential for localized gout therapy. However, the co-delivery of anti-inflammatory and urate-lowering agents using hydrogel platforms remain