Osteoarthritis (OA) is the most common form of arthritis and leads to irreversible changes in all articular tissues and associated skeletal muscle.1,2 OA is a collection of different phenotypic subtypes involving different relative contributions of the stressors and pathogenic pathways that trigger and drive, respectively, disease development ( Figure 1). Recent investigations have shown that OA is driven by interplay between local joint inflammation (synovitis) and chondrocyte impaired bioenergy and protein homeostasis (see Liu-Bryan and Terkeltaub 2 for an excellent review). Another important pathway being studied in the OA field is that chondrocytes acquire a phenotype similar to terminal differentiating chondrocytes found at the growth plate and express markers of hypertrophic chondrocytes including type X collagen, matrix metalloproteinase-13 (MMP13) and vascular endothelial growth factor (VEGF).3 These findings suggest that the loss of phenotypic stability of chondrocytes in OA reflects an early futile process to repair stressed cartilage that ultimately leads to pathologic cartilage calcification.Chondrocyte hypertrophy is regulated by the activation of a constellation of transcription factors and other signalling molecules. Studies with knockout and transgenic mice have shown that deletion of many of these regulators results in resistance to OA development, thus suggesting that blocking chondrocyte hypertrophy by targeting these regulators in chondrocytes would be a valid therapeutic approach for OA. The direct exposure of the cartilage to the joint cavity makes chondrocytes amenable to targeting via intra-articular (IA) injection. This route offers the advantages of high joint bioavailability while reducing the risk of off-target effects. Nevertheless, the delivery of IA-injected small molecules and macromolecules into chondrocytes has been limited by the fast clearance out of the synovial cavity and poor diffusion through the tight cartilage matrix. 4 This problem has been recently tackled through the use of a new class of drugs based upon multifunctional nanoparticles designed to selectively and safely deliver therapeutic agents to a diseased site. 5 In an OA prevention study published in a recent issue of Gene Therapy, Pi et al.6 described the use of polyetheleneimine (PEI) to fabricate chondrocyte-targeting nanoparticles. PEI was first conjugated to a chondrocyte-affinity peptide (CAP; DWRVIIPPRPSAC) and, next, used to condense an siRNA against hypoxia-inducible factor-2α (Hif-2α) in nanoparticles. The nanoparticles were injected weekly into the knees of 8-week-old male Chinese Kun Ming mice at the onset of OA, that is, 3 days after surgical destabilization of the knee joints by dissecting the anterior cruciate ligament (ACL), medial collateral ligament (MCL) and anterior horn of the medial meniscus. After seven weeks, mice treated with CAP-coated nanoparticles showed a significant reduction in cartilage breakdown and synovitis compared with sham-treated mice or OA mice treated with nanoparticles co...