Liposome in Drug delivery system
Abhijit Ray
HOD,
Department of Biotechnology, Raipur Institute of Technology, Raipur (CG)
*Corresponding Author E-mail: abhijitray_2001@yahoo.com
ABSTRACT:
Today, clinical medicine possesses
an extremely long list of different pharmaceutical products and every year many
new drugs are added to the list with the understanding of molecular mechanisms of
diseases. Scientists and physicians are never satisfied only with a favorable drug
action against the disease under treatment. The task of avoiding undesirable drug
actions on normal organs and tissues and minimizing side effects of the therapy
is very important. Thus, screening of biologically active compounds became necessary,
permitting the choice of drug with selective action on the appropriate organs or
tissues. A liposome is an artificially
prepared vesicle composed of a lipid bilayer. The
liposome can be used as a vehicle for administration of nutrients and pharmaceutical drugs. Liposomes can be prepared
by disrupting biological membranes such as by
sonication.
Liposomes are composed of natural phospholipids, and may also contain mixed lipid
chains with surfactant properties. A liposome design may employ surface ligands for
attaching to unhealthy tissue. The major types of liposomes
are the multilamellar vesicle (MLV),
the small unilamellarvesicle (SUV),
and the large unilamellar vesicle (LUV).
KEYWORDS: Liposomes, drug delivery, target therapy, encapsulation.
INTRODUCTION:
Liposomes are sub-micron particles that are finding important
applications in fields such as biotechnology (in applications like siRNA delivery, antibody delivery), cosmetology (emulsions
and creams etc.) and the pharmaceutical industry (chemotherapeutic delivery,
altering the PK/PD of drug). Liposomes are composed of phospholipids that have a polar
end attached to a non-polar chain. When these phospholipids are introduced into
an aqueous medium, they self-assemble into bilayer
vesicles with the polar ends facing the aqueous medium and non-polar ends
forming a bilayer. In pharmaceutical applications the
active molecule (drug) is usually incorporated into the liposome either into
the hydrophilic pocket or sandwiched between the bilayers
depending on the hydrophilicity or lipophilicity of the drug. Chemotherapeutics such as
Doxorubicin and Paciltaxel have been used to treat
cancers of various kinds for over two decades.
The main disadvantage with these or any other
chemotherapeutic drug is their inability to differentiate between a normal cell
and a cancer cell. This leads to unwanted side effects such as loss of hair,
stomach ulcers and loss in body weight. Drug delivery systems or targeting
systems that would channel these and other therapeutics to the area of interest
(tumors etc.) have garnered tremendous interest.
DOXIL, a reformulated version of Doxorubicin, was one
of the first drugs to be approved that is delivered using a liposome. The
Doxorubicin drug lies within the hydrophilic pocket of a liposome coated with
PEG (polyethylene glycol) to evade detection and destruction by the immune
system. The PEG coating improves the stability and lengthens the half-life in
circulation. A PEG coated liposome is often referred to as a sterically enhanced or stealth liposome. For solid tumors, liposomes are of particular interest because of their easy
manipulation and optimum size. It has been known for some time that the tumor
areas have leaky vasculature and poor lymphatic drainage. This can be used as a
targeting tool with what has been described as Enhanced Permeation and
Retention effect (EPR). This refers to the permeation and retention of
molecules of sizes 50 to 150 nm in to the tumor area. Hence size measurement is
of prime most importance in liposomal drug delivery systems.
Liposomes were first described by British haematologist
Dr Alec D Bangham (Bangham
and Horne1964; Horne
et al., 1963; Bangham et al., 1962) in
1961 at the Babraham Institute, in Cambridge. It were
discovered when Bangham and R. W. Horne were testing the
institute's new electron microscope by adding
negative stain to dry phospholipids.
The resemblance to the plasmalemma was obvious,
and the microscope pictures served as the first real evidence for the cell membrane
being a bilayer lipid structure. The word liposome derives from two Greek words: lipo ("fat") and soma ("body"); it is so named because its
composition is primarily of phospholipid.
Liposomes are lyotropic liquid crystals composed of relatively
biocompatible and biodegradable materials and consist of an aqueous core
entrapped by one or more bilayers of natural and/or
synthetic lipids. Drugs with widely varying lipophilic
nature can be encapsulated in liposomes either in the
phospholipid bilayer, in
the entrapped aqueous core or at the bilayer
interface. Reformulation of drugs in liposomes has
provided an opportunity to enhance the therapeutic indices of various agents
mainly through the alteration of bio distribution. They are versatile drug
carriers, which can be used to control retention of entrapped drugs in the
presence of biological fluids, controlled vesicle residence in the systemic
circulation or other compartments in the body and enhanced vesicle uptake by
target cells (Pozanansky and Juliano
1984). Liposomes composed of natural lipids are
biodegradable, biologically inert, weakly immunogenic (Gregoriadis and Florence 1993; van Rooijen
and van Nieuwmegen 1980), produce no antigenic or
pyrogenic reactions and possess limited intrinsic
toxicity (Campbell 1983). Therefore, drugs encapsulated in liposomes
are expected to be transported without rapid degradation and minimum side
effects to the recipients. Moreover, efforts have been made to assess the
specificity of drug carriers to the target organs, cells or compartments within
the cells (Gregoriadis 1977). Liposomes
are better suited for assessing their targetable properties because of the ease
of modifying their surface when compared to other drug carriers such as nanoparticles (Grislain et al.,
1983; Illum et al., 1983) and microemulsions
(Hashida et al., 1977; Mizushima
et al., 1982). Many approaches have been attempted to achieve targetable
properties, including noncovalent association of cell
specific antibodies with liposomes (Gregoriadis and Neerunjun 1975),
coating of liposomes with heat aggregated immunoglobulins M (IgM) (Weissmann et al., 1975), covalent attachment of poly and
monoclonal antibodies to the liposomes, glycoprotein
bearing liposomes (Banuo et
al., 1983) and natural (Szoka and Mayhew 1983; Spanzer and Scherphof 1983;
Soriano et al., 1983) and synthetic glycolipid
containing liposomes. The compounds entrapped into
the liposomes are protected from the action of
external media, particularly enzymes (Chaize et al.,
2004) and inhibitors. Moreover, liposomes afford a
unique opportunity to deliver the drugs into cells by fusion or endocytosis mechanism and practically any drug can be
entrapped into liposomes irrespective of its
solubility.
The correct choice of liposome preparation
method depends on the following parameters:
1.
The physicochemical characteristics of the material
to be entrapped and those of the liposomal ingredients;
2.
The nature of the medium in which the lipid vesicles
are dispersed;
3.
The effective concentration of the entrapped
substance and its potential toxicity;
4.
Additional processes involved during
application/delivery of the vesicles;
5.
Optimum size, polydispersity
and shelf-life of the vesicles for the intended application; and,
6.
Batch-to-batch reproducibility and possibility of
large-scale production of safe and efficient liposomal products
It should be noted
that formation of liposomes and nanoliposomes is not a spontaneous process. Lipid vesicles are
formed when phospholipids such as lecithin are placed in water and consequently
form one bilayer or a series of bilayers,
each separated by water molecules, once enough energy is supplied. Liposomes can be created by sonicating
phospholipids in water are employed to produce materials for human use. Liposomes are used for
drug delivery due to their unique properties. A liposome encapsulates
a region on aqueous solution inside a hydrophobic membrane; dissolved hydrophilic
solutes cannot readily pass through the lipids. Hydrophobic
chemicals can be dissolved into the membrane, and in this way liposome can carry
both hydrophobic molecules and hydrophilic molecules. To deliver the molecules to
sites of action, the lipid bilayer can fuse with other
bilayers such as the cell membrane, thus delivering the
liposome contents. By making liposomes in a solution of
DNA or drugs (which
would normally be unable to diffuse through the membrane) they can be (indiscriminately)
delivered past the lipid bilayer.
There are
three types of liposomes -
1.
MLV (multilamillar
vesicles)
2.
SUV (Small Unilamellar Vesicles) and
3.
LUV (Large Unilamellar Vesicles).
These are
used to deliver different types of drugs.
Liposomes are used as models
for artificial cells. Liposomes can also be designed to
deliver drugs in other ways. Liposomes that contain
low (or high) pH can be constructed such that dissolved aqueous drugs will be charged
in solution (i.e., the pH is outside the drug's pI range).
As the pH naturally neutralizes within the liposome (protons can pass through some
membranes), the drug will also be neutralized, allowing it to freely pass through
a membrane. These liposomes work to deliver drug by
diffusion rather than by direct cell fusion. Another strategy for liposome drug
delivery is to target endocytosis events. Liposomes can be made in a particular size range that makes
them viable targets for natural macrophage phagocytosis. These
liposomes may be digested while in the macrophage's phagosome, thus releasing its drug. Liposomes
can also be decorated with opsonins and ligands to activate
endocytosis in other cell types. The use of liposomes for transformation
or transfection of DNA into a host cell is known as lipofection.
In addition to
gene and drug delivery
applications, liposomes can be used as carriers for the
delivery of dyes to textiles, pesticides to plants, enzymes and nutritional supplements
to foods, and cosmetics to the skin. The use of liposomes
in nano cosmetology also has many benefits, including
improved penetration and diffusion of active ingredients, selective transport of
active ingredients, longer release time, greater stability
of active, reduction of unwanted side effects, and high biocompatibility. Another
interesting property of liposomes are their natural ability to target cancer. The endothelial
wall of all healthy human blood vessels is encapsulated by endothelial cells that
are bound together by tight junctions. These tight junctions stop any large particle
in the blood from leaking out of the vessel. Liposomes
of certain sizes, typically less than 400 nm, can rapidly enter tumour sites from the blood, but are kept in the bloodstream
by the endothelial wall in healthy tissue vasculature. Anti-cancer drugs such as
Doxorubicin (Doxil), Camptothecin
and Daunorubicin (Daunoxome)
are currently being marketed in liposome delivery systems.
Further advances in liposome research have
been able to allow liposomes to avoid detection
by the body's immune system, specifically, the cells of reticuloendothelial
system (RES).These liposomes are known as "stealth
liposomes", and are constructed with PEG (Polyethylene
Glycol) studding the outside of the membrane. The PEG coating, which is inert in
the body, allows for longer circulatory life for the drug delivery mechanism. However,
research currently seeks to investigate at what amount of PEG coating the PEG actually
hinders binding of the liposome to the delivery site. In addition to a PEG coating,
most stealth liposomes also have some sort of biological
species attached as a ligand to the liposome in order
to enable binding via a specific expression on the targeted drug delivery site.
These targeting ligands could be monoclonal antibodies (making an immunoliposome), vitamins, or specific antigens. Targeted liposomes can target nearly any cell type in the body and deliver
drugs that would naturally be systemically delivered. Naturally toxic drugs can
be much less toxic if delivered only to diseased tissues. Polymersomes,
morphologically related to liposomes can also be used
this way.
The Pharmaceutical
Industry is one of the most potent industries all over the world, facing high risks
and important challenges. Both, the cost of bringing a New Molecular Entity (NME)
to market is between 500-1000 million Euros and the time required to launch a NME
is 10-15 years. One of the challenges to rationalise and
further improve these NME will be the development of appropriate drug delivery systems,
namely liposomes. During the past 30 years liposomes have received increased attention from the scientific
community, as well as from the Industry, due to the possibility of being a pharmaceutical
carrier for numerous problematic drugs. This success seems to drive the present
interest on the field with more than 2000 papers and reviews per year. Intracellular
infections, namely those localized in mononuclear phagocytic
system (MPS) are very difficult to eradicate due to the low access of drugs to the
sites of infection resulting in sub- therapeutic local drug concentration. Liposomes are ideal carriers to transport drugs to infected
macrophages, as they have the tendency to accumulate in MPS cells by passive targeting.
This capability was exploited for the treatment of leismaniasis
and tuberculosis, with liposomes incorporating dinitroanilines and rifamycins respectively.
Rifamycins are candidates to
be associated to liposomes for treating mycobacterial infections specially M. aviumand M. tuberculosis. We have developed different
types of liposomes incorporating a rifamycin, Rifabutin (RFB) and tested
inappropriate models of M. tuberculosis and M. avium infection. RFB encapsulated in conventional liposomes showed a superior therapeutic effect, than the commercial
antibiotic (free RFB) This superior effect has been observed either through the
reduction on the number of viable colony forming units in liver, spleen and lungs
as well as through histological and immunological studies (Gaspar et al., 2005;
Gaspar et al., 2000). Macromolecules, namely enzymes with therapeutic activity,
were also incorporated in liposomes in view of reducing
some of the common drawbacks such as low circulation time, immunogenic reactions
and reduced therapeutic activity. The enzyme L- Asparaginase
(L-ASNase) is currently a standard agent for the treatment
of children with acute lymphobastic leukaemia. Due to hypersensitivity reactions the treatment needs
discontinuation in up to 25% of patients. These disadvantages were overlapped by
means of incorporating L-ASNase into liposomes.
Superoxide dismutase
(SOD) incorporated in liposomes also presented advantages
over the free from of the enzyme in the treatment of rat adjuvant arthritis.Liposomes increased the short half-life of SOD, targeted
the enzyme to the inflamed sites and increased its anti-inflammatory activity. Long
circulating liposomes incorporating SOD are superior to
conventional liposomes, in terms of anti-inflammatory
activity (Cruz et al., 1993; Gaspar et al., 1996). These are examples of the potential
of Liposomes as delivery system for NME or even to recue
problematic old drugs.
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