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ABSTRACT
Purpose of this paper: Liposomes have received a lot of attention during the past 30 years as pharmaceutical carriers
of great potential. More recently, many developments have been seen in the area of liposomal drugs-from clinically
approved products to new experimental applications. For further successful development of this field, promising trends
must be identified and exploited, with a clear understanding of the limitations of these approaches.
Design/methodology/approach: This review presents a panoramic view of current status of research in this field to
serve as a ready reference for future researchers.
Practical implications: The treasure of information provided in this review find wide utility by future researchers and
will serve as basis for further improvement in methodology and design of better formulations as well as evaluation
methods.
What is original/value of paper: In this article, basic characteristics, method of preparation and marketed formulations
of liposomes are discussed. The success of liposomes as drug carriers has been reflected in a number of liposome
based formulations, which are commercially available, or are currently undergoing clinical trials.
Keywords: Lipoidal vesicles, Hydrophillic and Hydrophobic drugs, Drug carriers.
blocks, phospholipids, and not to its size. aqueous medium. A common morphology DOI: 10.5530/rjps.2014.2.3
Liposomes were first described by British which is analogous to the eukaryotic cel-
Address for
hematologist Dr. Alec D Bangham in lular membrane is the unilamellar vesicles. correspondence
1961 (Published 1964), at the Babraham This is characterized by a single bilayer Mrs Kavitha AN
Asst. Professor
Institute, when he and R.W. Horne membrane which encapsulates an internal Krupanidhi College
were testing the institutes new electron aqueous solution, thus separating it from of Pharmacy, #12/1,
ChikkabellandurVillage,
microscope by adding negative stain to dry the external solution. Both cationic amine Carmelaram Post, Varthur
phospholipids.1,2 head groups and anionic phospholipid Hobli, Bangalore-560035
Mobile: 9886887421
Liposomes are simple microscopic vesicles head groups can form this single walled E-mail: kavithareddykcp@
in which lipid bilayer structure is present vesicle.3 Vesicle size falls into nanometer gmail.com
REV(Reverse Evaporation
1. Single or Oligolemellar vesicles made by reverse osmosis
vesicles)
hydration repulsion to repel the approaching particle high energy input to the lipid suspension but suffer from
and the two membranes fall into an energy well where overheating of the lipid suspension causing degradation.
they adhere and form aggregates. The aggregates settle Sonication tips also tend to release titanium particles into
out of solution as large flocculates which will disperse the lipid suspension which must be removed by centrif-
on agitation but reform upon settling. The product of ugation prior to use. For these reasons, bath sonicators
hydration is a large multilamellar vesicle (LMV) analo- are the most widely used instrument for preparation of
gous in structure, with each lipid bilayer separated by SUV. Sonication of an LMV dispersion is accomplished
a water layer. The spacing between lipid layers is dic- by placing a test tube containing the suspension in a bath
tated by composition with poly-hydrating layers being sonicator (or placing the tip of the sonicator in the test
closer together than highly charged layers which sepa- tube) and sonicating for 510 minutes above the Tc of the
rate on electrostatic repulsion. Once a stable, hydrated lipid. The lipid suspension should begin to clarify to yield
LMV suspension has been produced, the particles can a slightly hazy transparent solution. The haziness is due to
be downsized by a variety of techniques, including soni- light scattering induced by residual large particles remain-
cation or extrusion. ing in the suspension. These particles can be removed by
Sizing of Lipid Suspension centrifugation to yield a clear suspension of SUV. Mean
size and distribution is influenced by composition and
Sonication concentration, temperature, sonication time and power,
Disruption of LMV suspensions using sonic energy volume, and sonicator tuning. Since it is nearly impossi-
(sonication) typically produces small, unilamellar ves- ble to reproduce the conditions of sonication, Size varia-
icles (SUV) with diameters in the range of 15-50nm. tion between batches produced at different times is not
The most common instrumentation for preparation of uncommon. Also, due to the high degree of curvature of
sonicated particle is bath and probe tip sonicators. Cup- these membranes, SUV are inherently unstable and will
horn sonicators, although less widely used, but they have spontaneously fuse to form larger vesicles when stored
successfully produced SUV. Probe tip sonicators deliver below their phase transition temperature (Figure 1).
French Pressure Cell Method handling of unstable materials (Figure 2). The resulting
The method involves the extrusion of MLV at 20,000 liposomes are somewhat larger than sonicated SUVs.
psi at 4C through a small orifice. The method has The drawbacks of the method are that the required
several advantages over sonication method. The method temperature is difficult to achieve and the working
is simple, rapid, and reproducible and involves gentle volumes are relatively small.
Figure 4: Liposomes prepared by (a) Ethanol injection method; and (b) Ether injection method
it forms azeotrope with water and the possibility of reproducibility and production of liposomes which
various biologically active macromolecules to inactiva- are homogenous in size. The main drawback of the
tion in the presence of even low amounts of ethanol method is the retention of traces of detergent within
(Figure 4). the liposomes. A commercial device called LIPOPREP
which is a version of dialysis system available for the
Reverse Phase Evaporation Method removal of detergents. Other techniques have been
Water in oil emulsion is formed by brief sonication of used for the removal of detergents: (a) by using Gel
two phase system containing phospholipids in organic Chromatography involving a column of Sephadex
solvent (diethyl ether or isopropyl ether or mixture of G-259 (b) by adsorption or binding of Triton X-100
isopropyl ether and chloroform) and aqueous buffer. (detergent) to Bio-Beads SM-210 (c) by binding of
The organic solvents are removed under reduced pres- octylglucoside (detergent) to Amberlite XAD-2beads.
sure, resulting in the formation of a viscous gel. The
liposomes are formed when residual solvent is removed
MARKETED PRODUCTS
by continued rotary evaporation under reduced pres-
sure. With this method high encapsulation efficiency In clinical applications, liposomal drugs have been
up to 65% can be obtained in a medium of low ionic proven to be most useful for their ability to passively
strength (0.01M NaCl). The method has been used to accumulate at site of increased vasculature perme-
encapsulate small and large macromolecules. The main ability, when their average diameter is in the ultra
disadvantage of the method is the exposure of materi- filterable range, and for their ability to reduce the
als to be encapsulated to organic solvents and to brief side effects of the encapsulated drugs relative to free
periods of sonication. drugs. This has resulted in an overall increase in ther-
apeutic index, which measures efficacy over toxicity.
Detergent Removal Method However, the gains in the rapeutic index have been
The detergents at their critical micelle concentrations more on the side of reduced toxicity than on the side
have been used to solubilize lipids. As detergent is of increased efficacy. Liposomes have diverse appli-
removed the micelles become progressively rich in cations in the treatment of infections, vaccine and
phospholipid and finally combine to form LUVs. gene delivery, cancer treatment, lung diseases and
The detergents can be removed by dialysis. The skin conditions (Table 3).
advantages of detergent dialysis method are excellent
Liposomal Amphoterecin B11 Ambisome Gilead Sciences Fungal and Protozoal infection
Liposomal morphine 17
DepoDur Skye Pharma, Endo Post-surgical analgesia
Liposome- Proteins SP-B and Curosurf Chiesi Farmaceutici, Pulmonary Surfactant for Respiratory Distress
SP-C19,20 S.p.A Syndrome (RDS)
Liposome- PEG doxorubicin21 Doxil/ Caelyx Ortho Biotech, HIV-related Kaposis sarcoma, metastatic breast
Schering-plough cancer, metastatic ovarian cancer
Liposomal vincristine23 Marqibo Spectrum Acute Lymphoblastic Leukemia (ALL) and Melanoma
pharmaceuticals
lipids) can often be deduced from measurements Drug release27: The drug release from the lipo-
of total quantity of solute entrapped inside lipo- somes can be assessed by the use of well cali-
some assuring that the concentration of solute in brated in vitro diffusion cell. The liposome based
the aqueous medium inside liposome is the same formulation can be subjected to in vitro assays
after separation from entrapped material. to predict pharmacokinetics and bio availability
Phase Response and transitional behavior: of drug before employing costly and time con-
Liposome and lipid bilayer exhibit various phase suming in vivo studies. The dilution induced drug
transition that are studied for their role in trig- release in buffer and plasma was employed as
gered drug release or stimulus mediated fusion predictor for pharmacokinetic performance of
of liposomal constituent with target cell. An liposomal formulations and another assay which
understanding of phase transition and fluidity determined intracellular drug release induced by
of phospholipids membrane is important both liposome degradation in presence of mouse-liver
in manufacture and exploitation of liposomes lysosomelysate was used to assess the bioavail-
since phase behavior of liposomal membrane ability of the drug.
determine such properties such as permeability,
fusion, aggregation and protein binding. The APPLICATIONS
phase transition has been evaluated using freeze
Cancer chemotherapy28: The long term ther-
fracture electron microscopy. They are more
apy of anticancer drug leads to several toxic side
comprehensive verified by differential scanning
effects. The liposomal therapy to the tumour cell
calorimeter analysis.
has revolutionized the world of cancer therapy
Stability of liposomes: Liposomal stability with least side effects. It has been said that the
includes physical, chemical and biological sta- small and stable liposomes are passively targeted
bility. The physical stability indicates mostly to different tumor because they can circulate for
the constancy of the size and the ratio of lipid longer time and they can extra vasate in tissue
to active agent. The cationic liposomes can be with enhanced vascular permeability.
stable at 4o for long period of time, if properly
The light sensitive liposomes have been pre-
sterilized. The chemical instability mainly con-
pared, where light triggers the release of antican-
cerns two degradation pathways, oxidative and
cer drugs, like doxorubicin. The light triggered
hydrolytic. Oxidation of phospholipids in lipo-
system will reduce the potential toxicity and lead
somes mainly takes place in unsaturated fatty
to more effective therapy.29
acyl chaincarrying phospholipids. These chains
are oxidized via a free radical chain mechanism Gene delivery30: Negatively charged or classical
in the absence of particular oxidants. Storage liposomes have been used as vehicles for gene
at low temperatures and protection from light transfer into cell in culture. The cationic lipids
and oxygen will reduce the chance of oxidation. are able to interact spontaneously with negatively
Further protection could be enhanced with the charged DNA to form cluster or aggregated ves-
addition of antioxidants such as -tocopherol icles along the nucleic acid. At a critical liposome
and butyl hydroxyl toluene. Working under density the DNA is condensed and becomes
nitrogen or argon also minimizes the oxidation encapsulated with in a lipid bilayer.
of lipids during preparation. The hydrolysis of Liposomes for topical applications31,32: Lipo-
ester bonds can also be reduced by optimizing somes are proved to be effective in deliver-
pH, temperature, ionic strength, chain length ing drugs in to the skin. Liposomes increase
and head group and the amount of choles- the permeability of skin for various entrapped
terol incorporated into the bilayer.26 Biologi- drugs. Liposomes can exert different functions
cal stability of liposomes is limited. Cationic after topical application. They can improve drug
liposomes in plasma are prone to aggregation deposition within the skin at the site of action
and exhibit leakage. High density lipoproteins where the goal is to reduce systemic absorption
are responsible for destabilization of liposomes and thus minimize side effects .They can provide
prior to interaction of liposomes with circulat- targeted delivery to skin appendages in addition
ing phagocytic cells such as monocytes. The to their potential for transdermal delivery.
destabilization of liposomes is due to the lipid In the recent studies, it is shown that liposomes
exchange between liposomes and high density penetrate effectively into hair follicles and thus
lipids. hair follicle penetration can be increased by
54 RGUHS J Pharm Sci | Vol 4 | Issue 2 | AprJune, 2014
Liposomal Drug Delivery System-A Review
massaging the skin, which stimulates the in vivo absorbed drug molecules by binding to the cor-
movement of hairs in the hair follicles.33 neal surface and improving residence time.
Liposomes for pulmonary delivery34,35: Tar- To reduce the drug loss and side effects asso-
geted drug delivery to the lungs, has evolved ciated with conventional eye drops, a novel
to be one of the most widely investigated sys- approach was introduced, where the liposomes
temic or local drug delivery approaches. The made up of dimyristoylphosphatidylcholine are
use of drug delivery system for the treatment dispersed in contact lens hydrogels made up
of pulmonary diseases is increasing because of poly-2-hydroxyethyl methacrylate. The con-
of their potential for localized topical therapy tact lens loaded with hydrogels is transparent in
in the lungs. This route also makes it possible nature and deliver drugs at therapeutic level for
to deposit drugs more site specific at high con- few days.39
centrations within the diseased lung there by Liposomes for Brain targeting40: The liposo-
reducing the overall amount of drug given to mal technology is quite advanced to design with
patients, as well as increasing local drug activ- better site specific action. The basic reason for
ity while reducing systemic side effects and first the acceptance of liposomal carrier is due to
pass metabolism. their controlled profile or drug release nature as
Liposome for Nasal administration36: For well as due to their selected targeting mechanism.
nasally administered products good penetration, The surface modified liposomes can be used to
is of little use if the formulation is not able to directly encapsulate drug molecules to diseased
remain in contact with the mucosal surface for a tissues or organs.
long enough time to enable penetration to occur. The brain distribution of liposomes can be modulated
Therefore mucoadhesion is a key characteristic by conjugation of appropriate targeting vectors, like
of nasally administered formulations. monoclonal antibody. The mechanism involved in the
The liposomes coated with alginates, chitosan or concentration of liposomes in brain by crossing blood
trimethyl chitosan, which are able to penetrate brain barriercoupling of liposomes with brain drug
through the nasal mucosa and offer enhanced transport vector through absorptive mediated transcys-
penetration over uncoated liposomes when deliv- tosis or by receptor mediated transcystosis.
ered as dry powders. The coating of liposomes
may result in some reduction in encapsulation
CONCLUSION
efficiency, still maintained between 6069% and
the structural integrity of the entrapped protein Liposomes are extremely useful carrier systems for tar-
and its release characteristics were maintained. geted drug delivery. The flexibility of their behavior can
Liposomes in parasitic diseases37: The conven- be exploited for the drug delivery through any route of
tional liposomes are digested by phagocytic cells administration and for any drug material irrespective of
in the body after intravenous management; they their solubility properties. There is even greater prom-
are ideal vehicles for the targeting drug mole- ise in future for marketing of more sophisticated and
cules into these macrophages. Leishmaniasis is a highly stabilized liposomal formulations. The use of
parasitic infection of macrophages which affects liposomes in the delivery of the drugs and genes are
over 100 million people in tropical regions and promising and is sure to undergo further development
is often deadly. The effectual dose of drugs, in future. The liposomal drug delivery system will rev-
mostly different antimonials, is not much lower olutionize the vesicular systems with wide application
than the toxic one. Liposomes accumulate in the especially in the treatment of cancer.
very same cell population which is infected. The
best results reported so far in human therapy are REFERENCES
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ecin B in antifungal therapies. This is the drug of Pham & Life Sci. 2011; 2(7): 94551.
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updated review. Cur Drug deliv. 2007; 4(4): 297305.
ery since it offers advantages as a carrier system.
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