An Overview on Trends and Developments
in Liposome – as Drug Delivery System
Dattatraya M. Shinkar1*, Pinak S. Paralkar2, R.B. Saudagar3
1Department
of Pharmaceutics, KCT'S R.G. Sapkal College of
Pharmacy, Anjenari, Dist.Nashik-422212, Maharashtra,
India.
2Department
of Pharmaceutics, KCT'S R.G. Sapkal College of
Pharmacy, Anjenari, Dist.Nashik-422212, Maharashtra,
India.
3Department
of Pharmaceutical Chemistry, KCT'S R.G. Sapkal
College of Pharmacy, Anjenari, Dist.Nashik-422212, Maharashtra, India.
*Corresponding
Author E-mail: psp381992@gmail.com
ABSTRACT:
Liposomes,
spherical vesicles consisting of one or more phospholipids bilayers,
were first described in mid 60s by Banghum and
coworkers. Since then, liposomes have made their way
to the market. Liposomes are highly versatile
structures for researcher’s therapeutic and analytical applications. The
insight gained from clinical use of liposome drug delivery systems can now be
integrated to design liposomes targeted to tissues and
cells with or without expression of target recognition molecules on liposomes membranes. Enhanced safety and heightened
efficacy have been achieved for wide range of drug classes, including antitumor
agents, antiviral, antifungal, antimicrobial, vaccines and gene therapeutics. This review summaries exclusively scalable industrial method of
preparation of liposomes, marketed preparation of liposomes and analysis of liposomes.
An additional point of view was taken to regulatory concerning liposomal drug
formulations based on FDA and EMEA documents.
KEY WORDS: Liposomes, Preparation Methods, Characteristics, Analysis.
INTRODUCTION:
History and
Definition of Liposome:
The story of success of liposomes
was initiated by Banghum and his colleagues in the
early 1960s who observed that smears of egg lecithin reacted with water to form
quite intricate structures. They were analyzed by electron microscopy showing
that a multitude of vesicles were formed spontaneously. These more or less
homogenous lipid vesicles were first called smectic
mesophases1. Later on, a
colleague of Banghum termed them-more
euphoniously-liposomes2.
In the following years, liposomes
were primarily used as artificial membrane models mimicking simple cell systems
for the investigation of transport functions and mechanisms, permeation
properties, as well as adhesion and fusion kinetics. Liposomes
were very soon recognized as promising candidates for drug delivery systems,
and in this regard more and more tailor-made formulations were investigated for
certain purposes such as medical applications, cosmetics but also in food and
agricultural industry, whereby the main activities were focused on
pharmaceutical and in particular biopharmaceutical applications. The first most
prominent products are Doxil (Sequus)
and DaunoXome (Gilead, Nexstar).
Both are indicated as anticancer drugs, which were successfully tested in
clinical studies, followed by the US Food and Drug Administration (FDA)
approval in the 1990s3, 4.
Table 1 Classification
of commonly known lipid vesicles according to their structures and/or
preparation.
|
Identification |
Definition |
|
Archeosomes |
Archeosomes are vesicles
consisting of arch bacteria lipids which are chemically distinct from
eukaryotic and prokaryotic species. They are less sensitive to oxidative
stress, high temperature, and alkaline pH.7,8 |
|
Cochleates |
Cochleates are derived from liposomes which are suspended in an aqueous two-phase
polymer solution, allowing the logic partitioning of polar molecule-based
structures by phase separation. The liposome containing two-phase polymer
solution treated with positively charged molecules such as Ca+2 or
Zn2+ forms a cochleate precipitate of a
particle dimension less than 1 um.9 |
|
Dendrosomes |
Dendrosomes represent a family of
novel, nontoxic, neutral, biodegradable, covalent or self-assembled, hyper
branched, dendritic, spheroidal
nanoparticles which are easy to prepare, inexpensive, highly stable as
well as easy to handle and apply, compared with other existing synthetic
vehicles for gene delivery.10 |
|
Dried reconstituted
vesicles (DRV) |
By this preparation
technique, small, “empty” unilamellar vesicles,
containing different lipids or mixtures of them, are prepared. After mixing
those SUV’s with the solubilized drug, dehydration
is performed. By addition of water, rehydration leads to the formation of
large quantities of rather inhomogeneous, multilamellar
vesicles which need further processing.11 |
|
Ethosomes |
Ethosomal systems are much more
efficient at delivering to the skin, in terms of quantity and depth, than
either conventional liposomes or hydro alcoholic
solutions. Ethosomal drug permeation through the
skin was demonstrated in diffusion cell experiments. Ethosomal
systems composed of soy phosphatidylcholine and
about 30% of ethanol was shown to contain multilamellar
vesicles by electron microscopy.12 |
|
Immunoliposmes |
Liposomes modified with
antibodies, Fab’s, or peptide structures on the bilayer surface were established for in vitro and in vivo
application.13,14 |
|
Immunosomes |
Immunosomes are prepared by the
anchorage of glycoprotein molecules to performed liposomes.
Under the electron microscope, immunosomes look
like homogenous spherical vesicles (50-60nm) evenly covered with spikes. Immunosomes have structural and immunogen
characteristics closer to those of purified and inactivated viruses than any
other form of glycoprotein lipids association.15 |
|
Immune stimulating
complex(ISCOM) |
ISCOM’s are spherical,
micellar assemblies of about 40nm. They are made of
the saponin mixture Quil
A, cholesterol, and phospholids. They contain amphiphilic antigens like membrane proteins. ISCOM’s
already have a built-in adjuvant, Quillaja saponin, which is a
structural part of the vehicle.16 |
|
Lipoplexes |
Cationic lipid-DNA complexes
are efficient carriers for cell transfection but
have certain drawbacks due to their toxicity. These toxic effects may result
from either cationic lipids or nucleic acids.17,18 |
|
LUVET’s |
LUVETs are large unilamellar vesicles prepared by extrusion technique,
mainly performed with high-pressure systems.20 |
|
Niosomes |
Niosomes are small unilamellar vesicles made from nonionic surfactants also
called Novasomes. Their chemical stability is
comparable to that of archeosomes.21 |
|
pH-sensitive liposomes |
Four basic classes of
pH-sensitive liposomes have been described
previously. The first class combines polymorphic lipids, such as unsaturated phosphatidylethanolamines, with mild acidic amphiphiles that act as stabilizers at neutral pH. This class of pH-sensitive liposomes
has been the most intensively studied. The second class includes liposomes composed of lipid derivatives resulting in
increased permeability to encapsulated solutes. A third class of pH-sensitive
liposomes utilizes pH-sensitive peptide or reconstituted
fusion proteins to destabilize membranes following change of the polymer
conformation at low pH.22 |
|
Polymerized liposomes |
Polymerized phosphotidyl
choline vesicles (35-140 nm) have been synthesized
from lipids bearing one or two methacrylate groups
per monomer. Compared to nonpolymeric analogues,
these vesicles exhibited improved stability and controllable time-release
properties.23,24 |
|
Proliposomes |
Proliposomes are defined as dry,
free-flowing particles that immediately form a liposomal dispersion on
contact with water.25 |
|
Proteosomes |
Vesicles of bacterial
origin were solubilized, followed by ammonium sulphate precipitation and dialysis against detergent
buffer. Proteins and peptides are noncovalently complexed to the membrane, making them highly
immunogenic.26 |
|
Reverse-phase
evaporation vesicles (REV) Stealth liposomes |
Vesicles are prepared
by evaporation of oil in water emulsions resulting in large unilamellar liposomes. In the early 1990s,
this liposomes engineering process culminated with
the observation that coating of liposomes with the
polyethylene glycol (PEG), a synthetic hydrophilic polymer, would improve
their stability and lengthens their half-lives in circulation, rendering the
use of glycolipids obsolete. PEG coating inhibits
protein adsorption and opsonization of liposomes, thereby avoiding or retarding liposome
recognition by the reticuloendothelial system
(RES). These PEG-coated liposomes are also referred
to as sterically stabilized or stealth liposomes. The PEG stabilizing effects results from local
surface concentration of highly hydrated groups that sterically
inhibit both hydrophobic and electrostatic interactions of a variety of blood
components at the liposome surface.27,28,29,30,31,32,33 |
|
Temperature- sensitive
liposomes |
Temperature-sensitive liposomes are considered to be a promising tool to
achieve site-specific delivery of drugs. Such liposomes
have been prepared using lipids which undergoes a gel-to-liquid crystalline
phase transition a few degrees above physiological temperature. However,
temperature sensitization of liposomes has been
attempted whose content release behavior, surface properties, and affinity to
cell surface can be controlled in a temperature-dependent manner.34,35 |
|
Transferosomes |
Transferosomes consist of phosphatidylcholine and cholate
and are ultra deformable vesicles with enhanced skin-penetration properties.36 |
|
Virosomes |
Virosomes are small unilamellar vesicles consisting influenza hem agglutinin,
by which they became fusogenic with endocytic membranes. Co incorporation of other membrane
antigens induces enhanced immune responses.37 |
In general liposomes are
defined as spherical vesicles with particle sizes ranging from 30nm to several
micrometers. They consist of one or more lipid bilayers
surrounding aqueous phases. However, self-aggregation of polar lipids is not
restricted to conventional bilayer structures which
depend on temperature, molecular shape, and environmental and preparation
conditions but may self-assemble into various kinds of colloidal particles.5 Due to this fact, the
liposome family includes various kinds of colloidal particles and structures
which hamper systemic classification. However, they can be classified by
structure, composition, and preparation, as shown in table 1.
Technology and application are driven by two major
facts. First, the transfer from academic bench to highly regulated, high
technology industry was difficult for liposome technology because of the lack
of appropriate methods to produce large quantities in a controlled and
reproducible manner. Although several methods are suitable for large-scale
production, their development, implementation, and quality control needed a
certain time. Second, early clinical trials were not as
successful as expected because the stability of conventional liposomes was low, caused by insufficient preparation,
physical properties, and unfavorable choice of lipids. Furthermore, they
were to a great extent cleared by liver and spleen very rapidly so that neither
a prolonged biological half-life nor specific targeting was achieved. More
stable conventional liposomes and second generation
formulations, such as the stealth technology, gave new impulses to the industry
as well as to clinicians with the development of industrial processes in 1990s.6
Classification of Liposomes:38
When
liposomes are described based on the number of bilayers, they are described as unilamellar
vesicles (ULV) or multilamellar vesicles (MLV);
reverse phase evaporation vesicles (REV) and French press vesicles (FPV) and
ether injection vesicles (EIV) are the descriptions based on the method of
preparation; or when liposomes are described based on
their size, they are large unilamellar vesicles (LUV)
and small unilamellar vesicles (SUV). The description
of liposomes by the lamellarity
and size are more common than by the method of their preparation. (See table
no.2)
Table 2:
Nomenclature and approximate sizes of various liposomes
|
Liposome |
Classification |
Approximate size (um) |
|
By size |
SUV LUV |
0.025-0.05 0.1 |
|
By lamellarity |
MLV ULV |
0.05-10 0.025-0.1 |
|
By method |
REV FPV EIV |
0.5 0.05 0.02 |
Multilamellar vesicles
(MLV):
Liposomes
prepared and described by Banghum are a heterogeneous
mixture of MLV and ULV. They are the widely studied vesicles. MLV form spontaneously
when an excess volume of aqueous buffer is added to dry lipids. In many cases
MLV have not been characterized with respect to size, polydispersibility,
number of lamellae, encapsulated volume and stability on the shelf. Because of
their ease of the preparation, many investigators have simply prepared the MLV
without taking time to characterize the. Often times this cause minor change in
the preparation could lead to differences in the liposomes
and in turn their in vitro and in vivo behavior. When the molecular mixture of
lipids are prepared in an organic solvent and subsequently removed by rotary
evaporation in a round bottom flask, under vacuum, lipids are deposited as a
thin film on the flask. The time allowed for the hydration of the lipid layer
with the aqueous buffer/drug solution determines the amount of drug entrapment
into vesicles. This procedure also influences the size of the MLV.
Small unilamellar
vesicles (SUV):
Dispersions
of phospholipids in water were mixed by sonication method at 60°C to prepare
liposome. Subsequently, other investigators used high pressure techniques to
prepare larger volumes of liposomes. Usually, the MLV
preparation is subjected to sonication under nitrogen or argon to reduce size
and prepare SUV. Sonicator can be of a bath type or
probe type instrument. A problem associated with sonicator
probe is its metal particle shedding. The bath sonicator
has its advantages. For instance, the temperature of the product can be
controlled during process by controlling the temperature of the water in the
bath, and the product can be processed aseptically in a sealed container.
Conversion of MLV to SUV can be achieved by passing through the narrow orifice
under high pressure. It was reported that multiple passes through the device
are needed to obtain uniform vesicle size, at high pressure of 20,000 psi and 4°C.
This method yields a vesicle size range of 0.3um to 0.5um. SUV can also be
prepared by solvent injection methods such as ether injection and ethanol
injection. In ether injection method, lipids dissolved in diethyl ether are
slowly injected into warm water, typically with the help of a syringe type
infusion pump. Subsequently the ether is removed from the preparation by
applying the vacuum. The resultant product is single layers of liposome
vesicles. An alternative method of preparing SUV is by the ethanol injection
method. This method requires neither sonication nor the high vacuum
environment. In this method, the lipids dissolved in ethanol are rapidly
injected into an aqueous media resulting in SUV spontaneously. Removal of
residual ethanol from the preparation can present problems, since the alcohol
forms the azeotrope with water and its
difficult to remove under vacuum or by distillation procedures.
Large unilamellar
vesicles (LUV):
Large
unilamellar vesicles (LUV) are capable of holding
larger volumes of solution in their cavity and thus they have higher
encapsulation efficiency compared to MLV. Other advantages of LUV are economy
of lipids that can result from larger quantity of drug encapsulation in lesser
quantity of lipid (mg of drug per mg of lipid) and reproducible drug release
rates. ‘Large’ in the context of liposomes usually
means vesicles structure larger than 100nm. LUV’s are liposome vesicles that
are bounded by a single bilayer of lipids and are
greater than 100 nm in size. The size of LUV is a debatable topic. Unilamellar liposomes of 50-100
nm were also referred as LUV by some investigators. LUV can be produce by
reverse phase evaporation technique and detergent dialysis technique. Unilamellar liposomes vesicles of
less than 100 nm can be produced from MLV by sequential extrusion through small
size polycarbonate membranes under high pressure. A number of methods of
preparing LUV appeared in the scientific literature. Some of them are described
in this review.
Preparation Techniques:38
Lipid
molecules have to be introduced into an aqueous environment for the preparation
of liposomes independent of liposome size and
structure. A general overview representing the correlation of the way of lipid
hydration, respectively, the way of primary liposome formation with the
resulting liposome structure, was originally developed by Lasic.
Several ways of treating the lipids are known to support the hydration of these
molecules, as lipid molecules themselves are poorly soluble in aqueous
compartments. These procedures can be categorized as shown in Table no.3.
Table 3:
Methods of liposome preparation and the resulting product.39
|
Method |
Vesicles |
|
Mechanical methods Vortex or hand shaking of phospholipids dispersion Extrusion through polycarbonate filters at low or medium pressure Extrusion through a French press cell “Micro fluidizer” technique High-pressure homogenization Ultrasonic irrigation Bubbling gas |
MLV OLV,LUV Mainly SUV Mainly SUV SUV of minimal size BSV |
|
Methods based on replacement of
organic solvent (s) by aqueous media Removal of organic solvent (s) Use of water-immiscible solvents: ether and petroleum Ethanol injection method Ether infusion (solvent vaporization) Reverse-phase evaporation |
MLV,OLV,SUV MLV,OLV,LUV LUV LUV,OLV,MLV |
|
Methods based on detergent removal Gel extrusion chromatography “Slow” dialysis Fast dilution Other related techniques |
SUV LUV,OLV,MLV LUV,OLV MLV,OLV,LUV,SUV |
Mechanical Methods
Preparation by Film Methods40
Properties
of lipid formulations can vary depending upon the composition (cationic,
anionic and neutral lipid species). However, the same preparation method can be
used for all lipid vesicles regardless of composition. The general steps of the
procedure are preparation of the lipids hydration, hydration with agitation,
and sizing to a homogenous distribution of vesicles. Several downsizing
techniques have been established in order to make the heterogeneous vesicles
more uniform. The first published method was sonication. A very high energy
input based on cavitations is applied to the liposomal dispersion either
directly with a tip or indirectly in a bath sonicator.41 the most defined method for downsizing is the
extrusion technique whereby liposomes are forced
through filters with well defined pores.
Homogenization Techniques:42
Similar
to the ultrasound methods, homogenization techniques have been used in biology
and microbiology for breaking up the cells. Therefore, many scientists have
been used them for reducing the size and number of lamellae of multilamellar liposomes43.
The French press originally was established for breaking up cells under milder
and more appropriate conditions compared to the ultrasound techniques, because
lipids as well as proteins or other sensitive compounds might be degraded
during the sonication procedure. This system is normally used in the volume of
1 to 40 ml and therefore not suitable for large-scale production. This
continuous and scalable variation of the French press technique44, 45 enforces downsizing
of liposomes by collision of larger vesicles at high
pressure in the interaction chamber of the micro fluidizer. The main
disadvantage of this method is the long-lasting preparation starting with
preformed liposomes, eventually an additional
freeze-thaw step, and finally the extrusion. In these entire procedures, high
product losses may be generated, especially if clogging of the extrusion
membranes occurs, which may cause technical limitations with large scale
production of high-priced goods.46
Methods Based on Replacement of Organic
Solvents by Aqueous Media
The Ethanol Injection Method:47
This
technique was first reported in the early 1970s by Batzri
and Korn as one of the first alternatives for the
preparation of SUVs without sonication. By the immediate dilution of the
ethanol in the aqueous media, the lipid molecules precipitates and form bilayer planer fragments which themselves form into
liposomal systems, thereby encapsulating aqueous phase. This method has many
advantages as the technique is in principle easy to scale up, and ethanol is a
very harmless solvent, accepted by the authorities also for the injectables at the maximum of 0.1%. Some other solvents
might also be used, but one has to keep in mind the regulations for residual
solvents classified into different categories by the European or US
Pharmacopoeia. Another important
advantage of this method is the suitability of the entrapment of many different
drug substances such as large hydrophilic proteins by passive encapsulation,
small amphiphilic drugs by a one-step remote loading
technique, on membrane association of antigens for vaccines.
Proliposome-Liposome
Method:48
The
Proliposome-liposome method is based on the conversion
of the initial proliposome preparation into liposome
dispersion by dilution with an aqueous phase. This method is suitable for the
encapsulation of a wide range of drugs with varying solubility in water and
alcohol and has extremely high encapsulation efficiencies when compared with
other methods based on passive entrapment. Turanek
and coworkers have developed a sterile liposome production procedure based on
this method.
Reverse-Phase Evaporation (REV): 49
Similarly
to the above presented injection methods, lipid is hydrated via solubilization in an organic phase followed by introduction
into an aqueous phase. The organic phase should be immiscible with the aqueous
phase, thus an oil/water emulsion is created, which is diluted with the further
aqueous phase for liposome formation. The advantage of this very popular
preparation technique is very high encapsulation rate up to 50%. One variation
of the micro emulsion technique, the double emulsion technique, further
improves the encapsulation rates and results in multilamellar
liposomes. A possible drawback of this efficient
method is the remaining solvent or the proof of their absence especially for
using them for pharmaceutical purposes. The another important issue is
large-scale production which might be feasible if appropriate shear mixing
devices for the creation of the micro emulsion and pumps for the dilution step
are available.
Method Based on Detergent Removal:50
In
this group of liposome preparation procedures, detergents, such as bile salts
or alkyl glycosides, are used for the solubilization
of lipids in micellar systems. In contact to lipids,
detergents are highly soluble in both aqueous and organic media. There is
equilibrium between the detergent molecules in the aqueous phase and the lipid
environment of the micelle. The size and shape of the resulting vesicles are
depending on the chemical nature of the detergent, their concentration, and the
lipids used. To date, the most frequently applied method for the membrane
proteins reconstitution involves the cosolubilization
of membranes proteins and phospholipids. Common procedures of detergent removal
from the mixed micelle are dilution, gel chromatography, and dialysis through
hollow fibers or through membrane filters. Additionally, detergents can also be
removed by adsorption to hydrophobic resins or cyclodextrins.
Evaluation of Liposomes:51
Entrapment Efficiency:
Drug
associated with liposome was separated from unentrapped
drug using centrifugation method. Liposomes were
centrifuged at 20000 rpm for 1 h at controlled temperature of 4 C. Supernatant
containing unentrapped drug was withdrawn and
measured UV spectrophotometrically against phosphate buffer saline (pH 7.4).
The amount of drug entrapped in liposome was determined as follow EE (%) = [(Cd–Cf)/Cd] 100 Where Cd is concentration detected of total drug and Cf is concentration of free drug. The entrapment efficiency
was obtained by repeating the experiment in triplicate and the values were
expressed as mean standard deviation.
Size Distribution:
Prepared
liposomal batches were monitored for their morphological attributes using
optical microscope. Mean vesicle size and size distribution profile of liposome
was determined by using Malvern particle size analyzer model SM 2000, which
follows Mie's theory of light scattering. Diluted liposome suspension was added
to the sample dispersion unit containing stirrer and stirred at 2000 rpm in
order to reduce the inter particle aggregation, and laser obscuration range was
maintained between 10-20%. The average particle size was measured after
performing the experiment in triplicate.
Zeta Potential (z) Determination:
Charge
on empty and drug loaded vesicles surface was determined using Zetasizer 300HSA (Malvern Instruments, Malvern, UK).
Analysis time was kept for 60 s and average zeta potential and charge on the
liposome was determined.
Oscillation Stress Sweep:
Dynamic
oscillation stress sweep was performed to determine the linear viscoelastic region (LVR). LVR is the region where the
elastic modulus (G') was independent of applied stress because destruction in
the structure of gels occurs at high shear stress. Analysis of viscoelastic material was designed not to destroy the
structure so that measurement can provide the information about intermolecular
and inter particle forces in the material. This test gives idea about the
critical stress beyond which the sample may show significant structural
changes, and therefore the consequent choice of the stress value to be used in
other in other oscillation tests. The samples were exposed to increasing stress
(0.5 to 150 Pa) at a constant frequency of 0.1 Hz. The three main parameters
determined in this test were the storage modulus G', loss modulus G” and loss
tangent tan! The end point of the linear viscoelastic
region was determined as astress, when the G' value
was dropped 10% from the linear level that indicated a significant change in
the structure gel samples.
Marketed
Formulation of Topical Liposome:51
a) Celadrin® b) OptisomeTM – Encapsulated Tetracaine.c) Lipo CTM
Liposome -encapsulated Active Vitamin C with
Vitamin E and Zinc.d) Lipo-Gest™
Natural Balancing cream) Liposome progesterone based cream.
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Received on 26.10.2015 Accepted
on 18.11.2015
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Right Reserved
Asian J. Pharm. Tech. 2015; Vol. 5: Issue 4, Oct. - Dec., Pg 231-237
DOI: 10.5958/2231-5713.2015.00033.1