Lec 11- Liposomes (Part 1) Flashcards
So what are liposomes
- Spherical bilayer constructs built from phospholipids
- Resembles lipid bilayer of mammalian membranes
- Hid drugs in the sphere
- Drugs will not act on the body apart from when released in the active site
- Body is unable to degrade drug= increase F/stability

Lipid- a classification system
NOT a question in the exam
- Non-polar lipids
- Insoluble in water
- Monolayers at the water-air interface
- Aliphatic and aromatic carbohydrates, paraffin
- Polar lipids
- Surface active
- Class I: Insoluble in water, do not swell in water e.g. triglycerides
- Class II: Insoluble in water, swell in water
- Class III: Some solubility, form micelles- ionic and non-ionic surfactants
- Surface active
Types of delivery systems
- Class I: emulsions and solid lipid nanoparticles
- Class II: Bilayer vesicles
- Class III: micelles
Lipid molecular characteristics dictate construct

The shape of the lipid may be expressed as its critical packing parameter (p) which can be defined as
- v= molecular volumes of the hydrophobic part of the polar lipid
- ao= surface area per molecule at the hydrocarbon-water interface
- Ic= length of the hydrocarbon region

Combinations of lipids can create a wide range of structures

- For cancer, we want to use SUV <100nm hide from the body
- Niosomes= non-ionic surfactant
- Virosomes- Attenuated virus combined in a liposome

Commonly employed lipids in liposomes
- Phosphatidylcholine is a commonly used component in liposomes however a range of other lipids are also used
- The lipid head-group dictates the surface charge of the liposomes
- The lipid acyl tail influences the melting point of the lipid bilayer and its permeability and therefore influences drug release rates from liposomes
- The presence of cholesterol within the bilayers can reduce their permeability and drug leakage
Phospholipids- headgroup
- The headgroup determines the charge
- At neutral pH phosphatidylcholine (PC) and phosphatidylethanolamine (PE) are uncharged (zwitterionic)
- Phosphatidylglycerol (PG) and phosphatidylserine (PS) have 1 net-negative charge per molecule
Which of the following could you make liposomes from
- Sodium dodecyl sulphate
- Cetyl trimethylammonium
- Phosphatidylcholine- Only one that makes liposomes
- Dioleoyl phosphatidylethanolamine- the size of head group= micelles
- if the molecule has two chains, it forms a liposome
- If it has one, it will form a micelle
Bilayer properties- alkyl chain
- Transition temperature- where the vesicle membrane forms a gel-like structure, more likely to give up the drug
- We can apply heat to the skin- increase drug release in that area
*

Phospholipids- tailgroup
- Longer carbon chain= increase instability

Classification
- There are various ways to classify liposomes including classification based on their composition and in vivo application e.g.
- Stealth liposomes which have a polyethyleneglycol (PEG) coat
- PEG hides liposome from MPS
- Immunoliposomes which have an antibody targeting moiety
- Cationic liposomes prepared using positively charged lipids
- Stealth liposomes which have a polyethyleneglycol (PEG) coat
- However, the most widely accepted is to classify liposomes into 3 main types, based on their size and number of bilayers
Types of liposomes
- Modification of surface properties
- Modification of size
- Multilamellar vesicle (MLV)
- Large unilamellar vesicles (LUV)
- Small unilamellar vesicles (SUV)
Types of liposome
MLV vs SUV vs LUV
- Can’t put much drug into SUV
- LUV will be thrown out by MPS or Kidneys
*

Liposomes
- Characteristics offered by liposomes
- Can entrap both water-soluble and poorly soluble drugs
- Can protect drugs from degradation in vivo
- Have been shown to be non-toxic
- The structure can be easily manipulated and tailored
- Can target and deliver drugs to required site of action
Drug loading and release
Three categories of drug types may be differentiated in terms of their incorporation and retention in liposomes
- Hydrophilic drugs (log P <1.7): these are retained well in the aqueous core of liposomes
- Lipophilic drugs (Log P >5): These are easily incorporated and retained within the liposome bilayer
- Intermediate drugs (Log P 1.7-5): these partition between the bilayer and aqueous phase which can result in rapid loss from the liposome
Liposomes as medicines
- Currently a range of drugs formulated in liposome products on the market
- The majority used in chemotherapy due to their passive targeting
- However, their biphasic nature makes them effective targeting systems for low solubility drugs
Liposome-based products
- Depocyt (Cytarabine) - these are multivesicle liposomes composed of DOPC, cholesterol, triolein and DPPG
- The vesicles are in size range 3-30 microns (TARGET MPS organs)
- AmBisome (Amphotericin B)- these vesicles are <100nm in size and composed of soy phosphatidylcholine, cholesterol, diasteroyl

Depocyte offers sustained release
- An injectable, sustained-release formulation
- Gradually releases cytarabine into the cerebral spinal fluid (CSF) and extends the dosing interval to once every two weeks
- Standard intrathecal chemotherapy dosing of 2 times per week
- MLV multiple layers degrade one after another to give controlled release of cytarabine (cytarabine concentrations split between the layers)

Improving solubility
- Modify molecule
- Salts, pro-drugs, co-solvents
- Physical modification
- Crystal engineering, amorphous systems, particle size (reduction)
- Drug delivery systems
- Inclusion complexes, Emulsions, Lipid-based systems
Case studies: Lipid formulations of amphotericin B
- Amphotericin B used is comprised of associated adverse side effects
- Lipid formulations of the drug offer a better therapeutic index and there are three commercially available lipid formulations of amphotericin B in clinical use
Ambisome: passive targeting
- Amphotericin B is incorporated within the liposomal bilayers
- Formulations: 50mg Amphotericin B; 213mg SoyPC; 52mg ChE; 84mg DSPG; 0.64mg a-tocopherol
AmBisome
- This is a small unilamellar liposome formulation with a well defined size range of ~80nm
- Due to it’s aqueous core this can be described as the only true liposome formulation of the three products
- It is composed to hydrogenated soy PC, ChE, disteroylphosphatidylglycerol and amphotericin B in 2:1:0.8:0.4 molar ratio
- It also contains a-tocopherol as an anti-oxidant
- The drug is intercalated within the liposomal membrane
Ambisome: passive targeting
Leishmaniasis
- The parasitic disease spread by the bite of infected sandflies
- The most common forms are cutaneous, causing skin sores, and visceral, affecting the spleen, liver and bone marrow
- Advantages of liposomal delivery: Enhanced circulation and targeting of the drug, therefore reduced toxicity profile
Passive targeting of liposomes to the MPS
- Liposomes, due to their particulate nature are taken up by the MPS
- This allows passive targeting of sites including liver, spleen, bone marrow

Abelect
- This formulation is composed of Am B, dimyristoyl phosphatidylcholine, and mimyristoyl phosphatidylglycerol in a 1:1 drug to lipid molar ratio, it forms ribbon-like complexes which due to their structure are difficult to size however have been reported to be around 1.6 to 11um in diameter, with 90% of the particles being smaller than 6um
Amphotec
- This formulation consists of AmB in a complex with cholesteryl sulfate at a 1:1 molar ratio to form stable colloidal disc-like structures with diameters of 100-140nm in size
How would you design a liposome with long circulation and good drug retention
- Use a high melting point lipid e.g. DSPC- higher transition temperature
- Include ChE
- Make it an SUV (<100nm)
- PEG coating- Avoid opsonisation