Liposomes are concentric bilayered vesicles in which an aqueous core is entirely enclosed by a membranous lipid bilayer mainly composed of natural or synthetic phospholipids.
Liposomes are spherical microscopic vesicles consisting phospholipids bilayers which enclose aqueous compartments.
The size of a liposome ranges from some 20 nm up to several micrometers.
Liposomes were first produced in England in 1961 by Alec D. Bangham, who was studying phospholipids and blood clotting.
Small unilamellar vesicles (SUV), 25 to 100 nm in size that consist of a single bilayer
Large unilamellar vesicle (LUV), 100 to 500 nm in size that consist of a single bilayer
Multilamellar vesicle (MLV), 200 nm to several microns, that consist of two or more concentric bilayer
Liposomes, Structure of liposome, phospholipids, classification of liposomes, method of preparation of liposomes, mechanism of liposome formation, application of liposomes.
Introduction
Structure
Niosomes Vs. Liposome
Advantages & Disadvantages
Properties of Niosomes
Method of Manufacturing
Evaluation of Niosomes
Applications
Marketed products
“Microparticles are defined as particulate dispersions or solid particles with a size in the range of 1-1000 μm.”
The drug is dissolved, entrapped, encapsulated or attached to a microparticle matrix.
Liposomes, Structure of liposome, phospholipids, classification of liposomes, method of preparation of liposomes, mechanism of liposome formation, application of liposomes.
Introduction
Structure
Niosomes Vs. Liposome
Advantages & Disadvantages
Properties of Niosomes
Method of Manufacturing
Evaluation of Niosomes
Applications
Marketed products
“Microparticles are defined as particulate dispersions or solid particles with a size in the range of 1-1000 μm.”
The drug is dissolved, entrapped, encapsulated or attached to a microparticle matrix.
Liposomes-Classification, methods of preparation and application Vijay Hemmadi
liposome preparation and application
A liposome is a tiny bubble (vesicle), made out of the same material as a cell membrane. Liposomes can be filled with drugs, and used to deliver drugs for cancer and other diseases. Membranes are usually made of phospholipids, which are molecules that have a head group and a tail group
Introduction
Advantages & Disadvantages
Classification
Manufacturing of liposomes
Liposome characterization and control
Stability consideration for liposomal formulations
Regulatory science of liposome drug products
Drug release from liposomes
Applications
Recent innovations
Approved liposome products
Liposomes-Classification, methods of preparation and application Vijay Hemmadi
liposome preparation and application
A liposome is a tiny bubble (vesicle), made out of the same material as a cell membrane. Liposomes can be filled with drugs, and used to deliver drugs for cancer and other diseases. Membranes are usually made of phospholipids, which are molecules that have a head group and a tail group
Introduction
Advantages & Disadvantages
Classification
Manufacturing of liposomes
Liposome characterization and control
Stability consideration for liposomal formulations
Regulatory science of liposome drug products
Drug release from liposomes
Applications
Recent innovations
Approved liposome products
Protein and peptide drug delivery systemSagar Savale
Protein and Peptide drug delivery system are the Novel drug Delivery System. Proteins and peptides are the most abundant components of biological cells. They exist functioning such as
enzymes, hormones, structural element and immunoglobulin. The distinction between peptides and proteins is having a peptide contains less than 20 amino acids, having a molecular weight less, while a protein possesses 50 or more amino acids and its molecular weight lies above this value. The most of pharmaceutical proteins and peptides are absorbed IM, IV and Subcutaneous route of Absorption, but the oral route is more convenient for absorption of protein as compared to other. Various problems associated with administration of protein and peptide drugs are needed to overcome by different pharmaceutical approaches. Several approaches available for
maximizing pharmacokinetic and pharmacodynamics properties are chemical modification,
formulation vehicles, mucoadhesive polymeric system, use of enzyme inhibitors, absorption
enhancers, penetration enhancers etc.
USFDA Approval Process For Drug Products & Biological Product i.e NDA Vs. BLA
Comparison of NDA and BLA application process in USA. IND, NDA, ANDA & BLA dossier submission procedure.
SELF MICRO EMULSIFYING DRUG DELIVERY SYSTEM [SMEDDS]Sagar Savale
Oral route is the main route of drug administration in many diseases. Major problem in oral route of drug administration is bioavailability which mainly results from poor aqueous solubility. This leads to lack of dose uniformity and high intrasubject/intersubject variability. It is found that 40% of active substances are poorly water-soluble. Various technologies are developed to overcome this problem, like solid dispersion or complex formation. Much attention has been given to lipid-based formulation with particular emphasis on self-micro emulsifying drug delivery system to improve the oral bioavailability of lipophilic drugs. It requires small amount of dose and also drugs can be protected from hostile environment in gut. Self-micro emulsifying drug delivery systems are specialized form of delivery system in which drug is encapsulated in a lipid base with or without pharmaceutical acceptable surfactant.
The size of the market for delivery of liposome-based medicines depends on the growing prevalence of chronic diseases and the growing demand for non-invasive drug distribution solutions.In 2019; the liposomal doxorubicin sector accounted for around 36.22 percent of the market.In 2021, the cancer therapy segment represented the greatest share of the market in terms of application.
The market is estimated to grow at a CAGR of 8.8% from 2020 to 2027.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
1. LIPOSOME
1
Department of Pharmacy (Pharmaceutics) | Sagar savale
Mr. Sagar Kishor Savale
[Department of Pharmacy (Pharmaceutics)]
2015-016
avengersagar16@gmail.com
12/13/2015
2. Contents
1. Liposomes
2. Structural components of liposome's
3. Formation of liposomes
4. Theory of Liposomes
5. Advantages of Liposomes
6. Disadvantages
7. Importance of Liposomes in drug Delivery System
8. Mechanism Of Liposome Formation And Subsequent Processing To Generate Types Of
Liposomes
9. Classification of liposomes
10. Conventional liposome preparation methods
11. Methods of Liposome Preparation
12. Stability of Liposomes
13. Liposomes in drug delivery
14. Characterization of liposomes
15. Application Of Liposomes
16. References
12/13/2015
2
9. 1. Liposome
Liposomes are concentric bilayered vesicles in which an aqueous core is entirely enclosed
by a membranous lipid bilayer mainly composed of natural or synthetic phospholipids.
Liposomes are spherical microscopic vesicles consisting phospholipids bilayers which
enclose aqueous compartments.
The size of a liposome ranges from some 20 nm up to several micrometers.
Liposomes were first produced in England in 1961 by Alec D. Bangham, who was studying
phospholipids and blood clotting.
Small unilamellar vesicles (SUV), 25 to 100 nm in size that consist of a single bilayer
Large unilamellar vesicle (LUV), 100 to 500 nm in size that consist of a single bilayer
Multilamellar vesicle (MLV), 200 nm to several microns, that consist of two or more
concentric bilayer
12/13/2015
9
11. Liposome
The lipid molecules are usually phospholipids- amphipathic moieties with a hydrophilic
head group and two hydrophobic tails.
On addition of excess water, such lipidic moieties spontaneously originate to give the
most thermodynamically stable conformation.
In which polar head groups face outwards into the aqueous medium, and the lipidic
chains turns inwards to avoid the water phase, giving rise to double layer or bilayer
lamellar structures.
12/13/2015
11
14. 2. Structural components of liposome's
Ther are two main components of Liposomes system they are Phospholipid and
cholesterol.
2.1 Phospholipids
Phosphatidylcholine.
Amphipathic molecule
Hydrophobic tail- 2 fatty acid chain containing 10-24 carbon atoms and 0-6
double bond in each chain
Hydrophilic polar head- Phosphoric acid bound to water soluble molecule
Self organize in ordered supramolecular structure when confronted (meet face to
face) with solvent
12/13/2015
14
27. 12/13/2015
27
2.6 Cholesterol
Cholesterol by itself does not form bilayer structure.
Cholesterol act as fluidity buffer
After intercalation with phospholipid molecules alter the freedom of motion of carbon
molecules in the acyl chain
Restricts the transformations of trans to gauche conformations
Cholesterol incorporation increases the separation between choline head group &
eliminates normal electrostatic & hydrogen bonding interactions.
its rigid steroid ring system which interferes with motion of fatty acid tails, stabilizes the
lipid bilayer and decrease the leakage of encapsulated drug
30. 12/13/2015
30 3. Formation of liposomes
Surfactants self assemble in water to make micelles
and a variety of lipotropic liquid crystalline phases.
Liposomes are generally formed from 2 phase
mixtures of a lamellar phase with water. Depending
on temperature, the lamellar phase can either be in
the molten state (La phase) or solid, “gel” state
(Lb phase). Transition temperature = Tc.
Liposomes are formed from aqueous dispersions
the “molten” La phase.
Surfactant molecular shape/interactions mainly
determines aggregate geometry.
Critical packing factor = v/aolc (unit less), where:
v = molecular volume of surfactant chain
ao = area per surfactant head
lc = length of surfactant chain
32. 12/13/2015
32 For stable liposomes, we need
surfactant molecules with long
chains (for strong aggregation) plus
tendency to form flat sheets, i.e.
packing parameter = 0.5-1
Biological membrane surfactants
consist of phospholipids made up of
glycerol esterified to 2 fatty acid
chains plus a phosphate derivative
polar head. Structure is
RCH2-R’CH2-CH2-OPO3-X
where R and R’ = alkyl-CO2- and the
head groups may contain a variety of
different terminal groups X.
For example, in phosphatidylcholine,
X = -CH2CH2-N(CH3)3
+
33. 4. Theory of Liposomes
1. The budding theory
2. The bilayer phospholipids theory
12/13/2015
33
34. 4.1 budding theory
Stress induced hydration of phospholipids
Organization in to lamellar arrays
Results in to budding of lipid bilayer leading to down sizing
12/13/2015
34
SUV OLV
35. 4.2 bilayer phospholipids theory
Liposomes are formed when thin lipid films are hydrated
The hydrated lipid sheets detach during agitation and self-close to form large, Multilamellar
vesicles (LMV)
12/13/2015
35
36. 5. Advantages of Liposomes
Provides selective passive targeting to tumor tissues
Increased efficacy & therapeutic index
Increased stability via encapsulation
Reduction in toxicity of the encapsulated agent
Site avoidance effect
Improved pharmacokinetic effects
Flexibility to couple with site specific ligands to achieve active targeting
Variety of Drugs Given In Low Dose As Encapsulated For Stability
Minimum Effective Concentration And Therapeutic Index
Low Toxicity Due To Reduced Exposure To Sensitive Tissues
Minimum ADR/No Side Effects
Possible Formulation- suspension, emulsion, gel, Cream, lotion, Aerosol, reconstituted Vesicles
12/13/2015
36
37. 6. Disadvantages
Physical/ Chemical Stability
Very High Production Cost
Drug Leakage/ Entrapment/ Drug Fusion
Sterilization
Short Biological Activity / T ½
Oxidation of Bilayer …Lipids And Low Solubility
Overcoming Resistance
Extensive Clinical And Laboratory Research To A Certain Long Circulating Liposomes
Repeated Iv Administration Problems
12/13/2015
37
38. 7. Importance of Liposomes in drug Delivery
System
Pharm kinetics - efficacy and toxicity
A. Changes the absorbance and bio distribution
B. Deliver drug in desired form
C. Multidrug resistance
Protection
A. Decrease harmful side effects
B. Change where drug accumulates in the body
C. Protects drug
Release
A. -Affect the time in which the drug is released
B. -Prolong time -increase duration of action and decrease administration
12/13/2015
38
39. 8. Mechanism Of Liposome Formation And Subsequent
Processing To Generate Types Of Liposomes
Phospholipids are amphipathic molecules having hydrophobic tail & a hydrophilic or
polar head
The hydrophilic & hydrophobic domains within the molecular geometry of amphiphilic
lipids orient & self organize in ordered supramolecular structure when confronted with
solvents
Cholesterol have modulatory effect on the bilayer membrane (acts as fluidity buffer)
Below phase transition it tends to make the membrane less ordered while above the
transition it tends to make the membrane more ordered.
12/13/2015
39
48. 12/13/2015 48
Passive
loading
techniqu
e
Active/re
mote
loading
techniqu
e
Loading of the entrapped
agents before/ during the
manufacture procedure.
Certain types of
compounds with ionizable
groups & those with both
lipid & water solubility
can be Introduced into
liposomes after the
formation of intact
vesicles.
MethodS of Liposome Preparation
21
49. 12/13/20
15
49
10. Conventional liposome preparation methods
Phospholipids
Cholesterol
Antioxidant
Lipid component
compounding
Lipid solvent
Pyrogen Ultra filter
yes
No
Filter
Solvent
removal
Drug ,Salt
Antioxidant
Buffer
WFI
Filter
Hydration
Solvent
recovery
Extrusion
Down sizing
Free drug removal
Prefilter
Sterile filter
Vial filling
Free drug
recovery
Aseptic processing
Lyophollization
Seal / package
51. 11. Methods of Liposome Preparation
PASSIVE LOADING TECHNIQUES
1. Mechanical Dispersion method
2. Solvent Dispersion method
3. Detergent Solubilization method
Mechanical dispersion methods of passive loading
Technique begin with a lipid solution in organic solvent & end up with lipid dispersion in water
Various components are combined by co-dissolving the lipids in organic solvent which is then
removed by film deposition under vacuum.
After solvent removal the solid lipid mixture is hydrated using aqueous buffer.
The lipids spontaneously swell & hydrate to form liposomes
The post hydration treatments include vortexing, sonication, freeze thawing & high pressure extrusion.12/13/2015
51
53. 12/13/2015
53
Post Hydration vortexing, sonication, freeze thawing & high
pressure extrusion
Liposome
Lipid spontaneously swell & Hydrate
Solid lipid mixture is hydrated by using aqueous buffer
Film deposition
Remove organic solvent under vacuum
Lipid dissolve in organic solvent/co-solvent
11.1 MECHANICAL DISPERSION METHODS
54. 12/13/2015
54 11.2 Proliposomes
To increase the surface area of dried lipid film and to facilitate continuous hydration and lipid
is dried over the finally divided particulate support i.e.- NaCl, Sorbitol, or other
polysaccharides. These dried lipid coated particulates are called as Proliposomes
Proliposomes form dispersion of MLVs on addition of water, where support is rapidly
dissolved and lipid film hydrate to form MLVs
Methods overcome the stability problem and entrapment efficiency doesn’t matter when
formation of stable liposome.
56. 12/13/2015
56 11.3 Sonication Method
Probe Sonicator: is employed for dispersions, which require high energy in a small volume
(e.g., high concentration of lipids, or a viscous aqueous phase)
Disadvantage- lipid degradation due to high energy and sonication tips release titanium
particles into liposome dispersion
Bath Sonicator: The bath is more suitable for large volumes of diluted lipids.
Method: Placing a test tube containing the dispersion in a bath sonicator and sonicating for 5-
10min(1,00,000g) which yield a slightly hazy transparent solution. Using centrifugation to yield
a clear SUV dispersion.
58. 12/13/2015
58 11.4 French pressure cell liposomes
The ultrasonic radiation degrades the lipids, other sensitive compounds, macromolecules for
this extrusion of preformed larger liposomes in a French press under very high pressure is done
This tech. yields unit or oligo lamellar liposomes of size (30-80nm in dia.)
Includes high cost of press that consists of electric hydraulic press & pressure cell
Liposomes prepared by this method are less likely to suffer from structural defects &
instabilities as observed in sonicated vesicles.
59. 12/13/2015
59 11.5 Micro Emulsification Liposomes(MEL)
“Micro Fluidizer” is used to prepare small MLVs from Concentrated lipid dispersion.
The lipids can introduced into fluidizers, either as a dispersion of large MLVs or as a slurry
of anhydrated lipids in organic medium.
Micro fluidizer pumps the fluid at very high pressure(10,000psi, 600-700 bar) through a 5um
orifice.
Then it is forced along defined micro channels, which direct two streams of fluid to collide
together at right angles at a very high velocity, thereby affecting an efficient transfer of
energy.
The fluid collected can be recycled through the pump and interaction chamber until vesicles
of
the spherical dimension are obtained.
After a single pass, the size of vesicles is reduced to a size 0.1 and 0.2um in diameter.
62. 12/13/2015
62 11.6 Vesicles Prepared By Extrusion Techniques (Vets)
It is used to process LUVs as well as MLVs.
Liposomes prepared by this tech. are called as membrane filter extrusion liposomes.
The 30% capture volume can be obtained using high lipid conc. The trapped volume
in this process is 1-2 litre /mole of lipids.
It is due to their ease of production, readily selectable vesicle diameter, batch to batch
reproducibility & freedom from solvent or surfactant contamination is possible
64. 12/13/2015
64 11.7 Freeze Thaw Sonication Method (FTS)
The method is based on freezing of a unilamellar dispersion & then thawing at room temp
for 15 min.
Thus the process ruptures & refuses SUVs during which the solute equilibrates between
inside & outside & liposomes themselves fuse & increase in size.
Entrapment volume can be upto 30% of the total vol. of dispersion. Sucrose, divalent metal
ions & high ionic strength salt solutions can not be entrapped efficiently
66. 12/13/2015
66 11.8 Dried-reconstituted Vesicles
Liposomes obtained by this method are usually “uni or oligo lamellar” of the order of 1.0um
or less in diameter.
SUVs in aqueous phase SUVs with solutes to be entrapped Freeze dried membrane Solutes
in uni lamellar vesicles Solutes in uni or oligo lamellar vesicles.
FST method DRV method Rehydration Film stacks dispersion Aqueous phase Thawing
Sonication (15-30 sec)
67. 12/13/2015
67
11.9 Solvent dispersion Method
Liposome
Formation of monolayer and bilayer of phospholipid
Excess addition of aqueous phase
Lipid dissolve in organic solvent
69. 12/13/2015
69 11.10 Detergent solubilization methods
Formation of micelles (Liposome)
By addition optimized concentration of detergent
Phospholipid brought into intimate contact with aqueous phase
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70 11.11 Active Loading Techniques
Weak amphipathic bases accumulate in the aqueous phase of lipid vesicles in response to a
difference in pH between the inside and outside of the liposomes (pHin & pHout)
Two steps process generates this pH imbalance and active (remote) loading.
Vesicles are prepared in low pH solution, thus generating low pH within the liposomal
interiors, followed by addition of the base to extra liposomal medium.
Basic compounds, carrying amino groups are relatively lipophilic at high pH and
hydrophilic at low pH.
In two chambered aqueous system separated by membrane liposomes, accumulation occurs
at the low pH side, under dynamic equilibrium conditions.
Thus the un protonated form of basic drug can diffuse through the bilayer
The exchange of external medium by gel chromatography with neutral solution
Weak base doxorubicin, Adriamycin and vincristine which co-exist in aqueous solutions in
neutral and charged forms have been successfully loaded into preformed liposomes via the
pH gradient method.
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LIPID FILM HYDRATION
BY HAND
SHAKING,FREEZE
DRYING OR NON
HAND
SHAKING
MICRO
EMULSIFICATION
SONICATION
FRENCH PRESSURE
CELL
ETHANOL INJECTION
ETHER INJECTION
DOUBLE EMULSION
REVERSE PHASE
VAPOURATION
VESICLES
STABLE PLURI
LAMELLER
VESICLES
DETERGENT
REMOVAL
FORM MIXED
MICELLES
BY DIALYSIS
CHROMATIGRALPY
DIFFUSION
VESICLES LIKE….
RECONSTITUTED
&
Methods of liposome preparation
Passive loading tec
hniques
Active loading tech
niques
Mechanical disp
ersion
methods
Solvent dispersi
on
methods
Detergent
removal
technique
22
72. 12/13/2015
72
Method Vesicles
Mechanical methods
Vortex or hand shaking of phospholipid dispersions MLV
Extrusion through polycarbonate filters at low or medium pressure OLV, LUV
Extrusion through a French press cell “Micro fluidizer” technique Mainly SUV
High-pressure homogenization Mainly SUV
Ultrasonic irritation SUV of minimal size
Bubbling of gas BSV
Methods based on replacement of organic solvent(s) by aqueous media
Removal of organic solvent(s) MLV, OLV, SUV
Use of water-immiscible solvents: ether and petroleum MLV, OLV, LUV
Ethanol injection method LUV
Ether infusion (solvent vaporization) LUV, OLV, MLV
Reverse-phase evaporation
Methods based on detergent removal
Gel exclusion chromatography SUV
“Slow” dialysis LUV, OLV, MLV
Fast dilution LUV, OLV
Other related techniques MLV, OLV, LUV, SUV
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73 11.12 Rapid solvent exchange vesicles (RSEVs)
Lipid mixture is transferred between pure solvent & a pure aq.environment.
Organic sol. of lipids through orifice of syringe under vacuum into a tube containing
aqueous buffer. The tube is mounted on vortexed.
It manifest high entrapment volumes
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77 12. Stability of Liposomes
Chemical degradation
Physical degradation
Prevention of chemical degradation
Prevention of physical degradation
The liposomes are stable system having protection against physical, chemical and biological
degradation.
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78 13. Liposomes in drug delivery
• Protect the encapsulated drug from metabolic degradation
• Increase the half-life of drug
• Reduce the systemic toxicity of drugs
• Could be used as sustained release vehicles
• It is possible to target them to selected tissues or cell
• Biodegradable and biocompatible
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82 13.2 Liposomes in tumor therapy
Targeting strategies using liposomes
Natural targeting of conventional liposomes (passive vectorization)
Use of long circulatory (stealth liposomes)
Use of ligand mediated targeting (active targeting)
The use of anti-receptor antibodies on the tumour vascular endothelium
Use of stealth liposomes & ligands mediated targeting in combination
Drug Target
disease
Status Product
Doxorubicin Kaposi's sarcoma Approved SEQUUS
Daunosome Breast cancer Approved NeXstar,USA
Nystatin Systemic fungal
infections
Phase II Aronex, USA
Amikacin Serious bacterial
infections
Phase II NeXstar,USA
Vincristin Solid tumours Preclinical dev. NeXstar,USA
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83 13.3 Liposomes in gene therapy
Recombinant DNA tech., studies of gene function & gene therapy all depend on delivery of
nucleic acids( genetic material) into cells in vitro & in vivo.
Gene can be viral (adenovirus, retrovirus) & non viral( liposomes & lipid based systems,
polymers & peptides)
Type of vectors Advantages Disadvantages
Viral vectors
(Adenovirus, retrovirus
& adeno-associated
virus)
Relatively high transfection
efficiency
Immunogenicity, presence of
contaminants & safety
Vector restricted size
limitation for recombinant gene
Non viral vectors
(liposomes/lipid based
systems, polymers &
peptides)
Favorable, pharmaceutical
issue-GMP, stability, cost
Plasmid independent structure
Low immunogenicity
Opportunity for
chemical/physical manipulation
low transfection efficiency
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85
PH sensitive liposomes
The PH sensitive liposomes have been reported as plasmid expression vectors for the cytosolic
delivery of DNA.
PH sensitive immunoliposomes
PH sensitive liposomes have been developed to release their contents in response to an acid
machinery within endosomal system following receptor mediated endocytosis of the
immunological targeting ligand
Fusogenic liposomes & Virosomes
They fuse & merge with cell membranes & directly introduce molecules (entrapped or
anchored) into cytoplasm & avoiding route followed by conventional liposomes. Fusion can be
mediated by PEG, glycerol & Polyvinyl alcohol or by reconstituted fusogenic viral membrane
based liposomes are termed as Virosomes
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86 13.4 Liposomal vaccines
New vaccines that are based on recombinant protein subunits & synthetic peptide antigens
are usually non-immunogenic, hence need of immunopotentiation is realized.
The first liposome based vaccine (against hepatitis A) that has been licensed for use in
human is an IRIV vaccine which are spherical, unilamellar vesicles with a diameter of
150nm.
IRIVs are prepared by detergent removal of influenza surface glycoproteins & a mixture of
natural & synthetic phospholipids containing 70% egg yolk phosphatidylcholine,20 %
synthetic PE & 10 % envelop phospholipids originating from H1N1 influenza virus.
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87 13.5 Liposomes as a carrier of Immunomodulation
The main purpose is to activate macrophages & render them tumouricidal. They
acquire ability to recognize & destroy neoplastic cells both in vitro & in vivo.
Liposomes in Immunodiagnosis
1. LILA assays (liposome immune lysis assay) has been implicated in the detection of serum
components such as carcinoembryonic antigen,C-reactive protein & other serum protein
which serve as diagnostic tools for cancer
2 . LILA sandwich method has been used to detect many important antigens in serum, which
are useful indicators of various abnormalities
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88 13.6 Liposomes in Dermatology and Cosmetology
Similar to biological membrane they can navigate water soluble & lipophilic substances in
different phases.
They mimic the lipid composition & structure of human skin, which enables them to
penetrate the epidermal barrier.
Liposomes are biodegradable & nontoxic, thus avoiding local/systemic side or toxic effects.
Moisturizing & restoring action of constitutive lipids.
Liposomes may act as localized drug depots in skin resulting in sustained release of drug,
thus improving therapeutic index of drug at target site while reducing toxicity profile to
minimum.
Cosmetic creams, e.g. Alpha Lipoic Acid Cream
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89
13.7 Liposomes as Radiopharmaceutical & radio diagnostic
carriers
Liposomes loaded with contrast agents are suitable for
contrast agents are substances which are able to absorb certain types of signal much stronger
than surrounding tissue
Radio diagnostic application include liver & spleen imaging, tumor imaging, imaging
cardiovascular pathologies, visualization of inflammation & infected sites, brain imaging,
visualization of bone marrow
The RES avoidance of contrast agents can be achieved by using targeted liposomes like
immunoliposomes
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90 13.8 Liposomes as Red cells substitutes & artificial RBCs
Synthetic & semisynthetic blood substitutes includes recombinant hemoglobin,
glutaraldehyde cross linked hemoglobin, hemoglobin encapsulated liposomes.
Liposome encapsulated hemoglobin products are being investigated as artificial RBCs.
Researchers reported completely synthetic amphiphilic heme derivative (lipid heme) &
incorporated them into the hydrophobic center of the bilayer membrane of the phospholipid
vesicles, which has excellent oxygen carrying & transporting abilities.
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LIPOSOMES THERAPY DRUGS /USE
AIDS Azidotymidine
Cancer Cisplatin,Taxol,Doxorubicin
Malaria Primaquine, Chloroquine, Artemisinin
Gramicidin A
lung Isoniazid, Rifampicin, Budesonide
Infectious Diseases e.g. skin Amphotericin, Antimony, Pentamidine
DRUGS Antibiotics, Antifungal Disinfectant,
Immunosuppressive agents
Dermatology and Cosmetology Local anesthetic e.g. Lidocaine and
Benzocaine, Gentamycin, Cefazolin
immunological (Vaccine)
Adjuvant
Hepatitis A rabies virus, Measles virus,
influenza virus Herpes virus, HIV-1 and
Vesicular stomatitis
DIEBETIS INSULIN / Hypoglycemic
Radiodiagnostic Carriers γ-scintigraphy, Magnetic resonance (MR),
Computer tomography (CT) and
Ultrasonography (US) of tumors
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92
14. Characterization of liposomes
Liposomes
Size Number of
lamellae
Charge Stability
Preparation Raw
materials
Protection
Sizing
method
Hydration
methods
Degree of
saturation
Head
group
Presence
of sterols
Protecting
agents
Characterized by
Determined by
Classified by
93. Characterization of liposomes
There are three main types of Characterization technique of liposomes
1. Physical Characterization
1. Vesicles size/shape/morphology
2. Surface -charge/electrical potential
3. Phase bahaviour/ lamellarity
4. Drug release
5. % capture /free drug
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93
96. 12/13/2015 96
Characterization parameters Analytical methods/instrumentation
Chemical characterization
Phospholipid conc.
Cholesterol conc.
Drug conc.
Phospholipid peroxidation
Osmolality
Barlet assays/Stewart assays, HPLC
HPLC
Monograph
UV absorbance, iodometric & GLC
Ohmmeter
Physical characterization
Vesicle shape & surface morphology
Size & size distribution
Submicron range
Micron range
TEM, Freeze fracture electron microscopy
TEM
TEM,FFEM, photon correlation spectroscopy,
laser light scattering, gel permeation
Biological characterization
Sterility
Pyrogenisity
Animal toxicity
Aerobic or anaerobic cultures
LAL test
Monitoring survival rates, histology &
pathology
97. 14.1 Physical Characterization
Vesicle shape & lamellarity & Vesicle size & size distribution
Microscopic techniques
Optical Microscopy - Determination of gross size distribution of large vesicles
preparations such as MLVs & Morphological structure of liposome.
various tech. include light microscopy, fluorescent microscopy, electron
microscopy, laser light scattering, field flow fractionation, gel permeation & gel
exclusion, Zetasizer.
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97
98. Electron Microscopic Techniques
Freez Fracture Electron Microscopy
Negative Stain Electron Microscopy
Transmission Electron Microscopy
Scanning Electron Microscopy
Cryo-Electron Microscopy
Laser Light Scattering Techniques
Fluorescence Electron Microscopy
Confocal Laser Light Scanning Microscopy
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98
99. Freez Fracture Electron Microscopy
The freeze-fracture/freeze etch technique starts with rapid freezing of a cell. Then
the frozen cells are cleaved along a fracture plane. This fracture plane is in
between the leaflets of the lipid bilayer , The two fractured sections are then
coated with heavy metal (etched) and a replica is made of their surfaces. This
replica is then viewed in an electron microscope.
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100. Negative Stain Electron Microscopy
Negative stain electron microscopy visualizes electron transparent liposomes as bright
areas against a dark background. Negative stains used in the TEM analysis is ammonium
molybdate.
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100
101. Transmission Electron Microscopy
Transmission electron microscopy (TEM) is a microscopy technique whereby a beam
of electrons is transmitted through an ultra thin specimen, interacting with the specimen as
it passes through. An image is formed from the interaction of the electrons transmitted
through the specimen; the image is magnified and focused onto an imaging device, such as
a fluorescent screen, on a layer of photographic film, or to be detected by a sensor such as
a CCD camera.
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102. Scanning Electron Microscopy
A scanning electron microscope (SEM) is a type of electron microscope that images a
sample by scanning it with a high-energy beam of electrons in a raster scan pattern. The
electrons interact with the atoms that make up the sample producing signals that contain
information about the sample's surface topography, composition, and other properties such
as electrical conductivity.
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103. Cryo-Electron Microscopy
Is form of transmission electron microscopy known as Cryo transmission
electron microscopy (cryo-TEM)
where the sample is studied at cryogenic temperatures (generally liquid
nitrogen temperatures).
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103
CryoEM image of GroEL suspended in
vitreous ice at 50,000X magnification
Cryo-TEM of liposome dispersion. Scale
bar is 200 nm.
105. Fluorescence Electron Microscopy
The "fluorescence microscope" refers to any microscope that uses fluorescence to generate
an image.
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105
106. Confocal Laser Light Scanning
Microscopy
Technique for obtaining high-resolution optical images with depth selectivity & use for
Penetration and Permeation Studies.
Confocal microscopy is an optical imaging technique used to increase optical
resolution and contrast of a micrograph by using point illumination and a spatial pinhole to
eliminate out-of-focus light in specimens that are thicker than the focal plane. It enables the
reconstruction of three-dimensional structures from the obtained images.
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106
107. Zetasizer
Zeta potential is an important and useful indicator of particle surface charge, which can be
used to predict and control the stability.
In general, particles could be dispersed stably when the absolute value of zeta potential was
above 30mV due to the electric repulsion between particles
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107
108. Gel permeation
Preferably used for the size distribution determination of liposomes
Ultracentrifuge
Used for size distribution of liposomes
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108
109. Encapsulation efficiency - Determines % of the aq. Phase & hence % of water
soluble drug which is entrapped & expressed as % entrapment/mg lipid.
Trapped volume - The internal or trapped volume is the aqueous entrapped volume per
unit quantity of lipid & expressed as µ l/ µ mol or µ l/mg of total lipid. Radioactive markers
are used to determine the internal volume.
Vesicle fusion measurements - It has been studied in case of cationic liposomes, PH
sensitive liposomes. fusion has been monitored using a fluorescence resonance energy
transfer (RET) between two lipid analogues originally placed in separate vesicle population
that measures intermixing of membrane lipids
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110
Phase response & transitional behavior
Lipid bilayers can exists in a low temperature solid ordered phase & above certain temp in a
fluid disordered phase. Phase behavior of liposomal membrane determines prop. such as
permeability, fusion, aggregation & protein binding Thermodynamic methods:-In differential
scanning micro calorimeter, the heat required by liposomes to maintain a steady upward rise in
temp is plotted as a function of temperature
111. Elasticity Measurement of Liposomes
Extrusion Method
Liposomal formulations were extruded through filter membrane (pore diameter 50 nm), using a
stainless steel filter holder having 25-mm diameter, by applying a pressure of 2.5 bar. The
quantity of vesicle suspension, extruded in 5 minutes was measured.
Skin Permeation Study
Franz Diffusion Cell
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112. 14.2 Chemical Characterization
Phospholipid conc. is determined in terms of lipid phosphorus content using Barlet
assay/Stewart assay or TLC
Cholesterol conc. is determined using Ferric perchlorate method/Cholesterol
oxidase assay
Lysolecithin:-which is one of the major product of hydrolysis is estimated using
densitometry
Phospholipid peroxidation is determined by UV absorbance, iodometric, GLC
technique.
Phospholipid hydrolysis is determined using HPLC & TLC
Cholesterol auto oxidation can be determined by HPLC & TLC
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114. 14.4 Stability after systemic administration
Two most frequently encountered biological events that the administered liposomal system
undergoes are phagocytosis or antigen presentation via the macrophages of the RES system
Opsonins which are proteinaceous components of serum adsorb onto the surface of
liposomes thus making these exogenous materials more palatable & conductive to
phagocytes
High density lipoprotein removes phospholipid molecules from bilayered vesicular systems
The molecular origin of these interactions are mostly long range electrostatic, Vander waals
& short range hydrophobic interactions of particulate surface with macromolecules in the
serum
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116 14.6 Stability of Liposomes
Storing the vesicles at 4°C ± 0.5°C. Vesicle size, zeta potential, and entrapment efficiency of the
vesicles was measured after 180 days.
The stability in vitro which covers the stability aspects prior to the administration of the
formulation & with regard to the stability of the constitutive lipids.
The stability in vivo which covers the stability aspects once the formulation is administered
via various routes to the biological fluids. It includes stability aspects in blood if
administered by systemic route or in gastrointestinal tract if administered by oral or per oral
routes.
Stability in vitro:- method of formulation, nature of amphiphilic & encapsulated drug,
manipulate membrane fluidity/rigidity & permeability characteristics.
Storage temp. of these dispersions must be defined & controlled
Liposomal phospholipids can undergo degradation such as oxidation & hydrolysis
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117
Lipid oxidation & Peroxidation
Lipid peroxidation measurement is based on disappearance of unsaturated fatty acids or
appearance of conjugated dienes.
It can be prevented by minimizing use of unsaturated lipids, use of oxygen, argon or
nitrogen environment, use of antioxidant such as Alpha tocopherols or BHT or use of light
resistant containers for storage of liposomal preparations
Lipid hydrolysis
It leads to Lysolecithin formation The inclusion of charged molecule in the bilayer shifts the
electrophoretic mobility & makes it positive with addition of stearylamine or negative with
dicetyl phosphate thus prevents liposomal fusion/swelling or aggregation
Long term & Accelerated stability
High temp. testing(>250C) is universally used for heterogeneous products. Various laboratories
store their products at temp ranging from 40C to 500 C.
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118
1.Liposomes as drug/protein delivery vehicles
Controlled & sustained drug release in situ
Enhanced drug solubilization
Altered pharmacokinetics & bio distribution
Enzyme replacement therapy & liposomal storage disorders
2.Liposomes in antimicrobial, antifungal & antiviral therapy
Liposomal drugs
Liposomal biological response modifiers
3.Liposomes in tumor therapy
Carrier of small cytotoxic molecules
Vehicle for macromolecules as genes
4.Liposomes in gene delivery
Gene & antisense therapy
Genetic vaccination
5.Liposomes in immunology
Immunoadjuvant
15. Application Of Liposomes
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119
Immunomodulation
Immunodiagnosis
6. Liposomes as artificial blood surrogates
7.Liposomes as radiopharmaceutical & radio diagnostic carriers
8.Liposomes in cosmetics & dermatology
9.Liposomes in enzyme immobilization & bioreactor technology
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120
16. References
• Jain N.K., Controlled & Novel Drug Delivery, CBS Publications, New Delhi
• Jain N.K., Advances in Controlled & Novel Drug Delivery, CBS Publications, New Delhi.
• Vyas S.P. and Khar R.K., Controlled drug delivery- Concepts & Advances, Vallabh
Prakashan, New Delhi.
• Vyas S.P. and Khar R.K., Targeted & Controlled drug delivery- Novel Career System, CBS
Publications, New Delhi.
• Chien Y, Novel Drug Delivery System, Mercel Decker Publications.
• Lee & Robinson, Controlled Drug Delivery, Second Edition, Mercel Decker Publications.
• Swarbrick J and Boylon J.C., Encyclopedia of Pharmaceutical Technology, Vol. 1-3, Mercel
Decker Inc.
• Allen, Theresa M. "Liposomal Drug Formulations: Rationale for Development and What
We Can Expect for the Future." Drugs 56: 747-756, 1998.
• Allen, Theresa M. "Long-circulating (serially stabilized) liposome for targeted drug
delivery." Tips 15: 214-219, 1994.
• Vesicular drug delivery system by R.S.R. Murthy.
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• Allen, Theresa M. "Liposomal Drug Formulations: Rationale for Development and What
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• Allen, Theresa M. "Opportunities in Drug Delivery." Drugs 54 Suppl. 4: 8-14, 1997
Janknegt, Robert. "Liposomal and Lipid Formulations of Amphotericin B." Clinical
Pharmacokinetics.23(4): 279-291, 1992.
• Kim, Anna et al. "Pharmacodynamics of insulin in polyethylene glycol-coated
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• Quilitz, Rod. "Oncology Pharmacotherapy: The Use of Lipid Formulations of
Amphotericin B in Cancer
• Patients." Cancer Control.5:439-449, 1998.
• Ranade, Vasant V. "Drug Delivery Systems: Site-Specific Drug Delivery Using Liposomes
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• Pharmacology. 29: 685-694, 1989.
• Storm, Gert and Daan J.A. Crommelin. "Liposomes:quo vadi?" PSTT 1: 19-31, 1998.
• Taylor, KMG and JM Newton. "Liposomes as a vecicle for drug delivery." British Journal
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• Navone, NM, et al. p53 mutations in prostate cancer bone metastases suggest that selected
p53 mutants in th eprimary site define foci with metastatic potential. J Urol 161(1):304-8,
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• Novahealth@earthlink.net www.prostatematters.com 1999
• Pienta, K., Goodson, J., & Esper, P. Epidemiology of Prostate Cancer: Molecular and
Environmental Clues. http://www.cancer.med.umich.edu/prostcan/articles/clues.html
• Smith, J, et al. Major Susceptibility Locus for Prostate Cancer on Chromosome 1 Suggested
by a Genome-Wide Search. Science 274: 1371-4, 11/22/96
• Veterinary Genetics Laboratory, School of Veterinary Medicine University of California,
Davis. Microsatellites. http://www.vgl.ucdavis.edu/service/canine/micros.htm 12/30.97
• Wolf, G. University Hospital Charite Institute of Pathology. http://amba.charite.de/cgh
1/15/99
• Xu, J., et al. Evidence for a prostate cancer susceptibility locus on the X chromosome.
Nature Genet 20: 175-179, 1998.