PEGylated Liposomes Deliver the Goods
Molecular stealth technology prolongs release and
minimizes toxicity and side effects
By Will Block
In last month’s issue, we described a clever molecular “stealth technology” in some detail (“Better Supplementation with PEGylated Liposomes”). To understand the current article, in which we’ll take a closer look at what PEGylated liposomes can do, it would help if you had read the previous article—but it’s not necessary, because we’ll summarize the basics here.
hen we go swimming in the ocean, we are, in a sense, intruders in an alien environment, one in which we are ill-equipped to survive should anything go wrong. Somewhere in the back of every swimmer’s mind must be the unsettling thought that he or she has entered the world of … Jaws. Without any protection. For decades, scientists have been trying, without notable success, to develop effective shark repellents. But forget about repellents—wouldn’t it be cool if we could apply some kind of chemical camouflage to our skin so that sharks would see us merely as big watery blobs rather than something meaty and edible?
Conventional Liposomes Are Good . . .
Right—dream on. As we will see below, however, that dream has been realized with regard to liposomes, which are microscopic, manmade cells used as sustained-action delivery vehicles for a wide variety of drugs, vaccines, enzymes, nonenzyme proteins, and genetic material—and now, for some nutritional supplements as well. The molecular “payload” is encapsulated inside the liposomes, which eventually break down through natural processes and spill their contents into the bloodstream or into tissues to which they have migrated by diffusion through the walls of capillaries. Liposomes are a safe and effective way to introduce agents into our system that are problematic for some reason when taken orally, as well as agents that cannot be taken orally at all (because they’re degraded by digestive juices), such as nucleic acids and most proteins.
The problem with conventional liposomes, though, is that they’re seen as alien invaders by phagocytes, our own built-in version of Jaws. Phagocytes are cell-eating cells whose mission is to devour anything that doesn’t belong in our bloodstream. And when liposomes are devoured, so are their therapeutic payloads, which may thus go to waste—but not necessarily. If the payload is not broken down by enzymes inside the phagocyte, it may remain there and perhaps do some good—provided that it was designed for that purpose. Some drugs are, in fact, designed to treat phagocyte-related diseases or to enhance phagocytic activity. Thus, allowing them to be gobbled up by phagocytes is perfect.
Another possible outcome in case the payload survives the onslaught of the phagocyte’s degradative enzymes is that it may escape back into the bloodstream. This phenomenon is called macrophage-mediated drug release (a macrophage is one type of phagocyte). It provides a gradual, prolonged release, which is usually a good thing, as we will see below. Since it occurs primarily in the liver and spleen, where phagocytes are especially abundant, conventional liposomes can be used to deliver certain drugs for treating diseases of these two organs.
. . . But PEGylated Liposomes Are Better
Generally speaking, though, phagocytes are bad news for liposomes, which they usually dispatch within minutes of administration. Camouflaging the liposomes so as to fool phagocytes into ignoring them thus became a key objective of pharmaceutical chemists during the 1970s and beyond. (Liposomes were discovered in England in 1965.) The result of their efforts was a process called PEGylation, in which countless molecules of a synthetic, nontoxic polymer, polyethylene glycol (PEG), are attached, at one end of the polymer chain, to the surface of the liposome. The long, slender, highly flexible PEG molecules slosh around the liposome like spaghetti boiling in a pot. Because of their chemical affinity for water molecules, they are heavily hydrated. To phagocytes, this molecular “cloak” of water of hydration makes the PEGylated liposomes look like little watery blobs rather than something edible, so they tend to leave them alone. Mission accomplished!
The two main advantages of PEGylated liposomes for delivering drugs or supplements are increased bioavailability and the possibility, in some cases, of targeted delivery to the organs or tissues that most need them. Let’s look at these two benefits in turn.
The Four Kinds of Liposomes
There are four basic kinds of liposomes, each with its own advantages and disadvantages. All of them consist of a spherical cell membrane (lipid bilayer) that encapsulates a payload of therapeutic molecules. All of them bypass the digestive tract, thus increasing the bioavailability of their payloads, which remain biologically inert until the cell membrane ruptures. When and where that occurs, and why and how it occurs, is what makes the difference. It depends on many different physical and chemical properties of the liposomes and on the physiological environment in which they find themselves.
Conventional liposomes are “naked,” i.e., they’re ordinary liposomes made from simple phospholipids, with nothing to protect them from phagocytes. Their surfaces (both exterior and interior) are either electrically neutral or negatively charged (depending on the specific nature of the lipid molecules used in making the bilayer. These liposomes are used mainly to deliver drugs to the phagocytes that eat them, so as to treat disorders of the phagocytes themselves or to treat diseases of the liver or spleen, where most phagocytes are found. The latter form of treatment is made possible by drugs that are re-released unharmed by the phagocytes.
PEGylated liposomes are “stealth” liposomes that evade detection and destruction by phagocytes by virtue of their cloaks of hydrated PEG (polyethylene glycol) molecules. Their purpose is two-fold: (1) to increase the bioavailability of drugs or supplements by bypassing the digestive tract, and (2) to minimize any potential toxicity or side effects of these agents by remaining in the circulation for a long time and releasing their payloads slowly. As a bonus, they’re passively targeted to tumors and to inflamed tissues, where they’re preferentially absorbed because of the increased permeability of the capillaries that nourish these tissues.
Immunoliposomes are stealth liposomes that have been specially designed for active targeting to a given type of tissue or organ that the liposome is able to recognize by its molecular fingerprint. This is accomplished by highly specific chemical modifications to the PEG molecules or the lipid bilayer of the liposomes, or both. The molecular entity responsible for cell recognition is usually an antibody or an antibody fragment. Antibodies are immunoglobulins, which are glycoproteins produced by the body’s immune system—hence the “immuno” part of the name. These liposomes are used primarily for cancer therapy.
Cationic liposomes are stealth liposomes whose surfaces (both exterior and interior) are positively charged so as to increase the loading efficiency of their payload, which is recombinant DNA. These liposomes are used for gene therapy, in which certain disorders are treated by introducing specifically engineered genetic material (DNA) into the patient’s cells through active targeting.
PEGylated Liposomes Offer Increased Bioavailability
Throughout the drug and supplement industries, poor bioavailability of therapeutic agents is a huge problem, especially where older people are concerned. For example, as we age, our ability to absorb certain nutrients from the gut, such as vitamin B12 and folic acid, declines markedly. Other nutrients, such as the antioxidants resveratrol and quercetin, have poor bioavailability to begin with, because they’re completely metabolized in the gut and liver before they ever reach the general circulation. The metabolites of resveratrol and quercetin do enter the circulation, however, and are probably responsible for some of the beneficial effects (observed mainly in laboratory and animal studies) attributed to the parent compounds. Yet other nutrients, such as coenzyme Q10, the body’s vital “spark plug” molecule, are so costly that we need to maximize their bioavailability so we can take lesser amounts and still obtain the benefits.
By keeping the blood concentration
of the drug or supplement low and
relatively constant, we can avoid the
pharmacological yo-yo effect (peaks
and troughs) that has been the norm
with traditional delivery methods.
We can address such problems with PEGylated liposomes, which can be used to deliver nutrients to the bloodstream via a more direct and less hostile route than the digestive tract, namely, the mucous membranes of the mouth (or, in some cases, the vagina or labia).* The liposomes, in the form of aqueous suspensions, can also be applied transdermally (through the skin), but the transmucosal route seems to be more effective. Once absorbed by the mucosa, the liposomes, if they’re small enough, enter the bloodstream by diffusing through the exceedingly thin walls of capillaries, whence they travel via the venous system to the heart, and thence via the arterial system to all the body’s capillaries, to begin the cycle anew (one complete circuit takes about a minute).
A Long, Slow Release Is Best
In the circulation, the PEGylated liposomes eventually begin breaking down and spilling their payload, which, until the moment of release, has remained biologically inert because of its entrapment. For a variety of reasons, the process is long and slow—it can take many hours or even a few days, versus the relatively short “burst release” that occurs in most conventional forms of drug or supplement delivery.
By keeping the blood concentration of the drug or supplement low and relatively constant, we can avoid the pharmacological yo-yo effect (peaks and troughs) that has been the norm with traditional delivery methods, especially with agents that are rapidly removed from the bloodstream (within hours or even minutes) by natural processes. Think of a river: for the plants and animals that depend on it, it’s better that the river run placidly all the time than that it alternate between flooding and drying up.
Bonus: Toxicity and Side Effects Are Minimized
Another advantage of keeping the blood levels of a drug or supplement low is that it tends to minimize any toxicity or side effects, which are often concentration-dependent. A case in point is the anticancer drug doxorubicin, which can cause irreversible heart damage as well as nausea and vomiting; another is the antibiotic/antifungal drug amphotericin B, which can cause kidney damage along with lesser side effects. PEGylated liposomes are now being used to deliver these and many other drugs with better results than were possible previously. (The phospholipids used for making liposomes are harmless, by the way, as is polyethylene glycol; when the liposomes rupture, the phospholipids may be incorporated into our own cell walls, and the PEG is excreted.)
PEGylated Liposomes Can Offer Some Targeted Delivery
The other main advantage of PEGylated liposomes lies in the possibility of targeted delivery of drugs or supplements to the tissues or organs that need them most. Not only does this maximize the delivery efficiency for the agent in question, but it also minimizes the chances of toxicity to other organs, as can occur with doxorubicin, amphotericin B, and many other drugs.
There are two kinds of targeted delivery: passive targeting, which is easy to accomplish but limited in scope, and active targeting, which is difficult to accomplish but fraught with potential for many applications. As we will see, a key role in targeting of either kind is played by the endothelial cells that line the walls of our blood vessels, including the all-important capillaries.
Passive Targeting Occurs for Tumors and Inflamed Tissues
Passive targeting does not depend on any particular property of the liposome (whether PEGylated or not) that would help it find its target. Instead, it depends on a particular physical property of two kinds of tissues, namely, developing tumors and inflamed tissues. The capillaries that nourish these tissues typically show increased permeability (leakiness) compared with the capillaries found in normal tissues. This phenomenon is called the enhanced permeation and retention (EPR) effect.
The leakiness occurs when the tiny gaps between the endothelial cells of the capillary walls are larger than normal. This makes it easier for liposomes to diffuse through the capillary walls, and they are therefore preferentially absorbed by these tissues (which is what passive targeting is). There they eventually break down and deliver their payload. For obvious reasons, the liposomal agents most commonly used for passive targeting are anticancer and anti-inflammatory drugs. The efficiency of the process depends critically on having liposomes in the correct size range.
Active Targeting Is a Tall Order
Whereas passive targeting arises accidentally from a physical property of certain tissues, active targeting relies on deliberate chemical modifications of the PEG molecules or the phospholipid molecules that constitute the cell walls of the liposomes themselves—or both.* The possibilities for such modifications are nearly infinite, and achieving an optimal combination of many different physical and chemical properties of the PEGylated liposomes is vital for success. It requires great expertise in multiple scientific disciplines.
The objective is to design the physicochemical properties so precisely that the PEGylated liposomes will have a strong chemical affinity for the cells of a certain kind of tissue or organ in the body—heart cells, liver cells, eye cells, etc.—as well as the ability to deliver their payloads to those cells in the right way under the right conditions. Although the PEGylated liposomes cannot seek out target cells, à la the “magic bullet” concept introduced by the great German bacteriologist Paul Ehrlich a century ago, they can recognize these cells by their unique molecular “fingerprints” when they encounter them. The idea is that the liposomes will then attach themselves to these cells (and to no others) and disgorge their contents directly into the cells. It’s a tall order, but it is being accomplished, with increasing success, by pharmaceutical chemists.
A Highly Sophisticated Infant Technology
The concept of active targeting is stunning, and the technologies that the pharmaceutical companies have been developing to implement it (of which PEGylated liposomes are just one of many) are highly sophisticated. They are also massively patent-protected, so the use of active targeting for nutritional supplements, if any, will probably be tightly controlled by these companies. Although the research on active targeting with PEGylated liposomes has been underway since the 1970s, the practical applications—all of them with prescription drugs thus far—are still so new that most current textbooks of pharmacology make no mention of them. The field is still in its infancy, and many exciting developments are surely yet to come, some of which may spill over into the nutritional supplements arena.
Next month we’ll look at the amazing technology of gene therapy using liposomal delivery of DNA, and the problem of how to get liposomes into the most inaccessible part of the human body—the brain.
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Will Block is the publisher and editorial director of Life Enhancement magazine.