Scientific FAQ
What is the difference between liposomes and Transfersomes®?
Liposomes ("lipid bodies"), most generally
speaking, are thermodynamically stable lipid vesicles with an aqueous
core and at least one surrounding bilayer.
Most often, liposomes are made of lipids (such as phosphatidylcholines)
with a tendency to form extended, quasi-planar membranes. In order to
improve the stability of such vesicles, cholesterol or some other membrane
stiffening agent is frequently included in the bilayer. Alternatively,
liposomes are prepared from the lipids below the chain-melting phase transition
temperature. In either case, the lipid bilayer becomes more robust and
less permeable, but also more rigid and less flexible. Fluid membranes,
which are as deformable as the red blood cells (elastic energy at least
one order of magnitude higher than the thermal energy) are normally not
used for drug delivery due to their bilayer leakiness and poor vesicle
stability.
Transfersomes® ("carrying bodies"), in the broadest sense
of the word, are bi- or multi-component aggregates capable of crossing
semi-permeable barriers and of transferring material between the application
and the destination sites on either barrier side. This is made possible
by the unmatched self-regulatory capability of Transfersomes®.
Typically, Transfersomes® are lipid droplets, sufficiently
deformable to penetrate pores much smaller than their own size. This requires
an elastic bilayer energy of the order of thermal energy (RT) or less
and, membrane ability to change easily the vesicle surface area to volume
ratio. Reversible lipid bilayer poration is the prerequisite for the later
capability.
Most often, Transfersomes® are locally and controllably
destabilised, but generally stable, mixed lipid vesicles. Such (quasi)metastability
makes the vesicle bilayer ultraflexible and thus the vesicle highly deformable.
It is chiefly the unusually strong and ambient stress-dependent lipid
bilayer adaptability that allows the Transfersome® vesicle to accommodate
to a 'confining pore' and thus to trespass such a pore. A typical Transfersome®
is therefore characterised by a bilayer that is locally more permeable
and is at least tenfold more elastic than the membrane of a conventional
lipid vesicle, liposome (see previous text).
What makes Transfersomes®more stable than liposomes?
An important difference between Transfersomes® and liposomes
is the much higher hydrophilicity of the former. This forces Transfersome®
membranes to swell more than conventional lipid vesicle bilayers. Higher
membrane hydrophilicity and flexibility both help Transfersomes® to
avoid aggregation, and thus fusion, which is observed with liposomes exposed
to an osmotic stress.
How large are typical Transfersomes®?
The size of a typical Transfersome® is comparable to
the diameter of liposomes used in pharmaceutical formulations. However,
the mixed lipid micelle, with which an ultradeformable vesicle may share
the same basic components, is typically two to ten times smaller.
How safe are Transfersomes® on the skin?
Phospholipid suspensions comprising liposomes were reported
to be harmless and non-irritating to the skin after repeated epicutaneous
administration; they may even have an advantageous cosmetic effect. Macroscopic
observations made with Transfersomes® point in the same direction:
the test with such ultradeformable vesicles on the skin in vitro
in a microscopic toxicity assay revealed no differences between saline,
as a negative control, and various Transfersome® formulations. Different
in vivo studies, including especially a 6- week and 3-month safety study
in human and 6-month study in pigs, have also confirmed minimum local
side effects of Transfersome® formulations on the skin. If
any, such side effect were of transient nature.
From the point of view of systemic toxicity, the situation
is even more favourable.
Are Transfersomes® systemically toxic?
No, they are not. Phosphatidylcholine is found in the human
plasma at a concentration of up to 2 g/l. This explains why related phosphatidylcholines
are used as emulsifiers in soy-oil microemulsions for the parenteral nutrition;
80% pure soy phosphatidylcholine is also used in an injectable drug formulation
of Valium MM TM (Hoffman-La Roche), without a measurable danger.
The total phospholipid amount to be placed on the skin in
the form of Transfersome® suspension is expected to be less than 1
g/day. This is only 20% of the phospholipid quantity that may daily be
infused intravenously in the form of parenteral formulations containing
similar lipids. It is also less than 20% of the natural variability of
phosphatidylcholine concentration in the plasma of an average healthy
subject.
In accordance with such estimates no systemic side effects
were detected in the pigs treated with a similar dose of Transfersome®
suspension in the skin for 6 months, twice daily, or in the humans treated
with empty carriers for at least 3 months.
What happens to Transfersomes® in a body?
The fate of aggregates that have crossed the skin barrier
depends on the dose applied per unit area.
When a low amount of material is applied, Transfersomes®
distribute in the skin below the stratum corneum. Here, they are degraded
and re-used in cell membranes by cellular biochemical machinery.
When an intermediate area dose is used, enough Transfersome®
material is delivered into the skin to allow vesicle migration into the
deep tissues below the application site. This is enabled by the fact that
Transfersomes® are too large to enter cutaneous blood capillaries,
which are the main local sink for the small chemical entities. In the
given situation, Transfersomes® are not numerous enough to fill both
the skin and subcutaneous tissue to maximum possible amount. Vesicles
are therefore discharged and degraded in the peripheral tissues, including
the skin and subcutaneous fat as well as muscles, in a natural fashion.
Applying a very large dose per area saturates the skin and
underlaying tissues. The local biochemical and cellular machinery then
cannot cope with the applied liquid material. The excess vesicles are
then driven further into the body through fenestrations in cutaneous lymphatic
capillaries, which are less abundant but much more leaky than blood capillaries.
Through the lymph, vesicles first enter into the draining lymph nodes
and then reach the systemic blood circulation.
In serum, all vesicles start to exchange molecules with
lipoproteins. Transfersomes®, therefore, ultimately release their
payload and vanish everywhere in the body. The vesicles that have made
their way into the liver also have a good chance to be taken up by the
local cells in a natural process of particle elimination. In either case,
the main Transfersome® ingredients are re-utilised for cell membrane
rebuilding, and for other endogenous biological needs.
Which drugs can be associated with Transfersomes®?
In principle, Transfersomes® can accomodate any kind of
molecules: very lipophilic substances are incorporated into lipid bilayer;
water soluble compounds find shelter in the aqueous vesicle core; and
amphiphatic molecules typically adsorb to the lipid-water interface. Larger
molecules tend to adhere to vesicles through a combination of several
interactions. Practical limitations to drug loading in Transfersomes®
are therefore more dose than composition-related.
How is a drug released from Transfersomes®?
Water soluble drugs leak from a vesicle when their concentration
outside the vesicles is lower than within the vesicles. This is not the
case on or in the skin, because of initial water evaporation. However,
such gradient is established in the water-rich living skin, which explains
why Transfersomes® start to release encapsulated drugs in such tissue.
The process can be slowed down by the measures that have also proven useful
for retaining drugs in conventional lipid vesicles, liposomes.
Fat soluble drugs are strongly anchored in Transfersome®
enclosing lipid bilayer. Such drugs therefore do not leak from, but reather
must be leached out, a lipid vesicle. The proximity of Transfersomes®
and cell membranes, or receptors, is a prerequisite for this. Such vicinity
is normal in highly loaded target tissues, but depends on carrier properties
and on local drug concentration. In any case, release of fatty drugs from
Transfersomes® is much slower than release of water soluble substances.
The desirable prolongation of drug action is thus achieved.
Amphiphatic molecules combine the features of water and
fat soluble compounds. Such molecules consequently have intermediate release
characteristics.
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