Vaccination Research · Vol. 5, No. 1 · 2020 · pp. 10–16 · e-ISSN 2771-750X

Model Liposomal Delivery System for Drugs and Vaccines

Farrhana Z.Firdaus, Zeinab G. Khalil, Robert J. Capon, Mariusz Skwarczynski, Istvan Toth, Waleed M. Hussein

School of Chemistry and Molecular Biosciences,The University of Queensland, St. Lucia, QLD 4072, AustraliaAustralia
Institute for Molecular Bioscience,The University of Queensland, St. Lucia, QLD 4072, Australia; The University of Queensland Diamantina Institute,The University of Queensland, Brisbane, Queensland, AustraliaAustralia
Institute for Molecular Bioscience,The University of Queensland, St. Lucia, QLD 4072, AustraliaAustralia
School of Chemistry and Molecular Biosciences,The University of Queensland, St. Lucia, QLD 4072, Australia; Institute for Molecular Bioscience,The University of Queensland, St. Lucia, QLD 4072, Australia; School of Pharmacy,Woolloongabba,The University of Queensland, QLD 4072, AustraliaAustralia

DOI: https://doi.org/10.17140/vroj-5-117 · Published 2020-08-06 · Licence: https://creativecommons.org/licenses/by/4.0 · © 2020 The Author(s)

Abstract

Background Liposomes have been used for drug delivery since their discovery 60-years-ago. The advantages they provide as carriers have been recognised and exploited to improve the delivery of numerous drugs and eliminate harmful side-effects. Liposomal delivery has been tested for anticancer drugs, anti-tuberculosis drugs, variety of vaccines, just to list a few. Methods We developed a series of liposomal formulations with the addition of cholesterol and polyethylene glycol. The uptake of these formulations by human epithelial prostate cancer (PC-3) cells and mouse macrophages was examined and analysed by flow cytometry and confocal microscopy. Results Among the liposomes tested, small anionic liposome vesicles (≤200 nm) prepared with egg phosphatidylglycerol as the main lipid were most effectively taken up by PC-3 cells and macrophages. Conclusion We produced a liposome formulation that can be used as a model system for the delivery of drugs and vaccines.

Keywords: Liposomes; Drug delivery; Vaccines delivery; Egg phosphatidylglycerol; Polyethylene glycol

Background

Liposomes have been used for drug delivery since their discovery 60-years-ago. The advantages they provide as carriers have been recognised and exploited to improve the delivery of numerous drugs and eliminate harmful side-effects. Liposomal delivery has been tested for anticancer drugs, anti-tuberculosis drugs, variety of vaccines, just to list a few.

Methods

We developed a series of liposomal formulations with the addition of cholesterol and polyethylene glycol. The uptake of these formulations by human epithelial prostate cancer (PC-3) cells and mouse macrophages was examined and analysed by flow cytometry and confocal microscopy.

Results

Among the liposomes tested, small anionic liposome vesicles (≤200 nm) prepared with egg phosphatidylglycerol as the main lipid were most effectively taken up by PC-3 cells and macrophages.

Conclusion

We produced a liposome formulation that can be used as a model system for the delivery of drugs and vaccines.

Keywords

Liposomes; Drug delivery; Vaccines delivery; Egg phosphatidylglycerol; Polyethylene glycol.

Introduction

S ince their discovery by Alec Bangham and colleagues in the 1960s, liposomes have been one of the most investigated forms of nano carriers.1 They were first described as lamellae of swollen or enlarged lipids that could act as a model membrane system.2 Liposomes are spherically shaped amphiphilic lipid bilayers ranging in size from 20 nm to 10 µm.3,4 Their structure is strongly correlated with their unique ability to physically entrap a variety of compounds, including proteins, nucleotides, plasmids, macromolecules and ribonucleic acid/deoxyribonucleic acid (RNA/DNA). Hydrophobic compounds can be embedded in the phospholipid bilayer, whereas hydrophilic compounds are entrapped within the aqueous core of the lipid vesicles.5 Liposomes can increase drug uptake and reduce drug toxicity, while prolonging biological half-life. 6 Consequently, liposomes can significantly increase the therapeutic index of the drugs they deliver.6,7 11 Original Research | Volume 5 | Number 1| Liposome vesicles can be prepared with synthetic or natural lipids, such as distearoyl phosphatidyl choline (DSPC), dioleoyl phosphatidyl ethanolamine (DOPE) orphosphatidylglycerol (PG). The inclusion of lipids allows liposomes to be biocompatible, non-toxic, flexible, non-immunogenic and biodegradable.8 The physicochemical properties of liposome vesicles depend on the phospholipid (and other components) used in the formulation, and can influence the vesicle’s surface charge, size, permeability and stability.9 Classical liposomes, better known as the first generation of liposome vesicles, were developed to encapsulate compounds for non-specific uptake through endocytosis, adsorption or lipid exchange once administered in a host. 4,10 However, these vesicles were found to be rapidly eliminated by the reticuloendothelial system (RES), greatly reducing their therapeutic efficacy. 11 Coating vesicles with polyethylene glycol (PEG) is often done to increase the amount of time that the vesicles spent circulating through the blood (i.e. stealth shielding). 12,13 PEGylation of liposomes results in the formation of hydrophilic barriers on the surface of the vesicles, which decreases the interaction of the vesicles with RES and increases blood circulation half-life. 11,14 The addition of cholesterol to formulations has also been employed to enhance transmembrane permeability and rigidity. 5 Adding cholesterol to the liposome membrane can lead to reduced binding of sodium ions to the membrane. This reduces the interaction between vesi cles and serum opsonins, and increases the circulation time of the liposomes in the blood stream.15,16 Liposomes are widely used to improve cellular uptake of variety of drugs and antigens. For example, a vaccine against tuberculosis (TB), called bacille calmette-guerin (BCG), was de veloped and widely distributed more than 100-years-ago. BCG is effective in protecting vaccinated children against acute forms of the disease, but it has shown limited and variable protection in adults, with the protective efficacy ranging from 0% to 77%. 17,18 A new TB vaccine and/or more effective treatments are urgent ly required to fight this disease. TB is caused by mycobacterium tuberculosis (MTB), which infect macrophages. Encapsulation of the anti-TB vaccines or drugs within liposome vesicles can be applied to improve their delivery to the macrophages. Similarly, a variety of strategies has been examined to facilitate uptake of anticancer agents by tumour cells.19,20 As prostate cancer is still the most common cancer diagnosed in men, 21 drug delivery systems targeting this cancer have been intensively investigated. 22,23 Thus, we developed three liposome formulations to better understand the characteristics needed to improve the uptake by human epithelial prostate cancer (PC-3) cells and mouse macrophages.

Materials And Methods

The lipids used in the liposome formulations: DSPC (1,2-dis tearoyl-sn-glycero-3-phosphocholine), egg PG (L-α-phop shtidyl-DL-glycerol (egg, chicken)), PEG (3000), PE (1,2-distearoyl-sn-glycero-3-phosphoethanolamine-N-[methoxy(polyethylene glycol)-3000] (ammonium salt)), DOPE (1, 2-Di oleoyl-sn-glycero-3-phosphoethanolamine)and cholesterol, were obtained from Avanti Polar Lipids, Inc (Alabaster, Alabama, USA). All chemicals and solvents used were of analytical grade or equivalent. Chloroform, anhydrous chloroform and methanol were supplied by Merck KgaA (Darmstadt, Germany). Buffer HEPES glucose (BHG), phosphate-buffered saline (PBS), L929 cell-conditioned medium (LCM), Roswell Park Memorial Institute (RPMI) medium, foetal bovine serum (FBS), TrypLEexpress, trypanblue stain (0.4%) and Opti-MEM/GlutaMax, Dulbecco’s Modified Eagle’s Medium (DMEM), Newborn Calf Serum (NBCS) and Ethylene diaminetetra acetic acid (EDTA) were acquired from Gibco by Life Technologies. Paraformaldehyde (PFA) was obtained from Scharlau. Staining Vybrant TM DIL cell-labelling solution was obtained from Invitrogen TM, and Hoechst 33342 solution was supplied by ThermoScientificTM.

Extrusion of the liposome formulations was carried out using an Avanti polar lipids mini extruder, and the formulations were characterised using a dynamic light scattering (DLS) instrument by Malvern Instruments, Malvern, United Kingdom. Cell uptake was analysed using a BD Accuri TM C6 flow cytometer and upright ZEISS LSM 510 META confocal microscope. PC-3 cells were obtained from the American Type Culture Collection (ATCC, United States). The complete media used includes phenol free iscove’s modified dulbecco’s medium (IMDM) GlutaMaxTM medium (supplemented with 10% fetal bovine serum (FBS), 50 μM 2-mercaptoethanol and 100 U/mL penicillin, and 100 μg/mL streptomycin).

Preparation of Liposomal Formulations

Unilamellar vesicles composed of the selected lipids were prepared through thin-film hydration, following an established procedure. 24 Briefly, a mixture of the selected phospholipids (Table 1) were dissolved in chloroform, then dried using nitrogen gas to form a thin lipid film. The film was further dried in a lyophilliser for 14 hours. The homogenous film was hydrated with BHG (pH 7.2) solution filtered through a 0.22 µm filter for sterilisation, then extruded using an extruder device through a 200 nm polycarbonate membrane at room temperature to obtain homogenous-sized vesicles.

Characterisation of Liposomal Formulations

Liposome vesicles (Table 1) were characterised for particle size (nm) and surface charge (zeta potential, mV) using DLS. Particle size dispersion distribution was quantified in terms of polydispersity index (PDI). Disposable cuvettes were used for the measurements at 25 °C and 173° light scattering.

Cell Lines

Human epithelial prostate cancer cells (PC-3 cells) were derived T able 1. Composition of the Liposome Formulations Tested Formulation Components Molar Ratio F1 DSPC:Cholesterol 7:2 F2 Egg PG:Cholesterol 9:1 F3 DOPE:PEG(3000)PE 50:1 12Original Research | Volume 5 | Number 1| from the metastatic site (bone; grade IV , adenocarcinoma) of a 62-year-old male.25 PC-3 cells are commonly used for research in drug development, as they provide a suitable transfection host. 25 Macrophage cells were differentiated from the bone marrow of C57BL/6 mice aged between 2 and 5-weeks.

Flow Cytometry for Cell Uptake Analysis

PC-3 cells: PC-3 cells were cultured on a 48-well plate for 24-hours and counted with the aid of trypan blue. DIL dye (2 µL/mL) was added to the liposome vesicles. Cells were then plated at a density of 4×105 cells/well in 24 wells of a 48-well plate and incubated for one day. 20 µL of the liposome formulations (F1-F3) was added to the designated wells and 200 µL of RPMI medium was added to each well and the cells were incubated for 3-hours. After incubation, the cells were treated with FACS (x3) and pharmaceutical benefits scheme (PBS) (x1) and then with TrypLE for 10-minutes and FACS buffer was added. Flow cytometry was performed using a red laser (640 nm) to detect the DIL dye (excitation: 549 nm; emission: 565 nm) present in the cells.

Macrophages: Bone marrow was seeded in 15 cm dishes in DMEM supplemented with 20% LCM. The bone marrow-derivedmacrophages were harvested six-days later and 0.5×10 6 cells were seeded in sterile 5 mL polystyrene FACS tubes in 1 mL of DMEM supplemented with 10% LCM. The tubes were incubated overnight at 37 °C with 5% CO2. The next day, a pipette was used to reduce the culture medium to 100 µL and the cells were returned to the incubator for 1-hour. 20 µL of liposome formulation (F1-F3) was added to the designated wells, and the cells were incubated at 37 °C with 5% CO 2 for 1-hour. The tubes were placed on ice and 3 mL of ice-cold sterile 3% NBCS in PBS with 0.5 mM EDTA was added to each tube. Cells were centrifuged at 176 xg and 4 °C for 5-minutes, then the supernatant was removed. 3% NBCS in PBS with 0.5 mM EDT (3 mL) (x2) was added to the cells and the supernatant was removed each time. The cells were then resuspended in 3% NBCS in PBS with 0.5 mM EDTA to achieve a total volume of 250 µL. Flow cytometry (BD FACSCantoTM or Beckman Coulter Gallios and analyzed using FlowJo software; TreeStar, Inc., San Carlos, CA, USA) was performed using a red laser (640 nm) to detect the DIL dye (excitation: 549 nm; emission: 565 nm) associated with the cells.

Confocal Microscopy for Cell Uptake Analysis

PC-3 cells: PC-3 cells were prepared in complete media and seeded on glass coverslips in 12-well plates (1.6×105 cells/well). The cells were incubated for 24-hours at 37 °C to encourage adherence. The liposome vesicles were stained by the addition of DIL dye (2 µL/mL) and the nucleus of the cells was stained by Hoechst (ThermoScientificTM). The cells were washed with PBS buffer (x1) and Opti-MEM/GlutaMaxTM (x1). Then, 20 µL of each liposome formulation (F1-F3) was added to each well and the plates were incubated for three hours. The cells were treated with PBS (x3) and then with 300 µL of 4% paraformaldehyde (PFA) at room temperature for 15-minutes. The PFA was removed, and the cells were washed with PBS buffer (x3). The cover slips were removed and mounted on slides for viewing under confocal microscopy using a green filter (500-570 nm) to detect the 1, 1’-dioctadecyl-3, 3, 3’, 3’-tetramethyl indocarbocyanine perchlorate (DIL) dye (excita tion: 549 nm; emission: 565 nm) present in the cells. The assay was carried out in triplicate.

Macrophages: Bone marrow-derived-macrophages were prepared in complete media and seeded in 24-well plates (2.5×105 cells/well) containing coverslips. The cells were incubated for 24-hours at 37 °C and 5% CO 2. The liposome vesicles were stained by the addition of DIL dye (2 µL/mL) and the nucleus of the cells was stained by Hoechst (ThermoScientific TM). The next day, the me dium was removed, and 20 µL of the liposome formulations (F1- F3) were added to cells and incubated for four-hours. The medium was again removed, and the cells were washed with PBS (x2). The cells were then fixed with 300 µL of 4% PFA at room temperature for 15-minutes. The PFA was removed, the cells were washed with PBS buffer (x3), and 300 µL of FACS blocking buffer was added for one hour at room temperature. Cells were viewed under confocal microscopy (ZEISS LSM 510 META) using a green filter (500-570 nm) to detect the DIL dye (excitation: 549 nm; emission: 565 nm) present in the cells. The assay was carried out in triplicate.

RESULTS Characterisation of the Liposome Vesicles

Liposome formulations F1-F3 were prepared using DSPC, egg PG and DOPE, respectively, as their main lipid components with the addition of cholesterol and PEG (3000) PE. The vesicles were characterised by their mean particle size, PDI and surface charge, as shown in Table 2. All formulations had an average vesicle size between 150 nm and 250 nm. F1 and F2 had PDI values of less than 0.15, suggesting the formation of homogenous vesicles. F3 had a higher PDI value (0.7), indicating high polydispersity within the sample. F1 was neutral, F2 was negatively charged and F3 was positively charged.

Uptake of Liposome Vesicles by PC-3 Cells and Macrophages

The formulations were tested for their ability to be taken up by PC-3 cells and macrophages (Figure 1) using flow cytometry. PC-3 cells treated with F2 showed the highest fluorescence intensity, followed by the cells treated with F1. The cells treated with F3, which contained DOPE as the main lipid, had similar fluorescence intensity as the untreated cells. F2 was also taken up most effectively by macrophages. In contrast, the macrophages treated with F1 and F3 had low DIL dye fluorescence intensity, comparable to untreated cells. Overall, F2, which was prepared using egg PG, was taken up most effectively by both cell types.

T able 2. The Average Particle Size, Polydispersity Index (PDI) Value and Surface Zeta Potential of Three Liposome Formulations Tested for Cell Uptake. The Results are Expressed as the Mean±Standard Deviation (n=5)

Formulation Components Particle Size (nm) PDI

Value Surface Charge (mV)

F1 DSPC:Cholesterol 243±6 0.04±0.03 -4.0±2.4 F2 Egg PG:Cholesterol 165±2 0.14±0.02 -47.2±0.4 F3 DOPE:PEG(3000)PE 159±7 0.70±0.04 20.8±0.8

13 Original Research | Volume 5 | Number 1| Uptake of Liposome Vesicles in PC-3 Cells and Macrophages Visualised through Confocal Microscopy Formulation uptake in PC-3 cells and macrophages was also assessed using confocal microscopy (Figures 2 and 3) as a nonquantitative assay to visualise cell uptake. F1 and F2 were effectively taken up by both PC-3 cells and macrophages.

Discussion

The three liposome formulations were designed to bear positive, negative and neutral charges. The liposome formulations were characterised and analysed to determine their ability to be taken up by two different cells lines: PC-3 cells, which are a commonly used prostate cancer cell line, and macrophages, as representative cells used for targeting delivery of drugs (e.g. anti-TB). Macrophages are antigen-presenting cells (APCs) and therefore are also crucial for vaccine delivery.26,27 Liposomes can deliver their cargo directly to the cytoplasm of APCs and therefore allow antigen processing and loading on major histocompatibility complex-I (MHC-I). These antigen fragments, known as CD8 epitopes, presented by MHC-I activate cytotoxic T-lymphocytes and cellular immunity in general. Cellular immunity is responsible for immune defence against intracellular pathogens such as viruses and Mtb.28-30 Consequently, liposomes have been widely used for vaccine delivery including subunit vaccines against TB. 31-34 Liposomes have also been proposed as a secure drug delivery platform for the treatment of cancers, including prostate cancer.35-37 The uptake of liposome formulations F1-F3 (Table 1) was determined by flow cytometry and confocal microscopy. F2 prepared with egg PG as the main lipid had the greatest cell uptake in human PC-3 cells and mouse macrophages. Surprisingly, the smaller, positively charged liposomes (F3) were taken up less effectively. However, this is likely explained by the positively charge liposomes being shielded by PEG, which generally reduces cell (including macrophage) uptake. 35 The addition of PEG to liposome vesicles results in a thick coating of hydrophilic PEG on the surface of the vesicles. 38,39 This ‘shield’ reduces cell adhesion and inhibits uptake by macrophages.40,41 Moreover, it has also been shown that small, negatively charged liposomes have a higher Figure 1. Uptake of Liposome by PC-3 and Macrophage Cells Quantified (A) DIL intensity and (B) the number of DIL positive cells as detected by flow cytometry. Each assay was carried out in triplicate and 10,000 events were collected for each measurement. Error bars represent standard deviation. Statistical analysis was performed using one-way ANOVA followed by Tukey’s post hoc multiple comparison test (****, p<0.0001).

Figure 2. Microscopy Images of the Cellular Uptake of F1–F3 in PC-3 Cells and with 40x Magnification and the Use of a Green Filter (500 to 570 nm) (excitation: 549 nm; emission: 565 nm). The Nucleus of the Cells was Stained Blue Using Hoechst Solution and the Liposome Vesicles were Stained Red with DIL Dye. The Assay was Carried Out in Triplicate

Figure 3. Confocal Microscopy Images of the Cellular Uptake of F1- F3 in Macrophages with 40x Magnification and the Use of a Green Filter (500 to 570 nm) (excitation: 549 nm; emission: 565 nm). The Nucleus of the Cells was Stained Blue Using Hoechst Solution and the Liposome Vesicles were Stained Red with DIL Dye. The Assay was Carried out in Triplicate 14Original Research | Volume 5 | Number 1| internalisation capacity in mononuclear phagocytes, in comparison to larger, positively charged liposome vesicles.42,43 While F3 had the same size as F2 (according to DLS), the high PDI of F3 is notable, as it suggests the presence of large aggregates.

Different lipids were used in the liposome formulations, which could have affected vesicle uptake. The high uptake of F2 could be related to the presence of egg PG. Liposomes are taken up by macrophages through a receptor-mediated process.44,45 Specifically, it was observed that alveolar macrophages have receptors that have higher affinities for liposome vesicles prepared with PG in comparison to phosphatidylcholine (PC).46,47 Therefore, the higher uptake of PG vesicles (F2) compared to PC vesicles (F1) by mouse macrophages in this study is consistent with previous reports.

Conclusion

Liposomes have been utilised for the delivery of many biologically active compounds to improve their cellular uptake and reduce toxicity. Liposomal delivery is known to increase the therapeutic index by increasing drug biocompatibility, decreasing drug toxicity and reducing drug exposure to healthy cells. However, many challenges still exist in developing optimised liposome delivery systems for clinical use. Therefore, this study aimed to develop a series of liposome delivery systems for drugs and vaccines. We determined that small, negatively charged liposomes, prepared with egg PG, had high internalisation potential in prostate cancer cell line and macrophages. Further analysis and characterisation of liposomes bearing a drug or an antigen is required to determine the real efficacy of the developed formulations.

Conflicts Of Interest

The authors declare that they have no conflicts of interest.

References

  1. Bozzuto, G, Molinari, A Liposomes as nanomedical devices. Int J Nanomedicine. 2015; 10: 975-999. doi: 10.2147/Ijn.S68861 https://doi.org/10.2147/ijn.s68861
  2. BanghamA. The 1st description of liposomes-a citation classic commentary on Diffusion of Univalent Ions across the Lamellae of Swollen Phospholipids by Bangham AD, Standish MM, Watkins JC. Current Contents/Life Sciences. 1989(13): 14. Web site. http:// garfield.library.upenn.edu/classics1989/A1989T670000001.pdf. Accessed July 5, 2020
  3. AzadiAAshrafiH. Cell organelle-shaped liposomes: A novel approach to present the stable intracellular drug delivery systems. Trends in Pharmaceutical Sciences. 2016; 2(2): 85-88
  4. TorchilinVP. Recent advances with liposomes as pharmaceutical carriers. Nature Reviews Drug Discovery. 2005; 4(2): 145-160. doi: 10.1038/nrd163210.1038/nrd1632 https://doi.org/10.1038/nrd1632
  5. AkbarzadehARezaei-SadabadyRDavaranSJooSWZarghamiNHanifehpourY. Liposome: Classification, preparation, and applications. Nanoscale Res Lett. 2013; 8(1): 102. doi: 10.1186/1556- 276X-8-10210.1186/1556-276x-8-102 https://doi.org/10.1186/1556-276x-8-102
  6. Çağdaş M, Sezer AD, Bucak S. Liposomes as potential drug carrier systems for drug delivery. In: Application of Nanotechnology in Drug Delivery. 2014. doi: 10.5772/58459 https://doi.org/10.5772/58459
  7. AllenTMCullisPR. Liposomal drug delivery systems: From concept to clinical applications. Advanced Drug Delivery Reviews. 2013; 65(1): 36-48. doi: 10.1016/j.addr.2012.09.03710.1016/j.addr.2012.09.037 https://doi.org/10.1016/j.addr.2012.09.037
  8. Li J, Wang, XL, Zhang, T, Wang C, Huang Z, Luo X, et al. A review on phospholipids and their main applications in drug delivery systems. Asian Journal of Pharmaceutical Sciences. 2015; 10(2): 81-98. doi: 10.1016/j.ajps.2014.09.004 https://doi.org/10.1016/j.ajps.2014.09.004
  9. Lian, T, Ho, RJ Trends and developments in liposome drug delivery systems. J Pharm Sci. 2001; 90(6): 667-680. doi: 10.1002/ jps.1023
  10. Sofou, S, Sgouros, G Antibody-targeted liposomes in cancer therapy and imaging. Expert Opin Drug Deliv. 2008; 5(2): 189-204. doi: 10.1517/17425247.5.2.189 https://doi.org/10.1517/17425247.5.2.189
  11. Sawant, RM, Hurley, JP, Salmaso, S, Kale A, Tolcheva E, Levchenko TS, et al. “SMART” drug delivery systems: Double-targeted pH-responsive pharmaceutical nanocarriers. Bioconjug Chem. 2006; 17(4): 943-949. doi: 10.1021/bc060080h https://doi.org/10.1021/bc060080h
  12. Pasut, G, Paolino, D, Celia, C, Mero A, Joseph AS, Wolfram J, et al. Polyethylene glycol (PEG)-dendron phospholipids as innovative constructs for the preparation of super stealth liposomes for anticancer therapy. J Control Release. 2015; 199: 106-113. doi: 10.1016/j.jconrel.2014.12.008 https://doi.org/10.1016/j.jconrel.2014.12.008
  13. PasutGVeroneseFM. State of the art in PEGylation: the great versatility achieved after forty years of research. J Control Release 2012; 161(2): 461-472. doi: 10.1016/j.jconrel.2011.10.03710.1016/j.jconrel.2011.10.037 https://doi.org/10.1016/j.jconrel.2011.10.037
  14. HarrisJMChessRB. Effect of pegylation on pharmaceuticals. Nat Rev Drug Discov. 2003; 2(3): 214-221. doi: 10.1038/nrd103310.1038/nrd1033 https://doi.org/10.1038/nrd1033
  15. Magarkar A, Dhawan V, Kallinteri, P, Viitala T, Elmowafy M, Róg T, et al. Cholesterol level affects surface charge of lipid membranes in saline solution. Sci Rep. 2014; 4: 5005. doi: 10.1038/ srep05005
  16. YanXScherphofGLKampsJA. Liposome opsonization. J Liposome Res. 2005; 15(1-2): 109-139. doi: 10.1081/lpr-6497110.1081/lpr-64971 https://doi.org/10.1081/lpr-64971
  17. Henao-Tamayo, M, Shanley, CA, Verma, D, Zilavy A, Stapleton MC, Furney SK, et al. The efficacy of the BCG vaccine against newly emerging clinical strains of mycobacterium tuber culosis. PLoS One. 2015; 10(9): e0136500. doi: 10.1371/journal. pone.0136500 15 Original Research | Volume 5 | Number 1| https://doi.org/10.1371/journal.pone.0136500
  18. Tameris, MD, Hatherill, M, Landry, BS, Scriba TJ, Snowden MA, Lockhart S, et al. Safety and efficacy of MVA85A, a new tuberculosis vaccine, in infants previously vaccinated with BCG: A randomised, placebo-controlled phase 2b trial. Lancet. 2013; 381(9871): 1021-1028. doi: 10.1016/S0140-6736(13)60177-4 https://doi.org/10.1016/s0140-6736(13)60177-4
  19. Piccolo, M, Misso, G, Ferraro, MG, Riccardi H, Capuozzo A, Zarone MR, et al. Exploring cellular uptake, accumulation and mechanism of action of a cationic Ru-based nanosystem in human preclinical models of breast cancer. Sci Rep. 2019; 9(1): 7006. doi: 10.1038/s41598-019-43411-3 https://doi.org/10.1038/s41598-019-43411-3
  20. SkwarczynskiMHayashiYKisoY. Paclitaxel prodrugs: Toward smarter delivery of anticancer agents. J Med Chem. 2006; 49(25): 7253-7269. doi: 10.1021/jm060215510.1021/jm0602155 https://doi.org/10.1021/jm0602155
  21. LitwinMSTanHJ. The diagnosis and treatment of prostate cancer: A review. JAMA. 2017; 317(24): 2532-2542. doi: 10.1001/ jama.2017.7248
  22. HemaSThambirajSShankaranDR. Nanoformulations for targeted drug delivery to prostate cancer: An overview. J Nanosci Nanotechnol. 2018; 18(8): 5171-5191. doi: 10.1166/jnn.2018.1542010.1166/jnn.2018.15420 https://doi.org/10.1166/jnn.2018.15420
  23. Serradell, MC, Rupil, LL, Martino, RA, Prucca CG, Carranza PG, Saura, A et al. Efficient oral vaccination by bioengineering virus-like particles with protozoan surface proteins. Nat Commun. 2019; 10(1): 361. doi: 10.1038/s41467-018-08265-9 https://doi.org/10.1038/s41467-018-08265-9
  24. SamadASultanaYAqilM. Liposomal drug delivery sys tems: an update review. Curr Drug Deliv. 2007; 4(4): 297-305. doi: 10.2174/15672010778215126910.2174/156720107782151269 https://doi.org/10.2174/156720107782151269
  25. Kaighn, ME, Narayan, KS, Ohnuki, Y, Lechner JF, Jones LW. Establishment and characterization of a human prostatic carcinoma cell line (PC-3). Invest Urol. 1979; 17(1): 16-23
  26. SkwarczynskiMTothI. Peptide-based synthetic vaccines. Chem Sci. 2016; 7(2): 842-854. doi: 10.1039/c5sc03892h10.1039/c5sc03892h https://doi.org/10.1039/c5sc03892h
  27. Skwarczynski, M, Zhao, GZ, Boer, JC, Ozberk V, Azuar A, Cruz JG, et al. Poly(amino acids) as a potent self-adjuvanting de livery system for peptide-based nanovaccines. Sci Adv. 2020; 6(5): eaax2285. doi: 10.1126/sciadv.aax2285 https://doi.org/10.1126/sciadv.aax2285
  28. Thakur A, Mikkelsen H, Jungersen GIntracellular pathogens: Host immunity and microbial persistence strategies. J Immunol Res. 2019; 2019: 1356540. doi: 10.1155/2019/1356540 https://doi.org/10.1155/2019/1356540
  29. Al-AttiyahREl-ShazlyAMustafaAS. Comparative analysis of spontaneous and mycobacterial antigen-induced secretion of Th1, Th2 and pro-inflammatory cytokines by peripheral blood mononuclear cells of tuberculosis patients. Scand J Immunol. 2012; 75(6): 623-632. doi: 10.1111/j.1365-3083.2012.02692.x10.1111/j.1365-3083.2012.02692.x https://doi.org/10.1111/j.1365-3083.2012.02692.x
  30. Umeshappa, CS, Xie, Y, Xu, S, Nanjundappa RH, Freywald A, Deng Y, et al. Th cells promote CTL survival and memory via acquired pMHC-I and endogenous IL-2 and CD40L signaling and by modulating apoptosis-controlling pathways. PLoS One. 2013; 8(6): e64787. doi: 10.1371/journal.pone.0064787 https://doi.org/10.1371/journal.pone.0064787
  31. Olusanya, TOB, Haj Ahmad, RR, Ibegbu, DM, Smith JR, Elkordy AA. Liposomal drug delivery systems and anticancer drugs. Molecules. 2018; 23(4): 907. doi: 10.3390/molecules23040907 https://doi.org/10.3390/molecules23040907
  32. Kroon, J, Metselaar, JM, Storm, G, van der Pluijm G. Liposomal nanomedicines in the treatment of prostate cancer. Cancer Treat Rev. 2014; 40(4): 578-584. doi: 10.1016/j.ctrv.2013.10.005 https://doi.org/10.1016/j.ctrv.2013.10.005
  33. Zhang, W, Song, Y, Eldi, P, Guo X, Hayball JD, Garg S, et al. Targeting prostate cancer cells with hybrid elastin-like polypeptide/liposome nanoparticles. Int J Nanomedicine. 2018; 13: 293-305. doi: 10.2147/IJN.S152485 https://doi.org/10.2147/ijn.s152485
  34. Khademi, F, Taheri, RA, Momtazi-Borojeni, AA, Farnoosh G, Johnston TP, Sahebkar A. Potential of cationic liposomes as adjuvants/delivery systems for tuberculosis subunit vaccines. Rev Physiol Biochem Pharmacol. 2018; 175: 47-69. doi: 10.1007/112_2018_9 https://doi.org/10.1007/112_2018_9
  35. MarasiniNGhaffarKASkwarczynskiMTothI. Liposomes as a vaccine delivery system. In: Micro and Nanotechnology in Vaccine Development. Norwich, NY, USA: William Andrew Inc; 2017: 221- 239
  36. GhaffarKAMarasiniNGiddamAKBatzloffMRGoodMFSkwarczynskiM. Liposome-based intranasal delivery of lipopeptide vaccine candidates against group A streptococcus. Acta Biomater. 2016; 41: 161-168. doi: 10.1016/j.actbio.2016.04.01210.1016/j.actbio.2016.04.012 https://doi.org/10.1016/j.actbio.2016.04.012
  37. Ghaffar, KA, Giddam, AK, Zaman, M, Skwarczynski M, Toth I. Liposomes as nanovaccine delivery systems. Current Topics in Medicinal Chemistry. 2014; 14(9): 1194-1208. doi: 10.2174/1568026614 666140329232757 https://doi.org/10.2174/1568026614
  38. ZhangMDesaiTFerrariM. Proteins and cells on PEG immobilized silicon surfaces. Biomaterials. 1998; 19(10): 953-60. doi: 10.1016/s0142-9612(98)00026-x10.1016/s0142-9612(98)00026-x https://doi.org/10.1016/s0142-9612(98)00026-x
  39. Wischerhoff, E, Uhlig, K, Lankenau, A, Börner HG, Laschewsky A, Duschl C, et al. Controlled cell adhesion on PEG-based switchable surfaces. Angew Chem Int Ed Engl. 2008; 47(30): 5666- 568. doi: 10.1002/anie.200801202 https://doi.org/10.1002/anie.200801202
  40. Immordino, ML, Dosio, F, Cattel, L Stealth liposomes: review of the basic science, rationale, and clinical applications, existing and potential. Int J Nanomedicine. 2006; 1(3): 297-315
  41. SanchezLYiYYuY. Effect of partial PEGylation on particle uptake by macrophages. Nanoscale. 2017; 9(1): 288-297. doi: 10.1039/c6nr07353k10.1039/c6nr07353k https://doi.org/10.1039/c6nr07353k
  42. TakanoSAramakiYTsuchiyaS. Physicochemical proper ties of liposomes affecting apoptosis induced by cationic liposomes in macrophages. Pharm Res. 2003; 20(7): 962-968. doi: 10.1023/a:1024441702398 16Original Research | Volume 5 | Number 1|10.1023/a:1024441702398 https://doi.org/10.1023/a:1024441702398
  43. Epstein-BarashHGutmanDMarkovskyEMishan-EisenbergGKoroukhovNSzebeniJ. Physicochemical parame ters affecting liposomal bisphosphonates bioactivity for restenosis therapy: Internalization, cell inhibition, activation of cytokines and complement, and mechanism of cell death. J Control Release. 2010; 146(2): 182-195. doi: 10.1016/j.jconrel.2010.03.01110.1016/j.jconrel.2010.03.011 https://doi.org/10.1016/j.jconrel.2010.03.011
  44. Straubinger, RM, Hong, K, Friend, DS, Papahadjopoulos D. Endocytosis of liposomes and intracellular fate of encapsulated molecules: Encounter with a low pH compartment after inter nalization in coated vesicles. Cell. 1983; 32(4): 1069-1079. doi: 10.1016/0092-8674(83)90291-x https://doi.org/10.1016/0092-8674(83)90291-x
  45. Muller, WJ, Zen, K, Fisher, AB, Shuman H. Pathways for uptake of fluorescently labeled liposomes by alveolar type II cells in culture. Am J Physiol. 1995; 269(1 Pt 1): L11-L19. doi: 10.1152/ ajplung.1995.269.1.L11
  46. Poelma, DL, Ju, MR, Bakker, SC, Zimmermann LJ, Lachmann BF, van Iwaarden JF. A common pathway for the uptake of surfactant lipids by alveolar cells. Am J Respir Cell Mol Biol. 2004; 30(5): 751-758. doi: 10.1165/rcmb.2003-0127OC https://doi.org/10.1165/rcmb.2003-0127oc
  47. QuinteroOAWrightJR. Metabolism of phosphatidylglycerol by alveolar macrophages in vitro. Am J Physiol Lung Cell Mol Physiol. 2000; 279(2): L399-L407. doi: 10.1152/ajplung.2000.279.2.L399 Submit your article to this journal | https://openventio.org/submit-manuscript/10.1152/ajplung.2000.279.2.l399 https://doi.org/10.1152/ajplung.2000.279.2.l399