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The transport of drugs or drug delivery systems across the cell membrane is a complex biological process, often difficult to understand because of its dynamic nature. In this regard, model lipid membranes, which mimic many aspects of cell-membrane lipids, have been very useful in helping investigators to discern the roles of lipids in cellular interactions. One can use drug-lipid interactions to predict pharmacokinetic properties of drugs, such as their transport, biodistribution, accumulation, and hence efficacy. These interactions can also be used to study the mechanisms of transport, based on the structure and hydrophilicity/hydrophobicity of drug molecules. In recent years, model lipid membranes have also been explored to understand their mechanisms of interactions with peptides, polymers, and nanocarriers. These interaction studies can be used to design and develop efficient drug delivery systems. Changes in the lipid composition of cells and tissue in certain disease conditions may alter biophysical interactions, which could be explored to develop target-specific drugs and drug delivery systems. In this review, we discuss different model membranes, drug-lipid interactions and their significance, studies of model membrane interactions with nanocarriers, and how biophysical interaction studies with lipid model membranes could play an important role in drug discovery and drug delivery.
Biological membranes contain lipid bilayers as their basic structural unit. Lipid bilayers are sheet-like assemblies of thousands of amphiphilic lipid molecules held together by hydrophobic interactions between their acyl chains. Such bilayers form the boundaries between intracellular cytoplasm and the cell’s outside environment, as well as between the interior of many of the cell’s organelles and their cytoplasm. Although this lipid bilayer structure was first recognized as the basis for cell membrane architecture in 1925,1 detailed study of the lipid structure of cell membranes began only three decades ago. In 1972, Singer and Nicholson2 first proposed a fluid mosaic model to explain the membrane structure. This model hypothesized that lipids and proteins diffuse freely within the plane of the cell membrane. Since then, the discovery of large membrane domains (e.g., basal, lateral and apical membrane regions of glandular, endothelial and epithelial cells) and lateral microdomain structures (e.g., lipid rafts, caveolae, and coated pits), revealed the complex nature of the cell membrane structure.3, 4
Membrane lipids can be divided into three groups based on their chemical structure: glycerol-based lipids (phospholipids), ceramide-based sphingolipids, and cholesterol. Phospholipids are further divided into different groups based on their hydrophilic head groups: phosphatidylcholine (PC), phosphatidylethanolamine (PE), and phosphatidylserine are the predominant lipids in the cellular membrane, whereas phosphatidylinositol and cardiolipin are present in smaller quantities. Sphingolipids have a sphingoid base as a backbone; these lipids impart greater hydrophobicity to the core of the lipid bilayer. Cholesterol has a hydrophilic hydroxyl group that interacts with the phospholipids’ hydrophilic head groups, and the bulky steroid groups interact with the hydrophobic acyl chains of lipids. These interactions influence the fluidity and packing of the lipid membrane.5, 6
It is very well known that membrane constituents are not always homogeneously arranged in the bilayer membrane of biological cells but rather organized in complex lateral microdomains (Figure 1-i). This polymorphic nature of lipid arrangement, in addition to a significant variety of lipids with distinctly different physical properties (i.e., cross-sectional area, fluidity, electric charge, molecular weight), is the reason that lipid membranes are extremely intricate structures.6, 7 Furthermore, the covalent association of proteins and carbohydrates adds to the complexity of this membrane’s structure.
This intricacy of the cell membrane structure along with the highly dynamic nature of lipid-lipid and lipid-protein interactions in the cell membrane make the biophysical interactions with drugs and drug delivery systems very difficult to investigate. Therefore, simplified artificial membrane systems, which mimic the natural bilayer lipid membrane, have been developed. In this article, we review how studies of biophysical interactions with lipid model membrane systems elucidate the role of lipids in the cellular uptake of different drugs and drug delivery systems. Such interactions have also been explored in recent years to predict toxicity associated with drugs and nanoparticulate systems. We also discuss briefly the differences in lipid composition between diseased and normal cell membranes, and how that difference can influence the biophysical interactions of drug and drug delivery systems with the cell membrane.
Model cell membranes are systems in which the lipid organization mimics the arrangement of lipids in natural cell membranes. Supported lipid bilayers (SLBs)8 (Figure 1-iia), lipid monolayers9 (Figure 1-iib), and liposomes10 (Figure 1-iic) are widely used artificial model lipid membranes.
SLBs are lipid bilayers formed on atomically smooth solid supports such as silicon or mica. Generally, SLBs are formed by fusion of lipid vesicles onto these solid supports or they can be formed by the Langmuir-Blodgett (LB) technique or by a combination of the LB and Langmuir-Schaeffer (LS) techniques. In the LB transfer technique,11, 12 a substrate is immersed in the subphase prior to formation of a Langmuir monolayer on the subphase; the Langmuir monolayer is then transferred by vertically lifting the substrate through the monolayer. In the LS technique,13 a hydrophobic substrate is positioned horizontal to the subphase; the monolayer is then transferred onto the hydrophobic substrate by bringing the substrate in contact with the Langmuir monolayer for a certain period of time (30–60 s). In the LB transfer technique, a bilayer is formed onto the substrate by a downward-then-upward dipping of a substrate through the Langmuir monolayer. In the combination transfer technique, the first layer is transferred by the LB technique and the second by the LS technique.14, 15 These model membrane systems typically allow only the investigation of interactions with lipid head groups. Changes in structure, morphology, and surface chemistry of SLBs following interaction with drugs or drug delivery systems can be investigated using various techniques, such as X-ray scattering, scanning electron microscopy, atomic force microscopy (AFM), transmission electron microscopy, Fourier transform infrared resonance (FTIR), and X-ray photoelectron spectroscopy.16, 17
Lipid monolayers can be formed on the surface of water/buffer using a Langmuir film balance. In the Langmuir model system, various parameters such as lipid composition, subphase, and temperature can be chosen to imitate biological conditions.18, 19 In addition, lipid monolayers are very well-defined, stable, homogeneous bidimensional system with planar geometry. Typically, the interaction of drugs and drug delivery systems with lipids can be investigated in two ways. First, a lipid monolayer on the water/buffer surface is compressed to a surface pressure (SP) of 30 mN/m by applying lateral pressure. At this SP, lipid packing density is similar to that of a cell membrane, and the lipid monolayer mimics the outer surface of a cell membrane. By keeping the film area constant, changes in SP are recorded upon addition of drugs or drug delivery systems to the subphase. Alternatively, a lipid/drug or lipid/drug delivery system mixture is spread over a subphase (usually a buffer with pH 7.4 is used to mimic biological systems) to form a monolayer in a Langmuir trough. The monolayer is then compressed, and the SP-area isotherms of the pure lipid and the lipid with drug or drug delivery system are compared. Apart from changes in SP, changes in lipid morphology at the air-water interface can be studied by Brewster angle microscopy.20, 21; this method allows in situ study of the two-dimensional Langmuir monolayers at the air-water interface. This technique does not use probe compounds or any other modifications to sample for investigation; thus it ensures that the monolayer under investigation is in its original state. A lipid monolayer following interaction with drugs or drug delivery systems can be transferred to a molecularly smooth solid surface such as silicone or mica by the LB or LS technique. This transferred film can be surface characterized by several spectroscopic and microscopic techniques to investigate the effects of the interaction of drugs or drug delivery systems on lipids.
Liposomes are spherical lipid vesicles with an internal aqueous compartment.22 Three different kinds of unilamellar liposomes can be prepared: small (20–50 nm), large (50–100 nm), or giant (10–100 μm) unilamellar liposomes (SUVs, LUVs, or GUVs). GUVs are close to actual cell size. Typically, SUVs and LUVs are prepared by dissolving lipids in organic solvents (a 2:1 mixture of chloroform:methanol), then the solvents are evaporated under a vacuum to form thin films of lipids at the bottom of a round bottom flask. The dried lipid films are rehydrated in a desired buffer to form liposomes. The liposome suspension is subjected to vortexing until complete dissolution of the lipid film, followed by ultrasonication. This procedure usually results in multilammelar liposomes (MLVs), which are subjected to 3–5 cycles of freeze/thawing for the uniformity of liposome size. GUVs are prepared by electroformation.23–25 In this method, the lipid film is dried under an oscillating electric field. Typically, a standard wave generator is used to apply 1 V at 10 Hz between electrodes onto which a thin film of lipids has been dried in the presence of water to form GUVs. The liposome model membranes are highly suitable for the investigation of permeability of drugs and drug delivery systems and allow the use of various spectroscopic techniques, such as fluorescence and Raman spectroscopy, to study biophysical interactions.
Many drug molecules have intracellular targets, and hence they must pass across one or more phospholipid bilayers to reach the intracellular targets and elicit a response to their pharmacological action; hence, drug-lipid interactions are inevitable. Studies in cell culture and in vivo have shown that drug-lipid interactions play a significant role in the pharmacokinetic properties of drugs, such as their transport, distribution, and accumulation, that ultimately influence the efficacy of the drugs used. Therefore, understanding the role of these interactions on the pharmacokinetic properties of drugs is critical in developing potent drugs. A variety of drugs – antibiotics,26–28 antihypertensive drugs,29, 30 antifungal drugs,21 antipsychotic drugs31, 32 and anticancer agents33–35 – have been investigated for their interaction with lipids using different biophysical techniques.
Biophysical investigations have provided better explanations for the observations made in cell culture studies and in vivo. For instance, Michot et al.36 observed significant differences in cellular accumulation and intracellular activity of four closely related fluoroquinolone derivatives in J774 macrophage cells in the following order: ciprofloxacin < levofloxacin < garenoxacin < moxifloxacin. Lower accumulation of ciprofloxacin compared to moxifloxacin was attributed to the efflux of ciprofloxacin in J774 macrophages37; however, the reason for the differential susceptibility to efflux by the ciprofloxacin transporter was not known. Biophysical investigations of the interactions of fluoroquinolone derivatives (ciprofloxacin and moxifloxacin) with lipid model membranes were used to explain the differences in cellular accumulation and intracellular activity of the two drugs.38–40 AFM of 1,2-dipalmitoyl-sn-glycero-3-phosphocholine (DPPC)/dioleoylphosphatidylcholine (DOPC) SLBs showed that both ciprofloxacin and moxifloxicin can erode the DPPC domains within the DOPC fluid phase, whereas Langmuir studies showed a condensing effect (Figure 2-i). The comparison between the effects of the two drugs on lipids revealed that moxifloxacin has a higher condensing effect and greater ability to decrease the all-trans conformation of lipid acyl chains than ciprofloxacin (Figure 2-ii). The difference in lipid interaction was attributed to the difference in the molecular structure of the two drugs. The higher condensing effect of moxifloxacin was due to its higher lipophilicity as compared to ciprofloxacin. Based on biophysical interaction studies, the authors of the above study could explain that the greater cellular accumulation of moxifloxacin – is attributable to its increased interaction with the hydrophobic phase of lipid membranes – in turn resulted in slow release of moxifloxacin from the hydrophobic phase (membrane) to an aqueous phase (cytoplasm). This slow release of moxifloxacin from the membrane resulted in inactivation of efflux proteins, thus resulting in its greater cellular accumulation than ciprofloxacin.
Azithromycin is another example of an antibiotic drug that has been widely investigated for its interactions with lipids. Studies using a variety of biophysical techniques such as AFM, fluorescence polarization, equilibrium dialysis,27, 28, 41 and differential scanning calorimetry42 demonstrated that the interaction of azithromycin with lipids is highly dependent on the chemical structure of lipid molecules. Azithromycin interacts with phospholipids but not with sphingomyelin (SM) and cholesterol. It was shown that azithromycin can merge the DPPC and 1,2-dipalmitoyl-sn-glycero-3-phosphoethanolamine gel domains in the DOPC fluid phase (Figure 3-i) but has no effect on SM or SM:cholesterol domains. Fa et al.23 investigated the effect of azithromycin on the elastic properties of DOPC GUVs. Microcinematographic and morphometric analyses revealed that the addition of azithromycin increases lipid membrane fluctuations, leading to eventual disruption of GUVs (Figure 3-ii). Thus, the data show that azithromycin can alter the elastic properties of DOPC lipid bilayers by decreasing the cohesion between DOPC molecules. Sogaard et al.43 showed that membrane protein function can be regulated by inducing changes in the elastic properties of the host lipid bilayer. For example, the structurally unrelated amphiphiles docosahexaenoic acid, polyunsaturated fatty acids, and Triton X-100 promoted GABAA receptor-muscimol binding by similar mechanism, i.e., by increasing the elasticity of lipid bilayers.
Corvis et al.21 used Langmuir model membranes to study the behavior of the antifungal agent griseofulvin at a biologically equivalent SP of 30 mN/m. It was speculated that the mechanism of action of griseofulvin may involve the ability of the cell membrane to recognize a particular molecule.
Hidalgo et al.32 investigated the effects of the antipsychotic drugs trifluoperazine and chlorpromazine on lipid monolayers and found that the binding of even a very small amount of these drugs induces changes in SP and surface potential. From this observation, the authors concluded that the lipids must react to these drugs cooperatively, but binding of these drugs causes changes in a large number of lipids that extend far beyond the site at which the drug is bound. The cooperative effect of the lipid membrane observed in this study can possibly explain the mechanism of these drugs with relatively nonspecific effects upon the lipid membrane.
Liposome model membrane systems are widely used to estimate the efficacy of drugs. In general, drug effectiveness is measured by determining the partition coefficient of drugs, which is the measure of the amount of drug that will enter into and/or through a lipid membrane into the biological system. Partition coefficients are usually estimated for drugs by using an isotropic two-phase solvent system such as an octanol-water mixture.44 Several studies have shown that liposome model membranes are a better alternative than traditional methods used to estimate partition coefficients because those methods cannot account for the ionic interaction that may occur between drugs and lipids, particularly when drugs are charged. For instance, Rodrigues et al.45 showed that the drugs rifampicin and dibucaine, which are ionized at physiological pH, had different partition coefficient values with water-dimyristoyl-L-α-phosphatidylglycerol (DMPG) (anionic liposome) and water-DMPC (zwitterionic liposome) in comparison to neutral drugs, which showed similar partition coefficient values in both water-DMPG and water-DMPC systems. The difference in partition coefficient values was attributed to the electrostatic interactions between head groups of lipids and ionized drugs, i.e., cationic dibucaine interacted with anionic head groups of DMPG. These results show that liposomes are better systems in which to measure partition coefficients than octanol-water because liposomes mimic the hydrophobic part and the outer polar charged surface of the phospholipids of natural membranes.
Lipid model membranes can also be used to estimate the amount of drug transported into cells and also their mechanism of transport. Baciu et al.46 studied the interactions of cationic amphiphilic drugs (CADs) with lipid model membranes using different biophysical techniques. The results showed that CADs have a mechanism other than active transport and diffusion. In this mechanism, CADs were shown to cause the double-chain PCs to break into mono-chain PCs and fatty acid. At sufficient concentration, mono-chain PCs can form micelles, which then separate from the membrane and carry the drug to other intracellular membranes.
Model membranes have also been used to understand the mechanism of toxicity, particularly at drug concentrations that are known to be toxic in vivo. Amphotericin B (AmB) is a strong antifungal antibiotic known to be very toxic to mammalian cells.47, 48 Based on results from biophysical investigations, its nonselective toxicity was attributed to its close similarity in interaction with mammalian cell membrane cholesterol and fungal cell membrane ergosterol.48 It was proposed that AmB and membrane sterol complexes associate into transmembrane channels. These channels allow uncontrolled migration of ions and small molecules from the cell into the interior of the cell, resulting in cell death. However, N-methyl-N-D-fructopyranosylamphotericin B methyl ester (MF-AME), a derivative of AmB, retained fungicidal properties but showed reduced toxicity to mammals.47–49 Using the Langmuir monolayer approach, Hąc-Wydro et al.50 were able to explain the reasons for the improved selective toxicity of MF-AME. At low concentrations, the affinity of MF-AME to ergosterol is considerably stronger than its affinity to cholesterol, which correlated with improved selective toxicity to the fungus as compared to its parent compound AmB.
Maheswari et al.51, 52 measured the change in electrical properties of model membranes after the addition of methotrexate, an anticancer agent. The results correlated well qualitatively with the neurotoxicity of methotrexate, and it was suggested that the neurological side effects of methotrexate are caused by the drug’s interaction with the lipid bilayer. Kitagawa et al.53 found that the concentrations at which the anesthetics dodecyltrimethylammonium chloride, dibucaine, tetracaine, lidocaine, and procaine caused membrane disruption in DMPG lipid bilayers (as determined by a decrease in light-scattering intensity) corresponded closely with the concentrations reported to cause irreversible nerve injury. Thus, drug-lipid interactions could be used to predict drug toxicity or the concentration at which they could cause toxicity.
Interfacial properties of polymeric coatings used on drug delivery systems or the drug delivery systems themselves have been shown to influence the interactions with biological environments and consequently the efficiency of drug delivery systems in delivering biotherapeutic agents to cells and tissue. Poly(vinyl alcohol) (PVA),54 poly(ethylene oxide) (PEO),55 tocopheryl polyethylene glycol succinate (TPGS),56 dextran sulfate (DS),57 cell-penetrating peptides (CPPs),58, 59 PEO-b-PPO-b-PEO (Pluronics),60 and chitosan61 are some of the polymers used as coatings in the formulation of drug delivery systems. It has been shown that physical characteristics such as hydrophobicity, hydrophilicity, and surface charge of these polymers, as well as the size of drug delivery systems, can significantly influence their interactions with lipids. These polymers can either increase or decrease the efficiency of drug delivery systems in delivering biotherapeutic agents to cells/tissue. Therefore, a clearer understanding of the interactions of lipid-drug delivery systems with polymers is needed to develop efficient drug carrier systems and to better understand the mechanisms behind drug delivery system uptake or toxic effects. For instance, biophysical investigation of interactions between SLBs and amine-terminated generation 7 and 5 (G7 and G5) poly(amidoamine) (PAMAM) dendrimers revealed that PAMAM dendrimers form holes in lipid bilayers and that the degree of disruption depends on dendrimer’s size and charge.62–64 It was shown that G7 PAMAM dendrimers form holes of 15–40 nm diameter in DMPC SLBs, whereas G5 amine-terminated dendrimers do not initiate hole formation but can expand holes at existing defects (Figure 4-i). The results suggested that the dendrimers can remove lipid molecules from a membrane, leaving behind defects (Figure 4-ii). The above studies with dendrimers thus indicate the role of membrane lipids in their cellular uptake as well as toxicity.62, 63
Hydrophilic polymers with either a cationic or anionic charge (chitosan, DS, CPPs) have been shown to interact with lipids by electrostatic interactions. Pavinatto et al.65, 66 investigated the interaction between cationic chitosan and negatively charged dipalmitoyl phosphatidylglycerol and zwitterionic DPPC lipids, using a Langmuir balance and pendant drop technique. The pendant drop technique was used to measure the effects of chitosan on rheological properties of phospholipids. The results revealed that chitosan interacts with phospholipids mainly through electrostatic interactions and disrupt cell membranes. Another polymer, negatively charged DS was also shown to interact with phospholipid model membranes via electrostatic interactions.57
The interaction of cell CPPs with lipids has been extensively investigated using different biophysical techniques.58, 67–69 These biophysical investigations are focused on understanding the role of lipid-CPP interactions in translocation of CPP-conjugated drug delivery systems. It was shown that the peptide sequence, amino acid composition, and its conformational state strongly influence the lipid-CPP interactions, therefore the delivery of cargo.70–73 For instance, Deshayes et al.70 compared the interactions of two peptides, Pα and Pβ, with lipid model membranes using Langmuir monolayer studies. The peptides differ in their conformation: Pβ is nonstructured in water, but Pα is helical. This study provided some insight into the role of CPP structure in the formation of carrier/cargo complexes and their interactions with model membranes. The authors showed that the peptide Pβ undergoes a lipid-induced conformational transition into a sheetlike structure, whereas Pα remains helical. The penetration experiments showed that both peptides can spontaneously insert themselves into phospholipid membranes.
Analysis of compression isotherms indicated that both peptides interact with phospholipids in the liquid-expanded and liquid-condensed states. AFM observations of LB films revealed that the peptides strongly disrupt the lipid organization of the monolayers (Figure 5-i and ii). Conformational investigations indicated that the lipid-peptide interaction governs the conformational state of the peptides. Based on the ability of both peptides to promote ion permeabilization of natural as well as artificial membranes, authors have proposed a model illustrating the translocation process of the peptides through the cell membrane. Peptide Pβ is based on the formation of a barrel pore-like structure in the membrane; in contrast, Pα is based on the association of helices with the membrane. The mechanisms involved in cellular internalization mediated by CPPs thus can enable one to determine the criteria needed to design efficient peptide drug carrier systems.
We have recently studied biophysical interactions of ritonavir-loaded poly(L-lactide) nanoparticles (RNPs) and those conjugated either to a trans-activating transcriptor-peptide (TAT-RNPs) or to a scrambled TAT peptide (sc-TAT-RNPs).74 A Langmuir model of the endothelial model membrane was formed on the buffer surface using a mixture lipids present typically present in endothelium using a Langmuir film balance. Among the different formulations, TAT-RNPs showed interactions with the model membrane, which was dependent on the amount of peptide bound to the nanoparticles (NPs) and the concentration of NPs, whereas sc-TAT-RNPs and RNPs did not show any interaction. Human vascular endothelial cells showed a higher uptake of the drug with TAT-RNPs than with sc-TAT-RNPs or RNPs. Thus, the biophysical interactions of NPs with model membrane correlated with the cellular uptake of the drug. TAT peptide alone did not interact with the lipid membrane, whereas TAT-RNPs showed evidence of interaction with the lipid membrane, suggesting that the interaction occurs when the peptide is conjugated to a carrier system. The overall data thus suggest that the biophysical interactions of NPs with cell-membrane lipids play a role in cellular internalization of NPs.
In another study, we investigated the biophysical interactions between polystyrene NPs of different physical and surface properties with a model membrane using the Langmuir technique and AFM.75, 76 In that study, we demonstrated that the physicochemical properties of polystyrene NPs, particularly their size and surface properties, influence their interactions with model lipid membrane.75 We found that small NPs (<60 nm in diameter) show greater interactions with the model membrane than large NPs. Furthermore, aminated and plain NPs have greater interactions than carboxylated NPs of the same size. In our recent study, we have shown that the surfactant molecular structure of the NP surface influences NP–lipid membrane interactions, which correlate with the uptake of NPs by human vascular endothelial cells.76 Among the different surfactants used, we found that the cationic di-chain didodecyldimethylammonium bromide (DMAB) and single-chain cetyltrimethylammonium bromide (CTAB) facilitated interaction with lipid model membrane, whereas cationic single-chain dodecyltrimethylammonium bromide (DTAB) and nonionic polymeric surfactant PVA did not facilitate interaction. Although the cellular uptake of the DMAB- and CTAB-modified NPs was similar, our biophysical investigations showed that these two surfactants interact by different means: DMAB-modified NPs showed penetration into the model membrane, whereas CTAB-modified NPs showed only electrostatic interactions (Figure 6). In the above study, all the cationic surfactant-modified NPs demonstrated a similar cationic zeta potential, but their interaction pattern with the model membrane was significantly different. Thus, it is not only the surface charge on the NPs that governs the interactions with the model membrane but also the structure of the molecule at the interface that interacts with lipids of the membrane. Mu and Seow77 have shown that the penetration of TPGS-coated poly(D,L-lactide-co-glycolide) NPs into the DPPC lipid membrane is greater than that of PVA-coated poly(D,L-lactide-co-glycolide) NPs.77 The greater penetration was attributed to greater hydrophobicity of the TPGS-coated NPs. Data from this interaction with model membrane correlated very well with results showing increased uptake of the TPGS-coated NPs compared to the PVA-coated NPs in human colon adenocarcinoma cells (Coca-2 and HT-29 cell lines).78 Thus, biophysical interactions with a model membrane could be effectively used in developing efficient functionalized nanocarrier systems for drug delivery applications.
Block copolymers, Pluronics are known to interact with cell membranes. In cell culture studies, certain Pluronics have been shown to cause pronounced chemosensitization of tumor cells that exhibit drug resistance to anticancer drugs.79–81 This effect was attributed to inhibition of the P-glycoprotein responsible for drug efflux by interacting with the membrane lipids surrounding this protein.82 Demina et al.83 investigated the relationship between the structure of 19 different amphiphilic copolymers (polyglycerols, Pluronics, Brij surfactants) and their ability to accelerate the “flip-flop” of lipid molecules lipid molecule i.e., when lipids move from one interface of the bilayer to the other, and permeation of the antitumor drug doxorubicin in liposome model membranes. This biophysical study shed some light on developing novel amphiphilic copolymers capable of affecting the activity of membrane transporters in living cells. It was observed that copolymers containing polypropylene oxide cause higher acceleration of flip-flop and doxorubicin permeation than polysurfactants containing aliphatic chains. Both Pluronic bulk hydrophobicity and the chemical microstructure of the copolymer determine its membrane-disturbing ability.
Lipid alterations have been reported in cancer,84, 85 diabetes,86 and cardiovascular disorders such as hypertension, atherosclerosis, coronary heart disease, sudden cardiac death, aneurism, and thrombosis.87–89 It is believed that cancer cells acquire resistance to chemotherapy, in part due to changes in their membrane lipid composition.86 However, it is still not known whether the difference in lipid composition is the cause or the result of cancer. In gastric carcinoma, it has been suggested that elevated levels of PE might be of use as an additional marker of cancer.90, 91 Several studies have shown that membrane lipid composition and structure regulate the function and localization of membrane proteins.92 Nevertheless, current treatments for the above-mentioned diseases are not usually focused on membranes. Biophysical investigations have shown that lipid composition significantly influences the interaction of drugs or drug delivery systems, and thus their cellular uptake. Preetha et al.34, 35, 93 showed that paclitaxel penetrated much more readily in DPPC monolayers than in monolayers composed of lipid extract from cancerous cervical tissue. Subsequent experiments have provided evidence that this discrepancy is due to the behavior of cholesterol and SM present in the DPPC monolayers and lipid extract from cancerous cervical tissue.
Melik-Nubarov et al.94 reported that the same doses of Pluronic-P85 or -L61 exhibit contrasting effects in different cells. The study has shown increase in membrane microviscosity (“fluidized”) in the presence of Pluronic in cancerous cells but decrease in microviscosity (“solidified”) of the normal blood cell membranes. Using liposomes as a model membrane, Zhirnov et al.95 demonstrated that Pluronic-L61 interaction is dependent on the composition of lipids. In the presence of cholesterol, ganglioside or PE, membrane responsiveness to Pluronic was reduced, whereas it increased in the presence of phosphatidic acid.
The use of model membrane systems in biophysical investigations could help us to understand the critical role of membrane lipids in cellular uptake, predict toxicity of drugs, and optimize drug delivery systems. Model membranes offer advantages over the use of live cells in that they allow experimentation to be performed under conditions that cells may not be able to withstand and remain viable. Furthermore, the study allows analysis of data from which the mechanisms of transport can be more easily deduced. In addition, model membranes can predict and explain interaction of drugs or drug delivery system with biological membranes, which could be critical in developing new drug molecules or efficient drug delivery systems. Three different types of interactions are possible between drugs/drug delivery systems and lipids: interactions with the headgroups of lipids, with hydrophobic alkyl chains, and with both headgroups and hydrophobic acyl chains. In cell culture experiments, due to experimental limitations and the complexity of cell membranes, these interactions cannot be documented, whereas by using a model membrane system; these interactions can be explored to identify the probable basis for such interactions. Because of the lack of typical cell membrane characteristics in model membranes (such as the absence of anchoring membrane proteins, receptors, and the active process of endocytosis), the biophysical interactions of drugs/drug delivery systems with model membrane may not exactly replicate all the aspects of the cellular uptake process. However, all the studies discussed above have shown a good correlation between biophysical interactions and cellular uptake and/or therapeutic efficacy, suggesting the critical role of lipids in cellular interactions of drugs and drug carrier systems.
Lipid composition differences and their effect on the biophysical interactions between drugs and drug delivery systems show the importance of such studies. In addition, this illustrates the importance of choosing model membranes that closely resemble the tissue or cells under consideration to ensure that the behavior seen with lipid model membrane reflects the behavior cells in vitro and/or in vivo. Thus far, biophysical investigations of drug and drug delivery systems with lipid model membranes are retrospective, that is to say, the study is performed after the behavior in vitro or in vivo is known. However, if research in this area continues and good correlations are found between the behavior of drug and drug delivery systems in model membranes vs. biological membranes, then lipid model membranes have the potential to become a powerful, rapid, and relatively inexpensive predictive technique for drug discovery and for developing effective drug delivery systems.
Biophysical interaction studies with model membrane could provide a simple yet effective approach to understanding the role of membrane lipids in the transport of drugs and drug delivery systems across biological barriers. With better understanding of the mechanisms of interactions, biophysical interaction studies with model membranes could provide a rational approach for drug discovery and development as well as for developing efficient drug delivery systems.
The study reported here was funded by grants 1R01 EB 003975 from the National Institute of Biomedical Imaging and Bioengineering and R21 MH06 7525 from the National Institute of Mental Health of the National Institutes of Health (both to VL).