Accepted Manuscript Phospholipids: Unique carriers for drug delivery systems Rudra Pratap Singh, H.V. Gangadharappa, K. Mruthunjaya
PII:
S1773-2247(17)30111-9
DOI:
10.1016/j.jddst.2017.03.027
Reference:
JDDST 334
To appear in:
Journal of Drug Delivery Science and Technology
Received Date: 8 February 2017 Accepted Date: 28 March 2017
Please cite this article as: R.P. Singh, H.V. Gangadharappa, K. Mruthunjaya, Phospholipids: Unique carriers for drug delivery systems, Journal of Drug Delivery Science and Technology (2017), doi: 10.1016/j.jddst.2017.03.027. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.
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Phospholipids: Unique Carriers for Drug Delivery Systems Rudra Pratap Singh1, H. V. Gangadharappa*1, K. Mruthunjaya2 *1 & 1
Department of Pharmacognosy, JSS College of Pharmacy,
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2
Department of Pharmaceutics, JSS College of Pharmacy,
Jagadguru Sri Shivarathreeswara University, Mysuru – 570015, Karnataka India.
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[email protected]
Corresponding Author:
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H.V. Gangadharappa
Department of Pharmaceutics, JSS College of Pharmacy,
JSS University, Mysuru - 570015, Karnataka, India. Telephone: +91-9986042737 E-mail:
[email protected]
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Contents 1. Introduction 2. Structure of Phospholipids 2.1. Glycerophospholipids (GP)
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2.2. Sphingomyelins (SM) 3. Sources of Phospholipids 3.1. Natural phospholipids 3.2. Synthetic phospholipids
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4. Properties of Phospholipids 4.1. Physiological properties
4.3. Biological properties 5. Applications of Phospholipids 5.1. In food technology 5.2. In human body 5.3. In signal transduction
5.4.1. Liposomes
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5.4 In drug delivery systems
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4.2. Physical properties
5.4.2. Lipid emulsion
5.4.3. Permeation enhancer
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5.4.4. Solubility enhancer 5.4.5. Emulsion stabilizer
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5.4.6. Solid dispersion 5.4.7. Lipospheres
5.4.8. Vesicular phospholipids gel 5.4.9. Ethosomes
5.4.10. Phytosomes
5.4.11. Pharmacosomes 5.4.12. Micelles 6. Conclusion Acknowledgement & References 2
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Abstract The aim of this review is to draw attention on potential applications of phospholipids in drug delivery system through different sources, structure, properties and as carrier. Phospholipids have the exceptional biocompatibility and remarkable amphiphilicity characteristics that make
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phospholipids the major and suitable agent or excipient for the formulation and to achieve better therapeutic applications in drug delivery system. The applications of phospholipids in the drug delivery systems are enhancement of bioavailability of drugs with low aqueous solubility or low membrane penetration, an improvement or alteration the uptake and release profile of drugs,
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protection of sensitive active agents from degradation in the GIT tract, reduced the side effects and masking of bitter taste of drugs. These properties offer various possibilities in formulation
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and potential applications.
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Keywords: Drug delivery system, Phospholipids, Bioavailability, Drug release, Applications
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1. Introduction There are many therapeutic drugs or molecules such as nucleic acid, proteins, peptide, anticancer drugs and other agents that have less bioavailability, low solubility profile, rapid clearance, high toxicity, rapid elimination from body, side effects and adverse effects. Therefore,
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there is a huge require to develop delivery methods and also drug delivery carriers, that will convey needful and effective delivery for therapeutic agent or drugs. Drug delivery systems (DDS) are proficient in design and bioavailability of drugs, control and sustained release of drug delivery and also capable to maintain the drug intact transport to the specific site while avoid the
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non diseased mass tissues.
The main objectives of DDS are to achieve the best therapeutic effect, reduce the dose, use
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suitable dose and mode of administration, reduce the side effects and enhance the solubility and bioavailability of drug or drug molecules.
The main component of cellular membrane, Phospholipids have the following characteristics: •
Self assembly amphiphilicity structure: Phospholipids self - assembly generates different super molecular structures, when it mixes with aqueous media which are dependent on their specific properties and conditions.
Excellent biocompatibility: Phospholipids are compatible with drug or phyto-compound
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which can be employed as the drug carriers (Cullis et al., 1979). •
Emulsifying: Phospholipids have good emulsifying property which can stabilize the emulsions (Yang et al., 2013).
Wetting characteristics: As surface-active wetting agents, Phospholipids can enhance the
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hydrophility of hydrophobic drugs through the surface coat of crystals.
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Phospholipids based DDS have promising better and significant effects to deliver of drugs and provide appropriate systematic drug delivery. Doxil® (Allen et al., 2013), Cleviprex® (Hippalgaonkar et al., 2010), Valium® (Rupp et al., 2010) and Silybin Phytosome™ (Bhattacharya, 2009) are some phospholipids formulation, which have been used in clinic, hospital and market and achieved excellent significant effects. The phospholipids have the following advantages and disadvantages that described as: Advantages: •
Marked enhancement of bioavailability of drug
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Reduce the dose of drug
•
Increases the Entrapment efficiency through conjugation with drug to form vesicles
•
Increases the stability profile by forming of chemical bonds between drug and lipid
•
Phospholipids have significantly greater clinical benefit
•
Enhanced the ability of drug to cross cell membranes and enter cells
•
Decreases the adverse or toxic effects
•
Improved patient compliance
Rapidly eliminated form body
•
Lead to hemolysis after iv injection
Structure of phospholipids
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2.
•
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Disadvantages:
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Phospholipids are a lipid class molecule, which are a key component of all cell membranes. Phospholipids have amphiphilic characteristic so it can form lipid bilayers. In the structure of Phospholipids molecules, consists of two hydrophobic fatty acid "tails" and a hydrophilic phosphate "head", joined together by an alcohol or glycerol molecule. The 'head' is
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hydrophilic (attracted to water) that contains the negatively charged phosphate group and glycerol while the hydrophobic 'tails' consists of 2 long fatty acid chains which are repelled by water and are forced to aggregate. When placed in water, phospholipids form a variety of structures depending on the specific properties of the phospholipids. These specific properties
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allow phospholipids to play an important role in the lipid bilayer. In biological systems, the phospholipids often occur with other molecules (e.g., proteins, glycolipids, sterols) in a bilayer
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such as a cell membrane. Lipid bilayers occur when hydrophobic tails line up against one another, forming a membrane of hydrophilic heads on both sides facing the water. The variation in head and tail groups, aliphatic chains and alcohols leads to the existence of a large range of phospholipids. According to the alcohols contains in the phospholipids, it can be divided into two types as glycerophospholipids and sphingomyelins. 2.1. Glycerophospholipids (GP) Glycerol backbone based glycerophospholipids, which are the main phospholipids in eukaryotic cells.
All naturally occurring glycerophospholipids have α - structure and L-
configuration. 5
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According to the head group, length, saturation of hydrophobic side chains, types of bond, number of chains and glycerol backbone, the chemical structure of phospholipids can be classified into different types (Table 1) (Baer et al., 1961; Paltauf et al., 1990; Stafford et al.,
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1987). Table 1: Different types of Phospholipids Sub
Phospholipids
Types
Co-type
Other types
Glycero
Phosphatidyl-
1,2-Dilauroyl-sn-glycero-3-phosphocholine
phospholipids
choline
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Types of
% Contribution 45-55
(DLPC)
(PC)
1,2-Dimyristoyl-sn-glycero-3-phosphocholine (DMPC)
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1,2-Dipalmitoyl-sn-glycero-3-phosphocholine (DPPC) 1,2-Distearoyl-sn-glycero-3-phosphocholine (DSPC) 1,2-Dioleoyl-sn-glycero-3-phosphocholine (DOPC)
Phosphatidyl ethanolamine (PE)
1,2-Dimyristoyl-sn-glycero-3-phosphoethanolamine
15-25
(DMPE)
1,2-Dipalmitoyl-sn-glycero-3-phosphoethanolamine
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1,2-Distearoyl-sn-glycero-3- phosphoethanolamine (DSPE)
1,2-Dioleoyl-sn-glycero-3-phosphoethanolamine
Phosphatidic acid (PA)
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Variation in the head group
(DPPE)
Phosphatidyl
(DOPE)
1,2-Dimyristoyl-sn-glycero-3-phosphate (DMPA) 1,2-Dipalmitoyl-sn-glycero-3-phosphate (DPPA) 1,2-Distearoyl-sn-glycero-3-phosphate (DSPA) -
5-10
-
10-15
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serine (PS)
Phosphatidyl inositol (PI)
Phosphatidyl glycerol (PG)
2-Dimyristoyl-sn-glycero-3-phosphoglycerol (DMPG) 1,2-Dipalmitoyl-sn-glycero-3-phosphoglycerol (DPPG) 1,2-Distearoyl-sn-glycero-3-phosphoglycerol (DSPG) 1,palmitoyl-2-oleoyl-sn-glycero-3-phosphoglycerol (POPG)
Cardiolipin (CL)
-
-
6
moieties
the polar
groups
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Plasmalogen
-
-
Lyso
-
-
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chains
aliphatic
-
Distearoyl
5-10
phospholipids
phospholipids
Glyco Sphingolipids
Sterols
-
Distearoyl
Sphingomyelin
-
-
Cholesterol
-
2.2. Sphingomyelins (SM)
-
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Sphingo
-
Dimyristoyl,
Dioleoyl, aliphatic
length of saturation of
in the the
Dipalmitoyl,
bonding number of
The
Type of
Variation in
Variation
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2-5
-
10-20
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Sphingosine backbone based sphingomyelins are the main component of animal cell membranes and play an important role in the formation of lipid bilayers. Even though, phosphatidylcholine and sphingomyelin are very similar in their molecular structure but still have several differences that described as in Table 2.
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Table 2: Differences between Sphingomyelin and Phosphatidylcholine Sphingomyelin (SM)
Phosphatidylcholine (PC)
Backbone
Sphingosine
Glycerol
Contains molecule
0.1- 0.35 cis-double bonds in
1.1 - 1.5 cis-double bonds
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Properties
Saturation of hydrophobic
amide-linked acyl chains Higher
Less
More than 20, asymmetric
16 – 18, symmetric molecules
regions
Length of Chains
molecules Forming of bond
Intermolecular
Intermolecular
and Intramolecular hydrogen
hydrogen bonds
bonds
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30 – 45oC
30 – 40oC
Interaction with
Higher Compressibility and lower
Lower Compressibility and
steroid(cholesterol) nucleus
permeability to water
higher permeability to water
Range of phase transition
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temperature (Tc)
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Structure
3. Source of phospholipids
The different sources of phospholipids have the variation in their chemical structure
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based on their category, such as natural phospholipids (soyabean phosphatidylcholine, egg phosphatidylcholine) and synthetic phospholipids (synthetic phosphatidylcholine, hydrogenated phosphatidylcholine) that are frequently used in different types of formulations. The different varieties of Phospholipids have offered various options to select suitable phospholipids according to the drug properties and actions to achieve better therapeutic effects and to design of
3.1. Natural phospholipids
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DDS. The main sources of phospholipids are described below:
Choline component contains lecithin is a good example of natural phospholipids. The definition of lecithin has defined by various literatures in different words such as: From a business perspective, “lecithin” mainly includes glyceropholipids, triglycerides,
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fatty acids and carbohydrates. From a historical point of view, “lecithin” refers to as lipids containing phosphorus
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isolated from eggs and brains.
•
From a scientific point of view, “lecithin” refers to PC.
Phospholipids are widely distributed in animals and plants and the main sources for the production of phospholipids are vegetable oils (soybean, cotton seed, corn, sunflower and rapeseed) and animal tissues (egg yolk and bovine brain). Hence, some differences between soybean and egg yolk are shown in Table 3.
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Table 3: Differences between soybean and egg yolk Properties
Soybean
Egg yolk
Amount of PC
Less
Higher
Long chain polyunsaturated fatty acids
Arachidonic acid (AA) and
of n-6 and n-3 series
docosahexaenoic acid (DHA)
docosahexaenoic acid
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are absent
Arachidonic acid (AA) and
(DHA) are present
characteristic of SM
Absent
Present
Saturation level
Less
Oxidative stability
Not good
At sn-1 and sn-2 position
Only, unsaturated fatty acid
Higher Better
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Saturated and unsaturated
at both position
fatty acid
From animals and plants, Phospholipids can be isolated and purified for food and pharmaceutical
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grade purpose like lipoid E80 that contains PC, PE, lysophosphatidylcholine (LPC), lysophosphatidylethanolamine (LPE), SM and trace amounts of triglycerides, cholesterol, fatty acid and water. The isolation and purification cost of phospholipids from natural sources are always less than as compare to synthetic or semi-synthetic methods. 3.2. Synthetic phospholipids
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The synthesis of phospholipids can be divided into semi-synthesis and total synthesis because isolation and purification techniques cannot get any single molecule of natural phospholipids and also, researchers focus on synthetic phospholipids with defined structure and configuration. In semi-synthesis method (eg. Glycerophospholipids, Sphingomelins), require less
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reaction steps as compare to the total synthetic method (eg. Sphingomelins).The semi-synthetic methods of glycerophospholipids mainly include three different steps to obtain phospholipids
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that shown in Fig. 1 and the total synthesis methods of glycerophospholipids are shown in Fig. 2.
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Fig 1.Semi-synthetic methods of glycerophospholipids
Fig 2.Total synthetic methods of glycerophospholipids According to the uses and properties, the phospholipids have to be used to prepare the pharmaceutical formulations. For example, the content of unsaturated fatty acids in soybean
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phospholipids is higher than that in egg yolk phospholipids. Therefore, it is difficult to obtain quality controlled pharmaceutical product using soybean lecithin. There are some differences
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between natural and synthetic sources of phospholipids that are shown in Table 4. Table 4: Differences between natural and synthetic phospholipids
Properties
Natural Phospholipids
Synthetic Phosphlipids
Stability
Unstable
Relatively stable
Purity
Less and difficult to control
High
Price
Low
High
4. Properties of phospholipids Phospholipids have the various properties such as amphiphilicity, wettability, emulsifier, stabilizer, solubilizer but it described as in specific categories: 10
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4.1. Physiological properties Phospholipids are commonly circulated in human beings, animals, plants and it is a vital substance of all cellular and sub-cellular membranes for assemble so on these basis phospholipids requires essentially for the body to retain life cycle and activity continue and also
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to arrange bilayer membranes. Phospholipids have the property of assemble of membranes and transport of lipoproteins like lipophilic triglycerides and cholesterols by hydrophilic blood. Human beings are using phospholipids as emulsifiers that form mixed micelles with cholesterol and bile acids in the gallbladder to promote the absorption of fat soluble substances and also
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using as the surface active wetting agents in the lung, pericardium, joints, etc (Kidd, 2002). The various types of phospholipids have some different properties as shown in Table 5 (Little et al.,
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1985; Dowhan et al., 2002; Pepeu et al., 1996, Lentz et al. 2003; Bansal et al., 1990; Hoch, 1992; Chiu et al., 2003).
Table 5: Different properties of phospholipids Phospho-
Structure
Polymorphic
lipids
Bilayer
Hexagonal
Cylinder
PI
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PS
Synthesize of the neurotransmitter
acetylcholine, nourishing the brain and improving intelligence.
Cone
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Functions
phase
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PC
Shapes
Membrane fusion.
Improving function of nerve cells, Bilayer and
Cylinder and
regulating the conduction of nerve
Hexagonal
Cone
impulse, enhancing the memoryfunction of brain and involved in the clotting process.
Bilayer
Cylinder
Processing the transmission of messages in neural system.
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Plays an important role in mitochondrial CL
Bilayer and
Cylinder and
bioenergetics by affecting the activity of
Hexagonal
Cone
key proteins of mitochondrial inner membrane.
SM
Bilayer
Cylinder
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Key components of the stable, detergentresistant nanodomains in membranes, protein transport and sorting of membrane components.
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4.2. Physical properties
Phospholipids are soluble in aqueous and oily mediums because having a polar and non-polar portion in their structures and also have amphipathic molecules that can form various types of
phospholipids
like
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assemblies like micelles, liposomes, phytosomes and hexagonal (HII) phase. Glycerol based phosphatidylcholine,
phosphatidylinositol,
phosphatidylethanolamine,
phosphatidylserine, cardiolipin and Sphingolipids are the major component of the mammalian cell membrane for lipid fraction. 4.3. Biological properties
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After oral administration, the soya phospholipids have more than 90% absorption rate and peak plasma concentration about 6 h. In phospholipids, mainly phosphatidylcholine have used as incorporator in cell membrane for replacement of cellular phospholipids and alter the fluidity of the membrane. The essential or soya phospholipids have shown to be hepatoprotective in nature
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and prevent liver damage by alcohol, drugs and other toxins (Gundermann et al., 2011). They have also been reported to aid in clearance of serum cholesterol and increase circulating HDL levels in plasma [Cohn et al., 2008]. The presence of proportionally larger amounts of poly-
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unsaturated fatty acids in soy phospholipids makes it potentially useful in reducing the risk of coronary heart disease. Essential phospholipids have also shown to possess antilipemic and antiatherogenic effects by impeding the upsurge of total lipids in dietetic hypercholesterolemia in therapeutic as well as prophylactic doses (Leuschner et al., 1976). Dietary phospholipids also have some significant medicinal effects.
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5. Applications of phospholipids The application of phospholipids have widely used in drug delivery system in the form of liposome, phytosome, ethosome and other nano formulations of different administration route drugs like oral, topical and parenteral for the improvement of bioavailability, reduction of
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toxicity, increased the penetration, alter the release profiles. Phospholipids have also used in pharmaceutical formulations for better stability profile, good entrapment efficiency. The applications of phospholipids are described as: 5.1. In Food Technology
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Phospholipids have the property of emulsifier that enables oils to form colloid with water. Phospholipids are one of the major components of lecithin which is found in egg yolks, as well
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as being extracted from soy beans and is used as a food additive in many products and can be purchased as a dietary supplement. Lyso lecithin is typically used for w/o emulsions like margarine due to their higher HLB ratio. 5.2. In Human Body
Phospholipids are the building blocker of cellular membrane that enclose all living matter within a cell and play a vital role for healthy cellular and body functions. The human body
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naturally produces phospholipids that help as a dietary source and booster for body energy. Phospholipids are generally and most of times found in lecithin containing foods such as egg yolks, wheat germ, soy milk, lightly cooked meats and in some vegetable oils. 5.3. In Signal Transduction
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Some types of phospholipid can be used to produce products that function as secondary messengers in signal transduction. Examples include phosphatidylinositol (4,5) bisphosphate
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(PIP2), that can be split by the enzyme Phospholipase C into inositol triphosphate (IP3) and diacylglycerol (DAG), which both carry out the functions of the Gq type of G protein in response to various stimuli and intervene in various processes from long term depression in neurons to leukocyte signal pathways started by chemokine receptors. Phospholipids also interfere in prostaglandin signal pathways as the raw material used by lipase enzymes to produce the prostaglandin precursors. In plants they serve as the raw material to produce jasmonic acid, a plant hormone similar in structure to prostaglandins that mediates defensive responses against pathogens. 5.4. In Drug Delivery Systems 13
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Phospholipids based formulations in the drug delivery system can completely alter the absorption of active ingredients through the following mechanisms (Alexander et al., 2016) Modification of drug release
•
Enhance the bioavailability
•
Modification of the composition and hence the character of the intestinal location
•
Motivation of the lymphatic transport
•
Reduction of drug induced side effects
•
Modification of transdermal permeation.
•
Used as solubilizers, surfactants, antioxidants, permeation enhancer, release modifiers,
Act as carrier for various drug delivery systems.
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coating agent.
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The applications of phospholipids in the drug delivery systems are described as: (Fig. 3)
Fig 3.Different applications of phospholipids in DDS
5.4.1 Liposomes
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Liposomes are the biodegradable and biocompatible nanovesicles that have the similar structure as cellular membrane, prepared with one or more bilayers of phospholipids. As a DDS, liposomes have many advantages as follows: Delivering both hydrophilic and lipophilic drugs (Fig. 4)
•
Possessing targeting,
•
Controlled release properties,
•
Cell affinity and tissue compatibility,
•
Reducing drug toxicity and
•
Improving drug stability.
•
Liposomes can serve as the carriers of antitumor drugs, antifungal drugs, analgesic drugs,
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gene therapeutics and vaccines.
Fig 4.Structure of liposome
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During the researches, the different types of liposomes like stimuli – responsive liposomes, long – circulating liposomes, cationic liposomes and ligand – targeted liposomes have seen. The
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various examples of liposome formulations by using phospholipids are shown in Table 6. Table 6: Examples of liposome formulations by using phospholipids
Bioactive
Phospholipids
Polymers/ Others
Applications
References
Soyabean lecithin
Cholesterol
Drug target
(Cauchetier et
drug/ingredient Atovaquone
Palmityl-D-
Dipalmitoylphosphatidyl
glucuronide
choline (DPPC),
(PGlcUA)
al., 1999) Polyethylene glycol, Cholesterol
Tumour Target
(Oku'ii et al., 1996)
Dipalmitoylphosphatidyl glycerol(DPPG),
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Distearoylphosphatidyl ethanolamine (DSPE) -
1,2-dipalmitoyl-sn-glycero-3phospho choline (DPPC), 1,2-bis-[(2E, 4E)-octadeca-
Cholesterol (Chol)
Target drug
(Akama et al.,
and stearic acid
delivery
2000)
(SA)
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dienoyl]-sn-glycero-3phospho-choline (DODPC), 1-Acyl-2-[(2E,4E) octadecadienoyl]-sn-glycero-
Lyso-L-α-phosphatidyl choline -
1-palmitoyl-2-oleyl-sn-
(POPC) Atractylone
Cholesterol
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glycero-3-phosphocholine
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3-phospho-choline (AODPC),
Phosphatidylcholine (PC)
Cholesterol,
-
-
Poloxamer l88,
(Wiedmer et al., 2002)
(Zhen et al., 2011)
Tween 80,
Deoxycholic acid sodium (DAS)
Asolectin (L-α-
monophosphate
phosphatidylcholin)
Doxorubicin
Tropicamide
L-Asparaginase
CHAPS
-
(Nordmeier et al., 1992)
N-Trimethyl
Tumor
(Xian et al.,
Chitosan,
Vasculature-
2011)
cholesterol
Targeted
Egg phosphatidylcholine
Cholesterol
Gastric And
(Soehngen et
(EPC)
hemisuccinate-Tris
Intestinal
al., 1988)
salt (CHS),
Ulceration
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Indomethacin
Lecithin
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(cGMP )-
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Cyclic guanosine
Polyethylene glycol400 (PEG-400) and methylcellulose
Phospholipon 90 and
Stearylamine and
Phospholipon 90H
cholesterol
Soya lecithin
Cholesterol, Stearylamine and
Ocular delivery
(Nagarsenker et al., 1999)
Cytotoxicity
(De et al., 2012)
Dicetyl phosphate
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Soya lecithin
Clotrimazole
Cholesterol (CHOL)
Egg phospholipids (ES)
Ketoconazole
Soya lecithin
Topical
(Patel et al.,
Delivery
2010)
Cholesterol and
In vitro mucosa
(Ning et al.,
Dicetyl phosphate
permeability
2005)
(DCP)
study
Cholesterol
-
(Patel et al.,
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Tacrolimus
2009)
Pilocarpine Nitrate
Phosphatidylcholine
Cholesterol, dicetylphosphate, stearylamine
Soya lecithin
Cholesterol
-
(Murthy et al., 2015)
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5.4.2. Lipid emulsion
(Rathod et al., 2010)
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Mupirocin
-
Phospholipids have used as an emulsifier or zwitter ionic surfactant for the preparation of o/w type of injectable emulsion. The injectable emulsions are mainly composed from oil core and emulsifier on the surface that holds many more advantages like reduce the drug toxicity, target the sites for better and quick effects. The intravenous emulsions have also a long term stability profile that are suitable and useful for the large – scale industrial production of lipophilic drugs.
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The various examples of lipid formulations by using phospholipids are shown in Table 7. Table 7: Examples of Lipid formulations by using phospholipids Bioactive drug/ingredient Clarithromycin
Phospholipids
Polymers/ Others
Applications
References
Egg phospholipid (E
-
Irritation study
(Hao et al.,
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80), Soyabean
2007)
phospholipid (SPC) -
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Propofol
Etoposide
Soybean lecithin
Poloxamer 188,
In vivo toxicity
(Cho et al.,
poloxamer 407,
and anesthetic
2010)
polyethylene
activity
glycol 660 hydroxystearate Tween-80
Anti-tumor
(Chen et al.,
activity
2010)
Plutonic F-
Anti-tumor
(Yu et al.,
68 (F-68)
activity
2008)
(VP-16) Brucea javanica oil (BJO) and Coix seed
Egg phospholipid (E80)
oil (CSO)
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5.4.3. Permeation enhancer Phospholipids are the main component of cell membranes in the epidermis. Phospholipids have the property of liquid crystalline state at body temperature which can alter and fluidize the structure of barrier layer of membrane, resulting in an improved permeability of
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bioactive. 5.4.4. Solubility enhancer
The amphiphilic nature of phospholipids has the facility to increase the solubility of poorly aqueous soluble drug(s) or bioactive through the formation of complex or micelles or cell
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like structure. 5.4.5. Emulsion stabilizer
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Phospholipids have the ability to emulsify oils and lipophilic drugs to form water-in-oil
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or oil-in-water emulsions as shown in Fig. 5 (A) & (B).
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Fig 5.Structures of (A) conventional emulsion, (B) PEGylated emulsion 5.4.6. Solid dispersion
The various phospholipids and its derivative such as phosphatidylcholine (PC),
dipalmitoylphosphatidylcholine (DPPC) and dimyristoylphosphatidylcholine (DMPC) have been used to enhance the dissolution rate and bioavailability of poorly aqueous soluble drugs. In some cases, several phospholipids have used as a potential carrier for rapid dissolution of solid formulation. The various examples of solid dispersion formulations by using phospholipids are shown in Table 8.
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Table 8: Examples of solid dispersion formulations by using phospholipids Bioactive
Phospholipids
Polymers/ Others
Applications
References
drug/ingredient Terbinafine
-
PEG 6000,Mannitol
Antifungal
al., 2013) Polyvinyl pyrrolidone
Enhanced
(Kanaze et
Naringenin,
(PVP), polyethylene
dissolution
al., 2006)
hesperetin
glycol (PEG)
Enhanced
(Sharma et
dissolution
al., 2010)
Carvedilol
-
Itraconazole
-
Rutaecarpine
-
Aloe-Emodin
-
PVP K30
Polysorbate 80
PVP K30
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-
Hepatic disease
(Parka et al.,
treatment
2007)
Antihypertensive
(Dinga et al.,
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Naringin, hesperidin,
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Hydrochloride
(Debnath et
Polyethylene glycol 6000
2008)
Enhancement of
(Duan et al.,
Dissolution and Oral
2009)
Bioavailability
ER-34122 (5-{[1, 5-
-
bis(4-methoxy
benzamide) Curcumin
(Ikou et al., 2002)
methylcellulose (MC),
TE D
methyl}-2-chloro
Anti – inflammatory
cellulose,
phenyl)pyrazol3-yl]dimethoxy
Hydroxypropylmethyl
hydroxypropylmethyl cellulose phthalate
-
Hydroxypropylcellulose
Improved Oral
(Onoue et al.,
Bioavailability
2010)
Hydroxypropyl
Inflammatory
(Onoue et al.,
cellulose SL (HPC-SL), o-
Diseases Treatment
2011)
AC C
EP
SL (HPC-SL),
hydroxypropyl methyl cellulose acetate succinate (HPMC-AS), dimethyl sulfoxide (DMSO), dioxane, Polyethylene glycol 400 (PEG400), sodium dodecyl sulfate (SDS), and Tween-80
Tranilast
-
phenylenediamine (OPD), sodium dodecyl
19
ACCEPTED MANUSCRIPT
sulfate (SDS), and Triton X100 Ketoconazole
-
polyvinlypyrrolidone 17
Improvement of In
(Kanaujia et
(PVP 17),
Vitro Dissolution
al., 2011)
VA64) Phenytoin
-
Nitrendipine
-
RI PT
PVP–vinyl acetate (PVP–
Polyethylene Glycol
Improvement of the
(Stavchansky
6000
Bioavailability
et al., 1984)
-
(Wang et al.,
Carbopol, HPMCP, sodium
2005)
SC
dodecyl sulfate (SDS)
5.4.7. Lipospheres
M AN U
Lipospheres are the water-dispersible lipid microparticles that composed by single layer of phospholipids and solid lipid matrix stabilization surrounded in the microparticles surface. Lipospheres have the particle size range between 0.2 – 100 µm in diameter. The solid lipospheres can be prepared by multiple microemulsion technique, in which firstly form the primary microemulsion by using amide contained chemical with an aqueous solution then transferred it into an aqueous media of phospholipids. The examples of lipospheres formulation by using
TE D
phospholipids are shown in Table 9.
Table 9: Examples of lipospheres formulation by using phospholipids Bioactive drug/ingredient
Polymers/Others
Egg phosphatidyl
Polyoxyethylene
Improvement
sorbitan monoolate
Bioavailability
EP
Cyclosporin
Phospholipids
AC C
Choline
Pilocarpine
Bupivacaine
Egg lecithin
Applications
References
of
(Bekerman et al., 2004)
(Tween 80), Sorbitan monooleate (Span 80) Stearic acid
Improvement
of
lipophilicity
(Cavalli et al., 1995)
Dimyristoyl
Tristearin (TS),
Improvement of
(Toongsuwan
phosphatidyl
Tricaprin (TC), trilaurin
gelation time
et al., 2004)
Choline (DMPC),
(TL), triarachidin (TA),
Dipalmitoyl
carboxymethyl
phosphatidyl
cellulose (CMC)
Choline (DPPC) and Distearoyl
20
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phosphatidyl Choline (DSPC) Carbamazepine
Precifac
Span 20,Tween 20,
Improvement of
(Barakat et
Poloxamer
Bioavailability
al., 2006)
Topical
(Bhatia et al.,
(pluronic F-68) Lecithin
Tween 80
RI PT
Benzocaine
2007)
Aceclofenac
L-α-
Tristearin
Topical Delivery
Phosphatidylcholine,
2007)
2016)
Improvement of
(Chopparau
Phospholipin 80H,
(Tyloxapol)
Bioavailability
et al., 2013)
Cetostearyl alcohol
Improvement of
(Pandit et al.,
(CSA), Poloxamer 407
Bioavailability
2009)
Ceftriaxone sodium
Improvement of
(Attama et
(Avicel), sorbitol
drug lipophilicity
al., 2009)
Dika wax,
Activated
Improvement of
(Brown et al.,
Phospholipon 90G
charcoal, Sorbitol
Bioavailability
2013)
Bees wax, paraffin wax
Tween 80
Improvement of
(Khulbe et
Bioavailability
al., 2012)
-
Phospholipon 90H
TE D
Vinpocetine
(Singh et al.,
Triton WR 1339
Lercanidipine
Piroxicam
Oral Delivery
Phospholipon 90H,
soy lecithin
Ceftriaxone sodium
-
M AN U
Fenofibrate
Phosphatidylcholine
SC
Soybean lecithin Rifampicin
(Nasr et al.,
EP
5.4.8. Solid lipid nanoparticles (SLN)
Solid lipid nanoparticles are sub – micron sized colloidal carrier for the emulsions,
AC C
liposomes, polymeric nanoparticles in the drug delivery system that composed of physiological lipid and dispersed system like water or an aqueous surfactant solution. Solid lipid nanoparticles have unique properties such as small size (10 – 1000nm), large surface area, high drug loading and the interaction of phases at the interfaces. SLNs have also used as a carrier for intravenous applications and in pharmaceuticals and neutraceuticals. The various examples of solid lipid nanoparticle formulations by using phospholipids are shown in Table 10.
21
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Table 10: Examples of solid lipid nanoparticle formulations by using phospholipids Bioactive
Phospholipids
Polymers/ Others
Applications
References
Soy isoflavone
Softisan 601,
Topical
(Deshmukh et
aglycones
Tefose 63
Glycerol
Pluronic- F68 (PL-F68),
drug/ingredient
Repaglinide
monostearate,
sodium lauryl sulphate
tristearin, Soya
(SLS), sodium carboxy
lecithin
al., 2013)
methylcellulose (NaCMC)
Improve the
2011)
SC
Heparin, dimethylsulfoxide
HIV /AIDS
(Alukda et
albumin(BSA),
(DMSO)
Prevention
al., 2011)
Proteolysis,
(Qi et al.,
protection of
2012)
(PLL) Soybean phosphatidyl choline
Poloxamer 188
Trimyristin (TM)
TE D
Egg phosphatidyl
M AN U
hydrochloride)
Paclitaxel
(Rawat et al.,
Bovine serum
poly(L-Lysine
Tripalmitin (TP)
Cytotoxicity,
bioavailability
F68 Tenofovir
RI PT
-
functional food Enzyme Cytotoxicity
choline and
(Lee et al., 2007)
pegylated
phospholipid
Monostearin
AC C
Gonadorelin,
Cetyl palmitate
EP
Meloxicam
n-dodecyl-ferulate
®
Precifac ATO5, ®
Dynasan 114,
Propylene glycol(PG), tween
Skin permeation
(Khurana et
80, polyethylene glycol 400
and deposition
al., 2013)
(PEG 400), Carbopol 940 Polyvinyl alcohol(PVA)
Prolong release
(Hu et al., 2004)
®
TegoCare 450, Miranol
®
Improvement of
(Souto et al.,
®
bioavailability
2005)
Improving the
(Venishetty et
bioavailability
al., 2007)
Ultra C32 and Tyloxapol
®
Softisan 154
Nitrendipine
Tripalmitin,
Poloxamer 188
glyceryl mono stearate and cetyl palmitate Curcuminoids
Glyceryl
Poloxamer 188, Arlacel 165,
Improving the
(Tiyabooncha
monostearate
Dioctyl sodium
bioavailability
i et al., 2007)
22
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(GMS),
sulfosuccinate (AOT)
Stearic acid Insulin
Soybean
Sodium cholate (SC),
Improve the
(Liu et al.,
phosphatidyl
poloxamer 188
liposolubility
2007)
Poloxamer 188 (F68)
Cytotoxicity
(You et al.,
Vinorelbine bitartrate
Glyceryl
2007)
monostearate (GMS), lecithin E80 and
Glyceryl
Sodium cholate
monostearate
Stearic acid, soybean phosphatidyl choline (SPC) Penciclovir
Egg-phosphatidyl choline (EPC)
Ketoprofen
Beeswax, carnauba
Poloxamer 188, Brij 78,
Tween 80
2008)
Topical delivery
(Lv et al.,
Phospholipon R 80H
2009) Improvement of
(Kheradmand
drug release
nia et al., 2010)
Clobetasol, Polyvinyl alcohol
EP
Carbamazepine
TE D
propionate
Monostearin
delivery
Tween 80, Tween 20
wax, egg lecithin
Clobetasol
(Liu et al.,
M AN U
(GMS),
Pulmonary
SC
oleic acid Insulin
RI PT
choline (SPC)
Chitosan
Prolonged release
(Hu et al.,
and lipophilicity
2002)
Treatment of
(Nair et al.,
Epilepsy
2012)
AC C
5.4.9. Vesicular phospholipids gel
Vesicular phospholipids gels are vesicular type of drug delivery system that prepared by
using high – pressure homogenization technique, where egg phosphatidylcholine (Phospholipids) used as a carrier. The various bioactive drugs such as Vincristine, Cefrorelix, Gemcitabine, 5Fluorouracil were used for the formulation of vesicular phospholipid gels to improve better entrapment efficiency as shown in Table 11.
23
ACCEPTED MANUSCRIPT
Table 11: Examples of vesicular phospholipid gel formulations by using phospholipids Bioactive
Phospholipids
Polymers/ Others
Applications
References
Lecithin
Mannitol, stearic acid,
Topical
(Kurakula et
pharmacotherapy
al., 2012)
Prednisolone
Cholesterol Erythropoietin
Egg lecithin (E 80)
(EPO)
Trifluoroacetic acid
Improvement of
(Tian et al.,
(TFA), Triton X-100,
drug release profile
2010)
Polysorbate 80 (Tween 80), Octyl β-
Hydrogenated soy
Cholesterol
phosphatidyl choline
Vincristine
Hydrogenated egg phosphatidyl choline (EPC-3)
Exenatide acetate
Phosphatidyl choline (PC) Phospholipon 90
hydrochloride
H/ 80 H,
Cholesterol (Chol)
EDTA-Na
(Kaiser et al.,
Treatment
2003)
Antitumor activity
(Gˇthlein et al., 2002)
Type II diabetes
(Zhang et al., 2015)
Spans (Span 40),
Skin permeation and
(Rita et al.,
Tweens (Tween 20 &
skin deposition
2012)
TE D
Hydroxyzine
Anticancer
M AN U
(HSPC)
SC
D-glucopyranoside 5-Fluorouracil
RI PT
drug/ingredient
soyaphosphotidyl
Tween 60), propylene
choline 70
glycol, cholesterol
Leuprolide
Soya phosphatidyl
Medium chain tri-
Sustained release
(Longa et al.,
acetaterrh
choline (SPC)
glyceride (MCT),
delivery
2016)
AC C
5.4.10. Ethosomes
EP
ethanol
Ethosomes are phospholipid based non-invasive nanocarrier that have the ability to
penetrate the stratum corneum and enable the bioactive ingredients to reach the deep skin layer or systematic circulation. In ethsosomes, contains a high concentration of ethanol that makes it unique, stable and higher transdermal flux drug delivery carrier for skins (Fig. 6). Ethanol has an efficient permeation enhancer property that has used for the preparation of elastic ethosomes/ nanovesicles that shown in Table 12. The structural difference between ethosome, noisome, transferosome and liposome are shown in Fig. 7.
24
SC
RI PT
ACCEPTED MANUSCRIPT
TE D
M AN U
Fig 6. Structure of ethosomes
EP
Fig 7: Structural difference between (A) liposomes, (B) ethosomes, (C) niosomes and (D) transferosomes
AC C
Table 12: Examples of ethosome formulations by using phospholipids Bioactive
Phospholipids
Polymers/ Others
Applications
References
Soya lecithin
-
Topical delivery
(Barupal et
drug/ingredient Aceclofenac
Clotrimazole
-
al., 2010)
Soya Lecithin
-
Carbopol
Improvement of
(Parmar et al.,
bioavailability
2016)
Decyltrimethyl ammonium
Dermal drug
(Liu et al.,
bromide (DeTMAB),
delivery
2012)
sodium
25
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dodecylsulfate(SDS), cholesterol, Ethanol Lipoid S 100-
6GO or 5-FU
Matrine
Skin and
(Zhang et al.,
phosphatidyl
hypertrophic scar
2012)
choline (PC)
tissue
Soybean lecithin
Ethanol
Cholesterol, Ethanol
or Methylnicotinate Diclofenac sodium,
Soya phosphatidyl
Carbopol, cholesterol,
choline
Phospholipon 90
Potassium Isotretinoin
Ethanol, chloroform, methanol
Soy lecithin (Lipamin PC 50)
Lamivudine
Cholesterol, Ethanol
soyaphosphatidyl choline
permeation
al., 2009)
Transdermal
(Jain et al.,
Application
2016)
Percutaneous
(Keyao et al.,
penetration
2011)
Skin permeation
(Vijayakumar
SC
Diclofanac
Soybean lecithin
(Zhaowu et
Ethanol, propylene glycol
Topical delivery
M AN U
Simvastatin
Percutaneous
RI PT
Rhodamine
et al., 2010) (David et al., 2013)
Ethanol, Cholesterol,
Transdermal
(Jain et al.,
Sephadex-G-50,
Delivery
2007)
Carbopol 930,
Transdermal
(Bhale et al.,
pluronic F127
Delivery
2013)
Ethanol
Transdermal
(Kumar et al.,
Delivery
2016)
Ethanol, Propylene glycol,
Transdermal
(Sujitha et al.,
Carbopol 934
Delivery
2014)
Ethanol, Carbopol 934
Transdermal
(Vijayakumar
Delivery
et al., 2014)
Triton-X 100
Piroxicam
Gliclazide
Phospholipon 90
Soya lecithin
AC C
5.4.11. Phytosomes
Soya lecithin
TE D
Econazole Nitrate
Soya lecithin
EP
Etodolac
Phyto – phospholipid complex or phytosome are the micelle or cell like novel drug
delivery that formulated by the attachement of herbal extract or active phytoconstituents (flavonoids, terpenoids, tannins, xanthones) to natural or synthetic phospholipids such as phosphatidylcholine, phosphatidylethanolamine, phosphatidylserine in a non-polar solvent. The water soluble drug or phytoconstituents have incorporated into stoichiometric amount of the phospholipids to achieve for better absorption and bioavailability, to cross the lipid membrane, to enter into systemic circulation. Some phytoconstituents such as green tea, hawthorn, grape seed,
26
ACCEPTED MANUSCRIPT
milk thistle, green tea, ginkgo biloba, lawsone, ashwagandha, curcumin marsupsin, olive fruits and leaves, hawthorn, grape seed, milk thistle, green tea, ginseng, Ginkgo biloba and curcumin have been used for the preparation of phyto-phospholipid complex (Fig. 8). The various
M AN U
SC
RI PT
examples of phytosome formulations by using phospholipids are shown in Table 13.
Fig 8.Structure of Phytosomes
Table 13: Examples of phytosome formulations by using phospholipids
Aegle Marmelos (Bael)
Ashwagandha
Soya lecithin
Soya lecithin
Soya lecithin
AC C
Lawsone
Rutin
Polymers/ others
TE D
drug/ingredient
Phospholipids
EP
Bioactive
Phosphatidylcholine
Cholesterol
Applications
References
Anticancer, Antioxidant
(Dhase et al., and
Antiproliferative
Potassium ferric
Antioxidant Activity
cyanide, ferric
(Keerthi et al., 2014)
Chloride -
-
Antifungal Activity,
(Singh et al.,
Anti – inflammatory
2015)
Skin permeation
(Das et al.,
(PC) (Egg lecithin)
Ellagic Acid
2015)
2014)
Lipoid® S 75, Glyceryl
Poloxamer 188,
Anti-tyrosinase
(Tokton et al.,
monostearate (GMS),
Dioctyl sodium
activity, topical
2014)
Lexol, isopropyl
sulfosuccinate
palmitate (IPP),
(AOT),
isopropyl
polyethylene glycol
myristate (IPM)
400 (PEG 400),
application
27
ACCEPTED MANUSCRIPT
Span 80 Boswellia Serrata
-
Cholesterol,
Improvement of
(Sahu et al.,
propylene glycol
bioavailability
2015)
PEG
Targeted Drug
(Li et al.,
Delivery
2014)
Soya bean
(MMC)
phosphatidylcholine
Curcumin
Hydrogenated soy
Ethylene diamine
Hepatoprotective
(Maiti et al.,
phosphatidyl choline
tetra acetic acid
activity, antioxidant
2007)
(HSPC)
(EDTA),
RI PT
Mitomycin C
thiobarbituric acid,
acid, sodium carboxy methyl
SC
trichloroacetic
cellulose, sodium
Insulin
Soyabean phosphatidylcholine (SPC)
5.4.12. Pharmacosomes
M AN U
dodecyl sulphate PLA, PLGA
Hypoglycemic
(Cui et al.,
effect and relative
2006)
bioavailability
TE D
Pharmacosomes are amphiphilic phospholipid complexes that contains phospholipid and both positive and negative charge, water loving and fat loving active ingredient or phytoconstituent.
In pharmacosomes, the lipid and active constituent have conjugated by
electron pair sharing and electrostatic forces or by formation of hydrogen bond with lipid (Fig.
EP
9). Pharmacosomes have been used for various therapeutic applications such as non-steroidal anti-inflammatory drugs, proteins, cardiovascular and antineoplastic and also for the
AC C
improvement of bioavailability and solubility as shown in Table 14.
28
SC
RI PT
ACCEPTED MANUSCRIPT
Fig 9.Structure of Pharmacosome
Table 14: Examples of pharmacosome formulations by using phospholipids Phospholipids
Applications
References
Soya
Improvement of solubility and
(Mali et al.,
bioavailability
2014)
Skin permeation
(Pal et al.,
drug/ingredient Ketoprofen
M AN U
Bioactive
phosphatidylcholine (Lipoid S-80) Rosuvastatin
Soya Lecithin
Improvement of bioavailability
TE D
Soya
Aceclofenac
phosphatidylcholine
2016) (Semalty et al., 2010)
(Lipoid S-80)
Glyceryl monostearate
Improvement of bioavailability
(Han et al., 2010)
Improvement of bioavailability
(Yiguang et al., 2006)
AC C
Acyclovir
Soya Lecithin
EP
Protopanaxadiol
5.4.13. Micelles
Micelles are the collection or supramolecular assembly of surfactant molecules that
dispersed in a liquid colloid. Micelles can be formed by various methods such as hydration, evaporation, solvent evaporation, precipitation, and sonication. Micelles are available in different shapes such as spherical, ellipsoids, cylinders and bilayers. Micelles have the amphiphilic property that contain both polar head group (hydrophilic) and long hydrophobic chain (hydrophobic). The contain part of polar head group of micelles are responsible for the formation
29
ACCEPTED MANUSCRIPT
of outer surface of micelles that shown in Fig. 10. The various examples of micelle formulations
M AN U
SC
RI PT
by using phospholipids are described in Table 15.
Fig 10.Structure of micelle
Table 15: Examples of micelle formulations by using phospholipids Bioactive
Phospholipids
drug/ingredient -
Applications
References
Monomethoxy poly (ethylene
Oral delivery
(Zhang et al.,
TE D
Cyclosporine A
Polymers/Others
glycol)
Povidone
Phosphatidyl
Sodium cholate, PVP K17
choline
-
AC C
EP
Curcumin:
Paclitaxel
Apigenin
Methoxypoly (ethylene
2010) Improvement of
(Zhu et al.,
solubility and
2010)
bioavailability Parenteral
(Song et al.,
delivery
2011)
Monomethoxy poly(ethylene
Sustained drug
(Li et al. 2013)
glycol)
release,
glycol)-b-poly(εcaprolactone-co-pdioxanone) [MPEG-P(CL-coPDO)]
-
Cytotoxicity -
Pluronic F127, Pluronic F68,
Cell toxicity and
(Zhai et al.,
Pluronic P123, Solutol HS 15
sustained drug
2013)
release Docetaxel
-
Chitosan
Oral
(Dou et al.,
administration
2014)
30
ACCEPTED MANUSCRIPT
Paclitaxel
-
Camptothecin
-
Pluronic F127,
Enhanced oral
(Dahmani et
Pluronic P188
bioavailability
al., 2012)
Poly (ethylene glycol)–
Improvement of
(Watanabe et
polybenzyl l-aspartate) block
drug
al., 2006)
copolymer (PEG-PBLA)
incorporation
Capsaicin
Oxaliplatin
RI PT
and circulation Soya bean
PVP-K30, Sodium
Enhanced oral
(Zhu et al.,
lecithin
cholate
bioavailability
2014)
Stearic acid
Chitosan
Liver-targeting
(Yan et al.,
-
®
2014)
Solutol HS15, Pluronic F127
Soya lecithin
Pluronic F 127
(Hou et al.,
release
2016)
Skin irritation
(Agrawal et
activity
al., 2010)
M AN U
Sumatriptan
Enhanced drug
SC
Icariside
6. CONCLUSION
Phospholipids are endogenous and amphiphilic substances or molecules that have different properties and applications in the drug delivery systems, so need to understand their nature, sources, different properties and therapeutic applications. According to the properties, the
TE D
phospholipids has been used to design and formulate the different types of formulation and evaluated by in-vitro and in-vivo. The applications of phospholipids in the drug delivery system are not limited because phospholipids shows the various applications such as
EP
liposomes, phytosomes, pharmacosomes, solid lipid nanoparticles, micells, vasicular gels and others. Phospholipids are also used as excipients in pharmaceutical formulations that deliver the both lipophilic and hydrophilic drugs. In some cases, phospholipids have used as a carrier
AC C
for the improvement of bioavailability, skin penetration and to cross the lipid cell membrane barrier. In this article, the sources, properties and applications are discussed with potential examples and also it will be a good useful molecule or carrier for the various drug delivery systems.
CONFLICT OF INTEREST The authors declared that there are no conflicts of interest.
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AC C
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AC C
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Figures Captions:
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Fig 1. Semi-synthetic methods of glycerophospholipids Fig 2. Total synthetic methods of glycerophospholipids Fig 3. Different applications of phospholipids in DDS Fig 4. Structure of liposome Fig 5. Structures of (A) conventional emulsion, (B) PEGylated emulsion. Fig 6. Structure of ethosome Fig 7. Structural difference between (A) liposomes, (B) ethosomes, (C) niosomes and
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(D) transferosome Fig 8. Structure of Phytosomes
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Fig 9. Structure of Pharmacosome Fig 10. Structure of micelle Table captions:
Table 1: Different types of Phospholipids
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Table 2: Differences between Sphingomyelin and Phosphatidylcholine Table 3: Differences between soybean and egg yolk Table 4: Differences between natural and synthetic phospholipids Table 5: Different properties of phospholipids Table 6: Examples of liposome formulations by using phospholipids
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Table 7: Examples of Lipid formulations by using phospholipids Table 8: Examples of solid dispersion formulations by using phospholipids Table 9: Examples of lipospheres formulation by using phospholipids Table 10: Examples of solid lipid nanoparticle formulations by using phospholipids Table 11: Examples of vesicular phospholipid gel formulations by using phospholipids Table 12: Examples of ethosome formulations by using phospholipids Table 13: Examples of phytosome formulations by using phospholipids Table 14: Examples of pharmacosome formulations by using phospholipids Table 15: Examples of micelle formulations by using phospholipids
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