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Mechanisms by Which Liposomes Improve Inhaled Drug Delivery for Alveolar Diseases
Journal article   Open access   Peer reviewed

Mechanisms by Which Liposomes Improve Inhaled Drug Delivery for Alveolar Diseases

Laura T. Ferguson, Xiaonan Ma, Jacob W. Myerson, Jichuan Wu, Patrick M. Glassman, Marco E. Zamora, Elizabeth D. Hood, Michael Zaleski, Mengwen Shen, Eno-Obong Essien, …
Advanced NanoBiomed Research (Online), v 3(3), 2200106
27 Jan 2023
PMID: 37266328
url
https://doi.org/10.1002/anbr.202200106View
Published, Version of Record (VoR)CC BY V4.0 Open

Abstract

Engineering, Biomedical Materials Science, Biomaterials Nanoscience & Nanotechnology Science & Technology Science & Technology - Other Topics Engineering Materials Science Technology
Diseases of the pulmonary alveolus, such as pulmonary fibrosis, are leading causes of morbidity and mortality, but exceedingly few drugs are developed for them. A major reason for this gap is that after inhalation, drugs are quickly whisked away from alveoli due to their high perfusion. To solve this problem, the mechanisms by which nano-scale drug carriers dramatically improve lung pharmacokinetics using an inhalable liposome formulation containing nintedanib, an antifibrotic for pulmonary fibrosis, are studied. Direct instillation of liposomes in murine lung increases nintedanib's total lung delivery over time by 8000-fold and lung half life by tenfold, compared to oral nintedanib. Counterintuitively, it is shown that pulmonary surfactant neither lyses nor aggregates the liposomes. Instead, each lung compartment (alveolar fluid, alveolar leukocytes, and parenchyma) elutes liposomes over 24 h, likely serving as "drug depots." After deposition in the surfactant layer, liposomes are transferred over 3-6 h to alveolar leukocytes (which take up a surprisingly minor 1-5% of total lung dose instilled) in a nonsaturable fashion. Further, all cell layers of the lung parenchyma take up liposomes. These and other mechanisms elucidated here should guide engineering of future inhaled nanomedicine for alveolar diseases.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Engineering, Biomedical
Materials Science, Biomaterials
Nanoscience & Nanotechnology
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