C. Ouyang et al., LIPOSOMAL CYCLOSPORINE - CHARACTERIZATION OF DRUG INCORPORATION AND INTERBILAYER EXCHANGE, Transplantation, 60(9), 1995, pp. 999-1006
A number of previous studies have examined the application of liposome
s as carriers for the immunosuppressive agent cyclosporine, These stud
ies, however, have generated equivocal results, particularly with rega
rd to the therapeutic properties of such systems, In the present work,
we have characterized cyclosporine incorporation into well defined li
posomes, large unilamellar vesicles, and have examined the stability o
f drug association, Contrary to some earlier reports, we show that onl
y modest levels of cyclosporine can be accommodated in the liposomal m
embrane and that the extent of drug incorporation is greatly reduced a
s the bilayer cholesterol content is increased, Furthermore, we demons
trate that cyclosporine, despite its hydrophobic character, can rapidl
y exchange between vesicles, This raises the possibility that, after i
.v. administration, drug migration to other blood components might neg
ate the potential benefits arising from liposomal delivery, In a compa
nion paper, therefore (Choice et al., Transplantation, 1995, this issu
e), we have followed the pharmacokinetics and biodistribution of lipos
omal cyclosporine in a study that examined the behavior of both the dr
ug and the liposomal carrier.