Association of drugs with carriers such as liposomes has marked effect
s on both the pharmacokinetic profiles of the carrier and of the carri
er-associated drug. In general, association of drugs with liposomes de
lays drug absorption, alters and restricts drug biodistribution, decre
ases the volume of distribution, delays clearance and retards drug met
abolism. Surface modification of liposomes by the inclusion of hydroph
ilic components (e.g., carbohydrates, glycolipids or polymers) to form
long-circulating liposomes causes changes in the pharmacokinetic patt
ern seen for unmodified (classical) liposomes. While classical liposom
es have non-linear, saturable kinetics, long-circulating liposomes pos
sess dose-independent, non-saturable, log-linear kinetics. The log-lin
ear kinetics for long-circulating liposomes results from a significant
decrease in the first phase of clearance into a high affinity, low ca
pacity system, probably the cells of the mononuclear phagocyte system.
An understanding of the pharmacokinetics of liposome-associated drugs
is critical to the development of rationale strategies for therapeuti
c applications of long-circulating liposomes.