H. Schreier et J. Bouwstra, LIPOSOMES AND NIOSOMES AS TOPICAL DRUG CARRIERS - DERMAL AND TRANSDERMAL DRUG-DELIVERY, Journal of controlled release, 30(1), 1994, pp. 1-15
A critical analysis of (trans)dermal delivery of substances encapsulat
ed within liposomes and liposomes is presented. Topical liposomes or n
iosomes may serve as solubilization matrix, as a local depot for susta
ined release of dermally active compounds, as penetration enhancers, o
r as rate-limiting membrane barrier for the modulation of systemic abs
orption of drugs. The mechanism(s) of vesicle-skin interaction and dru
g delivery are being extensively investigated using radioactive- or fl
uorescence-labeled marker molecules and drugs, and various electron an
d (laser) light microscopic visualization techniques, and different mo
dels describing the interaction with and fate of vesicles in the skin
have been proposed. With the current experimental data base on hand, m
ost investigators agree that direct contact between vesicles and skin
is essential for efficient delivery, although phospholipids per se app
arently do not penetrate into deeper skin layers. Investigators have m
ostly focused on dermal corticosteroid liposome products. However, loc
alized effects of liposome-associated proteins such as superoxide dism
utase, tissue growth factors and interferons appear also to be enhance
d. The delivery of liposome-encapsulated proteins and enzymes into dee
per skin layers has been reported, although the mechanism of delivery
remains to be elucidated. An objective assessment of the performance o
f topical liposome formulations vs. conventional dosage forms is frequ
ently obscured by investigators comparing equal concentrations, rather
than equivalent thermodynamic activities of their respective formulat
ions. We conclude that liposomes and niosomes may become a useful dosa
ge form for a variety of dermally active compounds, specifically due t
o their ability to modulate drug transfer and serve as nontoxic penetr
ation enhancers.