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. 2021 Aug 19;13(8):1294. doi: 10.3390/pharmaceutics13081294

Table 2.

Lipid nanocarriers description, schematic representation, and main advantages and disadvantages for ARV delivery.

Type of Lipid Nanocarriers Description and Main Characteristics Advantages/Disadvantages for ARV Delivery References
LIPOSOMES
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ETHOSOMES
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  • Aqueous phases in the core and surroundings of synthetic vesicles formed by self-assembly of lipid bilayers.

  • Unilamellar (1 bilayer), oligolamellar (2–4 bilayers), and multilamellar (>4 bilayers) classifications are based on the number of lipid bilayers.

  • Small (100 nm), large (100–500 nm), and giant (>500nm) are the classifications based on their size.

  • Ethosomes are phospholipid-based vesicles with high ethanol content (20–45%).

  • Biocompatible and biodegradable.

  • Administration routes are limited (mainly intranasal and intravenous).

  • Production processes are difficult to scale.

  • Liposomes in their natural state are quickly absorbed by the reticuloendothelial system and cleared from circulation. This property has been used to deliver ARVs to macrophages.

  • The transdermal delivery of ARV is achieved by the incorporation of edge activators (e.g., surfactants, monoolein forming transferosomes) or ethanol (forming ethosomes) in the lipid bilayer.

  • The protection of sensitive therapeutics can be achieved by using antioxidant agents in their composition (e.g., α-tocopherol, forming tocosome).

  • Can encapsulate hydrophilic, hydrophobic, or amphiphilic drugs.

  • Limited hydrophilic drug-loading capacity.

  • Low long-term physical and biological stability, which hinders their use for long-term drug delivery.

[19,53,57,58]
CUBOSOMES
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  • Highly stable structures organized in curved bicontinuous lipid bilayers forming soft 3D honeycomb-like structures.

  • Composed by a continuous periodic bilayer and two non-connected water channels.

  • Main components: glyceryl monooleate/monoolein (GMO) and phytantriol.

  • Incapability to modulate inner pore and channel sizes.

  • Difficult loading of large molecules and difficult scale-up processes.

  • Biocompatible and bioadhesive.

  • Increase drug solubility and bioavailability through a variety of routes, including intranasal delivery to the brain and transdermal delivery.

  • More stable than liposomes.

  • High degree of encapsulation efficiency.

[59,60,61,62,63]
LIPID NANOPARTICLES
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  • Colloidal self-assembled dispersions with a hydrophobic matrix and a surfactant layer that facilitates dispersion in water. At body and room temperatures, lipid nanoparticles are solid.

  • Solid lipid nanoparticles (SLN) are lipid nanoparticles with hydrophobic matrices made up of solid lipids.

  • Nanostructured lipid carriers (NLC) have lipid matrices with solid lipids and liquid lipids (oils).

  • Ease manufacturing and scale-up

  • Low-cost and recognized as safe (GRAS) excipients, and biocompatibility.

  • Greater drug stability and better control over drug-release kinetics than liposomes, cubosomes, and nanoemulsions.

  • In comparison to other nanocarriers, they can entrap a greater amount of lipophilic drugs, but are inadequate for encapsulating hydrophilic and amphiphilic drugs.

  • Good blood stability.

  • Receptor-mediated transcytosis allows lipid nanoparticles to cross the BBB (targeting low-density lipoproteins receptors).

[7,64,65]
LIPID EMULSIONS
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Nanoemulsion O/W
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SNEDDS W/O/W
  • Colloidal systems made of immiscible liquid phases, categorized in water-in-oil (w/o) or oil-in-water (o/w), according to the phase dispersed in the other phase (continuous phase) and stabilized by surfactants.

  • Microemulsions are thermo-dynamically stable dispersions that can be generated with low external energy. The droplet sizes of the dispersed phase are < 1000 nm, typically range between 10 and 200 nm, resulting in optically clear dispersion.

  • Nanoemulsions are thermo-dynamically unstable and require high external energy to be produced. The dispersed phase droplets are < 500 nm typically 100 nm. Over time, nanoemulsions are more prone to instability.

  • Self-emulsifying drug delivery systems (SEDDS) are emulsions that, when gently agitated, form fine oil-in-water droplets without the need for a dissolution process. These include self-micro emulsifying delivery systems (SMEDDS) with droplet sizes < 50 nm; self-nanoemulsifying drug delivery systems (SNEDDS) with droplet sizes of 20 to 200 nm; and solid self-nanoemulsifying oily formulations (S-SNEOF) where the drug is precipitated as a result of the evaporation of the co-solvent.

  • Increase drug oral bioavailability as their droplets preserve the drug from gastrointestinal degradation and can be dispersed quickly in blood and lymph (thereby avoiding the first-pass metabolism), but are also administrated by other routes: topical, and intravenous.

  • Composed by GRAS lipids. However, to stabilize the droplets, high concentrations of surfactants are used, and thus their toxicity and biocompatibility may be compromised.

  • Easy to manufacture and scale up, although the production methods can be expensive.

  • In comparison to liposomes are more stable and provide higher encapsulation efficiency than lipophilic drugs.

  • SNEDDS have higher physicochemical stability than classical nanoemulsions.

  • SNEOFs promote lymphatic absorption by inhibiting first-pass metabolism and P-glycoprotein (P-gp) efflux, resulting in the complete eradication of HIV in lymphatic reservoirs.

[29,66]

Abbreviations: ARV, antiretroviral; BBB, blood-brain barrier; GI, gastrointestinal; GMO, glyceryl monooleate/monoolein; GRAS, generally recognized as safe; HIV, human immunodeficiency virus; NLC, nanostructured lipid carriers; o/w, oil-in-water; P-gp, P-glycoprotein; SEDDS, self-emulsifying drug delivery systems; SLN, solid lipid nanoparticles; SMEDDS, self-micro emulsifying delivery systems; SNEDDS, self-nanoemulsifying drug delivery systems; S-SNEOF, solid self-nanoemulsifying oily formulations; w/o, water-in-oil.