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. 2021 Nov 12;17(6):1190–1198. doi: 10.4103/1673-5374.327328

Table 1.

Comparison of modified liposomes

Other liposomes Advantage Disadvantage
Immunoliposomes
Liposomes loaded with a drug are conjugated with monoclonal antibody that is set to target specific cells. Selective drug targeting to cancer cells to target tumor specific antigen Induction of immunogenicity
Modification of the exterior of the liposomes increases affinity to the targeted tumor cells and the antibody enhanced the therapeutic index Rapid clearance due to non-specific uptake by the reticuloendothelial system (RES)
Low therapeutic efficiency due to reduced cancer cell penetration because of binding site barrier effect or receptor downregulation
lack of internalization and poor stability while in circulation
Virosomes
Noncovalent combination of a liposome and a fusogenic viral envelope replication Efficient cell binding, internalization and drug release to cytoplasm Toxicity, stability leakiness and Immunogenicity
Efficient intracellular delivery of various drugs, cytotoxic drugs, toxoids, and various antigens
Gene based liposomes
Consist of positive charge liposomes and a DNA or functional gene Suitable for gene delivery Low efficiency gene transfer and expression in vivo as compared to viral vectors
Clearance of cationic liposomes through the endosomes
Overcomes challenges associated with mutagenicity and immunogenicity of virosomes Lack of targeting to a specific tissue
Toxicity of cationic lipids

Information in Table 1 is a summary of the studies from Çağdaş et al. (2014), Onodera et al. (2014), Kuo and Tsao (2017), Elsana et al. (2019), Harilal et al. (2019), and Mourtas et al. (2019).