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    Cholesterol succinyl chitosan anchored liposomes: preparation,

    characterization, physical stability, and drug release behaviorYinsong Wang, MDa,, Shaoli Tu, MSb, Rongshan Li, MSa, XiaoYing Yang, PhDa,

    Lingrong Liu, MDb, Qiqing Zhang, PhDb,c

    aCollege of Pharmacy, Tianjin Medical University, Tianjin, People's Republic of ChinabInstitute of Biomedical Engineering, Chinese Academy of Medical Science, Peking Union Medical College, Tianjin, People's Republic of China

    cResearch Center of Biomedical Engineering Medical School Xiamen University, Xiamen, People's Republic of China

    Received 2 June 2009; accepted 16 September 2009

    Abstract

    The purpose of this study was to prepare cholesterol succinyl chitosan anchored liposomes (CALs) and to investigate theircharacterization, physical stability, and drug release behavior in vitro. Three cholesterol succinyl chitosan (CHCS) conjugates with different

    substitution degrees (DS) of the cholesterol moiety were synthesized and used as the anchoring materials to coating on the liposome surface

    by the incubation method. CALs were almost spherical and had a classic shell-core structure. Compared with plain liposomes and chitosan-

    coated liposomes (CCLs), CALs had larger sizes, higher zeta potentials, and better physical stability after storage at 4 2C and 25 2C.

    Epirubicin, as a model drug, was effectively loaded into CALs and exhibited the more sustained release in both phosphate buffer solution

    (pH 7.4) and 1% (vol/vol) aqueous fetal bovine serum compared to plain liposomes and CCLs.

    From the Clinical Editor: Cholesterol succinyl chitosan anchored liposomes (CAL) as delivery vehicles are characterized in this work,

    including their physical stability and drug release behavior in vitro. Epirubicin as a model drug, was effectively loaded into CALs, and

    exhibited sustained release behavior both in phosphate buffer solution (PBS, pH 7.4) and 1% (V/V) aqueous fetal bovine serum (FBS).

    2010 Elsevier Inc. All rights reserved.

    Key words: Cholesterol succinyl chitosan; Drug carrier; Epirubicin; Polysaccharide anchored liposome

    Liposomes, the lipid bilayer vesicles, have gained attention as

    drug carriers because they can reduce the toxicity and increase

    the therapeutic efficacy of various drugs.1 However, the

    applications of liposomes in drug delivery systems are currently

    rather limited because of their relatively short blood circulation

    time,2 and therefore various liposome formulations with

    prolonged circulation time in blood have been studied.3-5

    Recently, many investigations have shown that some hydro-

    phobically modified polysaccharides such as palmitoylated

    pullulan6 and amylopectin derivatives7,8 can anchor their

    hydrophobic modified groups into the phospholipid bilayer of

    liposomes by hydrophobic interaction and form a hydrophilic

    shell on the liposome surface. This novel kind of liposome,

    termed polysaccharide anchored liposome, has attracted in-

    creasing interest for its following advantages in drug delivery

    systems9,10: The hydrophilic polysaccharide shell can not only

    increase the physical stability of liposomes but also provide

    steric protection for liposomes to escape the adsorption of

    opsonins and the phagocytosis of mononuclear macrophage,

    thereby prolonging their circulation time in blood. Moreover,

    there are many functional groups such as hydroxyl, amino, and

    carboxyl groups in polysaccharide molecules, so that some

    biologically active molecules (eg, ligand, monoclonal antibody

    and biosensor) can be introduced to the polysaccharide anchored

    liposomes by covalent bonds.

    Chitosan, a homopolymer of (1,4)-linked 2-amino-2-deoxy-

    -glucan, is produced by the deacetylation of chitin, which is the

    second most abundant, renewable natural polysaccharide after

    cellulose. Chitosan and its derivatives have been used in many

    biomedical applications because of their excellent properties

    such as biocompatibility, biodegradability, nontoxicity, and

    bioadhesivity.11-13 In this study, chitosan was selected as the

    polysaccharide material and was hydrophobically modified by

    cholesterol to obtain the amphiphilic cholesterol succinyl

    chitosan (CHCS) conjugates, which were used as the anchoring

    materials to coat on the liposome surface by the incubation

    method. The characterization and the physical stability in vitro of

    chitosan anchored liposomes (CALs) were studied. Furthermore,

    BASIC SCIENCE

    Nanomedicine: Nanotechnology, Biology, and Medicine 6 (2010) 471477

    Original Articlewww.nanomedjournal.com

    This work was supported by the National Natural Science Foundation of

    China (grant no. 30900303).Corresponding author: College of Pharmacy, Tianjin Medical Univer-

    sity, Tianjin 300070, People's Republic of China.

    E-mail address: [email protected](Y.S. Wang).

    1549-9634/$ see front matter 2010 Elsevier Inc. All rights reserved.

    doi:10.1016/j.nano.2009.09.005

    Please cite this article as: Y.S. Wang, S.L. Tu, R.S. Li, X.Y. Yang, L.R. Liu, Q.Q. Zhang, Cholesterol succinyl chitosan anchored liposomes: preparation,

    characterization, physical stability, and drug release behavior. Nanomedicine: NBM2010;6:471-477, doi:10.1016/j.nano.2009.09.005

    mailto:[email protected]://dx.doi.org/10.1016/j.nano.2009.09.005http://dx.doi.org/10.1016/j.nano.2009.09.005http://dx.doi.org/10.1016/j.nano.2009.09.005http://dx.doi.org/10.1016/j.nano.2009.09.005mailto:[email protected]
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    epirubicin (EPB) was chosen as a model drug to assess the drug

    loading and release behavior of CALs.

    Methods

    Materials

    Biomedical grade chitosan (deacetylation degree was 92%,

    viscosity average molecular weight was 8.0 104 Da) was

    supplied by Yuhuan Ocean Biochemical Co., Ltd. (Zhejiang,

    China). Three CHCS conjugates were synthesized by the method

    that we previously reported.14 The substitution degrees (DS) of

    the cholesterol moiety of CHCS, defined as the amount of

    cholesterol moieties per 100 glucosamine units of chitosan, was

    determined by the colloid titration method,15 and the DS values

    of three CHCS conjugates were 2.80% (CHCS-1), 5.58%

    (CHCS-2), and 8.00% (CHCS-3), respectively. EPB was

    supplied by Hisun Pharmaceutical Co. (Zhejiang, China).

    Phosphatidylcholine (Lipoid S100) was purchased from Lipoid

    (Ludwigshafen, Germany). Cholesterol was purchased fromDingGuo Biotechnology Co., Ltd. (Beijing, China). Aqueous

    fetal bovine serum (FBS) was purchased from the Institute of

    Blood Disease of Peking Union Medicine College (Beijing,

    China). Sephadex G-50 was purchased from Amersham

    Biosciences (Uppsala, Sweden).

    Preparation of CALs

    The thin-film hydration method16 was developed to prepare

    the plain liposomes. Phosphatidylcholine (50 mg) and choles-

    terol (15 mg) were dissolved in chloroform. The mixture was

    dried under reduced pressure using a Eyela rotary evaporator

    (model N-1000; Eyela, Tokyo, Japan) at 40C to form a thinlipid film, and then trace solvent was removed by holding the

    lipid film under high vacuum overnight. The lipid film was

    hydrated by the addition of 5.0 mL 0.3 M citric acid buffer

    solution (pH 4.0) and then vortexed and ultrasonicated for 9

    minutes (with two intervals of 2 minutes after every 3 minutes)

    using an ultrasonic processor (model UH-500A; Automatic

    Science Instrument Co., Ltd, Tianjin, China) at 40 W to produce

    multilamellar vesicles (MLVs). Then, MLVs were respectively

    filtered through 0.45 m and 0.22 m porosity membrane filters

    to obtain small-size liposomes.

    CHCS-1, CHCS-2, and CHCS-3 anchored liposomes,

    respectively named as CAL-1, CAL-2, and CAL-3, were

    prepared by the incubation method. Briefly, different amounts

    of CHCS (12.5, 33, 75, and 200 mg) dissolved in 2% aqueous

    acetic acid solutions were respectively added to 5 mL of the

    above plain liposomal suspensions, and the polysaccharide/lipid

    weight ratios were 1/4, 2/3, 3/2, and 4/1. Then, the mixture

    solutions were incubated at 20C with gentle shaking for 1 hour

    and followed by storage at 4C for 24 hours until use.

    Furthermore, CCLs as the control were also prepared by the

    same method as above.

    Characterization of CALs

    The sizes and size distributions of CALs were measured by

    dynamic laser light scattering (DLLS) with a Brookhaven digital

    autocorrelator (model BI-90 Plus; Brookhaven Instruments,

    Holtsville, New York) at a scattering angle of 90 degrees, a

    wavelength of 633 nm, and a temperature of 25 0.1C. The zeta

    potentials of CALs were determined using a Brookhaven

    electrophoretic light-scattering spectrometer (model BI-Zeta-

    plus; Brookhaven Instruments, Holtsville, New York).

    Transmission electron microscopy (TEM) observations were

    performed after negative staining of CALs with phosphomolyb-

    dic acid. Briefly, the liposome samples were dropped onto

    carbon-coated grids (100 mesh) and drawn off with a piece of

    filter paper. Then, the grids were immersed for 1 minute in 2%

    phosphomolybdic acid aqueous solution and washed twice with

    200 mL distilled water. Finally, the grids were dried and imaged

    using a Philips transmission electron microscope (model

    EM400ST; Philips, Eindhoven, The Netherlands).

    Study of physical stability of CALs

    CALs were stored at 4 2C, 25 2C, and 37 2C for a

    period of 5, 10, 15, 20, and 30 days. As above, the sizes and size

    distributions of CALs were evaluated by DLLS using aBrookhaven digital autocorrelator (model BI-90 Plus; Brookha-

    ven Instruments). The morphologic changes of CALs were

    observed after 30 days of storage by a Philips transmission

    electron microscope (model EM400ST; Philips).

    Drug loading and release studies

    EPB was first loaded into the plain liposomes by the modified

    pH gradient method.17 Briefly, 5 mL of the plain liposome

    suspension prepared above was applied to a Sephadex G-50

    column (2 60 cm) and eluted with phosphate buffer solution

    (PBS; pH 7.4) to obtain liposomes with a pH gradient between

    their interior and exterior. Then, different volumes (62.5, 125,250, and 500 L) of 10 mg/mL EPB in PBS (pH 7.4) were added

    to these pH gradient liposomes and incubated at 4C for 12, 24,

    36, and 48 hours, respectively. The resulting liposome dispersion

    passed through the Sephadex G-50 column with PBS (pH 7.4) as

    the eluent to separate free EPB from the plain EPB-loaded

    liposomes (PELs). The fluorescence intensity of free EPB was

    measured by a Shimadzu fluorescence spectrophotometer

    (model RF-4500; Shimadzu, Kyoto, Japan). The excitation

    wavelength (ex) and the emission wavelength (em) were set at

    470 and 585 nm, respectively. The entrapment efficiency of EPB

    in liposomes was calculated according to the following equation:

    EE = W0W1

    W0100k

    where EE is the entrapment efficiency, W0is the total amount of

    EPB initially added, andW1is the amount of free EPB.

    Then, PELs were incubated with CHCS conjugates to prepare

    CHCS anchored EPB-loaded liposomes (CAELs) with the

    polysaccharide/lipid weight ratio of 3/2 using the same method

    for preparing CALs. At the same time, chitosan-coated EPB-

    loaded liposomes (CCELs) as the control were also prepared as

    the same method for preparing CCL.

    In vitro release behaviors of EPB from CAELs were studied

    by the dialysis method18 both in PBS (pH 7.4) and 1% (vol/vol)

    aqueous FBS. Briefly, 2 mL liposome suspension was placed

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    into the dialysis tube (molecular weight cutoff 8 to 14 kDa;

    Millipore, Bedford, Massachusetts) and dialyzed against the

    above release media (10 mL) at 37 0.5C in an air-bath shaker

    at 100 rpm. At scheduled time intervals, the whole of the release

    media was collected and then the fresh release media were added.

    The release amount of EPB was determined by fluorescence

    spectrophotometry as described earlier. The accumulative release

    percentage of EPB (RE %) was calculated according to the

    following equation:

    RE k = D0t

    D0

    100

    where D0-tis the amount of drug released from liposome

    suspension from the beginning to the scheduled time, and D0is the total amount of drug in liposome suspension.

    Results

    Preparation and characterization of CALs

    In our study, the different polysaccharide/lipid weight ratios

    were investigated to prepare CAL.Figure 1shows the effects of

    polysaccharide/lipid weight ratio on the size (Figure 1,A) and the

    zeta potential (Figure 1,B) of CAL, and the same trend occurred

    among CALs with different DS of the cholesterol moiety.

    Compared with the plain liposomes (size 148.2 3.0 nm and zeta

    potential4.75 mV), CALs had significantly larger sizes and

    positive zeta potentials, which indicated that CHCS conjugates

    with different DS of the cholesterol moiety successfully coated on

    the surface of the plain liposomes to form the polysaccharide

    shells. The sizes and the zeta potentials of CALs evidently

    increased with the polysaccharide/lipid weight ratio increasing

    from 0 to 3/2 but slightly changed when the polysaccharide/lipid

    weight ratio continued increasing, which indicated that CHCS

    conjugates coating on the liposome surface reached a saturation

    state. Therefore, 3/2 was believed to be the optimal polysaccha-

    ride/lipid weight ratio to prepare CALs. Moreover, as shown in

    Figure 1, CALs had evidently larger sizes and significantly higher

    zeta potentials compared with those of CCL under the same

    polysaccharide/lipid weight ratio. For example, the zeta poten-

    tials of CAL-1, CAL-2, and CAL-3 were respectively +25.48

    mV, +22.06 mV, and +21.09 mV at the polysaccharide/lipid

    weight ratio of 3/2, whereas the zeta potential of CCL was only

    +7.81 mV. Therefore, it could be deduced that CALs had betterstability than CCL due to their higher zeta potentials.

    Figure 1, A also shows that the size of CAL increased when

    the DS of the cholesterol moiety of CHCS increased from 2.8%

    to 8.0%; for example, the size of CAL-3 was 262.5 6.5 nm

    under the polysaccharide/lipid weight ratio of 2/3, evidently

    larger than the size of CAL-1 (205.8 1.2 nm) and the size of

    CAL-2 (232.5 9.1 nm), which suggested that CHCS with larger

    DS of the cholesterol moiety could be easier to coat on the

    surface of the plain liposomes.

    Figure 2shows TEM images of the plain liposomes (Figure 2,

    A1and A2), CAL-2 with the polysaccharide/lipid weight ratio of

    3/2 (Figure 2, B1 and B2), and the physical mixture of plain

    liposomes and CHCS-2 with the same polysaccharide/lipid

    weight ratio of CAL-2 (Figure 2, C). Morphologically, plain

    liposomes were nearly spherical (Figure 2, A1) and had an

    obvious multilamellar (onion-like) structure characterized by

    multiple membrane bilayers, each separated from the next by anaqueous layer (Figure 2, A2); CAL-2 also had a spherical shape

    (Figure 2, B1) and a classic shell-core structure (Figure 2, B2)

    with a shell thickness of about 30 nm. However, the plain

    liposomes were wrapped with a thin polymer film formed by

    CHCS-2 under the TEM observation (Figure 2, C) when they

    were simply mixed with CHCS-2. Furthermore, the size of CAL-

    2 determined by DLLS was about 245.4 8.1 nm, obviously

    larger than the size determined by TEM images. We believed this

    was because the polysaccharide shell of CAL-2 was highly

    hydrophilic in nature and would be likely to swell in aqueous

    media, thus the size determined by DLLS was a hydrodynamic

    diameter and was larger than the size measured by TEM in the

    dried state. Other CALs had similar morphologic characteristics

    Figure 1. Effects of polysaccharide/lipid weight ratio (wt/wt) on the (A) size

    and(B)zeta potential of liposomes. Each data point represents the mean of at

    least three independent experiments (--, CCL; --, CAL-1; --, CAL-2;

    --, CAL-3).

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    to CAL-2. All the above results suggested that CHCS conjugates

    could effectively be coated on the surface of liposomes by the

    incubation method in this study.

    The physical stability of CAL

    CALs were stored at 4 2C, 25 2C, and 37 2C for a

    period of 5, 10, 15, 20, and 30 days and then were determined by

    DLLS and TEM to evaluate their physical stability. The plain

    liposomes and CCL were also investigated as the controls.Figure3shows the effect of storage conditions on the size of liposomes.

    An insignificant difference (PN.05) was found in the sizes of all

    liposomal formulations stored at 4 2C (Figure 3, A) for 30

    days. But a significant (Pb .05) increase in the size of the plain

    liposomes was observed after 30-day storage both at 25 2C

    (Figure 3, B) and 37 2C (Figure 3, C), which was due to the

    fusion of the plain liposomes. No significant (PN .05) changes in

    the sizes of CALs and CCL were observed when they were

    stored at 25 2C up to 30 days (Figure 3, B). However, the

    sizes of CALs and CCL all significantly (Pb.05) increased after

    30-day storage at 37 2C. These results indicated that CALs

    and CCL exhibited good stability on storage for at least 30 days

    at 4 2C and 25 2C.

    Figure 4shows the morphologies of CAL-2 and CCL after30-day storage at 25 2C. CAL-2 (Figure 4, A) retained its

    spherical shape, and no evident aggregation phenomenon was

    observed; the other two CALs had similar morphology to CAL-

    2. CCLs (Figure 4, B) were irregularly spherical, and a

    significant aggregation phenomenon took place. Therefore, it

    could be concluded that CALs had better storage stability than

    CCL, which was perhaps due to their higher zeta potentials

    compared with that of CCL as discussed earlier.

    Drug loading and release behaviors of CALs

    EPB, as a weak base (pKa = 7.7), was first loaded into the

    plain liposomes by the modified pH gradient method.17 This

    method is often used to load weak bases such as doxorubicin and

    Figure 2. TEM images of(A1, A2) plain liposomes, (B1, B2) CAL-2, and

    (C)the physical mixture of liposomes with CHCS-2.

    Figure 3. Particle sizes of plain liposomes, CCL, and CALs on time of storage

    at(A) 4 2C,(B) 25 2C, and(C) 37 2C. All values are expressed as

    mean SD (n = 3).

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    vincristine,19-21 which coexist in aqueous solutions in neutral

    and charged forms, into liposomes using pH gradient as a driving

    force. In this study, the preparation conditions such as the weight

    ratio of EPB to lipid and the incubation time were investigated to

    obtain an optimal drug encapsulation. As shown in Figure 5,

    EPB encapsulation efficiency increased with the weight ratio of

    EPB to lipid increasing from 0.01 to 0.025, and then decreased

    with the weight ratio further increasing, which suggested that the

    ability of liposomes to load EPB reached saturation. Figure 5

    also shows there was no significant difference (PN .05) of EPB

    encapsulation efficiency among the incubation times (12 to 48

    hours) when the weight ratio of EPB to lipid was less than 0.05,

    but an obvious increase of EPB encapsulation efficiency

    occurred with the incubation time increasing when the weight

    ratio of EPB to lipid was larger than 0.05. However, when the

    incubation time was longer than 36 hours, a significantly larger

    size of liposomes was observed, which was perhaps due to the

    fusion of liposomes. Therefore, considering the preparation

    conditions prescribed above, 0.025 (EPB to lipid weight ratio)

    and 24 hours (incubation time) were chosen to prepare PELs, and

    EPB encapsulation efficiency was high, to 96.8%.

    Then, PELs were incubated with CHCS conjugates to prepare

    CAELs at the polysaccharide/lipid weight ratio of 3/2. CAELs

    had similar morphology to CALs such as the spherical shape and

    the classic shell-core structure under TEM observation, but a

    slight decrease on EPB content was measured after PEL surface

    coating with CHCS conjugates. We believed this was because

    EPB passively leaked out of liposomes in the incubation period,

    and EPB leakage rates were 2.65%, 1.98%, and 3.04% for

    CAEL-1, CAEL-2, and CAEL-3, respectively.

    EPB release behavior from CAEL was studied in vitro by the

    dialysis method in PBS (pH 7.4) and 1% aqueous FBS,

    respectively. EPB release from PELs and CCELs was also

    investigated as the controls. The cumulative EPB release profilesare shown in Figure 6. InPBS (pH 7.4) (Figure 6,A), EPB release

    from PEL showed a rapid pattern, about 52% EPB released in 24

    hours; but only about 37%, 33%, and 41% EPB released

    respectively from CAEL-1, CAEL-2, and CAEL-3, indicating

    that CAEL significantly sustained the release of EPB. In 1% FBS

    (Figure 6,B), EPB release rates from PELs and CAELs markedly

    accelerated; nearly 100% EPB released from all liposome

    formulations in 24 hours. We believe this was because the

    bioactive substances such as proteins and enzymes in FBS

    destroyed the liposome structure and polysaccharide coating

    shell. However, CAELs also showed a significant sustained drug

    release in the first 12 hours, about 73.6%, 67.7%, and 79.5% EPB

    released respectively from CAEL-1, CAEL-2, and CAEL-3

    Figure 4. TEM images of(A) CAL-2 and(B) CCL after 30-day storage at

    25 2C.

    Figure 5. Effect of preparation conditions on the encapsulation efficiency of

    EPB. Each data point represents the mean of at least three independent

    experiments (-

    -, incubation time 12 hours; -

    -, incubation time 24 hours;--, incubation time 36 hours; --, incubation time 48 hours).

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    compared with 100% EPB from PELs in 1% FBS ( Figure 6,B).

    The above results suggested that CAELs had better stability than

    PELs in vitro due to CHCS shells on the surface of PELs.

    Moreover, compared with CCEL, EPB release from CAELs more

    or less slowed both in PBS (pH 7.4) and 1%FBS, which indicated

    that CHCS coating shells were more stable than chitosan coating

    shell on the liposome surface.

    Discussion

    Recently, many investigations into CCL have been performed

    to enhance the stability of liposomes and increase their intestinal

    uptake.22-24 We previously hoped to use CCL as the carrier of

    anticancer drugs, but the chitosan layer formed by the

    electrostatic attractive interaction between the positively charged

    amino groups in chitosan molecules and the negatively charged

    surface of liposomes was not effective enough to significantly

    stabilize liposomes in vitro, so that the anchoring method using

    hydrophobically modified chitosan derivatives (eg, CHCS and

    palmitoyl chitosan conjugates) as anchoring materials was then

    applied to increase the stability of liposomes. In our later research,

    cholesterol modified groups showed better hydrophobic anchor-

    ing properties for preparation of surface coating liposomes

    compared with alkylated modified groups, which was consistent

    with the previous report of Kang et al.10

    Compared with CCL, CALs had larger sizes, higher zeta

    potentials, better physical stability, and more sustained drug

    release behavior under the same study conditions. We believe

    this was due to the difference of coating mechanisms between

    CHCS conjugates and chitosan on the liposome surface. It was

    clear that chitosan coating on the liposome surface mainly

    depended on the electrostatic attraction force. The amino

    groups of chitosan molecules carrying positive charges

    neutralized the negative surface charges of liposomes, so that

    the zeta potential of liposomes changed from negative to

    positive after chitosan coating, and its absolute value was

    lower than that of some chitosan particles (eg, +28.44 mV

    previously reported).25 However, in addition to the electro-

    static attraction force, the process of CHCS coating alsoinvolved the cholesterol modified groups anchoring into the

    phospholipid bilayer of liposome, thus a thicker and more

    stable polysaccharide shell formed on the liposome surface.

    Comparison of drug release profiles of CAELs both in PBS

    (pH 7.4) and 1% FBS (Figure 6) showed that EPB release

    behavior from CAEL was significantly influenced by the DS of

    the cholesterol moiety of CHCS. EPB release rate from CAEL

    decreased with the DS of the cholesterol moiety increasing from

    2.8% (CHCS-1) to 5.6% (CHCS-2). This was because CHCS

    with higher DS of the cholesterol moiety had more cholesterol

    modified groups to anchor into the liposome phospholipid

    bilayer, and thus a more stable polysaccharide coating shell was

    obtained. However, with DS of the cholesterol moiety

    increasing from 5.6% (CHCS-2) to 8.0% (CHCS-3), EPB

    release rate evidently increased, such as EPB release from

    CAEL-3 being even faster than that from CAEL-1 both in PBS

    (pH 7.4) and in 1% FBS. We believed this was perhaps because

    more cholesterol modified moieties anchoring into the liposome

    phospholipid bilayer resulted in a higher liposome membrane

    permeability. Therefore, CHCS-2 with DS of the cholesterol

    moiety of 5.6% was considered an optimal hydrophobically

    modified chitosan derivative to prepare polysaccharide anchored

    liposomes in this study.

    EPB was chosen as a model anticancer drug to assess the

    potential of CAL as a novel carrier of anticancer drugs. As ananthracycline anticancer agent, EPB has a wide range of

    antitumor activity and is used to treat various carcinomas.

    However, EPB therapy may cause some serious side effectssuch

    as allergic reactions, cardiotoxicity, and blood problems.26,27

    Therefore, CAL was used as a carrier of EPB in an attempt to

    sustain its release, prolong its circulation time, enhance its

    therapeutic index, and decrease its toxic effects. Our current

    results clearly showed that CHCS anchoring on the surface of

    PELs could significantly improve their physical stability and

    sustain the release of EPB in vitro, but investigations in vivo are

    required to further confirm the advantages of CAL as the carrier

    of EPB over the plain liposomes and CCL, and related

    experiments are now in progress.

    Figure 6. Dynamic release profiles of EPB from PEL (--), CCEL (--),

    CAEL-1 (--), CAEL-2 (--), and CAEL-3 (--) in(A) PBS (pH 7.4) and

    (B)1% FBS.

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    Acknowledgment

    The authors thank Drs. Xindu Yang, Wenzhi Yang, and

    Hongli Chen for their helpful discussion and suggestions.

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