Review
Nano lipid-drug conjugate: An integrated review

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Abstract

Lipid-drug conjugates (LDC), which may also be addressed as lipoidal prodrug, have the therapeutic actives chemically bound to a lipid moiety like fatty acids or phospholipids. Fabricated in nano-size, lipid-drug conjugate forms another breed of lipid nanoparticles. LDCs are prepared in order to increase the drug loading and hence prevent leakage of a highly polar drug from a lipophilic matrix. In turn, it assists to achieve active targeting of therapeutics with reduced side effect by altering the pharmacokinetic profile of the drug. These self-assembled systems take the benefit of metabolic pathways of lipid biochemistry, allowing suitable organ targeting depending upon its size. These lipids because of its similarities with physiological lipids, enhances the solubility of the therapeutic agents and thereby improve the bioavailability. This present review is meant to encompass different aspects related to lipid drug conjugates which include types of lipids and drugs that can be used to develop this type of formulation. Here, we throw light on methods of preparation of lipid drug conjugate, processing them into nanoparticle, its characterization and different applications of lipid drug conjugate. We aim to present a holistic view on lipid drug conjugate as a suitable drug delivery approach.

Introduction

Nanotechnology is a fast-growing field globally playing a valuable role in drug delivery. The National Nanotechnology Initiative has put forward the definition of nanotechnology to be the study of particles with size range roughly from 1 to 100 nm and its use in novel applications. The principle aim of nanotechnology in medicine is to diagnose and treat the diseases early and effectively (Koo et al., 2005, Mishra et al., 2010).

Nanoparticles are colloidal carriers having diameters in the nanometer size range. Some of the key attributes of nanoparticles are improved target specificity, reduced toxicity towards non-targeted tissues, improved bioavailability, and increased residence time in the body with superior biodistribution and pharmacokinetics (Koo et al., 2005, Müller, 1991, Mudshinge et al., 2011).

The development of lipid based drug carriers is a major area of interest in research over the years. They have distinctive size–dependent properties and provide the prospect to be generated as new therapeutics. These drug carriers offer the advantages of higher degree of biocompatibility, versatility, safety and efficacy (Patidar et al., 2010, Attama et al., 2012).

The lipid nanoparticles were brought into action a long time back; some of the common lipid nanoparticles being solid lipid nanoparticles (SLNs), nanostrucured lipid carriers (NLCs) and lipid-drug conjugate (LDCs) (Battaglia and Gallarate, 2012; Joshi and Müller, 2009). The first instance of producing lipid particles in the micrometer size range was reported by the end of 1950s and in the early 1960s (Joshi and Müller, 2009). In the 1960s, the first fat emulsion for parenteral route was developed (Waitzberg et al., 2006, Wanten and Calder, 2007, Dudrick et al., 1972). The main reason for the use of these emulsions was to reduce the possible side effects of drug but the physical instability of the incorporated drug prevented its application to broader field (Müller et al., 2000). Liposomes were first described by Bangham et al. in 1960s and were applied as drug delivery systems in the 1970s (Wissing et al., 2004). But the marketed formulations of liposomes are limited because of its high cost (Müller et al., 2000). Solid lipid nanoparticles (SLN) were first produced and reported by Müller and his team (Müller and Lucks, 1993) from Germany in parallel with Gasco and her group (Gasco, 1993) from USA in 1993. The application of SLN for oral delivery was reported for the first time in 1986 and termed as nanopellets (Speiser, 1986). In the late 1990s nanostructured lipid carrier (NLC) was developed as second generation of lipid nanoparticles (Severino et al., 2012) where as lipid-drug conjugates (LDC) were first reported in the late 1990s (Saracibar et al., 2012).

Lipid nanoparticles (LNPs) are extensively used in drug delivery systems because of the fact that lipid matrices are safe, biocompatible, and versatile rendering it to be suitable for different routes of administration marking the pre-requisites for any ideal drug delivery vehicle. Within a short duration of around 20 years, a wide variety of different LNPs have been successfully developed. However, some of the lipid nanoparticles like SLNs and NLCs possess the drawback of low drug loading capacity for the hydrophilic drugs. In order to overcome this limitation, LDCs were eventually developed. The typical preparation method for LDCs involves first preparation of an insoluble drug- lipid conjugate bulk either by salt formation or by covalent linking. This is followed by processing of the obtained LDC with an aqueous surfactant solution to produce a nanoparticulate formulation using High pressure homogenization (HPH) or other methods for nanoparticle formulation (Battaglia and Gallarate, 2012; Joshi and Müller, 2009).

Several reports on LDCs have been published, but as of date no comprehensive treatment on the entire technological aspects of LDC has been presented. Therefore, this review aims at presenting a holistic overview of the technology of LDC, their preparation and characterization, applications in drug delivery as well as current regulatory status.

Section snippets

Lipid nanoparticles

The lipid nanoparticles are becoming one of the most acceptable drug delivery systems for both lipophilic as well as hydrophilic drugs because of ease of production, easy scalability and, most advantageously, the lipid excipients are a physiological component with generally recognized as safe (GRAS) status and can be administered through a variety of routes (Severino et al., 2012, Neupane et al., 2013).

Solid lipid nanoparticles (SLNs) are carriers which are colloidal in nature consisting of

Lipid drug conjugate (LDC)

Lipid Drug Conjugates are lipidic prodrugs (Lambert, 2000) which contain the drug covalently or non- covalently linked to a lipid moiety, such as a fatty acid, a diglyceride or a phosphoglyceride as shown in Fig. 1. LDC may synonymously be termed as Pharmacosomes, Phytosomes, Lipid complex etc. at several instances depending upon the conjugating moieties: when drug is conjugated with a phospholipid, it is termed as Pharmacosomes; again, when a herbal origin drug is conjugated with any lipid it

Regulatory aspects

Development of nanotechnology has created a strong focus on a wide range of applications which has broadened up the available business opportunities (Soni et al., 2015). Nano medicines and their formulations have been in the market for more than 20 years (Grenha, 2011). Although, their first generation mainly liposomes and nanoparticles had succeeded in passing regulatory barriers by meeting general standards, this cannot perpetually be the scenario for forthcoming products. However, if some

Conclusion

Lipid drug conjugates have desirable properties for safe use in clinical pharmacology. It is a structure based approach wherein a potential lipid carrier is used to develop a formulation with minimum drug leaching. It is tailored judiciously offering excellent results by the virtue of being a combination of three facts, i.e., lipid based system, nanoparticulate system and structure based approach. Lipid excipients help in improving the permeability and consequently bioavailability. Development

Funding sources

Part of the work was funded by the Department of Science & Technology, Government of India through Women Scientist Scheme-'A', Ref. No. SR/WOS-A/LS-1119/2014.

Declaration of interest

The authors report no potential conflicts of interest.

Acknowledgements

The authors extend their special thanks to Professor Dr. S. K. Ghosh, Department of Pharmaceutical Sciences, Dibrugarh University for insightful discussions on the reaction mechanisms involved in LDC development.

The authors will also like to thank Ms. Daphisha Marbaniang, for assisting us in proof reading and Ratna Joyti Das for her support during the article drafting tenure, both Research Scholars at Department of Pharmaceutical Sciences, Dibrugarh University.

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