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Oxygen Radical-Mediated Pulmonary Toxicity Induced by Some Cationic Liposomes
Abstract
Purpose The objectives of this study are to investigate the toxicity associated with polycationic liposomes and to elucidate the underlying mechanism. We tested the hypothesis that the positive charge of liposomes is a key determinant of toxicity by testing differently charged liposomes in mice.Methods Differently charged liposomal systems including cationic liposomes, LipofectAMINE and DOTAP, and neutral and negative liposomes were evaluated for their toxicity after pulmonary administration in mice. LDH assay and differential cell counts were performed to measure toxicity and pulmonary inflammation, respectively. Reactive oxygen intermediates (ROI) were assessed by chemiluminescence.Results Instillation of cationic liposomes elicited dose-dependent toxicity and pulmonary inflammation. This effect was more pronounced with the multivalent cationic liposome LipofectAMINE as compared to the monovalent cationic DOTAP. Neutral and negative liposomes did not exhibit lung toxicity. Toxicity associated with cationic liposomes correlated with the oxidative burst induced by the liposomes. LipofectAMINE induced a dose-dependent increase in ROI generation. This effect was less pronounced with DOTAP and absent with neutral and negative liposomes.Conclusions ROI play a key role in cationic lipid-mediated toxicity. Polyvalent cationic liposomes cause a release of ROI which are responsible for the pulmonary toxicity.
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Cationic and ionizable lipids have been reported to stimulate the secretion of pro-inflammatory cytokines and reactive oxygen species.
“Cationic and ionizable lipids have also been reported to stimulate the secretion of pro-inflammatory cytokines and reactive oxygen species170–173.”
From Lipid nanoparticles for mRNA delivery (2021) · cites this paper as [171]
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“(45) demonstrated that instillation of cationic liposomes elicited dose-dependent toxicity and pulmonary”
Advantages and risks of nanotechnologies in cancer patients and occupationally exposed workers
Lamberti, M., Zappavigna, S., Sannolo, N., Porto, S., & Caraglia, M. (2014) · Expert Opinion on Drug Delivery · doi:10.1517/17425247.2014.913568 · Cited by 92
“For example cationic liposomes can interact with serum proteins, lipoproteins and the extracellular matrix, leading to aggregation or release of agents that are loaded before reaching the target cells leading to systemic toxicity [73].”
BackgroundIntracellular Protein Delivery: Approaches, Challenges, and Clinical Applications
Chan, A., & Tsourkas, A. (2023) · BME Frontiers · doi:10.34133/bmef.0035 · Cited by 93
“In addition, cationic lipids commonly used in protein LNP formulations such as DOTAP, DOTMA, or DOSPA have documented cytotoxic effects in vivo via generation of reactive oxygen species [239].”
BackgroundTakano, S., Aramaki, Y., & Tsuchiya, S. (2003) · Pharmaceutical Research · doi:10.1023/a:1024441702398 · Cited by 87
“Furthermore, Dokka et al. ( 27 ) reported that cationic liposomes composed of LipofectAMINE, frequently used as a Fig. 5. Effects of cholesterol content (A) or PEG coating (B) on intracellular peroxide levels in RAW264.7 cells treated with cationic liposomes.”
MethodWen, Y., & Meng, W. S. (2014) · Journal of Pharmaceutical Innovation · doi:10.1007/s12247-014-9183-4 · Cited by 86
“These include inflammation, hepatotoxicity, and hematologic toxicity [62, 63].”
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Liposomal antibiotics for the treatment of infectious diseases
Alhariri, M., Azghani, A. O., & Omri, A. (2013) · Expert Opinion on Drug Delivery · doi:10.1517/17425247.2013.822860 · Cited by 85
“Another study investigated cationic liposome toxicity in the lungs and showed that positively charged liposomes can induce toxic reactive oxygen intermediates [113].”
Azarnezhad, A., Samadian, H., Jaymand, M., Sobhani, M., & Ahmadi, A. (2020) · Critical Reviews in Toxicology · doi:10.1080/10408444.2020.1719974 · Cited by 81
“The surface charge-mediated toxicity is crucial to the point that liposomes with positive surface charge (cationic liposomes) are useless clinically (Dokka et al. 2000; Spagnou et al. 2004; Lv et al. 2006).”
BackgroundInfluentialFactors affecting the pharmacokinetics and pharmacodynamics of liposomal drugs
Song, G. K., Wu, H., Yoshino, K., & Zamboni, W. C. (2012) · Journal of Liposome Research · doi:10.3109/08982104.2012.655285 · Cited by 78
“It was found that multivalent cationic liposome LipofectAMINE was much more toxic than the monovalent cationic liposome, DOTAP, and that neutral and negative liposomes were not toxic at similar concentrations (Dokka et al., 2000).”
BackgroundSargazi, S., Arshad, R., Ghamari, R., Rahdar, A., Bakhshi, A., Fathi‐karkan, S., Ajalli, N., Bilal, M., & Diez-Pascual, A. M. (2022) · Cell Biology International · doi:10.1002/cbin.11841 · Cited by 77
“because they are commercially available without chemical synthesis; however, the most prominent problem with lipid systems is their clinical toxicity and nonspecific activation of inflammatory cytokines (Dokka et al., 2000).”
BackgroundLipid Nanoparticles for Organ-Specific mRNA Therapeutic Delivery
Żak, M. M., & Zangi, L. (2021) · Pharmaceutics · doi:10.3390/pharmaceutics13101675 · Cited by 75
“Further, in vitro transfections have long used cationic lipids including commercially available Lipofectamine, which is widely used for RNA and DNA in vitro transfections despite its known cytotoxicity [42].”
MethodCui, Z., Fan, J., Kim, S., Bezouglaia, O., Fartash, A., Wu, B. M., Aghaloo, T. L., & Lee, M. (2015) · Journal of Controlled Release · doi:10.1016/j.jconrel.2015.08.031 · Cited by 74
Minami, K., OKAMOTO, K., Doi, K., Harano, K., Noiri, E., & Nakamura, E. (2014) · Scientific Reports · doi:10.1038/srep04916 · Cited by 71
Eisele, K., Gropeanu, R. A., Zehendner, C. M., Rouhanipour, A., Ramanathan, A., Mihov, G., Koynov, K., Kuhlmann, C. R. W., Vasudevan, S. G., Luhmann, H. J., et al. (2010) · Biomaterials · doi:10.1016/j.biomaterials.2010.07.088 · Cited by 71
Pulmonary inflammation caused by chitosan microparticles
Huang, Y. C., Vieira, A. V., Huang, K. L., Yeh, M.-K., & Chiang, C. ‐. (2005) · Journal of Biomedical Materials Research Part A · doi:10.1002/jbm.a.30421 · Cited by 71
Low toxicity of cationic lipid-based emulsion for gene transfer
Choi, W.-J., Kim, J., Choi, S. H., Park, J., Ahn, W. S., & Kim, C. (2004) · Biomaterials · doi:10.1016/j.biomaterials.2004.01.031 · Cited by 70
McCaskill, J. L., Singhania, R., Burgess, M. L., Allavena, R., Wu, S. Y., Blumenthal, A., & McMillan, N. A. J. (2013) · Molecular Therapy — Nucleic Acids · doi:10.1038/mtna.2013.22 · Cited by 70
Biophysical characterization of anionic lipoplexes
Patil, S. D., Rhodes, D. G., & Burgess, D. J. (2005) · Biochimica et Biophysica Acta (BBA) - Biomembranes · doi:10.1016/j.bbamem.2005.03.004 · Cited by 69
“However, cytotoxicity [10,11] and inactivation in the presence of serum [12,13] have restricted the potential applications of some cationic liposomal vectors.”
BackgroundImmunogenicity and Protection Efficacy of a Naked Self-Replicating mRNA-Based Zika Virus Vaccine
Zhong, Z., Catani, J. P. P., Cafferty, S. M., Couck, L., Broeck, W. V. D., Gorlé, N., Vandenbroucke, R. E., Devriendt, B., Ulbert, S., Cnops, L., et al. (2019) · Vaccines · doi:10.3390/vaccines7030096 · Cited by 70
Acyclovir Liposomes for Intranasal Systemic Delivery: Development and Pharmacokinetics Evaluation
Alsarra, I. A., Hamed, A. Y., & Alanazi, F. K. (2008) · Drug Delivery · doi:10.1080/10717540802035251 · Cited by 68
“However, no literature reported the toxicity of anionic liposome (anionic charged membrane), while cationic liposome (positively charged membrane) were proven to be toxic in vitro and in vivo (Dokka et al. 2000; Hui et al. 2004), especially those containing stearylamine (Aramaki et al. 2000).”
BackgroundGentile, E., Cilurzo, F., Marzio, L. D., Carafa, M., Ventura, C. A., Wolfram, J., Paolino, D., & Celia, C. (2013) · Future Oncology · doi:10.2217/fon.13.146 · Cited by 67
Channarong, S., Chaicumpa, W., Sinchaipanid, N., & Mitrevej, A. (2010) · AAPS PharmSciTech · doi:10.1208/s12249-010-9559-9 · Cited by 66
“vitro, various cationic lipids have been studied and reported for their toxicity (14,15).”
A holistic analysis of the intrinsic and delivery-mediated toxicity of siRNA therapeutics
Ranjbar, S., Zhong, X., Manautou, J. E., & Lü, X. (2023) · Advanced Drug Delivery Reviews · doi:10.1016/j.addr.2023.115052 · Cited by 69
Structure-Based Design of Dendritic Peptide Bolaamphiphiles for siRNA Delivery
Zeng, H., Johnson, M. E., Oldenhuis, N. J., Tiambeng, T. N., & Guan, Z. (2015) · ACS Central Science · doi:10.1021/acscentsci.5b00233 · Cited by 64
Efficient cell penetration and delivery of peptide nucleic acids by an argininocalix[4]arene
Gasparello, J., Manicardi, A., Casnati, A., Corradini, R., Gambari, R., Finotti, A., & Sansone, F. (2019) · Scientific Reports · doi:10.1038/s41598-019-39211-4 · Cited by 66
Neuronal gene delivery by negatively charged pullulan–spermine/DNA anioplexes
Thakor, D. K., Teng, Y. D., & Tabata, Y. (2009) · Biomaterials · doi:10.1016/j.biomaterials.2008.12.032 · Cited by 61
Phospholipids in pulmonary drug delivery
Wauthoz, N., & Amighi, K. (2014) · European Journal of Lipid Science and Technology · doi:10.1002/ejlt.201300368 · Cited by 60
NanoEHS beyond toxicity – focusing on biocorona
Lin, S., Mortimer, M., Chen, R., Käkinen, A., Riviere, J. E., Davis, T. P., Ding, F., & Ke, P. C. (2017) · Environmental Science Nano · doi:10.1039/c6en00579a · Cited by 60
Wijagkanalan, W., Kawakami, S., Higuchi, Y., Yamashita, F., & Hashida, M. (2009) · Journal of Controlled Release · doi:10.1016/j.jconrel.2009.12.016 · Cited by 59
Natural liposomes and synthetic polymeric structures for biomedical applications
Muller, L. K., & Landfester, K. (2015) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2015.08.088 · Cited by 57
Metadata
- Authors
- Dokka, S., Toledo, D., Shi, X., Castranova, V., & Rojanasakul, Y.
- Affiliations
- West Virginia University (US)
- National Institute for Occupational Safety and Health (US)
- Corresponding author
- Rojanasakul, Yon
- Venue
- Pharmaceutical Research
- Published
- 2000-05
- Volume
- 17
- Issue
- 5
- Pages
- 521-525
- ISSN
- 0724-8741 (ISSN-L)
- 1573-904X
- OpenAlex
- W1580639099
- Cited by
- 349
- References
- 14
- Citations by year
- 2026: 12 · 2025: 8 · 2024: 19 · 2023: 25 · 2022: 17 · 2021: 18 · 2020: 6 · 2019: 16 · 2018: 19 · 2017: 17 · 2016: 17 · 2015: 26 · 2014: 21 · 2013: 19 · 2012: 18
- FWCI
- 2.92
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Pharmaceutical Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- West Virginia University
- National Institutes of Health (1r15hl062959-01)
- National Heart, Lung, and Blood Institute (HL-62959)
- National Institute for Occupational Safety and Health
- Topics
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Inhalation and Respiratory Drug Delivery
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › RNA Interference and Gene Delivery
- Keywords
- cationic liposomes, pulmonary toxicity, reactive oxygen species, lipofectamine, DOTAP, liposome charge, respiratory burst, lung inflammation, liposomal gene delivery, chemiluminescence
- MeSH terms
- Animals, Bronchoalveolar Lavage Fluid, Cations, Cyclic N-Oxides, L-Lactate Dehydrogenase, Liposomes, Luminescent Measurements, Lung Diseases, Male, Mice, Inbred BALB C, Nitrogen Oxides, Free Radical Scavengers, Reactive Oxygen Species, Mice
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