International Journal of PharmTech Research CODEN (USA): IJPRIF ISSN: 0974-4304 Vol.2, No.4, pp 2327-2339, Oct-Dec 2010 Virosomes: A Novel Carrier for Drug Delivery Rajat Sharma1, Mohd Yasir*1 1ITS College of Pharmacy, Muradnagar,Ghaziabad, UP,201204 (India) *Corres. Author: mohdyasir31@gmail.com Tel.: +91-9761131206 Abstract: Live, replicating, vaccines have the advantage that they closely mimic the actual infection and therefore induce a broad and physiologically relevant immune response, involving both a humoral immune response (antibody production) and cell-mediated immunity (cytotoxic T lymphocytes). However, there is an increasing concern about the adverse side effects that may occur as a result of vaccination with replicating pathogen preparations. Therefore, in general killed whole pathogens or (recombinant) subunit vaccines are used for vaccination. These preparations induce satisfying antibody responses although less efficient than live, replicating, vaccines. This is due to the way in which the antigens are processed and presented to the immune system. The development of antigen delivery systems to introduce nonreplicating antigens into presentation pathways that result in activation of the humoral arm of the immune response, but also the cytotoxic T-cell arm is therefore of major interest. Virosomes are virus-like particles consisting reconstituted viral envelope lacking the viral genetic material. Virosomes are virus-like particles consisting reconstituted viral envelope lacking the viral genetic material. Virosomes represent such a unique system for presentation of antigens to the immune system. In this review, we will focus on structure of virosomes, preparation of virosomes as carrier vehicles for the intracellular delivery of drugs, protein antigens and DNA for the induction of a cellular immune response against encapsulated protein antigens etc, interaction of virosomes with immune cells, pharmacokinetics of virosomes, applications, advances & future prospects of virosomes. Keywords: Antigen delivery, Antibody, DNA delivery, Drug delivery Vaccines, Virosomes, etc. INTRODUCTION As a tool in the evaluation vesicles of drug efficacy in living cells and in the treatment of human diseases. The drug delivery system (DDS) is attractive as a therapeutic method. To enhance the efficiency of gene delivery by the introduction of molecules directly into cells, virosomes have been developed by combining various agents like drug, antigen and DNA with fusiogenic viral envelope proteins.1, 2 Therefore; enhancement of delivery efficiency in vivo is a major objective in the field of virosomes research. Despite improvements in viral and non-viral vector systems, a major hurdle in the delivery of drugs and other macromolecules into the desired cell types is crossing the permeability barrier imposed by the plasma membrane followed by the controlled release inside the cytoplasm 1. On the other hand, it is known that controlled release of various agents can be significantly improved by using virosomes carriers 2, 3 First, virosomes closely resemble the envelope of the virus they are derived from and therefore constitute antigen-presentation form superior to isolated surface antigens.3 In addition, properly assembled virosomes retain the membrane fusion activity of the native virus and, therefore, virosomes may be used to deliver encapsulated, unrelated, antigens to the cytosol of antigen-presenting cells. In this respect, virosomes differ from conventional liposomes which will target enclosed antigens primarily to the phagolysosomal system of macrophages. We have recently exploited both aspects of virosomes, derived from influenza virus, to induce CTL activity against a virosomeencapsulated antigenic peptide and whole protein.4 Virosomes are spherical, unilamellar vesicles with a mean diameter of 150 nm. Essentially, (fig. 1) Mohd Yasir et al /Int.J. PharmTech Res.2010,2(4) virosomes represent reconstituted empty influenza virus envelopes, devoid of the nucleocapsid including the genetic material of the source virus.4, 5 Virosomes are not able to replicate but are pure fusion-active vesicles. In contrast to liposomes, virosomes contain functional viral envelope glycoproteins: influenza virus hemagglutinin (HA) and neuraminidase (NA) intercalated in the phospholipid bilayer membrane.5 The unique properties of virosomes partially relate to the presence of biologically active influenza HA in their membrane. This viral protein not only confers structural stability and homogeneity to virosome-based formulations, but it significantly contributes to the immunological properties of virosomes, which are clearly distinct from other liposomal and proteoliposomal carrier systems.6 It has been shown that a physical association between the virosome and the antigen of interest is necessary for the full adjuvant effect of virosomes. Such physical association can be achieved by a variety of methods, depending on the properties of the antigen. Antigens can be incorporated into virosomes, adsorbed to the virosome surface, or integrated into the lipid membrane; either via hydrophobic domains or lipid moieties cross-linked to the antigen.7 Virosomes therefore represents an innovative, broadly applicable adjuvant and carrier system with prospective applications in areas beyond conventional vaccines. They are one of only five adjuvant systems widely approved by regulatory authorities and the only one that has carrier capabilities.8 Fig. 1: Structure of influenza virosome Key Strengths 3, 9 Virosome technology provides a broadly applicable delivery system for antigens or 2328 DNA/RNA encoding specific immune stimulatory proteins. Virosome technology enables target-specific delivery of antigens and amplification of the immune response. Virosomes stimulate both arms of the immune system – eliciting antibody and cellular immune responses - against inserted immune stimulatory proteins derived from human pathogens. Virosomes are completely biodegradable and can exert an immune response via different routes of administration KEY ADVANTAGES OF VIROSOMES 10, 11, 12 High quality, effective and long-lasting antibody responses Efficient delivery and presentation of antigens to the immune system Conformational stabilization of protein and peptide antigens, even of barely soluble antigens Antigen protected from extracellular degradation Presentation of antigen to B cells in repetitive array on virosome surface Natural uptake and processing of the antigen by professional APC Strong immunostimulation through efficient recruitment of T cell help Excellent safety and tolerability profile Suited for vulnerable populations such as elderly, infants, and immnunosuppressed Mainly synthetic and biodegradable components VIROSOME- BASED TECHNOLOGY PLATFORM Virosomes are a market approved carrier and adjuvant system for the delivery of immunologically active substances. This predominantely synthetic carrier is broadly applicable with almost any antigen. Peptides, (recombinated) proteins or carbohydrates of interest are combined with a lipid anchor, which enables the attachment on the surface of virosomes: 13, 14 Mohd Yasir et al /Int.J. PharmTech Res.2010,2(4) 2329 Fig. 2: Modular virosome-based vaccine design PREPARATION OF VIROSOMES Virosomes made from influenza virus retain the cell entry and membrane Fusion capacity of this virus 15, 16. Functionally reconstituted influenza virosomes will bind to sialic acid residues on the surface of cells and enter the cell via receptor mediated endocytosis 17, 18. Upon endocytosis, the low pH in the endosomes induces fusion of the virosomal membrane with the endosomal membrane, causing the release of the contents of the virosome into the cytoplasm of the cell. The fusion process is mediated by hemagglutinin, the major envelope glycoprotein of influenza virus 19, 20. These procedures involved in the insertion of influenza HA and NA into immunostimulating complexes (ISCOMS) 21, 22, plain liposomes, liposomes containing immunomodulators such as muramyldipeptide 23, 24, or liposomes containing cationic lipids 3, 25. These structures are called immunopotentiating reconstituted influenza virosomes (IRIVs), (fig. 1) Immunopotentiating reconstituted influenza virosomes (IRIVs) are prepared by the detergent removal of influenza surface glycoproteins, hemagglutinin (HA) and neuraminidase (NA), which are subsequently combined with natural and synthetic phospholipids. The phospholipids consist of 70% lecithin, a structural component, 20% cephalin, a structural component that also stimulates B cells independently of T-cell determinants and can bind hepatitis A antigen, and 10% envelope phospholipids, originating from the selected influenza virus. The resulting IRIVs are spherical, unilamellar vesicles with a mean diameter of approximately 150 nm and, due to the low viral and avian protein content, are a virtually non-immunogenic delivery system. Sendai virus virosomes have been generated by reconstitution of the Sendai fusion protein (F-protein), with or without the hemagglutinin– neuraminidase protein (HN-protein) in viral lipids 26. Rubella virus virosomes were prepared by incorporating E1 and E2 envelope glycoproteins into liposomes 27 and vesicular stomatitis virus (VSV) virosomes were generated by adding the G-protein of VSV to preformed liposomes 28, 29. In addition, virosomes have been generated based on Epstein–Barr virus 30, human immunodeficiency virus 31, Semliki Forest virus 32, Friend murine leukemia virus 33, herpes simplex virus 34 and Newcastle disease virus Preparation of Virosomes for Drug Delivery The concept of conferring viral functions to liposomes will lead to a new field in drug delivery new virosome vectors will possess the properties of efficient delivery derived from viral molecules and of lessened toxicity derived from liposomes. Recently, a new approach, constructing influenza virosomes with a cationic lipid was reported. Influenza virus A was solubilized with detergent and mixed with a cationic lipid, dioleoyldimethylamonium chloride (DODAC), at 30% to form a cationic virosomes. Plasmid DNA was complexed with these cationic virosomes and was successfully transferred to cultured cells by low pHdependent membrane fusion.35. The main feature is also attractive for cytoplasmic drug delivery if efficient encapsulation of the respective compound and specific targeting of the vehicle can be achieved. A successful application of the concept has been described by Waelti et al.36, showing the inhibition of tumour progression in a mouse model after treatment with a virosomal formulation. The formulation included Mohd Yasir et al /Int.J. PharmTech Res.2010,2(4) phosphatidylethanolamine-PEG-an-chored antibodies for targeting and HA for cytoplasmic delivery of the encapsulated doxorubicin. After receptor mediated endocytosis and endosomal fusion, virosomes are able to deliver their content (e.g. drugs) into the cytosol. Using monoclonal antibodies to tumor associated antigens, virosomes can be targeted to cancer cells and therefore allow specific immunotherapy 36. Preparation of Virosomes for Antigen Delivery The potentialfor virosomes as delivery systems for peptide and nucleic acid based vaccines has been investigated for several diseases including malaria, melanoma, hepatitis C virus and Alzheimer’s disease 37 . When virosomes are to be used for the delivery of antigen into the cytosol of cells, fusion activity of the virosomes is of major importance. Studies have shown that virosomes as a delivery system are suitable for the efficient induction of antibody responses against conformational epitopes by use of cyclic-template bound peptidomimetics. Virosomes as antigen carriers both protect the incorporated peptide and adjuvants and provide additional immunogenicity. By virtue of the fact that reconstituted viral envelopes closely mimic the outer surface of the virus they are derived from, virosomes also represent a very useful system for the induction of antibody responses against the native virus 38. Furthermore, virosomes may also be used to incorporate other unrelated antigens in the virosomal membrane. For example, Glqck et al. have incorporated hepatitis A virions (HAV) in influenzaderived virosomes and observed a strong stimulation of the HAV-specific antibody response 23. A virosomal HAV vaccine (Epaxal) is currently on the market. Cytoplasmic delivery of influenza virosomeencapsulated material has been conclusively demonstrated using fragment A of diphtheria toxin (DTA) 39. Fusion-active influenza virosomes have the ability to efficiently deliver encapsulated DTA to the cytosol of cells, as evidenced by complete inhibition of cellular protein synthesis. The capacity of virosomes to deliver antigen to the MHC class I presentation route in vivo and to activate antigen-specific CTLs was first assessed in immunization experiments in mice, using influenza virosomes containing a synthetic Peptide epitope from influenza NP 40.Antigen doses as low as 0.7 μg per injection sufficed to induce CTL activity (Bungener et al., Vaccine, in press). Intramuscular, intraperitoneal and subcutaneous immunisations effectively induced CTLs. Although the booster immunisation potentiated the CTL response, a single immunisation of as little as 1.5 μg of OVA in fusion-active virosomes sufficed to induce CTL activity. Fusion-inactive OVA virosomes were also able to induce CTL responses, yet the percentages of specific lysis were lower than for mice immunised 2330 with fusion-active virosomes. This indicates that the fusion activity of the virosomes potentiates, but is not essential for CTL induction in vivo. Immunisation with OVA in virosomes also resulted in a humoral immune response as demonstrated by the presence of anti-OVA IgG in the sera of immunised mice. Preparation of Virosomes for DNA/RNA Delivery Virosomes are also suitable as a DNA/RNA carrier system, since these fusogenic particles mimic a virus. The genetic material is enclosed in the virosome and is therefore protected from DNAase and RNAase 3. Gene therapy requires vectors that are efficient and safe, and simple to prepare. Although viral vectors, in general, very efficiently transfect a variety of cell types, safety issues for most viral vector systems is still a major concern. Accordingly, nonviral techniques for gene transfer that is as efficient as viral vectors are to be developed. DNA vaccines have been developed and numerous clinical studies have been performed. Preclinical studies demonstrated that expression of an antigen or antigens from plasmid DNA may elicit both humoral and cellular immune responses. DODACcontaining DNA-virosomes based on influenza virus lipids and proteins, demonstrated the potential of the influenza virus fusion protein HA to promote uptake and intracellular delivery of virosome-associated plasmid DNA41. DOTAP-influenza virosomes demonstrated DNA or oligonucleotide delivery into human tumour cells and human DCs 42. In vitro as well as in vivo studies demonstrated the potential of DNAvirosomes based on Sendai virus for gene transfection and expression 43. In an elegant study by Ramani et al.43, it was shown that upon intravenous injection of Sendai Fvirosomes containing a CAT-encoding plasmid, CAT gene expression, both mRNA and protein, was observed predominantly in the liver. Up to now, only three studies have been published on the immune responses elicited by the administration of DNA-virosomes. The influenza DOTAP virosomes used in the first study were exogenously loaded with a plasmid DNA encoding the mumps virus hemagglutinin or the mumps virus fusion protein 44. DNA expressing the parathyroid hormone related peptide (PTH-rP), a protein secreted by prostate and lung carcinoma cells was coupled to virosomes or IRIVs DNA immunization has emerged as a strikingly novel approach to immunoprophylaxis. Immunization with naked DNA encoding variousproteins, promises to be a valuable vaccine approach especially if its immunogenicity can be optimized. In order to avoid the injection of high amounts of DNA for vaccination, efficient gene transfer techniques must be employed for an acceptable vaccine in humans. Virus mediated gene transfer generally presents an Mohd Yasir et al /Int.J. PharmTech Res.2010,2(4) underned risk of infection or Inflammation.45 KEY PROBLEMS ASSOCIATED WITH VIROSOMES PREPARATION 44, 45 Problems encountered in development of pharmaceutical virosomes: Shelf-life is too short Scale up related problems Poor quality of raw material Pay-load is too slow Absence on any data on safety of these carrier systems on chronic use But in recent years several solutions have been worked upon to remove above mentioned problems: 46 High quality products with improved purification protocols and validated analytical techniques are available Quality control assay can be performed using sophisticated instruments and batch to batch variability is can be checked 2331 Payload problems can be sorted out using either lipophillic drug/lipophillic prodrug of hydrophilic drugs or using active (remote loading) techniques. Shelf life can be improved using appropriate cryoprotectant and lyoprotectant and product can be successfully freeze dried. Scaling up can be improved by carefully selecting method of prepration, sterilization by autoclaving or membrane filtration (0.2 micrometer) coupled with aseptic and pyrogen removal using properly validated Lal test By choosing candidate potent drugs with narrow therapeutic window (eg. Cytotoxic drugs, and fungicides) the drug related safety problems can be alleviated INTERACTIONS OF VIROSOMES WITH CELLS OF THE IMMUNE SYSTEM By virtue of the repetitive arrangement of haemagglutinin on the virosome surface, virosomes interact efficiently with immunoglobulin receptors on B lymphocytes.3, 25 Fig. 3: Interactions of Virosomes with Cells of the Immune System Mohd Yasir et al /Int.J. PharmTech Res.2010,2(4) 2332 Fig. 4: Mechanism of Virosomes to Stimulate the Immune Systems Virosomes are also taken up avidly by antigenpresenting cells, particularly dendritic cells. Antigens on the virosome surface, as well as antigens derived from degraded virosomes, enter the MHC class II pathway, activating T helper cells. Antigens inside the virosomes, through fusion of the virosomes, access the cytosolic MHC class I presentation pathway, activating cytotoxic T lymphocytes (CTL) (fig. 3) Virosomes can be used for cell-and organ or tissue specific drug delievery of pharmaceutically active substances in the body.. 5, 9, 47 The unique properties of virosomes partially relate to presence of HA in their membrane. This viral protein not only confers structural stability and homogeneity to virosomal formulations, but also significantly contributes to the virosomal formulations, but also significantly contributes to the fusion activity of virosomes which induces endolysomal pathway.48 On the virosomal surface, ligands are attached. This function is crucially for the targeted drug delievery of drugs. Therefore, virosomes selectively bind to their ligands to the target cell. Likewise, the virosomes HA PROMOTES promotes BINDING TO THE TARGET CELL and receptor mediated endocytosis. In the endosome, the virosomal HA- triggered by an acidic e enviourmentmediates membrane fusion, and therapeutically active substances escape from endosomes into cytoplasm of target cell. This concept has been validated in in-vivo. The cytotoxic drugs doxorubicin was encapsulated into the virosomes. On their surface, monoclonal antibodies were cross-linked, mediating specific targeting carrier to the cancer cells. 48(fig. 4) CHARACTERISTICS OF VIROSOME Virosome technology is competitive Virosome technology represents a new frontier in vaccinology, simultaneously improving the delivery of specific antigens to target immune cells, while bypassing the problems of conventional adjuvantbased vaccines. Thus virosomes stimulate antibody Mohd Yasir et al /Int.J. PharmTech Res.2010,2(4) and cellular immune responses against the inserted antigens of a human pathogen. Virosomes are completely biodegradable and virosome-based vaccines do not exert the adverse reactions usually associated with adjuvant activity.49 Virosome formulations are compatible with intramuscular, intradermal and intranasal administration and are broadly applicable with almost any given antigen Virosome technology for highly immunogenic vaccines Two marketed products validate virosome technology: vaccines against hepatitis A and influenza. These products are registered for human use in more than 40 countries and have been administered to more than 30 million individuals. Virosomal vaccines have been shown to elicit highly protective immune responses with excellent safety profiles. Side effects are much less frequent after the application of virosomal vaccines compared to alum-precipitated antigens Virosome–based products from bench to clinic Today many companies in world has fully operational GMP laboratories dedicated to virosomal products with integrated upstream and downstream capacities up to a scale of several 100,000 doses. These units are used to develop and produce any new virosomal formulation under strict cGMP conditions. VIROSOME PHARMACOKINETICS Pharmacokinetics information can be used to interpret the differences in the pharmacological effect of liposomal-entrapped drug and free drug, and subsequently can be exploited for dose designing.virosome pharmacokinetics deal with time course of the absorption, distribution and degradation of the virosomal carriers in vivo.The pharmacokinetics of virosomes requires the knowledge of possible accessible sites after intravenous administration as this is the most accepted route for various virosomal formulations exploited for clinical therapeutics except topical formulations.Virosomes alter both the tissue distribution and the rate of clearance of a drug as they are affected by the pharmacokinetics parameters of carrier. Under optimal conditions, the drug is carried within the virosomal aqueous phase during circulation, but leaks at sufficient rate to become bioavailable on arrival at tissue or other sites. Bioavailability in case of virosomal carriers can be defined as the amount of free drug that is able to escape the confines of the carrier and thus become available for redistribution to neighboring tissue. Final outcome of virosomal delivery of drugs on biopharmaceutical and pharmacokinetic parameters are: 21, 50 Higher therapeutic index 2333 Decrease in the amount and type of nonspecific toxicity. Protection of drug from metabolism and inactivation in plasma. Reduced volume of distribution and hence decrease in non-specific localization. Increased in concentration of drug at target site. RATIONALE FOR USING AND DEVELOPING VIROSOMES 51 Potential for sustained release dosage forms – dexamethasone palmitate, barbiturates, physostigmine salicylate. Site specific delivery to various organs: cytotoxic agents. Solubilization of poorly water soluble drugs: diazepam, vitamin a, propofol,dexamethasone palmitate. Prevention of drug uptake by infusion sets: diazepam,perilla ketone. KEY POINTS FOR EVALUATION OF VIROSOME 52, 53 Vesicle shape and surface morphology: Transmission electron microscopy, freeze fracture electron microscopy Vesicle size and size distribution: Dynamic light scattering, transmission electron microscopy, zetasizer, photon correlation spectroscopy, laser light scattering, gel permeation and gel exclusion Surface charge: free flow electrophoresis Electrical surface potential and surface ph: zeta potential measurements and ph sensitive probes lamellarity: small angle x-ray scattering, freeze fracture electron microscopy, 13p- nmr Phase behavior: freeze fracture electron microscopy, differential scanning colorimetry Percent of free drug: mini column centrifugation, gel exclusion, ion exchange chromatography, protamine aggregation, radiolabel ling Drug release: diffusion cell/ dialysis Pyrogenicity: rabbit fever response test or limulus ambeocyte lysate (lal) test Animal toxicity: monitoring survival rates, histology and pathology Chemical analysis of surface: static secondary ion mass spectrometry, spectrometer Mohd Yasir et al /Int.J. PharmTech Res.2010,2(4) 3, 6, 10, 36 APPLICATIONS OF VIROSOMES (A) General Application 1. Genetic(dna) vaccination 2. Blood substitutes for hemoglobin 3. Immunoadjuvat, immunomodulator, immunodiagnosis 4. Artificial blood surrogates 5. Pharmaceutical pigments or dyes 6. In gene delivery 7. In tumor therapy a carrier of small cytotoxic molecules 8. Vehicle for macromolecules as cytokines or genes 9. As biological response modifiers 10. Virosomal drugs 11. Virosomes as drug/protein drug delivery vehicles 12. As radiopharmaceutical and radio diagnosis carriers 13. As gene therapy genetic targeted intracellular material delivery 14. Enzyme replacement therapy and lysosomal storage disorders. 15. In cosmetics and dermatology 16. Enhanced drug solubilization 17. In antifungal (lung therapy), antiviral and anti microbial therapy 18. Altered pharmacokinetics and biodistribution 19. Masking action 20. Drug overdose treatment 21. Separation and extraction technique 22. In fabrication of microcapsulated dosage form 23. Enzyme immobilization (B) Biomedical Applications 1. Virosomal loaded antibiotics used potentially for treatment of – Protozoan- leshminiasis (antimonials, amphotericinB) Bacterialtuberclosis, leprosis, salmonellosis, brucellosis, Fungalhistoplasmosis (amphotericinB), cryptococcoses(amphotericin b),Viral- herpes simplex virus, aids 2. Antigens and allergens extract given by im, sc, oral used in desensitization desiring high yield allergen entrapment, stability. 3. Virosomes associated with hemoglobin, synthetic oxygen transporters given by i.v route used as blood surrogates desiring high yield hb entrapment, stability and long circulating . 2334 4. Virosomes associated with plasmid dna, antisense oligonucleotides given by iv,im,ia,it topical and oral used in gene and antisense therapy desiring high yield DNA incorporation, fusogenic(cationic,virosome,phsensitive),and targeted 5. As endogenous cytokines (IL, IFN, TNF, GMCSF) given by iv,im,sc,it used as immunomodulators desiring high yield incorporation, stability, controlled Clearance rates and targeted 6. Used in macrophage activation for protection against klebesiella pneumniae 7. Used in macrophage activation for tumoricidal properties against spontaneous metastases (C) List of Antigens Where Virosomes Have Been Used as Immuno Adjuvants 1. Rabies glycoprotein- antigen specific interleukin-2-enhancement 2. Herpes simplex virus- mlv with lipid A, enhanced ab level 3. Bacterial polysacchrides-superirr immunoadjuvants. 4. Influenza subunit antigen-intranasal, protects animal from virus 5. Streptococcus mutant carbohydrate antigenincreased antibody titre in salivary glands 6. Poliovirus peptides-enhanced antibody level 7. Cholera toxin-superior immunoadjuvants 8. Hepatitis virus surface antigan-PC/chol/DCP, higher antibody response 9. Tetanus toxoid- Mannose mediated targeting, increased antibody titre 10. Filamentous haemagglutinis and detoxified pertussis toxin of bortella pertussis-very effective vaccine. ADVANCES AND FUTURE PROSPECTS Until other carrier systems of age, virosomal technology will remain a hotspot active area for future research.54 They represent the one of the simplest yet a novel drug carrier based on the fundamental principle of self assembly.Pevion Biotech Company is currently developing products for human use and is currently testing the commercial medical applications of virosomes. The coming years represent a critical time in this field as commercial applications has been explored. In near future virosomes based delivery system with their ability to provide controlled and site specific drug delivery revolutionize disease management.55 Mohd Yasir et al /Int.J. PharmTech Res.2010,2(4) 2335 Table 1: Marketed Products of Virosomal drug delivery 57 S. No. Virosomal preparations Application A Virosomes antigen based products 1 Hepatitis A virus envelope proteins 1 Hepatitis a (EpaxalW) 2 Influenza virus (InflexalW V) Influenza Virosomal antigen preparations B under clinical trials 1 Diphtheria/tetanus toxoid virus envelope Diphtheria, Tetanus proteins 2 Peptidomimetic of loop I from domain III Malaria of Plasmodium falciparum AMA-1 3 PEV6 Breast cancer C Virosomal antigen preparations under pre clinical trials 1 Doxorubicin Cancer 2 Doxorubicin Ovarian carcinoma 3 L-myc antisense ODNs Cancer DNA-encoded TAA Prostate 4 Carcinoma 5 DNA-encoded mumps antigen Mumps 6 Melan A/Mart-1 peptides Melanoma 7 RSV F protein RSV 8 Hepatitis C peptides Hepatitis C 9 VSV G protein Vesicular stomatitis 10 NDV envelope proteins Newcastle disease 11 HIV proteins AIDs 12 PEV4 RSV 13 PEV7 Candida 14 PEV 8 Universal influenza Table 2: Recent US Patents of Virosomal Drug Delivery 58 S.No. US Patent No. Title 1 7576066 Nucleic acid compositions for stimulating immune responses 2 7615227 Use of CpG oligodeoxynucleotides to induce angiogenesis 3 7615377 Fluorescein-based metal sensors 4 7615539 Nucleic acid-lipophilic conjugates 5 7618641 Functionally reconstituted viral membranes containing adjuvant Recently berna a crucell company has been granted a patent from us patent office for F-VIROSOMES. (US Patent No.5, 683, 866 dated November 4, 1997). 1) This delivery vehicle (F-virosome) consisting of the envelope of Sendai virus containing only the fusion protein (F) and devoid of its own genetic material and other undesirable proteins, holds minimum risk of any side effects. 2) The F-virosomes containing the genes of interest (e.g. CAT and luciferase) specifically bind and fuse with liver parenchymal cells (both in vitro and in vivo) resulting in high efficiency gene transfer to the nucleus of these cells, bypassing the degradative endocytotic route. 3) A single intravenous administration of DNA loaded F-virosomes into Balb/c mice resulted in expression of CAT mRNA and the corresponding protein till four months post injection. The delivered DNA was found in the mouse chromosomes and persisted till two months. Mohd Yasir et al /Int.J. PharmTech Res.2010,2(4) 4) No adverse immune side effects (antibodies against F protein) were observed in Fvirosome injected mice. 5) Preliminary experiments have been done in delivering a therapeutic gene (bilirubin-UDPglucuronosyl transferase, BUGT) into Gunn rats (lacking the BUGT gene showing high levels of serum bilirubin) through F-virosomes and found to be encouraging in terms of reduction of serum bilirubin levels. Fig 5: Safety Profile of Virosomes Novelty of F-Virosome Mediated Gene Delivery 56, 1. Specific cytosolic delivery of genes and their expression in cells using Sendai viral envelope devoid of hemagglutinin-neuraminidase and its own genetic material thereby totally eliminating the possibility of any side effects. Sendai virus, which is the starting material for developing this delivery system, is known to be non pathogenic to humans. 2 Dual roles (in binding and membrane fusion) of F protein of Sendai virus in gene delivery 3. Targeted delivery of genes into liver cells in culture using modified Sendai viral envelopes. 4. Considerably higher efficiency of gene delivery as compared to existing delivery systems such as liposome and commercially available systems like lipofectin. The genes delivered by this system remain intact and are able to express biological by active protein products. 2336 Uses: some of the Potential Diseases for which therapeutics can develop using this delivery system such as: Hemophilia, HBV, Diabetes, Cancer. CONCLUSION Vaccines have been well accepted and used effectively for more than 100 years. Traditional vaccines are generally composed of whole inactivated or attenuated microorganisms that have lost their disease-producing properties, or they are composed of subunits of organisms such as an outer coat protein. These classical prophylactic vaccines evoke a humoral immune response and are therefore immunogenic, but they often have been associated with an unfavorable safety profile. For the evaluation of vaccines different key factors have to be considered. One key factor is its immunogenicity or effectiveness in immunizing an individual. A second key factor in evaluating a vaccine is its tolerability with respect to the vaccination recipient. A vaccine’s tolerability is largely linked to the type of adjuvant it uses to enhance its immunogenicity. Aluminum-based compounds are the oldest adjuvants and have been used in vaccines for the past 70 years. Most commercial adjuvanted vaccines today use aluminum salts, such as aluminum hydroxide, as an adjuvant. However, as aluminum has been linked to localized side effects such as rashes, swelling and pain at the injection site of the vaccine, efforts have been made to develop other potent adjuvants that are better tolerated by vaccine recipients. A new generation of prophylactic and therapeutic vaccines is needed: vaccines capable of inducing a strong specific immune response and possessing a more favorable safety profile than the classical preparations. These issues can be addressed by developing vaccines which are not based on isolated biological material but which are produced synthetically. An increasing number of antigens (e.g. proteins, peptides or carbohydrates) capable of inducing humoral and cellular immune responses have been identified. However, these new epitopes are often weak immunogens. It is therefore important to present them to the immune system in such a way that a specific and strong immune response is induced. Virosomes fulfill all the prerequisites necessary to serve as new gold standard adjuvant and carrier system for next generation prophylactic vaccines. Mohd Yasir et al /Int.J. PharmTech Res.2010,2(4) REFERENCES 1. 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