Recent advances in lipid-protein conjugate-based delivery systems in nutraceutical, drug, and gene delivery

✅ 全文

基于脂质-蛋白偶联物的递送系统在营养品、药物和基因递送中的最新进展

作者 Thilini Dissanayake; Xiaohong Sun; Lord Abbey; Nandika Bandara 期刊 Food Hydrocolloids for Health 发表日期 2022 ISSN 2667-0259 DOI 10.1016/j.fhfh.2022.100054 类型 原创研究 (Original Research)

📄 英文摘要 English Abstract

EN

Lipid and protein-based delivery systems have long been used to deliver active compounds such as drugs, genes, and nutraceuticals. These delivery systems are fabricated to overcome issues of pure active compounds, which include rapid release and metabolism, poor solubility, low stability, poor bioavailability, poor bioaccessibility, and toxicity. However, there are limitations of lipids and proteins that restrict their efficient use in the delivery systems. Lipid-protein conjugation is an emerging technique for fabricating novel delivery systems that provide the advantages of having both proteins and lipids in one delivery system. In addition, these conjugates have a much better synergistic effect and desirable properties inside the body than single carriers. Among them, colloidal and biological stability, enhanced mechanical strength, controlled release, higher circulation time, targeted delivery, less cytotoxicity, higher loading capacity, co-encapsulation, and enhanced bioavailability are key outcomes. Despite recent technological advancement, there are still drawbacks to lipid-protein conjugate-based delivery systems that should be addressed in future research studies. This review is focused on critically evaluating the importance of lipid and protein as delivery systems, benefits of lipid-protein conjugation, conjugation methods, various applications of lipid-protein conjugation in drugs, genes, and nutraceutical delivery, and identifying research challenges and future research directions.

📄 中文摘要 Chinese Abstract

中文
脂质和蛋白质基递送系统长期以来一直被用于递送药物、基因和营养保健品等活性化合物。这些递送系统的构建旨在克服纯活性化合物所面临的问题,包括快速释放和代谢、溶解度差、稳定性低、生物利用度差、生物可及性差以及毒性等。然而,脂质和蛋白质存在一些局限性,限制了它们在递送系统中的有效应用。蛋白质与脂质的偶联可以产生兼具蛋白质和脂质理想特性的递送系统。此外,偶联克服了现有蛋白质或脂质基纳米递送系统的大多数局限性。例如,脂质-蛋白质偶联药物递送系统展现出优异的性能,包括增强靶向递送、控制释放、降低细胞毒性和提高治疗效果。除靶向递送外,通过蛋白质或脂质包衣增强药物稳定性是偶联的另一项优势。研究表明,当活性化合物被包封在脂质-蛋白质偶联递送系统中时,脂质-蛋白质纳米颗粒增强了活性化合物的控制释放。控制释放可延长循环时间并提高活性化合物的生物利用度。此外,脂质-蛋白质偶联物可通过其高溶解度增强药物的治疗效果,同时直接递送至靶位点以减少对正常细胞的毒性。

📋 英文结构化总结 English Structured Summary

全文整理

EN

Background:

Lipid and protein-based delivery systems have long been used to deliver active compounds such as drugs, genes, and nutraceuticals. These delivery systems are fabricated to overcome issues of pure active compounds, which include rapid release and metabolism, poor solubility, low stability, poor bioavailability, poor bioaccessibility, and toxicity. However, there are limitations of lipids and proteins that restrict their efficient use in the delivery systems. Conjugation of proteins and lipids can result in delivery systems with desirable characteristics of both proteins and lipids. Further, conjugation overcomes most limitations related to existing protein- or lipid-based nano delivery systems. For example, lipid-protein conjugated drug delivery systems revealed excellent properties, including increased targeted delivery, controlled release, reduced cytotoxicity, and enhanced therapeutic efficacy. Apart from the targeted delivery, enhancing drug stability by protein or lipid coating is another benefit of conjugation. Studies showed that lipid-protein nanoparticles enhanced the controlled release of active compounds when encapsulated in lipid-protein conjugated delivery systems. Controlled release causes higher circulation time and increased bioavailability of active compounds. Furthermore, lipid-protein conjugates can enhance the therapeutic efficacy of drugs by their high solubility while being directly delivered to target sites to reduce the toxicity to regular cells.

Methods:

N/A - Review article

Results:

Lipid-protein conjugation is an emerging technique for fabricating novel delivery systems that provide the advantages of having both proteins and lipids in one delivery system. In addition, these conjugates have a much better synergistic effect and desirable properties inside the body than single carriers. Among them, colloidal and biological stability, enhanced mechanical strength, controlled release, higher circulation time, targeted delivery, less cytotoxicity, higher loading capacity, co-encapsulation, and enhanced bioavailability are key outcomes. Despite recent technological advancement, there are still drawbacks to lipid-protein conjugate-based delivery systems that should be addressed in future research studies. The existence of several constraints that limit the application of lipid-protein conjugated delivery systems is well acknowledged. In some cases, the toxicity of the conjugates themselves has been recorded. Furthermore, the objective of conjugation is to give novel properties to conjugated delivery systems that are not shown by individual protein or lipid-based delivery systems. However, it cannot be achieved easily due to the complex nature of this process and the inability to predict how these systems perform inside.

Data Summary:

The text does not contain specific quantitative statistics (e.g., percentages, numerical values) regarding the performance of lipid-protein conjugate-based delivery systems. Qualitative outcomes reported in the review include enhanced colloidal and biological stability, enhanced mechanical strength, controlled release, higher circulation time, targeted delivery, less cytotoxicity, higher loading capacity, co-encapsulation, and enhanced bioavailability. The text also notes that lipid-protein conjugate-based delivery systems can exhibit their own toxicity in some cases.

Conclusions:

Lipid-protein conjugation is a promising approach to fabricate delivery systems that combine the advantages of both lipids and proteins while overcoming many limitations of single carriers. Key benefits include improved stability, controlled release, targeted delivery, and enhanced bioavailability for drugs, genes, and nutraceuticals. However, challenges remain, including the potential toxicity of conjugates and the complexity of predicting their in vivo performance, which require further research.

Practical Significance:

Lipid-protein conjugate-based delivery systems have real-world applications in the nutraceutical, drug, and gene delivery fields. They can improve the therapeutic efficacy and bioavailability of active compounds, enable targeted delivery to reduce side effects, and allow co-encapsulation of multiple agents. These systems are relevant for managing chronic diseases such as cancers, cardiovascular diseases, and diabetes, and can be utilized in food and pharmaceutical industries for developing more effective encapsulated products.

📋 中文结构化总结 Chinese Structured Summary

中文

背景:

脂质和蛋白质基递送系统长期以来一直被用于递送药物、基因和营养保健品等活性化合物。这些递送系统的构建旨在克服纯活性化合物所面临的问题,包括快速释放和代谢、溶解度差、稳定性低、生物利用度差、生物可及性差以及毒性等。然而,脂质和蛋白质存在一些局限性,限制了它们在递送系统中的有效应用。蛋白质与脂质的偶联可以产生兼具蛋白质和脂质理想特性的递送系统。此外,偶联克服了现有蛋白质或脂质基纳米递送系统的大多数局限性。例如,脂质-蛋白质偶联药物递送系统展现出优异的性能,包括增强靶向递送、控制释放、降低细胞毒性和提高治疗效果。除靶向递送外,通过蛋白质或脂质包衣增强药物稳定性是偶联的另一项优势。研究表明,当活性化合物被包封在脂质-蛋白质偶联递送系统中时,脂质-蛋白质纳米颗粒增强了活性化合物的控制释放。控制释放可延长循环时间并提高活性化合物的生物利用度。此外,脂质-蛋白质偶联物可通过其高溶解度增强药物的治疗效果,同时直接递送至靶位点以减少对正常细胞的毒性。

方法:

不适用——综述文章

结果:

脂质-蛋白质偶联是一种构建新型递送系统的新兴技术,该递送系统兼具蛋白质和脂质的优势。此外,与单一载体相比,这些偶联物在体内具有更显著的协同效应和理想特性。其中,胶体稳定性和生物学稳定性增强、机械强度提高、控制释放、循环时间延长、靶向递送、细胞毒性降低、载药量提高、共包封以及生物利用度增强是关键成果。尽管近年来技术不断进步,但脂质-蛋白质偶联基递送系统仍存在一些缺点,需要在未来的研究中加以解决。众所周知,存在若干限制脂质-蛋白质偶联递送系统应用的约束条件。在某些情况下,偶联物本身的毒性已被记录。此外,偶联的目的是赋予偶联递送系统所不具备的个体蛋白质或脂质基递送系统所没有的新特性。然而,由于该过程的复杂性和无法预测这些系统在体内的表现,这一目标难以轻易实现。

数据总结:

本文未包含关于脂质-蛋白质偶联基递送系统性能的具体定量统计数据(如百分比、数值)。综述中报告的定性结果包括胶体稳定性和生物学稳定性增强、机械强度提高、控制释放、循环时间延长、靶向递送、细胞毒性降低、载药量提高、共包封以及生物利用度增强。本文还指出,脂质-蛋白质偶联基递送系统在某些情况下可能表现出自身的毒性。

结论:

脂质-蛋白质偶联是一种有前景的递送系统构建方法,该方法结合了脂质和蛋白质的优势,同时克服了单一载体的诸多局限性。主要优势包括改善药物、基因和营养保健品的稳定性、控制释放、靶向递送以及增强生物利用度。然而,挑战依然存在,包括偶联物的潜在毒性和预测其体内性能的复杂性,这些都需要进一步研究。

实际意义:

脂质-蛋白质偶联基递送系统在营养保健品、药物和基因递送领域具有实际应用价值。它们可以提高活性化合物的治疗效果和生物利用度,实现靶向递送以减少副作用,并允许多种制剂的共包封。这些系统与管理癌症、心血管疾病和糖尿病等慢性疾病相关,并可用于食品和制药行业,以开发更有效的包封产品。

📖 英文全文 English Full Text

EN

Food Hydrocolloids for Health 2 (2022) 100054 Contents lists available at ScienceDirect Food Hydrocolloids for Health journal homepage: www.elsevier.com/locate/fhfh

Recent advances in lipid-protein conjugate-based delivery systems in nutraceutical, drug, and gene delivery Thilini Dissanayake a,b, Xiaohong Sun c, Lord Abbey d, Nandika Bandara a,b,d,∗ a

Department of Food and Human Nutritional Sciences, Faculty of Agricultural and Food Sciences, University of Manitoba, Winnipeg R3T 2N2, Canada Richardson Centre for Food Technology and Research (RCFTR), 196, Innovation Drive, Winnipeg, Manitoba R3T 6C5 Canada c College of Food and Biological Engineering, Qiqihar University, Qiqihar, Heilongjiang 161006, China d Department of Plant, Food & Environmental Sciences, Faculty of Agriculture, Dalhousie University, Truro, NS B2N 5E3, Canada b

a r t i c l e i n f o

Keywords: Lipid-protein conjugation Drug delivery Gene delivery Nutraceutical delivery Bioavailability

a b s t r a c t Lipid and protein-based delivery systems have long been used to deliver active compounds such as drugs, genes, and nutraceuticals. These delivery systems are fabricated to overcome issues of pure active compounds, which include rapid release and metabolism, poor solubility, low stability, poor bioavailability, poor bioaccessibility, and toxicity. However, there are limitations of lipids and proteins that restrict their efficient use in the delivery systems. Lipid-protein conjugation is an emerging technique for fabricating novel delivery systems that provide the advantages of having both proteins and lipids in one delivery system. In addition, these conjugates have a much better synergistic effect and desirable properties inside the body than single carriers. Among them, colloidal and biological stability, enhanced mechanical strength, controlled release, higher circulation time, targeted delivery, less cytotoxicity, higher loading capacity, co-encapsulation, and enhanced bioavailability are key outcomes. Despite recent technological advancement, there are still drawbacks to lipid-protein conjugate-based delivery systems that should be addressed in future research studies. This review is focused on critically evaluating the importance of lipid and protein as delivery systems, benefits of lipid-protein conjugation, conjugation methods, various applications of lipid-protein conjugation in drugs, genes, and nutraceutical delivery, and identifying research challenges and future research directions.

1. Introduction Consumer awareness of human health and nutrition is growing continuously due to the increasing number of chronic diseases. Drugs, nutraceuticals, and transfected genes are effective prophylactic or therapeutic agents for managing chronic diseases such as cancers, cardiovascular diseases, and diabetes (Chaudhari et al., 2021; Pooja et al., 2016; Zhu et al., 2019; Zuvin et al., 2019). However, their therapeutic efficacy and in vivo potential physiological benefits are limited due to poor bioavailability, low aqueous solubility, chemical instability, interactions with excipients or food components, poor absorption, transformation in the gastrointestinal fluids, fast metabolism and circulation, and low targeted delivery (Chen et al., 2016; Dima et al., 2020; Hong et al., 2020; McClements et al., 2015; Shishir et al., 2018). Therefore, encapsulation of bioactives and drugs is explored as a promising technique to address these challenges where lipid or protein carriers are one of the most extensively explored vehicles in encapsulation (Bandara et al., 2018; Devi et al., 2017; Simões et al., 2017).

Lipids have many desirable characteristics, such as being generally recognized as safe (GRAS), biodegradability, biocompatibility, industrial production and scale-up capabilities, and excellent functionality in the emulsification (Simões et al., 2017). Liposomes, emulsions, microemulsions, nanoemulsions, multiple emulsions, solid lipid nanoparticles (SLNs), nanostructured lipid carriers (Assadpour & Mahdi Jafari, 2018; McClements, 2015), and hollow solid lipid nanoparticles (Yang & Ciftci, 2016) are some of the most common lipid-based delivery systems. On the other hand, food protein is another biopolymer widely used in food formulations due to its biodegradability, biocompatibility, stability, and numerous functional properties (Dima et al., 2020; Hong et al., 2020). Furthermore, Fathi et al. (2018) have mentioned that the properties of proteins like surface activity, structure formation, and antioxidant activity increase the value of proteins as nanocarriers. Despite the numerous advantages of lipid and protein-based nanocarriers, many limitations impede the effective use of lipids and proteins as carriers. For example, due to interactions between lipids and serum proteins, lipid-based delivery systems result in in-vivo colloidal and

Corresponding author at: Richardson Centre for Functional Foods and Nutraceuticals, 196, Innovation Drive, Winnipeg, Manitoba R3T 2N2. Canada. E-mail address: Nandika.Bandara@umanitoba.ca (N. Bandara).

https://doi.org/10.1016/j.fhfh.2022.100054 Received 4 October 2021; Received in revised form 15 December 2021; Accepted 20 January 2022 2667-0259/© 2022 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

T. Dissanayake, X. Sun, L. Abbey et al. Food Hydrocolloids for Health 2 (2022) 100054 biological instability. In addition, several nonspecific binding to erythrocytes, lymphocytes, and endothelial cells also contribute to the instability of lipid-based systems (Simões et al., 2000). Moreover, reticuloendothelial system (RES) clearance of lipids due to opsonization by complement proteins, fibronectin, and immunoglobulins and rapid drug release from liquid-state lipid carriers limit the efficacy of lipid-based delivery systems (Kandadi et al., 2012; Yingchoncharoen et al., 2016). Conjugation of proteins and lipids can result in delivery systems with desirable characteristics of both proteins and lipids. Further, conjugation overcomes most limitations related to existing protein- or lipidbased nano delivery systems. For example, lipid-protein conjugated drug delivery systems revealed excellent properties, including increased targeted delivery, controlled release, reduced cytotoxicity, and enhanced therapeutic efficacy (ElMasry et al., 2018; Jain et al., 2012; Pooja et al., 2016; Tang et al., 2015). Apart from the targeted delivery, enhancing drug stability by protein or lipid coating is another benefit of conjugation (Tao et al., 2019). Studies showed that lipid-protein nanoparticles enhanced the controlled release of active compounds when encapsulated in lipid-protein conjugated delivery systems. Controlled release causes higher circulation time and increased bioavailability of active compounds (Chen et al., 2020; Hall et al., 2021; Li et al., 2021; Ruttala et al., 2017; Tezgel et al., 2020). Furthermore, Lipid-protein conjugates can enhance the therapeutic efficacy of drugs by their high solubility while being directly delivered to target sites to reduce the toxicity to regular cells (He et al., 2015). The existence of several constraints that limit the application of lipid-protein conjugated delivery systems is well acknowledged. In some cases, the toxicity of the conjugates themselves has been recorded (Elzoghby et al., 2012; Gaber et al., 2017). Furthermore, the objective of conjugation is to give novel properties to conjugated delivery systems that are not shown by individual protein or lipid-based delivery systems. However, it cannot be achieved easily due to the complex nature of this process and the inability to predict how these systems perform inside the body. However, the different techniques and applications of lipidprotein conjugated delivery systems can be found in other literature, making it difficult for potential users of such information to get easy access. Therefore, the objective of this review is to critically evaluate the benefits of lipid-protein conjugates over single carriers, techniques for manufacturing lipid-protein conjugates, characterization methods for conjugates, various applications of lipid-protein conjugation in drugs, genes, and nutraceuticals delivery, and the future research directions.

gelatin has high potential as a protein-based nanoparticle to deliver bioactive compounds (Hathout & Omran, 2016). Albumin also plays a significant role in encapsulation and delivery systems. As the most abundant protein in human plasma (Kratz & Elsadek, 2012), albumin contributes to many physiological processes, including maintaining colloidal osmotic pressure, transporting hormones and fatty acids, delivering nutrients to cells, and balancing plasma pH (Neumann et al., 2010). Furthermore, albumin maintains its stability under different processing conditions. Albumin can be heated at 60 °C for 10 h without any deleterious effect, and it is stable in the pH range of 4 to 9 (Neumann et al., 2010). Moreover, the availability of albumin is high as it is the most abundant protein in plasma, and this can encourage commercial-level production of albumin-based delivery systems. In terms of half-life, it has a 19 days blood circulation period (Kratz, 2008). In targeted drug delivery, albumin is widely used due to its ability to reach and accumulate in targeted sites in the body (Elsadek & Kratz, 2012; Kratz, 2008). Due to the presence of a considerable amount of charged amino acids and functional groups, nanoparticles made with albumin are easy to conjugate with target ligands (Ren et al., 2013). As Bandara et al. (2018) discussed, canola protein can be used as a potential source for delivery systems by further developing by conjugation with other polymers and producing emulsion-based systems. Based on the dry weight, 36–40% of protein presents in the canola meal after defatting. However, other non-protein components such as fiber, polymeric phenolics, phytates, and sinapine present in the cellular components and coat of canola seed limit the suitability of canola meal for food use. Also, napin, a major canola protein, limits its applications in foods due to its allergenicity (Wanasundara et al., 2016). Even though the use of canola protein is limited in human foods, sustainable production, availability, and low cost promote the use of canola proteins in non-food applications such as delivery systems (Bandara et al., 2018). Likewise, owing to the unique functional properties of the proteins, different proteins have been used to encapsulate a broad range of active compounds. 𝛼-Lactalbumin was conjugated to chitosan using electrostatic interactions through their opposite chargers to encapsulate resveratrol. Resveratrol was mainly loaded to 𝛼-Lactalbumin-chitosan nanoparticles by hydrophobic interactions and H bonding (Liu et al., 2020). Ultrasonication and pH-shifting combined treatment was used to partially unfold the structure of soy protein to expose more hydrophobic moieties. However, ultrasonication takes a relatively long period to increase surface hydrophobicity. Therefore, pH shifting with ultrasonication has been used for this process where protein is exposed to extreme alkaline or acidic conditions and followed by neutral pH. This process leads to partial unfolding and refolding of proteins, respectively. Using this strategy, soy protein-polysaccharide nanoparticles were formed, and hydrophobic resveratrol was encapsulated, resulting in smaller particle size and hydrophobicity than untreated soy protein (Fang et al., 2021). Also, glycosylating of proteins with polysaccharides is another way of protein modification to overcome the issues associated with native protein structure during encapsulation. By this, functional properties of proteins such as solubility, gelation, emulsification, foaming, and film-forming can be improved (Zhang et al., 2018). Vitamin C encapsulated vitamin gummies were prepared using casein gels to enhance vitamin C’s stability and control the degradation. According to FTIR spectra, H bonds between casein and vitamin C were confirmed. 92% of encapsulated vitamin C was retained for ten weeks, while only 79% for unencapsulated vitamins. Also, simulated studies confirmed the sustainable release of vitamin C encapsulated in casein (Yan et al., 2021). Gliadin is a hydrophobic protein characterized by excellent mucoadhesive properties that are ideal for encapsulating hydrophobic and amphiphilic drugs. The hydrophobicity of gliadin is due to the disulfide bonds. The mucoadhesive properties increased the residence time of encapsulated drugs in the GI tract. However, pH, salt, and heat can cause instability of gliadin nanoparticles due to aggregation. The addition of gum arabic stabilized the gliadin nanoparticles due to the predominant H forces between gliadin and gum arabic at pH five and hydrophobic forces at

2. Protein and lipid as carriers Proteins are excellent raw materials for delivery applications due to their functional properties such as surface activity, emulsification, foaming, water-binding, gelation, and antioxidant activity, facilitating the easier modification of proteins through various chemical and physical techniques (Maviah et al., 2020). Animal proteins and plant proteins are the two major classes of proteins used to encapsulate bioactive compounds (Fathi et al., 2018). Gelatin, collagen, albumin, casein, elastin, milk, and whey proteins are animal proteins used for nanocarriers. Zein, pea, gliadin, and soy proteins are examples of plant proteins widely used in nanocarriers (Maviah et al., 2020; Verma et al., 2018). Gelatin is a promising carrier for bioactives due to its desirable properties such as biodegradability, biocompatibility, and non-toxicity (Elzoghby, 2013). In terms of chemical structure, gelatin can be easily modified or cross-linked to create delivery systems. It was reported that gelatin structure has ∼13% positively charged moieties and ∼12% of negatively charged moieties due to the presence of positively charged arginine and lysine and negatively charged glutamic and aspartic acids, respectively (Hathout & Omran, 2016). Also, leucine, isoleucine, methionine, and valine amino acids make ∼11% of the gelatin chain. All these multifunctional carboxylic and amino groups present in the gelatin facilitate the gelatin interactions with other molecules. Consequently, 2

pH 7 (Wu et al., 2018). 𝛽-carotene was encapsulated in whey proteinbased nanocapsules prepared using 5, 10, and 15% ethanol solutions. According to the results, ethanol caused the protein to unfold and expose the protein’s hydrophobic core, facilitating the interaction between protein and hydrophobic 𝛽-carotene (Rodrigues et al., 2020). As well, whey protein-based microparticles were used to successfully encapsulate curcumin which is unstable at physiological pH and poorly water-soluble. Bioaccessibility of curcumin was increased when they were encapsulated in whey protein compared to free curcumin (Ye et al., 2021). In terms of lipid-based delivery systems, oleic acid (Elmasry et al., 2018; Meghani et al., 2018; Park et al., 2015; Tran et al., 2013), lecithin (Chuacharoen & Sabliov, 2016; He et al., 2015; Jain et al., 2012; Tang et al., 2015), linolenic acid (Yadav et al., 2019), and linoleic acid (Pucek et al., 2017) are some of the commonly used lipid-based substances in delivery systems. These lipid-based substances are obtained from the sources such as flaxseed (Kaithwas et al., 2011), canola oil (Mokhtari et al., 2017), soybean seeds (Peng et al., 2014), clove oil, and other essential oils (Wan et al., 2018). Wan et al. (2018) have discussed that essential oils’ antimicrobial and preservative properties make them a potential source for food delivery systems. Mhule et al. (2018) reported that oleic acid is a potential stabilizer in liposomes and magnetic nanoparticles. Further, the authors (Mhule et al., 2018) have mentioned the properties of oleic acid such as biocompatibility, penetration enhancing property in transdermal delivery systems, and antibacterial activity increase its use in delivery applications. As reported by Perez-Ruiz et al. (2018), lecithin has a wide range of applications in delivery systems due to its biocompatibility and stabilizing properties. Further, it is used to prepare various nano vehicles such as micelle, liposomes, microemulsions, and nanoparticles. The inherent property of self-assembling in aqueous environments due to the amphiphilicity makes lecithin an attractive nano-carrier. Also, lecithin plays a significant role in maintaining membrane fluidity and enhancing the absorption of active compounds (Jabri et al., 2018). Linoleic acid is an essential molecule that cannot be synthesized in the human body, and it can reduce the risk of arteriosclerosis (Yang et al., 2018). As Fang et al. (2017) explained, the attention towards linoleic acid from scientists is increasing due to its in vitro antiproliferative effects and in vivo antitumor effects. The authors have proved that linoleic acid is effective in delivery systems in increasing circulation time and the therapeutic efficacy of loaded drugs. Liposomes are globular structures of lipid bilayers with a 50– 1000 nm diameter. The lipid bilayer is made from phospholipids which have a hydrophilic (polar) head and lipophilic (non-polar) tail (Daraee et al., 2016). The ability to deliver hydrophilic, lipophilic, and amphiphilic compounds is a major advantage of liposomes (Isailović et al., 2013). Maritim et al. (2021) encapsulated glibenclamide in liposomes. They evaluated the drug loading, liposome stability, and drug release affected by the location of the encapsulated drugs in liposomes, type of lipid (saturated, unsaturated), acyl chain length, preparation method, phase transition temperature, and phospholipid to cholesterol ratio. The hydrophobic model drug glibenclamide was loaded in the hydrophobic bilayer. It could also be loaded in the hydrophilic core of the liposome as it had a pH-dependent lower solubility in water. Based on the results, a longer lipid chain, lower cholesterol ratio, higher lipid saturation promoted the drug loading capacity in both core and bilayer. On the other hand, shorter lipid chains and lower lipid saturation enhanced the drug release rate. Interestingly, higher cholesterol levels increased the drug release for drugs (hydrophobic) encapsulated in bilayer while it reduced the drug release for drugs (hydrophilic) encapsulated in core (Maritim et al., 2021). Lipid nanoparticles have received increasing interest as a novel and promising carrier system for bioactive compounds (Gaber et al., 2017; Shishir et al., 2018). SLNs and nanostructured lipid carriers (NLCs) are the two main lipid nanoparticles (Katouzian et al., 2017). Couto et al. (2017) encapsulated hydrophilic vitamin B2 in SLNs, which were formed using fully hydrogenated canola oil (FHCO), sodium lauryl sul-

fate (SLS) (surfactant), and polyethylene glycol (PEG) (stabilizer). Vitamin B2 is easily absorbed, and it is not stored in the body due to its hydrophilic nature. Therefore, vitamin B2 should be continuously given to replenish its required levels. Encapsulation of vitamin B2 in SLNs slows down its absorption by controlled release. Furthermore, SLNs act as a protective cover for vitamin B2 by protecting them from light degradation (Couto et al., 2017). Meikle et al. (2021) fabricated cubosomes using lipid nanoparticles to encapsulate antimicrobial peptides that are susceptible to proteolysis and lack specificity. The encapsulation efficiency of the antimicrobial peptides was increased by optimizing the electrostatic charge of the lipids. Encapsulation in cubosomes enhanced the antimicrobial activity of peptides against Staphylococcus aureus, Bacillus cereus, Escherichia coli, and Pseudomonas aeruginosa due to the protection of peptides from enzymatic digestion and the ability to provide a platform for target delivery. Likewise, oleic acid-based NLCs (Huguet-Casquero et al., 2020), solid and liquid-based lipid nanocarriers from Compritol 888 ATO and squalene (Chaudhari et al., 2021), hollow solid lipid micro and nanoparticles (Yang & Ciftci, 2020), and double emulsions (from corn, soy, sunflower, or rapeseed oil) (Tian et al., 2020) were used to encapsulate oleuropein, plant-based bioactives, fish oil, and oligomeric proanthocyanidin respectively. 3. Techniques for manufacturing lipid-protein conjugate-based delivery systems In the delivery systems, lipid-protein conjugation is performed using several techniques. For example, chemical conjugation, desolvation, electrostatic coating, high-pressure homogenization, and lipid film hydration methods are widely used (Elmasry et al., 2018; Gaber et al., 2017). Fig. 1. Shows the different techniques that have been used in recent literature to conjugate lipids and proteins in drug, genes, and nutraceutical delivery applications. An amide bond is formed between the carboxyl group of the lipid and the amine group of the protein during chemical conjugation. The main difference between chemical conjugation and other methods is the formation of a covalent bond in chemical conjugation, where the other methods are based on interactions such as electrostatic interactions (Kabary et al., 2018), hydrophobic interactions (Peng et al., 2014), and hydrophilic and hydrophobic interactions in emulsions (Chen et al., 2020). Carboxylic functionality of the lipids is activated before forming the amide bond to facilitate the high efficiency of conjugation between protein and lipid. As protein can self-polymerize due to the presence of both amine and carboxylic groups, activation of carboxylic functionality of lipids is preferred before the conjugation (Gaber et al., 2017). Pooja et al. (2016) introduced an amino group to solid lipid nanoparticles using stearyl amine to facilitate the conjugation with the carboxylic group of the wheat germ agglutinin. In the same study, stearic acid was used to introduce a carboxylic group to solid lipid nanoparticles to facilitate the conjugation with amino groups of the wheat germ agglutinin, where the conjugation efficiency was increased from 11.45% to 74.1% . Tran et al. (2013) conjugated gelatin and oleic acid using EDC/NHS reaction where monoethanolamine (MEA) was used to activate oleic acid. Due to the contrary solubilities of gelatin and oleci acid, it is difficult to achieve conjugation in water without activate the oleic acid. The carbodiimide-coupling method is commonly used to form this amide bond. In this method, 1-ethyl-3-(3-dimethylamino-propyl) carbodiimide/ N-hydroxysuccinimide (EDC/NHS) reaction is commonly used (Elmasry et al., 2018; Gaber et al., 2017; Meghani et al., 2018; Pooja et al., 2016). In a recent study, EDC/NHS was used to conjugate gelatin and oleic acid together (Park, Vo, Kang, Oh, and Lee, 2015). In this work, they prepared gelatin-oleic conjugates in a water-ethanol cosolvent followed by the reaction of 2-mercapto ethanol with remaining EDC to prevent the crosslinking between amine groups and carboxylic groups present in the gelatin (Park, Vo, Kang, Oh, and Lee, 2015). Except carbodiimide coupling, thiol-maleimide coupling where proteins and 3

Fig. 1. Illustration of widely used techniques for lipid-protein conjugation. lipids are conjugated through thioether linkages of thiolated proteins and maleimide-derivatized lipids (Thöle et al., 2008), and Staudinger ligation method also come under the chemical conjugation method. In the Staudinger ligation method, an azide and a triphosphine are reacted together to form an amide bond. One of the major advantages of this reaction is that the process occurs at room temperature without any catalyst (Zhang et al., 2009). Xu et al. (2011) synthesized receptor-targeted liposomes by Staudinger ligation. They used transferrin as the source of protein, which was activated with p-azidophenyl isothiocyanate. The reaction between dioleoyl phosphatidylethanolamine and 2-(diphenylphosphino) terephthalic acid 1methyl-4-pentafluorophenyldiester produced the activated lipid. Finally, activated transferrin and synthesized liposomes were coupled together by Staudinger ligation. This method is simple and specific, producing relatively stable reaction intermediates. Therefore, this method has great potential for future applications in drug delivery systems. Desolvation is another method used for lipid-protein conjugation (Jain et al., 2012). The authors prepared gelatin-coated hybrid lipid nanoparticles using a two-step desolvation method in this study. First, gelatin was dissolved in distilled water, and high molecular weight (HMW) gelatin was precipitated by adding acetone as the desolvating agent. Then the distilled water was used to redissolve the precipitated HMW gelatin. Next, the drug was dissolved in dimethyl sulfoxide, and lecithin dissolved in methanol was mixed. Once the methanol was evaporated, drug-loaded lipid-protein conjugates were precipitated using acetone (Jain et al., 2012). In another investigation, Tang et al. (2015) used the desolvation method to prepare lipid-albumin nanoassemblies. In their study, drugs and lecithin were dissolved in anhydrous ethanol, and that solution was dropwise added to an aqueous albumin solution with constant stirring. Then the resultant solution was sonicated, and rotary evaporation technique was used to remove anhydrous ethanol. Finally, the samples were centrifuged and filtered to obtain drug-loaded lipid-albumin nanoassemblies (Tang et al., 2015). Proteins have negative or positive charges when their pH values are above or below the isoelectric point. In the electrostatic coating method,

oppositely charged lipids can be conjugated to proteins by electrostatic coupling (Gaber et al., 2017). Chen et al. (2016) synthesized albumincoated liposomes through electrostatic interactions. The liposomal solution of the drug was prepared using chloroform, but the chloroform was evaporated at the final step. After that, the resultant lipid film was hydrated in ultra-pure water and extruded through polycarbonate filters. The albumin coating was done by adding the albumin solution (pH = 3) dropwise to the liposomal solution. The liposomal solution had a strong negative charge of -43.5 ± 2.5 mV (pH = 7.4) due to the added drug of indocyanine green. The pH of albumin was adjusted to 3, leading to a positive charge. Thus, albumin and lipid could be easily conjugated due to electrostatic interactions. This method has been reported in many other studies as well (Cardoso et al., 2007, 2008; Faneca et al., 2008; Ilarduya et al., 2006; Nakase et al., 2005; Pan et al., 2008; Piao et al., 2013; Wang et al., 2012; Weecharangsan et al., 2009). High-pressure homogenization can be introduced as another lipidprotein conjugation technology. He et al. (2015) used the high-pressure homogenization method to conjugate lecithin and albumin dissolved in methylene chloride and distilled water, respectively. These two solutions were passed through a high-pressure homogenizer under 5000– 10,000 Psi. Fats were broken down into small droplets due to the applied high pressure. The droplets were stabilized by forming a surrounding protein layer that prevented the coalescence of the droplets (Min et al., 2003). Lipid film hydration is another conjugation technique that is used to conjugate proteins and lipids. Ruttala and Ko (2015) used this technique to encapsulate albumin-paclitaxel nanoparticles within liposomes. First, lipids were dissolved in chloroform, and the chloroform was removed by rotary evaporation in the next step. The albumin-paclitaxel nanoparticles prepared using a desolvation technique were then added to dried cationic lipid film before incubation for 4 hrs at room temperature while mixing intermittently. Finally, the suspension was extruded through a 200 nm-porous membrane. The blank liposomes had a 24-mV positive charge before encapsulating the albumin-paclitaxel. However, after the encapsulation, the charge increased to about 4 mV. This result 4

explains the compensation of the positive charge of blank liposomes by negatively charged albumin-paclitaxel nanoparticles. This type of conjugation can also be classified under the electrostatic coating category.

images of nanoparticles prepared without using phospholipids showed a fairly homogeneous internal structure with a roughly spherical shape. The conjugates that were prepared using phospholipids still showed a spherical shape. However, a core-shell internal structure could be observed in their TEM images. This is mainly due to the ability of phospholipids to self-assemble into multilayers (Chen et al., 2019). Based on the TEM images, the authors proposed that gliadin formed the core of the nanoparticles while phospholipid formed the multilayer shell. Elmasry et al. (2018) have stated that conjugation of oleic acid to gelatin did not change the spherical, smooth, compact, and compact morphology of gelatin particles obtained from TEM images. Further, the authors reported that the dark inner layer presented in the TEM images in gelatin-oleic nanoparticles has resulted from the hydrophobic interactions between oleic moieties and the binding effect of glutaraldehyde. Measuring drug release profiles provides information about the controlled release and creating cytotoxicity by drugs. According to Ruttala et al. (2017), encapsulated drugs in albumin nanoparticles have low colloidal stability, leading to the rapid elimination of the drug from systemic circulation. Conjugation of albumin with a lipid bilayer improves the stability of nanoparticles. Conjugation of transferrin to the lipid bilayer of the albumin nanoparticles further reduced the release rates of encapsulated drugs, thereby limiting the toxicity. Possible reasons for controlled release could be the action of lipid bilayer as a protective cover and the formation of a high molecular mass transferrin layer around the nanoparticle. As the transferrin receptor is overexpressed in proliferating tumor cells, targeted delivery of the drug could be obtained by conjugation of transferring to the lipid bilayer (Ruttala et al., 2017). Also, Fourier Transform Infrared Spectroscopy (FTIR), X-ray diffraction (XRD), and differential scanning calorimetry (DSC) are used as characterization methods in many studies to evaluate the changes in functional groups, driving forces for the formation of conjugates, and physical state of the encapsulated active compounds. These methods can be used to compare the physical and chemical properties between conjugates and single carrier (protein or lipid) systems (Dai et al., 2017; Wang et al., 2018; Wei et al., 2019).

4. Characterization of the developed lipid-protein conjugate-based delivery systems Particle size is one of the most critical factors determining stability, encapsulation efficiency, controlled release, bio-distribution, mucoadhesion, and cellular uptake of encapsulated active compounds (Danaei et al., 2018). Pawar and Pande (2015) formulated oleic acidcoated gelatin nanoparticles impregnated gel to deliver zaltoprofen and observed increased entrapment efficiency with a decrease in particle size. The authors suggested this is due to the increase in surface area that provides more space for the binding drug due to the decrease in particle size. Furthermore, the authors have shown that crosslinker (glutaraldehyde) concentration and agitation speed affect the particle size of conjugates. Based on a study done by Dai et al. (2019), the zein to rhamnolipid ratio affected the particle size of nanoparticles that were produced to encapsulate curcumin. Also, temperature, ionic strength, and environmental pH affected the particle size. The same results were obtained by another study, in which the gliadin to phospholipid ratio affected the particle size of conjugates. Under a low level of phospholipid concentration, particle size decreased due to the inhibition of aggregation of gliadin molecules and reduction in surface tension. The particle size increased with the increase in phospholipid concentration due to the reduction of surface activity or absorption kinetics due to the phospholipid self-association and the formation of more lipid bilayers inside the nanoparticles that result in larger particle size (Chen et al., 2019). Park et al. (2015) showed the effect of the drug loading method on particle size. Their study showed a significant difference in particle size between the incubation method and the in-process drug adding method. The incubation method acquired a smaller size due to the stabilization of structure by drug penetration into some pores of the nanoparticles and absorption of drugs into the outer layer of nanoparticles due to the physical absorption or hydrogen bonding. However, in the in-process adding method, conjugates showed a reduced solubility, like a saltingout effect when the drug was added to the solution. As a result, it led to aggregation and resulted in larger particle sizes. Gaber et al. (2017) have discussed the impact of the hybridization method on particle size. The covalent bonding of protein onto the lipid surface of lipid nanoparticles does not significantly increase the particle size of lipid nanoparticles. On the contrary, the electrostatic interaction method increases the particle size of nanoparticles as a result of hybridization (Gaber et al., 2017). Zeta potential is a measurement of the stability of the particles against aggregation. The Zeta potential of lipid-protein conjugated delivery systems has been reported in many as it is the most common method of determination of stability of the delivery system. The increase in zeta potential results in electrostatic repulsion between the droplets that prevent aggregation and enhance stability (Chen et al., 2020; Li et al., 2020). In general, a stable suspension should have a high zeta potential value (below -20 mV). According to Park et al. (2015), the zeta potential of oleic acid-gelatin conjugates was below -20 mV, while gelatin nanoparticles generally report low zeta potential between 0–10 mV. The high zeta potential of conjugates resulted from the reaction of the amino groups of gelatin with oleic acid. This reaction leads to reduce the cation charges on the surface of conjugates. The carboxylate anions of gelatin decided the surface charge of the conjugates as it is far greater than the charge of remaining amino groups. Therefore, conjugation with oleic acid stabilizes the particles with anionic surface charges (Park et al., 2015). The most common method of evaluating the differences in structure and morphology of the lipid-protein conjugated delivery systems are scanning electron microscopy (SEM) and transmission electron microscopy (TEM). The impact of the gliadin to phospholipid mass ratio on the morphology of conjugates could be observed from the TEM. TEM

5. Applications of lipid-protein conjugate-based delivery systems 5.1. Drug delivery Nanoscale drug delivery systems have provided better solutions for most of the issues related to traditional cancer therapy, including reduced drug solubility, chemoresistance, systemic toxicity, narrow therapeutic indices, and poor oral bioavailability. The development of amphiphilic polymeric vesicles is a new delivery platform in cancer studies to improve the efficiency and bioavailability of drugs (Pooja et al., 2016; Ruttala & Ko, 2015). Furthermore, attaching ligand molecules such as peptides, antibodies, sugars, and aptamers to the micelle shell, which has specificity for biomarkers overexpressed on cancer cells, improves the tumor selectivity and overall therapeutic efficiency of cancer treatments (Kalaydina et al., 2018; Khan et al., 2020; Tabarzad & Jafari, 2016). Therefore, lipid-protein conjugated delivery systems have been widely used for the targeted delivery of drugs (Kratz, 2008; Pooja et al., 2016; Ruttala & Ko, 2015; Tang et al., 2014). Conjugation strategies have also increased drugs’ bioavailability and reduced systemic toxicity (He et al., 2015; Jain et al., 2012). Based on the available literature information, many applications can be found in the area of drug delivery compared to nutraceuticals, genes, micronutrients, and foliage fertilizer delivery and are summarized in Table 1. Fig. 2. is an illustration of the highlights of the 5.1 section. Amphotericin B is an excellent treatment for systemic lifethreatening fungal infections and leishmaniasis. However, the therapeutic efficacy of amphotericin B is limited due to poor water solubility, poor intestinal permeability, and instability at gastric pH (Radwan et al., 2017). Additionally, dose-related side effects of amphotericin B, which cause nausea, fever, and nephrotoxicity, reduce the efficient use of am5

Natural bioactive compounds Lipid hybrid microparticles 1.09 ± 0.21 𝜇m (in scaffolds) Gelatin Cholesterol EDC/NHS chemical conjugation Nanoemulsion 219.7 ± 2.1 nm Rice bran protein Soybean oil Lipopeptide

Not reported Peptide- (Peptide derived from SARS-CoV-2 Spike Glycoprotein) Layer-by-layer coated lipid nanoparticles Nanoparticles 250.5 nm Nanoparticles Bioactive compound Refs. Curcumin Sustainable release of curcumin to prevent the post-engraftment complications

Li et al. (2021) Homogenization Quercetin Increased stability, bioavailability, and cell permeability of the bioactive compound Chen et al. (2020) bromoacyl tetra-ethylene glycol-cholesterol Chemical conjugation

Bioactive Peptide

Lipopeptides inhibit the fusion of virus and host cells by blocking the structural rearrangement of the spike glycoprotein of the virus. The Cholesterol group anchors the peptide on the cell membrane of the virus

Outlaw et al. (2020) Lactoferrin Phosphatidylcholine Electrostatic interaction 185 nm ± 2.6 Gelatin Oleic acid EDC/NHS chemical conjugation Berberine and rapamycin Sesamol

Reduced cytotoxicity, enhanced therapeutic efficacy, targeted co-delivery of drug Targeted delivery of sesamol by increasing skin permeation Kabary et al. (2018) Elmasry et al. (2018) Zein Lecithin Transferrin

Phosphatidylcholine and phosphoethanolamine High-pressure homogenization Chemical conjugation Lutein Liposome 216.5 ± 50 nm (25 °) 196.3 ± 7.09 nm 𝛼- Mangostin

Enhanced lutein stability against photo-and thermal degradation Enhanced penetration through the blood-brain barrier Chuacharoen and Sabliov (2016) Chen et al. (2016) Nanoparticles 185 nm Bovine serum albumin

Soybean lecithin Hydrophobic interactions Coumarin Enhanced nanoparticle stability and long circulation Peng et al. (2014) Synthetic bioactive compounds Nanoparticles ∼240 nm Gelatin Oleic acid EDC/NHS chemical conjugation

Doxorubicin Targeted delivery of doxorubicin Meghani et al. (2018) Nanoparticles Human serum albumin

Electrostatic interaction Phosphatidylethanolamine Glyceryl monostearate EDC/NHS chemical conjugation Indocyanine green/ ICG Paclitaxel Targeted delivery of ICG and enhanced stability Chen et al. (2016)

Solid lipid nanoparticles 121.45 ± 0.85 nm 152.9 nm Targeted delivery and increasing bioavailability of paclitaxel Pooja et al. (2016) Liposome ∼1 𝜇m Gelatin Soybean phosphatidylcholine Lipid film hydration

Paclitaxel Enhanced physical stability against lyophilization stress Guan et al. (2015) Nanoassemblies 107.5 ± 3.2 nm Albumin Lecithin Desolvaion Paclitaxel, Borneol Targeted delivery, increased anti-tumor efficacy and bioavailability of paclitaxel

Tang et al. (2015) Nanoparticles impregnated gel Nanoparticles 247.1 nm Gelatin Oleic acid Physical mixing Zaltoprofen Enhanced skin permeation 171 ± 1.4 nm (genipin 10 mg) Gelatin Oleic acid EDC/NHS chemical conjugation

Irinotecan hydrochloride

Increase the hydrophobic interactions among gelatin molecules to synthesize stable, amphiphilic carriers Pawar and Pande (2015) Park et al. (2015) Liprosome (lipid-protein nanocomplex) Nanoparticles 110 nm

Bovine serum albumin Egg yolk lecithin Desolvation–ultrasonication Paclitaxel Increased drug entrapment, reduced cytotoxicity Tang et al. (2014) 182.3 ± 11.7 nm Albumin Lecithin High-pressure homogenization

Teniposide Reduction of systemic toxicity and enhanced antitumor activity He et al. (2015) Nanoparticles Below 300 nm Gelatin Oleic acid Folic acid Aqueous solvent-based method using monoethanolamine activator

Paclitaxel Targeted delivery, controlled release, and reduced side effects Tran et al. (2013) Polymer-lipid hybrid nanoparticles 253 ± 8 nm Gelatin Lecithin Two-step desolvation method Amphotericin B Increase the oral bioavailability of amphotericin B

Jain et al. (2012) 6 Wheat germ agglutinin lectin Food Hydrocolloids for Health 2 (2022) 100054 Objective of conjugation Delivery system T. Dissanayake, X. Sun, L. Abbey et al. Table 1 Applications of lipid-protein conjugation in drug delivery systems.

T. Dissanayake, X. Sun, L. Abbey et al. Food Hydrocolloids for Health 2 (2022) 100054 Fig. 2. Highlights of the lipid-protein conjugates-based delivery systems for drugs.

photericin B (Nishi et al., 2007). Jain et al. (2012) formed a lipidprotein conjugate delivery system for amphotericin B using lecithin and gelatin. Coating with gelatin supported the further stabilization of the drug, which was encapsulated within the lipid. Furthermore, gelatin coat provided additional protection in the gastrointestinal fluids and increased the structural integrity of the delivery system. These conjugated nanoparticles were formed by a simple manufacturing process based on a two-step desolvation method promoting commercial production. Gelatin has been selected as a protein due to its biocompatibility, biodegradability, low immunogenicity, and high availability at a lower cost. Lecithin has been selected as the lipid due to its high encapsulation efficiency, proven efficiency in the delivery of amphotericin B, and high compatibility. However, slight sensitivity to the harsh gastrointestinal environment could be observed in these hybrid nanoparticles. The developed hybrid nanoparticles resulted in controlled drug delivery and less hemolytic toxicity than free drug, micellar solution of amphotericin B, and liposomal formulation of amphotericin B. Corneal transplantation is the replacement of dysfunctional cornea as a solution for corneal blindness. However, this can result in reduced corneal transparency and visual impairment due to post-engraftment complications such as postoperative inflammation. Li et al. (2021) fabricated a gelatin scaffold with curcumin-loaded lipid-PLGA (poly(lacticco-glycolic acid) hybrid microparticles to address that issue due to the anti-inflammatory, anti-angiogenic, and antioxidative effects of curcumin. Curcumin-loaded lipid-PLGA microparticles were obtained by evaporating the organic solvent that was used to prepare oil-in-water emulsion of cholesterol, PLGA, and curcumin. Lipid-PLGA microparticles were conjugated to gelatin using EDC/NHS crosslinking chemistry. Results showed that incorporation of curcumin-loaded nanoparticles into gelatin scaffold was an effective technique to support the transplantation and prevent post-engraftment complications. Most interestingly, the incorporation of lipid-PLGA microparticles or curcumin did not significantly scarify the transparency of the gelatin scaffold. In a recent study, rice bran protein was used as a stabilizer for quercetin encapsulated soybean oil nanoemulsions (Chen et al., 2020). The rice bran protein increased the zeta potential to higher values due to the increasing repulsion between the proteins. In addition, the emulsifying ability of the rice bran protein was significantly enhanced at the pH of 9 with the increasing amount of rice bran protein. The results were attributed to the interactions between hydrophobic moieties of the rice protein and oil droplets and the interactions of the proteins and the aqueous phase during ultra-high-pressure homogenization. Furthermore, MTT assay results revealed that nanoencapsulation reduced the

damage to cells from quercetin due to the controlled release of quercetin by stabilized nanoemulsion system (Chen et al., 2020). Paclitaxel (PTX) is an anticancer drug that has a high potential to inhibit glioma cell growth. However, the multidrug resistance (MDR) of glioma tumor cells is a major challenge in glioma chemotherapy. One of the major causes for MDR is the overexpression of P-glycoproteins on the tumor cells, which expel the PTX. Therefore, PTX has a low accumulation in the tumor cells (Tang et al., 2015). On the other hand, the poor aqueous solubility of paclitaxel reduces its bioavailability, which very often results in treatment failure (Jibodh et al., 2013). Although the supply of P-glycoprotein inhibitors is a better solution for the MDR of tumor cells, inhibitors exhibit systemic toxicity (Lee, 2010) and low aqueous solubility (Tang et al., 2015). Tang et al. (2015) have coencapsulated paclitaxel and borneol in lipid-albumin nano assemblies to overcome the issues mentioned above related to paclitaxel. Borneol acts as a P-glycoprotein inhibitor and enhances the drug’s action in tumor cells (He et al., 2011). Receptor-mediated transcytosis and the enhanced permeation and retention effect of albumin help the paclitaxel to reach tumor cells. Albumin binds to specific receptors called glycoprotein 60 before paclitaxel enters the tumor cells (Yardley, 2013). Tang et al. (2014) showed that lecithin-albumin nano assemblies are a biocompatible delivery system for targeted delivery of paclitaxel. Pooja et al. (2016) developed a paclitaxel delivery system to enhance anticancer activity against lung cancer cells. In their study, wheat (Triticum aestivum) germ agglutinin lectins conjugated solid lipid nanoparticles (SLNs) were prepared to create a drug delivery system with enhanced biocompatibility, high drug load capacity, targeted delivery, controlled drug release, and improved bioavailability. In this system, lipid was used as the hydrophobic drug carrier, while lectins helped to increase the retention time of the drug in the intestine to enhance the bioavailability by binding to the N-acetyl-D-glucosamine and sialic acid present on the cell surfaces throughout the entire length of the intestine (Pusztai et al., 1993). Further, wheat germ agglutinin enhanced the targeted delivery by binding to the carbohydrate moiety of the glycoproteins and glycolipids, which are overexpressed in cancer cells (Gorelik et al., 2001). Fig. 3. shows the targeted delivery of drugs using lipid-protein conjugates where proteins bind to the specific biomarkers overexpressed on the cancer cells. Park et al. (2015) investigated a new method to synthesize gelatin-oleic nanoparticles using carbodiimide/N-hydroxysuccinimide (EDC/NHS) reaction. They then encapsulated the irinotecan hydrochloride model drug in the gelatin-oleic nanoparticles. As a result, hydrophobic interactions between the gelatin molecules were increased due to the 7

Fig. 3. Illustration of proteins binding to the biomarkers over expressed on cancer cells and drug encapsulated lipid nanoparticles entering the cancer cell.

conjugated oleic acids. The resulting delivery system was proposed as a promising carrier by the authors for encapsulation of anti-cancer drugs. Another interesting study by Meghani et al. (2018) led to the design of clickable gelatin-oleic nanoparticles to deliver doxorubicin model drug through an active site-specific targeting. Dibenzocyclooctyne was used as the clickable material to functionalize the gelatin-oleic nanoparticle by targeting the azide-modified sialic acid precursors on the tumor cell surface. Transdermal delivery is a better solution for the low oral bioavailability of drugs. Previous studies have shown less chemotherapeutic toxicity and high drug bioavailability of transdermal administration (El-Houssiny et al., 2015). As a breast cancer medication, ElMasry et al. (2018) encapsulated sesamol in gelatin-oleic acid conjugates to deliver the sesamol to breast carcinoma cells through the skin. In this research, gelatin has been used to encapsulate sesamol, and its efficient internalization, localization, and endocytic uptake caused high cytotoxicity to carcinoma cells (Coester et al., 2006). Oleic acid has been used to conjugate gelatin, a leading penetration enhancer in transdermal applications. Oleic acid can exist with stratum corneum (SC) lipids that present in the outermost layer of the skin (van Smeden & Bouwstra, 2016). The coexistence of more solid SC lipids and fluid oleic acid at physiological temperatures enhances the diffusion of drugs by the phase-separation transport mechanism. In this mechanism, permeable interfacial defects are increased in the SC lipids, which reduces the diffusional path length or resistance (Ongpipattanakul et al., 1991). The work of Elmasry et al. (2018) showed a significantly higher permeation of oleic acid-conjugated gelatin nanoparticles through the skin of mice compared to conventional gelatin nanoparticles and sesamol aqueous solution. Indocyanine green (ICG) is a near-infrared (NIR) contrast agent that is approved for use in medical diagnosis by the United States Food and Drug Administration (FDA) (Polom et al., 2014). However, the application of ICG in tumor imaging is limited due to aggregation-induced self-quenching in aqueous media, easy degradation by exterior light, oxidants and high temperature, and binding to plasma protein leading to subsequent rapid clearance by the liver (Yaseen et al., 2009). Therefore, potential carrier systems should be used for ICG to increase stability, protect from plasma protein binding, and enhance the circulation time. Chen et al. (2016) have suggested a human serum albumin-coated liposomal delivery system to address this issue. Kraft and Ho (2014) have stated that liposomal ICG has proved the ability of optical imaging of

sentinel lymph nodes, vascular permeability, angiogenesis, and solid tumors. However, the inherent instability of liposomes at the presence of serum proteins and payload loss limit the efficient use of liposomes as delivery systems (Shishir et al., 2018). Albumin has many desirable characteristics that can benefit efficacious delivery systems, such as the ability to accumulate in inflamed tissues and solid tumors, lack of inherent toxicity and immunogenicity, biodegradability, and ready availability (Elsadek & Kratz, 2012). Therefore, albumin coating can be introduced to improve the effective use of liposomes. For instance, the study done by Chen et al. (2016) showed remarkable enhancement in NIR fluorescence properties, tumor targeting, and stability of ICG loaded albumin-coated liposomes compared to control ICG solution. A study was done by Kabary et al. (2018) to co-deliver rapamycin and berberine in lactoferrin-hyaluronic coated lipid nanoparticles. The objective of the study was to enhance the anti-tumor efficacy of lung carcinoma cells. The lipid nanoparticles have been characterized to deliver both drugs/bioactives with a high drug payload. However, burst and premature drug release reduced the bioactivity, mainly due to the particle crystallization and drug expulsion from lipid cores. Furthermore, the RES clearance reduces the circulation of lipid nanoparticles, and therefore, surface modifications are done to lipid-delivery systems to control the release of the drug (Kabary et al., 2018). Layer-by-layer (LbL) self-assembly is a flexible and simple surface modification method based on the electrostatic deposition of oppositely charged polyelectrolytes on the nanocarrier surface (de Villiers et al., 2011). For the LbL technique, hydrophilic polymers, including proteins and polysaccharides, are mainly used due to their capability of RES clearance, enhanced blood circulation time, and enhanced permeation and retention based passive diffusion through interstitial tumors (de Villiers et al., 2011). Furthermore, the targeting ability of the nanoparticles is increased by targeting the moiety of the layering material. For instance, lactoferrin is a cationic protein that can bind to transferrin receptors and LDL receptors over-expressed on various cancer cells (Elzoghby et al., 2015). Hyaluronic acid is an anionic polysaccharide that has an inherent ability to bind with CD44 receptors overexpressed on tumor cells, including lung cancer cells (Leung et al., 2010). A recent study by Kabary et al. (2018) showed that coating nanoparticles with hyaluronic and lactoferrin enhanced drug cytotoxicity against A549 lung cancer cells due to increased cellular internalization through CD44 receptors overexpressed by tumor cells. In terms of therapeutic activity, coated nanoparticles exhibited approximately, 88% reduction in microscopic

Fig. 4. Highlights of the gene delivery by lipid-protein conjugates. lung foci number and a 3.1-fold reduction in the angiogenic factor compared to the control mice group (untreated group). In summary, anticancer activity against lung cancer cells was superiorly enhanced by hyaluronic-lactoferrin-coated nanoparticles.

Zhu et al., 2019; Zuvin et al., 2019). Fig. 4. summarizes the content covered in the 5.2 section of the review. Particular attention should be given when genes are encapsulated in carrier systems, as they can cause adverse side effects. The designed gene delivery system should have compatible physiochemical properties, including high solubility, stability, and small size. This can be achieved by chemical and physical modifications of biopolymers used for encapsulation. Also, they should protect the encapsulated gene from adverse physiological conditions and deliver it to target sites using targeting ligands. Another important factor is escaping from RES clearance and nontoxicity to blood and normal cells. Finally, the delivery systems should be able to produce continuously with a satisfied shelf-life during storage (Eftekhari et al., 2019). Fidgetin-like 2 protein should be downregulated in the wound healing process to increase the rate of cell moment. siRNA is used to knock down this protein and accelerate the cell moment, an important phenomenon in wound healing. However, siRNA instability in serum and sensitivity to nuclease degradation reduced its therapeutic efficacy. On the other hand, the cellular internalization of RNA biopolymers is reduced by their large molecular weight, high negative charge, and stiffness (Tezgel et al., 2020). siRNA was encapsulated in NLC before being loaded into collagen scaffolds to overcome the aforementioned issues. However, encapsulation in NLC limited the first burst release of naked siRNA loaded in collagen. Also, cytotoxicity of cryostructurates loaded with only NLC was significantly reduced when loaded into collagen, probably due to the reduction in surface charge of NLC as resulted by complexation with collagen (Tezgel et al., 2020). Hall et al. (2021) designed a peptide-lipid associated multicomponent nanodelivery system to deliver siRNA to prevent the overexpression of proteins in cancer cells. siRNA encapsulated nanoparticles were prepare using four types of lipids (1,2-Dioleoyl-sn-glycero-3phosphoethanolamine (DOPE), 1,2-dioleoyl-3-trimethylammoniumpropane (DOTAP chloride salt), cholesterol, phosphatidylcholine). The main role of peptides in this delivery system is facilitating cellular internalization due to their ability to penetrate cells. Moreover, the conjugation of siRNA with peptides through easily breakable bonds facilitates

5.2. Gene delivery Gene therapy is a relatively recent procedure used to genetically modify a patient’s cell function (Ramamoorth & Narvekar, 2015). Gene therapy has become a standard clinical intervention for treating several health issues, including cancers, cardiovascular diseases, infectious diseases, inner ear disorders, dermatological, ophthalmologic, and neurological pathologies. Gene therapy is not limited to DNA delivery but also for small interfering RNA (siRNA), antisense oligonucleotides, and micro-RNA. RNA interference-based medicine is a growing area for treating human diseases. For instance, siRNA’s ability to induce the silencing of a target gene by RNA interference (Valero et al., 2018) is an area studied by researchers. In gene delivery systems, viral vectors are replaced by the non-viral vectors as the latter are bio-safe, less pathogenic, inexpensive, and can easily be produced. However, their transgenes’ low efficiency of delivery and transient expression limit their applications in gene delivery systems. Lipid nanoemulsions, SLNs, lipoplexes, and peptide-based vectors are common non-viral natural delivery systems (Ramamoorth & Narvekar, 2015). Conjugation of lipid and protein is a successful approach in biopolymer vectors to enhance the efficient delivery of genes (Gaber et al., 2017). Gene co-encapsulation with suicide genes in protein associated liposomes (Faneca et al., 2008), siRNA delivery by protein-associated lipid-based vectors (Cardoso et al., 2007), and modification of lipid gene carriers by proteins for tumor-targeted transfection (Wang et al., 2012) are some of the lipid-protein conjugation applications in gene delivery. Gene transfection is the procedure where foreign nucleic acids are introduced to cells to produce genetically modified cells (Kim & Eberwine, 2010). The excellence of lipid-protein conjugation in gene transfection efficiency has been used to treat many chronic diseases (Leung et al., 2010; 9

the release of the gene once it reaches the target site. The study’s results showed the successful encapsulation and controlled release of siRNA in the designed delivery system and safety profiles in several human cells (Hall et al., 2021). A crucial element of gene therapy is their ability to kill a high percentage of tumor cells, even with a low percentage of transfected cells (Faneca et al., 2007). Faneca et al. (2008) coencapsulated vinblastine and HSV-tk suicide gene in human serum albumin (HAS)-associated lipoplexes to increase the lipoplex biological activity and inhibit the mitosis of cancer cells. The conjugation of HSA to lipoplexes is a better strategy to enhance the transgene expression in different types of cells, even in the presence of serum (Faneca et al., 2007). They prepared HSA-lipoplexes by incubating liposomes and proteins for 15 mins followed by further incubation with plasmid DNA solution for 15 mins. Coating lipoplexes with albumin enhanced the in vivo transfection efficiency by avoiding the undesired interactions with serum components. Furthermore, albumin supported lipoplexes to bind to cellular surfaces and the internalization via endocytosis. Consequently, the transfection of the suicide gene was significantly enhanced by the HSA. Thus, there is a significant synergistic effect on antitumoral activity by combining vinblastine with HSV-tk/GCV gene loaded with HSA-associated lipoplexes (Faneca et al., 2008). Liposomes are widely used gene carriers due to unlimited vector size, greater carrier capacity, and ease of large-scale production (Belfiore et al., 2018). However, their application is limited by low colloidal stability, inefficient controlled delivery, fast elimination, and lack of targeted delivery (Sriraman & Torchilin, 2014). Peptide groups have been introduced into liposomes to increase the targeting activity and in vivo half-life. On the other hand, peptide liposomes have a highly desirable level of biocompatibility and a high degree of interaction between delivery systems and the cells. This property is ascribed to their cationic surface charge, which ultimately enhanced their uptake by endocytosis (Zhao et al., 2015). An investigation was done to evaluate the toxicity profiles of lipid head groups by Zhu et al. (2019). This study compared a lipid with 14 carbon chains and tri-ornithine head group (peptide-based lipoplexes) with quaternary ammonium lipid 1,2-Dioleoyl-3-trimethylammonium propane (DOTAP) in terms of toxicity. It was found that the cytotoxicity of peptide-based lipoplexes against cancer cell lines was weaker than lipoplexes with quaternary ammonium lipids at low dosages. This finding confirms the biocompatibility of peptide-based lipoplexes. Furthermore, they evaluated the potential of cationic peptide-based liposomes for gene delivery. LucsiRNA gene silencing and tumor inhibition by IGF-IR-siRNA gene in vivo were evaluated in mice injected with Luc-A549 cells. It was noted that lipoplexes with tri-ornithine head groups and lipoplexes with ammonium head groups were compared. Cationic peptide-based lipoplexes efficiently delivered IGF-IR-siRNA compared to lipoplexes with quaternary ammonium lipids. The result of the study confirmed the suitability of cationic peptide-lipoplexes as gene delivery systems compared to quaternary ammonium lipoplexes. It further showed the correlation between lipid head group structure and toxicology.Surface modifications with specific ligands to facilitate receptor-mediated pathways are crucial in gene carriers (Zauner et al., 1998). Also, nuclear localization signals (NLS) enhance the nuclear uptake of genetic materials as it is crucial to deliver genes to the nucleus for proper integration into DNA and expression (Lo et al., 2012). Glucocorticoid receptor (GR) is a nuclear receptor that binds with ligands and forms receptor-ligand complex, which facilitates the translocation of DNA into the nucleus by dilating nuclear pores (Ma et al., 2009). According to Wang et al. (2012), synthesized dexamethasone (dexa) conjugated cationic SLNs (i.e. dexa-conjugated 6-lauroxyhexyl ornithinate (LHON)) for the enhancement of nuclear localization of enhanced green fluorescence protein plasmid (pEGFP) gene. The surface of the pEGFP was modified using transferrin, an iron-binding glycoprotein. Compared to normal cells, more transferrin receptors are present in tumor cells (Bellocq et al., 2003). Therefore, it is suggested that transferrin conjugation to LHON facilitates the delivery of genes into tumor

cells. In the study done by Wang et al. (2012), transferrin was conjugated to polyethylene glycol-phosphatidylethanolamine (PEG-PE) before conjugation with dexa-LHON as PEG-PE, which made it stable, longcirculating, and actively targeted nanocarriers (Lukyanov et al., 2002). During the procedure, transferrin-PEG-PE conjugates were continuously coated on the surface of gene-loaded SLNs via electrostatic interactions. The gene delivery ability was evaluated using HepG2 tumor-bearing mice. The study results showed a remarkably higher transfection efficiency for the surface modified SLNs than the unmodified nanoparticles. Based on the results, the authors have indicated that transferrin and dexa act as highly active targeting ligands to enhance the delivery system’s cell and nuclear targeting ability. RNAi has a higher therapeutic potential for many reasons compared to non-specific drugs and virus therapy. Due to higher specificity to targeted proteins, RNAi does not exhibit adverse side effects. Moreover, the high stability of double-stranded siRNA and effective knockdown at lower concentrations for longer periods improve the therapeutic efficacy. Further, the action of the RNAi takes place in the cytoplasm, and the accessibility to the cytoplasm is easier than the nucleus, which is a major obstacle to plasmid DNA delivery (Brantl, 2002). However, incomplete gene suppression and undesirable side effects due to non-specific in vivo entry into non-target cells are challenges in RNAi therapy. Therefore, delivery systems are introduced to deliver siRNA to target sites and pass the extracellular barriers (Young et al., 2016). Cardoso et al. (2007) formulated a transferrin-associated lipidbased vector to deliver siRNA. This was done by preparing cationic liposomes using 1,2-dioleoyl-3(trimethylammonium), propane (DOTAP), and cholesterol. The cholesterol demonstrated a high level of transfection when it was associated with a cationic lipid. This is because cholesterol enhances the biological stability of lipoplexes by reducing the destabilization of such lipoplexes in the presence of serum (Crook et al., 1998). Cardoso et al. (2007) studied the therapeutic potential of c-Jun siRNA-loaded transferrin-lipoplexes against glutamate toxicity in the HT-22 neuronal cell line. The transferrin was conjugated to lipoplexes by pre-incubating it with cationic liposomes before mixing with siRNA solution. In brief, the findings of their study showed that transferrinassociated lipoplexes reduced the toxicity and enhanced the specific gene knockdown activity compared to conventional lipoplexes. Weeke-Klimp et al. (2007) prepared lactoferrin coupled stabilized plasmid lipid particles (SPLPs) to target hepatocytes. Lactoferrin was used as a hepatocyte-specific targeting ligand, covalently bound to the SPLP surface. In this study, the authors evaluated lactoferrin’s ability as a targeting moiety to deliver DNA encapsulated in SPLPs to the hepatocyte as there are high affinity Ca2+ binding sites on the hepatocytes for lactoferrin to bind (David & McAbee, 1997). According to the results obtained from the in vitro study, liver uptake of SPLP was significantly enhanced due to the coupling of lactoferrin. Additionally, many lactoferrin-SPLPs were uptaken by hepatocytes in the liver, but in vivo transfection activity could not be observed. According to WeekeKlimp et al. (2007), this observation is due to the high stability of lactoferrin-SPLPs after cellular uptake, and therefore, lactoferrin-SPLPs were unable to release enough plasmid. Thus, although the authors have hypothesized that lactoferrin would contribute to the destabilization of lactoferrin-SPLPs, it did not happen. Magnetofection is a term used to describe the transferring of genes bound to magnetic nanoparticles (MP) to target sites using a magnetic field. Generally, they are coated with a cationic polymer for DNA binding (Zuvin et al., 2019). In a study by Pan et al. (2008), a novel vector for luciferase and green fluorescent protein (GFP) reporter genes was formulated using transferrin-associated lipid-coated magnetic nanoparticles. Transferrin was incubated with polyethyleneimine (PEI)-DNAcationic lipid-coated MP at room temperature for 15 mins to conjugate transferrin to form a complex. Transfection efficiency was evaluated after incubation for 15 min and 4 hr. In the 15-min incubation treatment, magnetic vectors showed more than 300-fold transfection activity compared to non-magnetic vectors. Thus, the incorporation of transfer10

Fig. 5. Summary of the issues faced by nutraceuticals and the role of lipid-protein conjugates in addressing them.

rin contributed to further improvement of the transfection efficiency of genes. Some of the applications of lipid-protein conjugation in gene delivery systems are summarized in Table. 2.

of chemical structures that contains one or more aromatic rings with two or more hydroxyl groups. They can be categorized as flavonoids, phenolic acids, and polyphenolic compounds, where flavonols, flavanones, flavonols, flavones, anthocyanins, and isoflavones belong to the group flavonoids. Due to their complex chemical structure, solubility, size, degree of polymerization, and conjugation with other compounds, bioavailability can be reduced significantly (de Araújo et al., 2021). An emulsion gel system of soy protein and olive oil was fabricated by Muñoz-González et al. (2021) to encapsulate polyphenol extract to successfully encapsulate gallic acid, flavanol monomers, catechin, epicatechin, and procyanidins. Alginate was used as a gelling agent to stabilize the gel. This system was able to trap the phenolic compounds in the gel, and composition was analyzed by High-Performance Liquid Chromatography. On the other hand, this system is also a good source for healthy proteins, mono and polyunsaturated fatty acids due to soy protein and olive oil. Also, the addition of polyphenols reduced the gel strength of emulsion gel, most probably due to the chemical interactions with the matrix. However, it can positively affect the posterior bioavailability of entrapped compounds (Muñoz-González et al., 2021). Resveratrol and curcumin exhibit a variety of bioactivities; therefore, their applications in food supplements and pharmaceutical products are high. However, low oral bioavailability, instability at physiological pH, insolubility in water, slow uptake by cells, and rapid metabolism inside cells reduce in vivo therapeutic efficacy of curcumin. Like curcumin, resveratrol also faces some issues such as poor bioavailability, poor stability, poor water solubility, and rapid metabolism inside the body (Peng et al., 2018). Liu et al. (2018) synthesized core-shell nanoparticles using zein-epigallocatechin gallate conjugated (zein-ECGCs) and a rhamnolipid coating to improve the water-dispersibility, chemical stability, and bioaccessibility of encapsulated curcumin and resveratrol within nanoparticles. Another report also showed a highly positive potential of hydrophobic proteins in improving water dispersibility and chemical stability of polyphenols by encapsulation (Patel et al., 2010). However, such delivery systems are usually unstable due to aggregation caused by relatively high surface hydrophobicity. The issue of aggregation can be managed by coating with emulsifier molecules (Patel et al., 2010). Another issue is when polyphenols are encapsulated in hydrophobic protein delivery systems resulted in poor bioaccessibility. Such poor bioaccessibility of encapsulated nutraceuticals can be enhanced by mixing with digestible lipid droplets, which form micelles in the intestinal fluids with released nutraceuticals from protein nanoparticles (McClements & Xiao, 2014). Previous studies have

5.3. Nutraceutical delivery In general discussion, nutraceuticals can be defined as components of foods that provide medical or health benefits due to their bioactivities such as antioxidant, anti-bacterial, anti-hypertensive, anti-cancer, anti-hypercholesterolemia, anti-inflammatory, and anti-coagulation. In addition, nutraceuticals can be categorized into dietary fiber, probiotics, prebiotics, polyunsaturated fatty acids, an antioxidant vitamin, polyphenols, and spices (Verma & Mishra, 2016). Fig. 5. summarizes the content covered in the 5.3 section of the review. Fish oil shows tremendous health benefits by preventing diet-related health issues such as heart diseases, cancers, and rheumatoid arthritis. However, the unpleasant smell, poor aqueous solubility, and oxidative instability prevent its potential benefits. Numerous nanodelivery systems have been developed to address the issues mentioned above by improving the bioavailability of fish oil (Li et al., 2020). Li et al., (2020) stabilized the processing and digestibility of fish oil using a nanoemulsion system consisting of soybean protein isolate (1%, 2%, 3%, 4%, 5%) phosphatidylcholine. The increased percentage of soybean protein isolate significantly reduced nanoemulsion particle size and polydispersity index (PDI). According to the authors, lower soy protein isolate concentrations were insufficient to cover the oil droplets completely, leading to larger oil droplets due to aggregation. However, further increased protein concentration to 5% resulted in increased particle size and PDI due to the formation of submicelles of excessive protein aggregates. Moreover, fish oil oxidation encapsulated in soybean protein isolate- phosphatidylcholine nanoemulsions was lower than in Tween 20 emulsions. This can be explained by the higher ability of proteins to inhibit lipid oxidation than small-molecule surfactants. Also, due to the high surface charge on the soybean protein isolate- phosphatidylcholine nanoemulsions compared to Tween 20 emulsions, they exhibited higher ionic strength stability that is explained by the masking of the charge neutralization effect of Na+ ions by large electrostatic repulsion between droplets (Li et al., 2020). Polyphenols are a group of secondary plant metabolites produced by plants involved in plants’ defense mechanisms to protect them from oxidative stress, UV radiation and attract pollinators. This broad and heterogeneous group of secondary plant metabolites has a wide range 11

Cardoso et al. (2007) Weeke-Klimp et al. (2007) Ilarduya et al. (2006) Nakase et al. (2005) Enhanced gene silencing at minimum toxicity by targeted delivery Enhanced transfection of the gene (only observed in in vitro) Enhanced antitumor activity transfection efficiency Enhanced tumor growth inhibition

Cardoso et al. (2008) Enhanced gene silencing activity Electrostatic interactions Transferrin Transferrin Lactoferrin Transferrin Transferrin Lipoplexes Lipoplexes Lipoplexes Lipoplexes

Electrostatic interactions Chemical conjugation Electrostatic interactions Electrostatic interactions

Chemical conjugation Electrostatic interactions Electrostatic interactions Electrostatic interactions Electrostatic interactions Electrostatic interactions Transferrin Albumin Transferrin Albumin Albumin Transferrin

Lipoplexes Lipoplexes SLNs Lipoplexes Lipoplexes Lipid coated magnetic nanoparticles Lipoplexes Nanostructured lipid carriers Lipoplexes

shown that the co-encapsulation of polyphenols increased bioactivity (Niedzwiecki et al., 2016). Liu et al. (2018) fabricated the hydrophobic core of the nanoparticles by zein-ECGCs with the main objective of stabilizing encapsulated nutraceuticals by the high antioxidant activity of catechin (ECGC). As a summary, lipid-protein conjugated delivery systems can be used to co-deliver contrary soluble bioactives where lipid portion is allocated for the hydrophobic bioactives and remaining hydrophilic bioactives can be encapsulated in the protein portion (Fig. 6.) In another study, rhamnolipid was used to fabricate a delivery system aiming to prevent nanoparticles from aggregation. When the rhamnolipid is absent, thick sediment was observed when zein-ECGCs, dissolved in an ethanol solution, was dropwise added to an aqueous solution. Authors have explained that relatively high surface hydrophobic attractions and weak electrostatic repulsion between nanoparticles cause sedimentation. Rhamnolipids reduce the hydrophobic attraction between nanoparticles by adsorbing the non-polar patches on the nanoparticles to their non-polar parts. Thereby, the enhanced absolute value of the zeta potential increased electrostatic repulsion. Besides, rhamnolipids coated nanoparticles resulted in stable homogeneous colloidal dispersion. Furthermore, nanoparticles exhibited improved chemical stability at pH of physiological conditions and the presence of UV irradiation conditions. Moreover, both curcumin and resveratrol further showed a strong antioxidant activity with remarkable benefits for industrial applications (Liu et al., 2018). The bioaccessibility of curcumin was increased by mixing curcuminloaded zein nanoparticles with curcumin-free digestible lipid nanoparticles (Zou et al., 2016). The main advantage of such a delivery system is harnessing the synergy between protein nanoparticles and lipid nanoparticles. In that case, zein nanoparticles were prepared by an antisolvent precipitation method to achieve a high loading capacity and good chemical stability. Then, the digestible lipid nanoparticles prepared by high-pressure homogenization (microfluidization) were mixed with curcumin-loaded zein nanoparticles. The key goal of having lipid nanoparticles was to increase the bioaccessibility of curcumin by the formation of mixed micelles in the intestine, which can solubilize and transport the hydrophobic curcumin. Zou et al. (2016) combined the effective activities of protein (zein) and lipid nanoparticles into one delivery system. A relatively high positive zeta potential (+20 mV) was recorded for zein nanoparticles as it had a pH value below the isoelectric point (pH=4). Conversely, the net charge of lipid nanoparticles was close to zero. In the end, all mixed nanoparticles showed a net charge near zero, which showed the domination of lipid nanoparticles. As explained by the authors, lipid nanoparticles scatter light stronger than protein nanoparticles due to their larger size. Studies showed that lipid nanoparticles enhanced the bioaccessibility of curcumin encapsulated in zein nanoparticles compared to the delivery system in which the lipid nanoparticles are absent (Zou et al., 2016). Vitamin B12 is an essential vitamin that should be ingested with supplements or fortified food (Brito et al., 2018). It promotes human health and lowers the risk of several chronic diseases. Nutraceuticals can be inactivated or decomposed by harsh gastric environmental conditions such as low pH and pepsin enzyme before reaching target sites (Date, 2016). Furthermore, nutraceuticals with a small size with a large surface area can be affected by environmental stressors such as temperature, pH, and ionic strength. (Zhao et al., 2014). On the other hand, mucosal layers act as a steric barrier in the small intestine, reducing the interaction between nanoparticles and epithelial cells (Liu et al., 2019). Lipid-protein composite nanoparticles were prepared with a three-layer structure using whole barley (Hordeum vulgare) protein layer, phospholipid layer, and 𝛼-tocopherol layer to deliver vitamin B12 . The phospholipid layer and 𝛼-tocopherol layers were separated and stabilized by the barley protein layer in a scaffolded manner and a hydrophilic vitamin B12 was encapsulated in the inner aqueous compartment. This structure can overcome most of the shortcomings related to liposomes and double emulsion-based delivery systems including instability and leaking in the gastric environment. On the other hand, it

Anti-luciferase or anti-c-Jun siRNA c-Jun Luciferase IL-12 P53

Cinci et al. (2015) Piao et al. (2013) Wang et al. (2012) Weecharangsan et al. (2009) Faneca et al. (2008) Pan et al. (2008) Enhanced targeted delivery and antibody-based immunotherapy Enhanced transfection efficiency of siRNA Targeted delivery of genes to tumor cells Enhanced cellular uptake and transfection efficiency Enhanced transfection of suicide gene Enhanced transfection efficiency of genes

Tezgel et al. (2020) Zhu et al. (2019) Prolonged gene release, reduced cytotoxicity Reduced cytotoxicity and enhanced gene transfection Food Hydrocolloids for Health 2 (2022) 100054

AF488-siRNA and siERK1 Luc-siRNA and IGF-IR-siRNA Anti-mCRP siRNA phrGFP siRNA pEGFP G3139 HSV-tk GFP/luciferase Mixing with gel Chemical conjugation (carbamate linkers) Refs. Objective of conjugation

Facilitating cellular internalization, controlled release of gene siRNA Gene Conjugation method Lipid nanoparticles Desolvation Protein Linear and cyclic fatty acyl-conjugated and hybrid peptides Collagen Tri-ornithine

Lipid delivery system Table 2 Applications of lipid-protein conjugation in gene delivery systems. Hall et al. (2021) T. Dissanayake, X. Sun, L. Abbey et al. 12 T. Dissanayake, X. Sun, L. Abbey et al. Food Hydrocolloids for Health 2 (2022) 100054

Fig. 6. Co-encapsulation of hydrophobic bioactive compounds in lipids and hydrophilic bioactive compounds in proteins to co-deliver contrary soluble active compounds in a lipid-protein conjugated delivery system.

can efficiently encapsulate hydrophilic nutraceuticals as the interaction is not required between the active compound and the delivery system. Protein conjugation to nanoparticles increases the encapsulation efficiency of vitamin B12 , as well as increases resistance to digestion in the stomach environment and controlled release of vitamin B12 (Liu et al., 2018). However, the results of a previous study that was done by the same group showed instability of such three-layer- lipid-protein composite nanoparticles in the presence of salt due to aggregation. In addition, due to the lack of reinforcement of the coating, core ingredients in nanoparticles have leaked during storage. Also, in simulated intestinal environments, when the pancreatic enzyme presented, degradation of nanoparticles was fast. These shortcomings resulted in poor absorption efficiency. However, Liu et al. (2019) modified the three-layer structure to address the above shortcomings. The basic principle of succinylation is derivatization of 𝜀-amino groups (lysine and arginine) in proteins with succinate. It was found that succinylation increases the surface charge of protein while improving the solubility in water. Besides, this reduces the tryptic digestion of protein as the succinyl-lysyl-peptide bond is resistant to tryptic hydrolysis. Therefore, surface-modified proteins by succinylation were used to design the three-layer structure of nanoparticles. Surface-modified nanoparticles by succinylation (M-NP) showed higher stability in the physiological environment than unmodified nanoparticles (O-NP). During 30 days of storage, in M-NPs, vitamin B12 leakage was only 4.5 ± 0.5%. This result indicated the very little deformation of nanoparticles during storage. In O-NPs, 20% of vitamin B12 leakage was observed on the 14th day, and over half of vitamin B12 was released on the 30th day. Improved stability of M-NPs can be explained by increased nanoparticle surface charge that gives a strong electrostatic repulsion force and reduces the chance of colliding and agglomerating among nanoparticles. Also, the spatial extension of the succinate chain on the nanoparticle surface and the succinate’s crosslinking effect contributes to the improved stability of the nanoparticles. Besides, the gastric release profiles prove the resistance of M-NPs in the harsh gastric environment and sustainable release over a reasonable period (Liu et al., 2019).

426 is a liposomal formulation that is coated with transferrin to encapsulate oxaliplatin. 2B3–101 is a doxorubicin-loaded liposomal formulation coated with glutathione. As reviewed by Moncalvo et al.(2020), Epaxal®, Inflexal-V®, Curosurf®, T4N5 liposome lotion, Hepatic-directed vesicles-insulin (HDV-1), BiphasixTM, and IL-2 liposomes are liposomal delivery systems for encapsulation of proteins accepted for clinical use. However, according to our knowledge, even though the lipid- and protein-based drug delivery systems are available in commercial use, protein-lipid conjugates-based delivery systems are hard to find at the commercial level. Therefore, there is a need for research studies that can fulfill the gap between laboratory level and commercial level use of lipid-protein conjugates for bioactive delivery. 7. Toxicity of protein- and lipid-based delivery systems Regardless of the vast range of benefits of nanodelivery systems, the toxicological and negative clinical effects of the developed delivery systems should be addressed. Nanoparticles play a huge role among nanodelivery systems due to their proven therapeutic efficacy. However, based on the size, shape, charge, chemical reactivity, dosage, and surface area of the nanoparticles, they can damage living cells due to physical and chemical interactions. As a result of physical interaction between nanoparticles and membranes of the living cells, the membrane can be damaged and protein folding capacity and activity of the membrane can be sacrificed. In terms of chemical interactions, oxidative damage is caused by reactive oxygen species (ROS) (Ahmad & Ghosh, 2020). ROS induce several physiopathological conditions such as hypertrophy, apoptosis, necrosis, genotoxicity, fibrosis, carcinogenesis, inflammation, and metaplasia. Production of ROS is further increased by enhanced expression of pro-inflammatory cytokines and activated inflammatory cells by nanoparticles. Therefore, the design of nanoparticles with reduced ROS production is an urgent need using techniques such as coating of nanoparticles with additional materials and designing of ROS scavenging nanoparticles (Yu et al., 2020). Moreover, research studies have shown smart drug delivery systems such as liposomes and micelles cause toxicity to macrophages and U937 cells, DNA damages due to the surface charge of liposomes, and transient immunogenicity in mononuclear phagocyte systems (Hossen et al., 2019). Plant-based proteins have emerged as an excellent source to replace the animal-based proteins in delivery applications due to the limitations of animal-based proteins, including pathogenic infections of contam-

6. Lipid-protein conjugates-based products undergo clinical trials and commercial production Gaber et al. (2017) summarized the protein-lipid-based nanoformulations that undergo clinical trials such as MBP-426 and 2B3–101. MBP13

T. Dissanayake, X. Sun, L. Abbey et al. Food Hydrocolloids for Health 2 (2022) 100054 inated animal tissues, higher cost, and rejection from consumers due to religious beliefs and personal beliefs choices. However, plant-based proteins such as gliadin can trigger the immune response in celiac disease due to the simulation of Th1 and Th17 cells, leading to villous atrophy and malabsorption. With that concern, the administration of bioactives encapsulated in proteins like gliadin should be considered (Malekzad et al., 2017). Even though the delivering hydrophobic bioactives using lipid-based delivery systems play an active role in nanodelivery, there are many concerns over the potential toxicity of these carriers. One of the major concerns is higher penetration through the biological barriers such as the mucus layer and epithelium cells. It is expected the digestion of nanoemulsions in the upper gastrointestinal tract (GIT), but there are some exceptions such as reaching a high amount of undigested lipid droplets to small intestine due to containing indigestible oils, indigestible food components such as dietary fiber, and resistance to digestion in the upper GIT. Moreover, surfactants and alcohols used for the formulation of delivery systems support penetration through biological barriers. On the other hand, these delivery systems can increase the bioavailability of active compounds to a level that becomes toxic. The other side of these delivery systems is they become a reason to dysregulate the metabolism and hormonal functions due to the rapid digestion of lipids and thereby sudden increase in blood lipids. Also, the other ingredients used for nanoemulsions, such as synthetic emulsifiers, can result in adverse effects due to their toxicity and need in high amounts as nanoemulsions have higher surface area than traditional emulsions (McClements, 2021). Moreover, as electrical charge, digestibility, interactions, size, shape, and the native format of the proteins and lipids are changed during the encapsulation, there is a risk for potential toxicity where the reported studies are very limited in this area. Also, the coatings and electrostatically conjugated proteins and lipids become intact in the GIT. They may inhibit the digestibility of the encapsulated active compounds, which leads to potential toxicity (McClements & Xiao, 2017).

future research studies can be designed to develop new food products containing proteins and lipids which can act as delivery systems for nutraceuticals rather than designing them as capsules or supplements. In fertilizer delivery, existing delivery systems such as chitosan can be replaced by lipid-protein conjugates to compare the performance. One of the major issues of fertilizers is their negative impact on the environment. Therefore, natural polymer conjugates can be explored to synthesize environmental friendly fertilizer delivery systems. Furthermore, the gap between laboratory trials of these delivery systems and commercial level production is still not well addressed. Most of the studies have been limited to the laboratory, and there is a lack of clinical trials and fabrication strategies for commercial level production in a reproducible manner. Declaration of Competing Interest All authors do not have any conflict of interest.

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食品胶体与健康 2 (2022) 100054 ScienceDirect 提供本文档列表 食品胶体与健康 期刊主页: www.elsevier.com/locate/fhfh

脂质-蛋白偶联物基递送系统在 营养保健品、药物和基因递送中的最新进展 Thilini Dissanayake a,b, Xiaohong Sun c, Lord Abbey d, Nandika Bandara a,b,d,∗ a

食品与人类营养科学系,农业与食品科学学院,曼尼托巴大学,温尼伯 R3T 2N2,加拿大 Richardson 食品技术与研究中心 (RCFTR),196 Innovation Drive,温尼伯,曼尼托巴省 R3T 6C5,加拿大 c 齐齐哈尔大学食品与生物工程学院,齐齐哈尔,黑龙江 161006,中国 d 植物、食品与环境科学系,农学院,达尔豪斯大学,特鲁罗,新斯科舍省 B2N 5E3,加拿大 b

文章信息

关键词: 脂质-蛋白偶联 药物递送 基因递送 营养保健品递送 生物利用度

摘要 脂质和蛋白基递送系统长期以来被用于递送药物、基因和营养保健品等活性化合物。这些递送系统的构建旨在克服纯活性化合物存在的问题,包括快速释放和代谢、溶解度差、稳定性低、生物利用度差、生物可及性差以及毒性。然而,脂质和蛋白质存在一些局限性,限制了它们在递送系统中的有效使用。脂质-蛋白偶联是一种新兴技术,用于构建新型递送系统,该系统兼具蛋白质和脂质在同一递送系统中的优势。此外,与单一载体相比,这些偶联物在体内具有更好的协同效应和理想的特性。其中,胶体稳定性和生物稳定性、增强的机械强度、控释、更长的循环时间、靶向递送、较低的细胞毒性、更高的载药量、共包封以及增强的生物利用度是关键成果。尽管近年来技术取得了进展,但脂质-蛋白偶联物基递送系统仍存在一些缺点,需要在未来的研究中加以解决。本综述重点批判性地评估脂质和蛋白作为递送系统的重要性、脂质-蛋白偶联的益处、偶联方法、脂质-蛋白偶联在药物、基因和营养保健品递送中的各种应用,并确定研究挑战和未来研究方向。

1. 引言 由于慢性病数量的不断增加,消费者对人类健康和营养的认识不断提高。药物、营养保健品和转染基因是管理癌症、心血管疾病和糖尿病等慢性病的有效预防或治疗剂(Chaudhari et al., 2021; Pooja et al., 2016; Zhu et al., 2019; Zuvin et al., 2019)。然而,由于其生物利用度差、水溶性低、化学不稳定、与赋形剂或食品成分的相互作用、吸收差、在胃肠道液中的转化、快速代谢和循环以及靶向递送能力低,其治疗功效和体内潜在生理益处受到限制(Chen et al., 2016; Dima et al., 2020; Hong et al., 2020; McClements et al., 2015; Shishir et al., 2018)。因此,生物活性物质和药物的包封作为一种有前景的技术被探索以应对这些挑战,其中脂质或蛋白质载体是包封中最广泛探索的载体之一(Bandara et al., 2018; Devi et al., 2017; Simões et al., 2017)。

脂质具有许多理想的特性,如公认安全(GRAS)、生物可降解性、生物相容性、工业生产和放大能力,以及在乳化方面的优异功能(Simões et al., 2017)。脂质体、乳液、微乳液、纳米乳液、多重乳液、固体脂质纳米粒(SLNs)、纳米结构脂质载体(Assadpour & Mahdi Jafari, 2018; McClements, 2015)和中空固体脂质纳米粒(Yang & Ciftci, 2016)是一些最常见的脂质基递送系统。另一方面,食品蛋白质是另一种广泛用于食品配方中的生物聚合物,因其具有生物可降解性、生物相容性、稳定性和众多功能特性(Dima et al., 2020; Hong et al., 2020)。此外,Fathi 等人(2018)提到,蛋白质的表面活性、结构形成和抗氧化活性等特性增加了蛋白质作为纳米载体的价值。尽管脂质和蛋白基纳米载体具有众多优势,但许多限制因素阻碍了脂质和蛋白质作为载体的有效使用。例如,由于脂质与血清蛋白之间的相互作用,脂质基递送系统会导致体内胶体和生物不稳定性。此外,与红细胞、淋巴细胞和内皮细胞的几种非特异性结合也导致了脂质基系统的不稳定性(Simões et al., 2000)。此外,由于补体蛋白、纤维连接蛋白和免疫球蛋白的调理作用导致的脂质被网状内皮系统(RES)清除,以及液态脂质载体的快速药物释放,限制了脂质基递送系统的功效(Kandadi et al., 2012; Yingchoncharoen et al., 2016)。蛋白质和脂质的偶联可以产生兼具蛋白质和脂质理想特性的递送系统。此外,偶联克服了与现有蛋白质或脂质基纳米递送系统相关的大多数限制。例如,脂质-蛋白偶联药物递送系统显示出优异的特性,包括增强的靶向递送、控释、降低的细胞毒性和提高的治疗功效(ElMasry et al., 2018; Jain et al., 2012; Pooja et al., 2016; Tang et al., 2015)。除了靶向递送外,通过蛋白质或脂质涂层增强药物稳定性是偶联的另一个益处(Tao et al., 2019)。研究表明,当活性化合物被包封在脂质-蛋白偶联递送系统中时,脂质-蛋白纳米颗粒增强了活性化合物的控释。控释导致活性化合物的循环时间延长和生物利用度增加(Chen et al., 2020; Hall et al., 2021; Li et al., 2021; Ruttala et al., 2017; Tezgel et al., 2020)。此外,脂质-蛋白偶联物可以通过其高溶解度直接递送至靶点来提高药物的治疗功效,从而降低对正常细胞的毒性(He et al., 2015)。

众所周知,存在一些限制因素制约了脂质-蛋白偶联递送系统的应用。在某些情况下,偶联物本身的毒性已被记录(Elzoghby et al., 2012; Gaber et al., 2017)。此外,偶联的目的是赋予偶联递送系统新的特性,这些特性是单一蛋白质或脂质基递送系统所不具备的。然而,由于该过程的复杂性以及无法预测这些系统在体内的表现,这一目标难以轻易实现。然而,脂质-蛋白偶联递送系统的不同技术和应用可以在其他文献中找到,这使得此类信息的潜在使用者难以轻松获取。因此,本综述的目的是批判性地评估脂质-蛋白偶联物相对于单一载体的益处、制造脂质-蛋白偶联物的技术、偶联物的表征方法、脂质-蛋白偶联在药物、基因和营养保健品递送中的各种应用,以及未来的研究方向。

明胶作为蛋白基纳米颗粒具有很高的潜力来递送生物活性化合物(Hathout & Omran, 2016)。 白蛋白在包封和递送系统中也发挥着重要作用。作为人体血浆中最丰富的蛋白质(Kratz & Elsadek, 2012),白蛋白参与许多生理过程,包括维持胶体渗透压、运输激素和脂肪酸、向细胞输送营养物质以及平衡血浆 pH 值(Neumann et al., 2010)。此外,白蛋白在不同加工条件下保持其稳定性。白蛋白可以在 60°C 下加热 10 小时而没有任何有害影响,并且在 pH 4 至 9 的范围内稳定(Neumann et al., 2010)。此外,白蛋白的可用性很高,因为它是血浆中最丰富的蛋白质,这可以鼓励白蛋白基递送系统的商业化生产。就半衰期而言,它具有 19 天的血液循环周期(Kratz, 2008)。在靶向药物递送中,白蛋白因其能够到达并积累在体内靶点而被广泛使用(Elsadek & Kratz, 2012; Kratz, 2008)。由于存在大量的带电氨基酸和官能团,用白蛋白制成的纳米颗粒很容易与靶配体偶联(Ren et al., 2013)。正如 Bandara 等人(2018)所讨论的,通过与其他聚合物偶联并产生乳液基系统,菜籽蛋白可以作为递送系统的潜在来源进一步开发。根据干重,脱脂后菜籽粕中含有 36-40% 的蛋白质。然而,菜籽细胞成分和种皮中存在的其他非蛋白质成分,如纤维、聚合酚类、植酸盐和芥子碱,限制了菜籽粕在食品中的适用性。此外,菜籽蛋白的主要成分——napin,由于其致敏性限制了其在食品中的应用(Wanasundara et al., 2016)。尽管菜籽蛋白在人类食品中的使用受到限制,但其可持续生产、可用性和低成本促进了菜籽蛋白在递送系统等非食品应用中的使用(Bandara et al., 2018)。同样,由于蛋白质独特的功能特性,不同的蛋白质已被用于包封广泛的活性化合物。α-乳清蛋白通过静电相互作用与壳聚糖偶联,利用它们相反的电荷来包封白藜芦醇。白藜芦醇主要通过疏水相互作用和氢键加载到 α-乳清蛋白-壳聚糖纳米颗粒中(Liu et al., 2020)。超声和 pH 偏移联合处理用于部分展开大豆蛋白结构以暴露更多的疏水基团。然而,超声需要相对较长的时间来增加表面疏水性。因此,pH 偏移与超声结合用于此过程,其中蛋白质暴露于极端碱性或酸性条件,然后恢复至中性 pH。该过程分别导致蛋白质的部分展开和重折叠。利用该策略,形成了大豆蛋白-多糖纳米颗粒,并包封了疏水性白藜芦醇,与未处理的大豆蛋白相比,粒径更小且疏水性更强(Fang et al., 2021)。此外,蛋白质与多糖的糖基化是蛋白质修饰的另一种方式,以克服包封过程中与天然蛋白质结构相关的问题。通过这种方式,蛋白质的功能特性如溶解度、凝胶化、乳化、发泡和成膜性可以得到改善(Zhang et al., 2018)。使用酪蛋白凝胶制备了包封维生素 C 的维生素软糖,以增强维生素 C 的稳定性并控制其降解。根据 FTIR 光谱,确认了酪蛋白与维生素 C 之间的氢键。包封的维生素 C 在十周内保留了 92%,而未包封的维生素仅保留了 79%。此外,模拟研究证实了酪蛋白包封维生素 C 的持续释放(Yan et al., 2021)。麦胶蛋白是一种疏水性蛋白质,具有优异的黏膜粘附特性,非常适合包封疏水和两亲性药物。麦胶蛋白的疏水性归因于二硫键。黏膜粘附特性增加了包封药物在胃肠道中的停留时间。然而,pH、盐和热会导致麦胶蛋白纳米颗粒因聚集而不稳定。添加阿拉伯胶稳定了麦胶蛋白纳米颗粒,这是由于麦胶蛋白与阿拉伯胶之间在 pH 5 时的主要氢键作用和在 pH 7 时的疏水作用(Wu et al., 2018)。β-胡萝卜素被包封在使用 5%、10% 和 15% 乙醇溶液制备的乳清蛋白基纳米胶囊中。根据结果,乙醇导致蛋白质展开并暴露蛋白质的疏水核心,促进了蛋白质与疏水性 β-胡萝卜素之间的相互作用(Rodrigues et al., 2020)。此外,乳清蛋白基微粒被用于成功包封在生理 pH 下不稳定且水溶性差的姜黄素。与游离姜黄素相比,当姜黄素被包封在乳清蛋白中时,其生物可及性增加(Ye et al., 2021)。

就脂质基递送系统而言,油酸(Elmasry et al., 2018; Meghani et al., 2018; Park et al., 2015; Tran et al., 2013)、卵磷脂(Chuacharoen & Sabliov, 2016; He et al., 2015; Jain et al., 2012; Tang et al., 2015)、亚麻酸(Yadav et al., 2019)和亚油酸(Pucek et al., 2017)是递送系统中常用的一些脂质基物质。这些脂质基物质来源于亚麻籽(Kaithwas et al., 2011)、菜籽油(Mokhtari et al., 2017)、大豆籽(Peng et al., 2014)、丁香油和其他精油(Wan et al., 2018)。Wan 等人(2018)讨论了精油的抗菌和防腐特性使其成为食品递送系统的潜在来源。Mhule 等人(2018)报道,油酸是脂质体和磁性纳米颗粒的潜在稳定剂。此外,作者(Mhule et al., 2018)提到油酸的特性,如生物相容性、在透皮递送系统中的渗透增强特性和抗菌活性,增加了其在递送应用中的使用。正如 Perez-Ruiz 等人(2018)所报道的,卵磷脂因其生物相容性和稳定特性在递送系统中有广泛的应用。此外,它用于制备各种纳米载体,如胶束、脂质体、微乳液和纳米颗粒。由于两亲性而在水环境中自组装的固有特性使卵磷脂成为一种有吸引力的纳米载体。此外,卵磷脂在维持膜流动性和增强活性化合物吸收方面发挥着重要作用(Jabri et al., 2018)。亚油酸是一种人体无法合成的必需分子,它可以降低动脉硬化的风险(Yang et al., 2018)。正如 Fang 等人(2017)所解释的,由于亚油酸的体外抗增殖作用和体内抗肿瘤作用,科学家对亚油酸的关注正在增加。作者证明了亚油酸在递送系统中可有效增加循环时间和所载药物的治疗功效。

脂质体是直径为 50-1000 nm 的脂质双层球状结构。脂质双层由磷脂组成,磷脂具有亲水(极性)头部和亲脂(非极性)尾部(Daraee et al., 2016)。递送亲水性、亲脂性和两亲性化合物的能力是脂质体的主要优势(Isailović et al., 2013)。Maritim 等人(2021)将格列本脲包封在脂质体中。他们评估了包封药物在脂质体中的位置、脂质类型(饱和、不饱和)、酰基链长度、制备方法、相变温度和磷脂与胆固醇比例对药物载量、脂质体稳定性和药物释放的影响。疏水性模型药物格列本脲被加载到疏水性双层中。由于其水溶性具有 pH 依赖性,它也可以被加载到脂质体的亲水核心中。根据结果,较长的脂质链、较低的胆固醇比例和较高的脂质饱和度促进了核心和双层中的药物载量。另一方面,较短的脂质链和较低的脂质饱和度增强了药物释放速率。有趣的是,较高的胆固醇水平增加了双层中包封药物(疏水性)的药物释放,但降低了核心中包封药物(亲水性)的药物释放(Maritim et al., 2021)。

脂质纳米颗粒作为生物活性化合物的新型和有前景的载体系统受到越来越多的关注(Gaber et al., 2017; Shishir et al., 2018)。SLNs 和纳米结构脂质载体(NLCs)是两种主要的脂质纳米颗粒(Katouzian et al., 2017)。Couto 等人(2017)将亲水性维生素 B2 包封在 SLNs 中,该 SLNs 由完全氢化菜籽油(FHCO)、月桂基硫酸钠...

# 脂质-蛋白偶联基递送系统的制备技术及其应用

## 翻译

在脂质-蛋白偶联基递送系统的制备中,采用了多种技术进行脂质与蛋白的偶联。例如,化学偶联、脱溶剂法、静电包覆、高压均质化以及脂质薄膜水化法等方法被广泛使用(Elmasry等,2018;Gaber等,2017)。图1展示了近年来文献中用于药物、基因和营养保健品递送应用中脂质与蛋白偶联的不同技术。

在化学偶联过程中,脂质中的羧基与蛋白中的氨基之间形成酰胺键。化学偶联与其他方法的主要区别在于化学偶联中形成共价键,而其他方法则基于静电相互作用(Kabary等,2018)、疏水相互作用(Peng等,2014)以及乳液中的亲水和疏水相互作用(Chen等,2020)等非共价相互作用。在形成酰胺键之前,需先活化脂质的羧基官能团,以提高蛋白与脂质之间的偶联效率。由于蛋白同时含有氨基和羧基官能团,可能发生自聚合反应,因此优先在偶联前活化脂质的羧基官能团(Gaber等,2017)。

Pooja等(2016)通过使用硬脂胺在固体脂质纳米粒上引入氨基,以促进与麦胚凝集素羧基的偶联。在同一研究中,使用硬脂酸在固体脂质纳米粒上引入羧基,以促进与麦胚凝集素氨基的偶联,偶联效率从11.45%提高至74.1%。Tran等(2013)利用EDC/NHS反应将明胶与油酸偶联,其中使用单乙醇胺(MEA)活化油酸。由于明胶和油酸溶解度相反,在不活化油酸的情况下难以在水中实现偶联。碳二亚胺偶联法常用于形成该酰胺键。在该方法中,1-乙基-3-(3-二甲氨基丙基)碳二亚胺/N-羟基琥珀酰亚胺(EDC/NHS)反应被广泛使用(Elmasry等,2018;Gaber等,2017;Meghani等,2018;Pooja等,2016)。在最近的一项研究中,使用EDC/NHS将明胶与油酸偶联在一起(Park, Vo, Kang, Oh, and Lee, 2015)。在该工作中,他们在水-乙醇共溶剂中制备了明胶-油酸偶联物,随后使2-巯基乙醇与剩余的EDC反应,以防止明胶中存在的胺基与羧基之间发生交联(Park, Vo, Kang, Oh, and Lee, 2015)。除碳二亚胺偶联外,硫醇-马来酰亚胺偶联(蛋白和脂质通过硫醇化蛋白与马来酰亚化脂质之间的硫醚键连接)(Thöle等,2008)以及施陶丁格连接法也属于化学偶联方法。

在施陶丁格连接法中,叠氮化物与三苯基膦反应形成酰胺键。该反应的主要优势之一是在室温下无需催化剂即可进行(Zhang等,2009)。Xu等(2011)通过施陶丁格连接法合成了受体靶向脂质体。他们使用转铁蛋白作为蛋白源,并用对异硫氰酸叠氮苯酯进行活化。二油酰磷脂酰乙醇胺与2-(二苯基膦)对苯二甲酸1-甲基-4-五氟苯基二酯反应生成活化的脂质。最后,通过施陶丁格连接法将活化的转铁蛋白与合成的脂质体偶联。该方法简单且特异性高,产生的反应中间体相对稳定。因此,该方法在药物递送系统的未来应用中具有巨大潜力。

脱溶剂法是另一种用于脂质-蛋白偶联的方法(Jain等,2012)。作者在该研究中采用两步脱溶剂法制备了明胶包被的混合脂质纳米粒。首先,将明胶溶解在蒸馏水中,加入丙酮作为脱溶剂剂使高分子量(HMW)明胶沉淀。然后使用蒸馏水重新溶解沉淀的HMW明胶。接着,将药物溶解在二甲基亚砜中,并将溶解在甲醇中的卵磷脂混合。甲醇蒸发后,使用丙酮沉淀载药脂质-蛋白偶联物(Jain等,2012)。在另一项研究中,Tang等(2015)使用脱溶剂法制备了脂质-白蛋白纳米组装体。在他们的研究中,将药物和卵磷脂溶解在无水乙醇中,将该溶液在持续搅拌下逐滴加入白蛋白水溶液中。然后将所得溶液超声处理,并使用旋转蒸发技术除去无水乙醇。最后,将样品离心过滤以获得载药脂质-白蛋白纳米组装体(Tang等,2015)。

当蛋白的pH值高于或低于等电点时,蛋白分别带有负电荷或正电荷。在静电包覆方法中,带相反电荷的脂质可以通过静电偶联与蛋白偶联(Gaber等,2017)。Chen等(2016)通过静电相互作用合成了白蛋白包被的脂质体。药物的脂质体溶液使用氯仿制备,但在最后步骤中蒸发掉氯仿。之后,将所得脂质薄膜在超纯水中水化并通过聚碳酸酯滤器挤出。通过将白蛋白溶液(pH = 3)逐滴加入脂质体溶液中完成白蛋白包覆。由于添加了吲哚菁绿药物,脂质体溶液具有-43.5 ± 2.5 mV的强负电荷(pH = 7.4)。将白蛋白的pH调节至3,使其带正电荷。因此,白蛋白和脂质可以很容易地通过静电相互作用偶联。该方法在许多其他研究中也有报道(Cardoso等,2007, 2008;Faneca等,2008;Ilarduya等,2006;Nakase等,2005;Pan等,2008;Piao等,2013;Wang等,2012;Weecharangsan等,2009)。

高压均质化可被视为另一种脂质-蛋白偶联技术。He等(2015)使用高压均质化方法偶联分别溶解在二氯甲烷和蒸馏水中的卵磷脂和白蛋白。将这两种溶液在5000-10,000 Psi的压力下通过高压均质器。由于施加的高压,脂肪被分解成小液滴。液滴通过形成周围的蛋白层而稳定,从而防止液滴聚结(Min等,2003)。

脂质薄膜水化是另一种用于偶联蛋白和脂质的技术。Ruttala和Ko(2015)使用该技术将白蛋白-紫杉醇纳米粒包封在脂质体中。首先,将脂质溶解在氯仿中,然后通过旋转蒸发除去氯仿。然后将使用脱溶剂技术制备的白蛋白-紫杉醇纳米粒加入干燥的阳离子脂质薄膜中,在室温下孵育4小时并间歇混合。最后,将悬浮液通过200 nm孔径的膜挤出。空白脂质体在包封白蛋白-紫杉醇之前具有24 mV的正电荷。然而,包封后电荷增加至约约4 mV。这一结果解释了带负电荷的白蛋白-紫杉醇纳米粒对空白脂质体正电荷的补偿。这种类型的偶联也可以归类为静电包覆类别。

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## 4. 所开发的脂质-蛋白偶联基递送系统的表征

粒径是决定所包封活性化合物的稳定性、包封效率、控释、生物分布、黏附性和细胞摄取的最关键因素之一(Danaei等,2018)。Pawar和Pande(2015)制备了油酸包被的明胶纳米粒负载的凝胶用于递扎托洛芬,并观察到随着粒径减小,包封效率增加。作者认为这是由于粒径减小导致表面积增加,为结合药物提供了更多空间。此外,作者还表明交联剂(戊二醛)浓度和搅拌速度影响偶联物的粒径。根据Dai等(2019)进行的研究,玉米醇溶蛋白与鼠李糖脂的比例影响了用于包封姜黄素所制备纳米粒的粒径。此外,温度、离子强度和环境pH也影响了粒径。另一项研究获得了类似结果,其中麦醇溶蛋白与磷脂的比例影响了偶联物的粒径。在低浓度磷脂条件下,由于抑制了麦醇溶蛋白分子的聚集并降低了表面张力,粒径减小。随着磷脂浓度增加,由于磷脂自缔合导致表面活性或吸收动力学降低,以及纳米粒内部形成更多脂质双分子层,粒径增大(Chen等,2019)。

Park等(2015)展示了载药方法对粒径的影响。他们的研究显示,孵育法与过程中加药法之间在粒径上存在显著差异。孵育法获得的粒径较小,这是由于药物渗透到纳米粒的某些孔隙中以及通过物理吸收或氢键作用将药物吸附到纳米粒外层,从而稳定了结构。然而,在过程中加药法中,当将药物加入溶液时,偶联物表现出类似盐析效应的溶解度降低。结果导致聚集并产生更大的粒径。Gaber等(2017)讨论了杂交方法对粒径的影响。蛋白与脂质纳米粒脂质表面的共价键合不会显著增加脂质纳米粒的粒径。相反,静电相互作用法由于杂交而增加了纳米粒的粒径(Gaber等,2017)。

Zeta电位是衡量颗粒抗聚集稳定性的指标。脂质-蛋白偶联递送系统的Zeta电位已在许多研究中报道,因为它是测定递送系统稳定性的最常用方法。Zeta电位的增加导致液滴之间的静电排斥,从而防止聚集并增强稳定性(Chen等,2020;Li等,2020)。一般来说,稳定的悬浮液应具有较高的Zeta电位值(低于-20 mV)。根据Park等(2015),油酸-明胶偶联物的Zeta电位低于-20 mV,而明胶纳米粒通常报道的Zeta电位在0-10 mV之间。偶联物的高Zeta电位源于明胶的氨基与油酸的反应。该反应导致偶联物表面阳离子电荷减少。明胶的羧酸根阴离子决定了偶联物的表面电荷,因为其远大于剩余氨基的电荷。因此,与油酸的偶联通过阴离子表面电荷稳定了颗粒(Park等,2015)。

评估脂质-蛋白偶联递送系统结构和形态差异的最常用方法是扫描电子显微镜(SEM)和透射电子显微镜(TEM)。从TEM可以观察到麦醇溶蛋白与磷脂质量比对偶联物形态的影响。未使用磷脂制备的纳米粒图像显示出相当均匀的内部结构,大致呈球形。使用磷脂制备的偶联物仍显示球形。然而,在其TEM图像中可以观察到核-壳内部结构。这主要是由于磷脂能够自组装成多层结构(Chen等,2019)。根据TEM图像,作者提出麦醇溶蛋白形成纳米粒的核,而磷脂形成多层壳。

Elmasry等(2018)指出,油酸与明胶的偶联不会改变从TEM图像中获得的明胶颗粒的球形、光滑、致密和紧凑的形态。此外,作者报道了TEM图像中明胶-油纳米粒中呈现的暗内层是由油酸基团之间的疏水相互作用和戊二醛的结合效应造成的。

测量药物释放曲线提供了关于控释和药物产生细胞毒性的信息。根据Ruttala等(2017),白蛋白纳米粒中包封的药物胶体稳定性低,导致药物从体循环中快速消除。白蛋白与脂质双分子层的偶联提高了纳米粒的稳定性。转铁蛋白与白蛋白纳米粒脂质双分子层的偶联进一步降低了包封药物的释放速率,从而限制了毒性。控释的可能原因是脂质双分子层作为保护层的作用以及在纳米粒周围形成高分子量转铁蛋白层。由于转铁蛋白受体在增殖的肿瘤细胞中过表达,通过将转铁蛋白偶联到脂质双分子层可以实现药物的靶向递送(Ruttala等,2017)。

此外,傅里叶变换红外光谱(FTIR)、X射线衍射(XRD)和差示扫描量热法(DSC)在许多研究中被用作表征方法,以评估官能团的变化、偶联物形成的驱动力以及包封活性化合物的物理状态。这些方法可用于比较偶联物与单一载体(蛋白或脂质)系统之间的物理和化学性质(Dai等,2017;Wang等,2018;Wei等,2019)。

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## 5. 脂质-蛋白偶联基递送系统的应用

### 5.1. 药物递送

纳米级药物递送系统为传统癌症治疗相关的大多数问题提供了更好的解决方案,包括药物溶解度低、化疗耐药性、全身毒性、治疗指数窄和口服生物利用度差。两亲性聚合物囊泡的开发是癌症研究中提高药物效率和生物利用度的新型递送平台(Pooja等,2016;Ruttala和Ko,2015)。此外,将配体分子(如肽、抗体、糖和适配体)连接到对癌细胞上过表达的生物标志物具有特异性的胶束壳上,可提高肿瘤选择性和癌症治疗的整体治疗效率(Kalaydina等,2018;Khan等,2020;Tabarzad和Jafari,2016)。因此,脂质-蛋白偶联递送系统已被广泛用于药物的靶向递送(Kratz,2008;Pooja等,2016;Ruttala和Ko,2015;Tang等,2014)。偶联策略还提高了药物的生物利用度并降低了全身毒性(He等,2015;Jain等,2012)。根据现有文献信息,与营养保健品、基因、微量营养素和叶面肥料递送相比,药物递送领域的应用更多,总结于表1。图2是第5.1部分的要点说明。

两性霉素B是治疗全身性危及生命的真菌感染和利什曼病的优良药物。然而,两性霉素B的治疗效果受到水溶性差、肠道渗透性差和胃pH不稳定的限制(Radwan等,2017)。此外,两性霉素B的剂量相关副作用(引起恶心、发热和肾毒性)降低了两性霉素B的有效使用。

# 翻译

## 静电相互作用 磷脂酰乙醇胺 单硬脂酸甘油酯 EDC/NHS化学偶联 吲哚菁绿/ICG 紫杉醇的靶向递送及增强稳定性 Chen等(2016)

固体脂质纳米粒 121.45 ± 0.85 nm 152.9 nm 紫杉醇的靶向递送及提高生物利用度 Pooja等(2016) 脂质体 ∼1 μm 明胶 大豆磷脂 脂质薄膜水化法

紫杉醇 增强对冻干应力的物理稳定性 Guan等(2015) 纳米组装体 107.5 ± 3.2 nm 白蛋白 卵磷脂 脱溶剂化 紫杉醇、冰片 紫杉醇的靶向递送、增强抗肿瘤疗效和生物利用度

Tang等(2015) 纳米粒浸渍凝胶 纳米粒 247.1 nm 明胶 油酸 物理混合 扎托前列素 增强皮肤渗透性 171 ± 1.4 nm (京尼平10 mg) 明胶 油酸 EDC/NHS化学偶联

盐酸伊立替康

增强明胶分子间的疏水性相互作用以合成稳定的两亲性载体 Pawar和Pande(2015) Park等(2015) 脂质体(脂质-蛋白纳米复合物) 纳米粒 110 nm

牛血清白蛋白 蛋黄卵磷脂 脱溶剂化-超声法 紫杉醇 提高药物包封率,降低细胞毒性 Tang等(2014) 182.3 ± 11.7 nm 白蛋白 卵磷脂 高压均质法

替尼泊苷 降低全身毒性并增强抗肿瘤活性 He等(2015) 纳米粒 低于300 nm 明胶 油酸 叶酸 基于水性溶剂法(使用单乙醇胺活化剂)

紫杉醇 靶向递送、控释及减少副作用 Tran等(2013) 聚合物-脂质杂化纳米粒 253 ± 8 nm 明胶 卵磷脂 两步脱溶剂化法 两性霉素B 提高两性霉素B的口服生物利用度

Jain等(2012) 6 麦胚凝集素 食品胶体与健康 2(2022) 100054 偶联目的 递送系统 T. Dissanayake, X. Sun, L. Abbey等 表1 脂质-蛋白偶联在药物递送系统中的应用。

T. Dissanayake, X. Sun, L. Abbey等 食品胶体与健康 2(2022) 100054 图2. 基于脂质-蛋白偶联物的药物递送系统亮点。

两性霉素B(Nishi等,2007)。Jain等(2012)利用卵磷脂和明胶构建了一种用于两性霉素B的脂质-蛋白偶联递送系统。明胶包封进一步稳定了包封在脂质内部的药物。此外,明胶包衣在胃肠道流体中提供了额外的保护,并增强了递送系统的结构完整性。这些偶联纳米粒通过基于两步脱溶剂化法的简单制备工艺形成,有利于商业化生产。明胶因其生物相容性、生物降解性、低免疫原性和低成本高可得性而被选作蛋白质。卵磷脂因其高包封效率、递送两性霉素B的已证实的功效以及高相容性而被选作脂质。然而,这些杂化纳米粒对恶劣的胃肠道环境可能表现出轻微的敏感性。所开发的杂化纳米粒实现了药物控释,并且比游离药物、两性霉素B胶束溶液和两性霉素B脂质体制剂的溶血性毒性更低。

角膜移植是替换功能障碍角膜以治疗角膜盲的一种解决方案。然而,由于移植后并发症(如术后炎症),可能导致角膜透明度和视力下降。Li等(2021)制备了含有姜黄素负载的脂质-PLGA(聚乳酸-羟基乙酸共聚物)杂化微粒的明胶支架,以解决该问题,因为姜黄素具有抗炎、抗血管生成和抗氧化作用。姜黄素负载的脂质-PLGA微粒是通过蒸发用于制备胆固醇、PLGA和姜黄素水包油乳液的有机溶剂获得的。脂质-PLGA微粒通过EDC/NHS交联化学与明胶偶联。结果表明,将姜黄素负载的纳米粒掺入明胶支架是一种有效的技术,可支持移植并防止移植后并发症。最有趣的是,脂质-PLGA微粒或姜黄素的掺入并未显著损害明胶支架的透明度。

在最近的一项研究中,米糠蛋白被用作包封姜黄素的大豆油纳米乳液的稳定剂(Chen等,2020)。由于蛋白质间排斥力的增加,米糠蛋白使zeta电位升高至更高值。此外,在pH 9条件下,随着米糠蛋白用量的增加,其乳化能力显著增强。该结果归因于米糠蛋白疏水基团与油滴之间的相互作用,以及超高压均质过程中蛋白质与水相之间的相互作用。此外,MTT实验结果表明,由于稳定化纳米乳液系统实现了姜黄素的控释,纳米包封减少了对细胞的损伤(Chen等,2020)。

紫杉醇(PTX)是一种具有高度抑制胶质瘤细胞生长潜力的抗癌药物。然而,胶质瘤肿瘤细胞的多药耐药性(MDR)是胶质瘤化疗的主要挑战之一。MDR的主要原因之一是肿瘤细胞上P-糖蛋白的过度表达,其会将PTX排出细胞。因此,PTX在肿瘤细胞中的蓄积较低(Tang等,2015)。另一方面,紫杉醇的水溶性差降低了其生物利用度,这常常导致治疗失败(Jibodh等,2013)。尽管供应P-糖蛋白抑制剂是解决肿瘤细胞MDR的较好方案,但抑制剂表现出全身毒性(Lee,2010)和低水溶性(Tang等,2015)。Tang等(2015)将紫杉醇和冰片共包封于脂质-白蛋白纳米组装体中,以克服上述与紫杉醇相关的问题。冰片作为P-糖蛋白抑制剂,可增强药物在肿瘤细胞中的作用(He等,2011)。受体介导的胞吞转运和白蛋白的增强渗透与滞留效应帮助紫杉醇到达肿瘤细胞。白蛋白在进入肿瘤细胞之前与称为糖蛋白60的特异性受体结合(Yardley,2013)。Tang等(2014)表明白蛋白-卵磷脂纳米组装体是用于紫杉醇靶向递送的生物相容性递送系统。

Pooja等(2016)开发了一种紫杉醇递送系统以增强对肺癌细胞的抗癌活性。在他们的研究中,制备了小麦(普通小麦)胚凝集素偶联的固体脂质纳米粒(SLNs),以创建具有增强生物相容性、高载药量、靶向递送、控释和提高生物利用度的药物递送系统。在该系统中,脂质被用作疏水性药物载体,而凝集素通过与整个肠道细胞表面存在的N-乙酰-D-葡萄糖胺和唾液酸结合,帮助延长药物在肠道中的滞留时间以提高生物利用度(Pusztai等,1993)。此外,小麦胚凝集素通过与癌细胞上过度表达的糖蛋白和糖脂的碳水化合物基团结合来增强靶向递送(Gorelik等,2001)。图3展示了利用脂质-蛋白偶联物进行药物靶向递送的过程,其中蛋白质与癌细胞上过度表达的特异性生物标志物结合。

Park等(2015)研究了一种利用碳二酰亚胺/N-羟基琥珀酰亚胺(EDC/NHS)反应合成明胶-油酸纳米粒的新方法。随后将模型药物盐酸伊立替康包封于明胶-油酸纳米粒中。结果,由于偶联的油酸,明胶分子之间的疏水性相互作用增强。作者提出该递送系统作为包封抗癌药物的有前景的载体。

Meghani等(2018)的另一项有趣研究设计了可点击的明胶-油酸纳米粒,通过活性位点特异性靶向递送模型药物阿霉素。二苯并环辛炔被用作可点击材料,通过靶向肿瘤细胞表面叠氮修饰的唾液酸前体来功能化明胶-油酸纳米粒。

经皮递送是解决药物口服生物利用度低的较好方案。先前研究表明,经皮给药具有较低的化疗毒性和较高的药物生物利用度(El-Houssiny等,2015)。作为乳腺癌药物,ElMasry等(2018)将芝麻酚包封于明胶-油酸偶联物中,以通过皮肤将芝麻酚递送至乳腺癌细胞。在该研究中,明胶被用于包封芝麻酚,其高效的内化、定位和内吞摄取对癌细胞产生了高细胞毒性(Coester等,2006)。油酸被用于偶联明胶,是经皮应用中领先的渗透促进剂。油酸可与存在于皮肤最外层的角质层(SC)脂质共存(van Smeden & Bouwstra,2016)。在生理温度下,更多固态SC脂质与液态油酸的共存通过相分离转运机制增强药物的扩散。在该机制中,SC脂质中可渗透的界面缺陷增加,从而降低了扩散路径长度或阻力(Ongpipattanakul等,1991)。Elmasry等(2018)的工作表明,与传统明胶纳米粒和芝麻酚水溶液相比,油酸偶联的明胶纳米粒在小鼠皮肤中的渗透性显著更高。

吲哚菁绿(ICG)是一种近红外(NIR)造影剂,已被美国食品药品监督管理局(FDA)批准用于医学诊断(Polom等,2014)。然而,ICG在肿瘤成像中的应用受到以下因素的限制:在水介质中聚集诱导的自淬灭、易受外部光、氧化剂和高温降解,以及与血浆蛋白结合导致随后被肝脏快速清除(Yaseen等,2009)。因此,应使用潜在的载体系统来提高ICG的稳定性、保护其免受血浆蛋白结合并延长循环时间。Chen等(2016)提出了一种人血清白蛋白包封的脂质体递送系统来解决该问题。Kraft和Ho(2014)指出,脂质体ICG已证明具有对前哨淋巴管、血管通透性、血管生成和实体瘤进行光学成像的能力。然而,脂质体在血清蛋白存在下的固有不稳定性和有效载荷损失限制了脂质体作为递送系统的有效使用(Shishir等,2018)。白蛋白具有许多有利于高效递送系统的理想特性,例如在炎症组织和实体瘤中蓄积的能力、无固有毒性和免疫原性、生物降解性和易得性(Elsadek & Kratz,2012)。因此,可引入白蛋白包封以提高脂质体的有效使用。例如,Chen等(2016)的研究表明,与对照ICG溶液相比,ICG负载的白蛋白包封脂质体的NIR荧光特性、肿瘤靶向性和稳定性显著增强。

Kabary等(2018)进行了一项研究,将雷帕霉素和小檗碱共递送至乳铁蛋白-透明质酸包封的脂质纳米粒中。该研究的目的是增强对肺癌细胞的抗肿瘤疗效。脂质纳米粒被表征为能够以高载药量递送两种药物/生物活性物质。然而,突释和过早的药物释放降低了生物活性,主要是由于颗粒结晶和药物从脂质核心中排出。此外,网状内皮系统(RES)清除减少了脂质纳米粒的循环,因此对脂质递送系统进行表面修饰以控制药物释放(Kabary等,2018)。层层自组装(LbL)是一种灵活且简单的表面修饰方法,基于带相反电荷的聚电解质在纳米载体表面的静电沉积(de Villiers等,2011)。对于LbL技术,主要使用亲水性聚合物(包括蛋白质和多糖),因为它们具有RES清除能力、延长的血液循环时间和基于增强渗透与滞留的通过间隙肿瘤的被动扩散能力(de Villiers等,2011)。此外,纳米粒的靶向能力通过层状材料的靶向基团而增强。例如,乳铁蛋白是一种阳离子蛋白,可与各种癌细胞上过度表达的转铁蛋白受体和低密度脂蛋白受体结合(Elzoghby等,2015)。透明质酸是一种阴离子多糖,具有与肿瘤细胞(包括肺癌细胞)上过度表达的CD44受体结合的固有能力(Leung等,2010)。Kabary等(2018)最近的研究表明,用透明质酸和乳铁蛋白包封纳米粒通过肿瘤细胞过度表达的CD44受体增强了细胞内化,从而增强了对A549肺癌细胞的药物细胞毒性。在治疗活性方面,包封纳米粒与对照组小鼠(未治疗组)相比,显微肺灶数量减少了约88%,血管生成因子降低了3.1倍。总之,透明质酸-乳铁蛋白包封的纳米粒显著增强了对肺癌细胞的抗癌活性。

Zhu等,2019;Zuvin等,2019。图4总结了综述第5.2节所涵盖的内容。

当基因被包封在载体系统中时,应给予特别关注,因为它们可能引起不良副作用。所设计的基因递送系统应具有相容的理化性质,包括高溶解度、稳定性和小尺寸。这可以通过对用于包封的生物聚合物进行化学和物理修饰来实现。此外,它们应保护包封的基因免受不良生理条件的影响,并使用靶向配体将其递送至靶位点。另一个重要因素是避免RES清除且对血液和正常细胞无毒性。最后,递送系统应能够连续生产并在储存期间具有令人满意的保质期(Eftekhari等,2019)。

在伤口愈合过程中,Fidgetin样2蛋白应被下调以增加细胞运动速率。siRNA被用于敲低该蛋白并加速细胞运动,这是伤口愈合中的一个重要现象。然而,siRNA在血清中的稳定性差和对核酸酶降解的敏感性降低了其治疗效果。另一方面,RNA生物聚合物的细胞内化因其大分子量、高负电荷和刚性而降低(Tezgel等,2020)。siRNA在加载到胶原支架之前被包封于NLC中,以克服上述问题。然而,在NLC中的包封限制了裸siRNA在胶原中负载的首次突释。此外,仅负载NLC的冷冻结构的细胞毒性在加载到胶原中时显著降低,可能是由于与胶原复合导致NLC表面电荷降低所致(Tezgel等,2020)。

Hall等(2021)设计了一种肽-脂质相关的多组分纳米递送系统,用于递送siRNA以预防癌细胞中蛋白质的过度表达。siRNA包封的纳米粒使用四种类型的脂质制备(1,2-二油酰-sn-甘油-3-磷酸乙醇胺(DOPE)、1,2-二油酰-3-三甲基铵丙烷(DOTAP氯化物盐)、胆固醇、磷脂酰胆碱)。肽在该递送系统中的主要作用是促进细胞内化,因为它们具有穿透细胞的能力。此外,siRNA与肽通过易断裂键的偶联促进了

## 5.2. 基因递送

基因治疗是一种相对较新的程序,用于对患者的细胞功能进行基因修饰(Ramamoorth & Narvekar,2015)。基因治疗已成为治疗多种健康问题的标准临床干预手段,包括癌症、心血管疾病、传染病、内耳疾病、皮肤病、眼科疾病和神经病理。基因治疗不仅限于DNA递送,还包括小干扰RNA(siRNA)、反义寡核苷酸和微小RNA。基于RNA干扰的药物是治疗人类疾病的一个不断发展的领域。例如,siRNA通过RNA干扰诱导靶基因沉默的能力(Valero等,2018)是研究者们研究的一个领域。在基因递送系统中,病毒载体被非病毒载体替代,因为后者生物安全、致病性低、价格低廉且易于生产。然而,其转基因的低递送效率和瞬时表达限制了其在基因递送系统中的应用。脂质纳米乳液、SLNs、脂质复合物和基于肽的载体是常见的非病毒天然递送系统(Ramamoorth & Narvekar,2015)。脂质和蛋白的偶联是生物聚合物载体中增强基因递送效率的成功方法(Gaber等,2017)。基因与自杀基因在蛋白相关脂质体中的共包封(Faneca等,2008)、蛋白相关脂质载体递送siRNA(Cardoso等,2007),以及通过蛋白质修饰脂质基因载体用于肿瘤靶向转染(Wang等,2012)是脂质-蛋白偶联在基因递送中的一些应用。基因转染是将外源核酸导入细胞以产生基因修饰细胞的过程(Kim & Eberwine,2010)。脂质-蛋白偶联在基因转染效率方面的优势已被用于治疗许多慢性疾病(Leung等,2010;9

基因在到达靶位点后的释放。该研究结果表明,所设计的递送系统成功实现了siRNA的包封与控释,并在多种人类细胞中表现出良好的安全性(Hall等,2021)。基因治疗的一个关键要素是其即使在被转染细胞比例较低的情况下,仍能高效杀伤大量肿瘤细胞(Faneca等,2007)。Faneca等(2008)将长春碱与HSV-tk自杀基因共包封于人血清白蛋白(HSA)相关的脂质复合物中,以增强脂质复合物的生物活性并抑制癌细胞的有丝分裂。将HSA偶联至脂质复合物是一种更优策略,可提升不同类型细胞中的转基因表达水平,即使在血清存在条件下亦如此(Faneca等,2007)。他们通过将脂质体与蛋白孵育15分钟,再与质粒DNA溶液继续孵育15分钟,制备了HSA-脂质复合物。用白蛋白包被脂质复合物可通过避免与血清成分发生非特异性相互作用,从而提高体内转染效率。此外,白蛋白有助于脂质复合物结合至细胞表面,并通过内吞作用促进其内化。因此,HSA显著增强了自杀基因的转染效率。综上,将长春碱与负载于HSA相关脂质复合物中的HSV-tk/GCV基因联合使用,在抗肿瘤活性方面表现出显著的协同效应(Faneca等,2008)。

脂质体因其无载体尺寸限制、较高的载药能力以及易于大规模生产等优点,被广泛用作基因载体(Belfiore等,2018)。然而,其应用受限于胶体稳定性差、控释效率低、清除速度快以及缺乏靶向递送能力等问题(Sriraman & Torchilin, 2014)。为提升靶向性和体内半衰期,已有研究将肽基团引入脂质体。另一方面,肽修饰脂质体具有高度理想的生物相容性,并能增强递送系统与细胞间的相互作用。这一特性归因于其表面阳离子电荷,最终通过内吞作用提高细胞摄取效率(Zhao等,2015)。Zhu等(2019)研究了脂质头基团的毒性特征,比较了含14碳链和三鸟氨酸头基(肽基脂质复合物)的脂质与季铵盐脂质1,2-二油酰-3-三甲铵丙烷(DOTAP)的细胞毒性。研究发现,在低剂量下,肽基脂质复合物对癌细胞系的细胞毒性弱于含季铵盐脂质的脂质复合物,证实了肽基脂质复合物的良好生物相容性。此外,他们还评估了阳离子肽基脂质体在基因递送中的潜力。在注射了Luc-A549细胞的小鼠模型中,评估了Luc-siRNA基因沉默及IGF-IR-siRNA基因对肿瘤的体内抑制效果。结果显示,与含铵头基的脂质复合物相比,含三鸟氨酸头基的阳离子肽基脂质复合物能更高效地递送IGF-IR-siRNA。该研究进一步证实了阳离子肽基脂质复合物相较于季铵盐脂质复合物作为基因递送系统的适用性,并揭示了脂质头基结构与毒理学之间的相关性。

通过特异性配体对载体表面进行修饰以介导受体依赖性通路,在基因递送中至关重要(Zauner等,1998)。此外,核定位信号(NLS)可增强遗传物质的核摄取,因为将基因递送至细胞核是实现DNA整合与表达的关键步骤(Lo等,2012)。糖皮质激素受体(GR)是一种核受体,可与配体结合形成受体-配体复合物,通过扩张核孔促进DNA向细胞核的转运(Ma等,2009)。Wang等(2012)合成了地塞米松(dexa)偶联的阳离子固体脂质纳米粒(SLNs),即dexa偶联的6-月桂酰氧基己基鸟氨酸酯(LHON),以增强增强型绿色荧光蛋白质粒(pEGFP)基因的核定位。pEGFP表面采用转铁蛋白(一种铁结合糖蛋白)进行修饰。相较于正常细胞,肿瘤细胞表面表达更多的转铁蛋白受体(Bellocq等,2003),因此推测转铁蛋白与LHON的偶联有助于将基因靶向递送至肿瘤细胞。在Wang等(2012)的研究中,转铁蛋白先与聚乙醇-磷脂酰乙醇胺(PEG-PE)偶联,再与dexa-LHON结合,从而构建出稳定、长循环且具有主动靶向能力的纳米载体(Lukyanov等,2002)。实验过程中,转铁蛋白-PEG-PE偶联物通过静电作用持续包被于负载基因的SLNs表面。采用荷HepG2肿瘤的小鼠模型评估其基因递送能力。结果显示,表面修饰的SLNs的转染效率显著高于未修饰的纳米颗粒。基于此结果,作者指出转铁蛋白和地塞米松作为高效靶向配体,可显著增强递送系统的细胞与核靶向能力。

相较于非特异性药物和病毒疗法,RNA干扰(RNAi)具有更高的治疗潜力。由于对靶蛋白具有高度特异性,RNAi不会产生不良副作用。此外,双链siRNA的高稳定性及在低浓度下长期有效的基因沉默能力提升了治疗效果。更重要的是,RNAi的作用位点在细胞质,而细胞质比细胞核更易到达,后者正是质粒DNA递送的主要障碍(Brantl, 2002)。然而,RNAi疗法仍面临不完全基因抑制及因非特异性进入非靶细胞而引发副作用等挑战。因此,需引入递送系统将siRNA精准递送至靶部位并穿越细胞外屏障(Young等,2016)。Cardoso等(2007)开发了一种转铁蛋白相关的脂质基载体用于递送siRNA。该研究使用1,2-二油酰-3-(三甲铵)丙烷(DOTAP)和胆固醇制备阳离子脂质体。胆固醇与阳离子脂质结合后可显著提高转染效率,因其能通过减少血清存在下的脂质复合物去稳定化来增强其生物稳定性(Crook等,1998)。Cardoso等(2007)进一步研究了负载c-Jun siRNA的转铁蛋白-脂质复合物在HT-22神经元细胞系中对抗谷氨酸毒性的治疗潜力。转铁蛋白通过先与阳离子脂质体预孵育,再与siRNA溶液混合的方式偶联至脂质复合物。简言之,研究结果表明,与传统脂质复合物相比,转铁蛋白相关脂质复合物降低了毒性并增强了特异性基因沉默活性。

Weeke-Klimp等(2007)制备了乳铁蛋白偶联的稳定质粒脂质颗粒(SPLPs),用于靶向肝细胞。乳铁蛋白作为肝细胞特异性靶向配体,共价连接于SPLP表面。该研究评估了乳铁蛋白作为靶向基团将包封于SPLPs中的DNA递送至肝细胞的能力,因为肝细胞表面存在高亲和力的Ca²⁺结合位点可与乳铁蛋白结合(David & McAbee, 1997)。体外研究结果显示,乳铁蛋白的偶联显著增强了肝脏对SPLP的摄取。此外,大量乳铁蛋白-SPLPs被肝细胞摄取,但在体内未观察到转染活性。Weeke-Klimp等(2007)认为,这是由于乳铁蛋白-SPLPs在细胞摄取后过于稳定,无法释放足够量的质粒所致。因此,尽管作者曾假设乳铁蛋白会促进SPLPs的去稳定化,但实际并未发生。

磁转染(Magnetofection)是指利用磁场将结合于磁性纳米颗粒(MP)的基因递送至靶位点的技术。通常,这些颗粒表面包覆阳离子聚合物以结合DNA(Zuvin等,2019)。Pan等(2008)开发了一种新型载体,使用转铁蛋白相关的脂质包覆磁性纳米颗粒递送荧光素酶和绿色荧光蛋白(GFP)报告基因。转铁蛋白与聚乙烯亚胺(PEI)-DNA阳离子脂质包覆的MP在室温下孵育15分钟以形成复合物。分别在孵育15分钟和4小时后评估转染效率。在15分钟孵育组中,磁性载体的转染活性比非磁性载体高出300倍以上。因此,转铁蛋白的整合进一步提升了基因的转染效率。脂质-蛋白偶联在基因递送系统中的一些应用总结于表2。

多酚是一类含有两个或更多羟基和一个或多个芳香环的化学结构多样的植物次级代谢产物,可分为黄酮类、酚酸类和多酚类化合物,其中黄酮醇、黄烷酮、黄酮、黄酮、花青素和异黄酮属于黄酮类。由于其复杂的化学结构、溶解度、分子大小、聚合度及与其他化合物的结合状态,多酚的生物利用度可能显著降低(de Araújo等,2021)。Muñoz-González等(2021)构建了一种大豆蛋白与橄榄油的乳液凝胶体系,用于包封多酚提取物,成功封装了没食子酸、黄烷醇单体、儿茶素、表儿茶素和原花青素。海藻酸钠作为凝胶剂用于稳定该凝胶体系。该系统能将酚类化合物截留在凝胶网络中,并通过高效液相色谱分析其组成。另一方面,由于含有大豆蛋白和橄榄油,该系统也是优质蛋白质及单不饱和与多不饱和脂肪酸的良好来源。此外,多酚的加入降低了乳液凝胶的强度,这可能是由于多酚与基质之间发生了化学相互作用。然而,这种作用可能对包埋化合物的后续生物利用度产生积极影响(Muñoz-González等,2021)。

白藜芦醇和姜黄素具有多种生物活性,因此在食品和药品补充剂中应用广泛。然而,姜黄素存在口服生物利用度低、生理pH下不稳定、水溶性差、细胞摄取缓慢及细胞内代谢快等问题,限制了其体内治疗效果。类似地,白藜芦醇也面临生物利用度差、稳定性弱、水溶性低及体内快速代谢等挑战(Peng等,2018)。Liu等(2018)利用玉米醇溶蛋白-表没食子儿茶素没食子酸酯偶联物(zein-EGCG)和鼠李糖脂包覆层构建了核壳纳米颗粒,以改善包封于其中的姜黄素和白藜芦醇的水分散性、化学稳定性和生物可及性。另一项研究也表明,疏水性蛋白通过包封可显著提升多酚的水分散性和化学稳定性(Patel等,2010)。然而,此类递送系统通常因表面疏水性较强而容易聚集,导致稳定性差。该问题可通过用乳化剂分子进行表面包覆来缓解(Patel等,2010)。另一个问题是,当多酚被包封于疏水性蛋白递送系统中时,其生物可及性较差。此类包封营养保健品的低生物可及性可通过与可消化脂滴混合来改善,这些脂滴在肠道液中可与从蛋白纳米颗粒释放出的营养保健品形成胶束(McClements & Xiao, 2014)。先前研究已

5.3. 营养保健品递送 一般而言,营养保健品是指食物中具有医疗或健康益处的成分,因其具备抗氧化、抗菌、降压、抗癌、降胆固醇、抗炎和抗凝血等生物活性。此外,营养保健品可分为膳食纤维、益生菌、益生元、多不饱和脂肪酸、抗氧化维生素、多酚和香料等类别(Verma & Mishra, 2016)。图5总结了本综述第5.3节的内容。

鱼油在预防饮食相关健康问题(如心脏病、癌症和类风湿性关节炎)方面具有巨大健康益处。然而,其不良气味、水溶性差及氧化不稳定性限制了其潜在功效。为提升鱼油的生物利用度,已开发出多种纳米递送系统以解决上述问题(Li等,2020)。Li等(2020)采用由大豆分离蛋白(1%、2%、3%、4%、5%)和磷脂组成的纳米乳液体系,稳定了鱼油的加工与消化特性。随着大豆分离蛋白浓度的增加,纳米乳液的粒径和多分散指数(PDI)显著降低。作者指出,较低浓度的大豆蛋白无法完全覆盖油滴表面,导致油滴聚集而粒径增大;然而,当蛋白浓度进一步增至5%时,因过量蛋白聚集形成亚胶束,反而导致粒径和PDI上升。此外,包封于大豆分离蛋白-磷脂纳米乳液中的鱼油氧化程度低于Tween 20乳液,这归因于蛋白比小分子表面活性剂具有更强的抑制脂质氧化能力。同时,由于大豆分离蛋白-磷脂纳米乳液的表面电荷高于Tween 20乳液,其表现出更强的离子强度稳定性,这可解释为液滴间强大的静电排斥屏蔽了Na⁺离子的电荷中和效应(Li等,2020)。

多酚是植物产生的次级代谢产物,参与植物防御机制,保护其免受氧化应激、紫外线辐射等伤害,并吸引传粉者。这一广泛而异质的植物次级代谢产物群具有多种

已有研究表明,多酚的共包埋可提高其生物活性(Niedzwiecki等,2016)。Liu等(2018)利用玉米醇溶蛋白-表没食子儿茶素没食子酸酯(EGCG)构建纳米颗粒的疏水核心,其主要目的是借助儿茶素(EGCG)的高抗氧化活性来稳定包埋的功能性成分。综上所述,脂质-蛋白共轭递送系统可用于共递送溶解度相反的生物活性物质:脂质部分用于包埋疏水性活性成分,而剩余的亲水性活性成分则可包埋于蛋白质部分(图6)。

在另一研究中,鼠李糖脂被用于构建递送体系,旨在防止纳米颗粒聚集。当体系中不存在鼠李糖脂时,将溶于乙醇溶液的玉米醇溶蛋白-EGCG逐滴加入水溶液中会观察到明显的沉淀。作者解释,纳米颗粒间较强的表面疏水吸引力与较弱的静电排斥力共同导致了沉降。鼠李糖脂通过将其非极性部分吸附于纳米颗粒表面的非极性区域,从而降低颗粒间的疏水吸引力;同时,zeta电位绝对值的提高增强了静电排斥力。此外,经鼠李糖脂包覆的纳米颗粒形成了稳定的均一胶体分散体系。进一步地,该纳米颗粒在生理pH条件及紫外线照射条件下均表现出更优的化学稳定性。此外,姜黄素与白藜芦醇均展现出显著的抗氧化活性,在工业应用中具有突出优势(Liu等,2018)。

通过将负载姜黄素的玉米醇溶蛋白纳米颗粒与不含姜黄素的消化性脂质纳米颗粒混合,可提高姜黄素的可生物利用度(Zou等,2016)。此类递送体系的主要优势在于利用蛋白纳米颗粒与脂质纳米颗粒之间的协同效应。具体而言,玉米醇溶蛋白纳米颗粒采用反溶剂沉淀法以实现高载药量与良好化学稳定性;随后,通过高压均质(微流控)制备的消化性脂质纳米颗粒与负载姜黄素的玉米醇溶蛋白纳米颗粒混合。引入脂质纳米颗粒的关键目标是通过在肠道中形成混合胶束来增溶并转运疏水性姜黄素,从而提高其可生物利用度。Zou等(2016)将蛋白(玉米醇溶蛋白)与脂质纳米颗粒的有效功能整合于单一递送体系中。由于体系pH值低于等电点(pH=4),玉米醇溶蛋白纳米颗粒表现出较高的正zeta电位(+20 mV);而脂质纳米颗粒的净电荷接近于零。最终,所有混合纳米颗粒的净电荷均接近零,表明脂质纳米颗粒在体系中占主导地位。作者指出,由于粒径较大,脂质纳米颗粒对光的散射强于蛋白纳米颗粒。研究表明,相较于不含脂质纳米颗粒的递送体系,脂质纳米颗粒显著提高了包埋于玉米醇溶蛋白纳米颗粒中姜黄素的可生物利用度(Zou等,2016)。

维生素B12是一种必需维生素,需通过补充剂或强化食品摄入(Brito等,2018)。它有助于促进人体健康并降低多种慢性疾病风险。功能性成分在到达靶点前可能因胃部严苛环境(如低pH及胃蛋白酶)而失活或降解(Date,2016)。此外,粒径小、比表面积大的功能性成分易受温度、pH和离子强度等环境应激因素影响(Zhao等,2014)。另一方面,小肠黏膜层作为空间位阻屏障,会减少纳米颗粒与上皮细胞之间的相互作用(Liu等,2019)。

研究人员采用三层结构制备了脂质-蛋白复合纳米颗粒,该结构由全大麦(Hordeum vulgare)蛋白层、磷脂层和α-生育酚层组成,用于递送维生素B12。其中,磷脂层与α-生育酚层由大麦蛋白层以支架方式分隔并稳定,亲水性维生素B12则被包埋于内部水相腔室中。该结构可克服脂质体和双乳液基递送体系在胃环境中存在的稳定性差、易泄漏等缺陷。此外,由于活性成分与递送体系之间无需相互作用,该体系可高效包埋亲水性功能性成分。

蛋白与纳米颗粒的共轭可提高维生素B12的包埋效率,同时增强其在胃环境中的抗消化能力并实现维生素B12的可控释放(Liu等,2018)。然而,同一团队前期研究显示,此类三层脂质-蛋白复合纳米颗粒在盐存在下因聚集而不稳定;此外,由于缺乏涂层强化,纳米颗粒在储存过程中核心成分发生泄漏;且在模拟肠道环境中,胰腺酶存在时纳米颗粒降解迅速。这些缺陷导致吸收效率低下。为此,Liu等(2019)对三层结构进行了改性以克服上述问题。琥珀酰化原理是将蛋白质中的ε-氨基(赖氨酸和精氨酸)衍生为琥珀酰化产物。研究发现,琥珀酰化可提高蛋白质表面电荷并增强其水溶性,同时因琥珀酰-赖氨酰肽键对胰蛋白酶水解具有抗性而降低蛋白的胰蛋白酶消化程度。因此,采用琥珀酰化表面改性蛋白设计纳米颗粒的三层结构。

经琥珀酰化表面改性的纳米颗粒(M-NP)在生理环境中表现出优于未改性纳米颗粒(O-NP)的稳定性。在30天储存期内,M-NP中维生素B12泄漏率仅为4.5±0.5%,表明纳米颗粒在储存期间几乎未发生形变。而O-NP在第14天即有20%的维生素B12泄漏,至第30天超过一半的维生素B12已被释放。M-NP稳定性提升的原因在于:纳米颗粒表面电荷增加产生强静电排斥力,降低了颗粒碰撞与聚集的概率;同时,琥珀酸链在纳米颗粒表面的空间延伸及其交联作用也增强了纳米颗粒的稳定性。此外,胃释放曲线证实M-NP在严苛胃环境中具有抗性,并能在合理时间内实现持续释放(Liu等,2019)。

MBP-426是一种转铁蛋白包覆的脂质体制剂,用于包埋奥沙利铂。2B3–101是一种谷胱甘肽包覆的阿霉素脂质体制剂。根据Moncalvo等(2020)的综述,Epaxal®、Infl exal-V®、Curosurf®、T4N5脂质体乳剂、肝靶向囊泡-胰岛素(HDV-1)、BiphasixTM和白细胞介素-2脂质体等蛋白包埋脂质体递送系统已获临床使用批准。然而,据我们所知,尽管基于脂质和蛋白的药物递送系统已有商业化产品,但基于蛋白-脂质共轭物的递送系统在商业层面仍难以找到。因此,有必要开展研究以填补脂质-蛋白共轭物在功能性成分递送方面从实验室到商业应用之间的空白。

7. 蛋白与脂质基递送系统的毒性 尽管纳米递送系统具有诸多优势,但其毒理学效应及潜在的临床不良反应仍需关注。纳米颗粒因其已证实的治疗功效在纳米递送系统中发挥重要作用。然而,纳米颗粒的尺寸、形状、电荷、化学反应性、剂量及比表面积等因素可能通过物理或化学相互作用损伤活细胞。在物理相互作用方面,纳米颗粒与细胞膜的作用可能导致膜损伤,并影响蛋白质折叠能力与膜活性。在化学相互作用方面,活性氧(ROS)可引起氧化损伤(Ahmad & Ghosh, 2020)。ROS可诱发多种病理生理状况,包括肥大、凋亡、坏死、基因毒性、纤维化、致癌、炎症和化生。纳米颗粒通过促进促炎细胞因子表达及激活炎症细胞进一步增加ROS生成。因此,亟需通过纳米颗粒表面包覆或设计ROS清除型纳米颗粒等技术手段降低ROS产生(Yu等,2020)。此外,研究表明,脂质体和胶束等智能药物递送系统可对巨噬细胞和U937细胞产生毒性,脂质体表面电荷可导致DNA损伤,并在单核吞噬细胞系统中引发短暂免疫原性(Hossen等,2019)。

植物基蛋白因其可避免动物源蛋白的局限性(包括污染动物组织的病原体感染、较高成本以及因宗教信仰或个人选择导致的消费者排斥),已成为递送应用中替代动物源蛋白的优良来源。然而,某些植物蛋白(如麦胶蛋白)可能通过模拟Th1和Th17细胞触发乳糜泻患者的免疫反应,导致绒毛萎缩和吸收不良。因此,在使用麦胶蛋白等蛋白包埋功能性成分时需谨慎考虑(Malekzad等,2017)。

尽管脂质基递送系统在递送疏水性活性成分方面发挥积极作用,但其潜在毒性仍引发诸多关注。主要问题之一是其对生物屏障(如黏液层和上皮细胞)的较高穿透性。通常预期纳米乳液在上消化道(GIT)中被消化,但也存在例外情况,例如因含有不可消化油脂、膳食纤维等不可消化食物成分或对上消化道的消化抵抗,导致大量未消化脂质液滴进入小肠。此外,递送体系制备中使用的表面活性剂和醇类也促进其穿透生物屏障。另一方面,这些递送系统可能将活性成分的体内生物利用度提高至毒性水平。同时,由于脂质快速消化导致血脂迅速升高,此类体系可能扰乱代谢和激素功能。另外,纳米乳液制备中使用的其他成分(如合成乳化剂)因其毒性及在纳米乳液中需大量使用(因纳米乳液比传统乳液具有更大比表面积)可能产生不良影响(McClements,2021)。此外,在包埋过程中,蛋白质和脂质的电荷、消化性、相互作用、尺寸、形状及天然形态均可能发生变化,存在潜在毒性风险,而该领域的研究报道十分有限。同时,包覆层及静电共轭的蛋白与脂质在GIT中可能保持完整,抑制包埋活性成分的消化,进而导致潜在毒性(McClements & Xiao,2017)。

未来研究可设计开发含有蛋白质和脂质的新型食品,使其作为功能性成分的递送体系,而非仅设计为胶囊或补充剂。在肥料递送方面,现有递送体系(如壳聚糖)可被脂质-蛋白共轭物替代以比较其性能。肥料的主要问题之一是对环境的负面影响,因此可探索天然聚合物共轭物以合成环境友好型肥料递送体系。此外,此类递送体系的实验室试验与商业化生产之间的差距仍未得到充分解决。多数研究局限于实验室阶段,缺乏临床 trials 及可重复的商业化生产策略。

利益冲突声明 所有作者均无利益冲突。