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Abstract
Transdermal drug delivery offers various advantages on skin. However, its use is limited because the presence
of stratum corneum, which serve as barrier to this route. Vesicular system has potential to evade these barriers
include liposome, niosome, and transfersome. Transfersome is one of vesicular systems which has highly stress-
adaptive, stress-responsive complex aggregate possessing an aqueous core surrounded by complex lipid bilayer.
Transfersome has some potential advantages such as the ability to deform and pass through narrow pores, serve
as a carrier for both low as well as high molecular drugs. There are some theories describe which affects the
formation of transfersome. Transfersome composed of amphipathic ingredient such as phosphatidylcholine, other
component is bilayer softening component such as surfactant, along with lipid and surfactant, preparation method
for transfersome also alcohol as a solvent in various ratio and water or phosphate buffer solution for hydration of
vesicles. The mechanism behind the transfersome penetration into skin is the development of osmotic gradient
because of evaporation of surface water due to body heat. There are various methods exist for the preparation of
transfersome such as film dispersion method, reverse phase evaporation method, high-pressure homogenization
method, and ultrasonic dispersion method. Transfersome is pertinent in the field of insulin delivery, corticosteroid
delivery, delivery of protein and peptide, also serve as carrier for anticancer drug, anesthetics, non-steroidal anti-
inflammatory drugs, and herbal drug.
I
route. Skin in an average adult body covers a surface of
n recent years, research scenario goes approximately 2 m2 and total weight of 3 kg; it receives
toward the development of new type of about one-third of the blood circulating among the body.
drug delivery system with the objective Topical drug delivery means the application of drug to skin
of high therapeutic activity along with patient for localized effect, and in transdermal drug delivery system
compliance. Many drug delivery systems are (TDDS) skin is used as a potential route for the delivery
developed with improved therapeutic activity, of systemic action of drugs. TDDS is one of the systems
but some complications arise with some with high patient compliance. Some potential advantages
delivery systems are not as such overcomes. of transdermal route found over other conventional routes
such as oral- and parenteral-like avoidance of first-pass
Orally administered drugs experience a hostile metabolism, predictable and extended duration of activity,
environment in the gastrointestinal (GI) tract, minimizing undesirable side effects, utility of short half-
where most drugs are degraded in variable pH life drugs, improving physiological and pharmacological
conditions, or face solubility issues, and most
response, avoiding the fluctuation in drug levels, inter- and
importantly first-pass metabolism. In case of
parenteral preparation, disadvantages are a lack
Address for correspondence:
of drug reversal, hypersensitivity reaction, risk
Dr. Ashish Y. Pawar, Department of Pharmaceutics,
of infection and emboli, and cost. Some drugs
MGV’s Pharmacy College, Panchavati, Nashik - 422 003,
much bitter in taste, swallowing of such a bitter
Maharashtra, India. Phone: +91-9823481646.
medication in oral delivery, and pain associated
E-mail: pawarashish23@gmail.com
due to needle in parenteral delivery make them
less patient compliance.[1]
Received: 29-06-2016
Revised: 28-07-2016
From last few decades, considerable attention
Accepted: 11-08-2016
has been focused on the development of topical
intra-patient variations, and most importantly, it provides to be like a cell vesicle or a cell engaged in exocytosis,
patients convenience.[2,3] However, it also has some and thus suitable for controlled and potentially targeted,
disadvantages such as possibility of local irritation effect, drug delivery.[13] Most suitable form of transfersome is
erythema, itching, and low permeability in the stratum an ultradeformable vesicle possessing an aqueous core
corneum. A major obstacle to dermal and transdermal drug surrounded by the complex lipid bilayer. In terms of
delivery is the permeation characteristics of the stratum delivering of drugs through transdermal route, there are
corneum, which limits drug transport, making this route some problems encountered with some other vesicular
of administration frequently insufficient for medical systems such as poor skin permeability, breaking of
use.[4] Stratum corneum is the top layer of the epidermis vesicles, leakage of drug, and aggregation and fusion of
consists of keratinized, flattened remnants of once actively
vesicles. To overcome all the above problems, a new type of
dividing epidermal cells, impermeable to water and
vesicular carrier has been developed called “transfersome”
behaves as a tough flexible membrane. Many technologies
which is capable of transdermal delivery of low as well as
and systems have been investigated to evade this barrier
high molecular weight drugs. Transfersomes are artificial
including electrophoresis, iontophoresis, chemical
permeation enhancers, microemulsions, sonophoresis, vesicles, and they are more deformable than standard
as well as utilizing vesicular systems such as liposome, liposomes. Transfersomes have been reported to enhance
niosomes, ethosomes, and transfersomes, and one of the the transdermal delivery of drugs when applied onto the
most promising techniques is to formulate novel vesicular skin nonocclusively.[12,14-17]
carriers for delivery through the skin as it delivered drug
at sustained or controlled manner.[5-10] Various vesicular Advantages of transfersomes[12,17,18]
systems along with their advantages and disadvantages are
given in Table 1. 1. Transfersomes have ability to deform and pass through
narrow pores (from 5 to 10 times less than their diameter)
Among all these transfersomes appear promising. A new
without measurable loss
type of vesicular drug carrier system called transfersome.
2. This function gives better penetration of intact vesicles
The term transfersomes and the underlying concept were
3. They generally have high entrapment efficiency, as in
introduced in 1991 by Gregor Cevc. In broadest sense, a
transfersomes is a highly adaptable and stress-responsive, case of lipophilic drug (approximately 90%)
complex aggregate possessing an aqueous core surrounded 4. They serve as a carrier for both low as well as high
by a complex of lipid bilayer.[11,12] Transfersome is a molecular weight drugs, e.g., sex hormone insulin
term registered as a trademark by the German Company analgesic, anesthetic, corticosteroids, anticancer, gap
IDEA AG and used by it to refer to its proprietary drug junction protein, and albumin
delivery technology. The name means “carrying body” and 5. Transfersomes possess an infrastructure consisting of
is derived from the Latin word “transferred” meaning “to hydrophobic and hydrophilic moieties together and as
carry across,” and the Greek word “soma,” for a “body.” a result, can accommodate drug molecules with wide
A transfersome carrier is an artificial vesicle designed range of solubility.
1. Transfersomes are chemically unstable because of The contributions to ΔG can be found in three steps:
oxidative degradation make its predisposition
2. Purity of natural phospholipids is another criterion for Creation of a cavity
achieve for adoption of transfersomes as drug delivery
A region which is vacated by water is filling by micelle.
vehicles
Suppose the extent of the surface is at least 1 nm2, the free
3. Transfersomes are expensive to formulate.
energy required to create this cavity is:
ρn a3 = (ρ1a3) exp (–βΔ G) (2) Thus, the free energy for filling the cavity is:[20]
hydrophobic driving force identified in the Lum–Chandler– CPP value increasing from a small to a high, the amphiphile
Weeks theory.[23] The first term is proportional to the volume changes from hydrophilic to hydrophobic, its preferred phase
of hydrophobic units. The second term is proportional to structure from direct structures through lamellar structure
the area of the interface. The first term is extensive in n to reverse structures. This model provides a basis for the
and dominates at large n. Thus, if only ΔG1 and ΔG2 were molecular design of amphiphiles.
significant, the strength of the driving force would grow
without bound leading to macroscopic clusters. When the size is small and molecules experience stress at that
time molecules on the surface feels curvature.
Placing hydrophilic head groups on the micelle
surface The process of assembling n separated amphiphiles (a) to
a micelle (d) can be performed in three steps: (1) creating
In the last step, the hydrophilic head groups are again connected
a cavity in the solvent (light gray) (b), (2) transferring the
to the hydrophobic tails, which are at the water-oil interface
hydrophobic chains (dark gray) from the aqueous solution
so as to maintain positive solvation energy. Connectivity
into the cavity (c), (3) distributing the polar units (gray)
between heads and tails and maintaining the densely packed
over the surface of the cavity, and reconnecting them to the
interior, simultaneously enforcing these positioning. These
hydrophobic groups (d).
result in an entropic cost that increases super extensively
with aggregate size. The form of this third contribution to the
The stress plays a significant role when the size is below
driving force is conveniently estimated from the electrostatic
100 nm. Generally, for bilayer formation, the molecules must
analogy of stoichiometric constraints.[24,25]
be amphiphilic. Typical geometry for a vesicle formation is:
The result is:
P = V/a0 Ic(12)
ΔG3 = hn5/3/β (8)
Where:
4/3 4/3
3 46 a a P: Critical packing parameter,
Where, h = ≈ 0.75
4π 2 / 3 49 δ δ Ic: Hydrophilic chain length,
V: Volume of hydrophilic part, and
In assuming this analogy, it is important to note that the
a0: Optimum surface area/molecule at interface.[26]
micelle volume is essentially that of the densely packed alkyl
chains.
A pictorial representation of geometry and variants of packing
arrangements are shown in Figures 2 and 3, respectively.[27]
Micelle size and critical micelle concentration
Combining the three contributions discussed above gives the Vesicle formation
driving force in units of kBT.
Formation of large vesicles from small, preformed
βΔG ≈ nβΔµ + βgn + hn (9)
2/3 5/3 vesicles[28-32]
Small, uniform-sized vesicles were prepared as described.
Minimization of ΔG/n therefore gives: The vesicle solution contains solute to be entrapped was then
warmed to 25°C, and a solution sodium deoxycholate was
β g 49π rapidly added and mixed to give a final mixture having a ratio
n* ≈ = βγδ
2
2h 48 (10) of 1:2 of deoxycholate to phospholipids, respectively. The
large vesicles start forming almost immediately, as indicated
With this aggregation number: by the increase in the light scattering of the solution, a change
from nearly clear for the small vesicles to a transparent
ln ρcmca3 = c(βγowa2)2/3−βΔμ (11) opalescence for the large vesicles.
1/ 3
Where,. c =
5832
≈ 4.9 Vesicle forms within 5-10 min at 250°C (vesicles could also
49 be formed at 40°C and required 15-30 min). The excess of the
The thermodynamic cycle of micelle formation can be detergent was then removed by passage of the sample over
observed in Figure 1. 60 volume of Sephadex G-25 (medium porosity). The residual
deoxycholate may represent detergent trapped within the vesicle
Correlation between amphiphile structures with its phase
behavior could be understood by a simple geometric model, General procedures for vesicular preparations are:
which defines a dimensionless critical packing parameter • Direct hydration
(CPP) to describe the relative bulkiness of the hydrophobic • Hydration from organic solvent, and
part and the hydrophilic part in an amphiphile. With the • Detergent removal.
a b
c d
Figure 3: (a) P = 1/3, micelle formation, (b) P =1/2, cylindrical micelle, (c) P = V/a0 Ic P = 1, planar bilayer, (d) P ˃ 1, inverted
micelle
skin intracellular and transcellular. Liposome discovered in • Second is bilayer softening component (such as a
1963 by Bingham since from then attraction toward vesicular biocompatible surfactant or an amphiphilic drug), so
system is increased.[35] However, recently, it observed that lipid bilayer membrane flexibility and permeability are
liposomes have low penetration capacity. According to increased.
confocal microscopic studies observed that intact liposomes
are unable to penetrate into a granular layer of epidermis, Transfersome vesicle can, therefore, gain its shape easily and
they remain on the upper surface layer of stratum corneum. rapidly, by adjusting available concentration of each bilayer
Drug release rate and the deposition to the target site can be component to the local stress experienced by the bilayer as
adjusted by modification of vesicular composition or surface shown in Figure 5. Therefore, the transfersome differs from
property of transfersome membrane.[36] conventional vesicle mainly by its physical properties such
as softer, more deformable, and better adjustable artificial
membrane.
COMPOSITION OF TRANSFERSOMES[18]
Different additives used for preparation of
The transfersome has two main components: transfersome[14,37-39]
• First one is amphipathic ingredient (such as
phosphatidylcholine), which is in aqueous solvent self- Widely used materials for preparation of transfersomes are
assembled into lipid bilayer that forms a simple vesicle phospholipids, surfactant as edge activator, alcohol, dye
buffering agent, etc., example of above material given in and ultrasonic dispersion method. Film dispersion method
Table 2. is the one of the common preparation methods of lipophilic
drug transfersomes.
A. Thin film hydration technique is employed for the preparation
MECHANISM OF ACTION[37,40] of transfersomes which comprised three steps:[12,18,43]
1. A thin film is prepared from the mixture of vesicles
Mechanism behind the penetration of transfersome is forming ingredients that is phospholipids and
the development of osmotic gradient because while lipid surfactant by dissolving in a volatile organic solvent
suspension applies on skin surface water gets evaporated. (chloroform-methanol). Organic solvent is then
Transfersomes have strong bilayer deformability and evaporated above the lipid transition temperature
therefore they have increased affinity to bind and retain water. (room temp. for pure PC vesicles, or 50°C for
Dehydration is not happened in case an ultradeformable and dipalmitoylphosphatidylcholine) using rotary
highly hydrophilic vesicle; it is not identical to forward evaporator. Final traces of solvent were removed
osmosis but may involve in transport process related to under vacuum for overnight.
forward osmosis. Upon application on skin surface (non- 2. A prepared thin film is hydrated with buffer (pH 6.5)
occluded), it penetrates skin barrier and reaches at the deeper by rotation at 60 rpm for 1 h at the corresponding
strata (water rich portion), where they get hydrated. Then, temperature. The resulting vesicles were swollen for
reach at deeper epidermal layer through dehydration of lipid 2 h at room temperature.
vesicles within the stratum corneum by natural transepidermal 3. To prepare small vesicles, resulting vesicles were
activity. Therefore, transfersome uptake is a function of sonicated at room temperature or 50°C for 30 min
hydration gradient that exists across the epidermis, stratum using a bath sonicator or probe sonicated at 4°C for
corneum, and ambient atmosphere. 30 min. The sonicated vesicles were homogenized
by manual extrusion 10 times through a sandwich
of 200 and 100 nm polycarbonate membranes.
PREPARATION OF TRANSFERSOME[41,42] B. Modified handshaking method, lipid film hydration
technique is also founded for the preparation of
The preparation methods of transfersomes are classified into transfersomes which comprised following steps:[44-47]
the following four types: Film dispersion method, reverse 1. Drug, lecithin (PC), and edge activator were
evaporation method, high-pressure homogenization method, dissolved in ethanol:chloroform (1:1) mixture.
Organic solvent was removed by evaporation while and optical microscope are used for further study.
handshaking above lipid transition temperature The transfersomes in 80 small squares are counted and
(43°C). A thin lipid film was formed inside the flask calculated using the following formula:
wall with rotation. The thin film was kept overnight Total number of transfersomes per cubic mm = (Total
for complete evaporation of solvent. number of transfersomes counted × dilution factor ×
2. The film was then hydrated with phosphate 4000)/total number of squares counted
buffer (pH 7.4) with gentle shaking for 15 min 4. Entrapment efficiency:[12]
at corresponding temperature. The transfersome Generally, expressed in terms of % drug entrapment.
suspension further hydrated up to 1 h at 2-8°C. In this method, unentrapped drug first separated using
minicolumn centrifugation method. After that, the
vesicles were disrupted using 0.1% Triton X-100 or 50%
OPTIMIZATION OF FORMULATION n-propanol. The entrapment efficiency is expressed as:
CONTAINING TRANSFERSOMES[46] Entrapment efficiency = (Amount entrapped/Total
amount added) × 100
There are some process variables such as lecithin, surfactant 5. Drug content:[49]
ratio, effect of various solvents, effect of various surfactants, The drug content is determined using one of the
and hydration medium. This could affect the preparation and instrumental analytical methods such as a modified
properties of the transfersomes. Procedure for preparation of high-performance liquid chromatography method using
transfersomes will accordingly optimize and validate. The an ultraviolet detector, column oven, auto sample, pump,
process variables depend on the procedure for manufacturing and computerized analysis program depending on the
of formulation. analytical method of the pharmacopoeial drug.
6. Turbidity measurement:[12]
Entrapment efficiency of drug is the tool used for optimization. Nephelometer is one of the methods which generally
Other variables were kept constant at the time of preparation used for turbidity measurement in aqueous solution.
of particular system. 7. Degree of deformability or permeability
measurement:[12-43]
Permeability study is one of the important and unique
CHARACTERIZATION OF parameters for characterization in case of transfersomes.
TRANSFERSOMES The deformability study is done by taking pure water as
standard. Transfersomes preparation is passed through a
The characterization of transfersomes is generally similar number of pores of known size (through a sandwich of
to liposomes, niosomes, and micelles.[48] The following different microporous filters, with pore diameter between
characterization parameters have to be checked for 50 and 400 nm, depending on the starting transfersomes
transfersomes. suspension). Particle size and size distributions are noted
1. Vesicle size distribution and zeta potential:[11,12] after each pass by DLS measurements.
Dynamic light scattering method (DLS) using a 8. Penetration ability:[18-43]
computerized inspection system by Malvern Zetasizer Fluorescence microscopy can generally use for
used for determination of vesicle size, size distribution, evaluation of penetration ability of transfersomes.
and zeta potential. 9. Occlusion effect:[12]
2. Vesicle morphology:[11,12] Occlusion of skin is considered to be useful for
Photon correlation spectroscopy or DLS method permeation of drug in case of traditional topical
generally used for vesicle diameter determination. preparations. However, the occlusion also proves to be
Prepared sample in distilled water was filtered through harmful for elastic vesicles. Hydrotaxis is the major
0.2 mm membrane filter and diluted with filtered saline driving force for permeation of vesicles through the skin
and then size measurement done using photon correlation is hydrotaxis (movement in the direction) of water, from
spectroscopy or DLS measurements. Transmission its relatively dry surface to water rich deeper regions.
electron microscopy (TEM) and phase contrast It affects hydration forces as it prevents evaporation of
microscopy can be commonly used for visualization of water from skin.
transfersomes vesicles. The stability of vesicle can be 10. Surface charge and charge density:[12,18]
determined by assessing the size and structure of vesicles Surface charge and charge density of transfersomes can
with respect to time. DLS and TEM used for mean size be determined using zetasizer.
and structural changes, respectively. 11. In-vitro drug release:[12,18]
3. Number of vesicles per cubic mm:[18] In vitro drug release study is performed for determining
This parameter is very important for optimization of the permeation rate. Time needed to attain steady state
composition and other process variables. Transfersome permeation and the permeation flux at steady state and
formulations which are unsonicated are diluted 5 times the information from in vitro studies are used to optimize
with 0.9% sodium chloride solution. Hemocytometer the formulation before more expensive in vivo studies are
performed. For determining drug release, transfersomes effect observed after 90-180 min, depending on the
suspension is incubated at 32°C and samples are taken carrier composition.
at different times and the free drug is separated by 2. Delivery of corticosteroids:[33]
minicolumn centrifugation. The amount of drug released Problems arise with corticosteroids delivery is mask
is then calculated indirectly from the amount of drug by incorporation it into transfersomes. Site specificity
entrapped at zero times as the initial amount (100% and overall drug of corticosteroid delivery into skin by
entrapped and 0% released). optimizing the epicutaneously administered drug dose
12. In vitro skin permeation studies:[46-50] safety is achieved by transfersome encapsulation. Dose
Modified Franz diffusion cell with a receiver compartment required for biological activity of corticosteroid is less
volume of 50 ml and effective diffusion area of 2.50 cm2 by use of transfersomes technology.
was used for this study. In vitro drug study was performed 3. Delivery of proteins and peptides:[52,53]
using goat skin in phosphate buffer solution (pH 7.4). Transfersomes have been widely used as a carrier for the
Fresh abdominal skin of goat was collected from transport of proteins and peptides also safely given by
slaughterhouse and used in the permeation experiments. means of transfersome technology. Proteins and peptide has
Abdominal skin hairs were removed, and the skin was problem is it is difficult to transfer into the body, are large
hydrated in normal saline solution. The adipose tissue biogenic molecules, GI tract degradation is problem arise
layer of the skin was removed by rubbing with a cotton when given orally. That’s reasons why these peptides and
swab. Skin was kept in isopropyl alcohol solution and proteins still given by means of injectables. A number of
stored at 0-40°C. To perform skin permeation study, approaches have been developed to improve this condition.
treated skin was mounted horizontally on the receptor Transfersome is somewhat identical to that resulting from
compartment with the stratum corneum side facing subcutaneous injection of protein suspension in terms of
upward toward the donor compartment of Franz diffusion bioavailability. On repeated epicutaneous application,
cell. The effective permeation area of donor compartment transfersome preparation of protein also induced a strong
exposed to receptor compartment was 2.50 cm2 and immune response. For example, the adjuvant immunogenic
capacity of receptor compartment was 50 ml. The receptor serum albumin in transfersomes, after several dermal
compartment was filled with 50 ml of phosphate buffer challenges, is as active immunologically as is the
(pH 7.4) saline maintained at 37 ± 0.5°C and stirred by corresponding injected proteo-transfersomes preparations.
a magnetic bar at 100 rpm. Formulation (equivalent to 4. Delivery of interferon (INF):[54]
10 mg drug) was placed on the skin, and the top of the INF also delivered using transfersome as a carrier,
diffusion cell was covered. At appropriate time intervals, for example, leukocyte-derived INF-α is a naturally
1 ml aliquots of the receptor medium were withdrawn occurring protein having antiviral, antiproliferative, and
and immediately replaced by an equal volume of fresh some immunomodulatory effects. Transfersomes as drug
phosphate buffers (pH 7.4) to maintain sink conditions. delivery systems have the potential for providing controlled
Correction factors for each aliquot were considered in the release of the administered drug and increasing the stability
calculation of release profile. The samples were analyzed of labile drugs. Hafer et al. studied the formulation of
by any instrumental analytical technique. transfersome containing interleukin-2 (IL-2) and INF-α
13. Physical stability:[47-49] for potential transdermal application. They reported
The initial drug entrapped (percent) in the formulation delivery of IL-2 and INF-α promising by transfersomes
was determined and was stored in sealed glass ampoules. insufficient concentration for immunotherapy.
The ampoules were placed at 4 ± 2°C (refrigeration), 5. Delivery of anticancer drugs:[11,55]
25 ± 2°C (room temperature), and 37 ± 2°C (body Transfersome technology provides a new approach
temperature) for at least 3 months. Samples from each for cancer treatment, especially skin cancer. Result
ampoule were analyzed after 30 days to determine drug found to be favorable when methotrexate was tried for
leakage. Percent drug loss was calculated by keeping the transdermal delivery using transfersome technology.
initial entrapment of drug as 100%. 6. Delivery of anesthetics:[11]
Application of transfersome containing anesthetics
induces a topical anesthesia, under suitable conditions,
APPLICATION OF TRANSFERSOMES within 10 min. Effect when we said in case of pain in
sensitivity is nearly as strong (80%) as of a comparable
1. Delivery of insulin:[51] subcutaneous bolus injection, but transfersomal
Transfersome is one of the successive ways to deliver anesthetics preparation has last longer effect.
such large molecular weight drugs on the skin. Insulin 7. Delivery of non-steroidal anti-inflammatory drugs
is generally administered by subcutaneous route that (NSAIDs):[56]
is inconvenient for patient. Encapsulation of insulin in Problems arise with most of NSAIDs are a number of
transfersome (transfersulin) overcomes all problems GI side effects. This can be overcome by transdermal
arises with conventional insulin delivery. After delivery using transfersome. Studies have been carried
application of transfersulin on the intact skin, therapeutic out on diclofenac and ketoprofen. Ketoprofen in a
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