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1 PEGylated Pharmaceutical Nanocarriers
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guarantees stabilization in an aqueous medium. It gives it an advantage over surfac­tant micelles, mainly when diluted in blood, the CMC falls, and the drug precipi­tates (Luan etal. 2019).
1.1.4 PEG Toxicity inPEGlyted Products
Many articles, most recently that of Fruijtier-Pölloth (2005), have thoroughly stud­ied and evaluated the toxicity of PEG.However, oral administration has been used in most PEG toxicity research. Pharmacokinetic results unequivocally show that oral absorption reduces as PEG molecular weight rises. Therefore, it is impossible to distinguish between toxicity and absorption changes using the data. PEGs deliv­ered intravenously, subcutaneously, or intraperitoneally enable direct comparison of the toxicological exposure relationship. Most PEG toxicological investigations have used ‘regular’ PEG, which has both hydroxyl groups present. When observed, tox­icity is typically linked to the kidneys and can cause extreme structural vacuolation of the proximal renal tubules (Ciolacu etal. 2020). In general, these compounds have little to no toxicity. However, it is thought that data from the rat and rabbit are likely comparable, particularly as renal excretion of PEG is thought to be the pri­mary clearance method in both situations. It is unclear what causes PEG to be toxic to the kidneys (Karabasz etal. 2019).
Prior investigations on toxicity utilizing polymeric micelles made of PEG-P(Asp (Bzl) block copolymers of poly(ethylene glycol) and poly(aspartate) block were conducted using rats of the Donryu strain. All-trans retinoic acid and camptothecin were synthetic retinoids transported via a block copolymer. Researchers used rats of the Donryu strain to investigate the associated toxicities. They administered intrave­nously delivered injections ve times (low dose) or 200mg/kg (high dose) daily. The brain, thymus, lymph node, heart, lungs, liver, spleen, and kidneys underwent histological examinations to determine the weights of the principal organs and the change in body weight at the time of sacrice.
However, knowing a few potential issues with PEG as a medication carrier is vital. The faster blood clearance caused by PEGylation carriers is the rst issue. Numerous investigations have discovered that while a PEGylated carrier’s initial dosage resulted in extended circulation invivo, the subsequent treatment led to fast clearance. This was explained by the development of anti-PEG antibodies, which might have sped up the removal of the nanocarriers. Hypersensitivity, caused by PEG injection inducing an immune response invivo, would be a second issue. The immune system’s nonspecic and specic recognition of the PEG (by anti-PEG antibodies) has been blamed for the reaction. The nonbiodegradability of PEG pres­ents a third issue; additional research is still required to determine whether PEG is eliminated from the body and whether any negative consequences may result from potential PEG accumulation (Padín-González etal. 2022). Pharmaceutical uses of PEG is shown in (Fig.1.1) and clinically approved PEG products are listed in (Table1.1).
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Fig. 1.1 Pharmaceutical uses of PEG
P. Pingale et al.
Table 1.1 Clinically approved PEG products
Brand name Adagen Enzon Severe combined
Cimzia Nektar UCB
Daxil/ calyx
Macugen Pzer Neovascular age-related
Mircera Roche Anemia associated with
Neulasta Amgen Chemotherapy-induced
Omontys Affymax/Takeda
Oncaspar Enzon Acute lymphoblastic
Company Indication
immunodeciency disease (SCID)
Rheumatoid arthritis and
Pharma
Ortho Biotech/ Schering-Plough
Pharmaceuticals
Crohn’s disease
Cancer The PEGylated liposome of
macular degeneration
chronic kidney disease
neutropenia
Anemia associated with chronic kidney disease
leukemia
Comment PECylated adenosine
deaminase
PEGylated Fab’ fragment of a humanized TNF inhibitor monoclonal antibody
doxorubicin Pegylated anti-vascular
endothelial growth factor (VEGF) aptamer
PEGylated erythropoietin
PEGylated recombinant methionyl human granulocyte colony­stimulating factor
PEGylated synthetic peptide analog of erythropoietin
PEGylated -asparaginase
(continued)
1 PEGylated Pharmaceutical Nanocarriers
9
Table 1.1
Brand name PEGASYS Hoffmann-La
Pegintron Schering-Plough/
Pegloticase Savient Gout PEGylated uricase Somavert Pzer Acromegaly PEGylated human growth
(continued)
Company Indication
Roche
Enzon
Comment
Hepatitis B and hepatitis CPEGylated interferon alpha
Hepatitis B and hepatitis CPEGylated interferon alpha
hormone mutein antagonist

1.2 PEGylation Determination

The method for quantitatively determining the degree of PEGylation of protein bioconjugates utilizing 1H NMR spectroscopy and technical safety precautions is presented in the chapter “Mechanisms of Activity Loss for a Multi-PEGylated Protein by Experiment and Simulation” by Zaghmi etal. As an example of a bioconjugate system, glutamate dehydrogenase (GDH), modied with several copies of mPEG (0.5–20kDa), is employed. This quantitative approach can be applied to additional proteins and is adaptable enough to function with other polymers. An essential element for dening a bioconjugate is the quantity of methoxy poly (ethylene glycol) (mPEG) chains attached to a protein (Zaghmi etal. 2019).
1.2.1 Confirmation ofPEG Chain
PEG can be used in various lengths and densities to create PEG chains with mush­room or brush conformations. PEG shape affects protein corona patterns and the relative abundance of different proteins in the corona. Clusterin is more likely to bind to PEG chains with a brush shape, and serum albumin is deposited in the corona at a lower rate. With restricted phagocytic uptake, the PEG brush shape in the low protein absorbance regime and a surface enriched in clusterin results in the stealth behavior of nanocarriers. The molecular structure of the grafted PEG chains was determined by observing the 1H NMR relaxation time of the chains, which offers details on the dynamics of macromolecular chains close to a solid surface. Low grafting densities severely limit local segment mobility because polymer chains spread out in a at manner over the surface. Polymer chains resist one another and assume the shape of a longer “brush” when the grafting ratio rises. The correla­tion time of local segmental motions is crucial for understanding grafted polymer chains’ dynamics. The spin-lattice relaxation time T1, which decreases as the mobility of the polymer chains increases, is used to estimate this parameter (Li etal. 2021).
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P. Pingale et al.
1.2.1.1 Impact ofMolecular Weight ofPEG onMolecular
Confirmation Changes
The molecular weight of PEG impacts PEGylation of nanoparticles (Zhang etal.
2017a, b). Lu etal. reported that the diffusion rate of free heparin sulfate-PEG in
water decayed exponentially with an increase of molecular weight. It causes enhancement in PEG density on the surface of nanoparticles as its molecular weight decreases (Lu etal. 2019). Rabanel, Chan, and Teramura also noticed that a same phenomenon occurred by the excluded volume impacts (Teramura et al. 2016; Rabanel etal. 2019; Chan etal. 2020).
1.2.1.2 Impact ofSolvent onConformation Changes
The impact of solvent on the PEG conrmation is very substantial. Selli etal. evalu­ated the PEG chain’s conrmation on the surface of tin oxide nanoparticles using various solvents, such as dichloromethane and water, based on atomistic molecular dynamics simulations. In the presence of water, changes from a mushroom confor­mation to a brush conrmation begin only at a high density (2.25 chains per nm2). It changes to brush conformation in dichloromethane because of more O
–Ti bonds
PEG
among the PEG (terminal group) and Ti atoms (2.25 chains per nm2) (Selli etal. 2019).
1.2.2 Quantitative Determination ofSurface PEG Density
For more than 50years ago, experimental methods for measuring charge densities on dielectric surfaces have been investigated. Surface charge densities (SCDs) were initially determined through the examination of electrets. SCDs are now a hot topic of study in elds like semiconductors, liquid crystals, and hybrid materials. Quantitative information from the SCD can offer material-specic characteristics, including details on lattice disruptions, an estimation of the degree of alignment, or further information on interactions in compositions at the microscale. SCD mea­surements additionally provide the quantitative analysis of screening mechanisms. Electrical characterization methods that do not involve touch are typically used to measure the SCD.One can use the surface photovoltage effect to ascertain the SCD when dealing with semiconductors. This method cannot be used with all materials since it depends on producing electron–hole pairs by light. The vibrating probe approach, invented in the 1960s and eventually evolved into a scanning technique, provides a more versatile way to quantify SCD (Pannuzzo etal. 2020).
1.2.2.1 Thermal Gravimetric Analysis (TGA)
A sample is heated and continuously weighed in thermogravimetric analysis (TGA) using an inert gas atmosphere. The most often used types are as follows:
1. Dynamic TGA: The temperature rises over time as the mass is measured. This
makes it possible to simultaneously determine how much gas is evacuated and what temperature it occurs.
1 PEGylated Pharmaceutical Nanocarriers
11
2. Static TGA: The temperature is constant during the mass measurement. This can
be used to investigate a material’s resistance to a particular temperature or dis­cover more about a decomposition that occurs at a particular temperature.
3. Semi-static TGA: The sample is repeatedly heated to various temperatures and
kept there for a long time until the mass stabilizes. This is ideal for looking at substances that decompose differently at various temperatures and better charac­terizing how they decompose (De Blasio 2019).
They used to evaluate the thermal decomposition of PEG at temperatures ranging from room temperature to 600°C in an N2 environment at a heating rate of 10°C/ min to distinguish between photo-dissociation of PEG and thermal dissociation. PEG began to decompose at about 340°C and completed around 415 thermally. The backbone chain’s -C-O and -C-C- bonds are considered, where PEG thermally breaks down. Thermal dissociation only happens in a small temperature range because PEG has a basic linear-chain-bond structure of 66% -C-O- and 33% -C-C­in the backbone chain with identical bond energies in the 82–83kcal/mol range. By employing UV/O GPC, the substrate temperature was limited to 200°C, at which thermal dissociation of PEG did not signicantly occur (Burkeyev etal. 2022).
1.2.2.2 Nuclear Magnetic Resonance (NMR)
When specic atomic nuclei are exposed to a strong enough xed magnetic eld, they selectively absorb very high-frequency radio waves. This is known as NMR.The initial observations of these occurrences were made independently in 1946 by the physicists Edward M.Purcell and Felix Bloch (Rinck 2019).
Because the signals from the repeating units overlap to produce prominent peaks, polymer spectra frequently include carbon satellite peaks. A doublet evenly spaced and cantered on either side of the principal peak makes up the signal for 1.1% of 1H nuclei near a 13C.This splitting results in two smaller peaks for a sp3-hybridized C, separated by 115–140Hz and representing the gyromagnetic ratio of 13C.The inte­gration of each secondary peak is 0.55% of the primary peak. When present, this splitting is typically overlooked because it occurs within the baseline for the major­ity of tiny molecules. For 2000 and 5000g/mol PEG, the ratio of the functionalized terminal group to the repeating polymer unit is generally 2 to 0.9%; the 1H-13C coupling can, nevertheless, become important when analyzing the functionalization of polymers like PEG with a single functionalized terminal group. The integration of a CH2 signal from the terminal (functionalized) group (e=3.55ppm) is therefore close to that of the sidebands because of the 1H-13C link of the repeating CH2­CH2- O unit (=3.46ppm) and the 5000g/mol PEG (Pasek-Allen etal. 2023).
1.2.2.3 Detection ofCoordination Complex
Neutral molecules or anions, often known as ligands, form coordinate covalent bonds with a main metal atom (or ion) in a Lewis acid-base process. The nal prod­uct is a coordination complex. Coordination is the term used to describe the dipolar “coordinate covalent bonds” between the ligands and the central atom. Initially, a complex was believed to consist of reversible chemical bonds joining molecules,
12
atoms, or ions. In terms of coordination chemistry, the signicance has altered. Relatively strong bonds join many metal complexes, creating specic metal com­plexes irrevocably (Li and Zuo 2020).
To make conjugates of monomethoxy-poly (ethylene glycol) and cisplatin (MPEG-DA/CDDP), a poly (ethylene glycol) (PEG) derivative with a terminal dicarboxylic acid group was coupled with cisplatin (CDDP) through chelate-type coordination bonds. These conjugates have excellent anti-cancer efcacy, high water solubility, and low adverse effects. The cytotoxic activity of the MPEG-DA/ CDDP compound was somewhat less than that of free CDDP. The MPEG-DA/ CDDP conjugation maintained a higher level of cytotoxicity even while treatment in medium with serum lowered the cytotoxic property of free CDDP and the control conjugate (Zhang etal. 2022).
P. Pingale et al.
1.2.2.4 X-Ray Photoelectron Spectroscopy
X-ray photoelectron spectroscopy (XPS), a quantitative technique for analyzing a material’s surface’s chemical composition, also determines the constituent ele­ments’ binding states. The normal XPS probe depth is 10nm. The material must rst be evacuated because XPS needs a high vacuum before analysis begins. Photons of specic energy are absorbed by electrons in a sample and released once the pho­ton has left the material. XPS stands out for its popularity, adaptability, and utility compared to many other techniques. Several applications will be used to demon­strate the adaptability and effectiveness of XPS.This reasonably practical technol­ogy might also be more exciting by looking at spectroscopic imaging and prospects (Gengenbach etal. 2021).
The PEG lubricant’s spectra contained the high-intensity peaks C 1s at 285.09eV and O 1s at 531.7eV.This demonstrated that most PEG lubricants comprised the C and O components. Using XPS peak software, additional analysis of the two peaks showed that the element C was present primarily as C-C, C-O, C-H, and C-N.Both PEG monomers had signicant amounts of C-C, C-O, and C-H, although C-N pre­dominated. The most prevalent form of the element O was C-OH.These outcomes thus veried the inclusion of both PEGs in the manufactured lubricant. At 23.3°C and 26.1°C, PEG showed two comparatively high, narrow, and strong diffraction peaks, demonstrating a higher level of crystallinity. It can be seen that the composite sample, which also included two reasonably high and narrow diffraction peaks at
23.3°C and 26.3°C, increased the strength of the peak at 23.3°C (Gao etal. 2022).
1.3 PEGylation ofNanocarriers

1.3.1 Nanoparticulate System

Nanoparticulate systems may be essential in imaging, surgery, and medication delivery. Since nanoparticulate systems are more signicant than most “small mol­ecule” type drugs but smaller than cells, they may have a longer retention time (Dang and Guan 2020).
1 PEGylated Pharmaceutical Nanocarriers
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1.3.1.1 Solid Lipid Nanoparticles
Solid lipid nanoparticles (SLNs) provide benets by minimizing some of the indi­vidual drawbacks of emulsions, polymeric nanoparticles, and liposomes. Typically, they have a solid hydrophobic matrix core covered in phospholipids. Therefore, it is envisaged that solid lipid nanoparticles will more effectively trap hydrophobic med­icines in their core compared to traditional liposomes (Borges etal. 2020).
1.3.1.2 Nanostructured Lipid Carriers (NLCs)
When solid and liquid lipids are combined to create NLCs, the resulting structures are less organized, allowing for a rmer inclusion of the drug molecules inside the matrix over the course of the shelf life. The structural parity of two lipids in NLCs, which has been consistently reported, causes defects in their structure and increases space for drug accommodation during solidication, and is the cause of the improved entrapment efciency in NLCs. Additionally, the more excellent solubility of medi­cines in liquid lipids compared to solid lipids is the cause of the increased entrap­ment efciency. NLCs have a higher payload capacity and lengthy shelf storage stability than traditional lipid-based systems. Additionally, NLCs can include both hydrophilic and lipophilic medications. They may also deliver medications to the site of action and offer a prolonged release of the substances (Elmowafy and Al-Sanea 2021). Numerous studies have demonstrated how these nanoplatforms improve oral medication bioavailability by encouraging intestinal absorption. Due to its ability to be sustained for extended periods and modulated by therapeutic efcacy, this system has also given hope for treating chronic disorders.
Solid lipid nanoparticles (SLNs) were used to create the improved generation of lipid nanoparticles known as NLCs. They minimize several SLN-related issues, such as drug leakage during storage and a nite amount of drug that can be loaded into them, while retaining many of the benets of SLNs, including regulated drug release, biocompatibility, and the potential for large-scale industrial production. According to reports, PEGylated nanoparticles have an increased half-life in circu­lation and are less likely to be absorbed by the RES (Garg etal. 2022). Additionally, PEG can lengthen the time cancer cells are exposed to nanoparticles carrying an anti-tumor medicine and can improve the enhanced permeability and retention. In the current study, PEGylated NLCs (PEG-NLCs) were developed as carriers to sta­bilize the lactone form of HCPT, extending its duration in circulation and boosting its anti-tumor efcacy against lung cancer. In this study, researchers discovered a brand-new PEGNLC lung-targeting effect following i.v. injection in mice (Dhiman etal. 2021).
1.3.1.3 Polymeric Nanoparticles
Polymeric nanoparticles have been used to treat various illnesses, including cancer, diabetes, malaria, and tuberculosis. In comparison to other carriers, they offer sev­eral benets. The method of synthesis and choice of ingredients for the polymeric nanoparticles depend on some factors, including the desired physicochemical quali­ties, the makeup of the medicine, and the expected course of therapy (Zielińska etal. 2020).
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P. Pingale et al.

1.3.2 Metal Nanoparticles

The use of metallic nanoparticles in several biomedical applications like bioimaging, biosensors, target/sustained drug delivery, hyperthermia, and photoablation treat­ment, has gained popularity in recent years. Additionally, these nanoparticles have been altered and functionalized with particular functional groups that enable them to bind to medicines, antibodies, and other ligands, making these systems more attrac­tive for use in biomedical applications (Jamkhande etal. 2019; Saravanan etal. 2021).
1.3.2.1 Silver Nanoparticles
Silver nanoparticles are extremely small silver atoms with sizes between 1 and 100nm. Ionic silver has a lengthy history and was rst employed in yellow-stain glass, like gold nanoparticles. Work is currently being done to include silver nanoparticles in various medical products, such as surgical masks, bone cement, and other items. Additionally, it has been demonstrated that ionic silver can cure wounds when used in the proper dosages (Yaqoob etal. 2020; Yin et al. 2020). Silver nanoparticles have taken over from silver sulfadiazine as the preferred method for treating wounds. On the surfaces of home appliances, Samsung has also devel­oped and sold a product called Silver Nano that contains silver nanoparticles.
Additionally, these nanomaterials have drawn much interest in biological imag­ing employing SERS because of their appealing physiochemical features. Individual silver nanoparticles are excellent candidates for molecular tagging due to their sur­face plasmon resonance (Abdelfattah etal. 2022). As a result, numerous targeted silver oxide nanoprobes are being created right now. They are commonly produced by reducing a silver salt in the presence of a colloidal stabilizer, such as sodium borohydride. The most widely used colloidal stabilizers are polyvinyl alcohol, poly (vinylpyrrolidone), bovine serum albumin (BSA), citrate, and cellulose. (Park etal.
2020). One of the more recent novel methods is ion implantation, which produces
silver nanoparticles using starch as a stabilizer and -glucose as a reducing sugar (Abdel-Hameed etal. 2022). It is vital to remember that not all nanoparticles pro­duced are made equally. It has been demonstrated that its effectiveness is inuenced by its size and form. Elechiguerra etal. showed that silver nanoparticles interact with HIV-1in a size-dependent manner, with particles in the 1–10nm range adher­ing to the virus (Elechiguerra etal. 2005).
1.3.2.2 Gold Nanoparticles
A suspension (or colloid) of gold nanoparticles is called colloidal gold, also called gold nanoparticles. These colloidal solutions have a long history, from the Roman era when they were employed to decorate glass with stains. These gold nanoparti­cles’ intriguing optical characteristics result from their particular interaction with light. In the presence of the light’s pulsating electromagnetic eld, the free electrons of the metal nanoparticles move in relation to the metal lattice (Zhang etal. 2021). This mechanism, known as localized surface plasmon resonance (LSPR), is reso­nant at a specic light frequency. Following absorption, the surface plasmon degen­erates either nonradiatively by turning the light absorbed into heat or radiatively, leading to light dispersion (Sadalage etal. 2021). By precisely delivering AuNPs to
1 PEGylated Pharmaceutical Nanocarriers
15
the nucleus of cancer cells, El Sayed etal. used gold nanoparticles for cancer imag­ing. To specically deliver the AuNPs to the cancer cell nucleus, they coupled an arginine-glycine-aspartic acid peptide (RGD) and a nuclear localization signal pep­tide (NLS) to a 30-nm AuNPs via PEG (Kang etal. 2010).
1.3.2.3 Titanium Dioxide Nanoparticles
There are two crystalline forms of titanium dioxide: rutile and anatase, the latter chemically more active. Titanium dioxide ne particles (TiO2 FPs) are another name for the rutile form of TiO2 nanoparticles. Compared to the rutile phase, the anatase phase is signicantly more hazardous to healthy cells due to the increased crystal­line structure of the anatase form, which increases the formation of reactive oxygen species (Selli etal. 2019).
Additionally, the chemical modications made to nanoparticle surfaces vary in how active TiO2 NPs are. In human SMMC-7721 hepatocarcinoma cells, for instance, one-dimensional TiO2 Ws amplied the lethal effects of DNR by raising its dosage. Similarly, combining TMZ with TiO2 nanostructures may enhance its anti-tumor activity in treating brain gliomas (Shah etal. 2019; Siani etal. 2022). Additionally, the release of valproic acid in several disorders was caused by its gradual but persistent encapsulation in TiO2 matrices. Compared to their medica­tions, GA and DNR from GA-TiO2 and DNR-TiO2 nanocomposites showed greater potential anti-tumor efcacy in human leukemia K562 cells (Cin 2021).
1.3.2.4 Copper Nanoparticles
Copper nanoparticles (CuNPs) have become a more popular due to their accessibil­ity, affordability, and potent anti-bacterial effects. CuNPs’ primary benet over gold and silver nanoparticles is that they are less expensive and more readily available, leading to sample synthesis and various uses for CuNPs. Copper nanoclusters (Tf-CuNCs) with increased luminescence were formed due to experimental investi­gations on creating targeted medication delivery and bioimaging molecules (Okyere etal. 2022). After being tested invivo on mice bearing Dalton’s lymphoma ascites and the transferrin receptor (TfR), the newly created nanomaterials showed improved tumor growth suppression and increased animal survival.
Curcumin-capped CuNPs have been identied by Kamble etal. as potential inhibitors of human breast cancer cells and angiogenesis when compared to natural curcumin (Kamble etal. 2016). Mupirocin-linked copper nanoparticles were cre­ated by Vikram etal. to overcome Staphylococcus aureus’s antibiotic resistance, which causes cutaneous skin infections. CuNPs exhibit 96.5% drug release in an invitro release study and have signicant antibacterial action against Staphylococcus aureus (Verma and Kaushik 2020).

1.3.3 Vesicular Systems

Vesicular drug delivery systems have certain benets, including extending the dura­tion of the medication’s presence in systemic circulation and possibly reducing tox­icity if selective uptake is possible due to the drug being delivered directly to the
16
P. Pingale et al.
infection site. It enhances bioavailability, particularly for medicines that are difcult to dissolve (Carter etal. 2019).
1.3.3.1 Liposomes
The Greek terms “lipo” and “soma,” which mean “fat” and “body,” respectively, are the source of the phrase “liposome.” A hydrophilic “head” and a hydrophobic “tail” (hydrocarbon chain) make up each phospholipid molecule. The self-association of phospholipid layers during the spontaneous synthesis of liposomes takes place (Mohamed etal. 2019). The liposome’s hydrophilic center is located between two hydrophobic layers. With the help of this unique characteristic, we can insert hydro­philic or hydrophobic medicines between the two phospholipid layers (Singh etal. 2020).
Due to their specic individuality, liposomes, vesicular nanocarriers, are widely used as a successful delivery mechanism for brain targeting. A lipid bilayer sur­rounds an aqueous core in liposomes, simulating the structure of a cell membrane. This distinction facilitates the fusing of liposomes with cell membranes and subse­quent cell uptake. Because liposomes are amphipathic, they can be used to encapsu­late hydrophilic and hydrophobic medications. Conventional liposomes have drawbacks such as quick blood clearance and slow RES absorption because of the accumulating plasma proteins (Ghaferi etal. 2020). Liposomes are quickly cleared from the bloodstream and accumulate in the liver and spleen due to RES absorption. Biocompatible PEG polymers have been used to stabilize conventional liposomes sterically. In addition to passive accumulation in solid tumors, typical liposomes are PEGylated to signicantly extend their half-life in circulation (Roces etal. 2020). It was also attempted to directly couple ligands to the surface of the liposome using PEGylated liposomes. However, the PEG chains showed a potent shielding effect that prevented the attached ligand from interacting with its receptor. Targeting ligands are linked to the ends of PEG chains to improve the vector’s exibility and accessibility to the brain, where PEG is primarily used as a spacer (McSweeney etal. 2019).
Transferrin (Tf)-anchored PEGylated liposomes loaded with horseradish peroxi­dase (HRP) and tested for their ability to target BCEC’s Tf receptor invitro. The binding results of Tf-anchored liposomes were four times greater than those of con­ventional liposomes. Additionally, PEGylated liposomes were used to reduce RES absorption and lengthen the time that polyethyleneimine/DNA (PEI/DNA) poly­plexes remained in the body (Ko etal. 2009).
1.3.3.2 Niosomes
Due to the strict conditions needed to handle liposomes in cryogenic environ­ments, the nonionic surfactant is now used in vesicular drug delivery systems instead of phospholipids (Haroun etal. 2022). Niosomes can be altered or modi­ed by adding additional excipients to the membrane, such as cholesterol, and they can have one or more lipid bilayers surrounding an aqueous core (Haroun etal. 2022). Niosomes have an internal structure that primarily combines hydro­phobic and hydrophilic molecules, allowing them to accommodate medicinal