Nitric oxide-loaded echogenic liposomes for nitric oxide delivery and inhibition of intimal hyperplasia.
OBJECTIVE
We sought to develop a new bioactive gas-delivery method by the use of echogenic liposomes (ELIP) as the gas carrier.


BACKGROUND
Nitric oxide (NO) is a bioactive gas with potent therapeutic effects. The bioavailability of NO by systemic delivery is low with potential systemic effects.


METHODS
Liposomes containing phospholipids and cholesterol were prepared by the use of a new method, freezing under pressure. The encapsulation and release profile of NO from NO-containing ELIP (NO-ELIP) or a mixture of NO/argon (NO/Ar-ELIP) was studied. The uptake of NO from NO-ELIP by cultured vascular smooth muscle cells (VSMCs) both in the absence and presence of hemoglobin was determined. The effect of NO-ELIP delivery to attenuate intimal hyperplasia in a balloon-injured artery was determined.


RESULTS
Coencapsulation of NO with Ar enabled us to adjust the amount of encapsulated NO. A total of 10 microl of gas can be encapsulated into 1 mg of liposomes. The release profile of NO from NO-ELIP demonstrated an initial rapid release followed by a slower release during the course of 8 h. Sixty-eight percent of cells remained viable when incubated with 80 microg/ml of NO/Ar-ELIP for 4 h. The delivery agent of NO to VSMCs by the use of NO/Ar-ELIP was 7-fold greater than unencapsulated NO. We discovered that NO/Ar-ELIP remained an effective delivery agent of NO to VSMCs even in the presence of hemoglobin. Local NO-ELIP administration to balloon-injured carotid arteries attenuated the development of intimal hyperplasia and reduced arterial wall thickening by 41 +/- 9%.


CONCLUSIONS
Liposomes can protect and deliver a bioactive gas to target tissues with the potential for both visualization of gas delivery and controlled therapeutic gas release.
Huang
Shao-Ling
SL
Division of Cardiology, Department of Internal Medicine, The University of Texas Health Science Center at Houston, Houston, TX 77030, USA. Shaoling.Huang@uth.tmc.edu
Kee
Patrick H
PH
Kim
Hyunggun
H
Moody
Melanie R
MR
Chrzanowski
Stephen M
SM
Macdonald
Robert C
RC
McPherson
David D
DD
D000818:Animals; D001682:Biological Availability; D016503:Drug Delivery Systems; D006965:Hyperplasia / Q000517:prevention & control; D008081:Liposomes; D009131:Muscle, Smooth, Vascular / Q000166:cytology / Q000473:pathology*; D009569:Nitric Oxide / Q000008:administration & dosage*; D051381:Rats; D017539:Tunica Intima / Q000187:drug effects / Q000473:pathology*; D014465:Ultrasonics
D008081:Liposomes; D009569:Nitric Oxide