PMID- 19703435 OWN - NLM STAT- MEDLINE DCOM- 20100308 LR - 20091012 IS - 1873-2941 (Electronic) IS - 0009-3084 (Linking) VI - 162 IP - 1-2 DP - 2009 Nov TI - Ultrasound, liposomes, and drug delivery: principles for using ultrasound to control the release of drugs from liposomes. PG - 1-16 LID - 10.1016/j.chemphyslip.2009.08.003 [doi] AB - Ultrasound is used in many medical applications, such as imaging, blood flow analysis, dentistry, liposuction, tumor and fibroid ablation, and kidney stone disruption. In the past, low frequency ultrasound (LFUS) was the main method to downsize multilamellar (micron range) vesicles into small (nano scale) unilamellar vesicles. Recently, the ability of ultrasound to induce localized and controlled drug release from liposomes, utilizing thermal and/or mechanical effects, has been shown. This review, deals with the interaction of ultrasound with liposomes, focusing mainly on the mechanical mechanism of drug release from liposomes using LFUS. The effects of liposome lipid composition and physicochemical properties, on one hand, and of LFUS parameters, on the other, on liposomal drug release, are addressed. Acoustic cavitation, in which gas bubbles oscillate and collapse in the medium, thereby introducing intense mechanical strains, increases release substantially. We suggest that the mechanism of release may involve formation and collapse of small gas nuclei in the hydrophobic region of the lipid bilayer during exposure to LFUS, thereby inducing the formation of transient pores through which drugs are released. Introducing PEG-lipopolymers to the liposome bilayer enhances responsivity to LFUS, most likely due to absorption of ultrasonic energy by the highly hydrated PEG headgroups. The presence of amphiphiles, such as phospholipids with unsaturated acyl chains, which destabilize the lipid bilayer, also increases liposome susceptibility to LFUS. Application of these principles to design highly LFUS-responsive liposomes is discussed. FAU - Schroeder, Avi AU - Schroeder A AD - Laboratory of Liposome and Membrane Research, Department of Biochemistry, Hebrew University-Hadassah Medical School, Jerusalem 91120, Israel. FAU - Kost, Joseph AU - Kost J FAU - Barenholz, Yechezkel AU - Barenholz Y LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20090822 PL - Ireland TA - Chem Phys Lipids JT - Chemistry and physics of lipids JID - 0067206 RN - 0 (Drug Carriers) RN - 0 (Lipid Bilayers) RN - 0 (Liposomes) RN - 0 (Pharmaceutical Preparations) SB - IM MH - Animals MH - Drug Carriers/*chemistry/metabolism MH - *Drug Delivery Systems MH - Humans MH - Lipid Bilayers/chemistry/metabolism MH - Liposomes/*chemistry/metabolism MH - Pharmaceutical Preparations/*chemistry/metabolism MH - Surface Properties MH - *Ultrasonics RF - 234 EDAT- 2009/08/26 09:00 MHDA- 2010/03/10 06:00 CRDT- 2009/08/26 09:00 PHST- 2009/03/25 00:00 [received] PHST- 2009/08/17 00:00 [revised] PHST- 2009/08/18 00:00 [accepted] PHST- 2009/08/26 09:00 [entrez] PHST- 2009/08/26 09:00 [pubmed] PHST- 2010/03/10 06:00 [medline] AID - S0009-3084(09)00311-9 [pii] AID - 10.1016/j.chemphyslip.2009.08.003 [doi] PST - ppublish SO - Chem Phys Lipids. 2009 Nov;162(1-2):1-16. doi: 10.1016/j.chemphyslip.2009.08.003. Epub 2009 Aug 22.