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Rigau, Leticia Hosta; Zhang, Yan; Teo, Boon M.; Postma, Almar; Städler, Brigitte
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Nanoscale
Publication date:
2013
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Citation (APA):
Rigau, L. H., Zhang, Y., Teo, B. M., Postma, A., & Städler, B. (2013). Cholesterol – a biological compound as a
building block in bionanotechnology. Nanoscale, 5, 89-109. https://doi.org/10.1039/c2nr32923a
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Nanoscale
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FEATURE ARTICLE View Journal | View Issue
Cholesterol is a molecule with many tasks in nature but also a long history in science. This feature article
highlights the contribution of this small compound to bionanotechnology. We discuss relevant chemical
Received 26th September 2012
Accepted 31st October 2012
aspects in this context followed by an overview of its self-assembly capabilities both as a free molecule
and when conjugated to a polymer. Further, cholesterol in the context of liposomes is reviewed and its
DOI: 10.1039/c2nr32923a
impact ranging from biosensing to drug delivery is outlined. Cholesterol is and will be an indispensable
www.rsc.org/nanoscale player in bionanotechnology, contributing to the progress of this potent field of research.
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bile, et 23r3o2, solide, la substance cristallisée des calculs biliaires by X-ray studies,19 allowed the established formula to be arrived
humains” (I will call cholesterin of colh, bile, and 23r3o2, solid, at as described in reviews by Windaus and Neukirchen.20,21
crystalline substance of human gallstones).14 However, choles- In nature, cholesterol is heterogeneously distributed in
terol as a substance was already known in the late 1700’s as an cellular membranes, with the highest content found in the
alcohol soluble fraction separated from human gallstones plasma membrane.22 Most nucleated cells synthesise choles-
observed by Poulletier de la Salle. In 1789 De Fourcroy had terol in a regulated process consisting of multiple steps that
prepared a large quantity of this substance, believing that it is mainly take place within the endoplasmic reticulum (ER).23–25
the same as “blanc de baleine” or spermaceti.15 He labeled the Alternatively, cholesterol can be taken up by the cells from
crystalline fraction “adipocire” or fatty wax, a material similar to lipoproteins.26 There are various pathways to traffic cholesterol
that obtained from acid treated grave wax. (Grave was a to the plasma membrane in order to maintain the high
substance formed normally in damp areas of cemeteries from concentration.27 When the cholesterol level reaches a threshold
the decomposition of cadavers.) Chevreul later showed that it level which is regulated by the sphingomyelin content of the
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differed from these compounds by treatment with potassium cell, cholesterol is transported to the ER for esterication and
hydroxide and melting point comparisons.16 storage.28
Initial forays into elucidation of the structure of cholesterol The rst link between cholesterol and human health was
showed it to be an alcohol17 in the course of the preparation of discovered in 1843, when Vogel showed that cholesterol was a
esters, and later it was shown to be a secondary alcohol18 major component of arterial plaques,29 and it has since then
through its conversion into the ketone cholesterone. The pres- been intensively investigated.30,31 Cholesterol was consequently
ence of the double bond was established in 1868. Further determined to be widely distributed in the animal kingdom and
structural elucidation through parallel studies on derivatives of its isomeric forms, phytosterol, were shown to frequent the
cholesterol and chemically related bile acids, with verication vegetable kingdom.32 Sterol research in the mid- to late 20th
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Almar Postma received his PhD Brigitte Städler received her PhD
from The University of New from ETH Zürich, Switzerland,
South Wales, under the supervi- followed by over two years as a
sion of Prof. T. P. Davis and Drs post-doc in the group of Prof. F.
G. Moad & M. O’Shea (2005) in Caruso at the University of
the elds of controlled radical Melbourne, Australia. Since
polymerisation and reactive 2010, she is Assistant Professor
extrusion. From 2005 to 2008 he at iNANO, Aarhus University,
held a postdoctoral fellowship Denmark aer she obtained a
position with Prof. F. Caruso at Sapere Aude Starting Grant from
The University of Melbourne the Danish Council for Inde-
working on both polymer-based pendent Research, Technology
capsular drug delivery vehicles and Production Sciences. Her
and with a startup company (iCeutica) in pharmaceutical nano- research group works on the development and characterization of
particulate reformulations. He re-joined CSIRO as a Research smart nature-inspired drug delivery vehicles and on the estab-
Scientist in 2008. His current research interests lie at the interface lishment of microuidic platforms to address questions in
of polymer design/synthesis and their applications in nano- biomedicine.
biomedicine and electoactive materials.
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It is the major precursor for the synthesis of vitamin D and both a polar hydroxyl group on one side and a non-polar tet-
various steroid hormones.42 Recently, cholesterol has also been racylic steroidal ring structure with a branched hydrocarbon tail
found to play an important role in membrane trafficking, sort- on the other (Fig. 1a). Further, cholesterol is comprised of a
ing processes, and cell signalling processes, where researchers rigid planar subunit due to the trans-conguration of the rings
have suggested that it is involved in the formation of lipid ras and a exible iso-octyl side chain ‘tail’. The combination of this
in the plasma membrane, as represented by G protein-coupled rigidity and exibility gives cholesterol the property of orienta-
receptor signalling.39,43,44 tional ordering and display of liquid crystalline behaviour in
The aim of this feature article is to outline the impact that combination with amphiphilic lipid membrane binding
the small biomolecule cholesterol has made in the eld of capabilities.
bionanotechnology (Scheme 1). We are reviewing aspects and
progresses in this area made possible and/or considerably
improved and facilitated due to the presence of cholesterol. In Conjugation of cholesterol
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the rst part, we will outline the chemistry of cholesterol, The majority of conjugation strategies used to conjugate
starting with fundamental aspects, followed by cholesterol cholesterol onto molecules, biomolecules, or macromolecules
modications and, nally, the synthesis of cholesterol-con- of interest rely on the hydroxyl group in the 30 position of the
taining polymers will be discussed. The next section will cholesterol ‘A’ ring (Fig. 1b). The most common are esterica-
address the state-of-the-art and challenges involving the self- tion, carbamate, and carbonate bond formation using
assembly of cholesterol and cholesterol-modied polymers into chloroformate derivatives. These strategies allow common
nanostructures. The last part of this feature article will consider carboxylic acids, amines, or hydroxyl functional groups which
the effect of cholesterol on liposomes in bionanotechnology are found on the most biologically important or other relevant
either as a stabiliser in drug delivery and in analytical science, molecules, to be coupled onto cholesterol. Other strategies
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or as an anchoring unit in engineering of biosensors, for the applied to conjugate to cholesterol are illustrated in Scheme 2
decoration of liposomes with polyethylene glycol (PEG), or in and discussed in the next paragraphs.
the assembly of capsosomes. The involvement of cholesterol in Of further interest, Achalkumar et al. have recently reviewed
each of these aspects will be demonstrated by giving selected the chemistry and approaches used to make cholesterol
examples. Overall, we hope to demonstrate that the small conjugate linkers for tethering onto phospholipid bilayers.45
molecule cholesterol contributes signicantly to the eld of A practical challenge with any conjugation strategy used for
bionanotechnology and its many applications. obtaining amphiphiles based on cholesterol is the choice of
solubilising conditions. The challenge is to nd a solvent that
The chemistry of cholesterol will dissolve both the hydrophobic cholesterol, and, at the same
time, the hydrophilic material onto which it is conjugated.
Cholesterol is an amphiphatic molecule, a compound pos- Typical solvent choices range from chloroform, dichloro-
sessing both hydrophilic and lipophilic properties. It contains methane, and dioxane, to tetrahydrofuran (THF). Furthermore,
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Etherication
Ether formation from the hydroxyl group is a common strategy
for the attachment of PEG and sugars to cholesterol. For
example, cholesterol functionalised monomers containing a
diethyleneglycol60 spacer and tetraethylene glycol10 spacer,
attached via an ether bond, have been synthesised. Williamson
ether synthesis is also a popular synthetic approach which can
Scheme 2 Schematic illustration of synthetic opportunities and conjugation
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Chloroformate
A common strategy for cholesterol conjugation is the use of the
chloroformates. Cholesterol chloroformate, a commercially
available compound, is simply combined with the material to be
conjugated onto, which carries an amine, to give a carbamate
cholesterol derivative. The addition of the components is
usually performed under cooled anhydrous conditions and in
the presence of a catalytic amount of a base like triethylamine or
4-dimethylaminopyridine (DMAP). This strategy has been used
for the coupling of cholesterol onto, for example, the primary
amines of 30 -O-(6-aminohexyl)-uridine46 or polyethylenimine
(PEI).47 Also commonly applied, alcohols can be coupled to
cholesterol chloroformate to give the corresponding carbonate.
As an example, the alcohol of hydroxylethyl (meth)acrylate
(HEMA) was coupled to cholesterol, as a way of placing a short
spacer between the cholesterol and the vinyl group.48
Esterication
The hydroxyl group lends itself well for esterication reactions
Fig. 2 Schematic examples of cholesteryl-functional polymers: (a) bis-cholesteryl
and, as such, several approaches have been used. Acylation of end-functional P(HPMA),57 (b) ABA triblock copolymer (PNAM-b-PChA-b-
the hydroxyl moiety of cholesterol with commercially available, PNAM),94 and (c) poly(amidoamine)-co-(amidoamine disulfide cholesteryl)
functional acid chlorides, such as acryloyl chloride49,50 and copolymer.102
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be carried out by reaction of the alkoxide of the alcohol with an cholesteryl-functional initiator. An example is the use of a cho-
alkylating agent carrying the ‘R’ group. Alternatively, to lesteryl radical initiator in conjunction with a cholesteryl-func-
combine two alcohols together, one of them can be initially tional vinyl monomer. In this case 4,4-azobis(4-cyano-1-
tosylated (using p-toluene sulfonyl chloride) and allowed to cholesteryl) pentanoate azo initiator was used to initiate the
react with the other alcohol to form the corresponding ether. polymerisation of sodium 2-(acrylamido)-2-methylpropanesulfo-
This was successfully carried out for the synthesis of a norbor- nate to give a cholesteryl end-capped and linear poly(sodium 2-
nene based monomer61 and a vinyl monomer containing an (acrylamido)-2-methylpropanesulfonate).54 In another report,
aliphatic spacer.62 poly[N-(2-hydroxypropyl)methacrylamide]s (PHPMAs) with a
A glycolipid library based on acylated cholesteryl-b-galacto- terminal cholesteryl moiety either at one or both ends of the
sides was synthesised for the elucidation and construction of a polymer chains have been synthesised (PHPMA-Chol and
vaccine against Lyme disease. Here, the glycosylation of PHPMA-2-Chol). These were prepared by the radical polymerisa-
cholesterol with galactose, essentially an ether bond formation, tion of N-(2-hydroxypropyl)methacrylamide, initiated with 4,40 -
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was achieved using a trichloroacetimidate approach.63 Several azobis-[(3-cholesteryl) 4-cyanopentanoate] in the presence of
3-cholesteryl 6-(glycosylthio)hexyl ether glycolipids were also 2-mercaptoethanol and thiocholesterol chain-transfer reagents,
prepared via thiol alkylation using 3-cholesteryl 6-iodohexyl respectively.73
ether. The latter was formed from cholesteryl p-toluenesulfo- A cholesteryl functional reversible addition fragmentation
nate via three steps.64 chain transfer (RAFT)74–78 agent with a single cholesteryl func-
tionality placed in the RAFT re-initiating the ‘R’ group was used
Miscellaneous chemistry for the synthesis of u-cholesteryl functional poly(polyethylene
An example of the cyclic phosphate functionalisation of glycol) acrylate.58 A bis-cholesteryl functional ‘R’ group RAFT
cholesterol was published by Iwasaki and Akiyoshi as a cho- agent was used to place two cholesteryl u-end groups onto
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lesteryl-functional monomer strategy for the synthesis of poly(N,N-dimethyl acrylamide) (PDMA), PHPMA and copoly-
biodegradable and biocompatible polyphosphates.65 The mers thereof.57
synthesis of this monomer was achieved by the addition of Atom transfer radical polymerisation (ATRP)79–81 has also
cholesterol to a cooled solution of 2-chloro-2-oxo-1,3,2-dioxa- been used as a tool to initiate polymerisations with a choles-
phospholane in ether. However, only a 33% yield was achieved teryl-functional initiator.82 Xu et al. applied this technique to
aer recrystallisation. synthesise a biomimetic amphiphile from 2-(methacryloyloxy)
ethyl phosphorylcholine from 10-cholesteryloxydecanyl-2-bro-
Monomers and polymers moisobutyrate.83,84 Similarly, cholesteryl-2-bromoisobutyrate
was used to initiate various oligo(ethylene glycol) (meth)acry-
The conjugation techniques previously mentioned are lates to produce copolymers with u-bromine end-groups. These
commonly applied to the synthesis of cholesterol-based (cho- bromine end-groups were later transformed to reactive azides
lesteryl) monomers for the synthesis of polymers. Esterica- by nucleophilic substitution with sodium azide and, once
tions and carbamate formation are typically used to add the assembled into micelles, allowed the azide–alkyne cycloaddi-
appropriate polymerisable or polymer initiating group to tion “click” reaction to occur in the corona of the micelle.56
cholesterol. These can then be used to create a diversity of
polymer architectures such as end-functional polymers,
Post-functionalisation of end-groups
homopolymers, copolymers and block copolymers.
The exibility of RAFT agents allows for a symmetrical design of
Polymer end-functionalisation polymer end-group functionality via the RAFT agent. This can
be achieved by using a RAFT agent that has a central bis-func-
Ring opening polymerisation (ROP)66 is one approach that has
tional radical leaving/reinitiating the ‘R’ group and two thio-
been used for adding efficiently cholesteryl end-functionality to
carbonylthio ‘Z’ groups on either side. Post-functionalisation
polymers. The polymerisation is simply initiated by an alcohol, in
can then be carried out through the aminolysis of the thio-
this case cholesterol, which conveniently ring opens the mono-
carbonylthio end-groups which transform them into thiols.
mers without the use of a catalyst. This approach has been used
Such an approach has been used to react end group thiols with
to synthesise polyesters, polylactide (PLA), polyglycolide and their
3-cholesteryl 6-iodohexyl ether via nucleophilic reaction to
copolymers, poly(lactide-co-glycolide) (PLGA)67 and, with the
make a,u-di(cholest-5-en-3b-yl-6-oxyhexylthio) poly(N-isopropyl
addition of a catalyst Sn(Oct)2, 3-caprolactone, which ring opens
acrylamide) P(NiPAM).85 A pyridyldisulde poly(oligo (ethyl-
to give poly(3-caprolactone).68 Polycarbonates based on tri-
eneglycol) acrylate) RAFT polymer with a pre-attached bovine
methylene carbonate69 or 2,2-dimethyltrimethylene carbonate70
serum albumin (BSA), was functionalised with a cholesteryl
were also easily synthesised without the use of a catalyst.
group through disulde exchange with thiocholesterol.86
Klok et al. used ROP to great effect to synthesise L-lactic acid
oligomer linkers initiated by cholesterol and terminated by
cholesterol, or bioactive drugs, uorescent markers,71 and Homopolymers
generation 1, 2 and 3 L-lysine dendrons.72 One of the ways of introducing several cholesteryl functionalities
End-functionalisation of a radical polymer with a along the length of a polymer chain is by homopolymerising a
cholesteryl moiety can be performed simply by the use of a cholesteryl-functional monomer. Ruthenium-catalysed ring
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opening metathesis polymerisation (ROMP)87,88 of a monomer ROMP can also be successfully used to synthesise well
functionalised with both norbornyl and cholesteryl moieties has controlled block copolymers containing a cholesterol rich
been utilised to make pendant cholesteryl-functional homopoly- section. Here, a norborene functional cholesterol monomer is
mers with a variety of spacers present between the backbone and polymerised to form the second block from a poly(ethylene
the cholesterol.55 oxide) brush block. These block copolymers are assembled into
A technique that has been used more prolically for intro- nanoparticles for the delivery of doxorubicin and indometh-
ducing cholesteryl-functionality along a polymer chain is the acin, through acid labile carbamate linkers.61
radical polymerisation of cholesteryl-functionalised acrylate or
methacrylate monomers to give pendant cholesteryl function-
ality to polymers. This was looked at as early as the late 60’s and Random or statistical copolymers
70’s by Hardy et al.89,90 and De Visser et al.49,50 More recently, Copolymerisation is a convenient method for the introduction
cholesteryl polymerisation has seen resurgence when paired of cholesteryl pendants into the polymer chain at various mole
Published on 05 November 2012 on http://pubs.rsc.org | doi:10.1039/C2NR32923A
with controlled radical techniques like ATRP and RAFT. For percentages. Some examples include the free radical copoly-
example, a homopolymer based on cholesteryl acrylate (CA) merisation of acrylic acid (AA) with 5-acryloyloxypentyl choles-
using RAFT was synthesised and block extended with styrene.91 terate (Ch5A) to give P(Ch5A-co-AA),96 NiPAM with CA to give
P(NiPAM-co-CA),97 HPMA terpolymerised with 6-meth-
acrylamido hexanoyl hydrazine and cholest-5en-3b-yl 6-meth-
Block copolymers acrylamido hexanoate,98 and our own work via RAFT mediated
Zhang et al. designed cholesterol monomers with a hydrophilic copolymerisation to give P(MAA-co-CMA) with a 7 mol%
tetra(ethylene glycol) (TEG) spacer inserted between the meso- cholesterol content.52,99 Researchers at the Australian Centre for
gen and the acrylate (or methacrylate) polymerisable group in Nanomedicine have also recently looked at the copolymerisa-
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order to increase the water solubility of the monomer in their tion of CMA with MAA.100 They varied the CMA content from
dispersion polymerisation system.10 From the poly(methacrylic 2 mol% to 8 mol% and together with dimethylamino ethyl
acid (MAA)-co-PEG methacrylate (PEGMA)) copolymer macro- methacrylates53 and RAFT mediated control, they were able to
RAFT agent, they synthesised the block copolymer P(MAA-co- achieve a CMA content ranging from 2 mol% to 20 mol% whilst
PEGMA)-b-P(Chol-TEGMA) under dispersion polymerisation keeping their polymer molecular weights around 20–24 kDa
conditions, which allowed the formation of a block copolymer with low molecular weight dispersities throughout. The
via self-assembly in minimal steps. In a different report, Liu amphiphilic copolymers showed pH-induced phase transitions
et al. used a diethyleneglycol spacer between the cholesterol and in aqueous media and are envisioned to be useful for
the acrylate and made blocks with (benzyl protected) ascorbate condensing and transporting siRNA due to their lipid
sections.92 In our own research, we designed an amphiphilic membrane destabilizing properties.
block copolymer poly(N-vinyl pyrrolidone) P(NVP)-b-P(CA) An example of a polyphosphate terpolymer containing
which was obtained by polymerising a short CA oligomer pendant cholesteryl functionality, pendant ATRP initiating
section of, on average, 3 units from a P(NVP) macroRAFT groups as well as 2-isopropyl-2-oxo-1,3,2-dioxaphospholane units
agent.93 This macroRAFT agent was obtained via the controlled were synthesised as a biodegradable gra terpolymer, a novel
polymerisation of NVP with a xanthate RAFT agent. Alterna- amphiphilic biomaterial which can function as a nanocarrier.65
tively, diblock copolymers have also been designed by growing Alternatively, post-functionalisation of polymers to introduce
the second block from a cholesteryl methacrylate (CMA) mac- cholesterol has been performed on polymers containing amine or
roRAFT agent with a trimethylsilyl protected hydroxyethyl acid reactive groups, PEI,47 poly(L-lysine) (PLL)52 and sodium
methacrylate (HEMA-TMS), giving P(CMA-b-HEMA-TMS). This alginate,101 giving random copolymers. An interesting example of
block copolymer was further deprotected by the addition of post-functionalisation is the Michael addition polymer poly-
concentrated HCl in a THF solution resulting in the clean (amidoamine) (PAA) (Fig. 2c).102 The nanoparticulate polymer
product copolymer P(CMA-b-HEMA).51 Curiously, the authors network can be obtained using cystamine as a cross-linking agent
reported problems with controlling of the polymerisation of the which can be made to react with 2,20 -dithiodipyridine turning
unprotected HEMA. Additionally, they initially observed diffi- them into linear PAAs with dithiopyridyl side groups that are able
culties polymerising CMA under ATRP conditions with methyl to undergo a thiol exchange reaction with the commercially
2-bromopropionate as the initiator and copper(I) chloride as available thiocholesterol. The resultant products are examples of
bipyridine as the catalyst–ligand system at 90 C. Recently, we amphiphilic PAA–cholesterol conjugates in which lipophilic
have looked at the synthesis of an ABA triblock copolymer in two cholesterol moieties are linked to the hydrophilic PAA chain by
steps from a bis ‘Z’ functional RAFT agent to form a CA mac- disulde bonds. These are relatively stable in blood but are
roRAFT agent, from which two N-acryloyl morpholine (NAM) cleavable under the reductive conditions within cells.
arms can be grown (Fig. 2b).94 We designed the NAM : CA block There are many more examples of cholesterol containing
ratio to be close to 2.5 : 1 to direct the spatial self-organisation polymers, mostly with a focus on optical, liquid crystal and
of the polymer into polymersomes. A bis ‘R’ RAFT agent for the some general bioapplications; however, these are beyond the
design of an ABA triblock with the cholesteryl as the ‘B’ block, scope of this review. The reader is directed to reviews by Zhou
for use in liquid crystalline block copolymers, has also been et al. and Yusa for a more exhaustive list and description of
looked at by Shibaev et al.95 these polymers.103,104
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Self-assembly of cholesterol
As previously mentioned, cholesterol is structurally composed
of different sections which play a role in its interesting self-
assembly behaviour in a variety of multi-component
solutions.105–108
Helical ribbons were rst discovered in human gallbladder
bile, and it was found that these structures form as a precursor
of gallstones upon dilution of bile.107 Konikoff et al. conrmed
that cholesterol is the major constituent of these helical ribbons
by various experimental techniques including density gradient
centrifugation or X-ray diffraction. They also found that the
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pH, with faster release at lower pH. This aspect was considered
important, because the drug would be more efficiently released
in the tumour tissue than in circulation. They reported that the
pharmacokinetic parameters of doxorubicin changed in mice
and more efficient tumor growth inhibition for doxorubicin-
loaded CHGC compared to free doxorubicin was reported,
making these nanoparticles promising carriers for insoluble
anticancer drugs in cancer therapy. The Zhang group published
a series of reports involving CS-CH124–128 and synthesised
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liquid-like behaviour.
In summary, based on the hydrophobic interaction, choles-
Cholesterol-modied compounds can also be mixed with
terol-modied polymers can self-assemble into different
others, and self-assembled into different macroscopic vesicles.
micelles, nanoparticles, nanotubes, nanogels, or polymer-
For example, the nucleoside 20 -deoxy-20 -aminouridine was
somes. The size, shape and mechanical properties of these
modied with cholesterol, and the lipophilic nucleoside 20 -N-(2-
assemblies are designed for encapsulation, storage, release and
(cholesteryl)-succinyl)-20-deoxy-20-aminouridine was obtained.
delivery of therapeutics with potential application in biomate-
When mixed with the unsaturated phospholipid dio-
rials and biomedicine.
leoylphosphatidylcholine, microtubes were formed. From
confocal uorescence microscopy images, the tubes appeared
as open-ended cylindrical structures with outer diameters Cholesterol and liposomes
between 2 and 3 mm and lengths between 20 and 40 mm.138 In
The nal part of this feature article reviews the benets of
another report, the dialysis of a dimethyloxide solution of
cholesterol incorporated into liposomes for biomedical appli-
cholesterol-modied dextran (Chol-Dex) and PLA against water
cations. Two different aspects of cholesterol, namely its ability
yielded hollow polymer nanocapsules with a highly stable
to act as stabiliser for lipid membranes and its ability to link
structure and relatively narrow size distribution.139 The hollow
lipid and polymeric structures together, are discussed. Exam-
capsules were thought to be formed by anchoring of most of the
ples of applications in drug delivery and biosensing will be
amphiphilic polysaccharide onto the surface of swelled aggre-
outlined for both aspects.
gates as a result of phase separation of amphiphilic Chol-Dex
from hydrophobic PLA. The capsules obtained have potential
application as drug carriers or as biomembrane models. Cholesterol as a stabiliser
We recently reported the self-assembly of an amphiphilic Liposomes are among the prominent candidates for various
block copolymers containing cholesterol as the hydrophobic biomedical applications in bionanotechnology. Liposomes are
block into polymersomes (Fig. 5).94 We synthesised an ABA spherical vesicles which consist of one or more lipid bilayer
triblock copolymer with the ‘A’ segment consisting of poly(NAM), membrane(s), encapsulating a volume of aqueous medium
a non-ionic hydrophilic polymer with low-fouling properties (Fig. 6a).140 Glycerophospholipids, sphingolipids, and choles-
similar to PEG, and the ‘B’ segment of poly(CA) as the hydro- terol are the predominant components used for their prepara-
phobic part of the triblock copolymer. We demonstrated the tion. Their structural similarity to natural cell membranes,141
stable, non-aggregated assembly of polymersomes with narrow and their ability to mimic the behaviour of biological cell
polydispersity. We used these polymersomes as reservoirs in membranes make liposomes useful in various applications
poly(vinyl alcohol) composite hydrogels and showed a signicant ranging from drug delivery,142,143 cosmetic,144 and food
decrease in viability of adhering myoblast cells when a cytotoxic science145 to agriculture.145 However, control over the lipid
compound was entrapped in the polymersomes, thus conrming bilayer permeability and stability towards solutes or biomole-
the potential of this system in surface-mediated drug delivery, a cules is oen a challenge and can compromise their applica-
biomedical approach which aims to deliver therapeutic tions in the aforementioned elds. This aspect can be regulated
compounds from the surface of an implantable device or a tissue by adjusting the cholesterol content of the lipid bilayer,146,147
culturing scaffold to adhering cells or to the surrounding media. since cholesterol affects the physicochemical properties of the
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the uidity of the lipid bilayer and increases the stability of the coefficient of the diverse drugs. The results showed that, for
liposomal membrane,158 adjusting the cholesterol content of drugs that follow the transcellular passive transport route, the
liposomes has been one of the prime ways to control the liposome column could be used for a preliminary drug
permeability to solutes both in vivo and in vitro. Typically, half- screening, offering an alternative to the high throughput drug
lives of passively encapsulated drugs range from minutes, in egg screening system based on Caco-2 cells used by pharmaceutical
phosphocholine liposomes, to a dozen hours for cholesterol- companies.175,181 In this context, cholesterol has been important
containing liposomes.159 Owing to this increased cargo reten- as a component of the small-intestine brush-border membranes
tion, the rst liposomal formulation of the antitumor drug which are composed of egg phosphatidylcholine, phosphati-
Doxorubicin (Doxil) was approved in 1995 by the Food and dylserine (PS), phosphatidylethanolamine, and cholesterol.182
Drug Administration (FDA) for medical use in oncology.160,161 Liu et al. reported retention data of numerous drugs utilising
Other cholesterol-containing liposomal formulations of drugs, ILC and liposomes made of these components to mimic the
i.e. Daunorubicin (DaunoXome) used for the treatment of intestinal membranes. The aim was to predict drug intestinal
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advanced HIV-associated Kaposi’s sarcoma,162 Amphotericin B adsorption, since absorption of orally administered drugs in the
(AmBisome, Amphotec, and Ableet) for the treatment of intestine (i.e. uptake of the drug through the cell membrane) is
fungal infections in febrile neutropenic patients as well as for the rst step of the drug’s action.175,181,183
the treatment of aspergillosis, candidiasis, and cryptococcosis CAPILLARY ELECTROPHORESIS. CE is an analytical technique
infections refractory to Amphotericin B,163,164 and cytarabine that separates ions based on their electrophoretic mobility with
(DepoCyt) for the treatment of lymphomatous meningitis,165 the use of an applied voltage. Liposome capillary electropho-
were FDA approved in 1996 (DaunoXome), 1997 (AmBiso- resis (LCE) is a recent approach that involves the use of lipo-
me), and 1999 (DepoCyt), respectively, and are still on the somes as coating material184,185 or carrier.171,172 The details of the
market.164,166–168 technique are beyond of the scope of this review and for a more
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Liposomal formulations containing cholesterol of different detailed overview, the reader is referred to other reports.171,172
drugs, such as vincristine sulfate169 or cisplatin (Lipoplatin),170 Here, just two examples to illustrate the importance of
have not been FDA approved yet but are on Phase II and Phase cholesterol are discussed. Wiedmer et al. employed 1-palmitoyl-
III clinical trials, respectively. 2-oleyl-sn-glycero-3-phosphocholine (POPC) and POPC/PS lipo-
somes with various amounts of cholesterol as carriers and
steroidal sex hormones as model analytes. The study investi-
Analytical science gated the inuence of cholesterol on the sizes and electropho-
Interest in liposome technologies and applications for analyt- retic mobility of POPC and POPC/PS liposomes with special
ical purposes is constantly growing, and four major areas of focus on the inuence of cholesterol on possible selective
activity can be identied, namely liquid chromatography (LC), interactions between the steroids and the liposomal
capillary electrophoresis (CE), biosensors, and immunoas- membranes. Their results showed that the presence of choles-
says.140 In all four analytical techniques, cholesterol plays an terol slightly increased the liposomal diameter, and signicant
important role in liposome stabilisation. differences in selectivity between the steroids and the liposomal
LIQUID CHROMATOGRAPHY. The understanding of the inter- membranes were achieved through the addition of choles-
action between cell membranes and different molecules (e.g. terol.186 Alternatively, liposomes have been used as coating
drugs, proteins, and peptides) is of great importance in pre- materials in CE in order to mimic biological cell membranes,
dicting the behaviour of the drug in the organism. In vivo since cell membranes are mainly composed of phospholipids
investigations of the fraction of the drug adsorbed in humans and cholesterol, and the interaction between the liposomes and
and animals are time-consuming and difficult to perform. Since the analytes has been studied.185,187 As an example, Hautala and
liposomes structurally closely resemble natural membranes, collaborators showed the coating of silica capillaries with
they are extensively used in medical and pharmaceutical anionic liposomes comprising POPC, bovine brain PS, and
research as models for mimicking the structure and the func- cholesterol, and evaluated the coating effectiveness by exam-
tion of biological cell membranes.171,172 The use of liposomes ining the interactions of steroids with the coated capillaries.
immobilised within the pores of carrier gel beads as a stationary Their results show that the capillaries can be successfully
phase for column chromatography with an aqueous mobile coated with liposomes and those coated capillaries can be used
phase is known as immobilised liposome chromatography to study the interactions between phospholipid bilayers and
(ILC),173 a method that emerged in the 1990s171 and has proven uncharged steroids. Since the steroids are neutral under the
successful in studying solute–membrane interactions.174 In ILC, applied conditions, the separation is based on hydrophobic
variations in the retention volume depend on the extent of interactions with the liposome coating.187
solute–membrane interaction and can be precisely measured.175 BIOSENSORS. Biosensors show promise in many aspects of
Liposomes can be immobilised in these columns by several medical care from drug development over early detection of
ways173,176–178 including avidin–biotin interaction.140,171,179 This diseases to monitoring the progress of a treatment. All these
specic binding pioneered by Yang et al. allowed prolonging the applications require sensitive, rapid, cheap, and reproducible
column lifetime for over a year.175,179,180 Further, these liposome detection and recent advances in nano- and biotechnology as
columns have successfully been used to predict the drug well as chemistry, biochemistry, physics, and biology have made
absorption in vivo by estimating the membrane partitioning outstanding contributions141 for the development of biosensors
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in medicine,188–190 for environmental applications,191 and in the signal amplication. The method is based on the formation of a
food industry.192,193 However, ways to immobilise biological sandwich between a DNA-capture probe immobilised on a poly-
molecules while preserving their activity remains one of the ethersulfonate membrane, the target mRNA sequence, and a
major challenges in the development of advanced biosensors. DNA-reported probe coupled to the surface of a liposome (Fig. 6c).
Encapsulation techniques are among the most favourable When a specic E. coli mRNA is present, a sandwich is formed
approaches to entrap biological molecules while preserving between the DNA capture probe attached onto the poly-
their functionality for an extended period of time. Various ethersulfonate membrane, the E. coli mRNA, and the reporter
approaches have been employed for the encapsulation of bio- probe attached to the liposomes, thus the liposomes being
logical material including polymeric vesicles,194 biomolecule– captured in the capture/detection zone. Since the number of
nanoparticle hybrid systems,195 capsules assembled via the liposomes is directly proportional to the amount of E. coli mRNA,
Layer-by-Layer (LbL) technique,196,197 or single-enzyme nano- when non-specic RNA is present instead of E. coli mRNA, the
particles where each enzyme molecule is surrounded by a liposomes are not captured in the capture/detection zone, and no
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porous composite organic/inorganic network.198,199 However, signal is reported in the detection zone.203
liposomes have emerged as lead candidates by providing a IMMUNOASSAYS. Immunoassay formats rely on a directly or
comfortable cage which can preserve the biomolecule activity in indirectly detectable label. The label can be an easily detectable
a three dimensional space, which is particular important for molecule (e.g. radioactive or uorescent) or, alternatively, an
enzymes.141 Fig. 6b shows a representation of a liposome enzyme. In an enzyme linked immunosorbent assay (ELISA) the
encapsulating enzymes. The substrate can diffuse across the enzyme label generates a measurable amount of product which
membrane through channel gates, react with the enzymes, and is (inversely) proportional to the unknown concentration of
the products can be released back in solution.141 In addition, analyte (usually an antigen).205 The technique essentially
encapsulation offers other benecial properties e.g. amplica- requires any ligating reagent which can be immobilised, a
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tion since liposomes concentrate the enzymes in a conned detection reagent that will bind specically, and an enzyme that
space, thus, the enzymes are able to convert a higher amount of will generate a signal that can be quantied. LISA, liposome
substrate molecules into their corresponding products.172 This immunosorbent assay, is the counterpart of ELISA, with the
feature is benecial in a number of biosensor applications such enzymes replaced by liposomes encapsulating a large amount of
as the determination of pH200 and oxygen,201 or the detection of marker and receptor molecules. The sensitivity of the system is
bacteria202,203 and other agents.204 For the creation of liposomes high and the additional advantage is that, by lysing the lipo-
in biosensing applications, cholesterol plays a crucial role in somes, the detectable markers are released immediately, thus
controlling the uidity and, in particular, the permeability of avoiding the ELISA incubation step in which the substrate is
the lipid membrane in order to ensure stable entrapment of converted into the product.172 Similar to an ELISA, the encap-
molecules required for detection.172 sulated marker can be colorimetrically, uorimetrically, chem-
An interesting example of cholesterol-containing liposomes iluminometrically, or electrochemically detected upon lysis of
in this context was reported by McNamara and co-workers, who the immobilised liposomes.205 Additionally, most formats
developed a uorescence-based oxygen nanosensor by encap- applied in enzyme immunoassays can be used in combination
sulating an oxygen-sensitive dye in the internal compartment of with liposomes.205 The stability of the liposomes is of para-
the liposomes.201 A major concern when developing liposomal mount importance for successful LISA performance e.g. in
uorescence-based sensors is leaking of the dye molecules from terms of sensitivity and selectivity. To increase the stability of
the supportive matrix. To this end, McNamara and collabora- the liposome membrane, cholesterol in combination with
tors prepared liposomes with a lipid composition consisting of saturated lipids has been employed.205
dimyristoylphosphatidylcholine, cholesterol, and dihexadecyl Fig. 6d depicts a table with the most commonly used lipo-
phosphate and showed high stability toward dye leaking at somal compositions and the markers used to detect different
room temperature for 8 days, a fact which could be attributed to analytes. As shown in the table, most liposomal compositions
the addition of cholesterol to the lipid membrane. contain cholesterol to equip the lipid bilayer with additional
Since safety of water and food supplies has to be ensured to stability.205 For instance, Kim and collaborators reported the
avoid contamination of infectious agents, the detection of path- creation of a liposome immunoassay for the detection of genta-
ogenic organisms remains a crucial aspect. With the aim to micin using phospholipase C to release the uorescent marker
address this issue, Baeumner et al. developed a nucleic acid based from the liposomes.206,207 Gentamicin, a drug frequently used for
sensor, also known as a genosensor or gene probe, which is a the treatment of serious Gram-negative microbial infections, was
highly sensitive and specic RNA biosensor for the rapid detec- chosen as a model analyte.206 The liposomes were composed of a
tion of viable Escherichia coli (E. coli) as an indicator of pathogenic mixture of DPPC and cholesterol, since it was previously
organisms in water.203 Briey, the mRNA from E. coli was extrac- demonstrated that this composition allows the lysis of the lipo-
ted, puried, amplied, and then quantied with the biosensor. somes by the lowest concentration of phospholipase C.206,207
The biosensor is a membrane-based DNA/RNA hybridisation
system and cholesterol-containing liposomes (a mixture
composed of dipalmitoyl phosphatidyl choline (DPPC), choles- Cholesterol as anchor
terol, dipalmitoyl phosphatidyl glycerol, and dipalmitoyl phos- So far, the aspect of the cholesterol’s ability to affect the
phatidyl ethanolamine) encapsulating sulphorhodamine for membrane properties of the liposomes and the consequences
100 | Nanoscale, 2013, 5, 89–109 This journal is ª The Royal Society of Chemistry 2013
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for different biomedical applications have been discussed. This were created when it was realised that neither mechanical nor
section considers the use of cholesterol for a different purpose, electrostatic stabilisation could improve their performance
namely as an anchor either to immobilise the liposomes to a signicantly enough.157 It has been widely demonstrated that
surface for biosensing applications, or to coat liposomes with the incorporation of glycolipids such as monosialoganglioside
specic molecules. GM1226 into the lipid bilayer or the coating of liposomes with
hydrophilic polymer chains like polysaccharides226 or, prefer-
Biosensors entially, PEG226,227 becomes an efficient stabilisation tool by
providing a steric barrier. The particular efficiency of surface-
Liposomes hold enormous potential for biosensing applica-
attached PEG chains has been explained by the combination of
tions, not only as labels as discussed previously, but also for the
their water solubility and exibility, which sterically stabilises
establishment of a successful platform for high-throughput
the liposomes by preventing them from self-aggregation and
(membrane) protein sensing.208 Immobilised liposomes in an
fusion, as well as from opsonin adsorption, the rst step
array format can act as supports for (membrane) proteins since
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102 | Nanoscale, 2013, 5, 89–109 This journal is ª The Royal Society of Chemistry 2013
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relevance.
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the self-assembly process of cholesterol-modied polymers to Overall, cholesterol is a small molecule which has had a
yield structures with increased complexity would be another great impact in all the elds presented, and it will remain an
aspect to consider in the future. Although there are a few indispensable player in various areas of bionanotechnology.
examples where the self-assembled nanostructures have been
used in vivo, many of them were only examined in vitro using a Acknowledgements
model drug, if at all. A future challenge will be to consider
specic medical conditions which require therapeutic This work was supported by a Sapere Aude Starting Grant from
compounds to be delivered and to assess the pharmacokinetics the Danish Council for Independent Research, Technology and
and pharmacodynamics of the cholesterol based delivery Production Sciences, Denmark.
vehicle under biologically relevant conditions. An important
question to address would be if the cholesterol-based delivery Notes and references
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