The electrostatic repulsion between the phosphodiester anionic charges of nucleic acids (NA) and the negatively-charged headgroups of cell membrane phospholipids hinders naked NA to permeate the plasma membrane [1, 2]. Additionally, nucleases present in the cells and in biological fluids enzymatically degrade NA, limiting their biofunctionality. Although many alternative methods have been developed to deliver NA to cells, factors such as versatility [3, 4], applicability [5, 6] and efficiency [7, 8] have discouraged their disseminated use in gene therapy.
Given these limitations, the intracellular delivery of genetic material can only be achieved through the use of physical, biological or chemical methods that promote gene insertion into cells. Physical methods have generally low in vivo applicability and include direct injection of NA into organs of live animals, micro projectile biolistics with a gene-propelling gun, cell sonication using an ultrasonic transducer and cell electroporation by exposure to an electric field. Biological methods rely on attenuated or inactivated versions of adenoviruses, lentiviruses and retroviruses, whose deactivated components can be used as gene vectors to obtain relatively high in vivo transfection efficiencies (transfection mediated by viral vectors) [9, 10]. Viral vectors pose nevertheless important safety, toxicity and immunogenicity issues, which greatly limit their use in humans. Chemical methods are based on the use of chemical adjuvants with relatively high levels of biocompatibility, such as synthetic polymers (polyfection) [11, 12] and cationic liposomes (lipofection) [13-15]. These molecules self-assemble in highly organized structures capable of complexing the genetic material and later releasing it inside the cells. Whereas viruses generally impose issues of mutagenicity and immunogenicity [16, 17], polymers such as polyethylenimine (PEI) are known to be highly cytotoxic [18, 19]. By exclusion of alternatives, cationic liposomes have emerged as the carriers of excellence for intracellular delivery of nucleic acids due to their high versatility , reduced cytotoxicity , and high transfection efficiency .
Cationic liposomes are spherical vesicles composed of one or more cationic lipid or phospholipid bilayers [23, 24]. They include both cationic and neutral surfactants in their composition and may differ in size , lamellarity  or charge . The cationic amphiphiles (which are mainly of synthetic nature) share two common features: the net cationic charge on the hydrophilic headgroup, and the hydrophobic tail that anchors the molecule to the liposome lipid bilayer . The chemical structure of the cationic lipids varies markedly and each molecule can have a single (monovalent surfactant) or multiple cationic charges (multivalent surfactant) . The neutral helper lipid also plays an important role in lipoplex fate by promoting the formation of inverted non-lamellar structures. These structures facilitate lipoplex fusion with the cell membrane and the subsequent release of the genetic material in the cytoplasm . In addition, the presence of helper lipid reduces the amount of cationic lipid required for NA condensation, which reflects itself on a reduction of the toxic effects towards the cells, by decreasing the number of positively-charged headgroups in the lipoplex formulation [31, 32].
The driving force for lipoplex formation is the electrostatic interaction between the net positive charge of the cationic liposomes and the negatively charged DNA at an optimal ratio (+/-). This fact also enables the resulting complex to adsorb to the negatively charged cell surface [33-36]. After adsorption, cellular uptake of the complexed DNA facilitates intracellular DNA delivery and subsequent transgene expression . In the case of DODAB/MO formulations, in which DODAB acts as a monovalent cationic surfactant and MO as helper lipid, the inclusion of MO leads to a dual-lipoplex phase diagram with lamellar structures prevalent at DODAB molar fractions above 0.5 and inverted bicontinuous cubic mesophases below 0.5 .
The high structural dependence of the system on MO content and temperature [39, 40] could reveal itself useful for optimizing lipoplex resistance against deleterious interactions with biological fluids and cell components, while remaining biocompatible and efficient as delivery agent. The presence of MO in these formulations also reduces the net positive charge necessary for successful NA complexation, thus reducing transfection-associated cytotoxicity . In summary, a multidisciplinary approach to lipofection vectors will lead to the development of formulations with the most appropriate characteristics. Careful design of liposomal composition is essential for overcoming biological barriers, in order to achieve optimal transfection efficiency in vitro and in vivo.
2. Cationic lipid-mediated gene transfection
2.1. DODAB:MO liposomes
When assessing the potential of a new lipofection reagent, it is fundamental to study the physicochemical properties of the base liposomal formulation, to better adjust lipoplex morphology (lipoplex size, charge ratio (+/-), fluidity and structure) for optimal transfection conditions. In this way, the behaviour of the lipofection reagent (resistance to extracellular components, cytotoxicity) in vitro and in vivo is more predictable [42-44].
MO was first proposed as helper lipid for non-viral transfection [45, 46] in a new liposomal formulation also including synthetic surfactant Dioctadecyldimethylammonium Bromide (DODAB) . DODAB is a bilayer-forming cationic lipid that tends to form large unilamellar vesicles (LUV’s) in excess water [47, 48]. It features a hydrophobic moiety consisting of a double acyl chain (C18:0) attached to a quaternary ammonium headgroup (one single positive charge per molecule) [49, 50]. DODAB’s phase behaviour has been extensively studied [51, 52], thus its physicochemical characteristics can be easily controlled, making it straightforward to design DODAB-based formulations with specific molecular structures. DODAB’s main limitation is the relatively high gel-to-liquid crystalline phase transition temperature (TM = 45C) [53-56], superior to the human physiological temperature (TM = 37C), meaning that DODAB’s bilayers display a strong rigidity at normal body temperature which greatly limits its use as a delivery agent. This limitation can be counteracted by including a co-lipid with a lower TM value, such as DOPE [57, 58], cholesterol [59, 60] or MO , which will lower the TM of the lipid mixture.
The use of MO in liposomal formulations brings other advantages apart from the fluidization of DODAB’s membranes. MO is a natural-occurring neutral surfactant that has the particularity of forming two inverted bicontinuous cubic phases (QIID and QIIG) in excess water [61, 62]. It possesses a single unsaturated acyl chain (C18:1) attached to a glycerol headgroup . Its tendency to form inverted bicontinuous cubic phases has been explored in the past for different applications such as protein crystallization [64, 65] or matrix for gel electrophoresis , and justifies the structural richness of the liposomal system formed with DODAB .
The aggregation behaviour of concentrated DODAB/MO mixtures has been studied through different techniques including phase scan imaging (Fig. 1) that reveals a two-region phase diagram consisting of either DODAB or MO enriched zones . If ΧDODAB ≥ 0.5, bilayer-based structures dominate (Fig. 1A’, 1B’) and their size and fluidity depend on the molar composition of the mixture, with DODAB gel phase appearing as hydrated crystals . When ΧDODAB < 0.5, aggregates are dominated by densely packed cubic-oriented particles, visible as a cubic isotropic phase (Q) associated with high MO contents (Fig. 1D’, 1E’) .
This dual phase behaviour of DODAB/MO lipid mixtures confers a structural complexity to the system that extends itself to lipoplex organization, which can be fine-tuned to suit the biological application. Additionally, results show that MO has a similar effect on aggregate morphology than an increase in temperature, which can be modulated to produce formulations more suitable for gene transfection [39, 40].
2.2. Role of MO as helper lipid in pDNA/DODAB/MO lipoplexes
The incubation of nucleic acids with DODAB/MO mixtures or other cationic vesicle formulation leads to the formation of lipoplexes [67, 68]. The electrostatic interaction between opposite charges is the key factor that determines the adsorption of the cationic vesicles to the DNA molecules, a transient state that ends when a critical cationic vesicle concentration is reached. This leads to the disruption of the lipid vesicles which allows the formation of highly organized structures where the DNA molecules are tightly condensed between adjacent bilayers – the so-called lipoplexes [69-71]. The excess of cationic lipid is required for lipoplex binding to the cell surface but any subsequent addition of cationic lipid to the complex does not enhance DNA delivery and only increases toxicity in the exposed cells .
Lipoplexes such as the pDNA/DODAB/MO system can be directly visualized by techniques such as cryo-TEM imaging (Fig. 2), which also gives information on the structural properties of the system (size, compactation, organization) . Cryo-TEM imaging reveals that pDNA/DODAB/MO lipoplexes present the same dual phase diagram as obtained for DODAB/MO lipid mixtures . pDNA/DODAB/MO lipoplexes at ΧDODAB > 0.5 (Fig. 2A) exhibit a multilamellar structure consisting of stacked alternating lipid bilayers and pDNA monolayers. The analysis using Fast Fourier Transforms (FFT) corroborates this observation, by denoting a mono-orientated organization pattern at repeating distances of about 5 nm (Fig. 2A’’, 2A’’’ and 2A’’’’) .
In contrast, pDNA/DODAB/MO lipoplexes at ΧDODAB ≤ 0.5 (Fig. 2B) show high-curvature zones where lipid bilayers intercross each other with pDNA monolayers stacked between them. These high-curvature zones have been interpreted as MO-rich domains that alternate with DODAB-rich domains presenting multilamellar organization. The FFT diagrams show that these MO-rich domains possess a distinct structural organization with bi-orientated patterns in angles of 90% between them, consistent with the existence of cubic inverted bicontinuous mesophases (Fig. 2B’’, 2B’’’ and 2B’’’’) .
The DODAB/MO aggregate organization influences the final structural properties of the resulting pDNA/DODAB/MO lipoplexes, with MO content having a dramatic effect on how DNA is condensed and protected within the membrane.
By definition, a helper lipid (also termed as co-lipid or simply adjuvant) is any neutral surfactant not directly contributing to NA condensation or to targeting of the cell membrane by the lipoplex. Helper lipids enhance transfection efficiency by forming non-lamellar structures that intervene in several steps of the transfection process [73, 74]. These non-lamellar structures influence transfection efficiency in at least two ways: i) lipoplex-cell membrane fusion promoted by the fusogenic character of the helper; ii) improved endosomal escape of NA due to the disruption of the endosomal membrane by these structures prior to endosome/lysosome fusion, which would lead to NA degradation .
Dioleoylphosphatidylethanolamine (DOPE) is the most established helper used in non-viral vectors and is known to enhance transfection mediated by different cationic liposomal formulations [76-79]. DOPE stimulates the formation of inverted hexagonal structures (HII – Fig 3A) which represent a major structural variation from the classic multilamellar sandwich model of lipoplex organization (LαC – Fig. 3B) . However, its application in gene therapy has been strongly limited because of the strong cytotoxicity associated with it [81, 82].
This evidence has motivated the search for new helpers with higher levels of biocompatibility while maintaining the same efficiency as DOPE. Cholesterol is one of such molecules due to its ability to modify bilayer fluidity . Inclusion of cholesterol results in the formation of complexes that are more stable but less efficient in vitro compared to DOPE- containing lipoplexes. In contrast, addition of cholesterol results in more efficient complexes for in vivo application [84, 85].
MO is another promising alternative to common helper lipids, as it seems to combine positive aspects of both DOPE and cholesterol: tendency to promote inverted non-lamellar structures similarly to DOPE (although different from the common inverted hexagonal structures – Fig. 3C) and the fluidizing effect of cholesterol, which increases the fusogenicity of the lipoplexes.
The fluidizing effect of MO contributes favourably to the complexation efficiency of DNA, quickening lipoplex formation . At the same time, the formed inverted bicontinuous cubic mesophases improve the resistance of aggregates to extracellular component destabilization, thereby potentially enhancing transfection efficiency . MO-based aggregates induce a relatively low cytotoxicity level, which further reinforces its use as a new helper lipid in this type of non-viral systems. In vivo evaluation of MO-based lipoplexes shall confirm the potential for this neutral surfactant to replace classic helpers in lipofection formulations, although some promising results have already been obtained for other cationic lipid formulations that also form inverted bicontinuous cubic structures [86-88]. Ethylphosphatidylcholines are a family of positively charged membrane lipid derivatives that promote the formation of QIIG and QIIP structures, having been linked to high levels of transfection efficiency with low cytotoxicity in several animal cell lines [89, 90], consubstantiating MO’s potential role in gene delivery.
2.3. Recent progress in gene delivery with cationic lipids
The quest for the perfect cationic liposome formulation has been based on empirical testing of novel surfactant molecules that had never been previously used for NA delivery [91-93]. The only goals for candidate molecules are the attainance of high transfection efficiency with low cytotoxicity [94, 95].
After the first generation of cationic lipids based on double-chain surfactants with plain ammonium headgroups (DODAB, DOTAP, DOTMA or DMRIE) [96, 97], soon came cationic lipids with poly-ammonium and multivalent functional radicals (DOGS, DOSPA). The latter exhibited higher transfection efficiencies but also higher cytotoxicity due to the immunogenicity of the cationic ammonium headgroups [98, 99]. This negative effect was balanced with the appearance of helpers (DOPE)  and natural lipid-derivatives such as cholesterol  or glycerol , although sometimes compromising transfection efficiency. Gemini-dimeric surfactants also presented promising potential but with significant toxicological consequences [102-106].
Polyethylene glycol (PEG)-based lipids emerged as interesting hydrophilic polymer-based surfactants that could provide steric stability to cationic liposomes, increasing lipoplex lifetime in the bloodstream and also decreasing the toxic effects observed in vitro and in vivo [107-109]. The polymeric counterpart of the PEG-based surfactants (variable both in chain length and branching) forms a protective surface coating that inhibits the adhesion of plasma components which could promote NA release and particle aggregation . This protective effect is enhanced by including up to 5-10% of PEG in the liposomal formulation, with no visible effects on lipoplex structure . PEG addition reduces net electric charge and increases hydration of the liposome surface, decreasing immunogenicity and cytotoxicity elicited by the particles. Nevertheless, at high concentrations, these polymers are known to be toxic and of difficult clearance from the organism. Therefore, when developing PEGylated particles, one must weigh advantages and disadvantages of including PEG, especially when aiming for long-term therapeutic administration .
Inclusion of pH-sensitive molecules in the formulations has been shown to improve transgene expression by favouring DNA release from the endosomal compartment. Examples of pH-sensitive molecules used in non-viral gene delivery include polyhistidine, dioleoyldimethylammonium propane (DODAP) or cholesteryl hemisuccinate (CHEMS) [112, 113].
Another major breakthrough with impact in gene therapy was the possibility of specific cell targeting by liposomes. Amphiphiles with hydrophilic headgroups could be chemically linked to molecules such as folate, transferrin or the epidermal growth factor that potentiate specific delivery to cancer cells, markedly increasing the therapeutic benefits achieved with lipoplexes, with little secondary effects [114-118].
More recently, cationic lipids with amino acid headgroup (serine, alanine) [119, 120] and sugar-based cationic lipids (D-galactose) have appeared as promising families of cationic surfactants [121, 122]. Small molecular weight peptides (glutamate, cysteine) augment the hydrophilicity of the lipoplex surface, as with small surface sugars (galactose, mannose) that additionally allow targetability of the lipoplexes.
3. Lipoplex interaction with extracellular milieu
3.1. Resistance to components of biological fluids
An effective delivery system must confer stability to complexed NA in physiological conditions [123, 124]. Systemic delivery of NA requires a stealth carrier that protects NA from indiscriminate interaction with complement and coagulation pathways that lead to rapid removal from blood circulation of the lipoplexes by opsonization [125-127]. pDNA/DODAB/MO lipoplexes were therefore tested regarding their sensitivity when simulating their interaction with the body (temperature, salt, exposure to serum, nucleases and membrane lipases), to be validated for systemic applications .
Fig. 4 shows the variation of free pDNA fraction after incubation of pDNA/DODAB:MO lipoplexes (2:1, 1:1 and 1:2) with different constituents of the plasma. Increasing the temperature from 25C to physiological temperature (37C) leads to a reduced but visible release of pDNA from the lipoplex, more evident for lower MO contents. The gel phase of DODAB (ΧDODAB> 0.5) is clearly more disturbed by incubation at higher temperature than the liquid-crystalline phase of DODAB/MO lipid mixtures (ΧDODAB ≤ 0.5). This tendency is maintained upon NaCl addition at physiological concentration (150mM), showing the protective role of MO upon the electrostatic imbalance provoked by salt addition.
DODAB/MO formulations with varying MO content behave very differently when exposed to serum (Fig. 4). Serum may strongly interfere with lipoplexes, both in vitro and in vivo, causing lipoplex-protein aggregation that lead to degradation of the genetic material and possibly clogging the blood vessels in intravenous application . pDNA/DODAB/MO lipoplexes release up to 30% of the initially complexed pDNA when incubated for 30min with bovine serum albumin, the major constituent of bovine serum, particularly in the case of formulations with low MO content. MO contributes, in fact, to a better resistance of pDNA/DODAB/MO to extracellular components, eventually related to the inverted bicontinuous cubic structures present that reduce the exposure of DNA molecules to the plasma constituents. In fact, the results suggest a direct correlation between lipoplex stability and MO content.
Some authors have managed to transiently overcome this inhibitory effect of serum on lipofection by increasing the charge ratio (+/-) of cationic liposome to DNA [130, 131]. Significantly enhanced gene transfer has also been achieved by pre-incubating the delivery system with serum proteins prior to NA complexation [132, 133].
3.2. Lipoplex adhesion to the cell surface
The adsorption and uptake of lipoplexes may be affected by the presence of proteoglycans at the plasma cell membrane surface. It is therefore important to study how lipoplexes interact with these extracellular matrix components during cell transfection. Association of lipoplexes with negative polyelectrolytes free in solution might also be useful to evaluate eventual loss of pDNA at the cell surface .
Proteoglycans (membrane receptors consisting of a protein core and one or more anionic glycosaminoglycan chains including heparin, dermatan and chondroitin sulphates) were identified as the mediating agents for cationic liposome/DNA cellular uptake both in vitro and in vivo . Lipoplex/proteoglycan interaction is suggested to depend upon three major aspects: the ionic strength, the effect of helper lipids and of the glycosaminoglycan structure [134, 135].
When the lipoplexes interact with heparin and heparin sulphate, the negative charge of the polyelectrolytes determines NA release from the lipoplex through the same type of cooperative process that is responsible for lipoplex formation [136-138].
On subjecting pDNA/DODAB:MO (2:1 and 1:1) lipoplexes to increasing amounts of heparin (HEP), the improved resistance and stability of the lipoplexes obtained with increasing amounts of MO could be confirmed (Fig. 5). The fact that the system with higher MO content (ΧDODAB= 0.5) shows enhanced resistance to heparin relatively to pDNA/DODAB:MO (2:1) lipoplexes suggests that pDNA dissociation is mainly dependent on structural properties (Fig. 2) rather than physicochemical properties of the lipoplexes.
4. Modulation of cell behaviour by lipoplexes
In addition to the efficiency of MO based lipoplexes, patient tolerability is determinant for therapeutic application of these systems. In vitro toxicity tests are a useful, time and cost-effective first approach in the validation process of a therapeutic agent. The adverse effects of liposomes on cells can be identified through different assays that look at particular aspects of cell behavior, such as metabolism, proliferation or cell membrane integrity. To determine if liposomal formulations will be well tolerated by all cells it will contact with, it is important to test cytotoxicity using different cell types. The cell lines should be selected: i) to evaluate how target cells will react; ii) to predict eventual toxicity for the heart and liver, by using cardiomyocytes and hepatocytes, respectively; iii) to screen if the liposomes can be applied to all types of cells. In the case of DODAB:MO liposomes, four different mammalian cell lines (HEK 293, BJ5ta, L929 and C2C12) were exposed for two days to increasing concentrations of these systems, after which different analytical methods were applied (Figs. 6 to 8).
The cell lines presented here are routinely used for toxicity studies and are commercially available. The human Embryonic Kidney (HEK) 293 cell line was originally derived from human embryonic kidney cells grown in tissue culture, from which 293T cell line is derived. BJ5ta cells are normal human foreskin fibroblasts immortalized with telomerase. Murine cell lines L929 and C2C12 are fibroblasts and myoblasts, respectively.
Another aspect to be taken into account is the possibility that the liposomes and lipoplexes may differently affect parameters such as metabolism, cell membrane structure and chemistry, cell proliferation and mobility. For a comprehensive study, a minimum of three different methodologies, monitoring at least two of these parameters, should be used. From our own results, it was observable that the metabolism of L929 and C2C12 cells was more pronouncedly affected by the contact with DODAB:MO liposomes compared to the other cell lines, especially with a lipid concentration ≥ 20 µg/ml (Fig. 6). At these higher concentrations, DODAB:MO (1:1) induced lower levels of cytotoxicity in all the cell types, which probably reflects the higher content of MO and concomitant lower content of cationic lipid. Interestingly, the cell membrane integrity assay did not reveal such obvious, concentration-dependent variations in cytotoxicity (Fig. 7). The results obtained with the proliferation test (Fig. 8) were quite concordant with those from the metabolic assay (Fig. 6), indicating again the L929 and C2C12 cells as more sensitive, while BJ5ta proliferation was clearly increased when incubated with up to 20 µg/ml lipid (Fig. 8).
Lipoplexes prepared from these liposomal formulations, at concentrations typically used in transfection experiments, constantly leading to slightly lower viability rates compared to the base DODAB:MO liposomes (data not shown).
The fact that MO-based aggregates cause reduced levels of cytotoxicity for concentrations typically used on transfection assays, reinforcing the use of MO as a new helper lipid in this type of non-viral systems. Even if there is general agreement in the reduced toxicity of liposomes as non-viral vectors, these results emphasize the need for accurate liposome/lipoplex evaluation to better assess human risk prior to using them as lipofection vectors.
4.2. Cellular uptake and intracellular trafficking
In spite of extensive efforts to unravel the in vitro/in vivo mechanisms of internalization of lipoplexes, doubts remain as to whether the topology of lipoplexes facilitates the entry of DNA by fusion with the plasma membrane or with endosomal vesicles. Other studies have indicated that endocytosis is possibly the preferred mechanism of lipoplex internalization by cells [139, 140]. After the formation of the endocytic vesicle containing the lipoplexes, the internal pH of the endosomes decreases to about 5.5 .The endosomes then fuse with the lysosomes, in which the condensed NA component may be hydrolysed by lysosomal enzymes [142, 143]. Endosomal release of the NA should occur, avoiding the lysosomal lythic pathway, leading to successful transfection.
Different mechanisms for complex internalization have been proposed, in particular for lipoplexes and polyplexes. Endocytosis at the plasma membrane may be clathrin-dependent or -independent. Clathrin-independent mechanisms include fusion of lipoplexes with the plasma membrane, phagocytosis, macropinocytosis and caveolae-mediated uptake . In vitro cell culture systems provide the opportunity to experimentally address how lipoplexes interact with the plasma membrane. Although it is widely accepted that endocytosis is the most important route for lipoplex entry, different endocytic pathways may be used in parallel. The most likely explanation is that different cell types prefer a particular mechanism but use more than one. Therefore, optimization remains largely dependent of trial and error.
Intracellular trafficking of lipoplexes can be followed by co-localization studies of labeled particle components and dyes, or antibodies that recognize cell organelles or molecules playing a role in the process (e.g. clathrin coating endocytic pits in the plasma membrane) [139, 145] (Fig. 9). Cell lines harboring mutations in some of these molecules may also be used to evaluate their importance for the internalization process of specific formulations. The use of inhibitors of endocytosis has also been widely used but has two major limitations: the significant toxicity induced by the inhibitors themselves and the evidence corroborating that internalization can be simultaneously mediated by different pathways.
The endosomal escape is thought to be the major limitation for efficient gene transfection . A number of strategies have been explored to enhance NA endosomal release. For example, the incorporation of a non-lamellar forming lipid such as DOPE that disrupts the endosome membrane or inclusion of a pH-dependent molecule that senses the acidification in the endosome compartment leading to disruption of its membrane .
Modulation of the endosomal escape during lipoplex intracellular trafficking was replicated by exposing pDNA/DODAB:MO (2:1, 1:1 and 1:2) lipoplexes to acidic conditions in the presence of increasing amounts of hydrochloric acid (pH ranging from 7.5 to 2.5) (Fig. 10). The percentage of released DNA steadily increased upon milieu acidification from pH 7.4 to 4.5, which is the pH range typical in the endosome. This trend correlates negatively with the MO content in the formulation, suggesting that MO’s inverted bicontinuous cubic structures may protect more efficiently the lipoplex structure in this environment. More stringent acidification of the environment (pH 4.5 to pH 2.5) inverts the release tendency, which can be related to degradation of naked pDNA in solution.
Lipoplex charge ratio (+/-) also affects the intensity of pDNA release. Using the same DODAB:MO base formulation, increasing charge ratio (+/-) seems to prevent pDNA release from the lipoplex. This effect was already visible in the destabilization of pDNA/DODAB/MO lipoplexes by plasma constituents such as serum and salt, and probably reflects more efficient pDNA condensation in presence of excess cationic lipid.
Increasing ammonium/phosphate ratio carries the risk of increased cytotoxicity. One possible solution may be using increasing amounts of MO in lipoplex formulation for better protection of pDNA integrity without imposing major toxic effects to the target cell.
Non-viral vectors, although less toxic than viral vectors, may still elicit a strong, nonspecific immune response. Toxicity frequently results from characteristics of the encapsulating polymer or lipid such as the length, saturation, or branching of the polymer. Efforts to reduce the toxicity of nonviral vectors have largely resulted in attempts to make the vectors more biodegradable and biocompatible. Many of the aforementioned systems (i.e. triggered release with disulfides, PEG copolymers) incorporated more biologically active components, thereby reducing the elicited immune response. For example, the incorporation in liposomes of molecules known to suppress the production of the cytokine tumor necrosis factor (TNF-α), as compared to lipoplex alone, succeeded in maintain its levels low while achieving comparable levels of transgene expression . Another method explored by Tan  significantly reduced toxicity through the sequential injection of liposome and later of DNA, as opposed to using formed lipoplexes. With this approach, cytokine levels (IL-12, TNF-α) were reduced by greater than 80% compared to lipoplex delivery . Thus, significant advances have been made towards decreasing the toxicity of these non-viral vectors. Interestingly, DODAB:MO based liposomes and lipoplexes were found to induce production of low levels of TNF-α by macrophages, comparable or lower than DOTMA/DOPE and DOTMA/cholesterol lipoplexes (data not shown) .
4.3. Transfection efficiency
Transfection efficiency of plasmid DNA can be directly evaluated by detecting the protein encoded by the reporter gene. Examples of reporter genes are: green fluorescent protein (GFP) and similar, detectable by techniques as microscopy or flow cytometry; β-galactosidase, whose activity can be evaluated by a colorimetric assay; luciferase, whose activity can be measured with a luminometer, after a substrate is converted into a luminescent form by luciferase. In Figure 11 is depicted an experiment that allows to identify the effect on transfection efficiency of varying the content of MO in the liposomal formulations, lipid:DNA charge ratio in the lipoplexes and also the quantity of pDNA added to the cells, as pDNA dosage is known to affect transfection efficiency. It can be observed that the incorporation of MO in the liposomes resulted in a transfection efficiency improvement when compared to the cationic lipid DODAB alone. When using 1 μg DNA/well, the transfection levels of pDNA/DODAB:MO systems are of the same order of magnitude as Lipofectamine™ LTX. For a lower MO content (pDNA/DODAB:MO (2:1) formulation), a dose effect response (0.5 μg and 1 μg of pDNA) was observed. For higher MO content (pDNA/DODAB:MO (1:1) formulation), the transfection efficiencies remained constant at both CRs. This result strengthens the role of MO as helper lipid in the transfection agent.
The identification of the most important formulation parameters and how they influence macromolecule delivery and bioactivity will give direction towards the development of novel therapeutic solutions. The morphology and structure of the lipoplex is influenced by the surrounding environment and the chemical nature of its constituents. Physicochemical properties of the systems define the course of most events when lipoplex interact with the body, tissues and cells. The effectiveness of vector internalization, its intracellular trafficking and successful transgene expression in target cells, is directly dependent on the helper lipid features, net charge of the lipoplex and the degree of NA compactation within the complex. Different target cells may impose specific challenges to transfection and many inherent factors are unknown. The advent of controlled cell targeting for improved specificity holds great promise for application of these formulations in nanomedicine.
A good lipofection system must protect NA from deleterious interaction with biological fluids and cell components, while remaining biocompatible and efficient as delivery agent. In summary, with this work we intend to demonstrate that MO can be used safely and efficiently as helper lipid in the preparation of non-viral vectors for transfection. The presence of this natural lipid in the formulations reduces the net positive charge necessary for successful NA complexation, thus decreasing transfection associated cytoxicity.
This work was supported by FCT research project PTDC/QUI/69795/2006, which is co-funded by the program COMPETE from QREN with co-participation from the European Community fund FEDER; CFUM [PEst-C/FIS/UI0607/2011]; CBMA [Pest C/BIA/UI4050/2011]; J.P.N. Silva holds a PhD Grant (SFRH/BD/46968/2008); A. C.N. Oliveira holds a PhD grant (SFRH/BD/68588/2010).