Abstract: Bleomycin is a chemotherapy agent that, when administered systemically, can cause severe pulmonary toxicity. Bleosome is a novel formulation of bleomycin encapsulated in ultra-deformable (UD) liposomes that may be applicable as a topical chemotherapy for diseases such as non-melanoma skin cancer. To date, the ability of Bleosome to effectively penetrate through the skin has not been evaluated. In this study, we investigated the ability of Bleosome to penetrate through ex vivo skin explants from dogs and horses. We visualized the penetration of UD liposomes through the skin by transmission electron microscopy. However, to effectively image the drug itself we fluorescently labeled bleomycin prior to encapsulation within liposomes and utilized multiphoton microscopy. We showed that UD liposomes do not penetrate beyond the stratum corneum, whereas bleomycin is released from UD liposomes and can penetrate to the deeper layers of the epidermis. This is the first study to show that Bleosome can effectively penetrate through the skin. We speculate that UD liposomes are penetration enhancers in that UD liposomes carry bleomycin through the outer skin to the stratum corneum and then release the drug, allowing diffusion into the deeper layers. Our results are comparative in dogs and horses and warrant further studies on the efficacy of Bleosome as topical treatment.
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
The research article describes a study which investigated the effectiveness of a liposomal formulation of the chemotherapy agent bleomycin, known as Bleosome, in penetrating the skin of dogs and horses. The results indicated that while the liposomal carrier did not penetrate beyond the skin’s outer layer, bleomycin was still able to reach deeper epidermal layers.
Introduction and Background
The study centered around Bleosome, a novel formulation of bleomycin encapsulated in ultra-deformable liposomes. Bleomycin is a chemotherapy agent, which when administered systemically, can lead to severe pulmonary toxicity. Researchers explored Bleosome as a possible topical chemotherapy treatment for non-melanoma skin cancer.
The ability of Bleosome to successfully penetrate the skin had not been evaluated prior to this study. This research aimed to fill that knowledge gap by testing the penetration of Bleosome on ex vivo skin explants from dogs and horses.
Methodology
Transmission electron microscopy was used to observe the penetration of ultra-deformable liposomes through the skin. This method enabled the researchers to visualize the mechanisms at play.
In order to effectively observe the drug itself, the researchers labeled the bleomycin with fluorescent markers before encapsulating it within the liposomes. They then used multiphoton microscopy to track its movement.
Results
The study found that the ultra-deformable liposomes themselves do not penetrate beyond the stratum corneum, which is the outermost layer of the skin. This layer primarily acts as a barrier to protect the underlying tissue from infection, dehydration, chemicals, and mechanical stress.
However, the researchers discovered that bleomycin is effectively released from the ultra-deformable liposomes and is able to penetrate into the deeper layers of the epidermis. This result indicates that the Bleosome formulation could be an effective delivery method.
Conclusion and Future Research
This study was the first to demonstrate that Bleosome can effectively penetrate the skin. The research team speculated that ultra-deformable liposomes could act as penetration enhancers. By this theory, the liposomes carry the bleomycin to the stratum corneum, release the drug there, and then the drug diffuses into the deeper epidermal layers.
The results were comparable in dogs and horses, indicating that the same process may occur in different species. The conclusion of the study therefore, suggests future research to explore further the efficacy of Bleosome as a topical treatment.
Cite This Article
APA
Ferrari G, Pang LY, De Moliner F, Vendrell M, Reardon RJM, Higgins AJ, Chopra S, Argyle DJ.
(2022).
Effective Penetration of a Liposomal Formulation of Bleomycin through Ex-Vivo Skin Explants from Two Different Species.
Cancers (Basel), 14(4), 1083.
https://doi.org/10.3390/cancers14041083
Roslin Institute, The Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh EH25 9RG, UK.
Pang, Lisa Y
Roslin Institute, The Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh EH25 9RG, UK.
De Moliner, Fabio
Centre for Inflammation Research, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh EH16 4TJ, UK.
Vendrell, Marc
Centre for Inflammation Research, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh EH16 4TJ, UK.
Reardon, Richard J M
Roslin Institute, The Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh EH25 9RG, UK.
Higgins, Andrew J
The London Dermatology Centre, London W1G 8AS, UK.
Chopra, Sunil
The London Dermatology Centre, London W1G 8AS, UK.
Argyle, David J
Roslin Institute, The Royal (Dick) School of Veterinary Studies, University of Edinburgh, Edinburgh EH25 9RG, UK.
Grant Funding
N/A / SPS ANIMAL CARE
Conflict of Interest Statement
S.C. and A.J.H. are directors of SPS Animal Care Ltd., which partially funded this project. Regular meetings were held to discuss the results. However, the funders had no role in design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. The other authors declare no conflict of interest.
References
This article includes 33 references
Caparrotti F, Troussier I, Ali A, Zilli T. Localized Non-melanoma Skin Cancer: Risk Factors of Post-surgical Relapse and Role of Postoperative Radiotherapy.. Curr Treat Options Oncol 2020 Oct 9;21(12):97.
Lopez RF, Lange N, Guy R, Bentley MV. Photodynamic therapy of skin cancer: controlled drug delivery of 5-ALA and its esters.. Adv Drug Deliv Rev 2004 Jan 13;56(1):77-94.
Yang M, Gu Y, Tang X, Wang T, Liu J. Advancement of Lipid-Based Nanocarriers and Combination Application with Physical Penetration Technique.. Curr Drug Deliv 2019;16(4):312-324.
Canellos GP, Anderson JR, Propert KJ, Nissen N, Cooper MR, Henderson ES, Green MR, Gottlieb A, Peterson BA. Chemotherapy of advanced Hodgkin's disease with MOPP, ABVD, or MOPP alternating with ABVD.. N Engl J Med 1992 Nov 19;327(21):1478-84.
Abraham AT, Zhou X, Hecht SM. Metallobleomycin-mediated cleavage of DNA not involving a threading-intercalation mechanism.. J Am Chem Soc 2001 Jun 6;123(22):5167-75.
Pron G, Mahrour N, Orlowski S, Tounekti O, Poddevin B, Belehradek J Jr, Mir LM. Internalisation of the bleomycin molecules responsible for bleomycin toxicity: a receptor-mediated endocytosis mechanism.. Biochem Pharmacol 1999 Jan 1;57(1):45-56.
Zygogianni A, Kyrgias G, Scarlatos J, Koukourakis M, Souliotis K, Kouvaris J, Kelekis N, Kouloulias V. Potential Role of Electrochemotherapy as Anticancer Treatment for Cutaneous and Subcutaneous Lesions.. Asian Pac J Cancer Prev 2016;17(8):3753-7.
Lau KG, Hattori Y, Chopra S, O'Toole EA, Storey A, Nagai T, Maitani Y. Ultra-deformable liposomes containing bleomycin: in vitro stability and toxicity on human cutaneous keratinocyte cell lines.. Int J Pharm 2005 Aug 26;300(1-2):4-12.
Papahadjopoulos D, Cowden M, Kimelberg H. Role of cholesterol in membranes. Effects on phospholipid-protein interactions, membrane permeability and enzymatic activity.. Biochim Biophys Acta 1973 Nov 30;330(1):8-26.
Cevc G, Blume G. Lipid vesicles penetrate into intact skin owing to the transdermal osmotic gradients and hydration force.. Biochim Biophys Acta 1992 Feb 17;1104(1):226-32.
Cevc G, Schätzlein A, Richardsen H. Ultradeformable lipid vesicles can penetrate the skin and other semi-permeable barriers unfragmented. Evidence from double label CLSM experiments and direct size measurements.. Biochim Biophys Acta 2002 Aug 19;1564(1):21-30.
Elsayed MM, Abdallah OY, Naggar VF, Khalafallah NM. Deformable liposomes and ethosomes: mechanism of enhanced skin delivery.. Int J Pharm 2006 Sep 28;322(1-2):60-6.
Gordon LI, Hong F, Fisher RI, Bartlett NL, Connors JM, Gascoyne RD, Wagner H, Stiff PJ, Cheson BD, Gospodarowicz M, Advani R, Kahl BS, Friedberg JW, Blum KA, Habermann TM, Tuscano JM, Hoppe RT, Horning SJ. Randomized phase III trial of ABVD versus Stanford V with or without radiation therapy in locally extensive and advanced-stage Hodgkin lymphoma: an intergroup study coordinated by the Eastern Cooperative Oncology Group (E2496).. J Clin Oncol 2013 Feb 20;31(6):684-91.
Albers P, Siener R, Krege S, Schmelz HU, Dieckmann KP, Heidenreich A, Kwasny P, Pechoel M, Lehmann J, Kliesch S, Köhrmann KU, Fimmers R, Weissbach L, Loy V, Wittekind C, Hartmann M. Randomized phase III trial comparing retroperitoneal lymph node dissection with one course of bleomycin and etoposide plus cisplatin chemotherapy in the adjuvant treatment of clinical stage I Nonseminomatous testicular germ cell tumors: AUO trial AH 01/94 by the German Testicular Cancer Study Group.. J Clin Oncol 2008 Jun 20;26(18):2966-72.
Murad AM, Triginelli SA, Ribalta JC. Phase II trial of bleomycin, ifosfamide, and carboplatin in metastatic cervical cancer.. J Clin Oncol 1994 Jan;12(1):55-9.
Carver JR, Shapiro CL, Ng A, Jacobs L, Schwartz C, Virgo KS, Hagerty KL, Somerfield MR, Vaughn DJ. American Society of Clinical Oncology clinical evidence review on the ongoing care of adult cancer survivors: cardiac and pulmonary late effects.. J Clin Oncol 2007 Sep 1;25(25):3991-4008.
Knottenbelt DC, Watson AH, Hotchkiss JW, Chopra S, Higgins AJ. A pilot study on the use of ultra-deformable liposomes containing bleomycin in the treatment of equine sarcoid.. Equine Vet. Educ. 2020;32:258–263.
Jain AK, Thareja S. In vitro and in vivo characterization of pharmaceutical nanocarriers used for drug delivery.. Artif Cells Nanomed Biotechnol 2019 Dec;47(1):524-539.
Bouwstra JA, Honeywell-Nguyen PL, Gooris GS, Ponec M. Structure of the skin barrier and its modulation by vesicular formulations.. Prog Lipid Res 2003 Jan;42(1):1-36.
Theerawatanasirikul S, Suriyaphol G, Thanawongnuwech R, Sailasuta A. Histologic morphology and involucrin, filaggrin, and keratin expression in normal canine skin from dogs of different breeds and coat types.. J Vet Sci 2012 Jun;13(2):163-70.
Ivanova N. Local Chemotherapy of Skin Pre-Neoplastic Lesions and Malignancies from the Perspective of Current Pharmaceutics. Pharmaceutics 2025 Aug 1;17(8).
Varughese A, Balnadupete A, Ramesh P, Prasad TSK, Nidha AB, Bhandary Y. Guardians Turned Culprits: NETosis and Its Influence on Pulmonary Fibrosis Development. Mol Biotechnol 2025 May;67(5):1752-1764.