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US 2003O198664A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2003/0198664 A1 Sullivan et al. (43) Pub. Date: Oct. 23, 2003

(54) LIPID MEDIATED SCREENING OF DRUG Publication Classification CANDDATES FOR IDENTIFICATION OF ACTIVE COMPOUNDS (51) Int. Cl." ...... C12Q 1/68; G01N 33/574; A61K 9/127; C12N 15/88 (76) Inventors: Sean Michael Sullivan, Gainesville, FL (52) U.S. Cl...... 424/450; 435/6; 435/723; (US); Robert A. Copeland, Hockessin, 435/.458 DE (US) Correspondence Address: (57) ABSTRACT SALIWANCHIK LLOYD & SALWANCHIK A PROFESSIONAL ASSOCATION The Subject invention provides lipoSome formulations that 2421 N.W. 41ST STREET are capable of Specifically targeting cell types. The Subject SUTE A-1 invention also provides for the encapsulation of new chemi GAINESVILLE FL 326066669 cal entities (NCE) or other drug candidate molecules (DCM) 9 within liposomes that Specifically target a particular cell (21) Appl. No.: 10/404,896 type. The Subject invention, advantageously, Solubilizes compounds, with low Solubility in aqueous environments, (22) Filed: Mar. 31, 2003 and permits Screening of these compounds against intact cells for biological activity in the absence of detergents that Related U.S. Application Data can damage cell membranes. Also provided are methods of preparing liposome formulations that target a specific cell (60) Provisional application No. 60/368,529, filed on Mar. type and methods of delivering therapeutic agents to target 29, 2002. cells. US 2003/O198664 A1 Oct. 23, 2003

LPD MEDIATED SCREENING OF DRUG (DCM) within liposomes that specifically target a particular CANDDATES FOR IDENTIFICATION OF ACTIVE cell type. The Subject invention, advantageously, Solubilizes COMPOUNDS compounds, with low Solubility in aqueous environments, and permits Screening of these compounds against intact CROSS-REFERENCE TO RELATED cells for biological activity in the absence of detergents that APPLICATION can damage cell membranes. Also provided are methods of 0001. The application claims priority to U.S. Provisional preparing liposome formulations that target a specific cell Application Serial No. 60/368,529, filed Mar. 29, 2002, type and methods of delivering therapeutic agents to target which is hereby incorporated by reference in its entirety cells. (including all figures, amino acid and polynucleotide Sequences, and formulae). DETAILED DISCLOSURE 0008. In one embodiment, the Subject invention provides BACKGROUND OF THE INVENTION a method of preparing liposomes that are cell-type specific 0002 Liposomes are microscopic vesicles having single (CTSL). One aspect of the invention utilizes targeting or multiple phospholipid bilayers that can be used to entrap agents, Such as antibodies, receptors, or ligands for the compounds. Liposomes with multiple bilayers are known as targeting of the liposome formulations. Other embodiments multilamellar vesicles (MLVs); liposomes with a single utilize the chemical composition of the liposome formula bilayer are known as unilamellar vesicles (UV). Liposomes tions for targeting to Specific cell types. In certain aspects of have been formed in sizes as Small as tens of Angstroms to the invention, liposomes contain compounds that are to be as large as a few microns. Most liposomes are non-toxic, Screened for biological activity in cell-based assays. Other non-antigenic and biodegradable in character Since they embodiments provide for uptake of the liposomes via have the molecular characteristics similar to mammalian endocytosis, endocytosis can be receptor-mediated or occur membranes. in the absence of receptorS. 0003. The advent of combinatorial chemistry, combina 0009. In one embodiment of the invention, liposomes of torial libraries, compound libraries, and automated Synthesis the invention are prepared from “standard liposomes” (SL) methods has significantly expanded the numbers of poten according to methods well known in the art. A "standard tially beneficial therapeutic compounds produced in the liposome” contains phosphatidylcholine (PC) and choles pharmaceutical industry. After these compounds have been terol (Chol). In certain preferred embodiments, the “standard Synthesized, they are, typically, Screened for their ability to liposome” contains dioleoylphosphatidylcholine (DOPC) impact a particular process, target molecule, or molecular and . Ratios of PC: Chol or DOPC:Chol in “stan interaction. Compounds Successfully demonstrating a dard liposomes are, typically, about 2:1 (e.g., about 66.67 mole % PC or DOPC and about 33.33 mole % Chol). To desired effect are then tested for biological activity in cell provide liposomes that are taken up by target cells, via based Screening Systems. endocytosis, additional phospholipid components (AC) are 0004. Many compounds exhibiting desirable characteris titrated into the “standard liposome” formulation. “Standard tics are lost to drug development because of failure in the liposomes” and/or CTSL can be unilamellar or multilamel cell-based Screening assayS. Failure can, often, be attributed lar. "Standard liposomes can also be drug/lipid complexes to a lack of Solubility in aqueous environments or lack of where the drugs are non-covalently bound to the lipid. cellular uptake. Failed compounds are often discarded in the drug discovery process because the time and expense 0010 Another aspect of the invention provides for the required to increase drug Solubility via medicinal chemistry preparation of CTSL by combining components of the or because the time and expense of identifying properties Standard liposome formulation, additional phospholipid that reduce or abrogate cellular uptake is prohibitive. components, water, , and marker Substances into a Suspension. The Suspension is dried under vacuum to 0005. Other compounds are discarded in drug develop remove the ethanol and the Suspension can be re-hydrated ment programs because of a failure to meet acceptance with isotonic Solutions and assayed for uptake by a specific criteria for new chemical entity (NCE) development. Accep cell type. Another embodiment provides for Spontaneous tance criteria that eliminate an NCE include undesirable liposome formation using lipids with asymmetric acyl physiochemical properties (e.g., poor activity in a variety of chains. delivery means), poor water Solubility, manufacturing issues, regulatory issues, and/or marketing issues. 0011 Additional phospholipid components (AC) that are suitable for titration into the “standard liposome” include, 0006 The subject invention addresses issues in the drug but are not limited to, phosphatidylglycerol, phosphatidyle discovery proceSS and provides liposome formulations and thanolamine, phosphatidic acid, phosphatidylinositol, methods that facilitate the Screening of compounds in cell mono-, di-, and triglycerides, gangliosides, Sphingomyelin, based Screening Systems. The invention has applicability to and cerebrosides. In Some embodiments, a single additional Virtually all compounds and can be used to specifically target component is added into the SL formulation. Other embodi a variety of cell types. ments provide for the addition of more than one additional component into the SL formulation. BRIEF SUMMARY 0012 Another embodiment allows for the formulation of 0007. The subject invention provides liposome formula CTSL encapsulating (containing) agents selected from the tions that are capable of Specifically targeting cell types. The group consisting of therapeutic agents, marker Substances, Subject invention also provides for the encapsulation of new NCE, and drug candidates by combining these agents with chemical entities (NCE) or other drug candidate molecules an ethanol/water/lipid Suspension. The lipid component of US 2003/O198664 A1 Oct. 23, 2003 the Suspension is provided in ratioS Specific for uptake by a Specific target cell. Ethanol facilitates freezing of the SuS TABLE 1. pension and can be removed under Vacuum. The resultant lipid/agent film can, then, be re-hydrated in isotonic Solu Titration of a single AC into an SL formulation tions, diluted to varying concentrations, and assayed for Mole % Mole % Mole % biological activity or cell uptake. Optionally, therapeutic Chol PC or DOPC AC1 agents, NCE, drug candidates, or marker Substances can be 33.33 61.66 5 33.33 56.66 1O added to the CTSL at the time the dried CTSL are rehy 33.33 51.66 15 drated. Drugs containing weak acids or weak bases can be 33.33 46.66 2O loaded into preformed liposomes using gradients of coun 33.33 41.66 25 terions. Another method of introducing drugs into liposomes is to use preformed liposomes comprising lipids that undergo a phase transition from gel to liquid State. Incuba 0016 tion of the drug with the liposomes at the transition tem perature allows the drug to diffuse into the liposomes. TABLE 2 Subsequent return to the liquid or gel State temperature traps Titration of multiple AC into an SL formulation the drug inside the liposome. Mole % Mole % Mole % Mole % 0013 Phospholipids used in the formulation of the lipo Chol PC or DOPC AC1 AC2 33.33 56.67 5 5 Somes of the invention can contain short chain (C. to Cs) or 33.33 46.67 1O 1O long chain (Co to Cs) fatty acids. Short or long chain 33.33 36.67 15 15 phospholipids can also contain Saturated or unsaturated fatty acid tails. In various embodiments, the phospholipids con tain Zero, one, two, or three Saturated bonds. Preferred 0017) embodiments utilize phospholipids containing Zero or one Saturated bond. The length of the long chain fatty acids can TABLE 3 also vary from 12 to 18 carbons (C. to Cs) in various Titration of multiple AC (Varying mole %) into an SL formulation embodiments. Certain embodiments utilized phospholipids having Sixteen to eighteen carbon atoms (C. to Cs) in the Mole % Mole % Mole % Mole % fatty acid tail. Chol PC or DOPC AC1 AC2 33.33 58.67 5 3 0.014. Accordingly, the subject invention provides for 33.33 51.67 8 7 methods of preparing cell-type specific liposomes (CTSL) 33.33 45.67 11 11 comprising the addition of AC into SL and Screening the CTSL for uptake by target cells. In this aspect of the 0018 CTSL are then screened for uptake by target cells. invention, AC are added to the SL formulation; however, the In this aspect of the invention, target cells are contacted with amount of PC or DOPC contained in the formulation is CTSL containing a marker or other substance that allows for decreased in an amount equal to the amount of the added the identification of cells that have endocytosed or internal AC. Thus, if about 5 mole % of phosphatidylglycerol is ized the CTSL. Markers suitable for use in this aspect of the added to an SL formulation, the lipoSome formulation invention include fluorescent markers that allow for Visual contains about 61.67 mole % PC or DOPC and about 33.33 ization of CTSL uptake, radioisotopes, dyes, or electron mole % Chol. Additional components can be added to SL dense materials that can be detected within cells. In another formulations in 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, aspect of the invention, a cytotoxic Substance can be incor 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 21, porated into a CTSL of the subject invention. Exemplary 32, 33, 34,35, 36, 37,38, 39, 40, 41, 42, 43, 44, 45, 46, 47, cytotoxic Substances that can be encapsulated in the lipo 48, 49, 50, 51, 52, 53, 54, 55, 56, 57,58, 59, 60, 61, 62, 63, Somes of the invention include, and are not limited to, 64, 65, and 66 mole % increments. Additional components 5- (5-FU) or 5-fluoroorotate (5-FO). Encapsula can also be added to DL in fractional mole percentages as tion of 5-FU or 5-FO in a liposome that can be endocytosed well. by the cell results in delivery and killing of the cell due to the incorporation of the nucleoside analog into the cells 0.015. In aspects of the invention where more than one DNA, thereby allowing for the identification of those cells AC is added to an SL formulation, the mole % of PC or that have taken up a CTSL according to the Subject inven DOPC is decreased in amounts equal to the sum of the AC tion. added to the SL formulation. The following tables are 0019 Target cells useful in the practice of the invention provided to illustrate the titration of AC into SL formula include any cell type available from commercial Sources, tions. It should be noted that the following tables are including those cell lines held at The American Type Culture exemplary in nature and do not limit the amounts of AC or Collection (ATCC), 10801 University Blvd., Manassas, Va. the number of AC that can be added to the SL formulations. 20110-2209, and disclosed within the catalogs provided by AS would be apparent, varying mole percentages of AC can the ATCC. These ATCC catalogs are hereby incorporated by be used in the formulation of CTSL, and the mole percent reference in their entireties. Non-limiting examples of Such ages of each AC need not be the same. cell lines include cell lines, Stem cell lines, and cell US 2003/O198664 A1 Oct. 23, 2003

lines derived from normal tissues, Such as hepatic, gas positions comprising CTSL of the invention to an individual trointestinal, mucosal, Vascular, cardiac, renal, mesenchy in need of treatment. In this aspect of the invention, the mal, neural, ocular, bone, dermal, epidermis, muscular, CTSL contain an active agent typically used to treat a prostate, or pulmonary tissue. In certain other embodiments, diseased tissue or lesion or a therapeutic agent (or combi target cells can be derived from normal tissues cells (e.g., nation of therapeutic agents) that has demonstrated Superior cultured from normal tissues Selected from the group con activity against the diseased tissue or lesion. Thus, CTSL Sisting of hepatic, gastrointestinal, mucosal, Vascular, car according to the invention are specifically tailored to the diac, renal, mesenchymal, neural, ocular, bone, dermal, targeted cell type of the individual; the targeted cell type is, epidermis, muscular, prostate, and pulmonary tissue). In typically, diseased tissue or tissue isolated from a lesion in other embodiments, target cells can be, optionally, engi that individual. Some embodiments allow for the use of neered, for example by transfection with one, or more, normal tissue from an individual in these treatment meth Suitable DNA construct(s), to express a specific target mac odologies. CTSL Specific for the target (or diseased) tissue romolecule, or a Set of macromolecules, that together con of lesion are prepared according to the methods described Stitute a reporter System for measuring a specific intracel Supra. CTSL are then used to encapsulate one or more lular biological activity. Alternatively, target cells can be therapeutic agent and are used to assay the Sensitivity of the engineered or transfected with one or more DNA constructs target (or diseased) tissue or lesion for the therapeutic agent, that provide for a metabolic pathway that is to be targeted an or combinations of therapeutic agents. The therapeutic agent NCE or drug candidate that is being tested in the System (or combination of therapeutic agents) exhibiting the highest provided herein. degree of desired activity are chosen, incorporated into CTSL, and administered to the individual to effect the 0020. The subject invention also provides methods of therapeutic regimen. The methods of the invention can be Screening active agents Selected from the group consisting of used to treat a disease, condition, or malignancy. The NCE; DCM; Small molecules, , antagonists, pep disease, condition, or malignancy can be Selected from the tides, proteins, and nucleic acids Selected from the group group consisting of neoplasms, blood disorders, immuno consisting of interfering RNA and antisense RNA for bio deficiencies, the induction of an immune response, fungal logical activity comprising contacting a target cell with a infections, bacterial infections, Viral infections, Vitamin defi drug candidate or NCE containing CTSL optimized for the ciencies, allergies, coagulation disorders, circulatory disor target cell. In this aspect of the invention, optimized CTSL ders, angina, protozoal infections, pain management, cardiac containing an active agent are contacted with target cells and disorders, and neuromuscular disorders. Other embodiments observed for biological effects upon the target cells. provide for the delivery of therapeutic agents that provided 0021. Often in early phase drug discovery a hypothesis is or anesthetics to the individual. formulated regarding the cellular/biological consequences 0024. Thus, an individual containing a lesion, such as a of agonizing or antagonizing a Specific intracellular target, tumor or other malignant growth, can be treated by intro Such as an enzyme, receptor or other macromolecule. It is ducing active agent-containing CTSL that have been tailored common to express the macromolecular target and use this for the tumor or malignant cells utilizing the Screening to prepare a cell-free assay System, Such as an enzyme assays of the invention; the therapeutic regimen of can also activity assay or receptor- binding assay. In this way be specifically tailored by eX Vivo assaying of the target Small molecules, peptides, proteins, nucleic acids and other cells, extracted from a lesion, for Sensitivity to various Species can be identified that have the desired or therapeutic agents, incorporation of that therapeutic agent, antagonist activity on the target. The Subject invention is or combination of therapeutic agents, having the highest also applicable to target validation experiments. In this activity against the target cell into CTSL of the invention, aspect of the invention, it is possible to validate a working and then administration of these CTSL into an individual. hypothesis by applying or contacting a CTSL comprising an Exemplary active agents Suitable for use in the instant agonist, antagonist, NCE, or drug candidate to a relevant cell invention for the treatment of malignancies include those type (or a cell type engineered to express a desired metabolic listed in U.S. Pat. No. 5,770,222, hereby incorporated by pathway, enzyme, receptor, macromolecule, or Set of mac reference in its entirety. romolecules) and assay the target cell to determine if the 0025. In other embodiments, the CTSL of the invention expected cellular/biological consequence occurs. Thus, the can contain therapeutic agents including, but are not limited Subject invention provides methods for overcoming techni to: antineoplastic agents, Such as platinum compounds (e.g., cal issues related to the poor Solubility and/or permeability Spiroplatin, , and ), , adria of a NCE, drug candidate, agonist or antagonist under Study. mycin, mitomycin, anSamitocin, , cytosine arabi 0022 Biological effects within the scope of the invention noSide, arabinosyladenine, mercaptopolylysine, , include agonist or antagonist activity on enzymatic activity, , , (e.g., PAM, L-PAM or antagonist or agonist activity of ligand/receptor interactions, phenylalanine mustard), , , procar antagonist or agonist activity for protein/protein or protein/ bazine hydrochloride (actinomycin D), DNA or protein/RNA interaction; or agonist or antagonist hydrochloride, hydrochloride, activity for interactions of nucleic acids (e.g., DNA/DNA or taxol, mitomycin, (mithramycin), aminoglute DNA/RNA interactions). Exemplary ligand/receptor pairs thimide, phosphate Sodium, , leupro include finger protein/dsDNA (also a protein/DNA lide , , citrate, testolac interaction), enzyme/Substrate, enzyme/cofactor, lectin/car tone, , (m-AMSA), bohydrate, /receptor, or cytokine/receptor. (L-asparaginase) Erwina asparaginase, (VP-16), interferon C-2a, interferon C-2b, (VM-26), vin 0023 The subject invention also provides methods of blastine sulfate (VLB), Vincristine sulfate, bleomycin, bleo treating an individual comprising the administration of com mycin Sulfate, methotrexate, adriamycin, and arabinosyl, US 2003/O198664 A1 Oct. 23, 2003 blood products Such as parenteral iron, hemin, hematopor ride, , hydrochloride, , phyrins and their derivatives, biological response modifiers , pentobarbital Sodium, Sodium, Such as muramyldipeptide, muramyltripeptide, microbial Sodium, talbutal, and ; cell wall components, lymphokines (e.g., bacterial endot local anesthetics Such as bupivacaine hydrochloride, chlo OXin Such as lipopolysaccharide, macrophage activation roprocaine hydrochloride, etidocaine hydrochloride, factor), Sub-units of bacteria (Such as Mycobacteria, Coryne hydrochloride, mepivacaine hydrochloride, bacteria), the Synthetic dipeptide N-acetyl-muramyl-L-ala procaine hydrochloride and tetracaine hydrochloride; gen nyl-D-isoglutamine; anti-fungal agents Such as ketocona eral anesthetics Such as droperidol, , Zole, nystatin, , flucytosine (5-fc), , citrate with droperidol, ketamine hydrochloride, methohexi amphotericin B, ricin, and f-lactam (e.g., Sul tal Sodium and thiopental Sodium; and radioactive particles fazecin); Such as growth hormone, melanocyte or Such as , iodide rhenium and yttrium. Stimulating hormone, , beclomethasone dipropi 0026. In this aspect of the invention, CTSL containing onate, , betamethasone acetate and therapeutic agents are administered to an individual via betamethasone Sodium phosphate, Vetamethasone disodium intravenous, intracranial, intraarterial, intralesional, or oral phosphate, Vetamethasone Sodium phosphate, administration routes. It is within the abilities of the skilled acetate, , dexamethasone acetate, dexam medical practioner to Select the optimal route of adminis ethasone Sodium phosphate, , , tration, or locale of administration, that would yield the hydrocortisone acetate, hydrocortisone cypionate, hydrocor highest therapeutic benefit to the individual being treated. tisone Sodium phosphate, hydrocortisone Sodium Succinate, 0027. The term “individual(s)" is defined as a single , methylprednisolone acetate, methyl mammal to which is administered a compound or compo Sodium Succinate, acetate, Sition of the present invention. The mammal may be, for prednisolone, prednisolone acetate, prednisolone Sodium example a mouse, rat, pig, horse, rabbit, goat, pig, cow, cat, phosphate, prednisolone tebutate, , triamcino dog, or human. In a preferred embodiment, the individual is lone, acetonide, , tri a human. amcinolone hexacetonide and fluidrocortisone acetate; Vita 0028 All patents, patent applications, provisional appli mins Such as cyanocobalamin neinoic acid, and derivatives Such as retinol palmitate, and C-tocopherol; cations, and publications referred to or cited herein are peptides, Such as manganese Super oxide dismutase; incorporated by reference in their entirety, including all enzymes Such as alkaline phosphatase, anti-allergic agents figures and tables, to the extent they are not inconsistent with Such as amelexanox, anti-coagulation agents. Such as phen the explicit teachings of this specification. procoumon and heparin; circulatory drugs. Such as propra 0029. It should be understood that the examples and nolol, metabolic potentiatorS Such as glutathione; antituber embodiments described herein are for illustrative purposes cularS Such as para-aminoSalicylic acid, isoniazid, only and that various modifications or changes in light capreomycin Sulfate cycloSerine, ethambutol hydrochloride thereof will be Suggested to perSons skilled in the art and are ethionamide, pyrazinamide, rifampin, and Streptomycin Sul to be included within the spirit and purview of this appli fate; antivirals Such as acyclovir, amantadine azidothymi cation. dine (AZT or Zidovudine), ribavirin and vidarabine mono We claim: hydrate (adenine arabinoside, ara-A); antianginals such as , , , erythritol tetranitrate, isoS 1. A method of Screening active agents for biological orbide dinitrate, nitroglycerin (glyceryl trinitrate) and pen effects on a target cell comprising: taerythritol tetranitrate; anticoagulants Such as phenprocou a) contacting a target cell with said cell-type specific mon, heparin; antibiotics Such as dapsone, chloramphenicol, liposomes (CTSL) optimized for Said target cell com neomycin, cefaclor, cefadroxil, cephalexin, cephradine prising an encapsulated active agent Selected from the , , lincomycin, amoxicillin, ampi group consisting of NCE; DCM; small molecules; cillin, bacampicillin, carbenicillin, , cyclacillin, agonists, antagonists, peptides, proteins, and nucleic picloxacillin, , methicillin, , oxacillin, acids Selected from the group consisting of interfering penicillin G, penicillin V, ticarcillin rifampin and tetracy RNA and antisense RNA; and cline; antiinflammatories Such as diflunisal, ibuprofen, b) assaying Said cells for biological effects associated with indomethacin, meclofenamate, , naproxen, Said active agents. OxyphenbutaZone, phenylbutaZone, piroXicam, Sulindac, tol 2. The method according to claim 1, wherein Said cell metin, aspirin and Salicylates, antiprotozoans Such as chlo type specific liposomes further comprise a marker Sub roquine, hydroxychloroquine, metronidazole, quinine and Stance. meglumine antimonate; antirheumaticS Such as penicil 3. The method according to claim 2, wherein Said marker lamine; narcotics Such as paregoric, opiates Such as codeine, Substance is Selected from the group consisting of cytotoxic heroin, methadone, and opium; cardiac agents, fluorescent markers, radioisotopes, dyes, and elec Such as , , , digitalin and digi tron dense materials. talis; neuromuscular blockerS Such as atracurium meSylate, 4. The method according to claim3, wherein the cytotoxic gallamine triethiodide, hexafluorenium , metocurine agent is 5-fluorouracil or 5-fluoroorotate. iodide, pancuronium bromide, Succinylcholine chloride 5. The method according to claim 1, wherein said bio (Suxamethonium chloride), tubocurarine chloride and vecu logical effect is agonist or antagonist activity on enzymatic ronium bromide; sedatives () Such as , activity; antagonist or agonist activity of ligand/receptor amobarbital sodium, , sodium, interactions, antagonist or agonist activity for protein/pro hydrate, , , tein or protein/DNA or protein/RNA interaction; or agonist hydrochloride, , methotrimeprazine hydrochlo or antagonist activity for interactions of nucleic acids. US 2003/O198664 A1 Oct. 23, 2003

6. The method according to claim 5, wherein said bio lines, pulmonary cell lines, or cells cultured from normal logical effect is Zinc finger protein/dsDNA interaction, a tissues Selected from the group consisting of hepatic, gas protein/DNA interaction, enzyme/Substrate interaction, trointestinal, mucosal, Vascular, cardiac, renal, mesenchy enzyme/cofactor interaction, lectin/carbohydrate interac mal, neural, ocular, bone, dermal, epidermis, muscular, tion, hormone/receptor interaction, or cytokine/receptor prostate, and pulmonary tissue. interaction. 16. The method according to claim 12, wherein Said target 7. The method according to claim 1, wherein Said target cell is recombinantly engineered to express an enzyme, cell is obtained from: a lesion, a tumors, a malignant growth, enzymatic pathway, metabolite, metabolic pathway, receptor cancer cell lines, Stem cell lines, hepatic cell lines, gas complex, macromolecule, or cell Surface ligand. trointestinal cell lines, mucosal cell lines, vascular cell lines, 17. The method according to claim 15, wherein said target cardiac cell lines, renal cell lines, mesenchymal cell lines, cell is recombinantly engineered to express an enzyme, neural cell lines, ocular cell lines, bone cell lines, dermal cell enzymatic pathway, metabolite, metabolic pathway, receptor lines, epidermis cell lines, muscular cell lines, prostate cell complex, macromolecule, or cell Surface ligand. lines, pulmonary cell lines, or cells cultured from normal 18. The method according to claim 12, wherein said tissues Selected from the group consisting of hepatic, gas CTSL further comprises targeting agents. trointestinal, mucosal, Vascular, cardiac, renal, mesenchy 19. The method according to claim 18, wherein said mal, neural, ocular, bone, dermal, epidermis, muscular, targeting agents are antibodies, receptors, or ligands. prostate, and pulmonary tissue. 20. The method according to claim 12, further comprising 8. The method according to claim 1, wherein said CTSL the addition of one or more active agents to Said CTSL prior further comprises targeting agents. to Said drying Step or during Said rehydrating Step. 9. The method according to claim 8, wherein Said target 21. The method according to claim 20, wherein Said one ing agents are antibodies, receptors, or ligands. or more active agentS is: an anti-neoplastic agents Selected 10. The method according to claim 1, wherein Said target from the group consisting of platinum compounds, 5-fluo cell is recombinantly engineered to express an enzyme, roorotate, 5-fluorouracil, methotrexate, adriamycin, mito enzymatic pathway, metabolite, metabolic pathway, receptor mycin, ansamitocin, bleomycin, cytosine arabinoside, ara complex, macromolecule, or cell Surface ligand. binosyladenine, mercaptopolylysine, Vincristine, buSulfan, 11. The method according to claim 7, wherein Said target chlorambucil, melphalan, mercaptopurine, mitotane, procar cell is recombinantly engineered to express an enzyme, bazine hydrochloride dactinomycin, daunorubicin hydro enzymatic pathway, metabolite, metabolic pathway, receptor chloride, doxorubicin hydrochloride, taxol, mitomycin, pli complex, macromolecule, or cell Surface ligand. camycin, arminoglutethimide, 12. A method of making cell-type specific liposomes Sodium, flutamide, leuprolide acetate, megestrol acetate, (CTSL) comprising: tamoxifen citrate, , triloStane, amsacrine, aspara a) combining, to form a Suspension, water, ethanol, active ginase, etoposide, interferon C-2a, interferon C-2b, tenipo agents/marker Substances, additional components (AC) Side, Sulfate, Vincristine Sulfate, bleomycin, Selected from the group consisting of phosphatidylg bleomycin Sulfate, methotrexate, adriamycin, and arabino lycerol, phosphatidylethanolamine, phosphatidic acid, Syl; blood products Selected from the group consisting of phosphatidylinositol, monoglycerides, diglycerides, parenteral iron, hemin, hematoporphyrins and derivatives triglycerides, gangliosides, Sphingomyelin, cerebro thereof; biological response modifierS Selected from the Sides and combinations thereof to a Standard lipoSome group consisting of muramyldipeptide, muramyltripeptide, (SL) formulation that comprises: 1) phosphatidylcho microbial cell wall components, lymphokines, Sub-units of line (PC) and cholesterol (Chol) in a PC:Chol ratio of bacteria, and Synthetic dipeptide N-acetyl-muramyl-L-ala about 2:1; or 2) diolcoylphosphatidylcholine (DOPC) nyl-D-isoglutamine; anti-fungal agents Selected from the and cholesterol (Chol) in a DOPC: Chol ratio of about group consisting of , nyStatin, griseofulvin, 2:1; flucytosine, miconazole, amphotericin B, ricin, and B-lactam antibiotics, Substances Selected from the group consisting of b) drying the Suspension under vacuum, growth hormone, melanocyte Stimulating hormone, estra c) rehydrating the dried Suspension with an isotonic diol, beclomethasone dipropionate, betamethasone, Solution; and betamethasone acetate, betamethasone Sodium phosphate, Vetamethasone disodium phosphate, Vetamethasone Sodium d) assaying the rehydrated Suspension for uptake of a phosphate, , dexamethasone, dexametha marker Substance by a target cell. Sone acetate, dexamethasone Sodium phosphate, flunisolide, 13. The method according to claim 12, wherein Said active hydrocortisone, hydrocortisione acetate, hydrocortisone agent/marker Substance is Selected from the group consisting cypionate, hydrocortisone Sodium phosphate, hydrocorti of cytotoxic agents, fluorescent markers, radioisotopes, Sone Sodium Succinate, methylprednisolone, methylpred dyes, and electron dense materials. nisolone acetate, methylprednisolone Sodium Succinate, 14. The method according to claim 13, wherein the active , prednisolone, prednisolone acetate, agent is 5-fluorouracil or 5-fluoroorotate. prednisolone Sodium phosphate, prednisolone tebutate, 15. The method according to claim 12, wherein Said target prednisone, triamcinolone, , triam cell is obtained from: a lesion, a tumor, a malignant growth, cinolone diacetate, triamicinolone hexacetonide and fluidro cancer cell lines, Stem cell lines, hepatic cell lines, gas cortisone acetate; Vitamins Selected from the group consist trointestinal cell lines, mucosal cell lines, vascular cell lines, ing of cyanocobalamin neinoic acid, retinoids and cardiac cell lines, renal cell lines, mesenchymal cell lines, derivatives thereof, manganese Super oxide dismutase, alka neural cell lines, ocular cell lines, bone cell lines, dermal cell line phosphatase; amelexanox; heparin; anti-Virals Selected lines, epidermis cell lines, muscular cell lines, prostate cell from the group consisting of acyclovir, amantadine azidot US 2003/O198664 A1 Oct. 23, 2003 hymidine, ribavirin and Vidarabine monohydrate; anti-angi polylysine, Vincristine, buSulfan, chlorambucil, melphalan, nals Selected from the group consisting of diltiazem, nife mercaptopurine, mitotane, hydrochloride dac dipine, Verapamil, crythritol tetranitrate, isosorbidc dinitrate, tinomycin, daunorubicin hydrochloride, doxorubicin hydro nitroglycerin and pentaerythritol tetranitrate; antibiotics chloride, taxol, mitomycin, plicamycin, , Selected from the group consisting of dapsone, chloram estramustine phosphate Sodium, flutamide, leuprolide phenicol, neomycin, cefaclor, cefadroxil, cephalexin, ceph acetate, megestrol acetate, tamoxifen citrate, teStolactone, radine erythromycin, clindamycin, lincomycin, amoxicillin, triloStane, amsacrine, asparaginase, etoposide, interferon ampicillin, bacampicillin, carbenicillin, dicloxacillin, cycla C2a, interferon C-2b, tenipoSide, vinblastine Sulfate, Vinc cillin, picloxacillin, hetacillin, methicillin, nafcillin, oxacil lin, penicillin G, penicillin V, ticarcillin rifampin and tetra ristine Sulfate, bleomycin, bleomycin Sulfate, methotrexate, cycline, anti-inflammitory agents Selected from the group adriamycin, and arabinosyl; blood products Selected from consisting of diflunisal, ibuprofen, indomethacin, meclofe the group consisting of parenteral iron, hemin, hematopor namate, mefenamic acid, naproxen, oxyphenbutaZone, phe phyrins and derivatives thereof; biological response modi nylbutaZone, piroXicam, Sulindac, tolmetin, aspirin and Sali fierS Selected from the group consisting of muramyldipep cylates, anti-protozoan agents are Selected from the group tide, muramyltripeptide, microbial cell wall components, consisting of chloroquine, hydroxychloroquine, metronida lymphokines, Sub-units of bacteria, and Synthetic dipeptide Zole, quinine and meglumine antimonate; wherein the anti N-acetyl-muramyl-L-alanyl-D-isoglutamine; anti-fungal rheumatics are penicillamine; opiates Selected from the agents Selected from the group consisting of ketoconazole, group consisting of codeine, heroin, methadone, morphine nyStatin, griseofulvin, flucytosine, miconazole, amphoteri and opium; cardiac glycosides Selected from the group cin B, ricin, and B-lactam antibiotics, Substances Selected consisting of deslanoside, digitoxin, digoxin, digitalin and from the group consisting of growth hormone, melanocyte ; neuromuscular blockerS Selected from the group Stimulating hormone, estradiol, beclomethasone dipropi consisting of atracurium meSylate, gallamine triethiodide, onate, betamethasone, betamethasone acetate, betametha hexafluorenium bromide, metocurine iodide, pancuronium Sone Sodium phosphate, Vetamethasone disodium phos bromide, Succinylcholine chloride, tubocurarine chloride phate, Vetamethasone Sodium phosphate, cortisone acetate, and Vecuronium bromide, Sedatives Selected from the group dexamethasone, dexamethasone acetate, dexamethasone consisting of amobarbital, amobarbital Sodium, aprobarbital, Sodium phosphate, flunisolide, hydrocortisone, hydrocorti butabarbital sodium, , ethchlorvynol, ethi Sione acetate, hydrocortisone cypionate, hydrocortisone namate, flurazepam hydrochloride, glutethimide, methotri Sodium phosphate, hydrocortisone Sodium Succinate, meth meprazine hydrochloride, methyprylon, midazolam hydro ylprednisolone, methylprednisolone acetate, methylpred chloride, paraldehyde, pentobarbital, pentobarbital Sodium, nisolone Sodium Succinate, paramethasone acetate, pred phenobarbital Sodium, Secobarbital Sodium, talbutal, nisolone, prednisolone acetate, prednisolone Sodium temazepam and triazolam, local anesthetics Selected from phosphate, prednisolone tebutate, prednisone, triamcino the group consisting of bupivacaine hydrochloride, chloro lone, triamcinolone acetonide, triamcinolone diacetate, tri procaine hydrochloride, etidocaine hydrochloride, lidocaine amicinolone hexacetonide and acetate; Vita hydrochloride, mepivacaine hydrochloride, procaine hydro mins Selected from the group consisting of cyanocobalamin chloride and tetracaine hydrochloride; general anesthetics neinoic acid, retinoids and derivatives thereof, manganese Selected from the group consisting of droperidol, etomidate, Super oxide dismutase, alkaline phosphatase, amelexanox; fentanyl citrate with droperidol, ketamine hydrochloride, heparin; anti-virals Selected from the group consisting of acyclovir, amantadine azidothymidine, ribavirin and Vidara Sodium and thiopental Sodium; or radioactive bine monohydrate; anti-anginals Selected from the group compounds Selected from the group consisting of Strontium, consisting of diltiazem, nifedipine, Verapamil, crythritol iodide rhenium and yttrium. tetranitrate, isosorbidc dinitrate, nitroglycerin and pen 22. A method of treating an individual comprising the taerythritol tetranitrate; antibiotics Selected from the group administration of a composition comprising a carrier and consisting of dapSone, chloramphenicol, neomycin, cefa cell-type specific liposomes (CTSL) containing one or more clor, cefadroxil, cephalexin, cephradine erythromycin, clin therapeutic agent to an individual in an amount effective to damycin, lincomycin, amoxicillin, amplicillin, bacampicil treat the individual. lin, carbenicillin, dicloxacillin, cyclacillin, picloxacillin, 23. The method according to claim 22, wherein said hetacillin, methicillin, nafeillin, oxacillin, penicillin G, peni method treats a disease, condition, or malignancy. cillin V, ticarcillin rifampin and , anti-inflammi 24. The method according to claim 23, wherein said tory agents Selected from the group consisting of diflunisal, disease, condition, or malignancy is Selected from the group ibuprofen, indomethacin, meclofenamate, mefenamic acid, consisting of neoplasms, blood disorders, immunodeficien naproxen, oxyphenbutaZone, phenylbutaZone, piroXicam, cies, the induction of an immune response, fungal infections, Sulindac, tolmetin, aspirin and Salicylates, anti-protozoan bacterial infections, viral infections, Vitamin deficiencies, agents are Selected from the group consisting of chloro allergies, coagulation disorders, circulatory disorders, quine, hydroxychloroquine, metronidazole, quinine and angina, protozoal infections, pain management, cardiac dis meglumine antimonate; wherein the antirheumatics are orders, and neuromuscular disorders, or wherein the disease, penicillamine, opiates Selected from the group consisting of condition, or disorder requires Sedation or anesthetics. codeine, heroin, methadone, morphine and opium; cardiac 25. The method according to claim 22, wherein the glycosides Selected from the group consisting of deslano therapeutic agents are Said one or more therapeutic agents is: Side, digitoxin, digoxin, digitalin and digitalis; neuromus an anti-neoplastic agents Selected from the group consisting cular blockerS Selected from the group consisting of attra of platinum compounds, 5-fluorouracil, 5-fluoroorotate, curium meSylate, gallamine triethiodide, hexafluorenium methotrexate, adriamycin, mitomycin, ansamitocin, bleo bromide, metocurine iodide, pancuronium bromide, Succi mycin, cytosine arabinoside, arabinosyladenine, mercapto nylcholine chloride, tubocurarine chloride and vecuronium US 2003/O198664 A1 Oct. 23, 2003

bromide, Sedatives Selected from the group consisting of mepivacaine hydrochloride, procaine hydrochloride and tet amobarbital, amobarbital sodium, aprobarbital, butabarbital racaine hydrochloride; general anesthetics Selected from the Sodium, chloral hydrate, ethchlorVynol, ethinamate, flu group consisting of droperidol, etomidate, fentanyl citrate razepam hydrochloride, glutethimide, methotrimeprazine with droperidol, ketamine hydrochloride, methohexital hydrochloride, methyprylon, midazolam hydrochloride, Sodium and thiopental Sodium; or radioactive compounds paraldehyde, pentobarbital, pentobarbital Sodium, phenobar Selected from the group consisting of Strontium, iodide bital Sodium, Secobarbital Sodium, talbutal, temazepam and rhenium and yttrium. triazolam, local anesthetics Selected from the group consist ing of bupivacaine hydrochloride, chloroprocaine hydro chloride, etidocaine hydrochloride, lidocaine hydrochloride,