The topical administration of drugs with liquid crystals, for example though the skin, can be successfully utilized, because liquid crystals can localize the drug within the stratum corneum and improve drug penetration by increased transdermal permeability. The cubic phase may interact with the stratum corneum structure, leading to the formation of a cubosomal mixture from GMO and the native lipids of stratum corneum that acts as a cubosome depot, where a controlled release has taken place. GMO can interact with the stratum corneum, being actually an absorption enhancer that boosts the intercellular lipid fluidity. The cubic phase can also form a biological membrane-like structure with a strong bioadhesive property to the skin, while it also exhibits the proper viscosity and mucoadhesiveness for topical applications. Apart from the liquid crystalline bulk phases that possess proper viscosity and mucoadhesiveness for topical applications, the liquid crystalline nanoparticles are also used due to their greater ease of handling, reduced viscosity, and the ability to deliver higher drug payloads than the bulk analogues. Tissue hydration is an extra advantage of the water included in the liquid crystalline nanostructure [
Non-lamellar liquid crystalline nanosystems have also been investigated for ocular topical delivery. Eye drops exhibit key problems including corneal permeability, retention times, and low solubility of some drugs, resulting in poor drug bioavailability that liquid crystalline formulations overcome. Several cases in the literature report liquid crystalline nanosystems formulated as eye drops, being
in vivo tested in rabbit models, delivering anti-inflammatory drugs, such as dexamethazone [
112], flubiprofen [
113], and glaucoma treatment, such as pilocarpine [
114] and brinzolamide [
115]. For example, cyclosporine A was incorporated in GMO nanoparticles, stabilized by Poloxamer P407, resulting in a decreased ocular irritancy and improved corneal penetration, when compared with a control cyclosporine A formulation [
116]. Liu et al. [
117] developed a liquid crystalline nanosystem, owning a
HII nanostructure, prepared by GMO, wherein they incorporated the absorption enhancer Gelucire 44/14 and octadecyl-quaternized carboxymethyl chitosan adjuvants for the ocular delivery of tetrandrine, an agent against chronic keratitis, cataracts, retinopathy, and glaucoma, which exhibited enhanced transcorneal penetration of tetrandrine in a rabbit model. Similarly, GMO cubosomes of
Pn3m internal symmetry stabilized with Poloxamer P407 and loaded with Timolol maleate, a beta blocker commonly used to treat glaucoma, exhibited higher penetration
ex vivo than the commercially available product, increased retention times
in vivo, and had an enhanced ocular pressure lowering effect, while neither cytotoxicity nor histological impairment in the rabbit corneas were observed [
118]. More recently, Alharbi et al. [
119] developed a ciprofloxacin-cubosomal
in situ gel in order to improve eye permeation, prolong the ocular retention time, and enhance the antimicrobial activity of the antibiotic, compared with commercial drops.
3.6. Injectable Non-Lamellar Liquid Crystalline Depot Systems for Sustained Delivery
Sustained-release injections are designed to release a drug substance at a predetermined rate to maintain its effective plasma concentration for months. Although injectable polymeric microspheres (for example, from poly(lactic-co-glycolic acid (PLGA)) or implants have been developed as injectable sustained release systems in various studies, they are difficult to be prepared and can reduce the stability of protein drugs. These disadvantages can be overcome by injectable liquid crystal-forming systems (LCFS). The liquid crystalline mesophase is spontaneously formed from the LCFS in an aqueous fluid. The formed tortuous networks of their aqueous nano-channels are able to sustain the drug release. For example, for the efficient therapy of hepatitis B using entecavir, the drug must be taken consistently every day, due to disease re-occurrence in cases of discontinuation. Kim et al. [
125] developed a novel LCFS of hexagonal phase for the sustained delivery of entecavir. A pharmacokinetic study in rats was carried out, showing sustained release of entecavir for 3–5 days from LCFS formulation. In another study [
126], LCFS containing sorbitan monooleate (SMO) was investigated for sustained release injections of leuprolide acetate. The LCFS formed the hexagonal liquid crystalline phase. Both
in vitro release test and
in vivo pharmacokinetic and pharmacodynamic studies showed a sustained release of leuprolide. When compared with a commercial depot formulation of leuprolide, the LCFS exhibited a significantly reduced initial burst with sufficient suppression of testosterone. Later, Báez-Santos et al. [
127] showed that tocopherol acetate can play a major role in mitigating drug release by altering the physicochemical properties of the liquid crystalline matrix, indicating the use of tocopherol acetate as a tailoring agent. More specifically, formulations with low amounts of tocopherol acetate and higher water uptake capacities had a higher propensity towards erodibility and thus
in vivo biodegradability.
3.7. Non-Lamellar LLCN as Vaccines
Cubosomes and hexosomes have been referred to as vaccine adjuvants that carry both immune enhancers and antigens to regulate the immune response of the body. It has already been reported that nonlamellar structures (e.g., cubic and hexagonal) show fusogenic properties that are able to deliver antigens directly to the cytosol of antigen-presenting cells (APCs), stimulating cytotoxic T lymphocyte (CTL) immune responses. Most protein antigens are negatively charged at neutral pH, as are cubosomes. To link antigens on cubosomes, a cationic surfactant is usually utilized.
Moreover, the supramolecular structure of the lyotropic liquid crystalline phase is considered to influence the immunostimulatory activity of lipid-based nanocarriers. Rodrigues et al. [
129] designed PHYT hexosomes with the immunopotentiator monomycoloyl glycerol-1 (MMG-1). The effect of the nanostructure on the adjuvant activity was studied by comparing the immunogenicity of phytantriol/MMG-1 hexosomes with MMG-1-containing liposomes in mice. According to the results, the MMG-1-based hexosomes potentiated significantly superior MOMP-specific humoral responses in comparison with liposomes. The authors suggested that hexosomes exhibit great adjuvant potential, and engineering of the supramolecular structure can be used to design adjuvants with customized immunological properties. Another novel self-adjuvanting hexosome-based PHYT nanocarrier with mannide monooleate (MaMo), which is an emulsifier applied in several adjuvant systems, was developed by Rodrigues et al. [
130].
4. Development of Stimuli-Responsive Non-Lamellar LLCN
Stimuli-responsive nanosystems are designed to exploit in a “smart” way the altered conditions (for example temperature, pH, and enzyme concentration) that take place in pathological tissues, causing triggered content release in the targeted tissue and resulting in enhanced bioavailability, prolonged blood circulation time, and overall increased therapeutic efficacy. Although the P407 is a commercially available and biocompatible polymer, having been proven to be an excellent stabilizer, it lacks functional targeting groups or stimuli-responsive groups. Thus, the upgrade of the conventional liquid crystalline nanosystems to stimuli-responsive ones by adding the suitable biomaterials may elicit on-demand drug delivery [
141].
4.1. pH-Responsive Non-Lamellar LLCN
pH-responsive systems are able to exploit well-characterized pH differences inside the human body. pH differences, where the pH-responsive nanosystems usually target, exist between normal blood and pathological tissues (e.g., due to infection, inflammation, and cancer tending to acidic pH), between certain intracellular compartments (i.e., cytosol, endosomes, and lysosomes), as well as along the gastrointestinal track. “Smart” molecules such as polymers, lipids, and peptides that are biocompatible and responsive to particular pH conditions, due to their functional ionizable groups, are utilized for this scope [
142,
143].
4.2. Thermoresponsive Non-Lamellar LLCN
The “smartness” of the thermoresponsive nanosystems is owned to the ability of their biomaterials to undergo temperature-dependent phase and conformational transitions that cause structural changes in the resultant systems, triggering the controlled release of their content. It should also be taken into account that pathological tissues (40–42 °C), such as tumors, exhibit elevated temperatures compared to physiological ones.
As for the lyotropic liquid crystalline nanosystems, their phase transition is strictly influenced by the temperature change and can be further monitored by accurate design of their formulation. The most commonly utilized GMO lipid has been proven to perform typical liquid crystal thermal expansivity, while the lattice parameter of all GMO mesophases decreases with increasing temperature [
11,
150]. By examining a similar lipid-forming non-lamellar liquid crystalline mesophase, namely, the monolinolein lipid (MLO), it was found that MLO particles have a cubic internal structure at 25 °C that is transformed to inverse hexagonal after heating at 58 °C and to inverse micellar phase upon further heating to 87 °C, in a reversible manner. MLO-based particles also expel water upon heating (deswelling/shrinkage) and take up water again upon cooling (swelling) also in a reversible way, termed as the “breathing mode” [
151]. In the case of P407-stabilized PHYT particles, an inverse micellar solution is observed above 50 °C, while the cubic structure of
Pn3m symmetry re-appears with cooling down [
152].
5. Conclusions
Non-lamellar lyotropic liquid crystalline nanosystems have gained increasing interest recently in the pharmaceutical nanotechnology field. The present review focused on the cubic and hexagonal nanosystems, whose high level of internal organization provides great opportunities. The cubic and hexagonal nanostructures display high solubilization and encapsulation capacities for a variety of guest molecules, including drugs, peptides, proteins, and nucleic acids, as well as the ability to protect the active molecules, improve their bioavailability, and control their release kinetics profile. The lyotropic liquid crystalline nanoparticles are able to demonstrate superior in vitro and in vivo performance, enhancing the therapeutic efficiency in a diverse range of applications, being administrated by various routes. The studied liquid crystalline nanosystems also exhibit great versatility and are strictly influenced by the environmental and formulation parameters, a characteristic that we can exploit towards the “on-demand” controlled drug delivery, as well as the development of stimuli responsive systems. As a conclusion, we should mention that there is an emerging need for continuous development of smart innovative biomaterials (surfactants, polymers, etc.) that will upgrade and further functionalize the already existing systems. Moreover, there is a great challenge regarding the careful and rational design that should be carried out during the development process of such systems by taking into account all the different interactions that may take place among the constituting biomaterials or the effects of external parameters, such as the environment. Finally, the application of robust and standardized characterization techniques is absolutely necessary in order to precisely evaluate the characteristics of such complex structures.