Csc.hcmiu.edu.vn

VIETNAM NATIONAL UNIVERSITY – HOCHIMINH CITY 
INTERNATIONAL UNIVERSITY 
EFFECT OF CHOLESTEROL ON THE 
PARTITIONING OF AMITRIPTYLINE INTO 
LIPID MEMBRANES 
A thesis submitted to 
The School of Biotechnology, International University 
In partial fulfillment of the requirements for the degree of 
B.S. in Biotechnology 
 
Student name: Tran Thai My Duyen – BTBTIU10019 
Supervisor: Dr. Nguyen ThaoTrang 
In my first word, I wish to thank my parents for their love, unconditional support and encouragement throughout my thesis. They help me realize my own potential over the years. 
I would like to express my gratitude to lecturers and academic staffs in the School of Biotechnology for providing me a great working environment during the completion of my thesis work. 
Next, I would like to express my deepest appreciation to my supervisor at the school of Biotechnology - International University, Dr. Nguyen Thao Trang, who gave me huge support all along. I really admire her wide knowledge and skills in scientific area. During my thesis period, not only she passionately taught me valuable academic knowledge but she also taught me lots of precious things beside science. I would like to say that having opportunity to be under her supervision has been my highest pleasure. Thanks to her heartfelt advices and supports during my thesis registration and completing report. 
Last but not least, a very special thanks goes to Ms. Tran Thi Quynh Dao, Ms. Nguyen Thi Xuan Huong, who has spent countless hours in the lab explaining and instructing me how to carry out the experiments. In addition, I would like to thank all the other officers at Applied Chemistry Laboratory and many third-year students, namely, To VinhTrieu, Nguyen QuanTrinh, Dao Ngoc Phuong Uyen at International University for enthusiastically supporting me during my thesis. 
EFFECT OF CHOLESTEROL ON THE PARTITIONING OF 
AMITRIPTYLINE INTO LIPID MEMEBRANES 
Duyen T.M. Trana, Trieu V. To, Trang T. Nguyenb 
aSchool of Biotechnology, International University – Vietnam National University in HCMC 
bCorresponding author's email address:
ABSTRACT 
In this study, the effect of cholesterol on the partitioning of amitriptyline, a tricyclic 
antidepressant, into lipid bilayers composed of 1,2-dioleoyl-sn-glycero-3-
phosphocholine (DOPC), 1-stearoyl-2-oleoyl-sn-glycero-3-phosphocholine (SOPC), 
or 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC) was examined using second 
derivative spectrophotometric method. As the results revealed, amitriptyline 
preferred to partition into the unsaturated DOPC followed by the mixed chain 
(SOPC) and the saturated (DSPC). The presence of 28 mol% cholesterol facilitated 
the partitioning of amitriptyline into the saturated and mixed chain lipids (DSPC 
and SOPC) but decreased the drug partitioning into the unsaturated lipid (DOPC). 
The study showed a significant role of cholesterol on the partitioning of a drug into 
the lipid membranes. 
Keywords: Amitriptyline, Cholesterol, Liposomes, Second Derivative Spectrophotometer 
The therapeutic and toxic effects of drugs are strongly influenced by their lipid 
affinity, and the study of drug-lipidmembrane interaction is of importance in drug 
absorption, distribution, metabolism and elimination phenomena, as well as in 
assessing toxic or therapeutic effects and bioaccumulation. Lipid membranes 
contain several hundred types of lipids with different headgroups and acyl chain 
compositions whose properties such as charge state and packing density will 
influence drug partitioning. The major component of membrane lipids is 
glycerophospholipids which are comprised of a polar headgroup and two nonpolar 
acyl chains as a tail. The most popular headgroup is phosphatidylcholines (PC) 
which are electrically neutral incorporate choline as a headgroup. The two acyl 
chains may be saturated, unsaturated or one chain saturated and the other 
unsaturated. As stated above, the difference in the unsaturation degree results in 
difference in the lipid fluidity and packing density, and thus will affect the 
partitioning of the drug to the lipid membrane. 
It has been found that one of the most important components of cell membranes 
which influences on the cell membranes' activity is cholesterol. Cholesterol is a 
modified steroid and plays an essential structural component of cell membranes that 
is required to regulate membrane permeability and fluidity by changing their 
ordering, available area and formation of domains of composition. At the 
molecular level, the most pronounced and easily identified effects of cholesterol are 
the so-called ordering and condensing effects on membrane lipids; cholesterol 
has a dual nature - it promotes ordering and rigidity of the lipids in the liquid state, 
while it's effects are the opposite on the gel state lipids. There are several 
studies about drug-lipid membrane interactions and distribution of drug into 
lipid membranes depending on the saturation of lipid alkyl chains. In 
addition, many studies have revealed the general interaction between cholesterol 
and phospholipid bilayer (e.g., cholesterol interacts with all of the lipid in bilayer 
membrane, cholesterol-induced fluid membrane domains, complex behavior 
phosphocholine/cholesterol). The effect of cholesterol on the structure of lipid 
membrane has been studied more clearly (e,g., effect of cholesterol on 
phosphatidylcholine bilayer polar region; relationships between hydrophobic 
thickness, acyl-chain orientation order of lipid membrane and cholesterol; effect 
of cholesterol on molecular order and dynamics in highly polyunsaturated 
phospholipid bilayers; importance of double-bond position on interplay of 
unsaturated phospholipids and cholesterol in membrane). However,it is still 
unclear how cholesterol affects the partition of a drug into lipid membranes. 
Because cholesterol fluidizes the lipid membranes if lipids are in the gel-state 
whereas the lipid bilayers in the liquid-crystalline state become more ordered with 
the presence of cholesterol. Moreover, in the presence of cholesterol, this 
involves one assumption that cholesterol occupies more space that prevents the 
drug from partitioning into the lipid membrane. Therefore, whether cholesterol 
enhances or impedes the partitioning of drugs into the lipids with different 
unsaturation degree should be examined. 
Amitriptyline is a type of medicine called a tricyclic antidepressant (TCA) which acts 
on nerve cells in the brain. When depression occurs, there may be a decreased 
amount of serotonin and noradrenaline released from nerve cells in the brain. 
Amitriptyline works by preventing serotonin and noradrenaline from being 
reabsorbed back into the nerve cells in the brain. This helps prolong the mood 
lightening effect of any released noradrenaline and serotonin. In this way, 
amitriptyline helps relieve depression. Due to the fact that amitriptyline inhibits 
the membrane pump mechanism which responsibles for the uptake of noradrenaline 
and serotonin in adrenergic and serotonergic neurons, it has been generally 
believed that drug inhibition ability correlates with its mechanism of partition into 
lipid membranes. 
In this study, the effect of cholesterol on the partitioning of amitriptyline into lipid 
membranes was examined. The partitioning of a drug into lipid membranes can be 
expressed through a partition coefficient (Kp). Kp is an indicator of the distribution of a drug between lipid and aqueous phases. It is a key parameter in drug design as 
the absorption, distribution, metabolism as well as toxicity and therapeutic effects of 
a drug involve its passage across lipid membranes. Therefore, the effect of 
cholesterol on the lipid membrane partitioning of the drug can be evaluated by the 
Kp. The coefficient (Kp) of amitriptyline into the lipid membranes with and without cholesterol (28 mol%) was determined by using stable immobilized unilamellar 
liposomes which are model mammalian cell membranes. The partition coefficient of 
amitriptyline were examined in 3 lipids which are different in the unsaturation 
glycero-3-phosphocholine (SOPC) and 1,2-distearoyl-sn-glycero-3-phosphocholine 
(DSPC). All these three lipids are glycerophospholipids, which are comprised of 2 
acyl chains and a polar head group. DSPC has two saturated acyl chains while DOPC 
is composed of two unsaturated chains. SOPC is the mixed chain lipid with one chain 
saturated and the other unsaturated. The chemical structures of DOPC, SOPC and 
DSPC were shown in Figure 1. The varying unsaturation degree leads to the 
difference in lipid fluidity and packing density, therefore affects the partitioning of 
the drug into the lipid membranes. 
1) Materials: 
phosphocholine (SOPC) and 1,2-distearoyl-sn-glycero-3-phosphocholine (DSPC) 
were bought from Avanti polar lipids (USA). Amitriptyline was purchased from 
Sigma Aldrich (USA). Cholesterol (99 +% purity, Sigma Chemical Co.). Nanopure 

water, distilled from NanopureTM system with impedance of 18.2 MΩ-cm, was used 
to prepare all solutes during the experiments. All liquid suspensions were made with 
PBS buffer solution (50 mM Na2HPO4.2H2O and 100 mMNaCl (Merck, Germany) at pH 7.4). 
Figure 1:Chemical structures of DOPC, SOPC and DSPC. 
Figure 2: Structure of Cholesterol, Amitriptyline (Sigma Aldrich, USA) and 
Unilamellar liposome (the liposome structure was taken from FAO Corporate 
Document Repository). 
2) Liposome and drug/liposome preparation 
The pure lipids (DOPC, SOPC and DSPC) and lipids containing 28 mol% cholesterol 
were thoroughly mixed in chloroform and then evaporated to dryness under the 
stream of nitrogen. The dried lipid film was left under vacuum overnight to remove 
all traces of the organic solvent and then stored at -20 oC until used. 
In order to prepare liposomes, PBS buffer was added into the dried lipid vial and the 
mixture was vortexed to produce multicellular liposomes (MLVs). After that, MLVs 
were frozen and thawed by repeating 5 times a cycle of freezing the liposomes in 
-20 oC and then thawing in a water bath at 60 oC. Next, the lipid suspensions were 
extruded 30 times through polycarbonate filters with a pore size of 0.1 m to 
produce unilamellar vesicles (LUVs). During extrusion, the lipid solutions were kept 
at the temperature at least 10 oC higher than the phase transition temperature for 
each lipid, room temperature for DOPC and SOPC and 65 oC for DSPC. 
Sample solutions were prepared by mixing a known volume of drug and suitable 
vesicle suspensions. The lipid stock suspension was diluted to prepare a set of 
suspension with different lipid concentration (range from 0 to 0.25 mM), in which 
the drug concentration was kept constant at 0.0225 mM. A set of blank suspensions 
(corresponding reference solutions) were prepared identically but without 
amitriptyline for each assay. All suspensions were vortexed for 30 seconds and then 
incubated at 37 oC for at least 30 minutes before being measured. 
3) UV-Vis measurement 
The absorption spectra of all suspensions were collected using Agilent Cary 60 UV-
Vis spectrophotometer with the spectral window from 190nm to 300 nm and 
equipped with a constant-temperature cell holder. The absorption spectra of sample 
suspensions were obtained by measuring against the corresponding reference 
suspension which had the same composition but without amitriptyline. All sample 
solutions were measured at 37 oC in a microcell cuvette with a chamber volume of 
4) Determination of partition coefficients 
Partition coefficients were determined by the derivative spectrophotometry. This 
technique is based on the evaluation of the discrete spectral variations presented by 
the drug in the presence of increasing lipid concentrations. The liposome/buffer 
patition coefficient is defined as the ratio between the concentration of membrane-
bound drug in lipid phase and the concentration of free drug in buffer phase. This 
relation can be expressed as: 
Where Ct: drug molar concentration 
Cm: drug in lipid concentration Cw: drug in aqueous media concentration 
 [lipid]: lipid molar concentration 
 [water]: water molar concentration (55.3 M at 37 oC) 
According to the Beer-Lambert law, absorbance is directly proportional to 
concentration, at a specific wavelength, A = εmCm + εwCw Where εm: drug extinction coefficient in lipid bilayer 
εw: drug extinction coefficient in water 
Let ∆A is the difference between absorption in the presence and absence of liposomes and related to portioning coefficient (Kp value) by the following equation: 
Similar to absorbance, derivative intensity is proportional to the solute concentration. Denoting (dnA/dnλ) by D. From equation (1) and (2), relation between ∆D and Kp could be expressed by the following equation: 
 Where ∆D is differential absorption of drug in lipid phase at a high concentration of 
lipid, that is, when 100 % of drug binds to liposomes, ∆D reaches its maximum 
value ∆Dmax, where ∆Dmax = εCt. The values of Kp and ∆Dmax were calculated from the experimental values of molar concentration of lipid and ∆D by applying a non-
linear least-squares method. The derivative spectra were calculated using 
OriginPro 9.0 software (OriginLab, Northampton, MA) that involved the Savitzky-
Golay method, in which the second-order polynomial and 17 window points 
Employing the derivative spectrophotometry method, light scattering from lipid 
vesicles was eliminated before measuring patition coefficient. The Kp values were calculated by fitting experimental data of ∆D and molar concentration 
of lipid to equation (3). Applying maximum-peak method for heterogeneous 
samples in order to increase reproducibility and signal-to-noise ratio. ∆D values 
were collected at λmax of the absorption spectra. Because light scattering as a source of additional noise in absorption measurements, ∆D values used were 
obtained atthe wavelength (λmax) where maximum absorbance of amitriptyline was occurred. 
RESULTS AND DISCUSSION 
1) Absorption spectra 
a. Absorption spectra of amitriptyline in pure lipids 
The absorption spectra of amitriptyline at a concentration of 0.0225 mM in the 
presence of various amounts of lipid vesicles containing DOPC, SOPC and DSPC 
were depicted in Figure 3. It is important to point out that the concentration of 
amitriptyline used in the study was obeyed Beer's Law for absorption spectra. 
The curves (2-8) in Figure 3 were obtained by subtracting the absorption spectrum 
of lipid without amitriptyline (the blank) from absorption spectrum of lipid with 
amitriptyline recorded at the same lipid concentration. When increasing the lipid 
concentration of DOPC, SOPC and DSPC, the maximum absorbance at the 
wavelength of 209 nm decreased and the wavelength of the maxima showed 
bathochromic shifts – shifts to longer wavelength. Similar shifts in absorption 
spectra have been previously observed for chlorpromazine, promazine and 
methochlorpromazine. This demonstrated that amitriptyline partitioned into 
the LUVs, ie., the environment surrounding amitriptyline became less polar as 
amitriptyline partitioned from the aqueous phase to the lipid phase. 
Figure 3: Absorption spectra of 0.0225 mM amitriptyline in PBS buffer solution (pH 
7.4, 37 oC) containing various amounts of LUVs (DOPC, SOPC, DSPC, respectively). 
Lipid vesicles concentrations (mM): (1) 0; (2) 0.025; (3) 0.05; (4) 0.075; (5) 0.1; 
(6) 0.15; (7) 0.2; (8) 0.25. 
b. Absorption spectra of amitriptyline in lipids containing 28 mol% cholesterol 
The absorption spectra of amitriptyline at a concentration of 0.0225 mM in the lipid 
vesicles of DOPC, SOPC and DSPC containing 28 mol% cholesterol were shown in 
In the presence of 28 mol% cholesterol, the absorption spectra of amitriptyline in 
the three lipids (DOPC, SOPC and DSPC) were similar to those in the pure lipids. 
The absorbance of amitriptyline in the three DOPC, SOPC and DSPC lipids also 
decreased and the wavelengths of the maxima shifted to the right. 
The background signals presented by the lipid solutions in the ultraviolet region 
which could not be eliminated by zero-order spectra. Applying higher orders of 
derivative, particularly, second-order derivative could eliminate baseline shifts, since 
scattering by lipid had a negligible effect on the second derivative. Moreover, 
second derivative spectrophotometry increased the accuracy of quantification 
because spectral details were enhanced and overlapping bands were separated. 
DOPC + CHOLESTEROL 
SOPC + CHOLESTEROL 
DSPC + CHOLESTEROL 
Figure 4: Absorption spectra of 0.0225 mM amitriptyline in PBS buffer solution (pH 
7.4, 37 oC) containing various amounts of LUVs/Cholesterolvescicles (lipid DOPC, 
SOPC, DSPC, respectively). The lipid vesicles concentrations (mM): (1) 0; (2) 
0.025; (3) 0.05; (4) 0.075; (5) 0.1; (6) 0.15; (7) 0.2; (8) 0.25. 
2) Second derivative spectra of absorption 
a. Second derivative spectra of absorptionin the pure lipids 
Figure 5: Second derivative spectra of amitriptyline calculated from the absorption 
spectra in Figure 3. 
The second derivative absorption spectra of amitriptyline in different lipid 
concentrations were shown in Figure 5. As can be observed, the interference caused 
by the presence of liposomes was completely eliminated with the second derivative. 
The second derivative absorbance minima increased in intensity and shifted toward 
higher wavelengths. 
b. Second derivative spectra of absorbance in the lipids containing 28 mol% 
cholesterol 
Second derivative absorption spectra of amitriptyline in the lipids containing 28 
mol% cholesterol were presented in Figure 6. Similar to what was observed in the 
second derivative spectra of amitriptyline in the pure lipids, the second derivative 
spectra in the lipids with cholesterol exhibited a bathochromic shift and increased in 
the derivative intensity of the minima. 
The Kp values were obtained using the data from the second derivative spectra, at a highest wavelength λmax in the absorption spectra (209 nm). The values of Kp were then calculated by fitting experimental data (∆D vs. [lipid]) to Equation (3) at 8 
different lipid concentrations. The Kp values obtained were listed in Table 1 for DOPC, SOPC and DSPC and these lipids containing 28 mol% cholesterol. 
DOPC + CHOLESTEROL 
SOPC + CHOLESTEROL 
DSPC + CHOLESTEROL 
Figure 6: Second derivative spectra of amitriptyline calculated from the absorption 
spectra of Figure 4. 
Table 1: Partition coefficients (Kp) of amitriptyline at concentration 0.0225 mM into 
the pure lipids DOPC, SOPC and DSPC and these lipids with 28 mol% cholesterol. 
Kp values* 
0 mol% cholesterol 
28 mol% cholesterol 
*The values reported were the mean and standard deviation of at least three 
independent measurements. 
As seen in Table 1, the Kp values of amitriptyline in the lipids DOPC, SOPC, DSPC followed the order: DOPC > SOPC > DSPC. It indicated that the partitioning of 
amitriptyline into the unsaturated lipid (DOPC and SOPC) was greater than that of 
the saturated lipid (DSPC). Possessing the cis-double bond, DOPC and SOPC 
molecules occupy more area ( 75 Å2/DOPC molecule, 65.5 Å2/SOPC molecule 
, respectively) than the saturated DSPC molecules ( 50-60 Å2/DSPC 
molecule) (see Figure 1). As a result, the more loosely packed DOPC and SOPC 
vesicles allow amitriptyline to partition more easily as compared to the more lightly 
packed DSPC vesicles. In addition, the experiments was carried out at 37 oC that 
was below the main phase transition of DSPC (Tm = 55 oC) and above the main phase transition of SOPC (Tm = 6 oC), DOPC (Tm = -17 oC). Since the physical state of lipid was determined by the transition temperature, DOPC and SOPC were in 
liquid – crystalline state, characterized by the high mobility because the acyl chains 
are more disordered whereas DSPC was in the solid-gel state with less mobility and 
more ordered acyl chains. The weak packability and high fluidity of DOPC and SOPC 
facilitated amitriptyline partition more effectively into these lipids relative to DSPC. 
This order for the partition of amitriptyline into DOPC, SOPC and DSPC is in 
agreement with the previous study, carried out on the partition of haloperidol into 
In the presence of 28 mol% cholesterol, the partition coefficient of amitriptyline into 
the saturated lipid DSPC and the mixed-chain lipid SOPC increased about 42% and 
43%, respectively. In the unsaturated DOPC, however, the partition coefficient of 
amitriptyline decreased around 49%. This significant effect of cholesterol on the 
partitioning of amitriptyline into the lipid vesicles could be directly related to the 
interaction between cholesterol and the lipid vesicles. The ordering effect of 
cholesterol has been known to cause gel-state lipids become more disordered (i.e. 
fluidizing effect) and liquid-state lipids become more ordered. In the presence of 
cholesterol, the more ordered DOPC acyl chains resulted in a more tightly packed 
vesicles, reducing amitriptyline partition into the lipid vesicles. In DSPC vesicles, 
however, cholesterol fluidizes the gel-state lipid which allowed more amitriptyline 
penetrate into. In SOPC vesicles, the ordering effect should be expected since SOPC 
stays in the liquid state at 37oC. However, the partition coefficient of amitriptyline in 
SOPC did increase in the presence of cholesterol. It could be explained that, for the 
mixed-chain phospholipid SOPC containing one saturated chain - the sn1 and one 
acyl chain containing a double bond – the sn2 (see Figure 1), a combination of the 
ordering effect on the chain sn2 and the fluidizing effect on the chain sn1. The 
increase on the partitioning of amitriptyline into SOPC may be caused by the 
stronger disordering effect onthe chain sn1 that similar to the fluidity characterof 
CONCLUSION 
In summary, it was indicated that the weak packability and high liquidity of DOPC 
and SOPC allowed amitriptyline partition more effectively as compared to DSPC. 
However, in the presence of cholesterol, the stronger fluidizing effect was induced 
on saturated DSPC and SOPC while the ordering effect was pronounced on the 
unsaturated phospholipids DOPC. As a consequence, cholesterol facilitated the 
partitioning of amitriptyline in DSPC and SOPC but inhibited the partitioning of 
amitriptyline in DOPC. These results support for the hypothesis, that is cholesterol 
has a significant effect on the partitioning of amitriptyline into the lipid membranes 
with different unsaturation degrees. In particular, the fluidizing and ordering effect 
of cholesterol on the partitioning of drug into the SOPC appears to be an important 
and interesting issue, which should be further studied. 
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Ratiram Academy of Higher Education (RAHE) GPAT 2012 ANSWER Q.1. Which of the following respective Phase I and Phase II reactions are the most common drug biotransformation reactions?(A) Oxidation and Glucuronidation(B) Reduction and Acetylation(C) Hydrolysis and Glucuronidation(D) Oxidation and Glutathion conjugationAnswer‐ A