“…For instance, efficient interaction of drug-containing liposomes with target cells in the intravascular space or access to extravascular cells is likely to be promoted by the carrier's prolonged presence in the circulation. To this end, there has been variable success through reduction of vesicle size [2], adjustment of surface charge [3], or phospholipid composition [4,5], the use of phospholipase-resistant phospholipids [6] and, indirectly, by blocking the reticuloendothelial system [3,7,8]. However, an important prerequisite for retarded liposome clearance is resistance to the detrimental effect of blood on bilayer stability 19,101.…”