Direct gene transfer for the treatment of human diseases requires a ve
ctor which can be administered efficiently, safely and repeatedly. Cat
ionic liposomes represent one of the few examples that can meet these
requirements. Currently, more than a dozen cationic liposome formulati
ons have been reported. These liposomes bind and condense DNA spontane
ously to form complexes with high affinity to cell membranes. Endocyto
sis of the complexes followed by disruption of the endosomal membrane
appears to be the major mechanisms of gene delivery. The effectiveness
and safety of this DNA delivery method has been established in many s
tudies. Based on these results, two human gene therapy clinical trials
using cationic liposomes have been conducted and more trials will be
started in the near future. The simplicity, efficiency and safety feat
ures have rendered the cationic liposome an attractive vehicle for hum
an gene therapy.