Previous studies have established that gene transfer into myocardial c
ells in vivo is detectable after direct injection of plasmid DNA. Rece
ntly, adenovirus vectors have been shown to provide an efficient metho
d for gene transfer into a wide range of tissues. Therefore, this stud
y sought to assess the efficiency and stability of adenovirus-mediated
gene transfer into myocardium and to compare this method with that us
ing plasmid-based gene transfer techniques. Adult rats underwent myoca
rdial injection via a subdiaphragmatic approach. Gene transfer efficie
ncy was compared using direct injection of an adenovirus vector encodi
ng for the marker gene beta-galactosidase (beta-gal), a control adenov
irus vector encoding for the cystic fibrosis transmembrane conductance
regulator gene, a plasmid encoding for beta-gal, or a control plasmid
. Hearts infected with an adenovirus vector containing the beta-gal ge
ne showed significantly increased beta-gal enzymatic activity compared
with hearts injected with beta-gal plasmid. Histological examination
revealed that cardiac myocytes were the target of adenovirus-mediated
gene transfer. A time course of gene expression showed that beta-gal e
nzymatic activity peaked during the first week following injection. Ad
enovirus vectors provide an efficient but transient method for in vivo
gene expression in myocardium.