Gene therapy has great promise for the treatment and the prevention of
a broad range of inherited and acquired diseases. Gene transfer metho
ds currently explored include the use of viral vectors and physical-ch
emical methods. Plasmid DNA can be taken up by skeletal muscle cells i
n vivo without any special delivery mechanism and persist long-term in
an extrachromosomal, non-replicative circular form. Thus, foreign gen
es can be expressed permanently in skeletal muscle. Ar present the eff
iciency of gene transfer is not high enough to treat genetic muscle di
seases. However, even at the relatively low efficiency of expression w
e are able to achieve at present, plasmid DNA transfer seems to be a v
ery promising way of programming cells in vivo to secrete proteins for
immunization purposes.