Nonviral gene therapy approaches use a plasmid vector to express the d
esired transgene. We have systematically examined several regulatory e
lements within plasmid vectors that govern gene expression, e.g., the
promoter, enhancer, intron, and polyadenylation signal, by constructin
g a series of plasmids that differed only in the particular sequence e
lement being evaluated. Of the several promoters and polyadenylation s
ignal sequences that were tested, the human cytomegalovirus (CMV) imme
diate early gene promoter and the addition of polyadenylation signal s
equences from the bovine growth hormone (BGH) gene or rabbit beta-glob
in gene produced the highest levels of expression in vitro. The inclus
ion of a hybrid intron 3' to the promoter further increased expression
1.6-fold. The addition of a region of the CMV enhancer 5' to several
weak promoters increased expression 8- to 67-fold, and co-transfection
with a second plasmid encoding a chimeric transcription factor also e
nhanced expression. On the basis of these results, the CMV promoter, t
he hybrid intron, and the BGH polyadenylation signal were selected for
consistent high level expression in vitro and in the mouse lung. Howe
ver, expression was transient, with greater than 60% loss of activity
in the first 7 days. This transient expression was not specific to CMV
promoter-containing plasmids, because plasmids containing other heter
ologous promoters showed a similar profile of transient expression in
vivo. These comparative analyses begin to provide a basis for the deve
lopment of optimized expression plasmids for gene therapy of lung dise
ases.