The enhancement of gene transfection by ultrasound (US) was evaluated in vi
tro and in vivo using the B16 mouse melanoma model. Cultured. cells were ei
ther exposed in suspensions in vitro or implanted subcutaneously in female
C57BL/6 mice for 10-14 days and, subsequently exposed, in vivo, For compari
son to results with a luciferase plasmid, a reporter plasmid for green fluo
rescent protein (GFP) was used to evaluate transfection efficiency. US was
supplied by a system, similar to a Dornier HM-3 lithotripter, that produced
shock waves (SW) of 24.4 MPa peak positive and 5.2 MPa peak negative press
ure amplitudes at the focus. The plasmids were mixed with the suspensions t
o achieve 20 mu L mL(-1), or were injected intratumorally to provide 0.2 mg
DNA per mt of tumor. Acoustic cavitation was promoted by retaining 0.2 mL
of air in the 1.2-mL exposure chambers in vitro and by injecting air at 10%
of tumor volume in vivo, In vitro, cell counts declined to 5.3% of shams a
fter 800 SW exposure, with 1.4% of the cells expressing GFP after 2 days of
culture. In vivo, 2 days after 400 SW exposure, viable-cell recovery from
excised tumors was reduced to 4.2% of shams and cell transfection was enhan
ced by a factor of about 8, reaching 2.5% of cell counts (p < 0.005 in t-te
st), These results show that strong tumor ablation induced by US shock wave
treatment can be coupled with simultaneous enhancement of gene transfectio
n. (C) 1999 World Federation for Ultrasound in Medicine & Biology.