Following the initial demonstration that intramuscularly-injected naked pla
smid DNA (pDNA) is expressed in myofibers, it was shown that pDNA can be us
ed for vaccination purposes. More recent studies have indicated that naked
pDNA can also achieve high levels of transgene expression in vivo. This eff
iciency of naked pDNA expression, especially via intravascular route, is tr
uly astounding, in this prospective review, we examine the possible mechani
sms of naked pDNA uptake. The possible mechanisms; (a) large membrane disru
ption, (b) small membrane pores, and (c) receptor-mediated endocytosis, are
considered in turn. Some recent original laboratory data relevant to these
hypotheses are also presented. Copyright (C) 2000 John Wiley & Sons, Ltd.