Hypoxia in solid tumours has been correlated with poor prognosis and resist
ance to radiation and chemotherapy. Hypoxia is also a strong stimulus for g
ene expression. We previously proposed a gene therapy approach which exploi
ts the presence of severe hypoxia in tumours for the induction of therapeut
ic genes. Hypoxic cells are known to have a reduced metabolic rate, transcr
iption and translation. These facts may prevent gene transfer and therefore
warranted further investigation. In this paper the feasibility of gene del
ivery in vitro under tumour conditions was demonstrated. DNA was delivered
in vitro using a peptide-mediated non-viral system. Across a range of oxyge
n tensions and mammalian cell lines (including human tumour and endothelial
cells) it was shown that hypoxic cells could be transfected. Transfection
efficiencies varied depending on the level of hypoxia, cell characteristics
and gene promoters used. An in vitro model of hypoxia/reoxygenation, desig
ned to mimic the variable nature of tumour hypoxia, showed that hypoxic pre
conditioning and reoxygenation alone did not reduce transfection efficiency
significantly; only chronic anoxia reduced transfection. The fact that nei
ther intermediate hypoxia nor intermittent anoxia significantly reduced tra
nsfection is promising for future hypoxia-targeted gene therapy strategies,
(C) 2000 Cancer Research Campaign.