Starburst polyamidoamine dendrimers are synthetic polymers with unique stru
ctural and physical characteristics suitable for DNA gene transfer. Our pre
vious studies demonstrated that Starburst dendrimers augment plasmid-mediat
ed gene transfer efficiency in a nonvascularized, cardiac transplantation m
odel. In this study, the fifth generation of ethylenediamine core dendrimer
was investigated for its ability to enhance gene transfer and expression i
n a clinically relevant murine vascularized heart transplantation model. Th
e plasmid pMP6A-beta -gal, encoding beta -galactosidase (beta -cal), was in
cubated with dendrimers to form complexes. The complexes were perfused via
the coronary arteries during donor graft harvesting, and reporter gene expr
ession was determined by quantitative evaluation of X-Gal staining. The gra
fts infused with pMP6A-beta -gal/dendrimer complexes showed beta -Gal expre
ssion in myocytes from 7 to 14 days. A number of variables for transfer of
the DNA/dendrimer complexes were tested, including DNA:dendrimer charge rat
ios, concentrations of DNA and dendrimer, preservation solutions, ischemic
time, and enhancement of vascular permeability by serotonin, papaverine, an
d VEGF administration. The results showed that DNA/dendrimer complexes cont
aining 20 mug of DNA and 260 mug of dendrimer (1:20 charge ratio) in a tota
l volume of 200 mul resulted in highest gene expression in the grafts. The
results also showed that prolonged incubation (cold ischemic time) to 2 h a
nd pretreatment with serotonin further enhanced gene expression.