SUMMARY:Gene therapy using cationic liposomes containing cDNA is a relatively new approach with great potential; however, little is known about the mechanisms of dermal gene transfer, its biodistribution, systemic transfection, and cellular uptake. This study identifies mechanisms, transfection rates, and biodistribution of liposomal gene transfers in the skin of thermally injured rats using cDNA gene constructs coding for insulin-like growth factor-I (IGF-I) and Lac Z. Male Sprague-Dawley rats (350 to 375 g) were given a 60% total body surface area full-thickness scald burn that was followed by weekly subcutaneous injections of normal saline (control, n ϭ 10), liposomes plus 0.2 g Lac Z cDNA construct driven by a cytomegalovirus (CMV) promoter (vehicle, n ϭ 10), or liposomes containing 2.2 g cDNA coding for IGF-I plus 0.2 g Lac Z cDNA construct driven by a CMV promoter (IGF