Transfer of genes by injection of plasmid DNA into skeletal generated widespread inflammation of injected muscle, muscle has a wide variety of applications ranging from with mononuclear infiltrate, comprised largely of macrotreatment of neuromuscular disorders to genetic vacciphages and with both CD4 + and CD8 + T lymphocytes, nation. We examined each component involved in the present. Such inflammation may hamper clinical appliintramuscular injection of plasmid DNA in terms of the cation of this technology and may encourage undesirable induction of inflammatory responses. The insertion of a immune responses in gene therapy trials. Inflammation needle and the injection of a relatively large volume of was not greatly reduced by CD4-or CD8-depleting antisaline caused very little muscle damage except in rare bodies, suggesting this initial inflammation did not involve cases. In contrast, barium chloride-induced regeneration of T cells, but methylation of plasmid DNA before injection muscle, injection of lipopolysaccharide, plasmid backbone substantially lessened the inflammatory response and or plasmid expressing a neo-antigen (-galactosidase) all resulted in longer term expression of the transgene.Keywords: gene therapy; regeneration; -galactosidase; muscle; plasmid; inflammation Skeletal muscle has the ability to take up and express naked plasmid DNA following intramuscular injection 1,2 and hence is an attractive platform for (1) providing a systemic source for recombinant therapeutic proteins; 3,4 and (2) as a means of genetic vaccination against either bacteria and viruses, 5-7 or tumour cells. [8][9][10] However, long-term expression of transgenes encoded in the plasmid DNA can be limited by the immune responses (cellular, humoral and innate) evoked during the processes of gene uptake and expression in skeletal muscle fibres. 11-15 These responses, while necessary and desirable for genetic vaccination, can seriously limit the use of direct plasmid injection for gene therapy. Immune responses also play a significant role in determining the success of virus-based gene transfer. [16][17][18][19][20][21][22] In order to start to dissect the relative roles of the responses to vector and transgene, we have concentrated on gene transfer by direct injection of plasmid DNA. This system does not involve injection of any exogenous protein component, allowing the characteristics of the antigen-specific response to be analysed separately. However, plasmid DNA is prepared in E. coli which results both in contamination with lipopolysaccharide (LPS, endotoxin) and the presence of unmethylated CpG motifs. LPS is a known stimulator of immune responses and is frequently used for in vitro stimulation of lymphocyte populations. [23][24][25] Unmethylated CpG motifs are comparatively rare in eukaryotic genomes 26