The use of adenoviral vectors for therapeutic delivery of genes via pulmonary application poses several problems in terms of immune responses. The purpose of this study was to determine whether polyethylenimine ( PEI ), a polycationic DNA carrier, can be used to deliver the IL -12 gene into the lungs of mice having microscopic osteosarcoma ( OS ) lung metastases. Incubation of SAOS -LM6 cells in vitro with PEI containing the murine IL -12 ( mIL -12 ) gene ( PEI:IL -12 ) resulted in expression of both the p35 and p40 subunits of IL -12 mRNA and production of mIL -12 protein. Using our newly developed OS nude mouse model, we demonstrated that treatment of mice using intranasal PEI:IL -12 resulted in significant IL -12 mRNA expression in the lung but not the liver. Furthermore, plasma IL -12 was undetectable after up to 4 weeks of intranasal PEI:IL -12 therapy given twice weekly. No IL -12 expression was seen following intranasal PEI therapy alone. The number of lung metastases in animals that received intranasal PEI:IL -12 twice weekly for 4 weeks starting 6 weeks after tumor inoculation was significantly decreased ( median, 11; range, 0 -47 ) compared with those that received PEI alone ( median, 89; range, 2 to >200; P = .012 ). Also, the size of the nodules was significantly smaller in the PEI:IL -12 -treated animals, with 90% measuring 0.5 mm in diameter compared with 56% in the PEI -alone group. Animals that received PEI alone also had numerous large nodules ( 3 -6 mm ) throughout the lungs. Intranasal therapy is a noninvasive way to administer agents and has the advantage of targeting the pulmonary region, resulting in higher concentrations in the tumor area. Additionally, delivery of IL -12 to the lung via the airway using PEI may avoid systemic toxicity. Because OS metastasizes almost exclusively to the lung, this may be a novel approach to the treatment of pulmonary OS metastases. Cancer Gene Therapy ( 2002 ) 9, 260 -266 DOI: 10.1038 / sj / cgt / 7700432Keywords: osteosarcoma; lung metastasis; PEI; IL -12; intranasal therapy D espite multiple changes in the adjuvant chemotherapy regimens used to treat osteosarcoma (OS ), the 2-year metastasis -free survival rate in patients having this disease has stagnated at 65 -70%. 1 -3 The majority of OS patients who have a relapse do so within the first year while receiving chemotherapy. In these patients, the lung is the most common site of metastatic spread. Those who initially present with metastatic lung disease have an even higher rate of treatment failure, as no more than 15% achieve long -term metastasis -free survival. Although the majority of OS patients having pulmonary metastases can be rendered disease-free using thoracic surgery, 80 -85% will have a relapse in the lung within 1 year; 4,5 salvage chemotherapy has been disappointing in improving this progression-free interval. This indicates that patients may benefit from new approaches and agents targeted specifically to pulmonary metastases.Our laboratory has recently developed an experimental OS lung me...