Purpose: We recently reported the significant therapeutic efficacy of radioiodine therapy in various tumor mouse models following transcriptionally targeted sodium iodide symporter (NIS) gene transfer. These studies showed the high potential of NIS as a novel diagnostic and therapeutic gene for the treatment of extrathyroidal tumors. As a next crucial step towards clinical application of NIS-mediated radionuclide therapy we aim at systemic delivery of the NIS gene to target extrathyroidal tumors even in the metastatic stage. Experimental Design: In the current study, we used synthetic polymeric vectors based on pseudodendritic oligoamines with high intrinsic tumor affinity (G2-HD-OEI) to target a NIS-expressing plasmid (CMV-NIS-pcDNA3) to neuroblastoma (Neuro2A) cells. Results: Incubation with NIS-containing polyplexes (G2-HD-OEI/NIS) resulted in a 51-fold increase in perchlorate-sensitive iodide uptake activity in Neuro2A cells in vitro. The exact mechanism by which iodide is actively transported across the basolateral membrane of thyroid follicular cells was clarified by the cloning and characterization of the sodium iodide symporter (NIS) 13 years ago (1-3). NIS, an intrinsic transmembrane glycoprotein with 13 putative transmembrane domains, is responsible for the ability of the thyroid gland to concentrate iodide, the first and rate-limiting step in the process of thyroid hormonogenesis (4, 5). Moreover, due to its expression in follicular cell-derived thyroid cancer cells, NIS provides the molecular basis for the diagnostic and therapeutic application of radioiodine, which has been successfully used for more than 60 years in the treatment of thyroid cancer patients and therefore represents the most effective form of systemic anticancer radiotherapy available to the clinician today (6). Since its cloning in 1996 NIS has been identified and characterized as a novel promising target gene for the treatment of extrathyroidal tumors following selective NIS gene transfer into tumor cells that allows diagnostic and therapeutic application of radioiodine and alternative radionuclides, such as 188 Re and 211 At (6-9). We have proven the feasibility of extrathyroidal radioiodine therapy after induction of iodide uptake by ex vivo