Liver cancer is one of the most malignant cancers in the world and has a high rate of metastasis. Therefore, development of a novel therapy for liver cancer is a critical issue. Indoleamine 2,3-dioxygenase (IDO) is known as a negative immune regulator in dendritic cells. Our previous study demonstrated that skin delivery of IDO short hairpin RNA (shRNA) induced antitumor immunity in subcutaneous bladder and colon tumor models. Because the immunological environment is quite different between skin and liver, it is essential to evaluate whether skin delivery of IDO shRNA is an effective treatment in metastatic and orthotopic animal tumor models. In the present study, IDO shRNA inhibited tumor growth in subcutaneous, metastatic and orthotopic liver tumor models. The cytotoxicity of splenocytes was significantly elevated in mice treated with IDO shRNA in the orthotopic and metastatic tumor models. Interleukin (IL)-12 and interferon (IFN)-gamma mRNA expression were upregulated while IL-10 was downregulated in the inguinal lymph nodes, which were collected from IDO shRNAtreated mice. Similar results were observed in the spleens of mice inoculated with IDO shRNA by gene gun. The results indicate that skin administration of IDO shRNA is an effective therapy in orthotopic and metastatic liver cancer animal models. Indoleamine 2,3-dioxygenase shRNA might be a potential new treatment for liver cancer in the future. (Cancer Sci 2011; 102: 2214-2220 L iver cancer is the fifth most common cancer in the world and the third leading cause of cancer-related death.(1,2) The incidence of liver cancer is still rising in the United States and some areas of Asia.(3) The 5-year survival rate of patients is relatively low and many patients die because of recurrence and metastasis.(4) In addition, advanced liver cancer has a poor response to radiotherapy and conventional chemotherapy. Treatment of 5-fluorouracil, adriamycin or doxorubicin provided little survival benefit.(7) Therefore, development of novel and effective therapeutic approaches is a critical issue in the management of liver cancer.An inhibitor of multi-targeted tyrosine kinase, sorafenib, was shown to increase the survival rate.(8) Other new drugs targeting vascular epithelial growth factor (VEGF), epithelial growth factor receptor (EGFR) or the mammalian target of rapamycin (mTOR) pathway are also being evaluated in several clinical studies.(9-11) Immunotherapy provides another kind of potential treatment for liver cancer. Some antigens including alphafetoprotein, SSX-2, MAGE-A and telomerase reverse transcriptase have been used to activate cytotoxic T cells against liver cancer.(12-15) The patients in the clinical trials showed partial or complete responses to various immunotherapies.(16) However, activation of immune cells in these studies usually requires time-consuming procedures ex vivo. Indoleamine 2,3-dioxygenase (IDO) is a rate-limiting enzyme of the tryptophan metabolic pathway (17) and plays a negative role in immune regulation. Indoleamine 2,3-dioxygenaseexpress...