Gene
therapy exerts powerful potential in the treatment of various
diseases, such as overexpressing pro-angiogenic gene to accelerate
angiogenesis and restore vascular flow of ischemic tissue. Tremendous
efforts have been invested in developing gene carriers for high transfection
efficiency, while little research has been devoted to synergistically
expressing functional proteins via optimizing therapeutic genes. Actually,
the amplified gene expression is the ultimate goal of gene delivery.
Dual-gene co-delivery and coordinate expression become a “breach”
of strengthened gene expression. Herein, we explored the synergistic
effects on gene expression and pro-angiogenesis by two typical dual-gene
delivery strategies to determine which one is more efficient. The
physical mixing method used ZNF580 and VEGF165 plasmids with a 1/1 weight ratio (p1:1), and the other strategy
involved chemically inserting ZNF580 and VEGF165 genes into one plasmid as a dual-gene co-expression plasmid (pZNF–VEGF).
p1:1 and pZNF–VEGF were loaded by REDV–TAT–NLS–H12 carrier, a promising peptide carrier, to form corresponding
dual-gene delivery systems. Both systems exhibited approximately similar
size and zeta potential, guaranteeing almost the same cellular uptake.
We comprehensively evaluated two delivery systems through gene expression
at mRNA and protein levels and angiogenesis-related activities in
vitro and in vivo. Interestingly, the pZNF–VEGF group showed
a remarkably amplified synergistic effect in the expression of ZNF580 and VEGF165 genes in comparison with the p1:1
group. More importantly, the unexpected amplified synergistic effect
of dual-gene co-expression plasmid was further verified for proliferation,
migration, and angiogenesis in vitro and in vivo. Accordingly, we
believed that the co-delivery of dual genes via constructing co-expression
plasmids offers a better option for gene therapy, which can more effectively
enhance the synergistic expression of target genes than the physical
mixing method.