“…Plasmid DNA expressing mothers against decapentaplegic homolog 7 (Smad7) mixed with albumin-stabilized perfluorocarbon gas microbubbles was injected intraperitoneally, and the surface of the abdomen was then exposed to ultrasound from the costal margin to the pubic symphysis, resulting in overexpression of Smad7 in the peritoneum, adipose tissue, mesentery, greater omentum, and spleen, but not in the liver, kidney, pancreas, or intestine in a rat model [43]. This delivery method was shown to maintain overexpression of Smad7 in the peritoneum for up to 2 weeks and inhibited peritoneal fibrosis in a rat peritoneal fibrosis model [43]. Ultrasound-microbubble-mediated delivery of plasmid DNA expressing miRNA-29b and miRNA-30a to the peritoneum induced overexpression of the respective miRNAs in the peritoneum and inhibited mesothelial–mesenchymal transition of peritoneal mesothelial cells, resulting in inhibition of peritoneal fibrosis in a mouse peritoneal fibrosis model, by inhibiting TGF-β 1 and Snail signaling pathways, respectively [44,45].…”