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0031-6997/06/5801-32-45$7.00
Pharmacol Rev 58:32-45, 2006

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Review Article

Uptake Pathways and Subsequent Intracellular Trafficking in Nonviral Gene Delivery

Ikramy A. Khalil, Kentaro Kogure, Hidetaka Akita and Hideyoshi Harashima

Graduate School of Pharmaceutical Sciences, Hokkaido University, Kita-Ku, Sapporo, Hokkaido, Japan (I.A.K., K.K., H.A., H.H.); and Core Research for Evolutional Science and Technology, Japan Science and Technology Agency, Kawaguchi, Japan (I.A.K., K.K., H.A., H.H.)

Abstract
I. Introduction
II. Uptake Pathways for Nonviral Gene Delivery
    A. Endocytic Uptake Pathways
        1. Clathrin-Mediated Endocytosis.
        2. Caveolae-Mediated Endocytosis.
        3. Macropinocytosis.
        4. Phagocytosis.
        5. Receptor-Mediated Endocytosis.
    B. Nonendocytic Delivery
III. Tools to Study Intracellular Trafficking in Nonviral Gene Delivery
    A. Perturbation of the Endocytosis-Mediated Uptake and Intracellular Trafficking
    B. Quantitative Evaluation of Intracellular Trafficking
IV. Uptake Mechanisms and Intracellular Trafficking of Gene Delivery Mediated by Cationic Lipids and Polymers
    A. Interaction between DNA and Cationic Lipids or Polymers
    B. Cellular Binding
    C. Cellular Uptake
    D. Endosomal Escape
    E. Nuclear Delivery
V. Conclusions
Abstract

The successful delivery of therapeutic genes to the designated target cells and their availability at the intracellular site of action are crucial requirements for successful gene therapy. Nonviral gene delivery is currently a subject of increasing attention because of its relative safety and simplicity of use; however, its use is still far from being ideal because of its comparatively low efficiency. Most of the currently available nonviral gene vectors rely on two main components, cationic lipids and cationic polymers, and a variety of functional devices can be added to further optimize the systems. The design of these functional devices depends mainly on our understanding of the mechanisms involved in the cellular uptake and intracellular disposition of the therapeutic genes as well as their carriers. Macromolecules are internalized into cells by a variety of mechanisms, and their intracellular fate is usually linked to the entry mechanism. Therefore, the successful design of a nonviral gene delivery system requires a deep understanding of gene/carrier interactions as well as the mechanisms involved in the interaction of the systems with the target cells. In this article, we review the different uptake pathways that are involved in nonviral gene delivery from a gene delivery point of view. In addition, available knowledge concerning cellular entry and the intracellular trafficking of cationic lipid-DNA complexes (lipoplexes) and cationic polymer-DNA complexes (polyplexes) is summarized.


Address correspondence to: Dr. Hideyoshi Harashima, Laboratory for Molecular Design of Pharmaceutics, Graduate School of Pharmaceutical Sciences, Hokkaido University, Kita 12 Nishi 6, Sapporo City, Hokkaido 060-0812, Japan. E-mail: harasima{at}pharm.hokudai.ac.jp




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