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Table 4 Summary of advantages and disadvantages of physical delivery strategies used in DNA vaccination

From: DNA vaccination for prostate cancer: key concepts and considerations

Physical delivery strategy Advantages Disadvantages
Electroporation • High levels of transgene expression • Invasive
• Long-lasting gene expression • Need for specialist equipment and training
• Safety demonstrated in numerous clinical trials • Potential for tissue damage
• Commercially available delivery devices • Two-step delivery process
Gene Gun • High levels of transgene expression • Invasive
• Long-lasting gene expression • Limited DNA carrying capacity
• Safety demonstrated in clinical trials • Need for specialist equipment and training
• Commercially available delivery devices • Often need for multiple administrations
• One-step delivery process • Low tissue penetration
Ultrasound • Non-invasive • Low levels of transgene expression
• Can be targeted to specific organs easily • Need for specialist equipment and training
  • Two-step delivery process
• Safety not yet widely demonstrated in gene therapy clinical trials