In vivo electroporation (EP) has proven to significantly increase plasmid transfection efficiency and to augment immune responses after immunization with plasmids. In this study, we attempted to establish an immunization protocol using intradermal (i. Vaccination with genes was first described in the early 1990s and is becoming an alternative to traditional vaccine strategies. DNA vaccines possess several advantages, such as the capacity to induce a balanced immune response including humoral as well as cellular immune responses similar to those induced during natural infection with intracellular pathogens. The potential of DNA vaccines has been shown in numerous preclinical studies and by the licensure of veterinary DNA vaccines against infectious diseases and cancer (3,9,20). However, immunogenicity has been limited in humans, and ways to enhance the potency of these vaccines are being investigated. Besides gene optimization and the use of adjuvants (17), the most promising approach for plasmid vaccines administered as a single modality is by the use of in vivo electroporation (EP). EP has been shown to considerably increase the transfection efficacy of plasmid vaccines, ultimately leading to enhanced and long-lasting expression (10, 24) and improved immunogenicity (13, 21, 27, 28) of the encoded antigen. Furthermore, the electric pulses cause mild inflammation, with resulting recruitment of antigen-presenting cells (APCs) to the site of injection (19,24), which further enhances the immunogenicity.dAlthough intramuscular (i.m.) delivery of DNA vaccines, with or without the addition of EP, has been studied most extensively, DNA vaccine delivery to skin is becoming increasingly popular. Unlike muscle tissue, the dermal tissue has a large population of resident APCs, including Langerhans cells and dermal dendritic cells, that can facilitate the induction of vaccine-specific immune responses (2, 16). There is also a more rapid turnover of cells in the skin than in muscle, which together with the large number of APCs can lead to a rather fast removal of plasmids from the site of injection (24). This feature is positive for vaccination, as transient expression of the encoded antigen is sufficient to induce strong immune responses. The rapid removal of vaccine plasmids might also explain why more DNA is usually required to induce the same level of expression as that induced by i.m. delivery (10, 15). The skin is also an assessable tissue, making both monitoring and evaluation of immune responses easy to perform. More importantly, the addition of EP after intradermal (i.d.) delivery appears safe, as it does not affect the persistence or integration of vaccine plasmids (5, 24).Laddy et al. conducted a head-to-head comparison of EP-augmented i.m. and i.d. delivery of equal amounts of influenza virus-encoding vaccine plasmids in rhesus macaques. Immune reactivity assessed after three immunizations revealed that i.m. EP induced the highest levels of cellular immune responses, whereas i.d. EP was superior for induction of c...