RT Journal Article SR Electronic T1 Microneedle-mediated gene delivery for the treatment of ischemic myocardial disease JF Science Advances JO Sci Adv FD American Association for the Advancement of Science SP eaaz3621 DO 10.1126/sciadv.aaz3621 VO 6 IS 25 A1 Shi, Hongpeng A1 Xue, Tong A1 Yang, Yang A1 Jiang, Chenyu A1 Huang, Shixing A1 Yang, Qi A1 Lei, Dong A1 You, Zhengwei A1 Jin, Tuo A1 Wu, Fei A1 Zhao, Qiang A1 Ye, Xiaofeng YR 2020 UL http://advances.sciencemag.org/content/6/25/eaaz3621.abstract AB Cardiovascular disorders are still the primary cause of mortality worldwide. Although intramyocardial injection can effectively deliver agents to the myocardium, this approach is limited because of its restriction to needle-mediated injection and the minor retention of agents in the myocardium. Here, we engineered phase-transition microneedles (MNs) coated with adeno-associated virus (AAV) and achieved homogeneous distribution of AAV delivery. Bioluminescence imaging revealed the successful delivery and transfection of AAV-luciferase. AAV–green fluorescent protein–transfected cardiomyocytes were homogeneously distributed on postoperative day 28. AAV–vascular endothelial growth factor (VEGF)–loaded MNs improved heart function by enhancing VEGF expression, promoting functional angiogenesis, and activating the Akt signaling pathway. The results indicated the superiority of MNs over direct muscle injection. Consequently, MNs might emerge as a promising tool with great versatility for delivering various agents to treat ischemic myocardial disease.