WO2004080533B1 - Apparatus and method for delivering electrical signals to modify gene expression in cardiac tissue - Google Patents

Apparatus and method for delivering electrical signals to modify gene expression in cardiac tissue

Info

Publication number
WO2004080533B1
WO2004080533B1 PCT/US2004/007589 US2004007589W WO2004080533B1 WO 2004080533 B1 WO2004080533 B1 WO 2004080533B1 US 2004007589 W US2004007589 W US 2004007589W WO 2004080533 B1 WO2004080533 B1 WO 2004080533B1
Authority
WO
WIPO (PCT)
Prior art keywords
heart
gene expression
excitatory
cardiac
expression
Prior art date
Application number
PCT/US2004/007589
Other languages
French (fr)
Other versions
WO2004080533A1 (en
WO2004080533A8 (en
Inventor
Yuval Mika
Hani Sabbah
Walid Haddad
Benny Rousso
Original Assignee
Impulse Dynamics Nv
Yuval Mika
Hani Sabbah
Walid Haddad
Benny Rousso
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to JP2006507121A priority Critical patent/JP2006519663A/en
Priority to EP04719312.3A priority patent/EP1606011B1/en
Priority to US10/549,216 priority patent/US7840262B2/en
Priority to CN200480012687.5A priority patent/CN1787850B/en
Application filed by Impulse Dynamics Nv, Yuval Mika, Hani Sabbah, Walid Haddad, Benny Rousso filed Critical Impulse Dynamics Nv
Publication of WO2004080533A1 publication Critical patent/WO2004080533A1/en
Publication of WO2004080533A8 publication Critical patent/WO2004080533A8/en
Publication of WO2004080533B1 publication Critical patent/WO2004080533B1/en
Priority to US11/792,811 priority patent/US9931503B2/en
Priority to US11/919,491 priority patent/US8548583B2/en
Priority to US11/802,685 priority patent/US8352031B2/en
Priority to US12/910,943 priority patent/US8326416B2/en
Priority to US13/970,647 priority patent/US8977353B2/en
Priority to US14/641,480 priority patent/US9440080B2/en
Priority to US15/249,506 priority patent/US10352948B2/en
Priority to US15/942,637 priority patent/US11439815B2/en
Priority to US16/232,088 priority patent/US20190137513A1/en
Priority to US17/524,015 priority patent/US11779768B2/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/02Details
    • A61N1/04Electrodes
    • A61N1/05Electrodes for implantation or insertion into the body, e.g. heart electrode
    • A61N1/0587Epicardial electrode systems; Endocardial electrodes piercing the pericardium
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/326Applying electric currents by contact electrodes alternating or intermittent currents for promoting growth of cells, e.g. bone cells
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/3627Heart stimulators for treating a mechanical deficiency of the heart, e.g. congestive heart failure or cardiomyopathy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P9/00Drugs for disorders of the cardiovascular system
    • A61P9/04Inotropic agents, i.e. stimulants of cardiac contraction; Drugs for heart failure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362Heart stimulators
    • A61N1/365Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36557Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by chemical substances in blood

Abstract

Method and apparatus (120) for modifying gene expression in cardiac muscle cells (110), by the application of electric fields.

Claims

AMENDED CLAIMS[Received by the International Bureau on 19 October 2004 (19.10.04): original claims 1-16 replaced by amended claims claims 1-20]
1. A device configured to deliver non-excitatory or non-excitatory and excitatory signals to heart tissue that will modify gene expression of muscle cells in the heart tissue in a way to improve the cardiac function of the cells.
2. A device configured to deliver cardiac contractility modulation signals including a non-excitatory contractility modulating component to heart tissue that will modify the expression of BNP and ANP in the heart tissue for treatment of heart failure.
3. A device configured to deliver cardiac contractility modulation signals including a non-excitatory contractility modulating component to heart tissue that will normalize the expression of alfa myosin heavy chain aMHC in the heart tissue for treatment of heart failure.
4. A device configured to deliver cardiac contractility modulation signals including a non-excitatory contractility modulating component that will modify the expression of basic fibroblast growth factor (bFGF) in the heart tissue for treatment of heart failure.
5. A method for improving heart function by electrically modifying the expression in heart tissue of genes that effect cardiovascular system function using an electric field that both modifies the expression and accurately modifies a cardiac function.
6. A method for treating heart failure by electrically modifying the expression in heart tissue of genes that effect cardiovascular system function using an electric field that both modifies the expression and accurately modifies a cardiac function.
29
7. The method of claim 6, wherein the heart failure is congestive heart failure.
8. The method of claim 5 or 6, wherein the electric field includes an excitatory component.
9. The method of Claim 8, wherein the signal or signals reduce RNA gene expression of BNP, ANP, or both BNP and ANP.
10. The method of Claim 8, wherein the signal or signals modify mRNA gene expression for bFGF to above normal level.
11. The method of Claim 8, wherein the signal or signals normalize nRNA gene expression for aMHC.
12. A method of treating a patient with a cardiac related disease, comprising:
determining a desired target gene expression profile in cardiac tissue; and
applying a non-excitatory signal to the cardiac tissue to modify the gene expression in accordance with the desired target gene expression profile.
13. A method according to claim 12, comprising stopping said applying when said target is reached.
14. A method according to claim 12, wherein said applying comprises applying for at least four hours.
15. A device adapted to apply a non-excitatory field to a heart in a manner which acutely affects a functioning of said heart, characterized in that the device is adapted to take an effect on gene expression into account in its j-unctioning.
30
16. A device according to claim 15, wherein said device is implantable.
17. A device according to claim 15, wherein said device includes a feedback control loop which modifies an application of non-excitatory field in response to an indication of a gene expression effect of a previous application of a non-excitatory field.
18. A device according to claim 17, including a watchdog which stops or modifies application of an electrical signal to a heart responsive to an effect of such application on gene expression in the heart.
19. A method for improving heart function by electrically modifying the expression in heart tissue of genes that effect cardiovascular system function using an electric field that both modifies the expression over a long term and acutely improves cell function of said heart.
20. A method of treating a patient with a cardiac related disease, comprising:
determining a desired target gene expression profile in cardiac tissue; and
applying a non-excitatory signal to the cardiac tissue to modify the gene expression in accordance with the desired target gene expression profile.
PCT/US2004/007589 2003-03-10 2004-03-10 Apparatus and method for delivering electrical signals to modify gene expression in cardiac tissue WO2004080533A1 (en)

Priority Applications (14)

Application Number Priority Date Filing Date Title
JP2006507121A JP2006519663A (en) 2003-03-10 2004-03-10 Apparatus and method for delivering electrical signals for regulating gene expression in heart tissue
EP04719312.3A EP1606011B1 (en) 2003-03-10 2004-03-10 Apparatus for delivering electrical signals to modify gene expression in cardiac tissue
US10/549,216 US7840262B2 (en) 2003-03-10 2004-03-10 Apparatus and method for delivering electrical signals to modify gene expression in cardiac tissue
CN200480012687.5A CN1787850B (en) 2003-03-10 2004-03-10 For transmitting the signal of telecommunication to revise the apparatus and method of gene expression in heart tissue
US11/792,811 US9931503B2 (en) 2003-03-10 2005-12-09 Protein activity modification
US11/919,491 US8548583B2 (en) 2004-03-10 2006-05-04 Protein activity modification
US11/802,685 US8352031B2 (en) 2004-03-10 2007-05-24 Protein activity modification
US12/910,943 US8326416B2 (en) 2003-03-10 2010-10-25 Apparatus and method for delivering electrical signals to modify gene expression in cardiac tissue
US13/970,647 US8977353B2 (en) 2004-03-10 2013-08-20 Protein activity modification
US14/641,480 US9440080B2 (en) 2004-03-10 2015-03-09 Protein activity modification
US15/249,506 US10352948B2 (en) 2004-03-10 2016-08-29 Protein activity modification
US15/942,637 US11439815B2 (en) 2003-03-10 2018-04-02 Protein activity modification
US16/232,088 US20190137513A1 (en) 2004-03-10 2018-12-26 Protein activity modification
US17/524,015 US11779768B2 (en) 2004-03-10 2021-11-11 Protein activity modification

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US45334903P 2003-03-10 2003-03-10
US60/453,349 2003-03-10
US50307503P 2003-09-15 2003-09-15
US60/503,075 2003-09-15

Related Child Applications (4)

Application Number Title Priority Date Filing Date
US10/549,216 A-371-Of-International US7840262B2 (en) 2003-03-10 2004-03-10 Apparatus and method for delivering electrical signals to modify gene expression in cardiac tissue
PCT/US2005/044557 Continuation-In-Part WO2006073671A1 (en) 1999-03-05 2005-12-09 Protein activity modification
US11/792,811 Continuation-In-Part US9931503B2 (en) 2003-03-10 2005-12-09 Protein activity modification
US12/910,943 Division US8326416B2 (en) 2003-03-10 2010-10-25 Apparatus and method for delivering electrical signals to modify gene expression in cardiac tissue

Publications (3)

Publication Number Publication Date
WO2004080533A1 WO2004080533A1 (en) 2004-09-23
WO2004080533A8 WO2004080533A8 (en) 2004-10-28
WO2004080533B1 true WO2004080533B1 (en) 2004-12-16

Family

ID=32994492

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2004/007589 WO2004080533A1 (en) 2003-03-10 2004-03-10 Apparatus and method for delivering electrical signals to modify gene expression in cardiac tissue

Country Status (5)

Country Link
US (2) US7840262B2 (en)
EP (1) EP1606011B1 (en)
JP (1) JP2006519663A (en)
CN (1) CN1787850B (en)
WO (1) WO2004080533A1 (en)

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