Methods to screen and treat individuals with glaucoma or the propensity to develop glaucoma
First Claim
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1. A method of providing treatment to a glaucomatous patient comprising:
- (a) determining whether said patient has a mutation in the TIGR promoter selected from the group consisting of TIGRmt1, TIGRmt11, or both TIGRmt1 and TIGRmt11; and
(b) administering an effective amount of a non-steroidal anti-inflammatory drug to said patient.
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Abstract
The present invention involves methods and reagents for diagnosing and treating glaucoma and related disorders. Specifically, the invention relates to a method of identifying mutations in the TIGR gene of a glaucomatous patient and treating them with an effective amount of a non-steroidal anti-inflammatory drug. Additionally the invention allows the identification of individuals at risk for progressive increases in intraocular pressure, which is a risk factor for glaucoma; the invention thus also allows the identification of individuals among ocular hypertensive/glaucoma suspect groups at increased risk of visual field loss.
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Citations
116 Claims
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1. A method of providing treatment to a glaucomatous patient comprising:
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(a) determining whether said patient has a mutation in the TIGR promoter selected from the group consisting of TIGRmt1, TIGRmt11, or both TIGRmt1 and TIGRmt11; and
(b) administering an effective amount of a non-steroidal anti-inflammatory drug to said patient. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23)
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24. A method of preventing increases in intraocular pressure in a patient predisposed to developing glaucoma comprising:
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(a) determining whether said patient has a mutation in the TIGR gene selected from the group consisting of TIGRmt1, TIGRmt11, or both TIGRmt1 and TIGRmt11; and
(b) administering an effective amount of a non-steroidal anti-inflammatory drug to said patient. - View Dependent Claims (25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 60, 61, 62, 63, 64, 65, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76)
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51. A method for decreasing the mean diurnal intra-ocular pressure in a patient, comprising
(a) identifying the presence of at least one mutation in the TIGR gene selected from the group consisting of TIGRmt1, TIGRmt11, or both TIGRmt1 and TIGRmt11; - and
(b) administering an effective amount of a non-steroidal anti-inflammatory drug to said patient. - View Dependent Claims (52, 53, 54, 55, 56, 57, 58, 59)
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77. A method of providing treatment to a patient known to possess at least one mutation in the TIGR gene selected from the group consisting of TIGRmt1 and TIGRmt11 comprising:
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(a) administering an effective amount of a non-steroidal anti-inflammatory drug to said patient; and
(b) monitoring the level of intraocular pressure of said patient. - View Dependent Claims (66, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103)
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104. A method of selecting a patient for a clinical trial involving a treatment for elevated intraocular pressure, comprising:
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determining whether said patient has either the TIGRmt1 mutation, or both the TIGRmt1 and TIGRmt11 mutations; and
,selecting said patient if said patient has said TIGRmt1 mutation or both of said TIGRmt1 and TIGRmt11 mutations. - View Dependent Claims (105, 106, 107, 114)
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108. A method of improving the results of a drug study involving a treatment for elevated intraocular pressure, comprising:
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a) determining whether a candidate patient for inclusion in said study has either the TIGRmt1 mutation, or both the TIGRmt1 and TIGRmt11 mutations; and
,b) selecting said patient for inclusion in said study if said patient has said TIGRmt1 mutation or both of said TIGRmt1 and TIGRmt11 mutations. - View Dependent Claims (109, 110, 111)
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112. A method of determining whether a patient is at risk for developing elevated intraocular pressure, comprising:
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determining whether said patient has either the TIGRmt1 mutation, or both the TIGRmt1 and TIGRmt11 mutations; and
,determining that said patient is at risk for developing elevated intraocular pressure if said patient has said TIGRmt1 mutation or both of said TIGRmt1 and TIGRmt11 mutations. - View Dependent Claims (113)
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115. A method of testing the efficacy of a therapeutic agent at counteracting glaucoma pathogenic mechanisms, comprising:
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a) determining whether a candidate patient for inclusion in a study has either the TIGRmt1 mutation, or both the TIGRmt1 and TIGRmt11 mutations;
b) selecting said patient for inclusion in said study if said patient has said TIGRmt1 mutation or both of said TIGRmt1 and TIGRmt11 mutations;
c) repeating steps a) and b) one or more times; and
,d) testing said agent in said study. - View Dependent Claims (116)
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Specification