Electrically responsive promoter system

• US 20030204206A1
• Filed: 12/20/2001
• Published: 10/30/2003
• Est. Priority Date: 12/21/2000
• Status: Abandoned Application

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Soykan, Orhan, Schu, Carl A., Bonner, Matthew D., Donovan, Maura G., Padua, Rodolfo A.
• Application Number:
  US10/027,655
• Publication Number:
  US 20030204206A1
• Time in Patent Office: Days
• US Class Current: 607/2
• CPC Class Codes: A61K 41/00 Medicinal preparations obtained by treating materials with wave energy or particle radiation ; Therapies using these preparations
• CPC Class Codes: A61K 47/6957 the form being a device or a kit, e.g. stents or microdevices
• CPC Class Codes: A61P 13/12 of the kidneys
• CPC Class Codes: A61P 25/00 Drugs for disorders of the nervous system
• CPC Class Codes: A61P 43/00 Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
• CPC Class Codes: A61P 9/00 Drugs for disorders of the cardiovascular system

Abstract

The present invention provides methods and systems for regulating delivery of therapeutic proteins and nucleic acids. Specifically, this involves using a genetically engineered electrically responsive promoter operably linked to a therapeutic gene sequence, wherein expression of said sequence is controlled by an electrical pulse generator

Claims

1. A therapeutic delivery system comprising an electrical pulse generator operably coupled with genetically engineered cells in a mammalian tissue, wherein said genetically engineered cells further comprise a target gene operably coupled to an electrically responsive promoter.

2. A therapeutic delivery system of claim 1 wherein the electrical pulse generator provides a subthreshold stimulation.

3. A therapeutic delivery system of claim 1 wherein the electrical pulse generator provides a threshold stimulation.

4. A therapeutic delivery system of claim 1 wherein the electrical pulse generator provides stimulation to the tissue from attached electrodes.

5. A therapeutic delivery system of claim 1 wherein the electrical pulse generator provides stimulation to the tissue without attached electrodes using Eddy currents induced by time varying magnetic fields.

6. A therapeutic delivery system of claim 1 wherein the electrical pulse generator provides stimulation to the tissue without attached electrodes using displacement currents induced by time varying electrical fields applied externally.

7. A therapeutic delivery system of claim 1 wherein the electrical pulse generator is a pacemaker.

8. A therapeutic delivery system of claim 1 wherein the electrical pulse generator is implanted.

9. A therapeutic delivery system of claim 1 wherein the electrical pulse generator is external

10. A therapeutic delivery system of claim 1 wherein the electrical pulse generator is externally controlled.

11. A therapeutic delivery system of claim 1 wherein the electrical response promoter contains an electrically responsive enhancer element that is heterologous to the coding sequence.

12. A therapeutic delivery system of claim 1 wherein the electrical response promoter contains an electrically responsive enhancer element heterologous to the promoter sequence.

13. A therapeutic delivery system of claim 1 wherein the electrically responsive promoter is responsive to subthreshold stimulation.

14. A therapeutic delivery system of claim 1 wherein the electrically responsive is responsive to threshold stimulation.

15. A therapeutic delivery system of claim 1 wherein the electrically responsive promoter contains an electrically responsive enhancer element selected from the ANF 5′

non-coding region.

16. A therapeutic delivery system of claim 1 wherein the electrically responsive promoter comprises an ERE operably linked to a tissue specific promoter.

17. A therapeutic delivery system of claim 1, wherein said promoter is a cardiac-specific promoter.

18. A therapeutic delivery system of claim 17, wherein said promoter is selected from the group consisting of the ANF promoter, alpha-MHC.sub.5.5 promoter, alpha-MHC.sub.87 promoter, and human cardiac actin promoter.

19. A therapeutic delivery system of claim 1, wherein said promoter is a kidney specific promoter.

20. 6. A therapeutic delivery system of claim 1, wherein said promoter is a brain specific promoter.

21. A therapeutic delivery system of claim 1, wherein said promoter is selected from the group consisting of aldolase C promoter, and tyrosine hydroxylase promoter.

22. A therapeutic delivery system of claim 1, wherein said promoter is a vascular endothelium specific promoter.

23. A therapeutic delivery system of claim 1, wherein said electrical response promoter, or fragment thereof, is selected from the group consisting of ANF, VEGF, acetylcholine receptor, troponin, NOS3, cytochrome c, COX, CPT-1, hsp70, and skm2.

24. A therapeutic delivery system of claim 1 wherein the genetically engineered cells are mammalian cells.

25. A therapeutic delivery system of claim 1 wherein the genetically engineered cells are selected from the group of C2C12.

26. A therapeutic delivery system of claim 1 wherein said coding sequence is selected from the group consisting of tissue plasminogen activator (tPA), nitric oxide synthase (NOS), Bcl-2, superoxide dismutase (SOD), and catalase.

41. A genetically engineered cell of claims 1, 39 or 40 wherein genetically engineered cells a transplanted into the patient tissue.

42. A method of either claims 1, 39 or 40 wherein genetically engineered cells are obtained by transfecting the cells of the patient tissue.

43. A method of either claims 1, 39 or 40 wherein the transfected tissues are independently selected from, epithelial tissue, endothelial tissue, or mesodermal tissue.

44. A genetically engineered cell of claims 1, 39, or 40 independently selected from the group consisting skeletal muscle cells, heart muscle cells, smooth muscle cells, pluripotent stem cells, mesodermal stem cells, myoblast, fibroblasts, cardiomyocytes, cholinergic neurons, andrenergic neurons, and peptidergic neurons, gial cells, astrocytes, oligodendrytes, schwann cells. vascular endothelial cells, synovial cells, acinar cells, hepatocytes, chondrocytes, osteoblasts, osteoprogenitor cells, nucleous pulposus cells, and cells of the intervertebral disk.

27. An expression vector, comprising an electrical response enhancer element, a tissue specific promoter heterologous to the element, and a coding sequence, wherein said promoter is operably linked to said coding sequence and said element is effective to cause expression of said coding sequence.

28. An expression vector of claim 27, wherein said expression vector is a plasmid.

29. An expression vector of claim 27, wherein said expression vector is an adenovirus vector.

30. An expression vector of claim 27, wherein said expression vector is a retrovirus vector.

31. An expression vector of claim 27, wherein said coding sequence is a viral thymidine kinase coding sequence.

32. An expression vector of claim 31, wherein said viral thymidine kinase coding sequence encodes herpes simplex viral thymidine kinase.

33. An expression vector of claim 27, wherein said coding sequence encodes luciferase.

34. An apparatus for testing cells comprising an upper plate electrode, a lower plate electrode, and a porous membrane which is positioned between said upper and lower plate electrodes during operation.

35. An apparatus of claim 34 wherein the upper plate electrode is the same size as the lower plate electrode.

36. An apparatus of claim 34 wherein the lower plate electrode forms a receiving means for the porous membrane.

37. An apparatus of claim 34 wherein the porous membrane supports cells between said upper and lower plate electrodes.

38. An apparatus of claim 34 which is operably coupled to a pulse generator.

39. A method of treating a patient comprising providing the patient with a electrical pulse generator operably coupled with genetically engineered cells in a patient tissue, wherein said genetically engineered cells further comprise a target gene operably coupled to an electrically responsive promoter.

40. A method providing a patient with a electrical pulse generator operably coupled with genetically engineered cells in a patient tissue, wherein said genetically engineered cells further comprise a target gene operably coupled to an electrically.