Techniques for identifying molecular structures and treating cell types lining a body lumen using fluorescence
First Claim
13. A method for detecting fluorescence emitted by intestinal cells in vivo, comprising the steps of:
- a. introducing an autonomous solid support into the lumen of the intestine;
b. illuminating cells in the intestine wall from a light source mounted to the solid support with a wavelength that excites a particular fluorescent signal;
c. detecting at a detector mounted to the solid support whether illuminated cells illuminated during step b emit the particular fluorescent signal; and
d. if the particular fluorescent signal is detected from the illuminated cells, then determining at least one of an intensity and a position in the intestine of the detected fluorescent signal.
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Abstract
Techniques for detecting fluorescence emitted by molecular constituents in a wall of a body lumen include introducing an autonomous solid support into the body lumen. Cells in a lumen wall of the body lumen are illuminated by a light source mounted to the solid support with a wavelength that excites a particular fluorescent signal. A detector mounted to the solid support detects whether illuminated cells emit the particular fluorescent signal. If the particular fluorescent signal is detected from the illuminated cells, then intensity or position in the lumen wall of the detected fluorescent signal, or both, is determined. These techniques allow the information collected by the capsule to support diagnosis and therapy of GI cancer and other intestinal pathologies and syndromes. For example, these techniques allow diagnostic imaging using endogenous and exogenous fluoroprobes, treating diseased sites by targeted release of drug with or without photoactivation, and determining therapeutic efficacy.
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Citations
50 Claims
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13. A method for detecting fluorescence emitted by intestinal cells in vivo, comprising the steps of:
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a. introducing an autonomous solid support into the lumen of the intestine;
b. illuminating cells in the intestine wall from a light source mounted to the solid support with a wavelength that excites a particular fluorescent signal;
c. detecting at a detector mounted to the solid support whether illuminated cells illuminated during step b emit the particular fluorescent signal; and
d. if the particular fluorescent signal is detected from the illuminated cells, then determining at least one of an intensity and a position in the intestine of the detected fluorescent signal.
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14. A method for killing abnormal cells in the intestinal tract of an animal, comprising the steps of
a. administering to the animal an exogenous fluorescent-labeled probe that is selectively internalized by or binds to abnormal intestinal cells; -
b. introducing an autonomous solid support into the lumen of the intestine;
c. illuminating cells in the intestinal wall from a light source mounted to the solid support with a wavelength that excites a particular fluorescent signal emitted by the fluorescent label on the exogenous probe;
d. detecting at a detector mounted to the solid support whether illuminated cells illuminated during step b emit the particular fluorescent signal; and
e. if the particular fluorescent signal is detected, then releasing a drug that kills the abnormal intestinal cells. - View Dependent Claims (15, 16, 17, 18)
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20. A method for killing abnormal cells in the intestinal tract of an animal, comprising the steps of
a. administering to the animal an amount of one or more exogenous probes that is selectively internalized by or binds to abnormal intestinal cells, wherein the at least one probe is bound to a fluorescent label and at least one probe is bound to a light-activated toxin; -
b. introducing an autonomous solid support into the lumen of the intestine;
c. illuminating cells in the intestinal wall from a light source mounted to the solid support with a wavelength that excites a particular fluorescent signal emitted by the fluorescent label on the exogenous probe;
d. detecting at a detector mounted to the solid support whether illuminated cells illuminated during step b emit the particular fluorescent signal; and
e. if the particular fluorescent signal is detected, then illuminating the cells with light to activate the light-activated toxin to kill the abnormal cells. - View Dependent Claims (21)
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22. A method for determining the efficacy of treatment of cancer in the upper and lower intestinal tract in an animal comprising the steps of
a. administering to the animal having cancer of the upper or lower intestinal tract an amount of an exogenous fluorescent-labeled probe that is selectively internalized or bound by the cancer cells; -
b. illuminating cells in the intestinal wall from a light source mounted to a first autonomous solid support introduced into the lumen of the intestine with a wavelength that excites a particular fluorescent signal emitted by the fluorescent label on the exogenous probe in the cancer cells;
c. detecting at a detector mounted to the first solid support the fluorescent signal emitted by the exogenous probe in cancer cells illuminated during step b to determine a first amount of fluorescent emission;
d. after step c, administering treatment to the animal having cancer of the upper or lower intestinal tract to eliminate the cancer cells;
e. after step d, administering to the animal an amount of the exogenous fluorescent-labeled probe;
f. illuminating cells in the intestinal wall from a light source mounted to a second autonomous solid support introduced into the lumen of the intestine with the wavelength that excites the particular fluorescent signal;
g. detecting at a detector mounted to the second solid support the fluorescent signal emitted by the exogenous probe in cancer cells illuminated during step f to determine a second amount of fluorescent emission; and
h. determining an efficacy of the treatment based on a difference between the first and second amounts of fluorescent emission. - View Dependent Claims (23, 24)
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25. A capsule for detecting fluorescence emitted by cells in a wall of a body lumen in an animal, comprising:
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a solid support that fits inside a body lumen;
a light source mounted to the solid support for generating light with a wavelength that excites a particular fluorescent signal in certain molecules;
a first optical element mounted to the solid support for illuminating a section of a lumen wall of the body lumen with light from the light source;
a detector mounted to the solid support for generating measurements based on the particular fluorescent signal;
a second optical element mounted to the solid support for directing onto the detector the particular fluorescent signal emitted from the section illuminated; and
a data transfer system for transferring data based on the measurements to a monitoring unit outside the animal. - View Dependent Claims (1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 19, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46)
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27-1. The capsule as recited in claim 25, wherein the illuminated section is a band along an inner circumference of the body lumen.
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47. A monitoring unit for presenting fluorescence emitted by cells in a wall of a body lumen in an animal, comprising:
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a receiver for receiving data from a capsule that fits inside a body lumen, the capsule including;
a solid support, a light source mounted to the solid support for generating light with a wavelength that excites a particular fluorescent signal in certain molecules, a detector mounted to the solid support for generating measurements based on the particular fluorescent signal emitted by an illuminated section of the lumen wall, and a data transfer system for transferring data based on the measurements to the receiver; and
a processor to generate an image based on the data; and
a display for presenting the image to a user. - View Dependent Claims (48, 49)
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50. A system for detecting fluorescence emitted by cells in a wall of a body lumen in an animal, comprising:
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a capsule including a solid support that fits inside a body lumen, a light source mounted to the solid support for generating light with a wavelength that excites a particular fluorescent signal in certain molecules, a detector mounted to the solid support for generating measurements based on the particular fluorescent signal emitted from an illuminated section of the body lumen, and a data transfer system for transferring data based on the measurements; and
a monitoring unit including a receiver for receiving the data from the capsule, a processor to generate an image based on the data, and a display for presenting the image to a user.
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Specification