Application of stimulus to white matter to induce a desired physiological response

• US 20050010261A1
• Filed: 04/07/2004
• Published: 01/13/2005
• Est. Priority Date: 10/21/2002
• Status: Abandoned Application

• Current Assignee: Cleveland Clinic Foundation
• Original Assignee: Cleveland Clinic Foundation
• Inventors: Luders, Hans O., Najm, Imad, Luders, Jurgen, Boulis, Nicholas M.
• Application Number:
  US10/819,749
• Publication Number:
  US 20050010261A1
• Time in Patent Office: Days
• US Class Current: 607/45
• CPC Class Codes: A61N 1/0529 Electrodes for brain stimulation
• CPC Class Codes: A61N 1/0534 Electrodes for deep brain stimulation
• CPC Class Codes: A61N 1/36082 Cognitive or psychiatric applications, e.g. dementia or Alzheimer's disease

Abstract

The present invention relates to providing a stimulus to brain structures having high fiber density, such as white matter tracts. The stimulus, which can be electrical, pharmacological and/or genetic, is operative to employ the white matter to affect associated brain structures associated with the white matter to help induce a desired physiological response, such as helping to reduce or control seizures.

Claims

1. A system for treating a condition in a brain of an animal, comprising:

a delivery mechanism operative to deliver at least one stimulus to a white matter site in the brain that is associated with a non-white matter brain structure, such that delivery of the stimulus to the white matter site induces a physiological response in the associated non-white matter brain structure.

2. The system of claim 1, the stimulus further comprising at least one of a genetic, pharmacological or electrical stimulus.

3. The system of claim 1, the stimulus further comprising a genetic stimulus that includes a vector having genetic material engineered to express a desired therapeutic protein that induces the physiological response.

4. The system of claim 3, wherein the vector is further engineered for retrograde transport from the white matter site to target cells of the associated non-white matter brain structure that project into the white matter site via intervening nerve fibers.

5. The system of claim 3, wherein the vector further comprises at least one of a viral vector and a non-viral vector.

6. The system of claim 3, the physiological response further comprising a modification of phenotypic characteristics of target cells of the associated non-white matter brain structure.

7. The system of claim 1, the non-white matter brain structure further comprising at least one predetermined epileptogenic zone fibrously connected with the white matter site.

8. The system of claim 7, the predetermined epileptogenic zone comprising at least one of a hippocampus, cortical structure, subthalamic nucleus and temporal lobe of the animal.

9. The system of claim 7, the white matter site comprising at least one of a fornix, corpus callosum, perforant path and temporal stem of the animal, the predetermined epileptogenic zone projecting into the white matter site.

10. The system of claim 1, further comprising an electrical stimulator operative to deliver an electrical stimulus to the white matter site to overdrive at least some electrical activity of the associated non-white matter brain structure and thereby induce at least a portion of the physiological response.

11. The system of claim 10, further comprising a genetic stimulus including a vector having genetic materials engineered to express a desired therapeutic protein that induces at least another portion of the physiological response.

12. The system of claim 10, the electrical stimulus further comprising an electrical signal having a frequency that is less than about 10 Hz.

13. The system of claim 12, the frequency being less than or equal to about 3 Hz.

14. The system of claim 1, further comprising a delivery system operative to modify the delivery of the at least one stimulus by the delivery mechanism based on a sensed condition of the animal.

15. A system for changing a physiological condition of an animal, comprising:

a delivery device operative to provide a stimulus to a region of white matter of the animal'"'"'s brain, the white matter region being connected with a non-white matter region of the animal'"'"'s brain via a pathway projecting into the region of white matter; and

the stimulus comprising a vector having genetic material engineered to induce expression of at least one therapeutic protein in target cells of the non-white matter region for providing a desired physiological response in the animal.

16. The system of claim 15, wherein the vector is engineered for retrograde transport from the white matter region to the target cells of the non-white matter region that project into the white matter region via the pathway, the pathway comprising intervening nerve fibers.

17. The system of claim 15, wherein the vector further comprises at least one of a viral vector and a non-viral vector.

18. The system of claim 15, the physiological response further comprising a modification of phenotypic characteristics of target cells of the associated non-white matter brain structure.

19. The system of claim 15, further comprising an electrical stimulator operative to deliver an electrical stimulus to the white matter region to at least one of (i) overdrive at least some electrical activity of the associated non-white matter brain structure to induce at least a portion of the physiological response and (ii) facilitate retrograde transport of the vector from the white matter region to the target cells.

20. The system of claim 15, wherein the vector further comprises a pharmacological agent.

21. The system of claim 15, further comprising a control system operative to control at least one of a quantity and frequency of the stimulus being delivered by the delivery device.

22. The system of claim 21, wherein the control system controls the delivery device based on a sensed physiological condition of the animal.

23. A system for treating a condition in a brain of an animal, comprising:

means for locating at least one white matter site of the animal'"'"'s brain that is fibrously connected with a non-white matter region of the animals brain; and

means for applying a stimulus to the at least one white matter site of the animal'"'"'s brain to induce a corresponding physiological response in the non-white matter region.

24. The system of claim 23, the stimulus further comprising at least one of a genetic, pharmacological or electrical stimulus.

25. A method comprising:

placing a delivery device in communication with a white matter brain structure that is associated with at least one predetermined non-white matter brain structure; and

using the delivery device to provide a stimulus to the white matter brain structure to induce a desired physiological response in the non-white matter brain structure associated therewith.

26. The method of claim 25, further comprising determining a location of target cells of the non-white matter brain structure and locating the white matter brain structure into which the non-white matter brain structure projects.

27. The method of claim 26, the non-white matter brain structure further comprising an epileptogenic zone.

28. The method of claim 27, the epileptogenic zone comprising at least one of a hippocampus, subthalamic nucleus, cortical structure and temporal lobe.

29. The method of claim 27, further comprising implanting the delivery device at a position for supplying the stimulus into a selected part of at least one of the fornix, corpus callosum and temporal stem to enable transport of at least a portion of the stimulus to the epileptogenic zone.

30. The method of claim 25, the white matter brain structure further comprising at least one of a fornix, a corpus callosum and a temporal stem thereof the brain.

31. The method of claim 25, the stimulus further comprising at least one of a genetic, pharmacological or electrical stimulus operative to induce the desired physiological response.

32. The method of claim 31, the use of the delivery device further comprising applying a genetic stimulus to the white matter structure, the genetic stimulus including a vector of genetic material engineered to express a desired therapeutic protein that induces at least a portion of the desired physiological response.

33. The method of claim 32, the physiological response further comprising a modification of phenotypic characteristics of target cells associated with the non-white matter brain structure based on expression of the therapeutic protein.

34. The method of claim 31, the use of the delivery device further comprising applying an electrical stimulus to the white matter brain structure to at least one of (i) induce at least a portion of the physiological response and (ii) facilitate retrograde transport of the vector from the white matter region to the target cells.

35. The method of claim 25, the use of the delivery device further comprising applying an electrical stimulus to the white matter brain structure to induce at least a portion of the physiological response.

36. The method of claim 35, the electrical stimulus further comprising an electrical signal having a frequency that is less than or equal to about 3 Hz.

37. The method of claim 25, the placement of the delivery device further comprising at least one of stereotaxis and endoscopy to facilitate placing the delivery device in communication with the white matter brain structure.