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Diagnostics and therapeutics for restenosis

a technology of restnosis and diagnostics, applied in the field of restnosis diagnostics and therapeutics, can solve the problems of limited long-term success of ptca, extension of local injury or prolongation of the cycle of injury-inflammation-healing, and limited utility of methods for heritable diseases

Inactive Publication Date: 2004-11-18
INTERLEUKIN GENETICS
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Benefits of technology

This approach enables the identification of patients at risk for restenosis, allowing for targeted therapies and potentially reducing the recurrence of vessel narrowing by tailoring treatments based on genetic predisposition.

Problems solved by technology

Despite the frequent application of this procedure and its high initial success rate, the long-term success of PTCA is limited by intraluminal renarrowing or restenosis at the site of the procedure.
These free radicals can damage cellular elements directly, leading to an extension of a local injury or a prolongation of the cycle of injury-inflammation-healing.
These methods are of limited utility for heritable diseases with late onset and no easily identifiable phenotypes such as, for example, a predisposition to restenosis.
While the frequency of meiotic recombination between two markers is generally proportional to the physical distance between them on the chromosome, the occurrence of "hot spots" as well as regions of repressed chromosomal recombination can result in discrepancies between the physical and recombinational distance between two markers.
This association between otherwise benign polymorphisms and a disease-causing polymorphism occurs if the disease mutation arose in the recent past, so that sufficient time has not elapsed for equilibrium to be achieved through recombination events.
This is significant because the precise determination of the molecular defect involved in a disease process can be difficult and laborious, especially in the case of multifactorial diseases such as inflammatory disorders.

Method used

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  • Diagnostics and therapeutics for restenosis
  • Diagnostics and therapeutics for restenosis
  • Diagnostics and therapeutics for restenosis

Examples

Experimental program
Comparison scheme
Effect test

example 5

5.5 Example 5

[0305] In this example, the preparation of template DNA is described. PCR-based genotyping does not require particularly high-MW DNA (<20 Kb DNA is often an excellent template). As 100 ng genomic DNA is more than sufficient for single-copy gene amplification, direct amplification from dried blood spots or cell lysates can be used for genotyping, and two of the protocols that we have used are here described below.

[0306] However, if DNA banks need to be established for population studies where DNA needs to be stored for future reference or genotyping at different loci, or where genomic Southern blotting might be needed, good quality high-MW genomic DNA needs to be extracted. Basic buffers and the composition of chemical solutions can be found in major protocol textbooks (Sambrook et al. (1989) Molecular cloning: a laboratory manual, Cold Spring Harbor Press; Ausubel and Frederick (1994) Current protocols in molecular biology, John Wiley and Sons).

[0307] Sample DNA can als...

example 6

5.6 Example 6

[0311] In this example, the conditions for conducting appropriate polymerase chain reactions on the collected samples are described. Oligonucleotide primers designed to amplify the relevant region of the gene spanning the polymorphic site (as detailed below) are synthesised, resuspended in Tris-HCl-EDTA buffer (TE) and stored at -20.degree. C. as stock solutions of 200 .mu.M. Aliquots of working solutions (1:1 mixture of forward and reverse, 20 .mu.M of each in water) are prepared in advance of the experiment. Typically PCR reaction mixtures are prepared as detailed below. Divergence from the scheme below can be made for each specific protocol.

18 Stock Final Concentration Volume Concentration Sterile H.sub.20 29.5 .mu.l 10 .times. PCR buffer 200 mM Tris-HCl 5.00 .mu.l 20 mM Tris-HCl, (pH 8.4), 50 mM KCl 500 mM KCl MgCl.sub.2 50 mM 1.75 .mu.l 1.75 mM dNTP mix 10 mM of 4.00 .mu.l 0.2 mM of each each primer forward 20 .mu.M 2.5 .mu.l 1 .mu.M primer reverse 20 .mu.M 2.5 .mu...

example 7

5.7 Example 7

[0314] In this example, the conditions for conducting appropriate polymerase chain reactions on the collected samples are described. A master mix of restriction enzyme buffer and enzyme is prepared and aliquotted in suitable volumes in fresh microwells. We use a multichannel pipette to transfer and mix 25-30 .mu.l of PCR product in the microwells. Digestion is carried out with an oil overlay or capped microtubes at the appropriate temperature for the enzyme on a dry block. Restriction buffer dilutions are calculated on the whole reaction volume (i.e. ignoring salt concentrations of PCR buffer). Restriction enzymes are used 3-5 times in excess of the recommended concentration, to compensate for the unfavorable buffer conditions and to ensure complete digestion.

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Abstract

Methods and kits for determining whether a subject has or is predisposed to developing restenosis are provided.

Description

1. BACKGROUND OF THE INVENTION[0001] Restenosis[0002] Percutaneous transluminal coronary angioplasty (PTCA) is used to treat obstructive coronary artery disease by compressing atheromatous plaque to the sides of the vessel wall. PTCA is widely used with an initial success rate of over 90%. Approximately 666,000 angioplasties were conducted in the United States alone in 1996, and more of these procedures were performed on men (452,000) than women (214,000). Of this total, 482,000 were percutaneous transluminal coronary angioplasty (P.T.C.A. (American Heart Association; www.amhrt.org). Despite the frequent application of this procedure and its high initial success rate, the long-term success of PTCA is limited by intraluminal renarrowing or restenosis at the site of the procedure. This occurs within 6 months following the procedure in approximately 30% to 40% of patients who undergo a single vessel procedure and in more than 50% of those who undergo multivessel angioplasty.[0003] Sten...

Claims

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Application Information

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Patent Type & Authority Applications(United States)
IPC IPC(8): C07K14/54C07K14/545C12Q1/68G01N33/68
CPCC07K14/54C07K14/545C12Q1/683C12Q1/6883C12Q2600/156G01N33/6893G01N2800/32G01N2800/323G01N2800/324
Inventor CROSSMAN, DAVID C.DUFF, GORDON W.FRANCIS, SHEILA E.KORNMAN, KENNETH S.STEPHENSON, KATHERINE
Owner INTERLEUKIN GENETICS