| Tech ID |
Title |
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| 23281 |
Crosslinking Strategy for Catheter Delivery of Injectable Hydrogels
Several crosslinking strategies exist to generate injectable materials. However, the vast majority of materials have very rapid gelation kinetics, which do not allow for complex injection routes via catheter where the material must remain at body temperature inside the catheter for a period of time. An example of such a delivery route is cardiac catheter delivery, where the material must remain liquid in the catheter to facilitate multiple injections to the damaged region of the heart. The delivery of injectable materials into the heart has been studied to encourage endogenous cell infiltration and repair as well as for the delivery of cells or other therapeutics. These studies have, however, largely been performed in small animals since the gelation kinetics of most injectable materials prevent cardiac catheter delivery.
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| | 23224 |
Novel Application of Laser Lithotripsy for Treating Peripheral Arterial Disease
In the United States, 12 million people suffer from symptomatic Peripheral Arterial Disease (PAD), wherein blood flow to the lower extremities is significantly reduced by atherosclerotic plaques. Traditionally, vascular bypass surgery has been considered the “gold standard” of treatment for PAD. However; not only surgery is associated with significant morbidity and mortality, but also 40% of these patients are not eligible for surgery. Over the past few decades, Percutaneous Transluminal Angioplasty (PTA) with or without stenting has been introduced as an alternative to surgical revascularization. Despite acceptable clinical outcomes; PTA is not flawless and suffers from major technical challenges. One of the most important limitations of PTA is Chronic Total Occlusion (CTO). In this setting, which affects up to 40% of the patients with PAD, more than 99% of the arterial lumen is occluded by plaques composed of loose or dense fibrous and calcified tissue. Because these lesions cannot be crossed with a guidewire, the more conventional PTA methods cannot be used in these patients and the results have been disappointing. This in turn, has spurred interest in development of a variety of new technologies in an attempt to overcome this limitation and improve the efficacy of percutaneous revascularization. Progress made in the design and deployment of pulsed-wave excimer laser catheters culminated in introduction of laser-assisted angioplasty as an attractive and viable option for treatment of complex PAD and CTO. In this setting, short but intense pulses of ultraviolet (UV) energy are used for ablation of fibrous plaques. Notwithstanding, the current excimer laser-based systems have their own limitations. Most notably, the catheter is advanced over a guidewire and the procedure is performed in a blind setting, meaning that the operator has no visual view of the operation field. This in turn increases the chance of major complications such as perforation. Second is the inability to create a channel larger than the maximum diameter of the excimer laser catheter and thus, only 4% of the cases can be treated with standalone laser-assisted angioplasty. Finally, the resulting debris are not cleared from the vascular lumen and put the patients at the risk of distal embolization.
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| | 23179 |
Biodegradable Stent for Aneurysm Repair
Endovascular stents are used for a variety of conditions involving blood vessels, most often to reinforce a weak spot in an artery called an aneurysm. Current commercially available stents are manufactured from a variety of metals and are permanently implanted in various parts of the body. As these metal implants often result in untoward long-term effects, there has been considerable interest in the development of a "temporary" stent that dissolves safely within the body. Degradable technology has not yet received FDA approval, but testing is underway for temporary stents manufactured from "soft" metals or polylactide (PLA) polymers. However, there are several limitations with the current designs, including difficulty in deployment, slow degradation, and erosion resulting in a highly acidic environment. Treating vascular disease while minimizing side effects depends on the development of safe and effective degradable stents.
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| | 23169 |
Improved Cardiac Late Gadolinium Enhancement MRI For Patients With Cardiac Devices
Late gadolinium enhancement (LGE) MRI is the clinical gold standard for in vivo myocardial tissue characterization and is useful for assessing tissue viability in patients with ischemic heart disease, myocarditis, cardiomyopathies, as well as other heart conditions. LGE MRI is also playing an increasing role in guiding catheter ablation treatments for arrhythmia. Cardiac pacemakers and implantable cardioverter defibrillators (ICDs), which are often implanted into patients with such heart conditions, impair the utility of LGE MRI by producing disruptive imaging artifacts. These artifacts manifest as bright contrast signals, image distortions, or signal voids. Combined, these artifacts drastically limit a physician’s ability to determine if scar tissue is present. Given that over 500,000 patients are implanted with ICDs or pacemakers every year in the U.S., the inability to have diagnostic LGE MRI imaging for these patients represents a significant hazard and unmet need. Thus, novel methods or approaches are needed to clarify LGE MRI images for these at-risk patient populations.
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| | 23154 |
Novel Hybrid Self-Renewal Engineered Tissue for Fabrication of Heart Valve Leaflets, Blood Vessels and Other Constructs
Researchers at the University of California, Irvine have developed a new hybrid tissue that is capable of self renewal. This new hybrid tissue may be used as replacement heart valve leaflets and may also be used for other tissue constructs like blood vessels.
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| | 23141 |
Device to Grow and Form a Hybrid Heart Valve
Researchers at the University of California, Irvine (UCI) have developed a device that may be used in growing and forming a novel hybrid heart valve developed at UCI. The hybrid heart valve is capable of self-renewal and may be used as a replacement heart valve in patients. The device allows for the controlled application of different layers of cells to the form the hybrid heart valve. The device has also the capability to be used for culturing other types of tissue engineered valves that traditionally require a use of scaffold for formation.
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| | 23081 |
A Novel Noninvasive Method for Measuring the Dynamics of Cerebral Blood Flow Using MRI
Functional MRI (fMRI) based on blood oxygenation level dependent (BOLD) signal changes has had an enormous impact on basic neuroscience studies but has had little impact on clinical practice. The problem is that the BOLD signal is a good indicator of where neural activity has changed in response to a stimulus but it is a poor indicator of how much it has changed in an absolute sense due to the complexity of the BOLD effect. Because the BOLD response can vary across subjects even if the underlying neural activity change is identical, we cannot establish the kind of normative data that is needed for clinical applications. For this reason, the only clinical applications of fMRI are in neurosurgery planning, because the critical question in that application is: where is the activity? There is a clear potential for much broader applications of fMRI in evaluating neurodegenerative disease, but these have not yet developed because the critical question is the harder one of: how much has activity changed? Arterial spin labeling (ASL) measures cerebral blood flow (CBF), a well-defined physiological variable and in particular a quantitative variable for which normative data can be acquired as a basis for clinical applications. However, the ASL measurement tends to be significantly noisier than the BOLD measurement. For this reason, most quantitative functional imaging studies with ASL are performed using long, simple stimuli such that measurements may be taken in an “active steady-state” and repeated to improve signal to noise ratio (SNR). This limits basic studies of brain dynamics during conditions that better approximate everyday human experience where a stimulus pattern is unknown, and also limits the complexity of neuropsychological tests that could be employed in clinical applications to assess brain function. Although the sensitivity of the ASL method can be improved with background suppression to remove tissue signal, this eliminates any information present in the BOLD signal. An important advantage of acquiring both ASL and BOLD signals is that the dynamics of the cerebral metabolic rate of oxygen (CMRO2) also can be measured. The primary challenge is then: how can we best derive quantitative measurements of CBF and CMRO2 dynamics when the driving stimulus is complex or even unknown?
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| | 23066 |
Device to Stabilize and Maintain Blood Pressure and Oxygen Saturation in an Emergent Setting
Physicians at the University of California, Irvine have developed a device to stabilize and maintain blood pressure and oxygen saturation in an emergent setting. This device is intended to be used short-term so that trauma and critical care patients will be able to undergo selective control of hemorrhage thus enabling more patients to undergo life-saving interventions.
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| | 23035 |
A Novel Method to Quantitate Cerebral Metabolic and Hemodynamic Activities using MRI
Most quantitative functional imaging studies of cerebral blood flow (CBF) are performed using long, simple stimuli such that measurements may be taken in an "active steady-state" and repeated to improve signal to noise ratio (SNR). It is thus highly desirable to have a technique that could permit quantitative study of cerebral metabolic and hemodynamic activity under conditions that better approximate everyday human experience where a stimulus pattern is unknown.
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| | 22987 |
AUTOLOGOUS CARDIAC STEM CELL THERAPY FOR HEART FAILURE
Over 5 million Americans currently suffer with congestive heart failure and despite aggressive medical therapies targeted to treat this disease; the outlook for these patients remains grim, with estimated mortalities of 33% and 50% at 1 and 5 years, respectively. Congestive heart failure (CHF) remains a significant unmet need in the global medical community. A treatment option for CHF by cellular transplantation of stem cells is a developing research area. This approach has been studied using fetal cardiomyocytes, adult skeletal muscle cells, autologous bone marrow-derived mesenchymal stem cells, cardiac progenitor (CP) cells, and cardiomyocytes derived from embryonic stem cells. However, current studies have yielded modest results in reducing infarct size and scar tissue. Furthermore, the necrotic/apoptotic loss of the vast majority of donor cells within days after transplantation is a major drawback.
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| | 22977 |
Advanced Resuscitation Training Program for Cardiac Arrest Patients
There is a general need to improve the efficacy of the resuscitation programs and the survival rate of patients undergoing cardiac arrest.
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| | 22973 |
Thrombus Inhibitor
Exposed collagen in injured blood vessels provides a substrate for platelets to adhere and aggregate, initiating the first step in thrombosis, the formation of blood clots inside a blood vessel. Although platelets play an essential role in vascular injury, excessive platelet aggregation may also result in thrombotic disease such as stroke and heart attack.
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| | 22965 |
Novel Method to Detect and Monitor Infection and Inflammation in situ and in vivo
Hydrogen peroxide (H2O2) is a toxic byproduct of many physiologic and pathological reactions, and elevated in a variety of conditions in which free radicals have been implicated, such as inflammation, infection, cancer, diabetes, aging, and cardiovascular disease. Most conventional methods for H2O2 detection are limited to in vitro use. Being able to detect and image elevated H2O2 levels in vivo and in situ provides accurate and real time diagnosis and monitoring of many pathologies and body’s response to perturbation.
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| | 22955 |
MicroRNA Therapeutics for Augmenting Blood Vessel Growth
This invention provides microRNA therapeutics that augment blood vessel growth, which may have application for indications where it is desired to reduce or stimulate angiogenesis. Reducing or inhibiting angiogenesis may be useful for indications such as degenerative eye diseases and cancer. Stimulating blood vessel growth may be useful for treating indications such as cardiovascular, thrombotic or ischemic diseases. Cells lining blood vessels are usually among the least proliferative cell types, but this desired quiescence may be interrupted in response to growth factors during pathological neovascularization manifested in disease states such as macular degeneration and cancer. MicroRNAs are known to be key regulators of angiogenesis and specific miRNAs have been found to be effective toward these indications.
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| | 22953 |
Device to Characterize Gas Transport Properties Of Cell-Free Oxygen Carriers And Red Blood Cells
Treating blood loss with cell free oxygen carrier (artificial blood) is essential to maintain oxygen supply to the patient as well as prevent the collapse of capillaries. Effective substitution by artificial blood hinges on oxygen delivery, blood-gas and pH balance, and carbon dioxide removal. Therefore it is important to monitor the efficacy of the artificial blood or compare the efficacy of different types of them.
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| | 22803 |
TREATING ATRIAL FIBRILATION BY TARGETING SUPEROXIDE PRODUCTION
Atrial fibrilation (AF) is the most common cardiac arrhythmia and in the U.S. alone affects up to 9% of people over the age of 75. AF can result in blood clot formation and patients have a 7-fold higher risk of stroke. Current approaches to treat AF include (i) the use of anti-arrhythmia drugs that block ion channels in the heart and (ii) electronic ablation of the atrioventricular node and implantation of a defibrillator or pacemaker. Despite these treatments, recurrence is common. In addition, identification of alternative therapeutics has been hindered by the fact that the molecular mechanisms causing AF have remained largely unknown.
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| | 22802 |
Novel Biomarker for Diagnosing Cardiac Injury
Cardiovascular disease is the most expensive and prevalent medical conditions in the U.S., costing $95.6 billion and 860,000 lives every year, respectively. 46% of the cardiac deaths occur outside of the hospital; this is partly due to the fact more than 90% of the strokes and 50% of the heart attacks are asymptomatic and have delay in diagnosis and treatment. Imaging procedures such as ECG are not effective in diagnosing such silent episodes. Therefore there is an unmet need for diagnosing silent heart diseases with specific biomarkers.
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| | 22735 |
Screening Methods to Identify New Drugs for Atherosclerosis and Type II Diabetes
One class of drugs developed to treat diabetes is the thiazolidinediones, which include rosiglitazone (Avandia®), troglitazone (Rezulin®), and pioglitazone (ACTOS®). These insulin-sensitizing drugs have been shown to lower blood glucose levels in target tissues (muscle and fat) by modulating PPAR-g, a nuclear receptor involved in fat cell development and glucose homeostasis. Activators of PPAR-g have been shown to suppress the expression of inflammatory genes that play a role in impaired insulin signaling. However, thiazolidinediones have also been shown to exhibit serious side effects, including edema, anemia, and liver injury.
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| | 22691 |
Novel Peptide Isomer Therapeutic and Pathway for Treating Hypertension
Hypertension affects about one in three adults in the United States. Hypertension increases risk of serious health issues, including heart attack, stroke and kidney failure. Approaches to manage hypertension may vary by individual and with differing success. Medications are available, but not all medications are suitable for all patients. Accordingly, new anti-hypertension medications may benefit patients. There are proteins known to reduce blood pressure when administered, however, some proteins are not suitable therapeutics due to short half-life in the body. Improving stability of suitable anti-hypertensive peptides may provide novel therapeutics to lower blood pressure.
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| | 22681 |
Biomarkers for Kawasaki Disease
Kawasaki disease (KD) is a childhood disease prevalent in Asian populations, especially Japan. Disease incidence is approximately 1/1000 for Asians, and 2/10,000 in Caucasian populations. One quarter of disease patients are susceptible to life-threatening coronary artery aneurysms.
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| | 22613 |
Peptide Mimotopes to Oxidation Specific Epitopes
Autoantibodies specific for malondialdehyde-modified LDL (MDA-LDL) represent potential biomarkers to predict cardiovascular risk. However, MDA-LDL is a high variability antigen with limited reproducibility. To identify peptide mimotopes of MDA-LDL, phage display libraries were screened and the specificity and antigenic properties of MDA mimotopes were assessed in vitro and in vivo.
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| | 22610 |
A New Predictor of Cardiovascular Events and Therapeutic Efficacy of Cardiovascular Drugs
Plasminogen plays a key role in the fibrinolytic system and has been implicated in several other pathophysiological activities. Lipoprotein a is composed on apo(a) covalently bound to apo(B) and is highly homologous to plasminogen. Lp(a) has been shown to be a causal, independent, genetic cardiovascular risk factor for coronary artery disease and myocardial infarction.
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| | 22589 |
Manganese Based Targeted Magnetic Molecular Imaging Probes For The Noninvasive Imaging Of Oxidation Specific Epitopes Present In Atherosclerosis, Cancer, Infection, Inflammation and Immunological Conditions
This invention uses multi-functional magnetic imaging probes to image high risk atherosclerosis and nonatherosclerotic sites such as areas of cancer, infection, immunological conditions and inflammation. The invention incorporates the use of micelles containing the manganese to which are attached to oxidation specific antibodies. This multi-functional particle is injected intravenously and will enter an area of atherosclerotic plaque in the vessel wall or other site of inflammation (primary or metastatic cancer, liver disease, arthritis, Alzheimer's, macular degeneration, etc.) and the antibody will direct the micelle with the manganese to an oxidation specific epitope. Once it binds, the micelle will be taken up into a macrophage. Lysosomal enzymes in the macrophage will then cleave the manganese off the micelle which greatly enhances its relaxivity, which is a key part of the invention, that then allows the manganese to be detected by molecular bio-magnetic resonance imaging (MRI).The unique aspect of this invention is the fact that manganese is normally not easily visible by MRI when it is complexed to another carrier. However, manganese is visible to MRI when it is in a free state. Because free manganese cannot be injected for specific localization, it must be complexed to a carrier that will do two things: 1) deliver the manganese to a specific targeting area, which in this case is via the oxidation specific antibody and 2), have a mechanism by which the manganese is released to be seen with MRI techniques. This invention has these two novel aspects of using a targeting agent to deliver the manganese and through the natural pathophysiology of atherosclerosis allowing the manganese micelle to be taken out by macrophages and subsequently released in the macrophage. This results in a macrophage specific imaging. Since macrophages are associated with unstable atherosclerotic lesions and all areas of inflammation, this technique may allow a novel approach to image macrophage activity and therefore lesions that would predict higher cardiovascular risk.
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| | 22567 |
A Novel Biomarker For Abdominal Aortic Aneurysm
Abdominal aortic aneurysm (AAA) is a severe human vascular disease resulting in progressive aortic dilation and eventual lethal rupture. Approximately one in every 250 people over the age of 50 will die of a ruptured AAA. While the success rate of surgical repair is high for aneurysms bigger than 5cm, reliable prediction of the asymptomatic disease remains elusive. Moreover, smaller instances of the disease cannot be easily diagnosed with radiography, or ultrasound, potentially resulting in silent growth and sudden rupture. Even CT and MRI will not be able to detect aneurysms at the early initiation stage that only involve molecular remodeling of the aortas. Thus, there is an urgent need for a more robust and sensitive method to predict AAA development at very early stages to enable better monitoring and treatment of the disease.
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| | 22547 |
A Small Molecule Alpha-1-Adrenergic Receptor Agonist For Treating and Preventing Heart Muscle Diseases
Anthracyclines are the most commonly prescribed chemotherapeutic agent for their effectiveness in treating cancer. However use of anthracyclines can have the severe, adverse effect of cardiac toxicity leading to cardiomyopathy and clinical heart failure. Currently available medications to counteract anthracycline-induced cardiotoxicity either do so at the cost of anti-tumor activity, or there is insufficient clinical trial data to support their efficacy in preventing cardiotoxicity. Thus widespread use of these compounds is limited. There is a clinical need for a pharmaceutical compound that can prevent and/or treat the cardiac side effects of anthracyclines while maintaining their anti-tumor activity.
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| | 22439 |
Diagnosis And Treatment Of Fatigue, Blindness, Deafness, And Atrial Fibrilation
Fatigue, blindness, deafness, and atrial fibrillation can individually affect a broad range of people and cause a wide range of effects on their quality of life. Although these conditions may appear to be unrelated, they may have a similar connection. The diagnosis and confirmation of these diseases and conditions will allow for proactive treatment and treatment monitoring.Researchers at the University of California, Irvine have discovered a genetic connection between the seemingly unrelated conditions of fatigue, blindness, deafness, and atrial fibrillation. Their discovery can be used to aid in the diagnosis, confirmation of the diagnosis, and treatment of the disease. Additionally, this discovery can be used to improve the performance of healthy individuals.
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| | 22431 |
Extracellular matrices and methods for treating peripheral artery disease (PAD)
Despite recent advances in tissue engineering and regenerative medicine, ischemia related to cardiovascular disease results in the death of more than 100,000 amputations per year from peripheral artery disease (PAD) in the US alone. Very few biomaterials have been examined and of those examined (e.g. fibrin, collagen, alginate, and Matrigel). None of these provide all the native components of the skeletal muscle extracellular matrix. Most are limited to improving growth factor and cell delivery. Currently no material meets all of the properties of an ideal scaffold, namely enhanced neovascularization to reduce the ischemic environment, better cell adhesion, survival, and maturation of endogenous or exogenously added cells. There is a need to develop improved compositions for minimally invasive tissue-engineered therapies for the treatment of critical limb ischemia.
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| | 22430 |
Method of Removing Immunogenic Antigens from Tissues
Available for licensing are patent rights to a method for removal of antigens from tissues, thereby lessening the immune response when those tissues are utilized in a host, for example, as xenogeneic implants.
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| | 22407 |
Novel Imaging Technique Combines Optical and MR Imaging Systems To Obtain High Resolution Optical Images
Researchers at the University of California, Irvine have developed a novel high resolution imaging technique, referred to as Photo-Magnetic Imaging (PMI), that combines the abilities of optical and magnetic resonance (MR) imaging systems. Images are created with PMI by heating tissue with a light (e.g. laser) and measuring the resulting temperature change with MR Thermometry. This change in temperature can then be related to a tissue’s absorption, scattering, and metabolic properties. PMI addresses the limitations of current optical imaging techniques by providing a repeatable, non-contact, high resolution optical image with increased quantitative accuracy. This technique can be used for a wide-range of applications including but not limited to imaging of small animals for research purposes. This technique may also be used in imaging the tissue and organs of a patient.
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| | 22356 |
Development of diagnostics and high throughput screens to detect and treat cardiac hypertrophy caused by elevated levels of DSCAM and COL6
Congenital heart defects (CHD) are observed in approximately 50% of Down Syndrome (DS) patients and the genes responsible for this phenotype have been mapped to a small candidate region near the tip of chromosome 21. Expression data has indicated which genes in this region are expressed in the heart and might contribute to CHD. However, given the large number of subjects needed for fine genetic mapping it is a difficult task, limiting the development of diagnostics or therapeutics to CHD.
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| | 22192 |
Biological "Cloaking" of Nanoparticles for Cancer Drug Delivery
Although significant efforts have been devoted to bridging the gap between synthetic nanomaterials and viable biologics, development of a bio-mimetic delivery vehicle has remained elusive. Challenges include the limited ability to reproduce a cell’s complex membrane makeup on a nanoscale substrate and the fact that most bioconjugation techniques lead to protein denaturation. Efforts to extend nanoparticle residence time in vivo have inspired a variety of strategies to bypass macrophage uptake and systemic clearance. However, none of these have been able to recapitulate what nature has already evolved as its’ own long-circulating delivery vehicles—the red blood cell (RBC).
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| | 22168 |
Extra Cardiac Ventricular Assist Device (ECVAD)
Ventricular assist devices (VADs) are life supporting medical devices that assist with blood flow from a lower chamber of the heart to the rest of the body. Because all of the currently available VADs require direct contact with the blood, patients need to be on antirejection and anticoagulation therapies. A VAD that does not require the patient to take additional medication may decrease complications for the patient and would also be cost effective. Researchers at the University of California, Irvine have developed a medical device used to augment cardiac function during heart failure. The ECVAD (extra cardiac ventricular assist device) operates by a different mechanism than the pulsatile or continuous flow designs that are currently used. With the ECVAD, there is no direct contact between the device and the patient’s blood, which decreases the risk of contamination of the blood and eliminates the need for certain drug therapy. In addition, the ECVAD can be implanted using minimally invasive laparoscopic surgery and can be easily removed without tissue damage to the patient.
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| | 22160 |
Combined Oct/Ultrasound Probe And System For Intracardiac Imaging Integrated With Electrophysiology Catheter
Tachycardia is a type of abnormally fast heart beating arrhythmia-a heart rate greater than 100 beats per minute at rest, whose symptoms include palpitations, dizziness, angina, heart failure, or ultimately a heart attack. One of the commonly used non-surgical methods to treat this disease is Radiofrequency Ablation (RFA). Physicians guide a catheter with an electrode at the tip to the area of the heart muscle where there is an accessory extra pathway where heart cells give off the electrical signals that stimulate the abnormal heart rhythm. A radiofrequency energy is transmitted to the pathway and destroys carefully selected cells in a very small area. By doing so, the area stops conducting the extra impulses that cause the tachycardia. Researchers at the University of California, Irvine have developed a novel therapy modality, which combines optical coherence tomography and ultrasound with a electrophysiology catheter for real-time monitoring of the RFA treated area of the heart. The invention will provide images with high resolution and high penetration depth.
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| | 22118 |
Bioactive Endovascular Coils
About 5% of the population has some type of aneurysm in the brain. All cerebral aneurysms have the potential to rupture, causing serious complications including hemorrhagic stroke, permanent nerve damage, or death. The conventional treatment for brain aneurysms is microvascular clipping, a highly invasive, microsurgical procedure requiring craniotomy and long recovery periods. Over the past two decades, endovascular occlusion of intracranial aneurysms using Guglielmi detachable coil (GDC) technology has gained worldwide acceptance as a less-invasive treatment alternative to standard microsurgical clipping. In this procedure, a catheter is inserted into an artery and a guide wire is used to release detachable coils made of platinum wire into the aneurysm to block it from circulation and cause the blood to clot. This method is minimally invasive, but its current limitations include a relatively high incidence of aneurysm recurrence and a reduced efficacy in treating large aneurysms. New approaches to improve detachable coil technology will be important for increasing the success rate of cerebral aneurysm treatment.
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| | 22106 |
Chemical Inhibitors Of Cholesterol Biosynthesis And Venous Angiogenesis
Statins are a class of small molecule drugs used for lowering blood cholesterol levels and preventing cardiovascular disease. Atorvastatin, sold by Pfizer under the trade name Lipitor, is the best-selling drug in history, with sales exceeding $11 billion in 2010. This figure is expected to drop dramatically with U.S. patent expiry and the availability of a generic version in November 2011. All statins, including atorvastatin, inhibit HMG-CoA reductase (HMGCR), an enzyme found in liver tissue that plays a key role in cholesterol production. Experimental evidence suggests that this key biochemical pathway also plays an important role in the oncogenic process, and statin administration in vivo has been shown to inhibit tumor growth. However, a number of rare but serious side effects have been attributed to statins, including muscle and liver damage. Researchers are working to identify the next generation of cholesterol-lowering small molecule drugs with greater efficacy and reduced side effects, and to understand and modulate the HMGCR pathway for cancer therapy.
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| | 22090 |
Method Of Cardiovascular Control With Non-invasive Stimulation Of Specific Regions Of The Central Nervous System
Cardiovascular disease (CVD) claims over 17 million lives worldwide, and costs to manage disease exceed $300 billion in the U.S. alone. Rapid control of heart rate and arterial blood pressure is desirable in CVD and in many medical emergencies. For example, unstable cardiac output or blood pressure associated with CVD often represents an immediate threat to survival. In addition, patients arriving in the ER with extremely low blood pressure secondary to blood loss or shock need immediate treatment to increase blood pressure and maintain life. Current pharmacological and blood volume regulation measures cannot completely avert the dangerous consequences of traumatic blood loss or underlying disease. Therefore, novel interventions that more rapidly regulate cardiovascular function may improve treatment and survival of CVD and medical emergencies.
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| | 21734 |
Chordin Compositions
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| | 21660 |
Therapy for Hypertension and the Metabolic Syndrome
Much evidence has been presented that implicates the abnormalities in particular genes with the development of hypertension (high blood pressure) and other components of the metabolic syndrome, such as insulin resistance and vascular inflammation. Plasma levels of particular gene products are elevated in human essential hypertension. Polymorphisms in these genes are associated with hypertensive renal disease.
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| | 21648 |
New Light Emission Detection Method Enables High Resolution Optical Imaging of Biological Tissue.
Researchers at the University of California, Irvine have developed a novel method for capturing cellular resolution images of biological tissue at depths of up to several millimeters. Conventional fluorescence detection methods utilize microscope objectives for emission light collection, a less effective approach that is only capable of imaging up to one millimeter deep.To improve upon this standard, the UC researchers minimized light losses by optimizing the system’s excitation and detection optics.
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| | 21646 |
A Novel Therapeutic Approach After a Heart Attack
Myocardial infarction (MI) is a leading cause of cardiovascular diseases worldwide. There are five million people that suffer from heart failure in the United States alone at a cost of $30 billion per year. MI often results in scar formation and death of contracting heart muscle cells (cardiomyocytes). The subsequent scarring of cardiomyocytes will permanently damage a patient's heart, leading to a life threatening heart rate disorder (arrhythmia). Despite therapeutic advances in heart disease, there are currently no treatments that can replace scarred cardiomyocytes with functional ones.
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| | 21548 |
Brain Collateral Perfusion Augmentation By Cerebral Venous Pressure Modulation
Cerebral ischemia, or damage to tissue due to reduced blood supply, can quickly lead to organ dysfunction and cell death. Cerebral ischemia can lead to stroke, which when not treated in a timely fashion, can cause permanent neurological impairments and death. Normal cerebral blood flow (CBF), when at rest and awake, is around 45 to 60 mL/100g/min. When CBF drops below 10 mL/100g/min, the threshold for energy and ion homeostasis, a cascade of metabolic events is induced, ultimately leading to cellular death. If regional CBF (rCBF) stays below this threshold for prolonged periods the brain damage can be irreversible, but if rCBF is increased before such progression to necrosis then proper brain function and structure can be restored. Therefore, this clinically relevant "therapeutic window" allows the opportunity to improve the outcome of stroke by increasing CBF. Current options for stroke treatment include maintaining cerebral perfusion pressure (CPP), augmenting blood flow, and lowering cerebral metabolic rate. These are all, however, limited by a specific clinical context and inconclusive efficacies. None directly addresses enhancement of penumbral blood flow, the blood flow in the area surrounding the damaged tissue. Additionally, none of the methods considers cerebral vascular collapse as the mechanism for restricted arterial blood flow to the brain nor do they aim to minimize the effects of vascular collapse or cerebral blood flow diversion. Cerebral vessels collapse when external pressure exceeds intravascular pressure. Accordingly, when the intravascular pressure rises, the vessels reopen and their diameter increases. Although the concept of abolishing blood diversion by increasing venous pressure has been previously described it has never been applied to patients where venous steal exists, that is, where blood has been diverted from where it is needed such as occurs in a stroke. It would be desirable to improve existing methods and apparatus for treating acute and chronic ischemic conditions in the brain, particularly acute ischemic stroke.
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| | 21444 |
Methodology to Measure Transvalvular Energy Loss Using Doppler Echocardiography
In patients with stenosed heart valves, hemodynamic performance of the heart valve is routinely assessed to determine risk stratification and timing of intervention. Hemodynamic performance is also used to evaluate the success of a valve transplant and monitor the performance of the valve over time. Current measures of hemodynamic performance include measures of transvalvular pressure gradient, effective orifice area, and blood flow velocity. These common criteria only allow assessment of forward flow and do not take into account paravalvular leak and paravalvular regurgitation (backward flow). Leak and regurgitation are commonly seen in stenosed valves, deformed prostheses, and particularly in transcatheter valves. Assessment of valvular hemodynamics during both forward and backward flow would improve risk stratification of patients and timing of interventions. Valve hemodynamics during both forward and backward flow can be assessed by measuring energy loss. Until now, routine clinical application of energy loss measurement has been hindered by its invasive nature and a lack of simple tools to obtain the data. Energy loss measurement currently requires catheterization and placement of pressure transducers inside the artery on opposite sides of the valve in question. A non-invasive and simple way to measure energy loss would provide clinicians with a tool to improve assessment of hemodynamics and improve patient care.
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| | 21418 |
Single-Cell Patterning
Surface patterning for single-cell culture is of great importance in studies dealing with cell shape and microenvironment effects on the motility, migration, proliferation, and differentiation of cells. These patterning techniques are key to effective cell printing needed for future medical advancements, such as 3D printing of artificial organs, tissue regeneration, and tissue engineering. Despite advances in surface patterning methods, important material surfaces such as glass cannot be easily patterned with established printing methods without prior surface modification. Investigators at University of California at Berkeley have addressed this need by developing a single-cell patterning technique. This innovation is accomplished by coating the substrate surface with a hydrophobic film and then patterning the film surface. This surface patterning innovation for single-cell culture was achieved by combining plasma-assisted surface chemical modification, soft lithography, and protein-induced surface activation on glass. In a proof of concept study, the investigators have accomplished surfaces seeding with mesenchymal stem cells in serum medium, resulting in single-cell patterning. In additional research, using a dry lithography method, hydrophilic surface patterns on polystyrene were directly applied to cell culture dishes without the requirement of clean-room facilities or chemicals that could be harmful to sensitive cells. The long-term stability of single-cell patterns on PS dish surfaces produced by the present method was accomplished in cell culture experiments with neuron stem cells (NSCs) and bovine aorta endothelial cells.
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| | 21399 |
Novel Biomarker and Therapeutic Target for Cardiomyopathy and Congestive Heart Failure
Currently, methods for detecting early myocardial dysfunction include the use of cardiac derived biomarkers (b-type natriuretic peptide, pre-pro-B type natriuretic, and cardiac troponins I and T) and systemically derived markers (C-reactive protein). These rely on the release of proteins into the bloodstream after irreversible cardiac muscle death and an inflammatory response. Although myocardial biopsies may offer unique insights on cardiac disease and failure in select patients, these require complicated invasive procedures that prove to be high risk to the patient/individual. Also, non-invasive imaging modalities are playing an important emerging role in early detection of physical changes to the heart (velocity and displacement as well as strain and strain rate for deformation of muscle) and molecular imaging events in the heart (labeling of metabolites, angiogenic regulators, neuroreceptors, and remodeling factors). However, these molecular events are based on inactive byproducts, which are released to the bloodstream, found in the heart as a result of cardiac muscle death, inflammation, and/or late-onset diseases processes, and are not necessarily specific to cardiac muscle cells. Better diagnostic biomarkers are needed.
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| | 21351 |
Stent Graft that Is Specifically Applied in the Vascular System to Treat Lesions Within the Vascular System
Biliary stricture is an abnormal narrowing of the bile duct causing bile to back up and spill into the blood, which can cause jaundice and, if left untreated, can cause life-threatening complications to the patient. Biliary strictures are treated with the application of a stent to manage the blocked bile flow, as employed through a percutaneous approach using a needle to puncture the skin to apply the stent. Treatment has classically been guided by whether the underlying disease process is benign or malignant. In cases of inoperable malignant disease, bare metal stents are routinely used as the desire for biliary conduit restoration outweighs their relatively poor overall primary patency due to tissue in-growth. In contrast, the poor long-term performance of metallic stents in the biliary system and their inability to be removed limits their widespread application in the treatment of benign biliary disease. Subsequently, percutaneous management has required repeated balloon dilation and long-term biliary drain placement.
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| | 21296 |
Novel Arm Board Design For Catheterization Labs
In the U.S. alone, four million cardiac catheterization procedures are performed every year. Percutaneous catheterization is used in the clinics to both diagnose and treat cardiovascular diseases by introducing a catheter into an artery and guiding it towards the heart where various procedures are performed, such as angioplasty, stent placement, imaging and cardiac measurements. These procedures take place in a specialized catheterization laboratory ("cath lab") while a patient is lying on a radiolucent table. An X-ray machine allows the physician to visualize the catheter throughout the process. Until recently, percutaneous catheterizations were primarily performed by inserting a catheter through the femoral artery located in the upper thigh, however this can lead to complications. As a result, the use of transradial catheterization, where a catheter is guided through the radial artery in the wrist, has grown. During the transradial intervention, the arm must be placed on an arm board because the cath table is, out of necessity, too narrow to accommodate this. Transradial catheterization has several benefits in comparison to the traditional femoral artery approach: 1. Fewer complications - less bleeding and therefore less chance that a blood transfusion is needed. 2. Faster procedure - results in greater patient turnover and increased revenue for facilities, including reduction in nurse overtime pay. 3. Quicker recovery - same day release, rather than overnight stays. 4. Greater patient comfort - no need for immobilization, back pain and time to ambulation are reduced. The use of transradial interventions is increasing in the U.S. and is the dominant procedure in many European and Asian countries.
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| | 21264 |
Novel approaches to accelerate healing of diabetic wounds and resistance to secondary infections by local (intracutaneous) inhibition of glucocorticoid (GC) activation
UCSF inventors have developed novel approaches that accelerate wound healing and prevent infectious complications in diabetic wounds by local (intracutaneous) blockade of GC activation
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| | 21247 |
Non-Invasive, Sensitive Diagnostic for Viral Myocarditis
Heart failure is a leading cause of mortality in the U.S. and Europe and can present acutely as myocarditis or chronically as dilated cardiomyopathy. Although up to 30% of patients with acute onset of non-ischemic cardiomyopathy or dilated cardiomyopathy show evidence of enteroviral infection, diagnosis remains extremely difficult as enteroviral infections of the heart can only be confirmed by biopsying cardiac tissue. As viral myocarditis is generally in the differential diagnosis for patients that present with heart failure of unknown cause, there is a clear, unmet need for a non-invasive assay to better diagnose and treat this disease.
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| | 21228 |
A safe and reliable device for endovascular biopsy
UCSF inventors have developed a safe endovascular biopsy device for extraction of endothelial cells from the blood vessel wall.
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| | 21077 |
A High-Throughput Platform To Investigate Angiogenesis In Perfused Human Capillaries
A new platform to mimic the in-vivo formation of angiogenesis.
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| | 20990 |
Marine Natural Products
Scripps Institution of Oceanography (SIO) at UC San Diego is one of the oldest, largest, and most important centers for global science research and education in the world. With the oceans covering 70 percent of the earth's surface, it is no surprise that approximately two-thirds of the world's animal phyla are found in marine environments and many are exclusively marine. SIO scientists were among the first to explore the natural product chemistry of marine organisms and this research helped to develop the field of marine natural products chemistry and the realization that the oceans harbor myriad new organic molecules with utility for the development of pharmaceuticals and other products. This research led to the discovery of hundreds of new compositions of matter for new products—some of which are already well progressed into commercial development. Two compounds are now entering phase II clinical trials. One of these, Salinosporamide A, is a potent proteasome inhibitor. The second compound, which is derived from the fungal metabolite halimide, acts as a vascular disrupting agent.
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| | 20981 |
Improved Transcatheter Aortic Valve for Valve-in-Valve Implantation
UCSF investigators have developed a new percutaneous prosthetic aortic valve that can be used for valve-in-valve replacement of either native or prosthetic aortic valves. The design allows for supravalvular placement of the prosthetic valve. Advantages include reduced paravalvular leak, reduced energy loss and improved hemodynamics regardless of the calcification level of the diseased valve.
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| | 20953 |
A Biomarker of Heart Failure in Type-2 Diabetes Mellitus; An Effective Target for Diagnostic Purposes and Therapeutic Strategies
Cardiac dysfunction is the leading cause of death (> 50%) in diabetic and pre-diabetic population. However, the specific molecular mechanisms underlying diabetic heart failure remain largely unknown. To date, there is no heart failure diagnostic method or treatment specific to diabetes, even though diabetic heart failure has a poor prognosis. Researchers at University of California, Davis have indentified the islet amyloid polypeptide (IAPP) oligomer, a toxic entity causally implicated in dysfunction of pancreatic β-cells and development of type-2 diabetes mellitus (T2DM), as the primary molecular pathogen linking T2DM to heart failure. UC Davis researchers have discovered that secretory dysfunction of pancreatic β-cells leading to the formation of IAPP toxic oligomers results in a feed forward process, whereby the secretion of these toxic entities in the blood causes additional damage in organs other than pancreas, including heart and kidneys. Thus, these toxic oligomers represent pathogens of diabetic cardiac dysfunction. Researchers have shown that accumulation of IAPP toxic oligomers in the heart triggers a cascade of structural and physiological changes within myocytes culminating in heart failure. The discovery that the IAPP toxic oligomer is a biomarker of heart failure in T2DM has immediate relevance in the diagnosis and prognosis of cardiac dysfunction in T2DM and pre-diabetic patients. The UC Davis researchers’ findings reveal that the toxicity associated with accumulation IAPP oligomers in the heart manifests starting from early pre-diabetes. Thus, these oligomers may represent an effective target for diagnostic purposes and therapeutic strategies.
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| | 20923 |
Prevention And Treatment Of Obesity By Modulation Of Desnutrin-Mediated Adipocyte Lipolysis
Obesity is a major health problem and is associated with metabolic consequences such as diabetes, cardiovascular disease, stroke, osteoarthritis, and cancer. Two types of fat exist, white (WAT) and brown adipose tissue (BAT). WAT stores energy in the form of triacylglycerol (TAG) to hydrolyze and release fatty acids into the circulation during times of energy shortage. BAT, on the other hand, hydrolyzes TAG to use fatty acids to activate the enzyme, uncoupling protein 1 (UCP-1), and generate heat (thermogenesis). Therefore, strategies aimed at converting WAT to BAT could be an ideal for treating and preventing obesity and related diseases. We have recently identified a major adipocyte-lipase, desnutrin, which is involved in the regulation of lipolysis (fat breakdown). Furthermore, we have shown that as a major regulator of adipocyte lipolysis, densutrin is critical in the conversion of WAT to BAT. We found that mice overexpressing desnutrin are resistant to obesity and have WAT that resembles BAT. We also found that mice lacking desnutrin in adipose tissue are obese and exhibit a conversion of BAT to WAT. Desnutrin appears to promotes FA oxidation in adipose tissue and thereby reduces obesity. The modulation of adipocyte lipolysis via pharmacological activation of desnutrin may be a useful therapeutic target for treating obesity.
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| | 20840 |
Prognostic Biomarker for Myocardial Tissue Health in Patients with Heart Failure
UCSF researchers have discovered a novel prognostic biomarker of heart tissue health for assessment of risk of cardiac mortality and the need for a heart transplant vs. LVAD implantation in end stage heart failure. The test would also help clinicians monitor improvement after LVAD implantation.
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| | 20791 |
Cryopreservation of Human Adult and Fetal Pancreatic Cells and Human Platelets
Scientists at UC San Diego have discovered that the combination of trehalose and dimethyl sulfoxide (DMSO) is an unusually effective cryoprotectant for islets and islet-like cell clusters (ICC), as well as platelets. When islets and ICCs are cooled through the thermotropic phase transition in the presence of the treatment agents and then returned to physiologic temperature, they retain their functionality. The success of the cryoprotectant combination is evident by observation of the low rate of DNA synthesis and the higher rate of insulin concentration in the cells after freezing and thawing. The use of the trehalose-DMSO combination in a cryopreservation protocol thus leads to previously unobtainable survival rates of functional human endocrine tissue. It has further been discovered that the trehalose-DMSO combination is useful in the cryopreservation of platelets, enabling them to be frozen and thawed while retaining their ability to be activated with the appropriate stimuli. Platelets can thus be stored for extended periods of time at temperatures sufficiently low to control bacterial infection and platelet storage lesion without the risk of premature activation. These discoveries have led to a further discovery, that trehalose can be incorporated into the interiors of eukaryotic cells when the cell walls contain a lipid bilayer. This is done by suspending the cells in a liquid solution of trehalose and cooling or warming the suspension through the thermotropic lipid phase transition of the cells. This occurs independently of the presence or absence of DMSO.
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| | 20536 |
5-lipoxygenase, A New Therapeutic And Diagnostic Target For Heart Disease Management
Heart disease remains by far the major cause of morbidity and mortality in the US and other Western countries. Effective treatments for coronary artery disease (CAD) include statins and blood pressure medications. However, therapies involving different treatment strategies are needed to enhance clinical outcomes for heart disease patients. Researchers at UCLA have identified a 5-Lipoxygenase (5LO) as a possible target for pharmaceutical intervention in CAD. The gene may further be used as a genetic diagnosis of individuals with predispositions to CAD.
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| | 20348 |
Natural Killer Enhancing Factor
Natural killer (NK) cells are a population of lymphocytes believed to play a role in the surveillance of tumor growth and metastasis and in the regulation of hematopoiesis.
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| | 20339 |
Organic Compounds For The Treatmentof Myocardial Infarction
The cellular destruction that accompanies myocardial ischemia, infarction and reperfusion is thought to be related in large part to intracellular overload of calcium. Uncontrolled Ca++ influx, which is thought to occur through calcium leak channels, leads to progressive metabolic and functional failure of cells, and eventually to cell death.
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| | 20117 |
Neuro-Endovascular Ultrasound Thrombolysis
Stroke is the most common life-threatening neurologic disease and is the leading cause of death in the United States, after heart disease and cancer. Among the current U.S. population, some 11 million people have or will have brain aneurysms, which constitute the main cause of non-traumatic subarachnoid hemorrhage.Stroke is defined as the acute brain injury resulting from compromised cerebral blood flow or rupture of cerebral blood vessel. Cerebral thromboembolic event occurs when blood clots occlude a branch of the cerebral arteries. When it is not treated in a timely fashion, stroke can cause permanent neurological impairments and death.The current method of reestablishing blood flow in the blocked arteries involves the use of either systemic or local intra-arterial fibrinolytic therapy. Although there are many reports of successful recanalizations, these methods are not ideal.
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| | 20110 |
Method And Device For Treating Intracranial Vascular Aneurysms
Strokes are the most common life-threatening neurological disease, and are the third leading cause of death in developed countries after heart disease and cancer. Approximately 6-8 percent of all strokes results from non-traumatic subarachnoid hemorrhage, a condition where blood leaks from the cerebral vasculature into the subarachnoid space. About 8 percent of subarachnoid hemorrhages result from rupture of an intracranial aneurysm. Ruptured intracranial aneurysms are associated with a high rate of mortality. Approximately 15% of the patients die soon after the initial rupture. An additional 20 to 30% of the patients die during the first 2 weeks following the initial rupture. Rebleeding is one of the major causes of death in the patients who survive the initial hemorrhage. In addition to the high mortality rate associated with ruptured intracranial aneurysms, there is also a high morbidity rate among patients who survive the rupture long term. Almost two-thirds of patients well enough to be discharged home after surgical obliteration of the aneurysm have a residual neurological deficit.
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| | 20107 |
Cerberus And FRZB-1, Secretory Molecules With A Regenerative Function And An Inhibitory Activity On WNTS, Respectively
Soluble growth and neurotrophic factors are valuable for their physiological activities and their utilities in therapeutic, clinical, research, diagnostic, and drug design applications.
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| | 20085 |
Myeloperoxidase-Deficient Mouse
The Myeloperoxidase (MPO) enzyme aids in the defensive properties of phagocytic cells of the human immune response. Prevalent in neutrophils and monocytes/macrophages, MPO generates a variety of oxidative processes which aid in the defensive mechanism of the host. Due to the fact that these cells are usually the primary responders to a diseased state, their defensive enzymes are often non-specific. In turn, the oxidative enzymes generated by MPO, may potentially play a role in the disease processes.
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| | 20035 |
Assay for Small Molecules and Defined Factors to Trigger Renewal of Cardiac Progenitors
The heart is composed of diverse muscle and non-muscle cell lineages. Congenital heart diseases can arise from defects in the pathways for heart lineage specification, and human degenerative diseases can arise in a subset of ventricular and pacemaker cell lineages. The pathways that guide heart-cell lineage diversification are relatively obscure, as the primordial heart precursor cells have not been clearly identified. Two fields of cardiac progenitors have been described; the primary and secondary, or anterior heart fields. The primary heart field is believed to give rise to the atria and ventricles of the heart, while the secondary or anterior field is believed to give rise to the outflow tract. Some cells in the outflow tract originate from splanchnic mesoderm adjacent to the pharyngeal endoderm. Several studies have demonstrated induction of cardiogenic mesoderm in response to inhibition of Wnt signaling in chick, Xenopus, and mouse embryos. Islet1 is the only gene known to date that is specifically expressed in cardiogenic stem cells, but not in differentiated cardiac cells. Islet1 may be a master regulator of the cardiogenic stem-cell state. This discovery enables use of islet1 expression as a means to isolate endogenous cardiogenic stem cells, or to create cardiogenic stem cells.
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| | 20027 |
Small Molecule Therapy for Obesity, Dyslipidemia, and Metabolic Disease
BACKGROUND: Cardiovascular disorders are leading causes of death worldwide and products have been developed to treat several of their addressable risk factors. Today’s market for anti-hypertensive agents is $35 billion and dyslipidemia treatments is $30 billion. While these therapies have been effective in the majority of patients in lowering blood pressure and LDL (low-density lipoprotein), they do not address other major cardiovascular risk factors such as obesity, liproprotein (a), HDL (high-density lipoprotein), and triglyceride levels. There is an unmet need for new agents that can be used alone or in combination with existing therapies to address these more elusive risk factors. DESCRIPTION: Researchers at University of California San Francisco and Oregon Health Sciences University have discovered a new class of thyroid hormone metabolites. The most potent of these, 3-iodothyronamine, has been shown in animal studies to completely switch fuel utilization away from carbohydrates and toward lipids. In single dose hamster studies this lipid-burning effect was sustained for 24 hours, several hours after the compound had been excreted. Further studies showed both reduced LDL and significant weight loss that was selective for fat mass vs. lean mass. 3-iodothyronamine is known to be an endogenous chemical derivative of thyroid hormone, a key hormone in regulating basal metabolic rate, protein synthesis, bone growth, neuronal maturation, and metabolism of lipids and carbohydrates.
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| | 19944 |
Stimulus-Triggered Metalloenzyme Inhibitors
Matrix metalloproteinases (MMPs) are a class of zinc-dependent hydrolytic enzymes that function in the degradation and restructuring of extracellular proteins. Overexpression of MMPs has been associated with a variety of diseases, including cancer, arthritis, and cardiovascular disease. Commercialization of MMP inhibitors (MMPi) has not been successful, as the inhibition of MMPs systemically has resulted in adverse events such as musculoskeletal syndrome. The researchers have approached this problem by developing prodrug MMPi or "proinhibitors" that are triggered in a localized fashion, minimizing the systemic effects of the drugs. A protected zinc-binding group was used to develop the proinhibitor. The researchers demonstrated that it is possible to protect the MMPi, activate it through an enzymatic reaction, and inhibit MMPs in a controlled manner. The ability to create MMP proinhibitors may provide a new approach to MMPi therapy of disease.
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| | 19842 |
Successful web-based smoking cessation program yields 20% abstinence rates at one year.
Background: Cigarette smoking is the single most preventable cause of premature death in the United States. Each year, one in every five deaths, (about 443,000 in total) is smoking related. The health risks associated with smoking translate into annual healthcare costs of more than $96 billion, with costs associated with second hand smoking averaging $10 billion. Interestingly, 70% of the 43.4 million U.S. adult smokers report that they want to quit completely and more than 40% try to quit each year. However, smoking cessation is extremely difficult; in fact, only about 4% - 7% of people are able to remain smoke free for six months on any given attempt. These success rates dramatically increase to between 14% - 27% if smokers use medicines or behavioral therapies, but such methods may be expensive for both the insurer and patient, inconvenient, or difficult to access. Therefore, it is imperative that a successful, convenient, and cost-effective smoking cessation aid be developed. Invention: Prominent University of California clinicians, Ricardo F. Muñoz, Ph.D. and Eliseo J. Pérez-Stable, M.D. have developed an extremely successful, web-based, smoking cessation program. The program takes eight weeks to complete and combines a smoking cessation guide with individually tailored advice, optional email reminders, and an optional mood management program. Since 2002, over 17,500 smokers from over 155 countries have participated in a series of randomized controlled smoking cessation trials using this program. The study boasts an impressive success rate, with 20% of the participants remaining smoke-free after one year. Significantly, this success rate is comparable to those seen for nicotine replacement therapies, or smoking cessation groups, yet the web program has the important advantages of reducing the cost per patient and increasing the ease of patient access. Furthermore, this fully developed stand alone program is available in both English and Spanish, making it accessible to virtually every American smoker. http://www.stopsmoking.ucsf.edu or http://www.dejardefumar.ucsf.edu
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| | 19820 |
A Zebrafish Model Of Atherosclerosis
Heart attack and stroke are clinical consequences of atherosclerosis, an inflammatory disease of arteries initiated by lipid accumulation in the artery wall. Current animal models for atherosclerosis primarily use Apolipoprotein E (ApoE) and low density lipoprotein receptor (LDLR) knockout mice, or hyperlipidemic rabbits.. Although these models are useful once lead compounds are being tested, early assessment of new drug candidates is impractical due to the cost, slow throughput, limitations of post mortem analysis of lesions, and poor in-vivo imaging technologies that typically require use of radioactive tracers. An animal model that could provide reasonably high throughput, where the development of atherosclerotic lesions or their regression can be easily monitored while the animal is still alive, would provide significant improvement in the ability to obtain physiological information about early stage candidate compounds.
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| | 19653 |
Novel Recombinant Adenovirus Vectors for Tissue-Specific Gene Expression in Heart
Targeted gene delivery to somatic tissues has importance in both genetic research and therapeutics. One of the most effective gene delivery vectors known is the recombinant human adenoviruses, which possess high infectivity with respect to a broad range of tissue types. The low selectivity (as to tissue type) is a disadvantage of these vectors limiting their usefulness as an in vivo therapeutic. Vectors which combine high infectivity with tissue- specific expression are needed.
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| | 19648 |
Novel Single Nucleotide Polymorphisms (SNPs) Associated with Hypertension
UC San Diego researchers have discovered more than one hundred and fifty new single nucleotide polymorphisms (SNPs) in specific gene loci associated with autonomic dysfunction in human hypertension. Over one-third of these SNPs have a minor allelic frequency >20 percent. These data represent a diverse population of approximately 100 individuals mapped to both physiological and demographic data.
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| | 19647 |
Use of Calcium Binding Proteins to Improve Cardiac Contractile Function
The current treatment of heart failure is often heart transplantation. UCSD researchers have developed an alternative treatment for heart failure by regulating cytostolic calcium fluxes, in order to improve contractile function. Calcium regulation is achieved by enhancing the expression of a calcium binding protein in cardiac myocytes. In a diabetic mouse model for heart failure, overexpression of the calcium binding protein by adenoviral gene transfer dramatically rescued the abnormal contractile function in the diabetic heart. A specific application of the invention is the treatment of diabetic cardiomyopathy.
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| | 19646 |
Method for Generating a Progenitor Population from Postnatal Hearts
UC San Diego researchers have discovered a cardiac progenitor population that can be expanded and propagated in vitro. The undifferentiated cells express a characteristic subset of phenotypic markers, which allows the cells to be visualized and manipulated. These cells are capable of differentiating in vitro into more than one cell type when selected from mouse or rat hearts.
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| | 19643 |
A Novel Index of Assessing Atherosclerosis Regression and Plaque Stabilization
Oxidized phospholipids (OxPL) are present in vessel walls and have been shown to be pro-inflammatory and pro-atherogenic. When cholesterol is lowered by drugs or diet, the plasma levels of the OxPL increase, suggesting a movement or clearance of the phospholipids from the vessel wall into the circulation. This activity, then, is an important indicator that plaque stabilization and/or reduction is occurring. Currently, there are no plasma biomarkers that reflect the amount of plaque or determine the benefits of anti-atherosclerotic therapies.
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| | 19642 |
Enhanced Expression of TRP Channels in Idiopathic Pulmonary Arterial Hypertension (IPAH)
Transient receptor potential (TRP) genes code for a family of cation channels in several cell types, including pulmonary artery smooth muscle cells (PASMC). The inventors previously found that two specific isoforms of TRP are significantly upregulated in the PASMC of patients with idiopathic pulmonary arterial hypertension (IPAH) in comparison to normal subjects and patients with hypertension, which is secondary to other cardiopulmonary diseases. Inhibition of TRP expression by siRNA inhibits the growth of PASMC.
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| | 19641 |
New Target for Cardiovascular Disease and Diabetes
Ucsd Researchers have previously identified a protein which they have named PHLPP (ph domain leucine rich repeat protein phosphatase) which was disclosed in Case No. SD2004-088. The protein dephosphorylates Akt (protein kinase B) specifically at the hydrophobic motif and inactivates it. In this disclosure, the inventors have shown that by inactivating PHLPP they could enhance Akt phosphorylation. Drugs or compounds that inhibit PHLPP, therefore, would be of therapeutic value in diseases such as diabetes or heart disease. Therefore, a potential drug would simply need to target PHLPP, thus inactivating it, for a therapeutic benefit to be observed. Preliminary experiments with others have shown that knock down of PHLPP increases glucose transport to the plasma mambrane suggesting a significant role in diabetes. Additional studies are being planned to look at PHLPP and its effect on the heart. Published paper in Molecular Cell, 4/1/05. http://health.ucsd.edu/news/2005/03_31_Newton.html
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| | 19640 |
Atheroprotective Vaccine
Atherosclerosis is a chronic inflammatory disease and immunological mechanisms are of central importance. It is known that oxidized LDL and its oxidized moieties were a major class of immunodominant epitopes within the atherosclerotic plaque. Oxidation of LDL leads to the generation of a variety of oxidized lipids and oxidized lipid-apo-B adducts.
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| | 19638 |
Cardioprotective Effects of Catestatin
Catestatin is the most potent endogenous nicotinic cholinergic antagonist. The structure-function relationship of this peptide has been established and human studies indicate that catestatin is low, not only in hypertensive individuals, but also in individuals with a family history for hypertension. Naturally occurring human variants of catestatin and their effects on catecholamine secretion have been reported. Pre-treatment with catestatin lowers the high blood pressure in chromogranin A null mice to normal levels. It appears from recently published human data that the Gly364Ser variant of catestatin prevents humans from developing hypertension.
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| | 19637 |
A Novel Nitric-Oxide Releasing Drug
Typically used to treat a variety of cardiac conditions, most nitric oxide generating drugs are organic nitrates (such as nitroglycerin) that require metabolic conversion in order to release NO. Many of these organic compounds have limited suitability for long-term use. Tolerance can develop in the patient and the number of NO molecules available may be restricted due to toxicity caused by either metabolic by-products or concurrently released moieties such as cyanide. Therefore, a need for a potent, non-toxic agent that releases NO directly exists and could provide a desirable alternative to patients suffering from hypertension, congestive heart failure or other conditions where fast, effective vasodilation is required.
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| | 19636 |
Markers for Cardiac Conduction Tissue
Cardiac arrhythmia is the leading cause of death in adults. Arrhythmic sites and triggers of arrhythmia can be precisely mapped by programmed electrical stimulation and intracardiac recordings. Arrhythmias occur preferentially in areas derived from developing cardiac conduction system (CCS) (which consists of the sinoatrial node, atrioventricular node, and His-Purkinje fibers). Abnormalities in CCS development have been postulated to predispose individuals to arrhythmias and sudden death. Therefore, an understanding of genes and signaling pathways underlying CCS development is of critical importance to gain molecular insights into human cardiac arrhythmogenesis and to develop effective interventive and regenerative therapies. Cellular automaticity and excitability in the CSS result from activities of a diversity of ion channels. The pacemaker current is encoded by a family of Hyperpolarization-activated, Cyclic Nucleotide gated (HCN) channels and plays a key role in the generation and autonomic regulation of sinus rhythm and rate. Four mammalian HCN isoforms (HCN1–4) have been identified, of which HCN4 is most abundantly expressed in the sinoatrial node.
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| | 19635 |
In Vitro Diagnostic Tests for Predicting New Cardiovascular Events
This invention demonstrates that by measuring the OxPL/apo-B levels and Lp-PLA2 mass (or activity) one obtains complementary and synergistic information with a significant increase in the "hazard ratio" for predicting new cardiovascular events. In addition, if you measure the lipoprotein (a) and the Lp-PLA2 mass, and analyze the data together you get similar information. Therefore, by doing these combined measurements simultaneously, you can determine a higher risk if new cardiovascular events. When a patient presents to a physician, the physician would order both an OxPL/apo-B level (and or Lp(a) ) and an Lp-PLA2 mass.
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| | 19614 |
Novel Methods for Increasing Peripheral Blood Circulation Using PEG-dextran and Other Viscosity Increasing Agents
Human blood is in short supply. Blood saving techniques and artificial blood are the two principal approaches to remedy shortfalls in the blood supply. Clinicians facing significant blood loss in patients with significant trauma or surgical intervention choose plasma expanders. In emergencies, the first priority is to re-establish a patient’s blood volume, which may be accomplished with a transfusion of plasma expanders. Once the blood volume is addressed, the next priority is to restore the oxygen carrying capacity of the blood, which requires a transfusion of blood. There are more than 200 million transfusions of plasma expanders in the U.S. annually and a novel plasma expander would be a valuable addition to the clinician's toolbox.
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| | 19604 |
Novel Matrix Metalloproteinase Inhibitors
Matrix Metalloproteinases (MMPs) are zinc containing hydrolytic enzymes that are able to degrade extracellular matrix components such as collagen. MMP’s have been implicated in a variety of diseases, including cancer, arthritis, inflammatory disease, and heart disease. Despite intensive research and clinical testing of MMP inhibitors, the only approved MMP inhibitor is a tetracycline for the treatment of periodontitis. UCSD researchers have developed a novel series of organic compounds that are potent inhibitors of MMPs. While most MMP inhibitors in development are based on small peptide mimetics that chelate the zinc ion using a hydroxamic acid moiety, the UCSD researchers designed a novel class of zinc-binding groups (ZBGs) by rational drug design. The binding mode of the ZBGs was optimized using structural, spectroscopic, and computational studies of the compounds bound to an inorganic zinc model complex for MMP’s. These new inhibitors are up to 700-fold more potent than acetohydroxamic acid in MMP binding assays and are expected to have better oral availability and pharmacokinetics when compared with hydroxamate-based compounds. These ZBG inhibitors have commercial applications in drug design against MMP’s and other metalloproteins related to human disease, such as histone deacetylases.
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| | 19544 |
Natural Products for Cancer Therapeutics
Although algorithms and chemistries for developing new therapeutic entities are constantly evolving, none can replicate the path and novelty of natural selection over eons of time. Inventors at the Scripps Institution of Oceanography have engaged their fleet of research ships to cull the oceans for marine organisms from which new compositions are isolated. Using a variety of culture systems, selective fractionation and bioassays, two, distinct classes of compounds, isolated from actinomycetes, have demonstrated potent anti-tumor activity and considerable selectivity toward some cancers. One class of compounds, the ammosamides, are unique molecules that target a previously untargeted intracellular pathway. It is anticipated that proprietary methods and naturally evolved compositions may yield therapeutics that are significantly differentiated from those developed by limited iteration of pre-defined platforms.
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| | 19536 |
New Derivatives of Pyrone, Hydroxypyridinone, and Hydroxypyridinethione
This invention teaches a novel new class of pyrone, thiopyrone and hydroxypyrindinone derivatives as metal chelators; these compounds can be potent and selective inhibitors for metalloprotein, MMPs and anthrax lethal factor. Current art describes substitution at the 2 or 4 position, these compounds have substitutions at the 5 position. This set of derivatives has not yet been described in the literature. To date, the inventors have developed a synthetic route, target compounds have been developed and are being tested as metal chelators. From a commercial standpoint, these new compounds hold promise as therapeutic agents (for cancer, anthrax, heart disease, arthritis, and others) or as diagnostic agents (for medical imaging).
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| | 19426 |
Tomography-Based Dynamic Cardiac Elastography For In Vivo Identification of Passive Properties and Active Contractility of Myocardium
This invention presents a novel cardiac imaging processing method, the tomography-based dynamic cardiac elastography (DCE) method for in vivo identification of the passive nonlinear viscoelastic properties and active contractility of myocardium of an individual heart.
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| | 19367 |
Chromophore Concentrations, Absorption and Scattering Properties of Human Skin In-vivo
The invention is a method and probe design for obtaining quantitative optical properties and chromophore concentrations of tissue components in-vivo at superficial depths and "short" source-detector separations.
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| | 19299 |
Marine Organism Yields a Patented Family of Antitumor/Antibiotic Compounds
Actinomycetes are well known soil bacteria that were once believed to occur in the ocean only when washed in from land. Today, it is clear that unique populations of marine actinomycetes reside in ocean sediments and that these bacteria are fundamentally different from those on land. Although terrestrial actinomycetes have been the source of many of today's more than 120 drugs, marine actinomycetes have only recently been incorporated into the discovery process. These bacteria are now proving to be a particularly rich source of unique natural products, many of which display potent biological activities.
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| | 19200 |
Monitoring Atherosclerosis Regression, Plaque Stabilization, and Cardiovascular Risk Using a Novel Method to Quantify Oxidized Phospholipids
It is known that oxidized phospholipids are pre-inflammatory and pro-atherogenic and that high-density lipoproteins (HDL)—or its lipoprotein also called apolipoprotein-A—is involved in mediating reverse cholesterol transport. Currently there is no accepted method for high-throughput measurement of reverse cholesterol transport or reverse-oxidized phospholipid transport.
(more...) |
| | 19150 |
The Integrin Activation Interface
Integrins are found throughout the animal kingdom where they play important roles in cell adhesion, migration, proliferation, and survival. In humans, integrins play critical roles in development. Aberrant activation is implicated in several disease states, including cancer and heart disease. Thus, drugs aimed at disrupting this specific interaction could lead to therapies for these conditions.
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| | 19134 |
SOFTWARE TO PREDICT CLINICAL BENEFIT OF PACEMAKER PLACEMENT THROUGH VENTRICULAR SYNCHRONY ASSESSMENT
Patients suffering from moderate to severe cardiac failure can enjoy substantial improvements in quality of life and survival, when provided with cardiac resynchronization therapy (CRT). However, this treatment has a 30% failure rate due in part to difficulties in characterizing intraventricular synchrony. Improvements in methodology could lead to appropriate patient selection and improved pacemaker positioning, resulting in enhanced therapeutic effectiveness. To redress these problems, UCSF researchers have developed software that permits the visualization and quantification of relevant parameters using a number of different imaging tools. Their novel method employs first harmonic imaging to the blood pool study, yielding a quantitative basis for treatment and evaluation.
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| | 19080 |
A NEW MOUSE MODEL FOR THE STUDY OF OBESITY
Obesity, an epidemic problem in the US population, has been linked to several major medical problems, including diabetes, stroke, heart disease, high blood pressure and even cancer. Determinants of obesity are complex and genetics account for approximately 25-40% of cases. Although there is great emphasis on discovering the underlying genetic basis for predisposition to obesity, much remains unknown. As a result, there does not yet exist a safe, effective and proven therapy for treatment of obesity.UCSF investigators have developed a new mouse model of obesity. They have generated a transgenic mouse with a hypomorphic allele of the receptor tyrosine kinase TrkB. TrkB is expressed throughout the brain, including the hypothalamus, the center known to control eating behavior. These transgenic mice express TrkB protein at 24% of normal levels in the hypothalamus, and display a maturity onset obesity syndrome. By 12 weeks of age the mutant mice exhibit significant weight gain compared to their wildtype littermates and display hyperphagia as well as significantly increased levels of insulin and leptin in the bloodstream. A similar phenotype has been observed in mice with only one functional allele of BDNF, a ligand of the TrkB receptor (Kernie et al., EMBO J., 2000, 19:1290-1300). These phenotypes parallel those observed in human obesity, indicating that the BDNF/TrkB interaction is a potential target for the development of treatments for obesity and that the TrkB transgenic mice represent a valuable model for studying the development of obesity.
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| | 19063 |
SMALL MOLECULE INHIBITORS OF THE HUMAN UREA TRANSPORTER ('UREARETICS') FOR USE AS A NOVEL DIURETIC
Volume over-load conditions, such as congestive heart failure, cirrhosis, nephrotic syndrome, and volume-sensitive hypertension are often treated with a battery of different types of diuretics, such as loop diuretics, thiazides, and K-sparing diuretics that affect different functions of the kidney. However, some of these diuretics, particularly thiazides, cause unwanted side-effects, such as potassium imbalance or acid-base disorders. Diuretics also have limited efficacy in some conditions (e.g., diuretic-refractory edema in congestive heart failure). Recent studies suggest that drugs designed to inhibit urea transporters (a.k.a. "urearetics") in the kidney could be used to treat water and salt imbalance disorders. Urea transporters play a role in concentrating urea in the urine and thus affect water and salt concentrations. One potential advantage of urearetics is that they are unlikely to cause secondary potassium imbalance or acid-base disorders. Unfortunately, potent and specific urea transporter inhibitors have not been available.
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| | 18963 |
A Diffusive Probe For Quantification Of Optical Properties Of Superficial Layers
Researchers at the University of California have developed a fiber-based spectroscopic technique that can be used to quantify optical properties in superficial layers of tissue.
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| | 18935 |
Novel Device For Determining The Viability Of Human Myocardium Or Other Animal Tissues
The last decade of cardiac surgery has witnessed significant strides towards better understanding and better management of previously lethal cardiac pathology. Such developments have led to a general recognition of previously unknown conditions such as myocardial stunning and hibernation in which the injured myocardium is in a state of suspended animation. Unfortunately, such states can easily be mistaken for total necrosis. Because such tissues are actually viable and could be salvaged by the cardiac surgeon, it is, of course important to distinguish them from tissues which are totally infarcted where a surgical intervention would be a waste.
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| | 18906 |
ADP Glucose Receptor as a Target for Disorders Involving Platelet Aggregation
Recently, activation of the P2Y12 G-protein coupled receptor (GPCRs) has been shown to be central to platelet aggregation. Drugs preventing platelet aggregation are being tested, but one that would be specific to the P2Y12 receptor would capture a large market share. Developing drugs for the P1Y12 receptor is difficult, because it is a receptor that is naturally activated by ADP. Since practically every cell expresses ADP-activatable receptors, developing a drug screening program directed specifically at the P2Y12 receptor has not been possible.
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| | 18905 |
Platelet Aggregation Inhibitors
Thrombin is an enzyme in the blood that plays a key role in platelet formation during injury. While blood coagulation is essential for a surface wound, platelet activation underlies various pathological situations such as unstable angina pectoris, myocardial infarction and stroke. Thrombin is mediated by protease activated receptor-1 (PAR-1) which is expressed in the nervous system and in platelets. Once activated by thrombin, PAR-1 induces rapid and dramatic changes in cell morphology that is controlled by a series of localized ATP-dependent reactions.
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| | 18801 |
Methods and Reagents for Screening New Drugs and Treating Ion Pump Associated Disorders
Sodium/potassium ATPases (Na+/K+-ATPases), a family of multi-subunit ion pumps, are the most important active transporters in animal cells. They are required for maintaining the electrochemical gradient responsible for resting membrane potentials in neuronal cells and for the function of other transport proteins in a variety of cell types. The important regulatory activities of Na+/K+-ATPases make them an attractive therapeutic target for the treatment of neurodegenerative, cardiac, and other diseases. To date, there are unmet medical needs for the treatment of these diseases, and it is desirable to discover and develop novel therapeutic agents aimed at treating ion pump related disorders.
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| | 18724 |
CPET Laboratory
UCI clinic developed a novel algorithm to analyze the results of stress tests done in patients having a new pulmonary valve implant.
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| | 18099 |
Embedded Passive Wireless Pressure Monitor For Prosthetic Heart Valves
Replacement heart valves are surgically implanted in over 60,000 patients a year. While often life-saving, there can be complications to these heart prosthesis, such as calcification in bio-prosthetic valves, and thrombosis in mechanical heart valves. If these complications are not detected early, the result is often death of the patient. Ongoing monitoring would provide the opportunity to sharply decrease the morbidity and mortality associated with artificial heart valves, and would make the advantages of the procedure available to a broader range of patients. University of California investigators have develop a system which allows the wireless monitoring of heart valve pressure gradients. This is accomplished through the use of MEMS LC resonant circuits attached to the suture ring of a prosthetic aortic valve. The non-invasive, passive quality of the monitoring has great advantages over prior monitoring methods. A wireless hand held unit with antennas tuned to the resonate frequency of each sensor relays aortic valve pressure gradient to the physician. The system measures the direct pressure on the aortic side and left ventricular side of the aortic valve.
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| | 17768 |
Matrix Assisted Myocardial Stabilization
Normal 0 0 1 117 672 UC Berkeley 5 1 825 11.1282 0 0 0 This invention consists of a bioengineering and surgical method for the treatment of cardiac injuries by mechanical stabilization of the injured region. The technique involves the injection or implantation of a material into the border zone of the injury or infarct. When implanted, the material will integrate into the host myocardium and share the mechanical loads during the cardiac cycle, reduce the fiber stresses in the infarct zone, and prevent progression to congestive heart failure. In addition the material can be used as a carrier for the addition of transplanted cells for improved rates of healing. The combined effect of matrix-associated reduction in fiber stress and enhanced transplanted cell survival has the potential to be a novel therapy to restore cardiac function and reduce heart failure.
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| | 11369 |
Measuring and Treating Lymphedema
Measuring system used to measure swollen limbs of Lymphedema patients
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| | 11264 |
Real-time Characterization of Biological Materials
Time and Wavelength Multiplexed Temporal Spectroscopy Apparatus for the Characterization of Biological Materials
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| | 11255 |
Technology for Engineering Antibodies with Infinite Affinity for their Antigen
Technology for engineering antibodies to bind irreversibly to their receptor has been developed by UC Davis researchers. This technology, enabling the formation of permanent antibody-antigen complexes has a number of potential applications in chemistry and biology, including: targeted medical imaging targeted medical therapies (e.g., cancer therapeutics) synthetic tag to replace avidin-biotin no competition from endogenous ligands no dissociation after capture humanized format Furthermore, UC Davis researchers have constructed a bispecific fusion protein that has tumor targeting properties and irreversibly captures a metal chelate. This combines irreversible metal chelate binding with tumor targeting activity for the first time in a highly homogenous genetic construction that can be expressed at high yields. In addition, this allows the substitution of other targeting sequences allowing for a wide range of cellular targets. The irreversible nature of the chelate binding has not been previously achieved in a single expressed protein fused to a tumor targeting functional segment.
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| | 11253 |
Immunoassay for Polyunsaturated Fatty Acid Metabolites
Diagnostic Immunoassay for Hypertension, ARDS, Cardiovascular Disease, and Lipid Disorders
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| | 11237 |
Targeted Delivery to the Heart Endothelium
Targeted Delivery of Nanoparticles to the Heart Endothelium with Large Pay-Load Potential, Applicable to Drug/Gene Delivery
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