Method for treatment of Huntington's disease through intracranial delivery of sirna
The present invention provides devices, small interfering RNAs, and methods for treating a neurodegenerative disorder comprising the steps of surgically implanting a catheter so that a discharge portion of the catheter lies adjacent to a predetermined infusion site in a brain, and discharging through the discharge portion of the catheter a predetermined dosage of at least one substance capable of inhibiting production of at least one neurodegenerative protein. The present invention also provides valuable small interfering RNA vectors, systems, and methods for treating Huntington's disease in vivo without impairment of cell endoplasmic reticulum, spontaneous motor activity, or locomotor activity of a patient.
1. A method of treating Huntington's disease in a patient, comprising:
a) locating a predetermined location in the brain, said predetermined location comprising at least one cell expressing huntingtin;
b) positioning an intracranial access delivery device to provide access to the predetermined location in the brain;
c) infusing a small interfering RNA, wherein said small interfering RNA is 19 to 27 nucleotides in length and comprises a first strand and a second strand, the first strand comprising at least 19 contiguous nucleotides encoded by the group consisting of SEQ. ID. NO: 24 or SEQ. ID. NO: 25, or a vector encoding said small interfering RNA, wherein at least one attribute of Huntington's disease is reduced or its progression slowed or arrested.
2. The method of claim 1 , wherein the intracranial access device is an intracranial access port.
3. The method of claim 1 , wherein the predetermined location in the brain is the caudate nucleus, the putamen, the corona radiate or the striatum.
4. The method of claim 1 , wherein said infusion is an injection from an external syringe into an intracranial access port.
5. The method of claim 1 , wherein the small interfering RNA is infused by an infusion pump.
6. The method of claim 5 , wherein said infusion pump is an electromechanical pump.
7. The method of claim 5 , wherein said infusion pump is an osmotic pump.
8. The method of claim 1 , wherein the vector encoding said small interfering RNA is a viral vector.
9. The method of claim 8 , wherein the viral vector is an adeno-associated viral vector.
10. The method of claim 8 , wherein the second strand is complementary to at least 15 contiguous nucleotides of the first strand.
11. The method of claim 1 , wherein the second strand is complementary to at least 15 contiguous nucleotides of the first strand.
12. The method of claim 1 , wherein the infusion of the small interfering RNA does not impair fine locomotor activity of the patient.
13. The method of claim 1 , wherein the small interfering RNA is expressed in the at least one cell expressing huntingtin.
14. The method of claim 13 , wherein the expression of the small interfering RNA into the at least one cell expressing huntingtin does not impair an endoplasmic reticulum of the at least one cell.
15. The method of claim 13 , wherein the expression of the small interfering RNA into the at least one cell expressing huntingtin does not impair expression or distribution of calnexin.
16. The method of claim 13 , wherein the expression of the small interfering RNA into the at least one cell expressing huntingtin does not impair expression or distribution of PDI.
17. The method of claim 1 , wherein the step of positioning the intracranial access delivery device is performed after Huntington's disease is diagnosed.
18. The method of claim 1 , wherein the step of positioning the intracranial access delivery device is performed after Huntington's disease is diagnosed and before the symptoms of Huntington's disease are manifest.
19. The method of claim 1 , wherein the step of positioning the intracranial access delivery device is performed after the symptoms of Huntington's disease are manifest.
20. The method of claim 1 , wherein the positioning the intracranial access delivery device is verified intra-surgically.
21. The method of claim 1 , wherein the intracranial access delivery device comprises a marker.
22. The method of claim 1 , wherein locating a predetermined location in the brain is performed in a patient-specific manner.