DEVICE AND METHOD FOR SINGLE-NEEDLE IN VIVO ELECTROPORATION
20230001190 · 2023-01-05
Inventors
- Rune Kjeken (Oslo, NO)
- Iacob MATHIESEN (Plymouth Meeting, PA, US)
- Torunn Elisabeth TJELLE (Plymouth Meeting, PA, US)
- George MCHUGH (Plymouth Meeting, PA, US)
Cpc classification
A61N1/30
HUMAN NECESSITIES
International classification
Abstract
Described is a device and method for administration of molecules to tissue in vivo for various medical applications, the device comprising a single hypodermic injection needle and at least two spaced elongate electrodes which provide for the ability, when the needle is inserted into tissue, such as skin or muscle, to pulse tissue with a non-uniform electric field sufficient to cause reversible poration of cells lying along or in close proximity to the track made by the needle upon its insertion into said tissue.
Claims
1. A needle electrode device for reversible electroporation of tissue in vivo, comprising: an elongate hollow delivery tube capable of penetrating a body tissue, the tube having an outer surface that defines a length extending from a proximal end to a distal tip, the delivery tube having a lumen extending centrally through the delivery tube from the proximal end to the distal tip, wherein the delivery tube further comprises at least one anode and at least one cathode that are each elongate and extend along the length, wherein each of the at least one anode and the at least one cathode defines 1) an exposed portion on the outer surface that extends to the distal tip, and 2) an unexposed portion that extends from the exposed portion toward the proximal end, wherein the anode and the cathode are electrically isolated from one another and maintain a parallel relationship to each other; and electrically conductable conduits capable of connecting each of the at least one anode and the at least one cathode to an electrical energy source, wherein when the delivery tube is inserted into tissue and when the at least one anode and the at least one cathode are energized by the energy source, an electric field is generated to reversibly electroporate cells in a treatment zone surrounding the delivery tube so as to allow the cells to take up an active ingredient in a fluid composition delivered through the lumen of the delivery tube.
2. The needle electrode device of claim 1, wherein the unexposed portion of each anode and cathode is insulated.
3. The needle electrode device of claim 2, wherein the unexposed portion of each anode and cathode extend along the outer surface of the delivery tube.
4. The needle electrode device of claim 1, wherein the unexposed portion of each anode and cathode extends internally with respect to the delivery tube.
5. The needle electrode device of claim 1, wherein the length of the outer surface of the delivery tube and respective lengths of the exposed portions of each anode and cathode are collectively configured such that the treatment zone is locatable entirely within muscle tissue.
6. The needle electrode device of claim 5, wherein the respective lengths of the exposed portions of each anode and cathode are collectively configured such that electrode needle device avoids electroporation of dermal layers while electroporating muscle tissue.
7. The needle electrode device of claim 5, wherein the respective lengths of the exposed portions of each anode and cathode are collectively configured such that electrode needle device avoids electroporation of fat cell layers while electroporating muscle tissue.
8. The needle electrode device of claim 5, wherein the length of the outer surface of the delivery tube and the respective lengths of the exposed portions of each anode and cathode are collectively configured such that the treatment zone is locatable entirely within 1) muscle tissue, or 2) dermal layers when the delivery tube is inserted at an acute angle with respect to the surface of the patient's skin.
9. The needle electrode device of claim 1, further comprising a reservoir connectable to the delivery tube and configured to hold a fluidic therapeutic substance in fluid communication with the lumen of the delivery tube.
10. The needle electrode device of claim 9, wherein the reservoir is a syringe, and the needle electrode device further comprises a holding device extending from a planar guide tray, wherein the holding device is configured to hold the syringe at an acute angle relative to the planar guide tray.
11. The needle electrode device of claim 10, wherein the acute angle is in a range from 3 degrees to 25 degrees.
12. The needle electrode device of claim 1, wherein the delivery tube is a needle that defines the lumen, and the lumen is surrounded by an insulating material on which each of the at least one anode and at least one cathode is layered.
13. The needle electrode device of claim 1, further comprising a layer of insulation overlying a proximal portion of the delivery tube, 18 wherein the unexposed portions of each of the at least one anode and at least one cathode extend along the proximal portion of the delivery tube and are coated with the layer of insulation.
14. The needle electrode device of claim 1, wherein the delivery tube comprises a hypodermic needle sized to the gauge of an injection needle of 20 gauge, 21 gauge, 22 gauge, 23 gauge, 24 gauge, 25 gauge, 26 gauge, 27 gauge, 28 gauge and 29 gauge.
15. The needle electrode device of claim 14, wherein the delivery tube is between 3 mm and 1.5 cm in length or between 1.0 cm and 3 cm in length.
16. The needle electrode device of claim 1, further comprising an expandable or contractible reservoir, wherein the reservoir has a variable volume capacity of 0.0 to 0.5 ml, 0.0 to 1 ml, 0.0 to 3 ml, and 0.0 to 5 ml.
17. The needle electrode device of claim 1, wherein the electrical energy source is an electroporation pulse generator.
18. The needle electrode device of claim 17, wherein the generator is capable of generating one or more electric pulses, wherein the one or more electric pulses have: an average voltage in a range from about 1 V to about 200 V; and a current in a range from about 1 mAmp to about 400 mAmps.
19. The needle electrode device of claim 17, wherein the one or more electric pulses have a frequency in a range from about 1 Hz to about 10,000 Hz.
20. The needle electrode device of claim 17 wherein the one or more electric pulses each have a time length in a range of about 0.1 ms to about 1000 ms.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0015] This specification contains at least one figure executed in color. Copies hereof with color drawing(s) will be provided upon request and payment of the necessary fee.
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DETAILED DESCRIPTION OF ILLUSTRATIVE EMBODIMENTS
[0041] In a first embodiment, the invention comprises a device for electroporation of tissue in vivo comprising a hollow shaft made of a material capable of insertion into a biologic tissue or organ in situ and of delivering therethrough a fluid medium (i.e., a delivery needle shaft), said shaft further comprising at least two electrodes exposed at least in part on an outer surface of said shaft, wherein said electrodes are spaced from one another and situated parallel with respect to one another along said needle shaft. Embodiments for electrodes can employ a variety of electrode structural designs. For example, anode and cathode electrodes can be placed in association with a delivery needle that run parallel to one-another and to the length of the delivery needle such as disclosed in
[0042] Manufacture of such electrode containing fluid delivery needles can be carried out by any number of well know methods including micromachining such as commonly understood as MEMs technology. For example, a standard hypodermic needle (which can be any gauge such as 20 gauge, 21 gauge, 22 gauge, 23 gauge, 24 gauge, 25 gauge 26 gauge, 27 gauge, 28 gauge and 29 gauge) can be coated with an electrically inert material followed by deposition of electrically conductive material such as gold, followed in turn by etching away conductive material in the orientation desired on the surface of the needle. Specifically, generally the process comprises cleaning the hypodermic needle shaft in preparation for deposition of the inert substance, for example, a polymer having properties of evenly adhering to surfaces, such as parylene. Following stripping of the metal shaft, parylene is deposited, such as by vacuum deposition, on to the needle. This is in turn patterned using a laser to deposit electrode conductable material, such as gold, followed in turn by selective removal of the gold to form electrodes in a predetermined pattern on the needle shaft. In the current invention, the use of MEMs technology provides for an ability to manipulate the three dimensional needle and coatings and etchings on a miniature scale. The capability to manufacture a single needle electrode is proven by the photographs of
[0043] In a second embodiment, the invention comprises a method for delivering molecules to cells in vivo comprising providing to a patient's tissue containing said cells an injection needle further comprising at least two elongate electrodes (i.e., a cathode and an anode) positioned along the needle shaft and at least a reservoir containing said molecules wherein said reservoir and molecules are in fluid communication with a lumen running through said needle shaft, injecting the molecules into said tissue, and energizing the electrodes with electrical energy to provide an electric pulse sufficient to cause cells in the vicinity of the injection site and needle track to become reversibly porated, thereby electroporating said cells for their uptake of said molecules.
[0044] In a third embodiment, the device provides for electroporation of cells in a narrowly defined location, particularly cells along or near the track make by the injection needle. Generally, the cells considered within the treatment site are those cells lying in a radius around the needle track of about 5 mm, more typically about 3 mm, and even more particularly about 2 mm, and most particularly about 1 mm. In a related embodiment, the generation of electric filed sufficient for electroporation of cells within said treatment site is a field that weakens outward from the central injection needle such that the treatment site is defined by the inability of the pulse energy to extend into the tissues beyond a certain distance from the electrodes.
[0045] In a further related embodiment, the invention calls for the novel use of a single elongate probe (which comprises the injection needle and electrodes) for performing in situ electroporation of a highly localized set of cells in the tissue.
[0046] In another embodiment, the invention device may be used with any of a variety of electric pulsing conditions. For example, the electrodes can be charged with at least one pulse of constant current in the range of between 1-400 mAmps, typically between 5-200 mAmps, and more preferably between 20 and 100 mAmps. In another example, the electrodes can be charged with a voltage pulse in the range of 1 to 100 volts. Further, the electric pulse can be either a monopolar or a bipolar pulse wherein said pulse can be a single, a double or a multiple pulse sequence having various characteristics such as a set voltage drop, variable shaped pulse trains, or pulses employing constant current.
[0047] In other embodiments, the device and method provide for delivering or transfecting pharmaceutical drugs, proteins, nucleic acids including DNA and RNA, and synthetic modifications thereof as are well known to those of skill in the art, into patient tissues, particular to cells residing in the subcutaneous, intradermal, and subdermal spaces as well as skeletal and striated muscle compartments of a mammalian body, and organs including heart, lung, pancreas, spleen, liver, and organs of the alimentary tract. Once transfected with the selected material, cells will be directly affected by the activity of the drug, or protein or nucleic acid. Where nucleic acids are transfected, typically such nucleic acids are employed for the protein encoded thereby which can be expressed in the cells of the treatment site. Further, the substances can comprise cytokines, chemokines, and immune relevant bioactive molecules including such active molecules as immune modulating molecules selected from the group consisting of IL-1, IL-2, IL-3, IL-4, IL-5, IL-6, IL-7, IL-8, IL-9, IL-10, IL-11, IL-12, GM-CSF, M-CSF, G-CSF, LIF, LT, TGF-β, IFN, TNF-α, BCGF, CD2, or ICAM.
[0048] In another embodiment, the material to be delivered to the cells can be delivered in a liquid form in a volume of between 0.01 ml to 1 ml. In one embodiment, nucleic acid encoding a polypeptide can be dissolved in 0.9% sodium chloride (NaCl). The exact solvent, however, is not critical to the invention. For example, it is well known in the art that other solvents such as sucrose are capable of increasing nucleic acid uptake in skeletal muscle. In a related embodiment, the volume to be delivered can be adjusted in relation to the length of the needle (since the length of the needle shaft will determine both the volume of the substance being transported therethrough) and, the needle track made so as to determine the volume of the space available for said substance to fill upon it being expressed through the needle and into the needle track and surrounding tissue. For example, a 2 mm long needle can be used for delivering substances to skin layer tissues and provide for injection of a volume in the range of 0.01 ml to 0.05 ml, while a 5 mm long needle can be used to deliver volumes in the range of 0.1 ml to 0.15 ml, and a 1.5 to 2 cm long needle can be used for delivering volumes in the range of 0.3 ml to 0.5 ml.
[0049] Other substances may also be co-transfected with the molecule of interest for a variety of beneficial reasons. For example, the molecule P199 (lee, et al. PNAS, 4524-8, 10, 89 (1992)), which is known to seal electropermeabilized membranes, may beneficially affect transfection efficiencies by increasing the survival rate of transfected muscle fibers.
[0050] With reference to
[0051] In other embodiments, the invention can be applied to electroporation of cells at various depths from the surface of a body tissue. For example, besides electroporation of cells residing within muscle tissue compartments in which delivery of substances are initiated by injection of materials into the tissue in an orientation approximating 90 degrees from the surface of the tissue, in one embodiment the invention device can be used to electroporate cells in the subcutaneous, intradermal, or subdermal spaces of skin. It can also be used to electroporate substances into lymph nodes, or tissue layers in other organs such as cardiac and blood vessel tissue. With respect to electroporating cells in any of these locals, use of the device for electroporating cells in such tissue layers can include use of either short needles having a length sufficient for penetrating outer portions of the tissue layers (i.e., skin, subdermal, etc.) for injection and electroporation at approximately a 90 degree angle to the tissue surface, or where a delivery needle is relatively long, such as between 3 and 4 cm, insertion of the single needle can be made at an acute angle to the surface tissue using a holding device as depicted in
EXAMPLES
[0052] The following examples are given to illustrate various embodiments which have been made of the present invention. It is to be understood that the following examples are not comprehensive or exhaustive of the many types of embodiments which can be prepared in accordance with the present invention.
Example I
[0053] Turning now to various aspects of the invention, the device can comprise molecule delivery reservoir 20 and electrode needle 10 components as shown for example in (
[0054] In further embodiments, the reservoir 20 can be manufactured with a predetermined substance for treating a particular condition. Alternatively, the reservoir can be filled with a substance of interest by either drawing such substance into the reservoir through the electrode needle 10 by extracting the plunger 9, or preferably, the reservoir can first be cleared of the plunger by retracting the plunger to the open position followed by delivering to the reservoir the substance by injecting it into the reservoir via the resilient seal 12, similarly to the procedure commonly performed in the extracting of drugs from sterile vials into syringes and introducing them into another reservoir.
[0055] The delivery needle 10 with its array of electrodes (such as electrodes 21a and b, 31a and b, 51a and b and 52a and b, or 41 and 42,
[0056] As is easily understood by those having skill in the electroporation arts, the field generated by the current invention's single needle electrode, unlike prior electroporation apparatuses, is a non-uniform electric field wherein the field intensity is greater near the needle and diminishes as measured outward from the electrodes In contrast to the current electrode arrangement,
[0057] With respect to the electrodes generally, they can comprise any metal but preferably are a metal that does not impart a toxicity due to metal ions to the cells of the electroporated tissue. Such materials include gold, tungsten, titanium nitride, platinum, platinum iridium, and iridium oxide. The electrode material can be formed on the delivery tube (i.e., injection needle) such that there is a layer of insulation between the electrodes and the delivery tube as suggested in
[0058] In a further embodiment, the delivery needle/electrode component can be designed such that the electrodes 90 or 101 (
Example II
[0059] In this example, results are depicted for delivering molecules by reversible poration to cells situated along and near the track formed by the insertion of the invention single hypodermic needle electrode into a tissue.
[0060] As depicted in
Example III
[0061] This example describes experiments that employ an electroporation device according to embodiments of the invention to deliver DNA encoding green fluorescent protein (GFP) into rabbit quadriceps muscle, the results are shown in
[0062] Here, several New Zealand white male rabbits, each weighing 4-5 kg (Perry Scientific, San Diego, Calif.), were each injected with an expression vector (gWizGFP, lot 12311, purchased from Aldevron, LLC, Fargo, N. Dak.; see also Gene Therapy Systems, Inc., San Diego, Calif.) encoding a bright GFP (Cheng, et al. (1996), Nature biotechnology, vol. 14:606-9) the expression of which was under the control of a modified human cytomegalovirus immediate early promoter/enhancer.
[0063] Prior to injection, each rabbit was first sedated with acepromazine (1 mg/kg) and then anesthetized by intramuscular injection of a mixture of ketamine (35 mg/kg) and xylazine (5 mg/kg) in the presence of glycopyrrolate (0.01 mg/kg), which had been previously administered subcutaneously to prevent uneven heart beating as a result of the ketamine/xylazine treatment. The rabbit was then shaved at the site where the injection was to be made, i.e., into the quadricepts muscle. A hole was poked in the skin covering the muscle by first inserting an 18 gauge needle, and then slightly widened using a scalpel. A single needle electroporation device, made from an 18 gauge needle with two parallel electrodes applied opposite one another to the outer surface of the needle (as depicted in
[0064] Four days post-treatment the animals were humanely euthanized. Skin covering the region of the leg where the vector was delivered was carefully removed, after which each animal was placed at −20° C. for about 1 hour. Treated muscle was then removed using a scalpel and then placed at −20° C. for another 1 to 2 hrs. The frozen muscle tissue was then sectioned into slices approximately 3 mm thick using a rotating meat slicer. Muscle slices where arranged in plastic trays and examined for GFP expression using a Leica MZ 12 dissection microscope fitted with a UV light and GFP filter combination.
Example IV
[0065] In this example, data for which is shown in
[0066] Animals used were New Zealand White male rabbits 3.5 to 4.5 kg. Electroporation was carried out using an Elgen 1000 (Inovio AS, Oslo, Norway Serial number 009) which further comprised a current-clamped pulse generator (prototype) and a single needle prototype wherein the electrodes ran parallel to the injection track and approximately between 1 mm apart. The electrodes were pulsed for 20 millisec pulse length with 5 pulses each at 150 mA with a 250 millisec interval between pulses (i.e., a frequency of about 4 Hz). The electrodes extended into the tissue to about 1.0 cm depth.
[0067] The experiments each comprised a two-step delivery process, i.e., injection of the plasmid solution (200 ul) using a 29 gauge insulin syringe with injection during insertion of the needle to distribute DNA at different depths, followed by removal of the injector needle and insertion of the single needle electrode.
[0068] As shown in Table I below, each of the IgG and SEAP experiments had two groups of test animals, i.e., one set of animals receiving electroporation and the other not (control)
TABLE-US-00001 TABLE I Group # Current Treatement 1 150-250 mA 100 ul × 2 SEAP 1 mg/ml, 100 ul × 2 left tibialis, IgG 1 mg/ml 100 ul × 2 right tibialis 2 No EP 100 ul × 2 SEAP 1 mg/ml, 100 ul × 2 left tibialis, IgG 1 mg/ml 100 ul × 2 right tibialis
[0069] Samples were taken Day 0, 14 and day 21. The rabbits were then terminated on day 21 with subcutaneous injection of 0.5 ml hypnorm (Hypnorm 0.1 ml/kg) followed by i.v. injection of 1 ml/kg of 10% Pentorbarbital in the ear vein.
[0070] As is clear from the results of
Experiment V
[0071] In this experiment, prototype MEMs manufactured single needle electrodes were tested in rabbit tissue using a variety of pulsing energies and green florescent protein expression. As indicated in Table II, three different electrode embodiments were tested, (1) a single needle electrode in which the anode and cathode electrodes were applied to a 23 gauge needle at 1/16 the circumference of the needle each and applied to the full length of the needle by MEMs technology (
[0072] The protocol used for each animal in this experiment comprised injecting the GFP plasmid at the noted concentrations, electroporating the tissue using an embodiment of the single needle electrode, followed by sacrificing of the animals and performing tissue preparation by slicing the treated muscle in adjacent slices and observing florescence. Generally, due to the difficulty of slicing the tissue so as to retrieve slices parallel to the injection track, GFP florescence in the figure photos often show up as circles or ellipses. These florescence patterns prove that the single needle concept is functional and provides for electroporation of tissue a very low voltages and relative electric current in defined locations surrounding the needle track and within the tissue.
TABLE-US-00002 TABLE II Electrode Voltage Number pGFP DNA design Tissue site Constant current (average V) of pulses concentration/volume Electrodes ¼ Quadriceps 0.0 0.0 0.0 0.2 mg/ml shaft circumference Electrodes Quadriceps 50 mA 8 2 0.2 mg/ml 1/16 shaft Quadriceps 100 mA 18 2 0.2 mg/ml circumference Electrodes ¼ Quadriceps 50 mA 11 2 0.2 mg/ml shaft Quadriceps 100 mA 15 2 0.2 mg/ml circumference Quadriceps 150 mA 20 2 0.2 mg/ml Quadriceps 250 mA 33 2 0.2 mg/ml Electrodes Tibialis 75 mA 13 2 1.0 mg/ml 1 mm spacing Tibialis 150 mA 18 2 1.0 mg/ml without fluid Tibialis 250 mA 28 2 1.0 mg/ml delivery Quadriceps 150-200 20 2 1.0 mg/ml embodiment Quadriceps 250-500 40 2 1.0 mg/ml Quadriceps 600-1000 mA 50 2 1.0 mg/ml
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[0074] With respect to electroporation in situ using the 1/16 width electrode model, the ability to express electroporated GFP is shown in
[0075] For GFP expression using the ¼ circumference single needle electrode, results are provided in
[0076] GFP expression was also testing using an embodiment wherein the single needle electrode did not comprise a fluid delivery tube associated with the electrodes. As shown in
[0077] All of the compositions and methods disclosed and claimed herein can be made and executed without undue experimentation in light of the present disclosure. While the compositions and methods of this invention have been described in terms of preferred embodiments, it will be apparent to those of skill in the art that variations may be applied to the compositions and methods and in the steps or in the sequence of steps of the method described herein without departing from the spirit and scope of the invention. More specifically, the described embodiments are to be considered in all respects only as illustrative and not restrictive. All similar substitutes and modifications apparent to those skilled in the art are deemed to be within the spirit and scope of the invention as defined by the appended claims.
[0078] All patents, patent applications, and publications mentioned in the specification are indicative of the levels of those of ordinary skill in the art to which the invention pertains. All patents, patent applications, and publications, including those to which priority or another benefit is claimed, are herein incorporated by reference to the same extent as if each individual publication was specifically and individually indicated to be incorporated by reference.
[0079] The invention illustratively described herein suitably may be practiced in the absence of any element(s) not specifically disclosed herein. Thus, for example, in each instance herein any of the terms “comprising”, “consisting essentially of”, and “consisting of” may be replaced with either of the other two terms. The terms and expressions which have been employed are used as terms of description and not of limitation, and there is no intention that use of such terms and expressions imply excluding any equivalents of the features shown and described in whole or in part thereof, but it is recognized that various modifications are possible within the scope of the invention claimed. Thus, it should be understood that although the present invention has been specifically disclosed by preferred embodiments and optional features, modification and variation of the concepts herein disclosed may be resorted to by those skilled in the art, and that such modifications and variations are considered to be within the scope of this invention as defined by the appended claims.