METHODS OF TREATING AND PREVENTING DISEASE BY CLAMPING OF SKIN
20190038498 ยท 2019-02-07
Inventors
Cpc classification
A61H7/00
HUMAN NECESSITIES
B25B7/18
PERFORMING OPERATIONS; TRANSPORTING
International classification
Abstract
The invention provides methods of treating diseases, such as various cancers, neoplasms, autoimmune diseases, and infectious diseases, among others, by clamping the skin of a subject in need of treatment so as to apply a compressive force that is sufficient to cause damage, often manifested in pain or bruising, to the underlying tissue. The invention additionally provides kits containing clamps capable of regulating the distance between the arms of the clamp such that a user of the clamp will apply a safe amount of pressure to the skin of a subject that is sufficient to cause tissue bruising and/or pain.
Claims
1. A method of treating a disease in a subject, said method comprising enclosing a portion of tissue comprising skin of said subject within a clamp and clamping the tissue for a duration and with sufficient pressure to cause damage to said tissue.
2. The method of claim 1, wherein the method comprises folding said portion to form a crease prior to said enclosing.
3. The method of claim 2, wherein the folding comprises lifting said skin to form a region of skin that is convex with respect to surrounding skin that is not folded.
4. The method of any one of claims 1-3, wherein the portion of tissue comprises one or more tumors.
5. The method of claim 4, wherein the clamping causes crushing of said one or more tumors.
6. The method of any one of claims 1-5, wherein the method further comprises compressing one or more muscles and/or connective tissues located underneath said skin.
7. The method of any one of claims 1-6, wherein the pressure is applied at a location at which said skin converges with surrounding skin that is not folded.
8. The method of any one of claims 1-7, wherein the clamp comprises curved ends and a flexible handle.
9. The method of claim 8, wherein the flexible handle is configured to allow a user of said clamp to control the duration of pressure applied by said clamping.
10. The method of claim 8 or 9, wherein the flexible handle is configured to allow a user of said clamp to control the amount of pressure applied by said clamping.
11. The method of any one of claims 1-10, wherein the clamp comprises a mechanism capable of regulating distance between said curved ends.
12. The method of any one of claims 1-11, wherein the clamp comprises arms and a regulator screw capable of maintaining a desired distance between the arms of the clamp.
13. The method of claim 12, wherein the regulator screw can be adjusted to one of a plurality of settings.
14. The method of claim 13, wherein the plurality of settings correspond to a state of maximum distance between the arms of the clamp, one or more states of intermediate distance between the arms of the clamp, and a state of minimum distance between the arms of the clamp.
15. The method of claim 14, wherein the maximum distance is between about 2.4 cm and about 7.2 cm.
16. The method of claim 14, wherein the intermediate distance is between about 1.6 cm and about 4.8 cm.
17. The method of claim 14, wherein the minimum distance is between about 0.8 and about 2.4 cm.
18. The method of any one of claims 14-17, wherein the setting that corresponds to the state of maximum distance between the arms of the clamp is indicated by exposure of a green color adjacent to an arm of the clamp.
19. The method of any one of claims 14-18, wherein the setting that corresponds to said state of intermediate distance between the arms of said clamp is indicated by exposure of a yellow color adjacent to an arm of said clamp.
20. The method of any one of claims 14-19, wherein the setting that corresponds to said state of minimum distance between the arms of said clamp is indicated by exposure of a red color adjacent to an arm of said clamp.
21. The method of any one of claims 1-20, wherein the clamping occurs for a period of about 1 to about 10 seconds.
22. The method of claim 21, wherein the clamping occurs for a period of about 1 to about 3 seconds.
23. The method of any one of claims 1-22, wherein the clamping is performed one or more times daily, weekly, monthly, or yearly.
24. The method of claim 23, wherein the clamping is performed one or more times daily.
25. The method of claim 24, wherein the clamping is performed one or more times daily for between about two and about twenty days.
26. The method of claim 25, wherein the clamping is performed one or more times daily for six days.
27. The method of claim 26, wherein at the end of said six days, the clamping is repeated one or more times every other day for a total of 16 additional days to form a standard treatment course.
28. The method of claim 27, wherein the standard treatment course is repeated between two and twenty times.
29. The method of claim 28, wherein the standard treatment course is repeated between five and fifteen times.
30. The method of claim 29, wherein the standard treatment course is repeated between six and nine times.
31. The method of claim 30, wherein the standard treatment course is repeated seven times.
32. The method of claim 30, wherein the standard treatment course is repeated eight times.
33. The method of any one of claims 27-32, wherein the clamping is performed with increasing pressure over the duration of said standard treatment course.
34. The method of any one of claims 1-33, wherein the clamping is sufficient to cause pain and/or bruising to said tissue.
35. The method of any one of claims 1-34, wherein the clamping causes an increase in the amount or concentration of one or more antigens on the surface of a cancer cell within said subject.
36. The method of any one of claims 1-35, wherein the clamping causes an increase in the amount or concentration of one or more dendritic cells on the surface of a cancer cell within said subject.
37. The method of claim 36, wherein the dendritic cells are located below said skin.
38. The method of any one of claims 1-37, wherein the subject exhibits an elevated immune response after said clamping is performed.
39. The method of claim 38, wherein the elevated immune response is selected from the group consisting of inflammation, secretion of chemokines, an increase in the level of one or more cytokines, and activation of one or more immune cells within said subject.
40. The method of claim 39, wherein the inflammation comprises one or more processes selected from the group consisting of arteriole dilation, an increase in capillary permeability, and migration of neutrophils and/or macrophages from capillaries or venules into interstitial spaces.
41. The method of claim 39, wherein the chemokines are capable of attracting to said portion of tissue one or more macrophages, T-cells, mast cells, dendritic cells, activated dendritic cells, eosinophils, and/or neutrophils.
42. The method of claim 39, wherein the one or more cytokines are selected from the group consisting of TNF, IFN, IL-1, IL-6, and IL-8.
43. The method of claim 39, wherein the one or more immune cells are selected from the group consisting of macrophages, neutrophils, T-cells, antigen-presenting cells, and dendritic cells.
44. The method of any one of claims 1-43, wherein the subject exhibits epidermal lumps after said clamping is performed.
45. The method of claim 44, wherein the lumps are between about 1 cm and about 3 cm in length.
46. The method of claim 44 or 45, wherein the method further comprising the step of compressing said lumps.
47. The method of claim 46, wherein the lumps are broken into a plurality of fragments.
48. The method of claim 46 or 47, wherein the lumps comprise cell debris.
49. The method of claim 48, wherein the cell debris is or comprises monosodium urate.
50. The method of claim 49, wherein the monosodium urate is in a crystalline form.
51. The method of claim 49 or 50, wherein the monosodium urate is released within said subject.
52. The method of claim 51, wherein the monosodium urate is released into peripheral tissues within said subject.
53. The method of any one of claims 49-52, wherein the monosodium urate promotes the growth or maturation of one or more cells selected from the group consisting of macrophages, neutrophils, T-cells, antigen-presenting cells, and dendritic cells.
54. The method of any one of claims 49-53, wherein the monosodium urate induces the production of IL-1 in said subject.
55. The method of any one of claims 41, 43, and 53, wherein the T-cells are CD4+ or CD8+ T-cells.
56. The method of any one of claims 41, 43, 53, and 55, wherein the T-cells are capable of specifically binding an antigen expressed on the surface of a cancer cell.
57. The method of claim 56, wherein the T-cells are capable of killing one or more of said cancer cells.
58. The method of any one of claims 1-57, wherein the skin is located along a meridian line of said subject.
59. The method of claim 58, wherein the meridian line is selected from the group consisting of wood phase meridian, first fire phase meridian, second fire phase meridian, earth phase meridian, metal phase meridian, water phase meridian, lung meridian, heart meridian, liver meridian, spleen meridian, kidney meridian, pericardium meridian, large intestine meridian, small intestine meridian, stomach meridian, bladder meridian, and gall bladder meridian.
60. The method of any one of claims 1-59, wherein the disease is a cancer.
61. The method of claim 60, wherein the cancer is selected from the group consisting of leukemia, lymphoma, liver cancer, bone cancer, skin cancer, pulmonary cancer, brain cancer, bladder cancer, gastrointestinal cancer, breast cancer, cardiac cancer, cervical cancer, uterine cancer, head and neck cancer, gallbladder cancer, laryngeal cancer, lip and oral cavity cancer, ocular cancer, melanoma, pancreatic cancer, prostate cancer, colorectal cancer, testicular cancer, throat cancer, adenocarcinoma, pituitary adenoma, acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL), chronic myelogenous leukemia (CML), adrenocortical carcinoma, AIDS-related lymphoma, primary CNS lymphoma, anal cancer, appendix cancer, astrocytoma, atypical teratoid/rhabdoid tumor, basal cell carcinoma, bile duct cancer, extrahepatic cancer, ewing sarcoma family, osteosarcoma and malignant fibrous histiocytoma, central nervous system embryonal tumors, central nervous system germ cell tumors, craniopharyngioma, ependymoma, bronchial tumors, burkitt lymphoma, carcinoid tumor, primary lymphoma, chordoma, chronic myeloproliferative neoplasms, colon cancer, extrahepatic bile duct cancer, ductal carcinoma in situ (DCIS), endometrioma, ependymoma, esophageal cancer, esthesioneuroblastoma, extracranial germ cell tumor, extragonadal germ cell tumor, fallopian tube cancer, fibrous histiocytoma of bone, gastrointestinal carcinoid tumor, gastrointestinal stromal tumors (GIST), testicular germ cell tumor, gestational trophoblastic disease, glioma, childhood brain stem glioma, hairy cell leukemia, hepatocellular cancer, langerhans cell histiocytosis, hodgkin lymphoma, hypopharyngeal cancer, islet cell tumors, pancreatic neuroendocrine tumors, wilms tumor and other childhood kidney tumors, langerhans cell histiocytosis, small cell lung cancer, cutaneous T-cell lymphoma, intraocular melanoma, merkel cell carcinoma, mesothelioma, metastatic squamous neck cancer, midline tract carcinoma, multiple endocrine neoplasia syndromes, multiple myeloma/plasma cell neoplasm, myelodysplastic syndromes, nasal cavity and paranasal sinus cancer, nasopharyngeal cancer, neuroblastoma, non-hodgkin lymphoma (NHL), non-small cell lung cancer (NSCLC), ovarian carcinoma, low malignant potential ovarian cancer, pancreatic neuroendocrine tumors, papillomatosis, paraganglioma, paranasal sinus and nasal cavity cancer, parathyroid cancer, penile cancer, pharyngeal cancer, pheochromocytoma, pituitary tumor, pleuropulmonary blastoma, primary peritoneal cancer, rectal cancer, retinoblastoma, rhabdomyosarcoma, salivary gland cancer, kaposi sarcoma, rhabdomyosarcoma, szary syndrome, small intestine cancer, soft tissue sarcoma, throat cancer, thymoma and thymic carcinoma, thyroid cancer, transitional cell cancer of the renal pelvis and ureter, urethral cancer, uterine sarcoma, vaginal cancer, vulvar cancer, and waldenstrm macroglobulinemia.
62. The method of claim 60, wherein the cancer is selected from the group consisting of breast cancer, adenocarcinoma, leukemia, skin cancer, ovarian carcinoma, pituitary adenoma, pulmonary cancer, endometrioma, and cervical cancer.
63. The method of claim 62, wherein the breast cancer is selected from the group consisting of late stage breast cancer, bilateral breast ductal carcinoma, and invasive bilateral breast cancer.
64. The method of any one of claims 1-59, wherein the disease is a neoplasm.
65. The method of claim 64, wherein the neoplasm is a growth of a tissue or organ selected the group consisting of a pancreas, salivary gland, pituitary gland, kidney, heart, lung, hematopoietic system, cranial nerves, heart, aorta, olfactory gland, hypopharynx, ear, nerves, structures of the head, eye, thymus, tongue, bone, liver, small intestine, large intestine, gut, brain, skin, peripheral nervous system, central nervous system, spinal cord, breast, embryonic structures, embryos, and testes.
66. The method of claim 65, wherein the neoplasm is a growth of an organ selected from the group consisting of a lung, kidney, and hypopharynx.
67. The method of any one of claims 1-59, wherein the disease is an autoimmune disease selected from the group consisting of type I diabetes, alopecia areata, ankylosing spondylitis, antiphospholipid syndrome, autoimmune Addison's Disease, autoimmune hemolytic anemia, autoimmune hepatitis, Behcet's Disease, bullous pemphigoid, cardiomyopathy, celiac sprue-dermatitis, chronic fatigue immune dysfunction syndrome (CFIDS), chronic inflammatory demyelinating polyneuropathy, Churg-Strauss Syndrome, cicatricial pemphigoid, crest syndrome, cold agglutinin disease, Crohn's Disease, essential mixed cryoglobulinemia, fibromyalgia-fibromyositis, Graves' Disease, Guillain-Barr Syndrome, Hashimoto's thyroiditis, hypothyroidism, idiopathic pulmonary fibrosis, idiopathic thrombocytopenia purpura (ITP), IgA nephropathy, juvenile arthritis, lichen planus, lupus, systemic lupus erythematosus, Mnire's Disease, mixed connective tissue disease, multiple sclerosis, myasthenia gravis, pemphigus vulgaris, pernicious anemia, polyarteritis nodosa, polychondritis, polyglandular syndromes, polymyalgia rheumatica, polymyositis and dermatomyositis, primary agammaglobulinemia, primary biliary cirrhosis, psoriasis, Raynaud's Phenomenon, Reiter's Syndrome, rheumatic fever, rheumatoid arthritis, sarcoidosis, scleroderma, Sjgren's Syndrome, stiff-man syndrome, Takayasu Arteritis, temporal arteritis/giant cell arteritis, ulcerative colitis, uveitis, vasculitis, vitiligo, and Wegener's Granulomatosis.
68. The method of claim 67, wherein the autoimmune disease is selected from the group consisting of type I diabetes and lupus.
69. The method of any one of claims 1-59, wherein the disease is an infectious disease caused by one or more agents selected from the group consisting of a virus, a bacterium, a fungus, or a parasite.
70. The method of claim 69, wherein the virus is selected from the group consisting of Gadgets Gully virus, Kadam virus, Kyasanur Forest disease virus, Langat virus, Omsk hemorrhagic fever virus, Powassan virus, Royal Farm virus, tick-borne encephalitis virus, Louping ill virus, Meaban virus, Saumarez Reef virus, Tyuleniy virus, Aroa virus, dengue virus, Kedougou virus, Cacipacore virus, Koutango virus, Japanese encephalitis virus, Murray Valley encephalitis virus, St. Louis encephalitis virus, Usutu virus, West Nile virus, Yaounde virus, Kokobera virus, Bagaza virus, Ilheus virus, Israel turkey meningoencephalo-myelitis virus, Ntaya virus, Tembusu virus, Zika virus, Banzi virus, Bouboui virus, Edge Hill virus, Jugra virus, Saboya virus, Sepik virus, Uganda S virus, Wesselsbron virus, yellow fever virus, Entebbe bat virus, Yokose virus, Apoi virus, Cowbone Ridge virus, Jutiapa virus, Modoc virus, Sal Vieja virus, San Perlita virus, Bukalasa bat virus, Carey Island virus, Dakar bat virus, Montana myotis leukoencephalitis virus, Phnom Penh bat virus, and Rio Bravo virus, Venezuelan equine encephalitis virus (VEE), Eastern equine encephalitis virus (EEE), Western equine encephalitis virus (WEE), Ebola virus, Marburg virus, smallpox virus, vaccinia virus, Lassa virus, Ippy virus, lymphocytic choriomeningitis virus (LCMV), Mobala virus, Mopeia virus, Amapari virus, Flexal virus, Guanarito virus, Junin virus, Latino virus, Machupo virus, Oliveros virus, Paran virus, Pichinde virus, Pirital virus, Sabi virus, Tacaribe virus, Tamiami virus, and Whitewater Arroyo virus, Sin Nombre virus, Hantaan virus, Rift Valley fever virus, Crimean-Congo hemorrhagic fever virus, Dugbe virus, herpes simplex virus (HSV), cytomegalovirus (CMV), Epstein-Barr virus (EBV), Kaposi's sarcoma associated-herpesvirus (KSHV), influenzavirus A, H5N1 avian influenza virus, influenzavirus B, influenzavirus C, severe acute respiratory syndrome (SARS) virus, rabies virus, and vesicular stomatitis virus (VSV).
71. The method of claim 69, wherein the bacterium is selected from the group consisting of Pseudomonas aeruginosa, Salmonella typhimurium, Escherichia coli, Klebsiella pneumoniae, Bruscella, Burkholderia mallei, Yersinia pestis, and Bacillus anthracis.
72. The method of claim 69, wherein the fungus is selected from the group consisting of Aspergillus, Blastomyces dermatitidis, Candida, Coccidioides immitis, Cryptococcus neoformans, Histoplasma capsulatum var. capsulatum, Paracoccidioides brasiliensis, Sporothrix schenckii, Zygomycetes spp., Absidia corymbifera, Rhizomucor pusillus, and Rhizopus arrhizus.
73. The method of claim 69, wherein the parasite is selected from the group consisting of Toxoplasma gondii, Plasmodium falciparum, P. vivax, P. ovale, P. malariae, Trypanosoma spp., and Legionella spp.
74. The method of any one of claims 1-59, wherein the disease is selected from the group consisting of hypertension, hyperglycemia, hyperlipidemia, edema, depression, obesity, infertility, amenorrhea, fatigue, vertigo, uterine bleeding, uterine ulcer, hyperthyroidism, myoma, endometriosis, cerebral palsy, brain atrophy, systemic muscular atrophy, trigeminal neuralgia, schizophrenia, epilepsy, amyotrophic lateral sclerosis (ALS), Parkinson's Disease, autism, Alzheimer's Disease, Huntington's Disease, emphysema, asthma, hepatitis B, cough, systemic fibroma, renal diseases, lung diseases, and liver diseases.
75. The method of any one of claims 1-74, wherein the subject is a mammal.
76. The method of claim 75, wherein the mammal is a human.
77. A kit comprising a clamp and a package insert instructing a user of said kit to treat a subject according to the method of any one of claims 1-76.
78. The kit of claim 77, wherein the clamp comprises a regulator screw capable of maintaining a desired distance between arms of said clamp.
79. The kit of claim 78, wherein the regulator screw can be adjusted to one of a plurality of settings.
80. The kit of claim 79, wherein the plurality of settings correspond to a state of maximum distance between the arms of said clamp, one or more states of intermediate distance between the arms of said clamp, and a state of minimum distance between the arms of said clamp.
81. The kit of claim 80, wherein the setting that corresponds to said state of maximum distance between the arms of said clamp is indicated by exposure of a green color adjacent to an arm of said clamp.
82. The kit of claim 80, wherein the setting that corresponds to said state of intermediate distance between the arms of said clamp is indicated by exposure of a yellow color adjacent to an arm of said clamp.
83. The kit of claim 80, wherein the setting that corresponds to said state of minimum distance between the arms of said clamp is indicated by exposure of a red color adjacent to an arm of said clamp.
84. The method of claim 1, wherein the portion of tissue comprises one or more tumors.
85. The method of claim 84, wherein the clamping causes crushing of said one or more tumors.
86. The method of claim 1, wherein the method further comprises compressing one or more muscles and/or connective tissues located underneath said skin.
87. The method of claim 1, wherein the pressure is applied at a location at which said skin converges with surrounding skin that is not folded.
88. The method of claim 1, wherein the clamp comprises curved ends and a flexible handle.
89. The method of claim 88, wherein the flexible handle is configured to allow a user of said clamp to control the duration of pressure applied by said clamping.
90. The method of claim 88 or 89, wherein the flexible handle is configured to allow a user of said clamp to control the amount of pressure applied by said clamping.
91. The method of claim 1, wherein the clamp comprises a mechanism capable of regulating distance between said curved ends.
92. The method of claim 1, wherein the clamp comprises arms and a regulator screw capable of maintaining a desired distance between the arms of the clamp.
93. The method of claim 92, wherein the regulator screw can be adjusted to one of a plurality of settings.
94. The method of claim 93, wherein the plurality of settings correspond to a state of maximum distance between the arms of the clamp, one or more states of intermediate distance between the arms of the clamp, and a state of minimum distance between the arms of the clamp.
95. The method of claim 94, wherein the maximum distance is between about 2.4 cm and about 7.2 cm.
96. The method of claim 94, wherein the intermediate distance is between about 1.6 cm and about 4.8 cm.
97. The method of claim 94, wherein the minimum distance is between about 0.8 and about 2.4 cm.
98. The method of any one of claims 94-97, wherein the setting that corresponds to the state of maximum distance between the arms of the clamp is indicated by exposure of a green color adjacent to an arm of the clamp.
99. The method of claim 94, wherein the setting that corresponds to said state of intermediate distance between the arms of said clamp is indicated by exposure of a yellow color adjacent to an arm of said clamp.
100. The method of claim 94, wherein the setting that corresponds to said state of minimum distance between the arms of said clamp is indicated by exposure of a red color adjacent to an arm of said clamp.
101. The method of claim 1, wherein the clamping occurs for a period of about 1 to about 10 seconds.
102. The method of claim 101, wherein the clamping occurs for a period of about 1 to about 3 seconds.
103. The method of claim 1, wherein the clamping is performed one or more times daily, weekly, monthly, or yearly.
104. The method of claim 103, wherein the clamping is performed one or more times daily.
105. The method of claim 104, wherein the clamping is performed one or more times daily for between about two and about twenty days.
106. The method of claim 105, wherein the clamping is performed one or more times daily for six days.
107. The method of claim 106, wherein at the end of said six days, the clamping is repeated one or more times every other day for a total of 16 additional days to form a standard treatment course.
108. The method of claim 107, wherein the standard treatment course is repeated between two and twenty times.
109. The method of claim 108, wherein the standard treatment course is repeated between five and fifteen times.
110. The method of claim 109, wherein the standard treatment course is repeated between six and nine times.
111. The method of claim 110, wherein the standard treatment course is repeated seven times.
112. The method of claim 110, wherein the standard treatment course is repeated eight times.
113. The method of claim 107, wherein the clamping is performed with increasing pressure over the duration of said standard treatment course.
114. The method of claim 1, wherein the clamping is sufficient to cause pain and/or bruising to said tissue.
115. The method of claim 1, wherein the clamping causes an increase in the amount or concentration of one or more antigens on the surface of a cancer cell within said subject.
116. The method of claim 1, wherein the clamping causes an increase in the amount or concentration of one or more dendritic cells on the surface of a cancer cell within said subject.
117. The method of claim 116, wherein the dendritic cells are located below said skin.
118. The method of claim 1, wherein the subject exhibits an elevated immune response after said clamping is performed.
119. The method of claim 118, wherein the elevated immune response is selected from the group consisting of inflammation, secretion of chemokines, an increase in the level of one or more cytokines, and activation of one or more immune cells within said subject.
120. The method of claim 119, wherein the inflammation comprises one or more processes selected from the group consisting of arteriole dilation, an increase in capillary permeability, and migration of neutrophils and/or macrophages from capillaries or venules into interstitial spaces.
121. The method of claim 119, wherein the chemokines are capable of attracting to said portion of tissue one or more macrophages, T-cells, mast cells, dendritic cells, activated dendritic cells, eosinophils, and/or neutrophils.
122. The method of claim 119, wherein the one or more cytokines are selected from the group consisting of TNF, IFN, IL-1, IL-6, and IL-8.
123. The method of claim 119, wherein the one or more immune cells are selected from the group consisting of macrophages, neutrophils, T-cells, antigen-presenting cells, and dendritic cells.
124. The method of claim 1, wherein the subject exhibits epidermal lumps after said clamping is performed.
125. The method of claim 124, wherein the lumps are between about 1 cm and about 3 cm in length.
126. The method of claim 124 or 125, wherein the method further comprising the step of compressing said lumps.
127. The method of claim 126, wherein the lumps are broken into a plurality of fragments.
128. The method of claim 126 or 127, wherein the lumps comprise cell debris.
129. The method of claim 128, wherein the cell debris is or comprises monosodium urate.
130. The method of claim 129, wherein the monosodium urate is in a crystalline form.
131. The method of claim 129 or 130, wherein the monosodium urate is released within said subject.
132. The method of claim 131, wherein the monosodium urate is released into peripheral tissues within said subject.
133. The method of claim 129, wherein the monosodium urate promotes the growth or maturation of one or more cells selected from the group consisting of macrophages, neutrophils, T-cells, antigen-presenting cells, and dendritic cells.
134. The method of claim 129, wherein the monosodium urate induces the production of IL-1 .sub.R in said subject.
135. The method of claim 121, wherein the T-cells are CD4+ or CD8+ T-cells.
136. The method of claim 121, wherein the T-cells are capable of specifically binding an antigen expressed on the surface of a cancer cell.
137. The method of claim 136, wherein the T-cells are capable of killing one or more of said cancer cells.
138. The method of claim 1, wherein the skin is located along a meridian line of said subject.
139. The method of claim 138, wherein the meridian line is selected from the group consisting of wood phase meridian, first fire phase meridian, second fire phase meridian, earth phase meridian, metal phase meridian, water phase meridian, lung meridian, heart meridian, liver meridian, spleen meridian, kidney meridian, pericardium meridian, large intestine meridian, small intestine meridian, stomach meridian, bladder meridian, and gall bladder meridian.
140. The method of claim 1, wherein the disease is a cancer.
141. The method of claim 140, wherein the cancer is selected from the group consisting of leukemia, lymphoma, liver cancer, bone cancer, skin cancer, pulmonary cancer, brain cancer, bladder cancer, gastrointestinal cancer, breast cancer, cardiac cancer, cervical cancer, uterine cancer, head and neck cancer, gallbladder cancer, laryngeal cancer, lip and oral cavity cancer, ocular cancer, melanoma, pancreatic cancer, prostate cancer, colorectal cancer, testicular cancer, throat cancer, adenocarcinoma, pituitary adenoma, acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL), chronic myelogenous leukemia (CML), adrenocortical carcinoma, AIDS-related lymphoma, primary CNS lymphoma, anal cancer, appendix cancer, astrocytoma, atypical teratoid/rhabdoid tumor, basal cell carcinoma, bile duct cancer, extrahepatic cancer, ewing sarcoma family, osteosarcoma and malignant fibrous histiocytoma, central nervous system embryonal tumors, central nervous system germ cell tumors, craniopharyngioma, ependymoma, bronchial tumors, burkitt lymphoma, carcinoid tumor, primary lymphoma, chordoma, chronic myeloproliferative neoplasms, colon cancer, extrahepatic bile duct cancer, ductal carcinoma in situ (DCIS), endometrioma, ependymoma, esophageal cancer, esthesioneuroblastoma, extracranial germ cell tumor, extragonadal germ cell tumor, fallopian tube cancer, fibrous histiocytoma of bone, gastrointestinal carcinoid tumor, gastrointestinal stromal tumors (GIST), testicular germ cell tumor, gestational trophoblastic disease, glioma, childhood brain stem glioma, hairy cell leukemia, hepatocellular cancer, langerhans cell histiocytosis, hodgkin lymphoma, hypopharyngeal cancer, islet cell tumors, pancreatic neuroendocrine tumors, wilms tumor and other childhood kidney tumors, langerhans cell histiocytosis, small cell lung cancer, cutaneous T-cell lymphoma, intraocular melanoma, merkel cell carcinoma, mesothelioma, metastatic squamous neck cancer, midline tract carcinoma, multiple endocrine neoplasia syndromes, multiple myeloma/plasma cell neoplasm, myelodysplastic syndromes, nasal cavity and paranasal sinus cancer, nasopharyngeal cancer, neuroblastoma, non-hodgkin lymphoma (NHL), non-small cell lung cancer (NSCLC), ovarian carcinoma, low malignant potential ovarian cancer, pancreatic neuroendocrine tumors, papillomatosis, paraganglioma, paranasal sinus and nasal cavity cancer, parathyroid cancer, penile cancer, pharyngeal cancer, pheochromocytoma, pituitary tumor, pleuropulmonary blastoma, primary peritoneal cancer, rectal cancer, retinoblastoma, rhabdomyosarcoma, salivary gland cancer, kaposi sarcoma, rhabdomyosarcoma, szary syndrome, small intestine cancer, soft tissue sarcoma, throat cancer, thymoma and thymic carcinoma, thyroid cancer, transitional cell cancer of the renal pelvis and ureter, urethral cancer, uterine sarcoma, vaginal cancer, vulvar cancer, and waldenstrm macroglobulinemia.
142. The method of claim 140, wherein the cancer is selected from the group consisting of breast cancer, adenocarcinoma, leukemia, skin cancer, ovarian carcinoma, pituitary adenoma, pulmonary cancer, endometrioma, and cervical cancer.
143. The method of claim 142, wherein the breast cancer is selected from the group consisting of late stage breast cancer, bilateral breast ductal carcinoma, and invasive bilateral breast cancer.
144. The method of claim 1, wherein the disease is a neoplasm.
145. The method of claim 144, wherein the neoplasm is a growth of a tissue or organ selected the group consisting of a pancreas, salivary gland, pituitary gland, kidney, heart, lung, hematopoietic system, cranial nerves, heart, aorta, olfactory gland, hypopharynx, ear, nerves, structures of the head, eye, thymus, tongue, bone, liver, small intestine, large intestine, gut, brain, skin, peripheral nervous system, central nervous system, spinal cord, breast, embryonic structures, embryos, and testes.
146. The method of claim 145, wherein the neoplasm is a growth of an organ selected from the group consisting of a lung, kidney, and hypopharynx.
147. The method of claim 1, wherein the disease is an autoimmune disease selected from the group consisting of type I diabetes, alopecia areata, ankylosing spondylitis, antiphospholipid syndrome, autoimmune Addison's Disease, autoimmune hemolytic anemia, autoimmune hepatitis, Behcet's Disease, bullous pemphigoid, cardiomyopathy, celiac sprue-dermatitis, chronic fatigue immune dysfunction syndrome (CFIDS), chronic inflammatory demyelinating polyneuropathy, Churg-Strauss Syndrome, cicatricial pemphigoid, crest syndrome, cold agglutinin disease, Crohn's Disease, essential mixed cryoglobulinemia, fibromyalgia-fibromyositis, Graves' Disease, Guillain-Barr Syndrome, Hashimoto's thyroiditis, hypothyroidism, idiopathic pulmonary fibrosis, idiopathic thrombocytopenia purpura (ITP), IgA nephropathy, juvenile arthritis, lichen planus, lupus, systemic lupus erythematosus, Mnire's Disease, mixed connective tissue disease, multiple sclerosis, myasthenia gravis, pemphigus vulgaris, pernicious anemia, polyarteritis nodosa, polychondritis, polyglandular syndromes, polymyalgia rheumatica, polymyositis and dermatomyositis, primary agammaglobulinemia, primary biliary cirrhosis, psoriasis, Raynaud's Phenomenon, Reiter's Syndrome, rheumatic fever, rheumatoid arthritis, sarcoidosis, scleroderma, Sjgren's Syndrome, stiff-man syndrome, Takayasu Arteritis, temporal arteritis/giant cell arteritis, ulcerative colitis, uveitis, vasculitis, vitiligo, and Wegener's Granulomatosis.
148. The method of claim 147, wherein the autoimmune disease is selected from the group consisting of type I diabetes and lupus.
149. The method of claim 1, wherein the disease is an infectious disease caused by one or more agents selected from the group consisting of a virus, a bacterium, a fungus, or a parasite.
150. The method of claim 149, wherein the virus is selected from the group consisting of Gadgets Gully virus, Kadam virus, Kyasanur Forest disease virus, Langat virus, Omsk hemorrhagic fever virus, Powassan virus, Royal Farm virus, tick-borne encephalitis virus, Louping ill virus, Meaban virus, Saumarez Reef virus, Tyuleniy virus, Aroa virus, dengue virus, Kedougou virus, Cacipacore virus, Koutango virus, Japanese encephalitis virus, Murray Valley encephalitis virus, St. Louis encephalitis virus, Usutu virus, West Nile virus, Yaounde virus, Kokobera virus, Bagaza virus, Ilheus virus, Israel turkey meningoencephalo-myelitis virus, Ntaya virus, Tembusu virus, Zika virus, Banzi virus, Bouboui virus, Edge Hill virus, Jugra virus, Saboya virus, Sepik virus, Uganda S virus, Wesselsbron virus, yellow fever virus, Entebbe bat virus, Yokose virus, Apoi virus, Cowbone Ridge virus, Jutiapa virus, Modoc virus, Sal Vieja virus, San Perlita virus, Bukalasa bat virus, Carey Island virus, Dakar bat virus, Montana myotis leukoencephalitis virus, Phnom Penh bat virus, and Rio Bravo virus, Venezuelan equine encephalitis virus (VEE), Eastern equine encephalitis virus (EEE), Western equine encephalitis virus (WEE), Ebola virus, Marburg virus, smallpox virus, vaccinia virus, Lassa virus, Ippy virus, lymphocytic choriomeningitis virus (LCMV), Mobala virus, Mopeia virus, Amapari virus, Flexal virus, Guanarito virus, Junin virus, Latino virus, Machupo virus, Oliveros virus, Paran virus, Pichinde virus, Pirital virus, Sabi virus, Tacaribe virus, Tamiami virus, and Whitewater Arroyo virus, Sin Nombre virus, Hantaan virus, Rift Valley fever virus, Crimean-Congo hemorrhagic fever virus, Dugbe virus, herpes simplex virus (HSV), cytomegalovirus (CMV), Epstein-Barr virus (EBV), Kaposi's sarcoma associated-herpesvirus (KSHV), influenzavirus A, H5N1 avian influenza virus, influenzavirus B, influenzavirus C, severe acute respiratory syndrome (SARS) virus, rabies virus, and vesicular stomatitis virus (VSV).
151. The method of claim 149, wherein the bacterium is selected from the group consisting of Pseudomonas aeruginosa, Salmonella typhimurium, Escherichia coli, Klebsiella pneumoniae, Bruscella, Burkholderia mallei, Yersinia pestis, and Bacillus anthracis.
152. The method of claim 149, wherein the fungus is selected from the group consisting of Aspergillus, Blastomyces dermatitidis, Candida, Coccidioides immitis, Cryptococcus neoformans, Histoplasma capsulatum var. capsulatum, Paracoccidioides brasiliensis, Sporothrix schenckii, Zygomycetes spp., Absidia corymbifera, Rhizomucor pusillus, and Rhizopus arrhizus.
153. The method of claim 149, wherein the parasite is selected from the group consisting of Toxoplasma gondii, Plasmodium falciparum, P. vivax, P. ovale, P. malariae, Trypanosoma spp., and Legionella spp.
154. The method of claim 1, wherein the disease is selected from the group consisting of hypertension, hyperglycemia, hyperlipidemia, edema, depression, obesity, infertility, amenorrhea, fatigue, vertigo, uterine bleeding, uterine ulcer, hyperthyroidism, myoma, endometriosis, cerebral palsy, brain atrophy, systemic muscular atrophy, trigeminal neuralgia, schizophrenia, epilepsy, amyotrophic lateral sclerosis (ALS), Parkinson's Disease, autism, Alzheimer's Disease, Huntington's Disease, emphysema, asthma, hepatitis B, cough, systemic fibroma, renal diseases, lung diseases, and liver diseases.
155. The method of claim 1, wherein the subject is a mammal.
156. The method of claim 155, wherein the mammal is a human.
157. A kit comprising a clamp and a package insert instructing a user of said kit to treat a subject according to the method of claim 1.
158. The kit of claim 157, wherein the clamp comprises a regulator screw capable of maintaining a desired distance between arms of said clamp.
159. The kit of claim 158, wherein the regulator screw can be adjusted to one of a plurality of settings.
160. The kit of claim 159, wherein the plurality of settings correspond to a state of maximum distance between the arms of said clamp, one or more states of intermediate distance between the arms of said clamp, and a state of minimum distance between the arms of said clamp.
161. The kit of claim 160, wherein the setting that corresponds to said state of maximum distance between the arms of said clamp is indicated by exposure of a green color adjacent to an arm of said clamp.
162. The kit of claim 160, wherein the setting that corresponds to said state of intermediate distance between the arms of said clamp is indicated by exposure of a yellow color adjacent to an arm of said clamp.
163. The kit of claim 160, wherein the setting that corresponds to said state of minimum distance between the arms of said clamp is indicated by exposure of a red color adjacent to an arm of said clamp.
Description
BRIEF DESCRIPTION OF THE FIGURES
[0046]
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[0049]
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DETAILED DESCRIPTION
[0056] The invention provides methods of treating diseases, such as cancers, autoimmune diseases, infectious diseases, and diseases associated with major organs (e.g., kidney disease, renal disease, lung disease, and others) by clamping of the skin and underlying tissue of a subject (e.g., a human subject) in order to induce damage to the skin and/or tissue. The damage may manifest in pain or bruising of the subject at the site of the clamping. As such, the invention additionally encompasses kits containing clamps that are useful for the safe application of pressure to a patient by virtue of a regulator screw or similar adjustment mechanism capable of modulating the distance between the arms of a clamp used for clamping therapy.
[0057] The methods of the invention include procedures for the safe and efficacious clamping of a patient's skin to treat a variety of disorders, as well as protocols for activating the patient's immune system. In this way, clamping therapy harnesses the patient's natural immune defense mechanisms to eradicate, e.g., cancer cells or foreign microbial agents. The physiological events that underlie immune system activation include the induction of pain, e.g., by stimulating nociceptors at the epidermal surface that propagate action potentials through the central nervous system. The pain elicited by clamping promotes inflammation and stimulates immune system activity, which includes various immunological events, such as arteriole dilation and the migration of leukocytes into areas of damaged tissue. The clamping also induces the release of cell debris, such as uric acid, or salts thereof, such as monosodium urate, which further modulate immune activity.
[0058] Methods of the invention also include the use of skin clamping to apply pressure to, and in some instances to pulverize, cancerous lumps, such as solid tumors (e.g., breast epithelial tumors). The physical dissociation of these tissues induced by clamping serves multiple purposes, including promoting enhanced cell surface expression of tumor-associated antigens. These antigens can subsequently be recognized and eventually killed by cells of the immune system, such as CD4+ or CD8+ T-cells bearing a T-cell receptor that specifically binds such antigens. The beneficial effects of skin clamping are not limited to cancer, as a variety of additional disorders can be treated by clamping therapy and the enhanced immune activity thereby induced.
[0059] The sections that follow provide a description of how the skin clamping regimen may be performed, as well as a description of disorders that can be treated using skin clamping therapy.
Clamping Protocol
[0060] The methods of the invention can be used to treat a patient suffering from cancer, an autoimmune disease, an infectious disease, or another condition described herein. In some embodiments, the skin of the patient, as well as underlying tissue and/or muscle, are folded, e.g., in a convex protrusion of the skin that is lifted above the neighboring skin in a manner shown in any one of
[0061] The patient may receive skin clamping therapy at the site of a particular disease, such as at the site of a solid tumor, or the patient may be administered clamping therapy along the entire body, e.g., in a manner that follows the meridian system on the ventral and dorsal sides of the body and limbs as described in
[0062] As clamping therapy continues, often within month of treatment, lumps in various sizes (e.g., from 1-3 cm, or more, such as 1.0 cm, 1.1 cm, 1.2 cm, 1.3 cm, 1.4 cm, 1.5 cm, 1.6 cm, 1.7 cm, 1.8 cm, 1.9 cm, 2.0 cm, 2.1 cm, 2.2 cm, 2.3 cm, 2.4 cm, 2.5 cm, 2.6 cm, 2.7 cm, 2.8 cm, 2.9 cm, 3.0 cm, or more) rise to the surface of the skin. The lumps contain primarily uric acid or salts thereof, such as monosodium urate. Uric acid is frequently released as debris of dead cells that have been physically damaged due to the skin clamping procedure. The uric acid may that is released into peripheral tissues by the clamping of these lumps provides an additional signal that can stimulate immune cell activity. The intense initial pain induced by clamping therapy serves as another signal to stimulate the immune system. One or both of these phenotypes may occur concurrently with tissue inflammation, which is associated with a series of events that further potentiates the activity of immune cells, such as macrophages, dendritic cells, and T-cells. Together, these events may synergistically direct immune system resources to, e.g., malignant tissue or infectious microbial agents so as to kill, and ultimately eradicate, these cells.
[0063] A non-limiting example of a clamping procedure that can be used in conjunction with the methods of the invention is provided below: [0064] 1. Initially clamping can be performed from head to feet, or at one or more regions thereof, every day for 6 days, and then every other day for 16 times for a total of nearly 6 weeks. This constitutes one standard course of treatment. In general, for early stage cancer, seven or eight courses may be sufficient to achieve complete remission. During the later courses, the frequency of treatment can be reduced to once every 3 or 4 days, sometimes with a rest period of from about 2 to about 3 weeks between treatments. [0065] 2. There are six meridian lines located on the anterior (Yin) and posterior (Yan) sides of the human body. There are also meridian lines on the limbs, including three meridian lines on the anterior side of the arms (Yin) and three on posterior side (Yan), as well as three lines on the anterior side of legs
[0066] (Yin) and three on the posterior side (Yan). The clamping sites may be from about 2 to about 3 inches apart (e.g., from 2.0 inches, 2.1 inches, 2.2 inches, 2.3 inches, 2.4 inches, 2.5 inches, 2.6 inches, 2.7 inches, 2.8 inches, 2.9 inches, or 3.0 inches apart) along these meridian lines. [0067] 3. The skin, often together with underlying tissue, such as muscle tissue, is lifted by a physician of skill in the art. In some embodiments, the physician will use the left hand. The physician may then apply pressure to the base of the folded skin by pinching the skin between the physician's fingers. The clamp, held in the physician's free hand (e.g., the physician's right hand), is applied to the site at the base of the folded skin with the proper amount of force for from about 1 to about 3 seconds (e.g., 1 second) to produce a momentary sharp pain. This clamping activity may cause connective tissue at the base of the folded skin to break and physically dissociate from the bone surface. In this way, the connective tissue is separated from a physical substrate and can regenerate. For example, the rib bones of many cancer patients were found to be covered with white matter which can deform the rib cage and block the meridian system. The white matters are secreted from dead white cells. Skin clamping therapy is capable of physically breaking up this white matter and loosening it from the rib bones, thus allowing connective tissue to regenerate. [0068] 4. If desired or medically indicated, the connective tissue between muscles may be clamped intentionally to cause damage to old connective tissue and provide an opportunity for regeneration. [0069] 5. Excessive force can be avoided during the initial treatment, especially for patients that have undergone surgery or chemotherapy or that have heart problems. The areas of neck and upper breast can additionally be avoided in early stages of treatment. [0070] 6. In some embodiments, on the arm of the clamper (e.g., as shown in
Cancers
[0073] Clamping therapy as described herein can be used to treat a variety of cancers, including those that manifest in solid tumors. In some instances, it may be desirable to perform clamping therapy at the sites of these solid tumors so as to physically damage the tumor. This clamping may cause an increase in antigen expression on the tumor surface, and may thus result in enhanced binding and activation of immune cells (e.g., antigen-presenting cells, such as dendritic cells and/or macrophages, as well as CD4+ and/or CD8+ T-cells) at the surfaces of cancerous cells therein.
[0074] In some instances, it may be desirable for a physician of skill in the art to monitor the efficacy of therapy by withdrawing a sample from the patient in order to analyze, e.g., the quantity of CD4+ T-cells, CD8+ T-cells, dendritic cells, and/or activated dendritic cells within the sample of the patient. A finding that the quantity of tumor-reactive CD4+ and/or CD8+ T-cells, or dendritic cells or activated dendritic cells, has increased relative to the quantity of the same cell type within a sample withdrawn from the patient prior to clamping therapy indicates that the therapy is efficacious. Additionally or alternatively, a physician may analyze the quantity of cancerous cells within a sample from the patient e.g., using flow cytometry or florescence-activated cell sorting (FACS) techniques known in the art. A finding that the quantity of cancerous cells in a sample isolated from the patient following clamping therapy has decreased relative to the quantity of the same cancerous cell type within a sample isolated from the patient prior to clamping therapy indicates that the clamping therapy is efficacious. In either case, a finding that the clamping therapy is not efficacious may indicate that subsequent clamping therapy is required, and/or that the intensity of the clamping is to be increased in future therapy (e.g., by increasing the amount of pressure applied by clamping, such as by adjusting a regulator screw so as to decrease the distance between the arms of the clamp used for the clamping therapy).
[0075] Cancers that can be treated according to the methods of the invention include, without limitation, leukemia, lymphoma, liver cancer, bone cancer, skin cancer, pulmonary cancer, brain cancer, bladder cancer, gastrointestinal cancer, breast cancer (e.g., late stage breast cancer, bilateral breast ductal carcinoma, or invasive bilateral breast cancer), cardiac cancer, cervical cancer, uterine cancer, head and neck cancer, gallbladder cancer, laryngeal cancer, lip and oral cavity cancer, ocular cancer, melanoma, pancreatic cancer, prostate cancer, colorectal cancer, testicular cancer, throat cancer, adenocarcinoma, pituitary adenoma, acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML), chronic lymphocytic leukemia (CLL), chronic myelogenous leukemia (CML), adrenocortical carcinoma, AIDS-related lymphoma, primary CNS lymphoma, anal cancer, appendix cancer, astrocytoma, atypical teratoid/rhabdoid tumor, basal cell carcinoma, bile duct cancer, extrahepatic cancer, ewing sarcoma family, osteosarcoma and malignant fibrous histiocytoma, central nervous system embryonal tumors, central nervous system germ cell tumors, craniopharyngioma, ependymoma, bronchial tumors, burkitt lymphoma, carcinoid tumor, primary lymphoma, chordoma, chronic myeloproliferative neoplasms, colon cancer, extrahepatic bile duct cancer, ductal carcinoma in situ (DCIS), endometrioma, ependymoma, esophageal cancer, esthesioneuroblastoma, extracranial germ cell tumor, extragonadal germ cell tumor, fallopian tube cancer, fibrous histiocytoma of bone, gastrointestinal carcinoid tumor, gastrointestinal stromal tumors (GIST), testicular germ cell tumor, gestational trophoblastic disease, glioma, childhood brain stem glioma, hairy cell leukemia, hepatocellular cancer, langerhans cell histiocytosis, hodgkin lymphoma, hypopharyngeal cancer, islet cell tumors, pancreatic neuroendocrine tumors, wilms tumor and other childhood kidney tumors, langerhans cell histiocytosis, small cell lung cancer, cutaneous T-cell lymphoma, intraocular melanoma, merkel cell carcinoma, mesothelioma, metastatic squamous neck cancer, midline tract carcinoma, multiple endocrine neoplasia syndromes, multiple myeloma/plasma cell neoplasm, myelodysplastic syndromes, nasal cavity and paranasal sinus cancer, nasopharyngeal cancer, neuroblastoma, non-hodgkin lymphoma (NHL), non-small cell lung cancer (NSCLC), ovarian carcinoma, low malignant potential ovarian cancer, pancreatic neuroendocrine tumors, papillomatosis, paraganglioma, paranasal sinus and nasal cavity cancer, parathyroid cancer, penile cancer, pharyngeal cancer, pheochromocytoma, pituitary tumor, pleuropulmonary blastoma, primary peritoneal cancer, rectal cancer, retinoblastoma, rhabdomyosarcoma, salivary gland cancer, kaposi sarcoma, rhabdomyosarcoma, szary syndrome, small intestine cancer, soft tissue sarcoma, throat cancer, thymoma and thymic carcinoma, thyroid cancer, transitional cell cancer of the renal pelvis and ureter, urethral cancer, uterine sarcoma, vaginal cancer, vulvar cancer, and waldenstrm macroglobulinemia.
[0076] In addition to the above indications, clamping therapy can be used to treat neoplasms, such as those characterized by a growth of the pancreas, salivary gland, pituitary gland, kidney, heart, lung, hematopoietic system, cranial nerves, heart, aorta, olfactory gland, hypopharynx, ear, nerves, structures of the head, eye, thymus, tongue, bone, liver, small intestine, large intestine, gut, brain, skin, peripheral nervous system, central nervous system, spinal cord, breast, embryonic structures, embryos, or testes, among others.
Autoimmune Diseases
[0077] In addition to cancers and neoplasms, clamping therapy as described herein can be used to treat a variety of autoimmune diseases. For instance, a physician of skill in the art may administer clamping therapy to a patient suffering from one or more infectious diseases described herein. During the course of treatment, a physician may monitor the efficacy of therapy by withdrawing a sample from the patient in order to analyze, e.g., the quantity of self-reactive CD4+, CD8+ T-cells, dendritic cells, and/or activated dendritic cells within the sample of the patient. A finding that the quantity of self-reactive CD4+ and/or CD8+ T-cells, or dendritic cells or activated dendritic cells, has decreased relative to the quantity of the same cell type within a sample withdrawn from the patient prior to clamping therapy indicates that the therapy is efficacious. A finding that the clamping therapy is not efficacious (e.g., a finding that the quantity of self-reactive CD4+ and/or CD8+ T-cells, dendritic cells, or activated dendritic cells has increased) may indicate that subsequent clamping therapy may be needed, and/or that the intensity of the clamping may need to be increased in future therapy (e.g., by increasing the amount of pressure applied by clamping, such as by adjusting a regulator screw so as to decrease the distance between the arms of the clamp used for the clamping therapy).
[0078] Autoimmune diseases that can be treated using the methods of the invention include, without limitation, type I diabetes, alopecia areata, ankylosing spondylitis, antiphospholipid syndrome, autoimmune Addison's Disease, autoimmune hemolytic anemia, autoimmune hepatitis, Behcet's Disease, bullous pemphigoid, cardiomyopathy, celiac sprue-dermatitis, chronic fatigue immune dysfunction syndrome (CFIDS), chronic inflammatory demyelinating polyneuropathy, Churg-Strauss Syndrome, cicatricial pemphigoid, crest syndrome, cold agglutinin disease, Crohn's Disease, essential mixed cryoglobulinemia, fibromyalgia-fibromyositis, Graves' Disease, Guillain-Barr Syndrome, Hashimoto's thyroiditis, hypothyroidism, idiopathic pulmonary fibrosis, idiopathic thrombocytopenia purpura (ITP), IgA nephropathy, juvenile arthritis, lichen planus, lupus, systemic lupus erythematosus, Mnire's Disease, mixed connective tissue disease, multiple sclerosis, myasthenia gravis, pemphigus vulgaris, pernicious anemia, polyarteritis nodosa, polychondritis, polyglandular syndromes, polymyalgia rheumatica, polymyositis and dermatomyositis, primary agammaglobulinemia, primary biliary cirrhosis, psoriasis, Raynaud's Phenomenon, Reiter's Syndrome, rheumatic fever, rheumatoid arthritis, sarcoidosis, scleroderma, Sjgren's Syndrome, stiff-man syndrome, Takayasu Arteritis, temporal arteritis/giant cell arteritis, ulcerative colitis, uveitis, vasculitis, vitiligo, and Wegener's Granulomatosis.
Infectious Diseases
[0079] In addition to the above, clamping therapy as described herein can be used to treat a variety of infectious diseases. For instance, a physician of skill in the art may administer clamping therapy to a patient suffering from one or more infectious diseases described herein. During the course of treatment, a physician may monitor the efficacy of therapy by withdrawing a sample from the patient in order to analyze, e.g., the quantity of CD4+ T-cells, CD8+ T-cells, dendritic cells, and/or activated dendritic cells within the sample of the patient. A finding that the quantity of CD4+ T-cells, CD8+ T-cells, dendritic cells, or activated dendritic cells has increased relative to the quantity of the same cell type within a sample withdrawn from the patient prior to clamping therapy indicates that the therapy is efficacious. Additionally or alternatively, a physician may analyze the quantity of DNA within a sample from the patient that is of bacterial, viral, or fungal origin, e.g., using quantitative polymerase chain reaction techniques known in the art (e.g., quantitative RT-PCR). A finding that the quantity of DNA of bacterial, viral, or fungal origin in a sample isolated from the patient following clamping therapy has decreased relative to the quantity of the same DNA molecule within a sample isolated from the patient prior to clamping therapy indicates that the clamping therapy is efficacious. In either case, a finding that the clamping therapy is not efficacious may indicate that subsequent clamping therapy may be needed, and/or that the intensity of the clamping may need to be increased in future therapy (e.g., by increasing the amount of pressure applied by clamping, such as by adjusting a regulator screw so as to decrease the distance between the arms of the clamp used for the clamping therapy).
[0080] Infectious diseases that can be treated using the methods of the invention include, without limitation, an infectious disease caused by virus, a bacterium, a fungus, or a parasite.
[0081] In some embodiments, the virus is selected from the group consisting of Gadgets Gully virus, Kadam virus, Kyasanur Forest disease virus, Langat virus, Omsk hemorrhagic fever virus, Powassan virus, Royal Farm virus, tick-borne encephalitis virus, Louping ill virus, Meaban virus, Saumarez Reef virus, Tyuleniy virus, Aroa virus, dengue virus, Kedougou virus, Cacipacore virus, Koutango virus, Japanese encephalitis virus, Murray Valley encephalitis virus, St. Louis encephalitis virus, Usutu virus, West Nile virus, Yaounde virus, Kokobera virus, Bagaza virus, Ilheus virus, Israel turkey meningoencephalo-myelitis virus, Ntaya virus, Tembusu virus, Zika virus, Banzi virus, Bouboui virus, Edge Hill virus, Jugra virus, Saboya virus, Sepik virus, Uganda S virus, Wesselsbron virus, yellow fever virus, Entebbe bat virus, Yokose virus, Apoi virus, Cowbone Ridge virus, Jutiapa virus, Modoc virus, Sal Vieja virus, San Perlita virus, Bukalasa bat virus, Carey Island virus, Dakar bat virus, Montana myotis leukoencephalitis virus, Phnom Penh bat virus, and Rio Bravo virus, Venezuelan equine encephalitis virus (VEE), Eastern equine encephalitis virus (EEE), Western equine encephalitis virus (WEE), Ebola virus, Marburg virus, smallpox virus, vaccinia virus, Lassa virus, Ippy virus, lymphocytic choriomeningitis virus (LCMV), Mobala virus, Mopeia virus, Amapari virus, Flexal virus, Guanarito virus, Junin virus, Latino virus, Machupo virus, Oliveros virus, Paran virus, Pichinde virus, Pirital virus, Sabi virus, Tacaribe virus, Tamiami virus, and Whitewater Arroyo virus, Sin Nombre virus, Hantaan virus, Rift Valley fever virus, Crimean-Congo hemorrhagic fever virus, Dugbe virus, herpes simplex virus (HSV), cytomegalovirus (CMV), Epstein-Barr virus (EBV), Kaposi's sarcoma associated-herpesvirus (KSHV), influenzavirus A, H5N1 avian influenza virus, influenzavirus B, influenzavirus C, severe acute respiratory syndrome (SARS) virus, rabies virus, and vesicular stomatitis virus (VSV).
[0082] In some instances, the bacterium is selected from the group consisting of Pseudomonas aeruginosa, Salmonella typhimurium, Escherichia coli, Klebsiella pneumoniae, Bruscella, Burkholderia mallei, Yersinia pestis, and Bacillus anthracis.
[0083] The fungus may be selected from the group consisting of Aspergillus, Blastomyces dermatitidis, Candida, Coccidioides immitis, Cryptococcus neoformans, Histoplasma capsulatum var. capsulatum, Paracoccidioides brasiliensis, Sporothrix schenckii, Zygomycetes spp., Absidia corymbifera, Rhizomucor pusillus, and Rhizopus arrhizus.
[0084] In some embodiments, the parasite is selected from the group consisting of Toxoplasma gondii, Plasmodium falciparum, P. vivax, P. ovale, P. malariae, Trypanosoma spp., and Legionella spp.
Additional Indications
[0085] In addition to the diseases described above, clamping therapy may additionally be used to treat a variety of other diseases. These indications include, without limitation, hypertension, hyperglycemia, hyperlipidemia, edema, obesity, infertility, amenorrhea, fatigue, vertigo, uterine bleeding, uterine ulcer, hyperthyroidism, myoma, endometriosis, cerebral palsy, brain atrophy, systemic muscular atrophy, trigeminal neuralgia, schizophrenia, epilepsy, amyotrophic lateral sclerosis (ALS), Parkinson's Disease, autism, Alzheimer's Disease, Huntington's Disease, emphysema, asthma, hepatitis B, cough, systemic fibroma, renal diseases, lung diseases, and liver diseases.
Immune System Activation
Multiple Roles of the Epidermal Surface
[0086] The methods of the invention provide a strategy for stimulating the immune system in response to tissue damage and physical pain. Human skin, as the first line of defense against bodily insults and microbial pathogens, provide protection to the human body from injury and infection. The skin provides this protection by orchestrating the activities of various cell populations. Keratinocytes exert an important influence over both innate and adaptive responses, as these cells potentiate the early phase of the innate immune response to invading pathogens by promoting the release of chemokines and cytokines, thus attracting key effector immune cells to the site of the foreign pathogen. These cells also stimulate antigen-experienced T cells during inflammation. In addition, spatially and functionally distinct skin-resident dendritic cell populations serve as important immune sentinels, as summarized in
[0087] Apart from acting as a barrier to protect the body against invading pathogens, the skin also functions as a sensory interface, containing abundant sensory fibers. Interestingly, a synergy between temperature-sensory and pain-sensory fibers and immune cells is plausible for several reasons. For instance, these fibers are present in all types of tissue communicating with the outside. Additionally, tissue damage, which requires immune responses, often occurs together with pain stimuli. Pain sensory fibers can directly react to immune-relevant stimuli by expressing danger and damage receptors. These fibers can also conduct signals not only from periphery to central nervous system (CNS) but also from the CNS to the periphery, promoting the release of neural mediators that can act locally on immune cell. Pain sensory neurons are also able to generate local immune responses, such as through the propagation of action potentials stimulated by the opening of TRP channels, such as TRPVI.
[0088] When the skin is clamped, it induces skin damage (e.g., physical injury) that manifests as a red area, which provides a sign of inflammation. This is because the arterioles of the injured skin have dilated and the capillaries have filled with blood and become more permeable, allowing fluid and blood proteins to move into the space between tissues. Inflammation is the body's attempt at self-protection and removal of harmful stimuli, including damaged cells, irritants or pathogens, and at self-protection and removal of harmful stimuli, including damaged cells, irritants or pathogens, and initiation of the healing process. Within a few minutes after skin clamping, the clamped tissue is injured and acute inflammation starts to occur. Three main processes occur during acute inflammation: (1) arterioles (small branches of arteries that lead to capillaries that supply blood to the damaged region) dilate, resulting in increased blood flow; (2) capillaries become more permeable, so fluid and blood proteins can move into interstitial spaces; and (3) neutrophils and possibly some macrophages migrate out of capillaries and venules (small veins that go from a capillary to a vein) and move into interstitial spaces.
Uric Acid Release
[0089] After a few months of treatment, it was found that solid lumps or nodules (1-3 cm in diameter) rise to the surface of the skin. As part of the skin clamping treatment protocol, these lumps were crushed, like breaking a glass ball. Pathological examination revealed the material to be uric acid crystals, that is, monosodium urate (MSU). As a ubiquitous metabolite it is produced in high quantities upon cellular injury, uric acid generates effects that may be considerable in health and disease. Uric acidin the form of monosodium urate crystals precipitated in synovial and cavities and other anatomic locationis a well-known cause of gout, inducing symptoms such as strong inflammation and debilitating pain. In the recent years, more and more research studies have shown that uric acid crystal deposition in tissues, identified as an endogenous adjuvant that drives immune responses in the absence of microbial stimulation, is a strong inflammatory stimulant. This simple crystalline structure appears to activate innate host defense mechanisms in multiple ways and trigger robust inflammation. The recognition mechanisms of MSU following its phase change from soluble uric acid are diverse, involving protein receptors and non-specific plasma membrane attachment. Upon contact with host cells, MSU induces a set of membrane events that trigger Syk and PI3K activation, phagocytosis, and cytokine production. Having entered the cell, MSU further triggers NALP3 inflammasome activation and induces the production of IL-1, likely inducing a full spectrum of inflammation and immune response.
[0090] Uric acid's inflammatory effects involve its precipitation into MSU crystals, which are further recognized by innate phagocytes such as dendritic cells, macrophages and neutrophils. During the recognition process, antigen-presenting cells can sense uric acid as one of the proinflammatory endogenous signals released by damaged tissues and cells. Noticeably, these damage-associated signals can trigger a systemic inflammatory response similar to pathogen-associated molecular patterns. In addition, uric acid stimulates a type of immune cell (dendritic cell, DC) to mature. When DCs are injected along with certain substances in experimental animals, another type of immune cell, CD8+ T cell, becomes stronger in its response to microbes and noxious chemicals. In other experiments, removal of uric acid was shown to weaken certain types of immune responses, indicating an immune-boosting effect of uric acid. Interestingly, DCs are important for host immunity, and sense microbes with pathogen recognition receptors. New evidence indicates that DCs also sense uric acid crystals in dead cells, suggesting that the immune system is conscious not only of pathogens but also of death and danger. In another words, uric acid is a principal endogenous danger signal released from dead and dying cells. It is a breakdown product of nucleic acids such as DNA in response to cell damage. Whenever a large number of cells die, for example when a tumor is being medically treated or during an infection, the uric acid becomes more concentrated and the molecules crystallize. Dead cells not only release intracellular stores of uric acid, but also produced it in large amounts postmortem as nucleic acids are degraded.
Combination Therapy
[0091] The skin clamping methods described herein can be used alone or in conjunction with additional techniques to treat or prevent cancers or diseases, such as infectious diseases, in a subject. For instance, a physician of skill in the art can administer skin clamping therapy to a subject suffering from cancer, such as a cancer described herein, in order to stimulate an immune response within the subject against endogenous cancer cells. The subject may also be administered an additional anti-cancer therapeutic, such as a CAR T treatment in which, e.g., autologous, allogeneic, or syngeneic T-cells are genetically re-engineered so as to express a T-cell receptor protein that specifically binds a tumor-associated antigen in order to localize the T-cell (e.g., a CD8+ cytotoxic T-cell) to the surface of the cancer cell and initiate an immune response. Other adjunctive therapies known in the art for treating a diagnosed disease condition, e.g., cancer and infectious disease, can be administered in combination with the clamping therapy to provide a holistic treatment regimen.
[0092] Whether administered alone or in conjunction with additional therapeutic agents, the skin clamping techniques described herein are advantageous in that these methods represent a comprehensive immunotherapy that functions by activating a full array of endogenous immune system activities in order to alleviate a broad spectrum of disease, including cancers and other disorders, such as infectious diseases. Moreover, the skin clamping techniques described herein would be expected to be significantly less expensive than other pharmaceutical-based therapies, such as anti-cancer therapies, that are currently used or being developed, and thus provide a robust and accessible therapeutic modality for the treatment of a wide range of diseases.
Kits
[0093] The invention additionally provides kits containing, e.g., a clamp that can be used in conjunction with any of the methods of the invention described herein. An exemplary clamp is shown in
[0094] The regulator screw can be adjusted such that the portion of the screw that is situated between the two arms of the clamp is longer (e.g., such that the distance between the two arms of the clamp is maximized as shown in
EXAMPLES
[0095] The following examples are put forth so as to provide those of ordinary skill in the art with a description of how the methods and kits described herein may be used, made, and evaluated, and are intended to be purely exemplary of the invention and are not intended to limit the scope of what the inventors regard as their invention.
Example 1
Clamping Therapy as a Treatment Modality for Various Cancers
[0096] Clamping therapy as described herein can be used to treat a variety of cancers, including those that manifest with solid tumors as well as cancers of the blood. A group of patients that were previously diagnosed with a particular cancer were treated using clamping therapy protocols described herein.
Example 2
Clamping Therapy Can Be Used to Treat Non-cancerous Indications
[0097] In addition to cancers, clamping therapy described herein can also be used to treat a variety of non-cancerous diseases. As shown in
Example 3
Administration of Clamping Therapy to Treat Breast Cancer
[0098] A physician of skill in the art can administer clamping therapy as described herein to a patient that has been diagnosed with breast cancer. For instance, the physician may use a clamp, such as a clamp described herein containing a regulator screw, in order to administer clamping therapy at the site of the breast tumor and/or along meridian lines throughout the patient's entire body. A physician may begin the treatment regimen by administering lower quantities of pressure, e.g., by using a clamp that is maintained in a state of elevated distance between the arms of the clamp. As the treatment progresses (e.g., after several days, weeks, or months), solid lumps may rise to the epidermal surface of the patient. These lumps may contain uric acid crystals, or a salt thereof, such as monosodium urate (MSU). The presence of MSU can be determined using techniques known in the art, such as .sup.1H or .sup.13C nuclear magnetic resonance spectroscopy (NMR). A physician may desirably administer clamping therapy at the sites of these MSU lumps in order to physically break the crystals therein and promote the release of MSU into peripheral tissues, which may in turn activate one or more dendritic cells.
[0099] In some instances, it may be desirable for a physician of skill in the art to monitor the efficacy of therapy by withdrawing a sample from the patient in order to analyze, e.g., the quantity of CD4+ T-cells, CD8+ T-cells, dendritic cells, or activated dendritic cells within the sample of the patient. A finding that the quantity of tumor-reactive CD4+ and/or CD8+ T-cells, or dendritic cells or activated dendritic cells has increased relative to the quantity of the same cell type within a sample withdrawn from the patient prior to clamping therapy indicates that the therapy is efficacious. Additionally or alternatively, a physician may analyze the quantity of cancerous cells within a sample from the patient e.g., using flow cytometry or florescence-activated cell sorting (FACS) techniques known in the art. A finding that the quantity of cancerous cells in a sample isolated from the patient following clamping therapy has decreased relative to the quantity of the same cancerous cell type within a sample isolated from the patient prior to clamping therapy indicates that the clamping therapy is efficacious. In either case, a finding that the clamping therapy is not efficacious may indicate that subsequent clamping therapy is required, and/or that the intensity of the clamping is to be increased in future therapy (e.g., by increasing the amount of pressure applied by clamping, such as by adjusting a regulator screw so as to decrease the distance between the arms of the clamp used for the clamping therapy).
Example 4
Administration of Clamping Therapy to Treat an Infectious Disease
[0100] A physician of skill in the art may administer clamping therapy to a patient suffering from one or more infectious diseases described herein, such as a bacterial infection. A physician of skill in the art may administer clamping therapy at the site of the infection (e.g., at the skin that shows signs of infection, such as irritation, rash, redness, inflammation, or physical discomfort). In some cases, clamping therapy may be performed across meridian lines along all or a portion of the patient's body. The treatment may persist for several weeks, months, or years, and may be performed one or more times each day, every other day, every 3 days, every 4 days, every 5 days, every 6 days, every week, every 2 weeks, every 3 weeks, every 4 weeks, every month, every 2 months, every 3 months, or more. For instance, a treatment regimen may involve a physician treating a patient according to a standard treatment course as described herein (i.e., clamping therapy may be administered once daily for 6 days, followed by once every other day for 16 additional days to form a standard treatment course). When desirable, the standard treatment course may be repeated between 2 and 20 times, such as 7 or 8 times.
[0101] During the course of treatment, a physician may monitor the efficacy of therapy by withdrawing a sample from the patient in order to analyze, e.g., the quantity of CD4+ T-cells, CD8+ T-cells, dendritic cells, or activated dendritic cells within the sample of the patient. A finding that the quantity of CD4+ and/or CD8+ T-cells, or dendritic cells or activated dendritic cells has increased relative to the quantity of the same cell type within a sample withdrawn from the patient prior to clamping therapy indicates that the therapy is efficacious. Additionally or alternatively, a physician may analyze the quantity of DNA within a sample from the patient that is of bacterial origin, e.g., using quantitative polymerase chain reaction techniques known in the art (e.g., quantitative RT-PCR). A finding that the quantity of DNA of bacterial origin in a sample isolated from the patient following clamping therapy has decreased relative to the quantity of the same DNA molecule within a sample isolated from the patient prior to clamping therapy indicates that the clamping therapy is efficacious. In either case, a finding that the clamping therapy is not efficacious may indicate that subsequent clamping therapy may be needed, and/or that the intensity of the clamping may need to be increased in future therapy (e.g., by increasing the amount of pressure applied by clamping, such as by adjusting a regulator screw so as to decrease the distance between the arms of the clamp used for the clamping therapy).
Other Embodiments
[0102] All publications, patents, and patent applications mentioned in this specification are incorporated herein by reference to the same extent as if each independent publication or patent application was specifically and individually indicated to be incorporated by reference.
[0103] While the invention has been described in connection with specific embodiments thereof, it will be understood that it is capable of further modifications and this application is intended to cover any variations, uses, or adaptations of the invention following, in general, the principles of the invention and including such departures from the invention that come within known or customary practice within the art to which the invention pertains and may be applied to the essential features hereinbefore set forth, and follows in the scope of the claims.
[0104] Other embodiments are within the claims.