Background
Overview
Clinical Trial
Patents
   
Degenerative Arthritis (DA):


The pathogenesis of this disease is the degeneration of the hyaline articular cartilage in the joint, which becomes deformed, fibrillated, and eventually excavated over time. Treatment methods, until now, primarily have been pharmacological treatments, physical therapy, and surgery.

 
Arthroscopic image of a healthy knee joint. Healthy articular cartilage is white, shiny and smooth. Worn and irregular articular cartilage seen in degenerative arthritis patients. Pathology of degenerative arthritis

Our technology provides a treatment for degenerative arthritis, a debilitating orthopedic disease that effects one in seven people.





Traditional Treatments for DA:

The traditional treatment methods for degenerative arthritis are unable to provide complete recovery.

  Traditional treatment methods for degenerative arthritis (DA) either involve surgical "smoothing" or only address symptomatic pain

The time required to produce even partial solutions under traditional methods can be lengthy and the costs typically are high.
 

Pharmacological treatment
 - Acetaminophen and NSAID including COX-2 inhibitors
  - Injection of Corticosteroid and Hyaluronic Acid
Physical therapy
  - Physiotherapy including diet and massage
Operative treatment
  - Microfracture, Arthroscopic debridement, Arthroplasty





                    Complete and permanent
                    Recovery is not possible






Recent Technology Approaches:

None of the alternative technologies provide complete, permanent solutions to DA.

  • Systemic drug therapies
  · Cannot be targeted to specific joints
  · Require high concentrations of the drugs, creating side effects
  · Cannot provide complete tissue regeneration

• Autologous chondrocyte transplantation (ACT)
  · Limited to partial-thickness defects
  · Requires a minimum of two surgeries
  · Applicable under age 55

• Cartilage polymer matrix transplantation
  · Unable to produce pure hyaline cartilage
  · Polymer compounds can inhibit chondrocyte growth

  TG-C Compared
Our solution can be targeted to specific joints and provides the possibility of improving cartilage recovery  

No surgery required

  · Heterologous application requires no surgery; solution can be mass-produced and mass-packaged
  · Autologous application may require one surgery to collect chondrocytes from patient

Regenerated cartilage is fully integrated hyaline





Specific Technology Benefits:


Our technology provides a solution to effectively harness the regenerative power of growth-factors.

TGF-betas are well-known growth factor proteins, however, their clinical utility is limited due to very short half-lives and side effects associated with systemic exposure.
• Local delivery of TissueGene's product overcomes the half-life and side effect limitations of systemically administered TGF-beta.
• Increased matrix synthesis while maintaining type-II collagen phenotype
Increased proteoglycan and collagen synthesis
• Suppressed immune response





Technology Summary:

We have developed a proprietary form of cell-mediated gene therapy to deliver a regenerative protein to damaged tissue, which catalyzes rapid repair of injured tissue without the need for surgery.

 
Insert a therapeutic growth factor (TGF-b) gene into allogeneic cells using traditional viral methods

Isolate single clones expressing TGF-beta using a limiting dilution method.

Inject the stable population of genetically modified cells into the damaged tissue area

Modified cells then secrete growth factor proteins directly into the injured site (like living "protein factories")
 

             Potential for significant
              cartilage recovery