Subsequent to myocardial infarction, cells of the injured myocardium release a variety of cytokines and mediators that are involved in mobilizing endogenous bone marrow stem cells and inducing their migration to the area of myocardial injury.
One cytokine released is G-CSF, which in addition to possessing hematopoietic functions also is a great mobilizer of stem cells.
In the current patent, Amgen covers the use of G-CSF administration after a person has had a heart attack and is successfully revascularized. The patent covers the use of G-CSF to:
- prevent post AMI reduction in ventricular wall thickness
- reduce myocardial scarring
- reduce necrosis
- improve patient outcome
The patent claims G-CSF after revascularization, G-CSF after bypass surgery, combinations of G-CSF with other cytokines, as well as specific concentrations of G-CSF.
Supporting examples for the patent include a porcine 90 minute proximal circumflex artery balloon occlusion model in which G-CSF was able to inhibit myocardial scarring, pathological remodeling and maintain LVEF.
View this patent on the USPTO website.
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