Methods and devices for the regulation of matrix metalloproteinase gene
expression in cartilage cells via the application of fields generated by
specific and selective electric and electromagnetic signals in the
treatment of diseased or injured articular cartilage. By gene expression
is meant the up-regulation or down-regulation of the process whereby
specific portions (genes) of the human genome (DNA) are transcribed into
mRNA and subsequently translated into protein. Methods and devices are
provided for the targeted treatment of injured or diseased cartilage
tissue that include generating specific and selective electric and
electromagnetic signals that generate fields optimized for reduction of
matrix metalloproteinase gene expression and exposing cartilage tissue to
the fields generated by specific and selective signals so as to regulate
matrix metalloproteinase gene expression in such cartilage tissue. The
resulting methods and devices are useful for the targeted treatment of
osteoarthritis, rheumatoid arthritis, cartilage injury, cartilage
defects, and tumor metastasis.