Methods and devices for the regulation of type II collagen gene expression
in cartilage cells via the application of specific and selective 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 specific and selective
fields optimized for type II collagen gene expression and exposing
cartilage tissue to the specific and selective fields generated by
specific and selective signals so as to regulate type II collagen gene
expression in such cartilage tissue. The resulting methods and devices
are useful for the targeted treatment of osteoarthritis, rheumatoid
arthritis, cartilage injury, and cartilage defects.