COMPOSITIONS AND METHODS FOR INHIBITING KETOHEXOKINASE (KHK)

Information

  • Patent Application
  • 20220340909
  • Publication Number
    20220340909
  • Date Filed
    April 11, 2022
    2 years ago
  • Date Published
    October 27, 2022
    2 years ago
Abstract
Oligonucleotides are provided herein that inhibit KHK expression. Also provided are compositions including the same and uses thereof, particularly uses relating to treating diseases, disorders and/or conditions associated with KHK expression.
Description
SEQUENCE LISTING

The instant application contains a Sequence Listing which has been submitted electronically in ASCII format and is hereby incorporated by reference in its entirety. Said ASCII copy, created on Mar. 30, 2022, is named 02-0559-US-3_SL.txt and is 398,673 bytes in size.


FIELD OF THE INVENTION

The invention relates to oligonucleotides that inhibit KHK expression, compositions including the same and uses thereof. The invention also relates to methods for treating diseases, disorders and/or conditions associated with KHK expression.


BACKGROUND OF THE INVENTION

Ketohexokinase (KHK) is an important enzyme in fructose metabolism. KHK catalyzes the conversion of D-fructose to fructose-1-phosphate. Under conditions of elevated fructose consumption, a major part of fructose-1 phosphate contributes to fatty-acid and triglyceride synthesis among other things. In the liver, uncontrolled regulation of this process can lead to diseases such as non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH). Similarly, fructose metabolism converts fructose to glucose in the liver. Increased levels of glucose can lead to glucose intolerance (i.e., pre-diabetes, type-2 diabetes, and impaired fasting glucose). Excess glucose is converted to fatty acids and triglycerides and heightens the risk of developing cardiovascular disease (e.g., hypertension). Decreasing the amount of KHK in the liver is likely to reduce the development of, or symptoms of these diseases. Strategies for targeting the KHK gene to prevent such diseases are needed. RNAi agents targeting the KHK gene have been disclosed e.g., in WO 2015/123264 and WO 2020/060986.


SUMMARY OF THE INVENTION

The disclosure is based in part on the discovery that oligonucleotides (e.g., RNAi oligonucleotides) reduce KHK expression in the liver. Specifically, target sequences within KHK mRNA were identified and oligonucleotides that bind to these target sequences and inhibit KHK mRNA expression were generated. As demonstrated herein, the oligonucleotides inhibited murine KHK expression, and/or monkey and human KHK expression in the liver. Without being bound by theory, the oligonucleotides described herein are useful for treating a disease, disorder or condition associated with KHK expression (e.g., Non-alcoholic fatty liver disease (NAFLD), nonalcoholic steatohepatitis (NASH)). In some embodiments, the oligonucleotides described herein are useful for treating a disease, disorder or condition associated with mutations in the KHK gene.


Accordingly, in some aspects, the present disclosure provides a double stranded RNAi oligonucleotide for reducing KHK expression, the oligonucleotide comprising an antisense strand and a sense strand, wherein the antisense strand and the sense strand form a duplex region, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387 and wherein the region of complementarity is at least 15 contiguous nucleotides in length, or a pharmaceutically acceptable salt thereof. In some aspects, the present disclosure provides a double stranded RNAi oligonucleotide for reducing KHK expression, the oligonucleotide comprising an antisense strand and a sense strand, wherein the antisense strand and the sense strand form a duplex region, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, wherein the region of complementarity is at least 15 contiguous nucleotides in length, and wherein KHK expression is reduced by at least 50%.


In any of the foregoing or related aspects, the sense strand comprises a sequence set forth in any one of SEQ ID NOs: 4-387.


In any of the foregoing or related aspects, the anti-sense strand comprises a sequence set forth in any one of SEQ ID NOs: 388-771.


In other aspects, the disclosure provides a double stranded RNAi oligonucleotide for inhibiting expression of KHK, wherein said double stranded RNAi agent comprises a sense strand and an antisense strand forming a duplex region, wherein said sense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from any one of the nucleotide sequences of SEQ ID NO: 4-387 and said antisense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from the nucleotide sequences of SEQ ID NO: 388-771, or a pharmaceutically acceptable salt thereof. In other aspects, the disclosure provides a double stranded RNAi oligonucleotide for inhibiting expression of KHK, wherein said double stranded RNAi agent comprises a sense strand and an antisense strand forming a duplex region, wherein said sense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from any one of the nucleotide sequences of SEQ ID NO:4-387 and said antisense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from the nucleotide sequences of SEQ ID NO: 388-771, and wherein KHK expression is reduced by at least 50%, or a pharmaceutically acceptable salt thereof.


In any of the foregoing or related aspects, the sense strand is 15 to 50 nucleotides in length. In some aspects, the sense strand is 18 to 36 nucleotides in length. In other aspects, the sense strand is 15 to 30 nucleotides in length. In some aspects, the antisense strand is 15-30 nucleotides in length. In some aspects, the antisense strand is 22 nucleotides in length.


In any of the foregoing or related aspects, the antisense strand and the sense strand form a duplex region of at least 19 nucleotides in length. In any of the foregoing or related aspects, the antisense strand and the sense strand form a duple region of at least 20 nucleotides in length. In any of the foregoing or related aspects, the antisense strand and the sense strand form a duplex region of 20 nucleotides in length. In some aspects, the antisense strand is 22 nucleotides in length and the antisense strand and the sense strand form a duplex region of at least 19 nucleotides in length. In some aspects, the antisense strand is 22 nucleotides in length and the antisense strand and the sense strand form a duplex region of at least 20 nucleotides in length. In some aspects, the antisense strand is 22 nucleotides in length and the antisense strand and the sense strand form a duplex region of 20 nucleotides in length.


In any of the foregoing or related aspects, the antisense strand comprises a region of complementarity of at least 19 contiguous nucleotides in length, optionally at least 20 nucleotides in length.


In any of the foregoing or related aspects, the sense strand comprises at its 3′ end a stem-loop set forth as: S1-L-S2, wherein S1 is complementary to S2, and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length.


In some aspects, the disclosure provides an RNAi oligonucleotide for reducing KHK expression, the oligonucleotide comprising a sense strand of 15 to 50 nucleotides in length and an antisense strand, wherein the sense strand and the antisense strand form a duplex region, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is at least 15 contiguous nucleotides in length, or a pharmaceutically acceptable salt thereof.


In yet other aspects, the disclosure provides an RNAi oligonucleotide for reducing KHK expression, the oligonucleotide comprising a sense strand of 15 to 50 nucleotides in length and an antisense strand of 15 to 30 nucleotides in length, wherein the sense strand and the antisense strand form a duplex region, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is at least 15 contiguous nucleotides in length, or a pharmaceutically acceptable salt thereof.


In other aspects, the disclosure provides an RNAi oligonucleotide for reducing KHK expression, the oligonucleotide comprising a sense strand of 15 to 50 nucleotides in length and an antisense strand, wherein the sense strand and the antisense strand form a duplex region, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is 19 contiguous nucleotides in length, optionally 20 nucleotides in length, or a pharmaceutically acceptable salt thereof.


In other aspects, the disclosure provides an RNAi oligonucleotide for reducing KHK expression, the oligonucleotide comprising a sense strand of 18 to 36 nucleotides in length and an antisense strand, wherein the sense strand and the antisense strand form a duplex region, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is 19 contiguous nucleotides in length, optionally 20 nucleotides in length, or a pharmaceutically acceptable salt thereof.


In yet other aspects, the disclosure provides an RNAi oligonucleotide for reducing KHK expression, the oligonucleotide comprising a sense strand of 18 to 36 nucleotides in length and an antisense strand of 22 nucleotides in length, wherein the sense strand and the antisense strand form a duplex region, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is 19 contiguous nucleotides in length, optionally 20 nucleotides in length, or a pharmaceutically acceptable salt thereof.


In some aspects, the disclosure provides an RNAi oligonucleotide for reducing KHK expression, the oligonucleotide comprising a sense strand of 18 to 36 nucleotides in length and an antisense strand of 22 nucleotides in length, wherein the sense strand and the antisense strand form a duplex region, wherein the 3′ end of the sense strand comprises a stem-loop set forth as S1-L-S2, wherein S1 is complementary to S2, and wherein L forms a loop between S1 and S2 of 3-5 nucleotides in length, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is 19 contiguous nucleotides in length, optionally 20 nucleotides in length, or a pharmaceutically acceptable salt thereof.


In other aspects, the disclosure provides an RNAi oligonucleotide for reducing KHK expression, the oligonucleotide comprising a sense strand of 36 nucleotides in length and an antisense strand of 22 nucleotides in length, wherein the sense strand and the antisense strand form a duplex region, wherein the 3′ end of the sense strand comprises a stem-loop set forth as S1-L-S2, wherein S1 is complementary to S2, and wherein L forms a loop between S1 and S2 of 3-5 nucleotides in length, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is 19 contiguous nucleotides in length, optionally 20 nucleotides in length, or a pharmaceutically acceptable salt thereof.


In yet other aspects, the disclosure provides an RNAi oligonucleotide for reducing KHK expression, the oligonucleotide comprising a sense strand of 36 nucleotides in length and an antisense strand of 22 nucleotides in length, wherein the sense strand and the antisense strand form a duplex region of at least 19 nucleotides in length, optionally 20 nucleotides in length, wherein the 3′ end of the sense strand comprises a stem-loop set forth as S1-L-S2, wherein S1 is complementary to S2, and wherein L forms a loop between S1 and S2 of 3-5 nucleotides in length, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is 19 contiguous nucleotides in length, optionally 20 nucleotides in length, or a pharmaceutically acceptable salt thereof.


In some aspects, the disclosure provides a RNAi oligonucleotide for reducing KHK expression, the oligonucleotide comprising:

    • (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is selected from SEQ ID NOs: 948-953; and
    • (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand,


wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand. In some aspects, the RNAi oligonucleotide comprises a stem-loop at the 3′ terminus, wherein the stem loop is set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide comprising a stem loop set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length. In some aspects, L is a triloop or a tetraloop. In any of the foregoing or related aspects, L is a tetraloop. In some aspects, the tetraloop comprises the sequence 5′-GAAA-3′. In any of the foregoing or related aspects, S1 and S2 are 1-10 nucleotides in length and have the same length. In some aspects, S1 and S2 are 1 nucleotide, 2 nucleotides, 3 nucleotides, 4 nucleotides, 5 nucleotides, 6 nucleotides, 7 nucleotides, 8 nucleotides, 9 nucleotides, or 10 nucleotides in length. In some aspects, S1 and S2 are 6 nucleotides in length. In any of the foregoing or related aspects, the stem-loop comprises the sequence 5′-GCAGCCGAAAGGCUGC-3′ (SEQ ID NO: 871).


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide comprising a nicked tetraloop structure. In some aspects, the RNAi oligonucleotide comprises a nick between the 3′ terminus of the sense strand and the 5′ terminus of the antisense strand. In some aspects, the antisense and sense strands are not covalently linked.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the antisense strand comprises a 3′ overhang of one or more nucleotides in length. In some aspects, the 3′ overhang comprises purine nucleotides. In some aspects, the 3′ overhang is 2 nucleotides in length. In some aspects, the 3′ overhang is selected from AA, GG, AG and GA. In some aspects, the 3′ overhang is GG or AA. In some aspects, the 3′ overhang is GG.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide comprising at least one modified nucleotide. In some aspects, the modified nucleotide comprises a 2′-modification. In some aspects, the 2′-modification is a modification selected from 2′-aminoethyl, 2′-fluoro, 2′-O-methyl, 2′-O-methoxyethyl, and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid. In some aspects, the 2′-modification is 2′-fluoro. In some aspects, the 2′-modification is 2′-O-methyl. In some aspects, the 2′-modification is 2′-fluoro and 2′-O-methyl.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide comprising at least one modified nucleotide, wherein about 10-15%, 10%, 11%, 12%, 13%, 14% or 15% of the nucleotides of the sense strand comprise a 2′-fluoro modification. In some aspects, about 25-35%, 25%, 26%, 27%, 28%, 29%, 30%, 31%, 32%, 33%, 34% or 35% of the nucleotides of the antisense strand comprise a 2′-fluoro modification. In some aspects, about 25-35%, 25%, 26%, 27%, 28%, 29%, 30%, 31%, 32%, 33%, 34% or 35% of the nucleotides of the oligonucleotide comprise a 2′-fluoro modification. In some aspects, the sense strand comprises 36 nucleotides with positions 1-36 from 5′ to 3′, wherein positions 8-11 comprise a 2′-fluoro modification. In some aspects, the antisense strand comprises 22 nucleotides with positions 1-22 from 5′ to 3′, wherein positions 2, 3, 4, 5, 7, 10 and 14 comprise a 2′-fluoro modification. In some aspects, the remaining nucleotides of the sense and/or antisense strand comprise a 2′-O-methyl modification.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein all of the nucleotides are modified. In some aspects, positions 8, 9, 10 and 11 (from 5′ to 3′) of the sense strand are modified. In some aspects, positions 3, 8, 9, 10, 12, 13 and 17 (from 5′ to 3′) of the sense strand are modified. In some aspects, positions 2, 3, 4, 5, 7, 10 and 14 (from 5′ to 3′) of the antisense strand are modified. In some aspects, positions 2-5, 7, 8, 10, 14, 16 and 19 (from 5′ to 3′) of the antisense strand are modified. In some aspects, positions 8, 9, 10 and 11 (from 5′ to 3′) of the sense strand and positions 2, 3, 4, 5, 7, 10 and 14 (from 5′ to 3′) of the antisense strand are modified. In some aspects, positions 3, 8, 9, 10, 12, 13 and 17 (from 5′ to 3′) of the sense strand and positions 2-5, 7, 8, 10, 14, 16 and 19 (from 5′ to 3′) of the antisense strand are modified. In some aspects, the modification is a 2′-fluoro modification.


In any of the foregoing or related aspects, the oligonucleotide comprises at least one modified internucleotide linkage. In some aspects, the at least one modified internucleotide linkage is a phosphorothioate linkage. In some aspects, the antisense strand comprises a phosphorothioate linkage (i) between positions 1 and 2, and between positions 2 and 3; or (ii) between positions 1 and 2, between positions 2 and 3, and between positions 3 and 4, wherein positions are numbered 1-4 from 5′ to 3′. In some aspects, the antisense strand is 22 nucleotides in length and comprises a phosphorothioate linkage between positions 20 and 21 and between positions 21 and 22, wherein positions are numbered 1-22 from 5′ to 3′.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the 4′-carbon of the sugar of the 5′-nucleotide of the antisense strand comprises a phosphate analog. In some aspects, the phosphate analog is oxymethylphosphonate, vinylphosphonate or malonyl phosphonate, optionally wherein the phosphate analog is a 4′-phosphate analog comprising 5′-methoxyphosphonate-4′-oxy.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide comprising an antisense strand comprising a phosphorylated nucleotide at the 5′ terminus, wherein the phosphorylated nucleotide is selected from uridine and adenosine. In some aspects, the phosphorylated nucleotide is uridine.


In any of the foregoing or related aspects, the oligonucleotide reduces or inhibits KHK expression in vivo. In any of the foregoing or related aspects, the oligonucleotide is a Dicer substrate. In some aspects, the oligonucleotide is a Dicer substrate that, upon endogenous Dicer processing, yields double-stranded nucleic acids of 19-23 nucleotides in length capable of reducing KHK expression in a mammalian cell.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein at least one nucleotide of the oligonucleotide is conjugated to one or more targeting ligands. In some aspects, each targeting ligand comprises a carbohydrate, amino sugar, cholesterol, polypeptide, or lipid. In some aspects, the stem loop comprises one or more targeting ligands conjugated to one or more nucleotides of the stem loop. In some aspects, one or more targeting ligands is conjugated to one or more nucleotides of the loop. In some aspects, the loop comprises 4 nucleotides numbered 1-4 from 5′ to 3′, wherein nucleotides at positions 2, 3 and 4 each comprise one or more targeting ligands, wherein the targeting ligands are the same or different.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein each targeting ligand comprises a N-acetylgalactosamine (GalNAc) moiety. In some aspects, the GalNAc moiety is a monovalent GalNAc moiety, a bivalent GalNAc moiety, a trivalent GalNAc moiety or a tetravalent GalNAc moiety. In some aspects, up to 4 nucleotides of L of the stem-loop are each conjugated to a monovalent GalNAc moiety.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide comprising an antisense strand comprising a region of complementarity, wherein the region of complementarity is fully complementary to the KHK mRNA target sequence at nucleotide positions 2-8 of the antisense strand, wherein nucleotide positions are numbered 5′ to 3′. In some aspects, the region of complementarity is fully complementary to the KHK mRNA target sequence at nucleotide positions 2-11 of the antisense strand, wherein nucleotide positions are numbered 5′ to 3′.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the sense strand comprises a nucleotide sequence of any one of SEQ ID NOs: 872-878 and 886-911.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the antisense strand comprises a nucleotide sequence of any one of


SEQ ID NOs: 879-884 and 912-938.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the antisense strand comprises a nucleotide sequence selected from SEQ ID NOs: 913, 917, 918, 920, 923 and 936. In some aspects, the sense strand comprises a nucleotide sequence selected from SEQ ID NOs: 942-947. In some aspects, the sense strand comprises a nucleotide sequence selected from SEQ ID NOs: 887, 891, 892, 894, 897 and 909.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 886 and 912, respectively;
    • (b) SEQ ID NOs: 887 and 913, respectively;
    • (c) SEQ ID NOs: 910 and 937, respectively;
    • (d) SEQ ID NOs: 888 and 914, respectively;
    • (e) SEQ ID NOs: 889 and 915, respectively;
    • (f) SEQ ID NOs: 890 and 916, respectively;
    • (g) SEQ ID NOs: 891 and 917, respectively;
    • (h) SEQ ID NOs: 877 and 884, respectively;
    • (i) SEQ ID NOs: 878 and 930, respectively;
    • (j) SEQ ID NOs: 876 and 883, respectively;
    • (k) SEQ ID NOs: 875 and 882, respectively;
    • (l) SEQ ID NOs: 892 and 918, respectively;
    • (m) SEQ ID NOs: 893 and 919, respectively;
    • (n) SEQ ID NOs: 894 and 920, respectively;
    • (o) SEQ ID NOs: 904 and 931, respectively;
    • (p) SEQ ID NOs: 895 and 921, respectively;
    • (q) SEQ ID NOs: 905 and 932, respectively;
    • (r) SEQ ID NOs: 896 and 922, respectively;
    • (s) SEQ ID NOs: 911 and 938, respectively;
    • (t) SEQ ID NOs: 906 and 933, respectively;
    • (u) SEQ ID NOs: 897 and 923, respectively;
    • (v) SEQ ID NOs: 907 and 934, respectively;
    • (w) SEQ ID NOs: 908 and 935, respectively;
    • (x) SEQ ID NOs: 903 and 929, respectively;
    • (y) SEQ ID NOs: 901 and 927, respectively;
    • (z) SEQ ID NOs: 874 and 881, respectively;
    • (aa) SEQ ID NOs: 902 and 928, respectively;
    • (bb) SEQ ID NOs: 873 and 880, respectively;
    • (cc) SEQ ID NOs: 872 and 879, respectively;
    • (dd) SEQ ID NOs: 898 and 924, respectively;
    • (ee) SEQ ID NOs: 899 and 925, respectively;
    • (gg) SEQ ID NOs: 900 and 926, respectively; and
    • (hh) SEQ ID NOs: 909 and 936, respectively.


In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 887 and 913, respectively;
    • (b) SEQ ID NOs: 891 and 917, respectively;
    • (c) SEQ ID NOs: 892 and 918, respectively;
    • (d) SEQ ID NOs: 894 and 920, respectively;
    • (e) SEQ ID NOs: 897 and 923, respectively; and
    • (f) SEQ ID NOs: 909 and 936, respectively.


In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 909 and 936, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 894 and 920, respectively. In yet other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 897 and 923, respectively. In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 892 and 918, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 891 and 917, respectively. In yet further aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 887 and 913, respectively.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the oligonucleotide as described herein achieves at least 50% knockdown of KHK mRNA. In some aspects, an oligonucleotide described herein achieves at least 50% knockdown of KHK mRNA in vitro. In some aspects, an oligonucleotide described herein achieves at least 50% knockdown of KHK mRNA in vivo. In some aspects, an oligonucleotide described herein achieves at least 50% knockdown of KHK mRNA in vitro and in vivo. In some aspects, an oligonucleotide described herein that achieves at least 50% knockdown of KHK mRNA comprises a sense strand and an antisense strand, wherein the sense and antisense strands comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 886 and 912, respectively;
    • (b) SEQ ID NOs: 887 and 913, respectively;
    • (c) SEQ ID NOs: 910 and 937, respectively;
    • (d) SEQ ID NOs: 890 and 916, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively;
    • (f) SEQ ID NOs: 892 and 918, respectively;
    • (g) SEQ ID NOs: 893 and 919, respectively;
    • (h) SEQ ID NOs: 894 and 920, respectively;
    • (i) SEQ ID NOs: 911 and 938, respectively;
    • (j) SEQ ID NOs: 899 and 925, respectively;
    • (k) SEQ ID NOs: 900 and 926, respectively;
    • (l) SEQ ID NOs: 909 and 936, respectively; and
    • (m) SEQ ID NOs: 897 and 923, respectively.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the sense strand and the antisense strand are modified, wherein the antisense strand and the sense strand comprise one or more 2′-fluoro and 2′-O-methyl modified nucleotides and at least one phosphorothioate linkage, wherein the 4′-carbon of the sugar of the 5′-nucleotide of the antisense strand comprises a phosphate analog.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the sense strand comprises a nucleotide sequence of any one of SEQ ID NOs: 774-804.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the antisense strand comprises a nucleotide sequence of any one of


SEQ ID NOs: 819-849.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 774 and 819, respectively;
    • (b) SEQ ID NOs: 775 and 820, respectively;
    • (c) SEQ ID NOs: 776 and 821, respectively;
    • (d) SEQ ID NOs: 777 and 822, respectively;
    • (e) SEQ ID NOs: 778 and 823, respectively;
    • (f) SEQ ID NOs: 779 and 824, respectively;
    • (g) SEQ ID NOs: 780 and 825, respectively;
    • (h) SEQ ID NOs: 781 and 826, respectively;
    • (i) SEQ ID NOs: 782 and 827, respectively;
    • (j) SEQ ID NOs: 783 and 828, respectively;
    • (k) SEQ ID NOs: 784 and 829, respectively;
    • (l) SEQ ID NOs: 785 and 830, respectively;
    • (m) SEQ ID NOs: 786 and 831, respectively;
    • (n) SEQ ID NOs: 787 and 832, respectively;
    • (o) SEQ ID NOs: 788 and 833, respectively;
    • (p) SEQ ID NOs: 789 and 834, respectively;
    • (q) SEQ ID NOs: 790 and 835, respectively;
    • (r) SEQ ID NOs: 791 and 836, respectively;
    • (s) SEQ ID NOs: 792 and 837, respectively;
    • (t) SEQ ID NOs: 793 and 838, respectively;
    • (u) SEQ ID NOs: 794 and 839, respectively;
    • (v) SEQ ID NOs: 795 and 840, respectively;
    • (w) SEQ ID NOs: 796 and 841, respectively;
    • (x) SEQ ID NOs: 797 and 842, respectively;
    • (y) SEQ ID NOs: 798 and 843, respectively;
    • (z) SEQ ID NOs: 799 and 844, respectively;
    • (aa) SEQ ID NOs: 800 and 845, respectively;
    • (bb) SEQ ID NOs: 801 and 846, respectively;
    • (cc) SEQ ID NOs: 802 and 847, respectively;
    • (dd) SEQ ID NOs: 803 and 848, respectively; and
    • (ee) SEQ ID NOs: 804 and 849, respectively.


In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 775 and 820, respectively;
    • (b) SEQ ID NOs: 779 and 824, respectively;
    • (c) SEQ ID NOs: 780 and 825, respectively;
    • (d) SEQ ID NOs: 782 and 827, respectively;
    • (e) SEQ ID NOs: 785 and 830, respectively; and
    • (f) SEQ ID NOs: 804 and 849, respectively.


In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 804 and 849, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 782 and 827, respectively. In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 775 and 820, respectively. In yet other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 779 and 824, respectively. In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 780 and 825, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 785 and 830, respectively.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the sense strand comprises a nucleotide sequence of any one of SEQ ID NOs: 805-818.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the antisense strand comprises a nucleotide sequence of any one of


SEQ ID NOs: 850-863.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 805 and 850, respectively;
    • (b) SEQ ID NOs: 806 and 851, respectively;
    • (c) SEQ ID NOs: 807 and 852, respectively;
    • (d) SEQ ID NOs: 808 and 853, respectively;
    • (e) SEQ ID NOs: 809 and 854, respectively;
    • (f) SEQ ID NOs: 810 and 855, respectively;
    • (g) SEQ ID NOs: 811 and 856, respectively;
    • (h) SEQ ID NOs: 812 and 857, respectively;
    • (i) SEQ ID NOs: 813 and 858, respectively;
    • (j) SEQ ID NOs: 814 and 859, respectively;
    • (k) SEQ ID NOs: 815 and 860, respectively;
    • (l) SEQ ID NOs: 816 and 861, respectively;
    • (m) SEQ ID NOs: 817 and 862, respectively and;
    • (n) SEQ ID NOs: 818 and 863, respectively.


In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences


set forth in SEQ ID NOs: 805 and 850, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 809 and 854, respectively. In yet other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 810 and 855, respectively. In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 812 and 857, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 815 and 860, respectively. In yet other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 818 and 863, respectively.


In some aspects, the present disclosure provides a double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand and an antisense strand, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein the sense strand comprises the sequence and all of the modifications of 5′-mG-S-mA-mA-mG-mA-mG-mA-fA-fG-fC-fA-mG-mA-mU-mC-mC-mU-mG-mU-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 775), and wherein the antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fA-S-fC-fA-fG-mG-fA-mU-mC-fU-mG-mC-mU-fU-mC-mU-mC-mU-mU-mC-S-mG-S-mG-3′ (SEQ ID NO: 820), wherein mC, mA, mG, mU=2′-OMe ribonucleosides; fA, fC, fG, fU=2′F ribonucleosides; “-”=phosphodiester linkage, “—S—”=phosphorothioate linkage, and wherein ademA-GalNAc=




embedded image


or a pharmaceutically acceptable salt thereof.


In some aspects, the present disclosure provides a double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNA comprises a sense strand and an antisense strand, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein the sense strand comprises the sequence and all of the modifications of 5′-mC-S-mA-mG-mA-mU-mG-mU-fG-fU-fC-fU-mG-mC-mU-mA-mC-mA-mG-mA-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 779), and wherein the antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fU-S-fC-S-fU-fG-mU-fA-mG-mC-fA-mG-mA-mC-fA-mC-mA-mU-mC-mU-mG-S-mG-S-mG-3′ (SEQ ID NO: 824), wherein mC, mA, mG, mU=2′-OMe ribonucleosides; fA, fC, fG, fU=2′F ribonucleosides; “-”=phosphodiester linkage, “—S—”=phosphorothioate linkage, and wherein ademA-GalNAc=




embedded image


or a pharmaceutically acceptable salt thereof.


In some aspects, the present disclosure provides a double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNA comprises a sense strand and an antisense strand, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein the sense strand comprises the sequence and all of the modifications of 5′-mG-S-mA-mC-mU-mU-mU-mG-fA-fG-fA-fA-mG-mG-mU-mU-mG-mA-mU-mC-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 780), and wherein the antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fG-S-fA-S-fU-fC-mA-fA-mC-mC-fU-mU-mC-mU-fC-mA-mA-mA-mG-mU-mC-S-mG-S-mG-3′ (SEQ ID NO: 825), wherein mC, mA, mG, mU=2′-OMe ribonucleosides; fA, fC, fG, fU=2′F ribonucleosides; “-”=phosphodiester linkage, “—S—”=phosphorothioate linkage, and wherein ademA-GalNAc=




embedded image


or a pharmaceutically acceptable salt thereof.


In some aspects, the present disclosure provides a double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNA comprises a sense strand and an antisense strand, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein the sense strand comprises the sequence and all of the modifications of 5′-mU-S-mG-mU-mU-mU-mG-mU-fC-fA-fG-fC-mA-mA-mA-mG-mA-mU-mG-mU-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 785), and wherein the antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fA-S-fC-fA-fU-mC-fU-mU-mU-fG-mC-mU-mG-fA-mC-mA-mA-mA-mC-mA-S-mG-S-mG-3′ (SEQ ID NO: 830), wherein mC, mA, mG, mU=2′-OMe ribonucleosides; fA, fC, fG, fU=2′F ribonucleosides; “-”=phosphodiester linkage, “—S—”=phosphorothioate linkage, and wherein ademA-GalNAc=




embedded image


or a pharmaceutically acceptable salt thereof.


In some aspects, the present disclosure provides a double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNA comprises a sense strand and an antisense strand, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein the sense strand comprises the sequence and all of the modifications of 5′-mG-S-mC-mA-mG-mG-mA-mA-fG-fC-fA-fC-mU-mG-mA-mG-mA-mU-mU-mC-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 804), and wherein the antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fG-S-fA-S-fA-fU-mC-fU-mC-mA-fG-mU-mG-mC-fU-mU-mC-mC-mU-mG-mC-S-mG-S-mG-3′ (SEQ ID NO: 849), wherein mC, mA, mG, mU=2′-OMe ribonucleosides; fA, fC, fG, fU=2′F ribonucleosides; “-”=phosphodiester linkage, “—S—”=phosphorothioate linkage, and wherein ademA-GalNAc=




embedded image


or a pharmaceutically acceptable salt thereof.


In some aspects, the present disclosure provides a double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNA comprises a sense strand and an antisense strand, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein the sense strand comprises the sequence and all of the modifications of 5′-mU-S-mU-mU-mG-mA-mG-mA-fA-fG-fG-fU-mU-mG-mA-mU-mC-mU-mG-mA-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 782), and wherein the antisense strand comprises the sequence and all of the modifications of 5′ [MePhosphonate-4O-mU]-S-fU-S-fC-S-fA-fG-mA-fU-mC-mA-fA-mC-mC-mU-fU-mC-mU-mC-mA-mA-mA-S-mG-S-mG-3′ (SEQ ID NO: 827), wherein mC, mA, mG, mU=2′-OMe ribonucleosides; fA, fC, fG, fU=2′F ribonucleosides; “-”=phosphodiester linkage, “—S—”=phosphorothioate linkage, and wherein ademA-GalNAc=




embedded image


or a pharmaceutically acceptable salt thereof.


In yet other aspects, the present disclosure provides a double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNA comprises a sense strand comprising SEQ ID NO: 775 and an antisense strand comprising SEQ ID NO: 820, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNA is in the form of a conjugate having the structure depicted in FIG. 10A continuing to FIG. 10B, or pharmaceutically acceptable salts thereof.


In another aspect, the present disclosure provides a double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNA comprises a sense strand comprising SEQ ID NO: 779 and an antisense strand comprising SEQ ID NO: 824, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNA is in the form of a conjugate having the structure depicted in FIG. 11A continuing to FIG. 11B, or pharmaceutically acceptable salts thereof.


In another aspect, the present disclosure provides a double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNA comprises a sense strand comprising SEQ ID NO: 780 and an antisense strand comprising SEQ ID NO: 825, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNA is in the form of a conjugate having the structure depicted in FIG. 12A continuing to FIG. 12B, or pharmaceutically acceptable salts thereof.


In another aspect, the present disclosure provides a double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNA comprises a sense strand comprising SEQ ID NO: 782 and an antisense strand comprising SEQ ID NO: 827, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNA is in the form of a conjugate having the structure depicted in FIG. 13A continuing to FIG. 13B, or pharmaceutically acceptable salts thereof.


In another aspect, the present disclosure provides a double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNA comprises a sense strand comprising SEQ ID NO: 785 and an antisense strand comprising SEQ ID NO: 830, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNA is in the form of a conjugate having the structure depicted in FIG. 14A continuing to FIG. 14B, or pharmaceutically acceptable salts thereof.


In another aspect, the present disclosure provides a double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNA comprises a sense strand comprising SEQ ID NO: 804 and an antisense strand comprising SEQ ID NO: 849, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNA is in the form of a conjugate having the structure depicted in FIG. 15A continuing to FIG. 15B, or pharmaceutically acceptable salts thereof.


In some aspects, the present disclosure provides a method for treating a subject having a disease, disorder or condition associated with KHK expression, the method comprising administering to the subject a therapeutically effective amount of any RNAi oligonucleotide or pharmaceutical composition described herein, thereby treating the subject.


In some aspects, the disclosure provides a pharmaceutically acceptable salt of any of the oligonucleotides described herein. In some aspects, the present disclosure provides a pharmaceutical composition comprising any RNAi oligonucleotide described herein, and a pharmaceutically acceptable carrier, salt, delivery agent or excipient. In some aspects, the present disclosure provides a pharmaceutical composition comprising any RNAi oligonucleotide described herein, and a pharmaceutically acceptable diluent, solvent, carrier, salt and/or adjuvant. Likewise, the oligonucleotides herein may be provided in the form of their free acids.


In some aspects, the disclosure provides a method for modulating KHK expression in a target cell expressing KHK, the method comprising administering an RNAi oligonucleotide or pharmaceutical composition described herein in an effective amount to the target cell.


In some aspects, the present disclosure provides a method of delivering an oligonucleotide to a subject, the method comprising administering a pharmaceutical composition described herein.


In some aspects, the present disclosure provides a method for reducing KHK expression in a cell, a population of cells or a subject, the method comprising the step of:

    • i. contacting the cell or the population of cells with any RNAi oligonucleotide or pharmaceutical composition described herein; or
    • ii. administering to the subject any RNAi oligonucleotide or pharmaceutical composition described herein.


In any of the foregoing or related aspects, the method of reducing KHK expression comprises reducing an amount or level of KHK mRNA, an amount or level of KHK protein, or both.


In any of the foregoing or related aspects, the subject has a disease, disorder or condition associated with KHK expression. In some aspects, the disease, disorder, or condition associated with KHK expression is non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


In any of the foregoing or related aspects, the RNAi oligonucleotide, or pharmaceutical composition, is administered in combination with a second composition or therapeutic agent.


In some aspects, the present disclosure provides a method for treating a subject having a disease, disorder or condition associated with KHK expression, the method comprising administering to the subject a therapeutically effective amount of an RNAi oligonucleotide comprising a sense strand and an antisense strand, or a pharmaceutically acceptable salt thereof, wherein the sense strand and antisense strand comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 886 and 912, respectively;
    • (b) SEQ ID NOs: 887 and 913, respectively;
    • (c) SEQ ID NOs: 910 and 937, respectively;
    • (d) SEQ ID NOs: 888 and 914, respectively;
    • (e) SEQ ID NOs: 889 and 915, respectively;
    • (f) SEQ ID NOs: 890 and 916, respectively;
    • (g) SEQ ID NOs: 891 and 917, respectively;
    • (h) SEQ ID NOs: 877 and 884, respectively;
    • (i) SEQ ID NOs: 878 and 930, respectively;
    • (j) SEQ ID NOs: 876 and 883, respectively;
    • (k) SEQ ID NOs: 875 and 882, respectively;
    • (l) SEQ ID NOs: 892 and 918, respectively;
    • (m) SEQ ID NOs: 893 and 919, respectively;
    • (n) SEQ ID NOs: 894 and 920, respectively;
    • (o) SEQ ID NOs: 904 and 931, respectively;
    • (p) SEQ ID NOs: 895 and 921, respectively;
    • (q) SEQ ID NOs: 905 and 932, respectively;
    • (r) SEQ ID NOs: 896 and 922, respectively;
    • (s) SEQ ID NOs: 911 and 938, respectively;
    • (t) SEQ ID NOs: 906 and 933, respectively;
    • (u) SEQ ID NOs: 897 and 923, respectively;
    • (v) SEQ ID NOs: 907 and 934, respectively;
    • (w) SEQ ID NOs: 908 and 935, respectively;
    • (x) SEQ ID NOs: 903 and 929, respectively;
    • (y) SEQ ID NOs: 901 and 927, respectively;
    • (z) SEQ ID NOs: 874 and 881, respectively;
    • (aa) SEQ ID NOs: 902 and 928, respectively;
    • (bb) SEQ ID NOs: 873 and 880, respectively;
    • (cc) SEQ ID NOs: 872 and 879, respectively;
    • (dd) SEQ ID NOs: 898 and 924, respectively;
    • (ee) SEQ ID NOs: 899 and 925, respectively
    • (ff) SEQ ID NOs: 900 and 926, respectively; and
    • (gg) SEQ ID NOs: 909 and 936, respectively.


In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 887 and 913, respectively;
    • (b) SEQ ID NOs: 891 and 917, respectively;
    • (c) SEQ ID NOs: 892 and 918, respectively;
    • (d) SEQ ID NOs: 894 and 920, respectively;
    • (e) SEQ ID NOs: 897 and 923, respectively; and
    • (f) SEQ ID NOs: 909 and 936, respectively.


In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 887 and 913, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 891 and 917, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 892 and 918, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 894 and 920, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 897 and 923, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 909 and 936, respectively.


In some aspects, the present disclosure provides a method for treating a subject having a disease, disorder or condition associated with KHK expression, the method comprising administering to the subject a therapeutically effective amount of an RNAi oligonucleotide comprising a sense strand and an antisense strand, or a pharmaceutically acceptable salt thereof, wherein the sense strand and antisense strands are selected from the group consisting of:

    • (a) SEQ ID NOs: 774 and 819, respectively;
    • (b) SEQ ID NOs: 775 and 820, respectively;
    • (c) SEQ ID NOs: 776 and 821, respectively;
    • (d) SEQ ID NOs: 777 and 822, respectively;
    • (e) SEQ ID NOs: 778 and 823, respectively;
    • (f) SEQ ID NOs: 779 and 824, respectively;
    • (g) SEQ ID NOs: 780 and 825, respectively;
    • (h) SEQ ID NOs: 781 and 826, respectively;
    • (i) SEQ ID NOs: 782 and 827, respectively;
    • (j) SEQ ID NOs: 783 and 828, respectively;
    • (k) SEQ ID NOs: 784 and 829, respectively;
    • (l) SEQ ID NOs: 785 and 830, respectively;
    • (m) SEQ ID NOs: 786 and 831, respectively;
    • (n) SEQ ID NOs: 787 and 832, respectively;
    • (o) SEQ ID NOs: 788 and 833, respectively;
    • (p) SEQ ID NOs: 789 and 834, respectively;
    • (q) SEQ ID NOs: 790 and 835, respectively;
    • (r) SEQ ID NOs: 791 and 836, respectively;
    • (s) SEQ ID NOs: 792 and 837, respectively;
    • (t) SEQ ID NOs: 793 and 838, respectively;
    • (u) SEQ ID NOs: 794 and 839, respectively;
    • (v) SEQ ID NOs: 795 and 840, respectively;
    • (w) SEQ ID NOs: 796 and 841, respectively;
    • (x) SEQ ID NOs: 797 and 842, respectively;
    • (y) SEQ ID NOs: 798 and 843, respectively;
    • (z) SEQ ID NOs: 799 and 844, respectively;
    • (aa) SEQ ID NOs: 800 and 845, respectively;
    • (bb) SEQ ID NOs: 801 and 846, respectively;
    • (cc) SEQ ID NOs: 802 and 847, respectively;
    • (dd) SEQ ID NOs: 803 and 848, respectively; and
    • (ee) SEQ ID NOs: 804 and 849, respectively.


In any of the foregoing or related aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 775 and 820, respectively;
    • (b) SEQ ID NOs: 779 and 824, respectively;
    • (c) SEQ ID NOs: 780 and 825, respectively;
    • (d) SEQ ID NOs: 782 and 827, respectively;
    • (e) SEQ ID NOs: 785 and 830, respectively; and
    • (f) SEQ ID NOs: 804 and 849, respectively.


In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 775 and 820, respectively. In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 779 and 824, respectively. In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 780 and 825, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 782 and 827, respectively. In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 785 and 830, respectively. In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 804 and 849, respectively.


In some aspects, the present disclosure provides a method for treating a subject having a disease, disorder or condition associated with KHK expression, the method comprising administering to the subject a therapeutically effective amount of an RNAi oligonucleotide comprising a sense strand and an antisense strand, or a pharmaceutically acceptable salt thereof, wherein the sense strand and antisense strands are selected from the group consisting of:

    • (a) SEQ ID NOs: 805 and 850, respectively;
    • (b) SEQ ID NOs: 806 and 851, respectively;
    • (c) SEQ ID NOs: 807 and 852, respectively;
    • (d) SEQ ID NOs: 808 and 853, respectively;
    • (e) SEQ ID NOs: 809 and 854, respectively;
    • (f) SEQ ID NOs: 810 and 855, respectively;
    • (g) SEQ ID NOs: 811 and 856, respectively;
    • (h) SEQ ID NOs: 812 and 857, respectively;
    • (i) SEQ ID NOs: 813 and 858, respectively;
    • (j) SEQ ID NOs: 814 and 859, respectively;
    • (k) SEQ ID NOs: 815 and 860, respectively;
    • (l) SEQ ID NOs: 816 and 861, respectively;
    • (m) SEQ ID NOs: 817 and 862, respectively and;
    • (n) SEQ ID NOs: 818 and 863, respectively.


In some aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 805 and 850, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 809 and 854, respectively. In yet other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 810 and 855, respectively. In further aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 812 and 857, respectively. In other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 815 and 860, respectively. In yet other aspects, the disclosure provides an RNAi oligonucleotide wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 818 and 863, respectively.


In any of the foregoing or related aspects, the disease, disorder, or condition associated with KHK expression is non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


In any of the foregoing or related aspects, a RNAi oligonucleotide described herein is administered at a concentration of 0.01 mg/kg-5 mg/kg.


In some aspects, the disclosure provides use of any RNAi oligonucleotide or pharmaceutical composition described herein, in the manufacture of a medicament for the treatment of a disease, disorder or condition associated with KHK expression, optionally for the treatment of non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


In some aspects, the disclosure provides any RNAi oligonucleotide or pharmaceutical composition described herein, for use, or adaptable for use, in the treatment of a disease, disorder or condition associated with KHK expression, optionally for the treatment of non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


In some aspects, the disclosure provides a kit comprising any RNAi oligonucleotide described herein, an optional pharmaceutically acceptable carrier, and a package insert comprising instructions for administration to a subject having a disease, disorder or condition associated with KHK expression.


In some aspects, the disease, disorder, or condition associated with KHK expression is non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


In some aspects, the disclosure provides an oligonucleotide for reducing KHK expression, the oligonucleotide comprising a nucleotide sequence of 15-50 nucleotides in length, wherein the nucleotide sequence comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is at least 15 contiguous nucleotides in length, or a pharmaceutically acceptable salt thereof. In some aspects, the oligonucleotide is single stranded. In some aspects, the oligonucleotide is an antisense oligonucleotide. In some aspects, the nucleotide sequence is 15-30 nucleotides in length. In some aspects, the nucleotide sequence is 20-25 nucleotides in length. In some aspects, the nucleotide sequence is 22 nucleotides in length. In some aspects, the region of complementarity is 19 contiguous nucleotides in length. In some aspects, the region of complementarity is 20 contiguous nucleotides in length. In some aspects, the nucleotide sequence comprises at least one modification. In some aspects, the nucleotide sequence comprises a nucleotide sequence selected from the group consisting of SEQ ID NOs: 879-885 and 912-938. In some aspects, the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 920. In other aspects, the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 923. In yet other aspects, the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 918. In further aspects, the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 917. In yet further aspects, the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 913. In yet further aspects, the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 936. In some aspects, the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 894. In other aspects, the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 897. In yet other aspects, the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 892. In further aspects, the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 891. In yet further aspects, the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 887. In yet further aspects, the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 909.


In some aspects, the disclosure provides a cell comprising an oligonucleotide described herein.


In some aspects, the disclosure provides a pharmaceutical composition comprising an oligonucleotide disclosed herein, or a pharmaceutically acceptable salt thereof, and at least one pharmaceutically acceptable carrier, delivery agent or excipient.


In some aspects, the disclosure provides a method for treating a subject having a disease, disorder or condition associated with KHK expression, the method comprising administering to the subject a therapeutically effective amount of an oligonucleotide or pharmaceutical composition described herein.


In some aspects, the disclosure provides a method of delivering an oligonucleotide to a subject, the method comprising administering a pharmaceutical composition described herein to the subject.


In some aspects, the disclosure provides a method for reducing KHK expression in a cell, a population of cells or a subject, the method comprising the step of:


i. contacting the cell or the population of cells with an oligonucleotide or a pharmaceutical composition described herein; or


ii. administering to the subject an oligonucleotide or a pharmaceutical composition described herein. In some aspects, reducing KHK expression comprises reducing an amount or level of KHK mRNA, an amount or level of KHK protein, or both.


In any of the foregoing or related aspects, the subject has a disease, disorder or condition associated with KHK expression. In some aspects, the disease, disorder, or condition associated with KHK expression is non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


In any of the foregoing or related aspects, the oligonucleotide, or pharmaceutical composition, is administered in combination with a second composition or therapeutic agent.


In some aspects, the disclosure provides use of an oligonucleotide or pharmaceutical composition described herein, in the manufacture of a medicament for the treatment of a disease, disorder or condition associated with KHK expression, optionally for the treatment of non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH). In other aspects, the disclosure provides an oligonucleotide or pharmaceutical composition described herein for use, or adaptable for use, in the treatment of a disease, disorder or condition associated with KHK expression, optionally for the treatment of non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


In some aspects, the disclosure provides a kit comprising an oligonucleotide described herein, an optional pharmaceutically acceptable carrier, and a package insert comprising instructions for administration to a subject having a disease, disorder or condition associated with KHK expression.


In any of the foregoing or related aspects, the disease, disorder, or condition associated with KHK expression is non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


In some aspects, the disclosure provides a double stranded ribonucleic acid (dsRNA) agent for inhibiting expression of KHK, wherein the dsRNA agent comprises a sense strand and an antisense strand forming a duplex region, wherein the sense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from a nucleotide sequence selected from SEQ ID NOs: 4-387, and the antisense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from a nucleotide sequence selected from SEQ ID NOs: 388-771.


In some aspects, the disclosure provides a double stranded ribonucleic acid (dsRNA) agent for inhibiting expression of KHK, wherein the dsRNA agent comprises a sense strand and an antisense strand forming a duplex region, wherein the sense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from a nucleotide sequence selected from SEQ ID NOs: 872-878 and 886-911, and the antisense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from a nucleotide sequence selected from SEQ ID NOs: 879-885 and 912-938.





BRIEF DESCRIPTION OF THE DRAWINGS


FIG. 1 provides a graph depicting the percent (%) mRNA remaining in Hep3B cells (expressing endogenous human KHK) after 24-hour treatment with 1 nM of DsiRNA targeting various regions of the KHK gene. 384 DsiRNAs were designed and screened. Three primer pairs were used that recognized the KHK-A isoform (KHK-F763, NM_000221.2), KHK-C (KHK-825, NM_006488.3) and KHK-All (both isoforms) (KHK-F495, KHK-F1026, NM_006488.3). Expression was normalized between samples using HPRT and SFRS9 housekeeping genes.



FIG. 2A and FIG. 2B provide schematics of the Low-2′-Fluoro modification pattern (Low-2′-Fluoro (3PS) and Low-2′-Fluoro (2PS), respectively) applied to KHK mRNA targeting sequences to generate GalNAc-KHK constructs. The sense strand includes a tetraloop structure of nucleotides 26-31 of the 36-nucleotide strand. The anti-sense strand is complementary and includes a 2-nucleotide overhang.



FIG. 3 provides a graph depicting the percent (%) remaining KHK mRNA in KHK-A and KHK-C HDI (hydrodynamic injection) mice treated with human/non-human primate (NHP)-conserved GalNAc-KHK constructs. 3 days after subcutaneous dosing of 2 mg/kg of


GalNAc-KHK constructs formulated in PBS, plasmids encoding either KHK-A and KHK-C were injected into mice via HDI and the percent (%) of KHK mRNA was measured 1 day later in liver samples relative to mice treated with PBS. mRNA was measured from livers using primers recognizing KHK-All (up-right triangle), KHK-C (upside-down triangle), and KHK-A (hexagon). The notation “Hs, 1 mm Mf” represents a human specific sequence that is one base mismatch different from monkey sequence.



FIG. 4A provides a schematic of the Med-2′-Fluoro modification pattern applied to KHK targeting sequence to generate GalNAc-KHK constructs. The sense strand includes a tetraloop structure of nucleotides 26-31 of the 36-nucleotide strand. The anti-sense strand is complementary and includes a 2-nucleotide overhang.



FIGS. 4B-4C provide graphs depicting the percent (%) KHK mRNA remaining after treating mice with GalNAc-KHK constructs having the Med-2′-Fluoro modification pattern. 3 days after subcutaneous dosing of 2 mg/kg of GalNAc-KHK constructs formulated in PBS, plasmid encoding KHK-C was injected into mice via HDI and the percent (%) of KHK mRNA was measured 1 day later in liver samples relative to mice treated with PBS. mRNA was measured using primers identifying both KHK-A and KHK-C isoform s (i.e., KHK-All) (FIG. 4B) and primers identifying only the KHK-C isoform (FIG. 4C). Multiple GalNAc-KHK-constructs were combined in a “mixed” group at 2 mg/kg for a total 10 mg/kg treatment (KHK-0861, -0865, -0882, -0883, -0885) as a positive knock-down control. The notation “Hs, 1 mm Mf” and the like represents a human specific sequence that is one base mismatch different from monkey sequence.



FIG. 4D provides a graph depicting the percent (%) KHK mRNA remaining after treating mice with different GalNAc-KHK constructs having the Med-2′-Fluoro modification pattern. 3 days after subcutaneous dosing of 2 mg/kg of GalNAc-KHK constructs formulated in PBS, plasmids encoding KHK-C were injected into mice via HDI and the percent (%) of KHK mRNA was measured 1 day later in liver samples relative to mice treated with PBS. mRNA was measured using primers (MmKHK-ALL-5-6, Forward: GCTCTTCCAGTTGTTTAGCTATGGT (SEQ ID NO: 939), Reverse: CAGGTGCTTGGCCACATCTT (SEQ ID NO:940), Probe: AGGTGGTGTTTGTCAGC (SEQ ID NO: 941)) identifying only mouse KHK. Remaining mRNA was normalized to a PBS control. Multiple GalNAc-KHK constructs were combined in a “mixed” group as a positive knock-down control.



FIG. 4E provides a graph depicting the difference in percent (%) KHK mRNA remaining after treatment with GalNAc-KHK constructs with different modification patterns (Low-2′F (FIG. 2A and FIG. 2B) and Med-2′F (FIG. 4A)). Remaining mRNA was normalized to a PBS control. Multiple GalNAc-KHK constructs were combined in a “mixed” group as a positive knock-down control.



FIG. 5 provides a graph depicting the difference in percent (%) KHK mRNA remaining after treating mice with GalNAc-KHK constructs. 3 days after subcutaneous dosing of 2 mg/kg of GalNAc-KHK constructs formulated in PBS, plasmid encoding KHK-C(NM_006488) (pCMV6-KHK-C, Cat #: RC223488, OriGene) was injected into mice via HDI and the percent (%) of KHK mRNA remaining was measured 1 day later in liver samples relative to mice treated with PBS. Results include mRNA measured from primers for KHK-All (up-right triangle), and KHK-C (upside-down triangle). Grey arrow shows 30 mg/kg treatment of KHK-885 has more than 98% knockdown.



FIGS. 6A-6B provide graphs depicting the percent (%) KHK mRNA remaining after treating KHK-C plasmid HDI mice (as described in FIG. 5) with different GalNAc-KHK constructs. mRNA was measured using primers identifying both KHK-A and KHK-C isoforms (KHK-All; FIG. 6A) and primers identifying only the KHK-C isoform (FIG. 6B).



FIG. 6C provides a graph depicting the percent (%) KHK mRNA remaining in the liver after treating KHK-C plasmid HDI mice (as described in FIG. 5) with different GalNAc-KHK constructs. mRNA was measured using primers identifying only mouse KHK.



FIGS. 7A-7C provide graphs depicting the percent (%) KHK mRNA remaining in liver biopsies from non-human primates (NHP) 28 days (FIG. 7A), 56 days (FIG. 7B), and 84 days (FIG. 7C) after a single dose of specified GalNAc-constructs. NHP were subcutaneously injected with 6 mg/kg of GalNAc-KHK on Study Day 0. The percent indicated is the average reduction in KHK-mRNA compared to a PBS control.



FIG. 7D provides a line graph demonstrating the changes in KHK mRNA in liver biopsies taken at various time points from NHP (as treated in FIGS. 7A-7C) after a single dose of GalNAc-KHK constructs.



FIGS. 8A-8C provide graphs depicting the percent (%) KHK protein remaining in liver biopsies from non-human primates (NHP) 28 days (FIG. 8A), 56 days (FIG. 8B), and 84 days (FIG. 8C) after treatment. NHP were treated as in FIGS. 7A-7C. The percent indicated is the average reduction in KHK-protein compared to a PBS control.



FIG. 8D provides a line graph demonstrating the changes in KHK protein in liver biopsies taken at various time points from NHP (as treated in FIGS. 7A-7C) after a single dose of GalNAc-KHK constructs.



FIGS. 9A-9C provide correlation graphs demonstrating the relationship between remaining KHK mRNA expression and remaining KHK protein expression in liver biopsies from NHP treated with a single dose of GalNAc-KHK constructs. Correlation among all constructs is compared at days 28 (FIG. 9A), 56 (FIG. 9B), and 84 (FIG. 9C) after dosing. Individual dots represent individual biopsies.



FIG. 10A continuing to FIG. 10B depict a dsRNAi oligonucleotide of the invention comprising a sense strand comprising SEQ ID NO: 775 and an antisense strand comprising SEQ ID NO: 820, wherein said dsRNA is in the form of a conjugate.



FIG. 11A continuing to FIG. 11B depict a dsRNAi oligonucleotide of the invention comprising a sense strand comprising SEQ ID NO: 779 and an antisense strand comprising SEQ ID NO: 824, wherein said dsRNA is in the form of a conjugate.



FIG. 12A continuing to FIG. 12B depict a dsRNAi oligonucleotide of the invention comprising a sense strand comprising SEQ ID NO: 780 and an antisense strand comprising SEQ ID NO: 825, wherein said dsRNA is in the form of a conjugate.



FIG. 13A continuing to FIG. 13B depict a dsRNAi oligonucleotide of the invention comprising a sense strand comprising SEQ ID NO: 782 and an antisense strand comprising SEQ ID NO: 827, wherein said dsRNA is in the form of a conjugate.



FIG. 14A continuing to FIG. 14B depict a dsRNAi oligonucleotide of the invention comprising a sense strand comprising SEQ ID NO: 785 and an antisense strand comprising SEQ ID NO: 830, wherein said dsRNA is in the form of a conjugate.



FIG. 15A continuing to FIG. 15B depict a dsRNAi oligonucleotide of the invention comprising a sense strand comprising SEQ ID NO: 804 and an antisense strand comprising SEQ ID NO: 849, wherein said dsRNA is in the form of a conjugate.





DETAILED DESCRIPTION OF THE INVENTION

According to some aspects, the disclosure provides oligonucleotides that reduce KHK expression in the liver. In some embodiments, the oligonucleotides provided herein are useful to treat diseases associated with KHK expression in the liver. In some respects, the disclosure provides methods of treating a disease associated with KHK expression by reducing KHK gene expression in cells (e.g., cells of the liver).


Oligonucleotide Inhibitors of KHK Expression
Ketohexokinase (KHK) Target Sequences

In some embodiments, the disclosure provides an oligonucleotide which is targeted to a target sequence comprising a ketohexokinase (KHK) mRNA. In some embodiments, the oligonucleotide, or a portion, fragment, or strand thereof (e.g., an antisense strand or a guide strand of a dsRNA) binds or anneals to a target sequence comprising a KHK mRNA, thereby inhibiting KHK expression. In some embodiments, the oligonucleotide is targeted to a target sequence comprising a KHK-A isoform mRNA. In some embodiments, the oligonucleotide is targeted to a target sequence comprising a KHK-C isoform mRNA. In some embodiments, the oligonucleotide is targeted to a KHK target sequence for the purpose of inhibiting KHK expression in vivo. In some embodiments, the amount or extent of inhibition of KHK expression by an oligonucleotide targeted to a KHK target sequence correlates with the potency of the oligonucleotide. In some embodiments, the amount or extent of inhibition of KHK expression by an oligonucleotide targeted to a KHK target sequence correlates with the amount or extent of therapeutic benefit in a subject or patient having a disease, disorder or condition associated with the expression of KHK treated with the oligonucleotide.


Through examination of the nucleotide sequence of mRNAs encoding KHK, including mRNAs of multiple different species (e.g., human, cynomolgus monkey, mouse, and rat; see, e.g., Example 2) and as a result of in vitro and in vivo testing (see, e.g., Examples 2-6), it has been discovered that certain nucleotide sequences of KHK mRNA are more amenable than others to oligonucleotide-based inhibition and are thus useful as target sequences for the oligonucleotides herein. In some embodiments, a sense strand of an oligonucleotide (e.g., a dsRNA) described herein comprises a KHK target sequence. In some embodiments, a portion or region of the sense strand of a dsRNA described herein comprises a KHK target sequence. In some embodiments, a KHK target sequence comprises, or consists of, a sequence of any one of SEQ ID Nos: 4-387. In some embodiments, a KHK target sequence comprises, or consists of, nucleotides 1-19 of any one of SEQ ID Nos: 4-387. In some embodiments, a KHK target sequence comprises, or consists of, the sequence set forth in SEQ ID No: 39. In some embodiments, a KHK target sequence comprises, or consists of, nucleotides 1-19 of the sequence set forth in SEQ ID No: 39. In some embodiments, a KHK target sequence comprises, or consists of, the sequence set forth in SEQ ID No: 102. In some embodiments, a KHK target sequence comprises, or consists of, nucleotides 1-19 of the sequence set forth in SEQ ID No: 102. In some embodiments, a KHK target sequence comprises, or consists of, the sequence set forth in SEQ ID No: 104. In some embodiments, a KHK target sequence comprises, or consists of, nucleotides 1-19 of the sequence set forth in SEQ ID No: 104. In some embodiments, a KHK target sequence comprises, or consists of, the sequence set forth in SEQ ID No: 107. In some embodiments, a KHK target sequence comprises, or consists of, nucleotides 1-19 of the sequence set forth in SEQ ID No: 107. In some embodiments, a KHK target sequence comprises, or consists of, the sequence set forth in SEQ ID No: 191. In some embodiments, a KHK target sequence comprises, or consists of, nucleotides 1-19 of the sequence set forth in SEQ ID No: 191. In some embodiments, a KHK target sequence comprises, or consists of, the sequence set forth in SEQ ID No: 269. In some embodiments, a KHK target sequence comprises, or consists of, nucleotides 1-19 of the sequence set forth in SEQ ID No: 269.


KHK Targeting Sequences

In some embodiments, the oligonucleotides herein have regions of complementarity to KHK mRNA (e.g., within a target sequence of KHK mRNA) for purposes of targeting the mRNA in cells and inhibiting its expression. In some embodiments, the oligonucleotides herein comprise a KHK targeting sequence (e.g., an antisense strand or a guide strand of a dsRNA) having a region of complementarity that binds or anneals to a KHK target sequence by complementary (Watson-Crick) base pairing. The targeting sequence or region of complementarity is generally of a suitable length and base content to enable binding or annealing of the oligonucleotide (or a strand thereof) to a KHK mRNA for purposes of inhibiting its expression. In some embodiments, the targeting sequence or region of complementarity is at least about 12, at least about 13, at least about 14, at least about 15, at least about 16, at least about 17, at least about 18, at least about 19, at least about 20, at least about 21, at least about 22, at least about 23, at least about 24, at least about 25, at least about 26, at least about 27, at least about 28, at least about 29 or at least about 30 nucleotides in length. In some embodiments, the targeting sequence or region of complementarity is about 12 to about 30 (e.g., 12 to 30, 12 to 22, 15 to 25, 17 to 21, 18 to 27, 19 to 27, or 15 to 30) nucleotides in length. In some embodiments, the targeting sequence or region of complementarity is about 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29 or 30 nucleotides in length. In some embodiments, the targeting sequence or region of complementarity is 18 nucleotides in length. In some embodiments, the targeting sequence or region of complementarity is 19 nucleotides in length. In some embodiments, the targeting sequence or region of complementarity is 20 nucleotides in length. In some embodiments, the targeting sequence or region of complementarity is 21 nucleotides in length. In some embodiments, the targeting sequence or region of complementarity is 22 nucleotides in length. In some embodiments, the targeting sequence or region of complementarity is 23 nucleotides in length. In some embodiments, the targeting sequence or region of complementarity is 24 nucleotides in length. In some embodiments, an oligonucleotide comprises a target sequence or region of complementarity complementary to a sequence of any one of SEQ ID NOs: 4-387, and the targeting sequence or region of complementarity is 18 nucleotides in length. In some embodiments, an oligonucleotide comprises a target sequence or region of complementarity complementary to a sequence of any one of SEQ ID NOs: 4-387, and the targeting sequence or region of complementarity is 19 nucleotides in length. In some embodiments, an oligonucleotide comprises a target sequence or region of complementarity complementary to a sequence of any one of SEQ ID NOs: 4-387, and the targeting sequence or region of complementarity is 20 nucleotides in length. In some embodiments, an oligonucleotide comprises a target sequence or region of complementarity complementary to a sequence of any one of SEQ ID NOs: 4-387, and the targeting sequence or region of complementarity is 21 nucleotides in length. In some embodiments, an oligonucleotide comprises a target sequence or region of complementarity complementary to a sequence of any one of SEQ ID NOs: 4-387, and the targeting sequence or region of complementarity is 22 nucleotides in length. In some embodiments, an oligonucleotide comprises a target sequence or region of complementarity complementary to a sequence of any one of SEQ ID NOs: 4-387, and the targeting sequence or region of complementarity is 23 nucleotides in length. In some embodiments, an oligonucleotide comprises a target sequence or region of complementarity complementary to a sequence of any one of SEQ ID NOs: 4-387, and the targeting sequence or region of complementarity is 24 nucleotides in length.


In some embodiments, an oligonucleotide herein comprises a targeting sequence or a region of complementarity (e.g., an antisense strand or a guide strand of a double-stranded oligonucleotide) that is fully complementary to a KHK target sequence. In some embodiments, the targeting sequence or region of complementarity is partially complementary to a KHK target sequence. In some embodiments, the targeting sequence or region of complementarity has up to 3 nucleotide mismatches to a KHK target sequence. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to a sequence of KHK. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to a sequence of KHK. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to a sequence of any one of SEQ ID NOs: 4-387. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to a sequence of KHK. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to nucleotides 1-19 of a sequence of any one of SEQ ID NOs: 4-387. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to the sequence set forth in SEQ ID NO: 39. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to nucleotides 1-19 of the sequence set forth in SEQ ID NO: 39. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to the sequence set forth in SEQ ID NO: 102. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to nucleotides 1-19 of the sequence set forth in SEQ ID NO: 102. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to the sequence set forth in SEQ ID NO: 104. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to nucleotides 1-19 of the sequence set forth in SEQ ID NO: 104. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to the sequence set forth in SEQ ID NO: 107. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to nucleotides 1-19 of the sequence set forth in SEQ ID NO: 107. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to the sequence set forth in SEQ ID NO: 191. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to nucleotides 1-19 of the sequence set forth in SEQ ID NO: 191. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to the sequence set forth in SEQ ID NO: 269. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to nucleotides 1-19 of the sequence set forth in SEQ ID NO: 269. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to a sequence of any one of SEQ ID NOs: 4-387. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to nucleotides 1-19 of a sequence of any one of SEQ ID NOs: 4-387. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to the sequence set forth in SEQ ID NO: 39. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to nucleotides 1-19 of the sequence set forth in SEQ ID NO: 39. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to the sequence set forth in SEQ ID NO: 102. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to nucleotides 1-19 of the sequence set forth in SEQ ID NO: 102. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to the sequence set forth in SEQ ID NO: 104. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to nucleotides 1-19 of the sequence set forth in SEQ ID NO: 104. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to the sequence set forth in SEQ ID NO: 107. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to nucleotides 1-19 of the sequence set forth in SEQ ID NO: 107. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to the sequence set forth in SEQ ID NO: 191. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to nucleotides 1-19 of the sequence set forth in SEQ ID NO: 191. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to the sequence set forth in SEQ ID NO: 269. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to nucleotides 1-19 of the sequence set forth in SEQ ID NO: 269. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to a sequence of any one of SEQ ID NOs: 872-878 and 886-911. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to a sequence of any one of SEQ ID NOs: 872-878 and 886-911. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is fully complementary to a sequence of any one of SEQ ID NOs: 887, 891, 892, 894, 897 and 909. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is partially complementary to a sequence of any one of SEQ ID NOs: 887, 891, 892, 894, 897 and 909.


In some embodiments, the oligonucleotide herein comprises a targeting sequence or region of complementarity that is complementary to a contiguous sequence of nucleotides comprising a KHK mRNA, wherein the contiguous sequence of nucleotides is about 12 to about 30 nucleotides in length (e.g., 12 to 30, 12 to 28, 12 to 26, 12 to 24, 12 to 20, 12 to 18, 12 to 16, 14 to 22, 16 to 20, 18 to 20 or 18 to 19 nucleotides in length). In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is complementary to a contiguous sequence of nucleotides comprising a KHK mRNA, wherein the contiguous sequence of nucleotides is 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 or 20 nucleotides in length. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is complementary to a contiguous sequence of nucleotides comprising a KHK mRNA, wherein the contiguous sequence of nucleotides is 19 nucleotides in length. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity that is complementary to a contiguous sequence of nucleotides comprising a KHK mRNA, wherein the contiguous sequence of nucleotides is 20 nucleotides in length. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 4-387, optionally wherein the contiguous sequence of nucleotides is 19 nucleotides in length. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 4-387, wherein the contiguous sequence of nucleotides is 19 nucleotides in length. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 4-387, wherein the contiguous sequence of nucleotides is 20 nucleotides in length. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 872-878 and 886-911, optionally wherein the contiguous sequence of nucleotides is 19 nucleotides in length. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 872-878 and 886-911, wherein the contiguous sequence of nucleotides is 19 nucleotides in length. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 872-878 and 886-911, wherein the contiguous sequence of nucleotides is 20 nucleotides in length. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 887, 891, 892, 894, 897, and 909, optionally wherein the contiguous sequence of nucleotides is 19 nucleotides in length. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 887, 891, 892, 894, 897, and 909, wherein the contiguous sequence of nucleotides is 19 nucleotides in length. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 887, 891, 892, 894, 897, and 909, wherein the contiguous sequence of nucleotides is 20 nucleotides in length.


In some embodiments, a targeting sequence or region of complementarity of an oligonucleotide is provided that is complementary to contiguous nucleotides of a sequence as set forth in any one of SEQ ID NOs: 4-387 and spans the entire length of an antisense strand. In some embodiments, a targeting sequence or region of complementarity of an oligonucleotide is provided that is complementary to contiguous nucleotides of nucleotides 1-19 a sequence as set forth in any one of SEQ ID NOs: 4-387 and spans the entire length of an antisense strand. In some embodiments, a region of complementarity of an oligonucleotide is provided that is complementary to contiguous nucleotides of a sequence as set forth in any one of SEQ ID NOs: 4-387 and spans a portion of the entire length of an antisense strand. In some embodiments, a region of complementarity of an oligonucleotide is provided that is complementary to contiguous nucleotides of nucleotides 1-19 a sequence as set forth in any one of SEQ ID NOs: 4-387 and spans a portion of the entire length of an antisense strand. In some embodiments, an oligonucleotide herein comprises a region of complementarity (e.g., on an antisense strand of a dsRNA) that is at least partially (e.g., fully) complementary to a contiguous stretch of nucleotides spanning nucleotides 1-19 of a sequence as set forth in any one of SEQ ID NOs: 4-387. In some embodiments, an oligonucleotide herein comprises a region of complementarity (e.g., on an antisense strand of a dsRNA) that is at least partially (e.g., fully) complementary to a contiguous stretch of nucleotides spanning nucleotides 1-20 of a sequence as set forth in any one of SEQ ID NOs: 4-387. In some embodiments, a targeting sequence or region of complementarity of an oligonucleotide is provided that is complementary to contiguous nucleotides of a sequence as set forth in any one of SEQ ID NOs: 872-878 and 886-911 and spans the entire length of an antisense strand. In some embodiments, a region of complementarity of an oligonucleotide that is complementary to contiguous nucleotides of a sequence as set forth in any one of SEQ ID NOs: 872-878 and 886-911 and spans a portion of the entire length of an antisense strand. In some embodiments, an oligonucleotide herein comprises a region of complementarity (e.g., on an antisense strand of a dsRNA) that is at least partially (e.g., fully) complementary to a contiguous stretch of nucleotides spanning nucleotides 1-19 of a sequence as set forth in any one of SEQ ID NOs: 872-878 and 886-911. In some embodiments, an oligonucleotide herein comprises a region of complementarity (e.g., on an antisense strand of a dsRNA) that is at least partially (e.g., fully) complementary to a contiguous stretch of nucleotides spanning nucleotides 1-20 of a sequence as set forth in any one of SEQ ID NOs: 872-878 and 886-911. In some embodiments, a targeting sequence or region of complementarity of an oligonucleotide is provided that is complementary to contiguous nucleotides of a sequence as set forth in any one of SEQ ID NOs: 887, 891, 892, 894, 897, and 909 and spans the entire length of an antisense strand. In some embodiments, a region of complementarity of an oligonucleotide is provided that is complementary to contiguous nucleotides of a sequence as set forth in any one of SEQ ID NOs: 887, 891, 892, 894, 897, and 909 and spans a portion of the entire length of an antisense strand. In some embodiments, an oligonucleotide herein comprises a region of complementarity (e.g., on an antisense strand of a dsRNA) that is at least partially (e.g., fully) complementary to a contiguous stretch of nucleotides spanning nucleotides 1-19 of a sequence as set forth in any one of SEQ ID NOs: 887, 891, 892, 894, 897, and 909. In some embodiments, an oligonucleotide herein comprises a region of complementarity (e.g., on an antisense strand of a dsRNA) that is at least partially (e.g., fully) complementary to a contiguous stretch of nucleotides spanning nucleotides 1-20 of a sequence as set forth in any one of SEQ ID NOs: 887, 891, 892, 894, 897, and 909.


In some embodiments, an oligonucleotide herein comprises a targeting sequence or region of complementarity having one or more base pair (bp) mismatches with the corresponding KHK target sequence. In some embodiments, the targeting sequence or region of complementarity may have up to about 1, up to about 2, up to about 3, up to about 4, up to about 5, etc. mismatches with the corresponding KHK target sequence provided that the ability of the targeting sequence or region of complementarity to bind or anneal to the KHK mRNA under appropriate hybridization conditions and/or the ability of the oligonucleotide to inhibit KHK expression is maintained. Alternatively, the targeting sequence or region of complementarity may have no more than 1, no more than 2, no more than 3, no more than 4, or no more than 5 mismatches with the corresponding KHK target sequence provided that the ability of the targeting sequence or region of complementarity to bind or anneal to the KHK mRNA under appropriate hybridization conditions and/or the ability of the oligonucleotide to inhibit KHK expression is maintained. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity having 1 mismatch with the corresponding target sequence. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity having 2 mismatches with the corresponding target sequence. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity having 3 mismatches with the corresponding target sequence. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity having 4 mismatches with the corresponding target sequence. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity having 5 mismatches with the corresponding target sequence. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity having more than one mismatch (e.g., 2, 3, 4, 5 or more mismatches) with the corresponding target sequence, wherein at least 2 (e.g., all) of the mismatches are positioned consecutively (e.g., 2, 3, 4, 5 or more mismatches in a row), or wherein the mismatches are interspersed throughout the targeting sequence or region of complementarity. In some embodiments, the oligonucleotide comprises a targeting sequence or region of complementarity having more than one mismatch (e.g., 2, 3, 4, 5 or more mismatches) with the corresponding target sequence, wherein at least 2 (e.g., all) of the mismatches are positioned consecutively (e.g., 2, 3, 4, 5 or more mismatches in a row), or wherein at least one or more non-mismatched base pair is located between the mismatches, or a combination thereof. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 4-387, wherein the targeting sequence or region of complementarity may have up to about 1, up to about 2, up to about 3, up to about 4, up to about 5, etc. mismatches with the corresponding KHK target sequence. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of nucleotides 1-19 of any one of SEQ ID NOs: 4-387, wherein the targeting sequence or region of complementarity may have up to about 1, up to about 2, up to about 3, up to about 4, up to about 5, etc. mismatches with the corresponding KHK target sequence. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 4-387, wherein the targeting sequence or region of complementarity may have no more than 1, no more than 2, no more than 3, no more than 4, or no more than 5 mismatches with the corresponding KHK target sequence. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of nucleotides 1-19 of any one of SEQ ID NOs: 4-387, wherein the targeting sequence or region of complementarity may have no more than 1, no more than 2, no more than 3, no more than 4, or no more than 5 mismatches with the corresponding KHK target sequence. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 872-878 and 886-911, wherein the targeting sequence or region of complementarity may have up to about 1, up to about 2, up to about 3, up to about 4, up to about 5, etc. mismatches with the corresponding KHK target sequence. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 872-878 and 886-911, wherein the targeting sequence or region of complementarity may have no more than 1, no more than 2, no more than 3, no more than 4, or no more than 5 mismatches with the corresponding KHK target sequence. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 887, 891, 892, 894, 897, and 909, wherein the targeting sequence or region of complementarity may have up to about 1, up to about 2, up to about 3, up to about 4, up to about 5, etc. mismatches with the corresponding KHK target sequence. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 887, 891, 892, 894, 897, and 909, wherein the targeting sequence or region of complementarity may have no more than 1, no more than 2, no more than 3, no more than 4, or no more than 5 mismatches with the corresponding KHK target sequence.


Types of Oligonucleotides

A variety of oligonucleotide types and/or structures are useful for targeting KHK in the methods herein including, but not limited to, RNAi oligonucleotides, antisense oligonucleotides, miRNAs, etc. Any of the oligonucleotide types described herein or elsewhere are contemplated for use as a framework to incorporate a KHK targeting sequence herein for the purposes of inhibiting KHK expression.


In some embodiments, the oligonucleotides herein inhibit KHK expression by engaging with RNA interference (RNAi) pathways upstream or downstream of Dicer involvement. For example, RNAi oligonucleotides have been developed with each strand having sizes of about 19-25 nucleotides with at least one 3′ overhang of 1 to 5 nucleotides (see, e.g., U.S. Pat. No. 8,372,968). Longer oligonucleotides also have been developed that are processed by Dicer to generate active RNAi products (see, e.g., U.S. Pat. No. 8,883,996). Further work produced extended dsRNAs where at least one end of at least one strand is extended beyond a duplex targeting region, including structures where one of the strands includes a thermodynamically stabilizing tetraloop structure (see, e.g., U.S. Pat. Nos. 8,513,207 and 8,927,705, as well as Intl. Patent Application Publication No. WO 2010/033225). Such structures may include single-stranded (ss) extensions (on one or both sides of the molecule) as well as double-stranded (ds) extensions.


In some embodiments, the oligonucleotides herein engage with the RNAi pathway downstream of the involvement of Dicer (e.g., Dicer cleavage). In some embodiments, the oligonucleotides described herein are Dicer substrates. In some embodiments, upon endogenous Dicer processing, double-stranded nucleic acids of 19-23 nucleotides in length capable of reducing KHK expression are produced. In some embodiments, the oligonucleotide has an overhang (e.g., of 1, 2, or 3 nucleotides in length) in the 3′ end of the sense strand. In some embodiments, the oligonucleotide has an overhang (e.g., of 1, 2, or 3 nucleotides in length) in the 3′ end of the antisense strand. In some embodiments, the oligonucleotide (e.g., siRNA) comprises a 21-nucleotide guide strand that is antisense to a target RNA and a complementary passenger strand, in which both strands anneal to form a 19-bp duplex and 2 nucleotide overhangs at either or both 3′ ends. Longer oligonucleotide designs also are available including oligonucleotides having a guide strand of 23 nucleotides and a passenger strand of 21 nucleotides, where there is a blunt end on the right side of the molecule (3′ end of passenger strand/5′ end of guide strand) and a two nucleotide 3′-guide strand overhang on the left side of the molecule (5′ end of the passenger strand/3′ end of the guide strand). In such molecules, there is a 21 bp duplex region. See, e.g., U.S. Pat. Nos. 9,012,138; 9,012,621 and 9,193,753.


In some embodiments, the oligonucleotides herein comprise sense and antisense strands that are both in the range of about 17 to 36 (e.g., 17 to 36, 20 to 25 or 21-23) nucleotides in length. In some embodiments, the oligonucleotides described herein comprise an antisense strand of 19-30 nucleotides in length and a sense strand of 19-50 nucleotides in length, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand. In some embodiments, an oligonucleotide herein comprises a sense and antisense strand that are both in the range of about 19-22 nucleotides in length. In some embodiments, the sense and antisense strands are of equal length. In some embodiments, an oligonucleotide comprises sense and antisense strands, such that there is a 3′-overhang on either the sense strand or the antisense strand, or both the sense and antisense strand. In some embodiments, for oligonucleotides that have sense and antisense strands that are both in the range of about 21-23 nucleotides in length, a 3′ overhang on the sense, antisense, or both sense and antisense strands is 1 or 2 nucleotides in length. In some embodiments, the oligonucleotide has a guide strand of 22 nucleotides and a passenger strand of 20 nucleotides, where there is a blunt end on the right side of the molecule (3′ end of passenger strand/5′ end of guide strand) and a 2 nucleotide 3′-guide strand overhang on the left side of the molecule (5′ end of the passenger strand/3′ end of the guide strand). In such molecules, there is a 20 bp duplex region.


Other oligonucleotide designs for use with the compositions and methods herein include: 16-mer siRNAs (see, e.g., NUCLEIC ACIDS IN CHEMISTRY AND BIOLOGY. Blackburn (ed.), Royal Society of Chemistry, 2006), shRNAs (e.g., having 19 bp or shorter stems; see, e.g., Moore et al. (2010) METHODS MOL. BIOL. 629:139-156), blunt siRNAs (e.g., of 19 bps in length; see, e.g., Kraynack & Baker (2006) RNA 12:163-176), asymmetrical siRNAs (aiRNA; see, e.g., Sun et al. (2008) NAT. BIOTECHNOL. 26:1379-1382), asymmetric shorter-duplex siRNA (see, e.g., Chang et al. (2009) MOL. THER. 17:725-32), fork siRNAs (see, e.g., Hohjoh (2004) FEBS LETT. 557:193-198), ss siRNAs (Elsner (2012) NAT. BIOTECHNOL. 30:1063), dumbbell-shaped circular siRNAs (see, e.g., Abe et al. (2007) J. AM. CHEM. SOC. 129:15108-09), and small internally segmented interfering RNA (siRNA; see, e.g., Bramsen et al. (2007) NUCLEIC ACIDS RES. 35:5886-97). Further non-limiting examples of an oligonucleotide structures that may be used in some embodiments to reduce or inhibit the expression of KHK are microRNA (miRNA), short hairpin RNA (shRNA) and short siRNA (see, e.g., Hamilton et al. (2002) EMBO J. 21:4671-79; see also, US Patent Application Publication No. 2009/0099115).


Still, in some embodiments, an oligonucleotide for reducing or inhibiting KHK expression herein is single-stranded (ss). Such structures may include but are not limited to single-stranded RNAi molecules. Recent efforts have demonstrated the activity of ss RNAi molecules (see, e.g., Matsui et al. (2016) MOL. THER. 24:946-955). However, in some embodiments, oligonucleotides herein are antisense oligonucleotides (ASOs). An antisense oligonucleotide is a single-stranded oligonucleotide that has a nucleobase sequence which, when written in the 5′ to 3′ direction, comprises the reverse complement of a targeted segment of a particular nucleic acid and is suitably modified (e.g., as a gapmer) so as to induce RNaseH-mediated cleavage of its target RNA in cells or (e.g., as a mixmer) so as to inhibit translation of the target mRNA in cells. ASOs for use herein may be modified in any suitable manner known in the art including, for example, as shown in U.S. Pat. No. 9,567,587 (including, e.g., length, sugar moieties of the nucleobase (pyrimidine, purine), and alterations of the heterocyclic portion of the nucleobase). Further, ASOs have been used for decades to reduce expression of specific target genes (see, e.g., Bennett et al. (2017) ANNU. REV. PHARMACOL. 57:81-105).


In some embodiments, the antisense oligonucleotide shares a region of complementarity with KHK mRNA. In some embodiments, the antisense oligonucleotide targets SEQ ID NO: 1. In some embodiments, the antisense oligonucleotide targets SEQ ID NO: 2. In some embodiments, the antisense oligonucleotide targets SEQ ID NO: 3. In some embodiments, the antisense oligonucleotide is 15-50 nucleotides in length. In some embodiments, the antisense oligonucleotide is 15-25 nucleotides in length. In some embodiments, the antisense oligonucleotide is 22 nucleotides in length. In some embodiments, the antisense oligonucleotide is complementary to any one of SEQ ID NOs: 4-387. In some embodiments, the antisense oligonucleotide is complementary to nucleotides 1-19 of any one of SEQ ID NOs: 4-387. In some embodiments, the antisense oligonucleotide is at least 15 contiguous nucleotides in length. In some embodiments, the antisense oligonucleotide is at least 19 contiguous nucleotides in length. In some embodiments, the antisense oligonucleotide is at least 20 contiguous nucleotides in length. In some embodiments, the antisense oligonucleotide differs by 1, 2, or 3 nucleotides from the target sequence.


Double-Stranded Oligonucleotides

In some aspects, the disclosure provides double-stranded (ds) RNAi oligonucleotides for targeting KHK mRNA and inhibiting KHK expression (e.g., via the RNAi pathway) comprising a sense strand (also referred to herein as a passenger strand) and an antisense strand (also referred to herein as a guide strand). In some embodiments, the sense strand and antisense strand are separate strands and are not covalently linked. In some embodiments, the sense strand and antisense strand are covalently linked. In some embodiments, the sense strand and antisense strand form a duplex region, wherein the sense strand and antisense strand, or a portion thereof, binds with one another in a complementary fashion (e.g., by Watson-Crick base pairing).


In some embodiments, the sense strand has a first region (R1) and a second region (R2), wherein R2 comprises a first subregion (S1), a tetraloop (L) or triloop (triL), and a second subregion (S2), wherein L or triL is located between S1 and S2, and wherein S1 and S2 form a second duplex (D2). D2 may have various length. In some embodiments, D2 is about 1-6 bp in length. In some embodiments, D2 is 2-6, 3-6, 4-6, 5-6, 1-5, 2-5, 3-5 or 4-5 bp in length. In some embodiments, D2 is 1, 2, 3, 4, 5 or 6 bp in length. In some embodiments, D2 is 6 bp in length.


In some embodiments, R1 of the sense strand and the antisense strand form a first duplex (D1). In some embodiments, D1 is at least about 15 (e.g., at least 15, at least 16, at least 17, at least 18, at least 19, at least 20 or at least 21) nucleotides in length. In some embodiments, D1 is in the range of about 12 to 30 nucleotides in length (e.g., 12 to 30, 12 to 27, 15 to 22, 18 to 22, 18 to 25, 18 to 27, 18 to 30 or 21 to 30 nucleotides in length). In some embodiments, D1 is at least 12 nucleotides in length (e.g., at least 12, at least 15, at least 20, at least 25, or at least 30 nucleotides in length). In some embodiments, D1 is 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29 or 30 nucleotides in length. In some embodiments, D1 is 20 nucleotides in length. In some embodiments, D1 comprising sense strand and antisense strand does not span the entire length of the sense strand and/or antisense strand. In some embodiments, D1 comprising the sense strand and antisense strand spans the entire length of either the sense strand or antisense strand or both. In certain embodiments, D1 comprising the sense strand and antisense strand spans the entire length of both the sense strand and the antisense strand.


In some embodiments, a dsRNAi provided herein comprises a sense strand having a sequence of any one of SEQ ID NOs: 4-387; and an antisense strand comprising a complementary sequence selected from SEQ ID NOs: 388-771 as is arranged Table 2.


In some embodiments, a dsRNAi oligonucleotide comprises a sense strand and an antisense strand comprising nucleotide sequences selected from:

    • (a) SEQ ID NOs: 886 and 912, respectively;
    • (b) SEQ ID NOs: 887 and 913, respectively;
    • (c) SEQ ID NOs: 910 and 937, respectively;
    • (d) SEQ ID NOs: 888 and 914, respectively;
    • (e) SEQ ID NOs: 889 and 915, respectively;
    • (f) SEQ ID NOs: 890 and 916, respectively;
    • (g) SEQ ID NOs: 891 and 917, respectively;
    • (h) SEQ ID NOs: 877 and 884, respectively;
    • (i) SEQ ID NOs: 878 and 930, respectively;
    • (j) SEQ ID NOs: 876 and 883, respectively;
    • (k) SEQ ID NOs: 875 and 882, respectively;
    • (l) SEQ ID NOs: 892 and 918, respectively;
    • (m) SEQ ID NOs: 893 and 919, respectively;
    • (n) SEQ ID NOs: 894 and 920, respectively;
    • (o) SEQ ID NOs: 904 and 931, respectively;
    • (p) SEQ ID NOs: 895 and 921, respectively;
    • (q) SEQ ID NOs: 905 and 932, respectively;
    • (r) SEQ ID NOs: 896 and 922, respectively;
    • (s) SEQ ID NOs: 911 and 938, respectively;
    • (t) SEQ ID NOs: 906 and 933, respectively;
    • (u) SEQ ID NOs: 897 and 923, respectively;
    • (v) SEQ ID NOs: 907 and 934, respectively;
    • (w) SEQ ID NOs: 908 and 935, respectively;
    • (x) SEQ ID NOs: 903 and 929, respectively;
    • (y) SEQ ID NOs: 901 and 927, respectively;
    • (z) SEQ ID NOs: 874 and 881, respectively;
    • (aa) SEQ ID NOs: 902 and 928, respectively;
    • (bb) SEQ ID NOs: 873 and 880, respectively;
    • (cc) SEQ ID NOs: 872 and 879, respectively;
    • (dd) SEQ ID NOs: 898 and 924, respectively;
    • (ee) SEQ ID NOs: 899 and 925, respectively (ff) SEQ ID NOs: 900 and 926, respectively; and
    • (gg) SEQ ID NOs: 909 and 936, respectively.


In some embodiments, a dsRNAi oligonucleotide comprises a sense strand and an antisense strand comprising nucleotide sequences selected from:

    • (a) SEQ ID NOs: 887 and 913, respectively;
    • (b) SEQ ID NOs: 891 and 917, respectively;
    • (c) SEQ ID NOs: 892 and 918, respectively;
    • (d) SEQ ID NOs: 894 and 920, respectively;
    • (e) SEQ ID NOs: 897 and 923, respectively; and
    • (f) SEQ ID NOs: 909 and 936, respectively.


In some embodiments, the sense strand comprises the sequence of SEQ ID NO: 887 and the antisense strand comprises the sequence of SEQ ID NO: 913. In some embodiments, the sense strand comprises the sequence of SEQ ID NO: 891 and the antisense strand comprises the sequence of SEQ ID NO: 917. In some embodiments, the sense strand comprises the sequence of SEQ ID NO: 892 and the antisense strand comprises the sequence of SEQ ID NO: 918. In some embodiments, the sense strand comprises the sequence of SEQ ID NO: 894 and the antisense strand comprises the sequence of SEQ ID NO: 920. In some embodiments, the sense strand comprises the sequence of SEQ ID NO: 897 and the antisense strand comprises the sequence of SEQ ID NO: 923. In some embodiments, the sense strand comprises the sequence of SEQ ID NO: 909 and the antisense strand comprises the sequence of SEQ ID NO: 936.


It should be appreciated that, in some embodiments, sequences presented in the Sequence Listing may be referred to in describing the structure of an oligonucleotide (e.g., a dsRNAi oligonucleotide) or other nucleic acid. In such embodiments, the actual oligonucleotide or other nucleic acid may have one or more alternative nucleotides (e.g., an RNA counterpart of a DNA nucleotide or a DNA counterpart of an RNA nucleotide) and/or one or more modified nucleotides and/or one or more modified internucleotide linkages and/or one or more other modification when compared with the specified sequence while retaining essentially same or similar complementary properties as the specified sequence.


In some embodiments, a dsRNAi oligonucleotide herein comprises a 25-nucleotide sense strand and a 27-nucleotide antisense strand that when acted upon by a Dicer enzyme results in an antisense strand that is incorporated into the mature RISC. In some embodiments, the sense strand of the dsRNA is longer than 27 nucleotides (e.g., 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49 or 50 nucleotides). In some embodiments, the sense strand of the dsRNA is longer than 25 nucleotides (e.g., 26, 27, 28, 29 or 30 nucleotides). In some embodiments, the sense strand of the dsRNA comprises a nucleotide sequence selected from SEQ ID NOs: 4-387, wherein the nucleotide sequence is longer than 27 nucleotides (e.g., 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49 or 50 nucleotides). In some embodiments, the sense strand of the dsRNA comprises a nucleotide sequence selected from SEQ ID NOs: 4-387, wherein the nucleotide sequence is longer than 25 nucleotides (e.g., 26, 27, 28, 29 or 30 nucleotides).


In some embodiments, oligonucleotides herein have one 5′ end that is thermodynamically less stable when compared to the other 5′ end. In some embodiments, an asymmetric oligonucleotide is provided that includes a blunt end at the 3′ end of a sense strand and a 3′-overhang at the 3′ end of an antisense strand. In some embodiments, the 3′-overhang on the antisense strand is about 1-8 nucleotides in length (e.g., 1, 2, 3, 4, 5, 6, 7 or 8 nucleotides in length). Typically, a dsRNAi oligonucleotide has a two-nucleotide overhang on the 3′ end of the antisense (guide) strand. However, other overhangs are possible. In some embodiments, an overhang is a 3′-overhang comprising a length of between 1 and 6 nucleotides, optionally 1 to 5, 1 to 4, 1 to 3, 1 to 2, 2 to 6, 2 to 5, 2 to 4, 2 to 3, 3 to 6, 3 to 5, 3 to 4, 4 to 6, 4 to 5, 5 to 6 nucleotides, or 1, 2, 3, 4, 5 or 6 nucleotides. However, in some embodiments, the overhang is a 5′-overhang comprising a length of between 1 and 6 nucleotides, optionally 1 to 5, 1 to 4, 1 to 3, 1 to 2, 2 to 6, 2 to 5, 2 to 4, 2 to 3, 3 to 6, 3 to 5, 3 to 4, 4 to 6, 4 to 5, 5 to 6 nucleotides, or 1, 2, 3, 4, 5 or 6 nucleotides. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 4-387, and a 5′-overhang comprising a length of between 1 and 6 nucleotides. In some embodiments, the oligonucleotide comprises a sense strand comprising a nucleotide sequence selected from SEQ ID NOs: 4-387, wherein the oligonucleotide comprises a 5′-overhang comprising a length of between 1 and 6 nucleotides. In some embodiments, the oligonucleotide comprises an antisense strand comprising a nucleotide sequence selected from SEQ ID NOs: 388-771, wherein the oligonucleotide comprises a 5′-overhang comprising a length of between 1 and 6 nucleotides. In some embodiments, the oligonucleotide comprises a sense strand comprising a nucleotide sequence selected from SEQ ID NOs: 4-387 and antisense strand comprising a nucleotide sequence selected from SEQ ID NOs: 388-771, wherein the oligonucleotide comprises a 5′-overhang comprising a length of between 1 and 6 nucleotides.


In some embodiments, two terminal nucleotides on the 3′ end of an antisense strand are modified. In some embodiments, the two terminal nucleotides on the 3′ end of the antisense strand are complementary with the target mRNA (e.g., KHK mRNA). In some embodiments, the two terminal nucleotides on the 3′ end of the antisense strand are not complementary with the target mRNA. In some embodiments, the two terminal nucleotides on the 3′ end of the antisense strand of a dsRNAi oligonucleotide herein are unpaired. In some embodiments, the two terminal nucleotides on the 3′ end of the antisense strand of a dsRNAi oligonucleotide herein comprise an unpaired GG. In some embodiments, the two terminal nucleotides on the 3′ end of an antisense strand of a dsRNAi oligonucleotide herein are not complementary to the target mRNA. In some embodiments, two terminal nucleotides on each 3′ end of a dsRNAi oligonucleotide are GG. Typically, one or both of the two terminal GG nucleotides on each 3′ end of a double-stranded oligonucleotide is not complementary with the target mRNA. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 4-387, wherein the two terminal nucleotides on the 3′ end of the antisense strand of a dsRNAi oligonucleotide herein comprise an unpaired GG. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of nucleotides 1-19 of any one of SEQ ID NOs: 4-387, wherein the two terminal nucleotides on the 3′ end of the antisense strand of a dsRNAi oligonucleotide herein comprise an unpaired GG. In some embodiments, the oligonucleotide comprises an antisense strand comprising a nucleotide sequence selected from SEQ ID NOs: 388-771, wherein the two terminal nucleotides on the 3′ end of the antisense strand of a dsRNAi oligonucleotide herein comprise an unpaired GG. In some embodiments, the oligonucleotide comprises a sense strand comprising a nucleotide sequence selected from SEQ ID NOs: 4-387 and antisense strand comprising a nucleotide sequence selected from SEQ ID NOs: 388-771, wherein the two terminal nucleotides on the 3′ end of the antisense strand of a dsRNAi oligonucleotide herein comprise an unpaired GG.


In some embodiments, there is one or more (e.g., 1, 2, 3, 4 or 5) mismatch(es) between a sense and antisense strand. If there is more than one mismatch between a sense and antisense strand, they may be positioned consecutively (e.g., 2, 3 or more in a row), or interspersed throughout the region of complementarity. In some embodiments, the 3′ end of the sense strand contains one or more mismatches. In some embodiments, two mismatches are incorporated at the 3′ end of the sense strand. In some embodiments, base mismatches, or destabilization of segments at the 3′ end of the sense strand of the dsRNAi oligonucleotide improves or increases the potency of the dsRNAi oligonucleotide. In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein there is one or more (e.g., 1, 2, 3, 4 or 5) mismatch(es) between the sense and antisense strands.


Antisense Strands

In some embodiments, an antisense strand of a dsRNAi oligonucleotide is referred to as a “guide strand.” For example, an antisense strand that engages with RNA-induced silencing complex (RISC) and binds to an Argonaute protein such as Ago2, or engages with or binds to one or more similar factors, and directs silencing of a target gene, as the antisense strand is referred to as a guide strand. In some embodiments, a sense strand complementary to a guide strand may be referred to as a “passenger strand.”


In some embodiments, a dsRNAi oligonucleotide herein comprises an antisense strand of up to about 50 nucleotides in length (e.g., up to 50, up to 40, up to 35, up to 30, up to 27, up to 25, up to 21, up to 19, up to 17 or up to 12 nucleotides in length). In some embodiments, a dsRNAi oligonucleotide comprises an antisense strand of at least about 12 nucleotides in length (e.g., at least 12, at least 15, at least 19, at least 21, at least 22, at least 25, at least 27, at least 30, at least 35 or at least 38 nucleotides in length). In some embodiments, a dsRNAi oligonucleotide comprises an antisense strand in a range of about 12 to about 40 (e.g., 12 to 40, 12 to 36, 12 to 32, 12 to 28, 15 to 40, 15 to 36, 15 to 32, 15 to 28, 17 to 22, 17 to 25, 19 to 27, 19 to 30, 20 to 40, 22 to 40, 25 to 40 or 32 to 40) nucleotides in length. In some embodiments, a dsRNAi oligonucleotide comprises antisense strand of 15 to 30 nucleotides in length. In some embodiments, an antisense strand of any one of the dsRNAi oligonucleotides disclosed herein is of 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39 or 40 nucleotides in length. In some embodiments, a dsRNAi oligonucleotide comprises an antisense strand of 22 nucleotides in length.


In some embodiments, a dsRNAi oligonucleotide disclosed herein for targeting KHK comprises an antisense strand comprising or consisting of a sequence as set forth in any one of SEQ ID NOs: 388-771. In some embodiments, a dsRNAi oligonucleotide herein comprises an antisense strand comprising at least about 12 (e.g., at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22 or at least 23) contiguous nucleotides of a sequence as set forth in any one of SEQ ID NOs: 388-771. In some embodiments, a dsRNAi oligonucleotide disclosed herein for targeting KHK comprises an antisense strand comprising or consisting of a sequence as set forth in any one of SEQ ID NOs: 879-885 and 912-938. In some embodiments, a dsRNAi oligonucleotide herein comprises an antisense strand comprising at least about 12 (e.g., at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22 or at least 23) contiguous nucleotides of a sequence as set forth in any one of SEQ ID NOs: 879-885 and 912-938. In some embodiments, a dsRNAi oligonucleotide disclosed herein for targeting KHK comprises an antisense strand comprising or consisting of a sequence as set forth in any one of SEQ ID NOs: 913, 917, 918, 920, 923 and 936. In some embodiments, a dsRNAi oligonucleotide herein comprises an antisense strand comprising at least about 12 (e.g., at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22 or at least 23) contiguous nucleotides of a sequence as set forth in any one of SEQ ID NOs: 913, 917, 918, 920, 923 and 936.


In some embodiments, a dsRNAi oligonucleotide herein comprises an antisense strand comprising a nucleotide sequence selected from SEQ ID NOs: 948-953.


Sense Strands

In some embodiments, a dsRNAi oligonucleotide disclosed herein for targeting KHK mRNA and inhibiting KHK expression comprises a sense strand sequence as set forth in any one of SEQ ID NOs: 4-387. In some embodiments, a dsRNAi oligonucleotide has a sense strand that comprises at least about 12 (e.g., at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22 or at least 23) contiguous nucleotides of a sequence as set forth in any one of SEQ ID NOs: 4-387. In some embodiments, a dsRNAi oligonucleotide disclosed herein for targeting KHK mRNA and inhibiting KHK expression comprises a sense strand sequence as set forth in any one of SEQ ID NOs: 872-878 and 886-911. In some embodiments, a dsRNAi oligonucleotide has a sense strand that comprises at least about 12 (e.g., at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22 or at least 23) contiguous nucleotides of a sequence as set forth in in any one of SEQ ID NOs: 872-878 and 886-911. In some embodiments, a dsRNAi oligonucleotide disclosed herein for targeting KHK mRNA and inhibiting KHK expression comprises a sense strand sequence as set forth in any one of SEQ ID NOs: 887, 891, 892, 894, 897 and 909. In some embodiments, a dsRNAi oligonucleotide has a sense strand that comprises at least about 12 (e.g., at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22 or at least 23) contiguous nucleotides of a sequence as set forth in any one of SEQ ID NOs: 887, 891, 892, 894, 897 and 909.


In some embodiments, a dsRNAi oligonucleotide herein comprises a sense strand (or passenger strand) of up to about 50 nucleotides in length (e.g., up to 50, up to 40, up to 36, up to 30, up to 27, up to 25, up to 21, up to 19, up to 17 or up to 12 nucleotides in length). In some embodiments, a dsRNAi oligonucleotide may have a sense strand of at least about 12 nucleotides in length (e.g., at least 12, at least 15, at least 19, at least 21, at least 25, at least 27, at least 30, at least 36 or at least 38 nucleotides in length). In some embodiments, an oligonucleotide may have a sense strand in a range of about 12 to about 50 (e.g., 12 to 50, 12 to 40, 12 to 36, 12 to 32, 12 to 28, 15 to 40, 15 to 36, 15 to 32, 15 to 28, 17 to 21, 17 to 25, 19 to 27, 19 to 30, 20 to 40, 22 to 40, 25 to 40 or 32 to 40) nucleotides in length. In some embodiments, a dsRNAi oligonucleotide comprises a sense strand of 15 to 50 nucleotides in length. In some embodiments, a dsRNAi oligonucleotide comprises a sense strand of 18 to 36 nucleotides in length. In some embodiments, an oligonucleotide may have a sense strand of 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, or 50 nucleotides in length. In some embodiments, a dsRNAi oligonucleotide comprises a sense strand of 36 nucleotides in length.


In some embodiments, a sense strand comprises a stem-loop structure at its 3′ end. In some embodiments, the stem-loop is formed by intrastrand base pairing. In some embodiments, a sense strand comprises a stem-loop structure at its 5′ end. In some embodiments, a stem is a duplex of 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13 or 14 nucleotides in length. In some embodiments, a stem-loop provides the dsRNAi oligonucleotide protection against degradation (e.g., enzymatic degradation), facilitates or improves targeting and/or delivery to a target cell, tissue, or organ (e.g., the liver), or both. For example, in some embodiments, the loop of a stem-loop provides nucleotides comprising one or more modifications that facilitate, improve, or increase targeting to a target mRNA (e.g., a KHK mRNA), inhibition of target gene expression (e.g., KHK expression), and/or delivery to a target cell, tissue, or organ (e.g., the liver), or a combination thereof. In some embodiments, the stem-loop itself or modification(s) to the stem-loop do not substantially affect the inherent gene expression inhibition activity of the dsRNAi oligonucleotide, but facilitates, improves, or increases stability (e.g., provides protection against degradation) and/or delivery of the oligonucleotide to a target cell, tissue, or organ (e.g., the liver). In certain embodiments, a dsRNAi oligonucleotide comprises a sense strand comprising (e.g., at its 3′ end) a stem-loop set forth as: S1-L-S2, in which S1 is complementary to S2, and in which L forms a single-stranded loop between S1 and S2 of up to about 10 nucleotides in length (e.g., 3, 4, 5, 6, 7, 8, 9 or 10 nucleotides in length). In some embodiments, the loop (L) is 3 nucleotides in length. In some embodiments, the loop (L) is 4 nucleotides in length. In some embodiments, an oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 4-387, and the oligonucleotide comprises a sense strand comprising (e.g., at its 3′ end) a stem-loop set forth as: S1-L-S2, in which S1 is complementary to S2, and in which L forms a single-stranded loop between S1 and S2 of up to about 10 nucleotides in length (e.g., 3, 4, 5, 6, 7, 8, 9 or 10 nucleotides in length). In some embodiments, an oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides 1-19 of any one of SEQ ID NOs: 4-387, and the oligonucleotide comprises a sense strand comprising (e.g., at its 3′ end) a stem-loop set forth as: S1-L-S2, in which 51 is complementary to S2, and in which L forms a single-stranded loop between S1 and S2 of up to about 10 nucleotides in length (e.g., 3, 4, 5, 6, 7, 8, 9 or 10 nucleotides in length). In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 872-878 and 886-911, and the oligonucleotide comprises a sense strand comprising (e.g., at its 3′ end) a stem-loop set forth as: S1-L-S2, in which 51 is complementary to S2, and in which L forms a single-stranded loop between S1 and S2 of up to about 10 nucleotides in length (e.g., 3, 4, 5, 6, 7, 8, 9 or 10 nucleotides in length). In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 887, 891, 892, 894, 897, and 909, and the oligonucleotide comprises a sense strand comprising (e.g., at its 3′ end) a stem-loop set forth as: S1-L-S2, in which 51 is complementary to S2, and in which L forms a single-stranded loop between S1 and S2 of up to about 10 nucleotides in length (e.g., 3, 4, 5, 6, 7, 8, 9 or 10 nucleotides in length).


In some embodiments, a loop (L) of a stem-loop having the structure S1-L-S2 as described above is a triloop. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 4-387 and a triloop. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides 1-19 of any one of SEQ ID NOs: 4-387 and a triloop. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 872-878 and 886-911, and a triloop. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 887, 891, 892, 894, 897, and 909, and a triloop. In some embodiments, the triloop comprises ribonucleotides, deoxyribonucleotides, modified nucleotides, delivery ligands, and combinations thereof.


In some embodiments, a loop (L) of a stem-loop having the structure S1-L-S2 as described above is a tetraloop (e.g., within a nicked tetraloop structure) comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 4-387 and a tetraloop. In some embodiments, a loop (L) of a stem-loop having the structure S1-L-S2 as described above is a tetraloop (e.g., within a nicked tetraloop structure) comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides 1-19 of any one of SEQ ID NOs: 4-387 and a tetraloop. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 872-878 and 886-911, and a tetraloop. In some embodiments, the oligonucleotide comprises a targeting sequence or a region of complementarity that is complementary to a contiguous sequence of nucleotides of any one of SEQ ID NOs: 887, 891, 892, 894, 897, and 909, and a tetraloop. In some embodiments, the tetraloop comprises ribonucleotides, deoxyribonucleotides, modified nucleotides, delivery ligands, and combinations thereof.


In some embodiments, a dsRNAi oligonucleotide herein comprises a sense strand comprising a nucleotide sequence selected from SEQ ID NOs: 942-947.


Duplex Length

In some embodiments, a duplex formed between a sense and antisense strand is at least 12 (e.g., at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or at least 21) nucleotides in length. In some embodiments, a duplex formed between a sense and antisense strand is in the range of 12-30 nucleotides in length (e.g., 12 to 30, 12 to 27, 12 to 22, 15 to 25, 18 to 30, 18 to 22, 18 to 25, 18 to 27, 18 to 30, 19 to 30 or 21 to 30 nucleotides in length). In some embodiments, a duplex formed between a sense and antisense strand is 12, 13, 14, 15, 16, 17, 18, 19, 29, 21, 22, 23, 24, 25, 26, 27, 28, 29 or 30 nucleotides in length. In some embodiments, a duplex formed between a sense and antisense strand does not span the entire length of the sense strand and/or antisense strand. In some embodiments, a duplex between a sense and antisense strand spans the entire length of either the sense or antisense strands. In some embodiments, a duplex between a sense and antisense strand spans the entire length of both the sense strand and the antisense strand. In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein a duplex formed between a sense and antisense strand is in the range of 12-30 nucleotides in length (e.g., 12 to 30, 12 to 27, 12 to 22, 15 to 25, 18 to 30, 18 to 22, 18 to 25, 18 to 27, 18 to 30, 19 to 30 or 21 to 30 nucleotides in length).


Oligonucleotide Ends

In some embodiments, a dsRNAi oligonucleotide herein comprises sense and antisense strands, such that there is a 3′-overhang on either the sense strand or the antisense strand, or both the sense and antisense strand. In some embodiments, a dsRNAi oligonucleotide herein comprises sense and antisense strands that are separate strands which form an asymmetric duplex region having an overhang at the 3′ terminus of the antisense strand. In some embodiments, a dsRNAi oligonucleotide provided herein has one 5′end that is thermodynamically less stable compared to the other 5′ end. In some embodiments, an asymmetric dsRNAi oligonucleotide is provided that includes a blunt end at the 3′end of a sense strand and overhang at the 3′ end of the antisense strand. In some embodiments, a 3′ overhang on an antisense strand is 1-8 nucleotides in length (e.g., 1, 2, 3, 4, 5, 6, 7 or 8 nucleotides in length). In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein the antisense strand comprises a 3′ overhang of 1-8 nucleotides in length (e.g., 1, 2, 3, 4, 5, 6, 7 or 8 nucleotides in length).


Typically, an oligonucleotide for RNAi has a two (2) nucleotide overhang on the 3′ end of the antisense (guide) strand. However, other overhangs are possible. In some embodiments, an overhang is a 3′ overhang comprising a length of between one and six nucleotides, optionally one to five, one to four, one to three, one to two, two to six, two to five, two to four, two to three, three to six, three to five, three to four, four to six, four to five, five to six nucleotides or one, two, three, four, five or six nucleotides. In some embodiments, the overhang is a 5′ overhang comprising a length of between one and six nucleotides, optionally one to five, one to four, one to three, one to two, two to six, two to five, two to four, two to three, three to six, three to five, three to four, four to six, four to five, five to six nucleotides or one, two, three, four, five or six nucleotides. In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein the antisense strand comprises a 5′ overhang of 1-6 nucleotides in length.


In some embodiments, one or more (e.g., 2, 3, 4) terminal nucleotides of the 3′ end or 5′ end of a sense and/or antisense strand are modified. For example, in some embodiments, one or two terminal nucleotides of the 3′ end of the antisense strand are modified. In some embodiments, the last nucleotide at the 3′ end of an antisense strand is modified, e.g., comprises 2′ modification, e.g., a 2′-O-methoxyethyl. In some embodiments, the last one or two terminal nucleotides at the 3′ end of an antisense strand are complementary with the target.


In some embodiments, the last one or two nucleotides at the 3′ end of the antisense strand are not complementary with the target.


In some embodiments, a dsRNAi oligonucleotide herein comprises a stem-loop structure at the 3′ end of the sense strand and comprises two terminal overhang nucleotides at the 3′ end of the antisense strand. In some embodiments, a dsRNAi oligonucleotide herein comprises a nicked tetraloop structure, wherein the 3′ end of the sense strand comprises a stem-tetraloop structure and comprises two terminal overhang nucleotides at the 3′ end of the antisense strand. In some embodiments, the two terminal overhang nucleotides are GG. Typically, one or both of the two terminal GG nucleotides of the antisense strand are not complementary with the target.


In some embodiments, the 5′ end and/or the 3′end of a sense or antisense strand has an inverted cap nucleotide.


In some embodiments, one or more (e.g., 2, 3, 4, 5, 6) modified internucleotide linkages are provided between terminal nucleotides of the 3′ end or 5′ end of a sense and/or antisense strand. In some embodiments, modified internucleotide linkages are provided between overhang nucleotides at the 3′ end or 5′ end of a sense and/or antisense strand.


Oligonucleotide Modifications

In some embodiments, a dsRNAi oligonucleotide described herein comprises a modification. Oligonucleotides (e.g., dsRNAi oligonucleotides) may be modified in various ways to improve or control specificity, stability, delivery, bioavailability, resistance from nuclease degradation, immunogenicity, base-pairing properties, RNA distribution and cellular uptake and other features relevant to therapeutic or research use.


In some embodiments, the modification is a modified sugar. In some embodiments, the modification is a 5′-terminal phosphate group. In some embodiments, the modification is a modified internucleotide linkage. In some embodiments, the modification is a modified base.


In some embodiments, an oligonucleotide described herein can comprise any one of the modifications described herein or any combination thereof. For example, in some embodiments, an oligonucleotide described herein comprises at least one modified sugar, a 5′-terminal phosphate group, at least one modified internucleotide linkage, and at least one modified base. In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein the oligonucleotide comprises at least one modified sugar, a 5′-terminal phosphate group, at least one modified internucleotide linkage, and at least one modified base.


The number of modifications on an oligonucleotide (e.g., a dsRNAi oligonucleotide) and the position of those nucleotide modifications may influence the properties of an oligonucleotide. For example, oligonucleotides may be delivered in vivo by conjugating them to or encompassing them in a lipid nanoparticle (LNP) or similar carrier. However, when an oligonucleotide is not protected by an LNP or similar carrier, it may be advantageous for at least some of the nucleotides to be modified. Accordingly, in some embodiments, all or substantially all the nucleotides of an oligonucleotide are modified. In some embodiments, more than half of the nucleotides are modified. In some embodiments, less than half of the nucleotides are modified. In some embodiments, the sugar moiety of all nucleotides comprising the oligonucleotide is modified at the 2′ position. The modifications may be reversible or irreversible. In some embodiments, an oligonucleotide as disclosed herein has a number and type of modified nucleotides sufficient to cause the desired characteristics (e.g., protection from enzymatic degradation, capacity to target a desired cell after in vivo administration, and/or thermodynamic stability).


Sugar Modifications

In some embodiments, a dsRNAi oligonucleotide described herein comprises a modified sugar. In some embodiments, a modified sugar (also referred herein to a sugar analog) includes a modified deoxyribose or ribose moiety in which, for example, one or more modifications occur at the 2′, 3′, 4′ and/or 5′ carbon position of the sugar. In some embodiments, a modified sugar may also include non-natural alternative carbon structures such as those present in locked nucleic acids (“LNA”; see, e.g., Koshkin et al. (1998) TETRAHEDON 54:3607-30), unlocked nucleic acids (“UNA”; see, e.g., Snead et al. (2013) MOL. THER-NUCL. ACIDS 2:e103) and bridged nucleic acids (“BNA”; see, e.g., Imanishi & Obika (2002) CHEM COMMUN. (CAMB) 21:1653-59).


In some embodiments, a nucleotide modification in a sugar comprises a 2′-modification. In some embodiments, a 2′-modification may be 2′-O-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-fluoro (2′-F), 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-O-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA) or 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA). In some embodiments, the modification is 2′-F, 2′-OMe or 2′-MOE. In some embodiments, a modification in a sugar comprises a modification of the sugar ring, which may comprise modification of one or more carbons of the sugar ring. For example, a modification of a sugar of a nucleotide may comprise a 2′-oxygen of a sugar is linked to a 1′-carbon or 4′-carbon of the sugar, or a 2′-oxygen is linked to the 1′-carbon or 4′-carbon via an ethylene or methylene bridge. In some embodiments, a modified nucleotide has an acyclic sugar that lacks a 2′-carbon to 3′-carbon bond. In some embodiments, a modified nucleotide has a thiol group, e.g., in the 4′ position of the sugar.


In some embodiments, a dsRNAi oligonucleotide described herein comprises at least about 1 modified nucleotide (e.g., at least 1, at least 5, at least 10, at least 15, at least 20, at least 25, at least 30, at least 35, at least 40, at least 45, at least 50, at least 55, at least 60, or more). In some embodiments, the sense strand of the dsRNAi oligonucleotide comprises at least about 1 modified nucleotide (e.g., at least 1, at least 5, at least 10, at least 15, at least 20, at least 25, at least 30, at least 35, or more). In some embodiments, the antisense strand of the dsRNAi oligonucleotide comprises at least about 1 modified nucleotide (e.g., at least 1, at least 5, at least 10, at least 15, at least 20, or more).


In some embodiments, all the nucleotides of the sense strand of the dsRNAi oligonucleotide are modified. In some embodiments, all the nucleotides of the antisense strand of the dsRNAi oligonucleotide are modified. In some embodiments, all the nucleotides of the dsRNAi oligonucleotide (i.e., both the sense strand and the antisense strand) are modified. In some embodiments, the modified nucleotide comprises a 2′-modification (e.g., a 2′-F or 2′-OMe, 2′-MOE, and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid).


In some embodiments, the disclosure provides dsRNAi oligonucleotides having different modification patterns. Exemplary modification patterns are set forth in U.S. Provisional Application No. 62/909,278 and in WO 2021/067744, both incorporated herein by this reference. In some embodiments, the modified dsRNAi oligonucleotides comprise a sense strand sequence having a modification pattern as set forth in the Examples and Sequence Listing and an antisense strand having a modification pattern as set forth in the Examples and


SEQUENCE LISTING

In some embodiments, a dsRNAi oligonucleotide disclosed herein comprises an antisense strand having nucleotides that are modified with 2′-F. In some embodiments, a dsRNAi oligonucleotide disclosed herein comprises an antisense strand comprising nucleotides that are modified with 2′-F and 2′-OMe. In some embodiments, a dsRNAi oligonucleotide disclosed herein comprises a sense strand having nucleotides that are modified with 2′-F. In some embodiments, a dsRNAi oligonucleotide disclosed herein comprises a sense strand comprising nucleotides that are modified with 2′-F and 2′-OMe.


In some embodiments, a dsRNAi oligonucleotide described herein comprises a sense strand with about 10-15%, 10%, 11%, 12%, 13%, 14% or 15% of the nucleotides of the sense strand comprising a 2′-fluoro modification. In some embodiments, about 11% of the nucleotides of the sense strand comprise a 2-fluoro modification. In some embodiments, a dsRNAi oligonucleotide described herein comprises an antisense strand with about 25-35%, 25%, 26%, 27%, 28%, 29%, 30%, 31%, 32%, 33%, 34% or 35% of the nucleotides of the antisense strand comprising a 2′-fluoro modification. In some embodiments, about 32% of the nucleotides of the antisense strand comprise a 2′-fluoro modification. In some embodiments, the dsRNAi oligonucleotide has about 15-25%, 15%, 16%, 17%, 18%, 19%, 20%, 21%, 22%, 23%, 24%, or 25% of its nucleotides comprising a 2′-fluoro modification. In some embodiments, about 19% of the nucleotides in the dsRNAi oligonucleotide comprise a 2′-fluoro modification.


In some embodiments, one or more of positions 8, 9, 10 or 11 of the sense strand is modified with a 2′-F group. In some embodiments, one or more of positions 3, 8, 9, 10, 12, 13 and 17 of the sense strand is modified with a 2′-F group. In some embodiments, one or more of positions 2, 3, 4, 5, 7, 10 and 14 of the antisense strand is modified with a 2′-F group. In some embodiments, one or more of positions 2, 3, 4, 5, 7, 8, 10, 14, 16 and 19 of the antisense strand is modified with a 2′-F group. In some embodiments, the sugar moiety at each of nucleotides at positions 1-7 and 12-20 in the sense strand is modified with a 2′-OMe. In some embodiments, the sugar moiety at each of nucleotides at positions 1-7, 12-27 and 31-36 in the sense strand is modified with a 2′-OMe. In some embodiments, the sugar moiety at each of nucleotides at positions 1-2, 4-7, 11, 14-16 and 18-20 in the sense strand is modified with a 2′-OMe. In some embodiments, the sugar moiety at each of nucleotides at positions 1-2, 4-7, 11, 14-16, 18-27 and 31-36 in the sense strand is modified with a 2′-OMe. In some embodiments, the sugar moiety at each of nucleotides at positions 1, 6, 8-9, 11-13, and 15-22 in the antisense strand is modified with a 2′-OMe. In some embodiments, the sugar moiety at each of nucleotides at positions 6, 9, 11-13, 15, 17, 18 and 20-22 in the antisense strand is modified with a 2′-OMe. In some embodiments, the sugar moiety at each of nucleotides at positions 1, 6, 9, 11-13, 15, 17, 18 and 20-22 in the antisense strand is modified with a 2′-OMe.


In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein one or more of positions 8, 9, 10 or 11 of the sense strand is modified with a 2′-F group.


In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein one or more of positions 3, 8, 9, 10, 12, 13 and 17 of the sense strand is modified with a 2′-F group.


In some embodiments, the antisense strand has 3 nucleotides that are modified at the 2′-position of the sugar moiety with a 2′-F. In some embodiments, the sugar moiety at positions 2, 5 and 14 and optionally up to 3 of the nucleotides at positions 1, 3, 7 and 10 of the antisense strand are modified with a 2′-F. In other embodiments, the sugar moiety at each of the positions 2, 5 and 14 of the antisense strand is modified with the 2′-F. In other embodiments, the sugar moiety at each of the positions 1, 2, 5 and 14 of the antisense strand is modified with the 2′-F. In still other embodiments, the sugar moiety at each of the positions 1, 2, 3, 5, 7 and 14 of the antisense strand is modified with the 2′-F. In yet another embodiment, the sugar moiety at each of the positions 1, 2, 3, 5, 10 and 14 of the antisense strand is modified with the 2′-F. In another embodiment, the sugar moiety at each of the positions 2, 3, 5, 7, 10 and 14 of the antisense strand is modified with the 2′-F.


In some embodiments, the antisense strand has 3 nucleotides that are modified at the 2′-position of the sugar moiety with a 2′-F. In some embodiments, the sugar moiety at positions 2, 5 and 14 and optionally up to 3 of the nucleotides at positions 3, 4, 7 and 10 of the antisense strand are modified with a 2′-F. In other embodiments, the sugar moiety at each of positions 2, 5 and 14 of the antisense strand is modified with the 2′-F. In other embodiments, the sugar moiety at each of positions 2, 4, 5 and 14 of the antisense strand is modified with the 2′-F. In still other embodiments, the sugar moiety at each of positions 2, 3, 4, 5, 7 and 14 of the antisense strand is modified with the 2′-F. In yet another embodiment, the sugar moiety at each of positions 2, 3, 4, 5, 10 and 14 of the antisense strand is modified with the 2′-F. In another embodiment, the sugar moiety at each of positions 2, 3, 4, 5, 7, 10 and 14 of the antisense strand is modified with the 2′-F. In some embodiments, the sugar moiety at each of positions 2, 3, 4, 5, 7, 8, 10, 14, 16 and 19 is modified with the 2′-F.


In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein the sugar moiety at one or more positions 2, 3, 4, 5, 7, 10 and 14 of the antisense strand is modified with the 2′-F.


In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein the sugar moiety at one or more positions 2, 3, 4, 5, 7, 8, 10, 14, 16 and 19 of the antisense strand is modified with the 2′-F.


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at positions 2 and 14 modified with 2′-F. In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at positions 2, 5, and 14 modified with 2′-F. In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at positions 1, 2, 5, and 14 modified with 2′-F. In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at positions 1, 2, 3, 5, 7, and 14 modified with 2′-F.


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at positions 1, 2, 3, 5, 10, and 14 modified with 2′-F.


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at positions 2 and 14 modified with 2′-F. In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at positions 2, 5, and 14 modified with 2′-F. In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at positions 2, 4, 5, and 14 modified with 2′-F. In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at positions 2, 3, 4, 5, 7, and 14 modified with 2′-F. In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at positions 2, 3, 4, 5, 10, and 14 modified with 2′-F. In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at positions 2, 3, 4, 5, 7, 10 and 14 modified with 2′-F. In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at positions 2, 3, 4, 5, 7, 8, 10, 14, 16 and 19 modified with 2′-F.


In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein one or more of positions 8, 9, 10 or 11 of the sense strand and one or more positions 2, 3, 4, 5, 7, 10 and 14 of the antisense strand is modified with the 2′-F.


In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein one or more of positions 3, 8, 9, 10, 12, 13 and 17 of the sense strand and one or more positions 2, 3, 4, 5, 7, 8, 10, 14, 16 and 19 of the antisense strand is modified with the 2′-F.


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety of each of the nucleotides at positions 2, 5, and 14 of the antisense strand modified with 2′-F and the sugar moiety of each of the remaining nucleotides of the antisense strand modified with a modification selected from the group consisting of 2′-0-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-0-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA).


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety of each of the nucleotides at positions 1, 2, 5, and 14 of the antisense strand modified with 2′-F and the sugar moiety of each of the remaining nucleotides of the antisense strand modified with a modification selected from the group consisting of 2′-0-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-0-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA).


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety of each of the nucleotides at positions 2, 4, 5, and 14 of the antisense strand modified with 2′-F and the sugar moiety of each of the remaining nucleotides of the antisense strand modified with a modification selected from the group consisting of 2′-0-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-0-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA).


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety of each of the nucleotides at positions 1, 2, 3, 5, 7, and 14 of the antisense strand modified with 2′-F and the sugar moiety of each of the remaining nucleotides of the antisense strand modified with a modification selected from the group consisting of 2′-O-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-O-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA).


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety of each of the nucleotides at positions 2, 3, 4, 5, 7, and 14 of the antisense strand modified with 2′-F and the sugar moiety of each of the remaining nucleotides of the antisense strand modified with a modification selected from the group consisting of 2′-O-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-O-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA).


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety of each of the nucleotides at positions 1, 2, 3, 5, 10, and 14 of the antisense strand modified with 2′-F and the sugar moiety of each of the remaining nucleotides of the antisense strand modified with a modification selected from the group consisting of 2′-O-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-O-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA).


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety of each of the nucleotides at positions 2, 3, 4, 5, 10, and 14 of the antisense strand modified with 2′-F and the sugar moiety of each of the remaining nucleotides of the antisense strand modified with a modification selected from the group consisting of 2′-O-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-O-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA).


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety of each of the nucleotides at positions 2, 3, 5, 7, 10, and 14 of the antisense strand modified with 2′-F and the sugar moiety of each of the remaining nucleotides of the antisense strand modified with a modification selected from the group consisting of 2′-O-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-O-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA).


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety of each of the nucleotides at positions 2, 3, 4, 5, 7, 10, and 14 of the antisense strand modified with 2′-F and the sugar moiety of each of the remaining nucleotides of the antisense strand modified with a modification selected from the group consisting of 2′-O-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-O-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA).


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety of each of the nucleotides at positions 2, 3, 4, 5, 7, 8, 10, 14, 16 and 19 of the antisense strand modified with 2′-F and the sugar moiety of each of the remaining nucleotides of the antisense strand modified with a modification selected from the group consisting of 2′-O-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-O-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA).


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at position 1, position 2, position 3, position 4, position 5, position 6, position 7, position 8, position 9, position 10, position 11, position 12, position 13, position 14, position 15, position 16, position 17, position 18, position 19, position 20, position 21, or position 22 modified with 2′-F.


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at position 1, position 2, position 3, position 4, position 5, position 6, position 7, position 8, position 9, position 10, position 11, position 12, position 13, position 14, position 15, position 16, position 17, position 18, position 19, position 20, position 21, or position 22 modified with 2′-OMe.


In some embodiments, an oligonucleotide provided herein comprises an antisense strand having the sugar moiety at position 1, position 2, position 3, position 4, position 5, position 6, position 7, position 8, position 9, position 10, position 11, position 12, position 13, position 14, position 15, position 16, position 17, position 18, position 19, position 20, position 21, or position 22 modified with a modification selected from the group consisting of 2′-O-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-O-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA).


In some embodiments, an oligonucleotide provided herein comprises a sense strand having the sugar moiety at positions 8-11 modified with 2′-F. In some embodiments, an oligonucleotide provided herein comprises a sense strand having the sugar moiety at positions 3, 8, 9, 10, 12, 13 and 17 modified with 2′-F. In some embodiments, an oligonucleotide provided herein comprises a sense strand having the sugar moiety at positions 1-7 and 12-17 or 12-20 modified with 2′OMe. In some embodiments, an oligonucleotide provided herein comprises a sense strand having the sugar moiety of each of the nucleotides at positions 1-7 and 12-17 or 12-20 of the sense strand modified with a modification selected from the group consisting of 2′-O-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-O-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA). In some embodiments, an oligonucleotide provided herein comprises a sense strand having the sugar moiety at positions 1-2, 4-7, 11, 14-16 and 18-20 modified with 2′OMe. In some embodiments, an oligonucleotide provided herein comprises a sense strand having the sugar moiety of each of the nucleotides at positions 1-2, 4-7, 11, 14-16 and 18-20 of the sense strand modified with a modification selected from the group consisting of 2′-O-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-O-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA).


In some embodiments, an oligonucleotide provided herein comprises a sense strand having the sugar moiety at position 1, position 2, position 3, position 4, position 5, position 6, position 7, position 8, position 9, position 10, position 11, position 12, position 13, position 14, position 15, position 16, position 17, position 18, position 19, position 20, position 21, position 22, position 23, position 24, position 25, position 26, position 27, position 28, position 29, position 30, position 31, position 32, position 33, position 34, position 35, or position 36 modified with 2′-F.


In some embodiments, an oligonucleotide provided herein comprises a sense strand having the sugar moiety at position 1, position 2, position 3, position 4, position 5, position 6, position 7, position 8, position 9, position 10, position 11, position 12, position 13, position 14, position 15, position 16, position 17, position 18, position 19, position 20, position 21, position 22, position 23, position 24, position 25, position 26, position 27, position 28, position 29, position 30, position 31, position 32, position 33, position 34, position 35, or position 36 modified with 2′-OMe.


In some embodiments, an oligonucleotide provided herein comprises a sense strand having the sugar moiety at position 1, position 2, position 3, position 4, position 5, position 6, position 7, position 8, position 9, position 10, position 11, position 12, position 13, position 14, position 15, position 16, position 17, position 18, position 19, position 20, position 21, position 22, position 23, position 24, position 25, position 26, position 27, position 28, position 29, position 30, position 31, position 32, position 33, position 34, position 35, or position 36 modified with a modification selected from the group consisting of 2′-O-propargyl, 2′-O-propylamin, 2′-amino, 2′-ethyl, 2′-aminoethyl (EA), 2′-O-methyl (2′-OMe), 2′-O-methoxyethyl (2′-MOE), 2′-O-[2-(methylamino)-2-oxoethyl] (2′-O-NMA), and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid (2′-FANA).


5′-Terminal Phosphate

In some embodiments, an oligonucleotide described herein comprises a 5′-terminal phosphate. In some embodiments, 5′-terminal phosphate groups of an RNAi oligonucleotide enhance the interaction with Ago2. However, oligonucleotides comprising a 5′-phosphate group may be susceptible to degradation via phosphatases or other enzymes, which can limit their bioavailability in vivo. In some embodiments, an oligonucleotide (e.g., a double-stranded oligonucleotide) herein includes analogs of 5′ phosphates that are resistant to such degradation. In some embodiments, the phosphate analog is oxymethylphosphonate, vinylphosphonate or malonylphosphonate, or a combination thereof. In certain embodiments, the 5′ end of an oligonucleotide strand is attached to chemical moiety that mimics the electrostatic and steric properties of a natural 5′-phosphate group (“phosphate mimic”). In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein the oligonucleotide comprises a 5′-terminal phosphate.


In some embodiments, an oligonucleotide has a phosphate analog at a 4′-carbon position of the sugar (referred to as a “4′-phosphate analog”). See, e.g., Intl. Patent Application Publication No. WO 2018/045317. In some embodiments, an oligonucleotide herein comprises a 4′-phosphate analog at a 5′-terminal nucleotide. In some embodiments, a phosphate analog is an oxymethylphosphonate, in which the oxygen atom of the oxymethyl group is bound to the sugar moiety (e.g., at its 4′-carbon) or analog thereof. In other embodiments, a 4′-phosphate analog is a thiomethylphosphonate or an aminomethylphosphonate, in which the sulfur atom of the thiomethyl group or the nitrogen atom of the amino methyl group is bound to the 4′-carbon of the sugar moiety or analog thereof. In certain embodiments, a 4′-phosphate analog is an oxymethylphosphonate. In some embodiments, an oxymethylphosphonate is represented by the formula —O—CH2—PO(OH)2, —O—CH2—PO(OR)2, or —O—CH2—POOH(R), in which R is independently selected from H, CH3, an alkyl group, CH2CH2CN, CH2OCOC(CH3)3, CH2OCH2CH2Si (CH3)3 or a protecting group. In certain embodiments, the alkyl group is CH2CH3. More typically, R is independently selected from H, CH3 or CH2CH3. In some embodiment, R is CH3. In some embodiments, the 4′-phosphate analog is 5′-methoxyphosphonate-4′-oxy.


In some embodiments, a dsRNAi oligonucleotide provided herein comprises an antisense strand comprising a 4′-phosphate analog at the 5′-terminal nucleotide, wherein 5′-terminal nucleotide comprises the following structure:




embedded image


5′-methoxyphosphonate-4′-oxy-2′-O-methyluridine phosphorothioate [MePhosphonate-4O-mUs]


Modified Internucleotide Linkage

In some embodiments, an oligonucleotide (e.g., a dsRNAi oligonucleotide) herein comprises a modified internucleotide linkage. In some embodiments, phosphate modifications or substitutions result in an oligonucleotide that comprises at least about 1 (e.g., at least 1, at least 2, at least 3 or at least 5) modified internucleotide linkage. In some embodiments, any one of the oligonucleotides disclosed herein comprises about 1 to about 10 (e.g., 1 to 10, 2 to 8, 4 to 6, 3 to 10, 5 to 10, 1 to 5, 1 to 3 or 1 to 2) modified internucleotide linkages. In some embodiments, any one of the oligonucleotides disclosed herein comprises 1, 2, 3, 4, 5, 6, 7, 8, 9 or 10 modified internucleotide linkages.


A modified internucleotide linkage may be a phosphorodithioate linkage, a phosphorothioate linkage, a phosphotriester linkage, a thionoalkylphosphonate linkage, a thionalkylphosphotriester linkage, a phosphoramidite linkage, a phosphonate linkage or a boranophosphate linkage. In some embodiments, at least one modified internucleotide linkage of any one of the oligonucleotides as disclosed herein is a phosphorothioate linkage.


In some embodiments, an oligonucleotide provided herein (e.g., a dsRNAi oligonucleotide) has a phosphorothioate linkage between one or more of positions 1 and 2 of the sense strand, positions 1 and 2 of the antisense strand, positions 2 and 3 of the antisense strand, positions 3 and 4 of the antisense strand, positions 20 and 21 of the antisense strand, and positions 21 and 22 of the antisense strand. In some embodiments, the oligonucleotide described herein has a phosphorothioate linkage between each of positions 1 and 2 of the sense strand, positions 1 and 2 of the antisense strand, positions 2 and 3 of the antisense strand, positions 20 and 21 of the antisense strand, and positions 21 and 22 of the antisense strand. In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein the oligonucleotide comprises a modified internucleotide linkage. In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:
    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and,
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein the oligonucleotide comprises a phosphorothioate linkage between one or more of positions 1 and 2 of the sense strand, positions 1 and 2 of the antisense strand, positions 2 and 3 of the antisense strand, positions 3 and 4 of the antisense strand, positions 20 and 21 of the antisense strand, and positions 21 and 22 of the antisense strand. In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:
    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein the oligonucleotide comprises a phosphorothioate linkage between each of positions 1 and 2 of the sense strand, positions 1 and 2 of the antisense strand, positions 2 and 3 of the antisense strand, positions 20 and 21 of the antisense strand, and positions 21 and 22 of the antisense strand.


Base Modifications

In some embodiments, oligonucleotides herein (e.g., dsRNAi oligonucleotides) have one or more modified nucleobases. In some embodiments, modified nucleobases (also referred to herein as base analogs) are linked at the 1′ position of a nucleotide sugar moiety. In certain embodiments, a modified nucleobase is a nitrogenous base. In certain embodiments, a modified nucleobase does not contain nitrogen atom. See, e.g., US Patent Application Publication No. 2008/0274462. In some embodiments, a modified nucleotide comprises a universal base. In some embodiments, a modified nucleotide does not contain a nucleobase (abasic). In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein the oligonucleotide comprises one or more modified nucleobases.


In some embodiments, a universal base is a heterocyclic moiety located at the 1′ position of a nucleotide sugar moiety in a modified nucleotide, or the equivalent position in a nucleotide sugar moiety substitution, that, when present in a duplex, can be positioned opposite more than one type of base without substantially altering structure of the duplex. In some embodiments, compared to a reference single-stranded nucleic acid (e.g., oligonucleotide) that is fully complementary to a target nucleic acid, a single-stranded nucleic acid containing a universal base forms a duplex with the target nucleic acid that has a lower Tri, than a duplex formed with the complementary nucleic acid. In some embodiments, when compared to a reference single-stranded nucleic acid in which the universal base has been replaced with a base to generate a single mismatch, the single-stranded nucleic acid containing the universal base forms a duplex with the target nucleic acid that has a higher Tm than a duplex formed with the nucleic acid comprising the mismatched base.


Non-limiting examples of universal-binding nucleotides include, but are not limited to, inosine, 1-β-D-ribofuranosyl-5-nitroindole and/or 1-β-D-ribofuranosyl-3-nitropyrrole (see, US Patent Application Publication No. 2007/0254362; Van Aerschot et al. (1995) NUCLEIC ACIDS RES. 23:4363-4370; Loakes et al. (1995) NUCLEIC ACIDS RES. 23:2361-66; and Loakes & Brown (1994) NUCLEIC ACIDS RES. 22:4039-43).


Targeting Ligands

In some embodiments, it is desirable to target the oligonucleotides of the disclosure (e.g., dsRNAi oligonucleotides) to one or more cells or one or more organs. Such a strategy can help to avoid undesirable effects in other organs or avoid undue loss of the oligonucleotide to cells, tissue or organs that would not benefit from the oligonucleotide. Accordingly, in some embodiments, oligonucleotides disclosed herein (e.g., dsRNAi oligonucleotides) are modified to facilitate targeting and/or delivery to a particular tissue, cell, or organ (e.g., to facilitate delivery of the oligonucleotide to the liver). In some embodiments, an oligonucleotide comprises at least one nucleotide (e.g., 1, 2, 3, 4, 5, 6 or more nucleotides) conjugated to one or more targeting ligand(s). In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein the oligonucleotide comprises a targeting ligand conjugated to at least once nucleotide,


In some embodiments, the targeting ligand comprises a carbohydrate, amino sugar, cholesterol, peptide, polypeptide, protein, or part of a protein (e.g., an antibody or antibody fragment), or lipid. In some embodiments, the targeting ligand is an aptamer. For example, a targeting ligand may be an RGD peptide that is used to target tumor vasculature or glioma cells, CREKA peptide to target tumor vasculature or stoma, transferring, lactoferrin, or an aptamer to target transferrin receptors expressed on CNS vasculature, or an anti-EGFR antibody to target EGFR on glioma cells. In certain embodiments, the targeting ligand is one or more GalNAc moieties.


In some embodiments, 1 or more (e.g., 1, 2, 3, 4, 5 or 6) nucleotides of an oligonucleotide are each conjugated to a separate targeting ligand. In some embodiments, 2 to 4 nucleotides of an oligonucleotide are each conjugated to a separate targeting ligand. In some embodiments, targeting ligands are conjugated to 2 to 4 nucleotides at either ends of the sense or antisense strand (e.g., targeting ligands are conjugated to a 2 to 4 nucleotide overhang or extension on the 5′ or 3′ end of the sense or antisense strand) such that the targeting ligands resemble bristles of a toothbrush and the oligonucleotide resembles a toothbrush. For example, an oligonucleotide may comprise a stem-loop at either the 5′ or 3′ end of the sense strand and 1, 2, 3 or 4 nucleotides of the loop of the stem may be individually conjugated to a targeting ligand. In some embodiments, an oligonucleotide (e.g., a dsRNAi oligonucleotide) provided by the disclosure comprises a stem-loop at the 3′ end of the sense strand, wherein the loop of the stem-loop comprises a triloop or a tetraloop, and wherein the 3 or 4 nucleotides comprising the triloop or tetraloop, respectively, are individually conjugated to a targeting ligand.


GalNAc is a high affinity ligand for the ASGPR, which is primarily expressed on the sinusoidal surface of hepatocyte cells and has a major role in binding, internalizing and subsequent clearing circulating glycoproteins that contain terminal galactose or GalNAc residues (asialoglycoproteins). Conjugation (either indirect or direct) of GalNAc moieties to oligonucleotides of the instant disclosure can be used to target these oligonucleotides to the ASGPR expressed on cells. In some embodiments, an oligonucleotide of the instant disclosure is conjugated to at least one or more GalNAc moieties, wherein the GalNAc moieties target the oligonucleotide to an ASGPR expressed on human liver cells (e.g., human hepatocytes). In some embodiments, the GalNAc moiety targets the oligonucleotide to the liver.


In some embodiments, an oligonucleotide of the instant disclosure is conjugated directly or indirectly to a monovalent GalNAc. In some embodiments, the oligonucleotide is conjugated directly or indirectly to more than one monovalent GalNAc (i.e., is conjugated to 2, 3 or 4 monovalent GalNAc moieties, and is typically conjugated to 3 or 4 monovalent GalNAc moieties). In some embodiments, an oligonucleotide is conjugated to one or more bivalent GalNAc, trivalent GalNAc or tetravalent GalNAc moieties.


In some embodiments, 1 or more (e.g., 1, 2, 3, 4, 5 or 6) nucleotides of an oligonucleotide are each conjugated to a GalNAc moiety. In some embodiments, 2 to 4 nucleotides of a tetraloop are each conjugated to a separate GalNAc. In some embodiments, 1 to 3 nucleotides of a triloop are each conjugated to a separate GalNAc. In some embodiments, targeting ligands are conjugated to 2 to 4 nucleotides at either ends of the sense or antisense strand (e.g., ligands are conjugated to a 2 to 4 nucleotide overhang or extension on the 5′ or 3′ end of the sense or antisense strand) such that the GalNAc moieties resemble bristles of a toothbrush and the oligonucleotide resembles a toothbrush. In some embodiments, GalNAc moieties are conjugated to a nucleotide of the sense strand. For example, three (3) or four (4) GalNAc moieties can be conjugated to nucleotides in the tetraloop of the sense strand where each GalNAc moiety is conjugated to 1 nucleotide.


In some embodiments, the tetraloop is any combination of adenine and guanine nucleotides.


In some embodiments, the tetraloop (L) has a monovalent GalNAc moiety attached to any one or more guanine nucleotides of the tetraloop via any linker described herein, as depicted below (X=heteroatom):




embedded image


In some embodiments, the tetraloop (L) has a monovalent GalNAc attached to any one or more adenine nucleotides of the tetraloop via any linker described herein, as depicted below (X=heteroatom):




embedded image


In some embodiments, an oligonucleotide herein comprises a monovalent GalNAc attached to a guanine nucleotide referred to as [ademG-GalNAc] or 2′-aminodiethoxymethanol-Guanine-GalNAc, as depicted below:




embedded image


In some embodiments, an oligonucleotide herein comprises a monovalent GalNAc attached to an adenine nucleotide, referred to as [ademA-GalNAc] or 2′-aminodiethoxymethanol-Adenine-GalNAc, as depicted below:




embedded image


An example of such conjugation is shown below for a loop comprising from 5′ to 3′ the nucleotide sequence GAAA (L=linker, X=heteroatom). Such a loop may be present, for example, at positions 27-30 of a sense strand provided herein, as shown in FIGS. 2 and 4A. In the chemical formula,




embedded image


is used to describe an attachment point to the oligonucleotide strand.




embedded image


Appropriate methods or chemistry (e.g., click chemistry) can be used to link a targeting ligand to a nucleotide. In some embodiments, a targeting ligand is conjugated to a nucleotide using a click linker. In some embodiments, an acetal-based linker is used to conjugate a targeting ligand to a nucleotide of any one of the oligonucleotides described herein. Acetal-based linkers are disclosed, for example, in Intl. Patent Application Publication No. WO 2016/100401. In some embodiments, the linker is a labile linker. However, in other embodiments, the linker is stable. Examples are shown below for a loop comprising from 5′ to 3′ the nucleotides GAAA, in which GalNAc moieties are attached to nucleotides of the loop using an acetal linker. Such a loop may be present, for example, at positions 27-30 of the sense strand as shown in FIGS. 2 and 4A. In the chemical formula,




embedded image


is an attachment point to the oligonucleotide strand.




embedded image


embedded image


As mentioned, various appropriate methods or chemistry synthetic techniques (e.g., click chemistry) can be used to link a targeting ligand to a nucleotide. In some embodiments, a targeting ligand is conjugated to a nucleotide using a click linker. In some embodiments, an acetal-based linker is used to conjugate a targeting ligand to a nucleotide of any one of the oligonucleotides described herein. Acetal-based linkers are disclosed, for example, in Intl. Patent Application Publication No. WO 2016/100401. In some embodiments, the linker is a labile linker. However, in other embodiments, the linker is a stable linker.


In some embodiments, a duplex extension (e.g., of up to 3, 4, 5 or 6 bp in length) is provided between a targeting ligand (e.g., a GalNAc moiety) and a dsRNA. In some embodiments, the oligonucleotides herein (e.g., dsRNAi oligonucleotides) do not have a GalNAc conjugated thereto.


In some embodiments, the sense and antisense strands of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein the oligonucleotide comprises at least one GalNAc moiety conjugated to a nucleotide.


      Exemplary KHK-Targeting dsRNAi Oligonucleotides


In some embodiments, the disclosure provides dsRNAi oligonucleotides that target KHK mRNA and reduce KHK expression (referred to herein as KHK-targeting dsRNAi oligonucleotides), wherein the oligonucleotides comprise a sense strand and an antisense strand that form a duplex region, and wherein the antisense strand comprises a region of complementarity to KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is at least 15 contiguous nucleotides in length. In some embodiments, the disclosure provides dsRNAi oligonucleotides that target KHK mRNA and reduce KHK expression (referred to herein as KHK-targeting dsRNAi oligonucleotides), wherein the oligonucleotides comprise a sense strand and an antisense strand that form a duplex region, and wherein the antisense strand comprises a region of complementarity to KHK mRNA target sequence of nucleotides 1-19 of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is at least 15 contiguous nucleotides in length. In some embodiments, the region of complementarity is 15-20 nucleotides in length. In some embodiments, the region of complementarity is 15 nucleotides, 16 nucleotides, 17 nucleotides, 18 nucleotides, 19 nucleotides, or 20 nucleotides in length. In some embodiments, the region of complementarity is at least 19 contiguous nucleotides in length. In some embodiments, the region of complementarity is at least 20 nucleotides in length. In some embodiments, the region of complementarity is 19 nucleotides in length. In some embodiments, the region of complementarity is 20 nucleotides in length.


In some embodiments, the sense strand is 15 to 50 nucleotides in length. In some embodiments, the sense strand is 18 to 36 nucleotides in length. In some embodiments, the sense strand comprises a nucleotide sequence selected from SEQ ID NOs: 909, 894, 897, 892, 891 and 887, and is 15 to 50 nucleotides in length. In some embodiments, the sense strand is 36 nucleotides in length. In some embodiments, the antisense strand is 15 to 30 nucleotides in length. In some embodiments, the antisense strand comprises a nucleotide sequence selected from SEQ ID NOs: 936, 920, 923, 917, 918 and 913, and is 15 to 50 nucleotides in length. In some embodiments, the antisense strand is 22 nucleotides in length. In some embodiments, the sense strand is 36 nucleotides in length and the antisense strand is 22 nucleotides in length and the sense and antisense strand form a duplex region that is at least 19 nucleotides in length. In some embodiments, the duplex region is 20 nucleotides in length.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides for reducing KHK expression provided by the disclosure comprise a stem-loop set forth as S1-L-S2, wherein S1 is complementary to S2, and wherein L forms a loop between S1 and S2 of 3-5 nucleotides in length. In some embodiments, 51 and S2 are 1-10 nucleotides in length and are the same length. In some embodiments, 51 and S2 are 1 nucleotide, 2 nucleotides, 3 nucleotides, 4 nucleotides, 5 nucleotides, 6 nucleotides, 7 nucleotides, 8 nucleotides, 9 nucleotides, or 10 nucleotides in length. In some embodiments, 51 and S2 are 6 nucleotides in length. In some embodiments the loop is 3 nucleotides in length. In some embodiments, the loop is 4 nucleotides in length. In some embodiments, the loop is 5 nucleotides in length. In some embodiments, L is a triloop or a tetraloop. In some embodiments, L is a triloop. In some embodiments, L is a tetraloop. In some embodiments, the tetraloop comprises the sequence 5′-GAAA-3′. In some embodiments, the stem loop comprises the sequence 5′-GCAGCCGAAAGGCUGC-3′ (SEQ ID NO: 871). In some embodiments, up to 4 nucleotides comprising L are each conjugated to a targeting ligand. In some embodiments, 1 nucleotide, 2 nucleotides, 3 nucleotides, or 4 nucleotides comprising L are each conjugated to a targeting ligand. In some embodiments, 3 nucleotides comprising L are each conjugated to a targeting ligand. In some embodiments, L is a tetraloop comprising the sequence 5′-GAAA-3′, wherein each adenosine (A) nucleoside comprising the tetraloop is conjugated to a targeting ligand comprising a monovalent N-acetylgalactosamine (GalNAc) moiety.


In some embodiments, the antisense strand comprises a 3′ overhang of one or more nucleotides in length. In some embodiments, the 3′ overhang is two (2) nucleotides in length. In some embodiments, the sequence of the 3′ overhang is 5′-GG-3′.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides for reducing KHK expression provided by the disclosure comprise a sense strand of 36 nucleotides in length and an antisense strand of 22 nucleotides in length, wherein the sense strand and the antisense strand form a duplex region of at least 19 nucleotides in length, optionally 20 nucleotides in length, wherein the 3′ end of the sense strand comprises a stem-loop set forth as S1-L-S2, wherein S1 is complementary to S2, and wherein L forms a loop between S1 and S2 of 3-5 nucleotides in length, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is 19 contiguous nucleotides in length, optionally 20 nucleotides in length. In some embodiments, the KHK-targeting dsRNAi oligonucleotides for reducing KHK expression provided by the disclosure comprise a sense strand of 36 nucleotides in length and an antisense strand of 22 nucleotides in length, wherein the sense strand and the antisense strand form a duplex region of at least 19 nucleotides in length, optionally 20 nucleotides in length, wherein the 3′ end of the sense strand comprises a stem-loop set forth as S1-L-S2, wherein S1 is complementary to S2, and wherein L forms a loop between S1 and S2 of 3-5 nucleotides in length, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of nucleotides 1-19 of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is 19 contiguous nucleotides in length, optionally 20 nucleotides in length.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides for reducing KHK expression provided by the disclosure comprises at least one modified nucleotide. In some embodiments, the modified nucleotide comprises a five (5) carbon sugar (e.g., ribose) with a 2′-modification. In some embodiments, the 2′-modification is a modification selected from 2′-aminoethyl, 2′-fluoro, 2′-O-methyl, 2′-O-methoxyethyl, and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid. In some embodiments, the 2′-modification is 2′-fluoro or 2′-O-methyl. In some embodiments, all nucleotides comprising the KHK-targeting dsRNAi oligonucleotides are modified. In some embodiments, all nucleotides comprising the KHK-targeting dsRNAi oligonucleotides are modified with a 2′-modification selected from 2′-fluoro and 2′-O-methyl. In some embodiments, all nucleotides comprising the KHK-targeting dsRNAi oligonucleotides are modified with a combination of 2′-fluoro and 2′-O-methyl. In some embodiments, the sense and antisense strand of an oligonucleotide comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 909 and 936, respectively;
    • (b) SEQ ID NOs: 894 and 920, respectively;
    • (c) SEQ ID NOs: 897 and 923, respectively;
    • (d) SEQ ID NOs: 892 and 918, respectively;
    • (e) SEQ ID NOs: 891 and 917, respectively; and
    • (f) SEQ ID NOs: 887 and 913, respectively;


      wherein the oligonucleotide is modified with a combination of 2′-fluoro and 2′-O-methyl.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides comprises at least one modified internucleotide linkage. In some embodiments, the at least one modified internucleotide linkage is a phosphorothioate linkage.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides comprise an antisense strand wherein the 4′-carbon of the sugar of the 5′-terminal nucleotide of the antisense strand comprises a phosphate analog. In some embodiments, the phosphate analog is oxymethylphosphonate, vinylphosphonate or malonylphosphonate. In some embodiments, the phosphate analog is a 4′-phosphate analog comprising 5′-methoxyphosphonate-4′-oxy.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides for reducing KHK expression provided by the disclosure comprise a sense strand and an antisense strand, wherein all nucleotides comprising the sense strand and antisense strand are modified, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is at least 15 contiguous nucleotides in length. In some embodiments, the KHK-targeting dsRNAi oligonucleotides for reducing KHK expression provided by the disclosure comprise a sense strand and an antisense strand, wherein all nucleotides comprising the sense strand and antisense strand are modified, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of nucleotides 1-19 of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is at least 15 contiguous nucleotides in length. In some embodiments, the 5′-terminal nucleotide of the antisense strand comprises 5′-methoxyphosphonate-4′-oxy-2′-O-methyluridine [MePhosphonate-4O-mU], as described herein. In some embodiments, the 5′-terminal nucleotide of the antisense strand comprises a phosphorothioate linkage. In some embodiments, the antisense strand and the sense strand comprise one or more 2′-fluoro (2′-F) and 2′-O-methyl (2′-OMe) modified nucleotides and at least one phosphorothioate linkage. In some embodiments, the antisense strand comprises four (4) phosphorothioate linkages and the sense strand comprises one (1) phosphorothioate linkage. In some embodiments, the antisense strand comprises five (5) phosphorothioate linkages and the sense strand comprises one (1) phosphorothioate linkage.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides for reducing KHK expression comprise:


a sense strand comprising a 2′-F modified nucleotide at positions 8-11, a 2′-OMe modified nucleotide at positions 1-7, 12-27, and 31-36, a GalNAc-conjugated nucleotide at position 28, 29 and 30; and a phosphorothioate linkage between positions 1 and 2;


an antisense strand comprising a 2′-F modified nucleotide at positions 2, 3, 4, 5, 7, 10 and 14, a 2′-OMe at positions 1, 6, 8, 9, 11-13, and 15-22, a phosphorothioate linkage between positions 1 and 2, positions 2 and 3, positions 3 and 4, positions 20 and 21, and positions 21 and 22, and a 5′-terminal nucleotide at position 1 comprising a 4′-phosphate analog, optionally wherein the 5′-terminal nucleotide comprises 5′-methoxyphosphonate-4′-oxy-2′-O-methyluridine [MePhosphonate-4O-mU]; wherein positions 1-20 of the antisense strand form a duplex region with positions 1-20 of the sense strand, wherein positions 21-36 of the sense strand form a stem-loop, wherein positions 27-30 form the loop of the stem-loop, optionally wherein positions 27-30 comprise a tetraloop, wherein positions 21 and 22 of the antisense strand comprise an overhang, and wherein the sense strand and antisense strands comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 886 and 912, respectively;
    • (b) SEQ ID NOs: 887 and 913, respectively;
    • (c) SEQ ID NOs: 910 and 937, respectively;
    • (d) SEQ ID NOs: 888 and 914, respectively;
    • (e) SEQ ID NOs: 889 and 915, respectively;
    • (f) SEQ ID NOs: 890 and 916, respectively;
    • (g) SEQ ID NOs: 891 and 917, respectively;
    • (h) SEQ ID NOs: 877 and 884, respectively;
    • (i) SEQ ID NOs: 878 and 930, respectively;
    • (j) SEQ ID NOs: 876 and 883, respectively;
    • (k) SEQ ID NOs: 875 and 882, respectively;
    • (l) SEQ ID NOs: 892 and 918, respectively;
    • (m) SEQ ID NOs: 893 and 919, respectively;
    • (n) SEQ ID NOs: 894 and 920, respectively;
    • (o) SEQ ID NOs: 904 and 931, respectively;
    • (p) SEQ ID NOs: 895 and 921, respectively;
    • (q) SEQ ID NOs: 905 and 932, respectively;
    • (r) SEQ ID NOs: 896 and 922, respectively;
    • (s) SEQ ID NOs: 911 and 938, respectively;
    • (t) SEQ ID NOs: 906 and 933, respectively;
    • (u) SEQ ID NOs: 897 and 923, respectively;
    • (v) SEQ ID NOs: 907 and 934, respectively;
    • (w) SEQ ID NOs: 908 and 935, respectively;
    • (x) SEQ ID NOs: 903 and 929, respectively;
    • (y) SEQ ID NOs: 901 and 927, respectively;
    • (z) SEQ ID NOs: 874 and 881, respectively;
    • (aa) SEQ ID NOs: 902 and 928, respectively;
    • (bb) SEQ ID NOs: 873 and 880, respectively;
    • (cc) SEQ ID NOs: 872 and 879, respectively;
    • (dd) SEQ ID NOs: 898 and 924, respectively;
    • (ee) SEQ ID NOs: 899 and 925, respectively
    • (ff) SEQ ID NOs: 900 and 926, respectively; and
    • (gg) SEQ ID NOs: 909 and 936, respectively.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides for reducing KHK expression comprise:


a sense strand comprising a 2′-F modified nucleotide at positions 8-11, a 2′-OMe modified nucleotide at positions 1-7, 12-27, and 31-36, a GalNAc-conjugated nucleotide at position 28, 29 and 30; and a phosphorothioate linkage between positions 1 and 2;


an antisense strand comprising a 2′-F modified nucleotide at positions 2, 3, 4, 5, 7, 10 and 14, a 2′-OMe at positions 1, 6, 8, 9, 11-13, and 15-22, a phosphorothioate linkage between positions 1 and 2, positions 2 and 3, positions 20 and 21, and positions 21 and 22, and a 5′-terminal nucleotide at position 1 comprising a 4′-phosphate analog, optionally wherein the 5′-terminal nucleotide comprises 5′-methoxyphosphonate-4′-oxy-2′-O-methyluridine [MePhosphonate-4O-mU]; wherein positions 1-20 of the antisense strand form a duplex region with positions 1-20 of the sense strand, wherein positions 21-36 of the sense strand form a stem-loop, wherein positions 27-30 form the loop of the stem-loop, optionally wherein positions 27-30 comprise a tetraloop, wherein positions 21 and 22 of the antisense strand comprise an overhang, and wherein the sense strand and antisense strands comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 886 and 912, respectively;
    • (b) SEQ ID NOs: 887 and 913, respectively;
    • (c) SEQ ID NOs: 910 and 937, respectively;
    • (d) SEQ ID NOs: 888 and 914, respectively;
    • (e) SEQ ID NOs: 889 and 915, respectively;
    • (f) SEQ ID NOs: 890 and 916, respectively;
    • (g) SEQ ID NOs: 891 and 917, respectively;
    • (h) SEQ ID NOs: 877 and 884, respectively;
    • (i) SEQ ID NOs: 878 and 930, respectively;
    • (j) SEQ ID NOs: 876 and 883, respectively;
    • (k) SEQ ID NOs: 875 and 882, respectively;
    • (l) SEQ ID NOs: 892 and 918, respectively;
    • (m) SEQ ID NOs: 893 and 919, respectively;
    • (n) SEQ ID NOs: 894 and 920, respectively;
    • (o) SEQ ID NOs: 904 and 931, respectively;
    • (p) SEQ ID NOs: 895 and 921, respectively;
    • (q) SEQ ID NOs: 905 and 932, respectively;
    • (r) SEQ ID NOs: 896 and 922, respectively;
    • (s) SEQ ID NOs: 911 and 938, respectively;
    • (t) SEQ ID NOs: 906 and 933, respectively;
    • (u) SEQ ID NOs: 897 and 923, respectively;
    • (v) SEQ ID NOs: 907 and 934, respectively;
    • (w) SEQ ID NOs: 908 and 935, respectively;
    • (x) SEQ ID NOs: 903 and 929, respectively;
    • (y) SEQ ID NOs: 901 and 927, respectively;
    • (z) SEQ ID NOs: 874 and 881, respectively;
    • (aa) SEQ ID NOs: 902 and 928, respectively;
    • (bb) SEQ ID NOs: 873 and 880, respectively;
    • (cc) SEQ ID NOs: 872 and 879, respectively;
    • (dd) SEQ ID NOs: 898 and 924, respectively;
    • (ee) SEQ ID NOs: 899 and 925, respectively
    • (ff) SEQ ID NOs: 900 and 926, respectively; and
    • (gg) SEQ ID NOs: 909 and 936, respectively


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprises a sense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 887 and an antisense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 913. In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprises a sense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 891 and an antisense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 917. In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprises a sense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 892 and an antisense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 918. In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprises a sense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 894 and an antisense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 920. In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprises a sense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 897 and an antisense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 923. In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprises a sense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 909 and an antisense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 936.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 948; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 949; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 950; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 951; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 952; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 953; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 948; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand and a stem-loop at the 3′terminus, wherein the stem-loop is set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 949; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand and a stem-loop at the 3′terminus, wherein the stem-loop is set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 950; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand and a stem-loop at the 3′terminus, wherein the stem-loop is set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 951; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand and a stem-loop at the 3′terminus, wherein the stem-loop is set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 952; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand and a stem-loop at the 3′terminus, wherein the stem-loop is set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 953; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand and a stem-loop at the 3′terminus, wherein the stem-loop is set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 948; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand, wherein the region of complementarity to the antisense strand is set forth in SEQ ID NO: 942, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 949; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand, wherein the region of complementarity to the antisense strand is set forth in SEQ ID NO: 943, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 950; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand, wherein the region of complementarity to the antisense strand is set forth in SEQ ID NO: 944, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 951; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand, wherein the region of complementarity to the antisense strand is set forth in SEQ ID NO: 945, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 952; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand, wherein the region of complementarity to the antisense strand is set forth in SEQ ID NO: 946, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 953; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand, wherein the region of complementarity to the antisense strand is set forth in SEQ ID NO: 947, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 948; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand and a stem-loop at the 3′terminus, wherein the region of complementarity to the antisense strand is set forth in SEQ ID NO: 942, wherein the stem-loop is set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 949; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand and a stem-loop at the 3′terminus, wherein the region of complementarity to the antisense strand is set forth in SEQ ID NO: 943, wherein the stem-loop is set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 950; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand and a stem-loop at the 3′terminus, wherein the region of complementarity to the antisense strand is set forth in SEQ ID NO: 944, wherein the stem-loop is set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 951; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand and a stem-loop at the 3′terminus, wherein the region of complementarity to the antisense strand is set forth in SEQ ID NO: 945, wherein the stem-loop is set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 952; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand and a stem-loop at the 3′terminus, wherein the region of complementarity to the antisense strand is set forth in SEQ ID NO: 946, wherein the stem-loop is set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is set forth in SEQ ID NO: 953; and (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand and a stem-loop at the 3′terminus, wherein the region of complementarity to the antisense strand is set forth in SEQ ID NO: 947, wherein the stem-loop is set forth as S1-L-S2, wherein S1 is complementary to S2 and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises the modification pattern of:

    • Sense Strand: 5′-mX-S-mX-mX-mX-mX-mX-mX-fX-fX-fX-fX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mX-mX-mX-mX-mX-mX-3′.


Hybridized to:

    • Antisense Strand: 5′-[MePhosphonate-4O-mX]-S-fX-S-fX-S-fX-fX-mX-fX-mX-mX-fX-mX-mX-mX-fX-mX-mX-mX-mX-mX-mX-S-mX-S-mX-3′;


      wherein mX=2′-O-methyl modified nucleotide, fX=2′-fluoro modified nucleotide, —S—=phosphorothioate linkage, −=phosphodiester linkage, [MePhosphonate-4O-mX]=5′-methoxyphosphonate-4-oxy modified nucleotide, and ademA-GalNAc=GalNAc attached to an adenine nucleotide


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression comprises the modification pattern of

    • Sense Strand: 5′-mX-S-mX-fX-mX-mX-mX-mX-fX-fX-fX-mX-fX-fX-mX-mX-mX-fX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mX-mX-mX-mX-mX-mX-3′.


Hybridized to:

    • Antisense Strand: 5′-[MePhosphonate-4O-mX]-S-fX-S-fX- S-fX-fX-mX-fX-fX-mX-fX-mX-mX-mX-fX-mX-fX-mX-mX-fX-mX-S-mX-S-mX-3′;


wherein mX=2′-O-methyl modified nucleotide, fX=2′-fluoro modified nucleotide, —S—=phosphorothioate linkage, −=phosphodiester linkage, [MePhosphonate-4O-mX]=5′-methoxyphosphonate-4-oxy modified nucleotide, and ademA-GalNAc=GalNAc attached to an adenine nucleotide


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprising a sense strand selected from SEQ ID NOs:774-804 and antisense strand selected from SEQ ID NOs: 819-849. In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprises a sense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 775 and an antisense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 820. In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprises a sense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 779 and an antisense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 824. In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprises a sense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 780 and an antisense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 825. In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprises a sense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 782 and an antisense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 827. In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprises a sense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 785 and an antisense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 830. In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprises a sense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 804 and an antisense strand comprising the nucleotide sequence as set forth in SEQ ID NO: 849.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides sense and antisense strands comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 774 and 819, respectively;
    • (b) SEQ ID NOs: 775 and 820, respectively;
    • (c) SEQ ID NOs: 776 and 821, respectively;
    • (d) SEQ ID NOs: 777 and 822, respectively;
    • (e) SEQ ID NOs: 778 and 823, respectively;
    • (f) SEQ ID NOs: 779 and 824, respectively;
    • (g) SEQ ID NOs: 780 and 825, respectively;
    • (h) SEQ ID NOs: 781 and 826, respectively;
    • (i) SEQ ID NOs: 782 and 827, respectively;
    • (j) SEQ ID NOs: 783 and 828, respectively;
    • (k) SEQ ID NOs: 784 and 829, respectively;
    • (l) SEQ ID NOs: 785 and 830, respectively;
    • (m) SEQ ID NOs: 786 and 831, respectively;
    • (n) SEQ ID NOs: 787 and 832, respectively;
    • (o) SEQ ID NOs: 788 and 833, respectively;
    • (p) SEQ ID NOs: 789 and 834, respectively;
    • (q) SEQ ID NOs: 790 and 835, respectively;
    • (r) SEQ ID NOs: 791 and 836, respectively;
    • (s) SEQ ID NOs: 792 and 837, respectively;
    • (t) SEQ ID NOs: 793 and 838, respectively;
    • (u) SEQ ID NOs: 794 and 839, respectively;
    • (v) SEQ ID NOs: 795 and 840, respectively;
    • (w) SEQ ID NOs: 796 and 841, respectively;
    • (x) SEQ ID NOs: 797 and 842, respectively;
    • (y) SEQ ID NOs: 798 and 843, respectively;
    • (z) SEQ ID NOs: 799 and 844, respectively;
    • (aa) SEQ ID NOs: 800 and 845, respectively;
    • (bb) SEQ ID NOs: 801 and 846, respectively;
    • (cc) SEQ ID NOs: 802 and 847, respectively;
    • (dd) SEQ ID NOs: 803 and 848, respectively; and
    • (ee) SEQ ID NOs: 804 and 849, respectively.


In some embodiments, a KHK-targeting dsRNAi oligonucleotide for reducing KHK expression provided by the disclosure comprising a sense strand selected from SEQ ID NOs:805-818 and an antisense strand selected from SEQ ID NOs: 850-863.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides sense and antisense strands comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 805 and 850, respectively;
    • (b) SEQ ID NOs: 806 and 851, respectively;
    • (c) SEQ ID NOs: 807 and 852, respectively;
    • (d) SEQ ID NOs: 808 and 853, respectively;
    • (e) SEQ ID NOs: 809 and 854, respectively;
    • (f) SEQ ID NOs: 810 and 855, respectively;
    • (g) SEQ ID NOs: 811 and 856, respectively;
    • (h) SEQ ID NOs: 812 and 857, respectively;
    • (i) SEQ ID NOs: 813 and 858, respectively;
    • (j) SEQ ID NOs: 814 and 859, respectively;
    • (k) SEQ ID NOs: 815 and 860, respectively;
    • (l) SEQ ID NOs: 816 and 861, respectively;
    • (m) SEQ ID NOs: 817 and 862, respectively and;
    • (n) SEQ ID NOs: 818 and 863, respectively.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides comprise a sense strand comprising SEQ ID NO: 775 and an antisense strand comprising SEQ ID NO: 820, wherein said dsRNA is in the form of a conjugate having the structure as shown in FIG. 10A continuing to FIG. 10B, or pharmaceutically acceptable salts thereof.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides comprise a sense strand comprising SEQ ID NO: 779 and an antisense strand comprising SEQ ID NO: 824, wherein said dsRNA is in the form of a conjugate having as shown in FIG. 11A continuing to FIG. 11B, or pharmaceutically acceptable salts thereof.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides comprise a sense strand comprising SEQ ID NO: 780 and an antisense strand comprising SEQ ID NO: 825, wherein said dsRNA is in the form of a conjugate as depicted in FIG. 12A continuing to FIG. 12B, or pharmaceutically acceptable salts thereof.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides comprise a sense strand comprising SEQ ID NO: 782 and an antisense strand comprising SEQ ID NO: 827, wherein said dsRNA is in the form of a conjugate having the structures depicted in FIG. 13A continuing to FIG. 13B, or pharmaceutically acceptable salts thereof.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides comprise a sense strand comprising SEQ ID NO: 785 and an antisense strand comprising SEQ ID NO: 830, wherein said dsRNA is in the form of a conjugate having the structures depicted in FIG. 14A continuing to FIG. 14B, or pharmaceutically acceptable salts thereof.


In some embodiments, the KHK-targeting dsRNAi oligonucleotides comprise a sense strand comprising SEQ ID NO: 804 and an antisense strand comprising SEQ ID NO: 849, wherein said dsRNA is in the form of a conjugate having the structures depicted in FIG. 15A continuing to FIG. 15B, or pharmaceutically acceptable salts thereof.


Formulations

Various formulations have been developed to facilitate oligonucleotide use. For example, oligonucleotides (e.g., dsRNAi oligonucleotides) can be delivered to a subject or a cellular environment using a formulation that minimizes degradation, facilitates delivery and/or uptake, or provides another beneficial property to the oligonucleotides in the formulation. In some embodiments, provided herein are compositions comprising oligonucleotides (e.g., dsRNAi oligonucleotides) reduce the expression of KHK. Such compositions can be suitably formulated such that when administered to a subject, either into the immediate environment of a target cell or systemically, a sufficient portion of the oligonucleotides enter the cell to reduce KHK expression. Any variety of suitable oligonucleotide formulations can be used to deliver oligonucleotides for the reduction of KHK as disclosed herein. In some embodiments, an oligonucleotide is formulated in buffer solutions such as phosphate buffered saline solutions, liposomes, micellar structures, and capsids. Any of the oligonucleotides described herein may be provided not only as nucleic acids, but also in the form of a pharmaceutically acceptable salt.


Formulations of oligonucleotides with cationic lipids can be used to facilitate transfection of the oligonucleotides into cells. For example, cationic lipids, such as lipofectin, cationic glycerol derivatives, and polycationic molecules (e.g., polylysine), can be used. Suitable lipids include Oligofectamine, Lipofectamine (Life Technologies), NC388 (Ribozyme Pharmaceuticals, Inc., Boulder, Colo.), or FuGene 6 (Roche) all of which can be used according to the manufacturer's instructions.


Accordingly, in some embodiments, a formulation comprises a lipid nanoparticle. In some embodiments, an excipient comprises a liposome, a lipid, a lipid complex, a microsphere, a microparticle, a nanosphere or a nanoparticle, or may be otherwise formulated for administration to the cells, tissues, organs, or body of a subject in need thereof (see, e.g., Remington: THE SCIENCE AND PRACTICE OF PHARMACY, 22nd edition, Pharmaceutical Press, 2013).


In some embodiments, the formulations herein comprise an excipient. In some embodiments, an excipient confers to a composition improved stability, improved absorption, improved solubility and/or therapeutic enhancement of the active ingredient. In some embodiments, an excipient is a buffering agent (e.g., sodium citrate, sodium phosphate, a tris base, or sodium hydroxide) or a vehicle (e.g., a buffered solution, petrolatum, dimethyl sulfoxide, or mineral oil). In some embodiments, an oligonucleotide is lyophilized for extending its shelf-life and then made into a solution before use (e.g., administration to a subject). Accordingly, an excipient in a composition comprising any one of the oligonucleotides described herein may be a lyoprotectant (e.g., mannitol, lactose, polyethylene glycol or polyvinylpyrrolidone) or a collapse temperature modifier (e.g., dextran, Ficoll™ or gelatin).


In some embodiments, a pharmaceutical composition is formulated to be compatible with its intended route of administration. Examples of routes of administration include parenteral (e.g., intravenous, intramuscular, intraperitoneal, intradermal, subcutaneous), oral (e.g., inhalation), transdermal (e.g., topical), transmucosal and rectal administration.


Pharmaceutical compositions suitable for injectable use include sterile aqueous solutions (where water soluble) or dispersions and sterile powders for the extemporaneous preparation of sterile injectable solutions or dispersions. For intravenous administration, suitable carriers include physiological saline, bacteriostatic water, Cremophor EL™ (BASF, Parsippany, N.J.) or phosphate buffered saline (PBS). The carrier can be a solvent or dispersion medium containing, for example, water, ethanol, polyol (e.g., glycerol, propylene glycol, and liquid polyethylene glycol, and the like), and suitable mixtures thereof. In many cases, it will be preferable to include isotonic agents, for example, sugars, polyalcohols such as mannitol, sorbitol, sodium chloride in the composition. Sterile injectable solutions can be prepared by incorporating the oligonucleotides in a required amount in a selected solvent with one or a combination of ingredients enumerated above, as required, followed by filtered sterilization.


In some embodiments, a composition may contain at least about 0.1% of the therapeutic agent (e.g., a dsRNAi oligonucleotide for reducing KHK expression) or more, although the percentage of the active ingredient(s) may be between about 1% to about 80% or more of the weight or volume of the total composition. Factors such as solubility, bioavailability, biological half-life, route of administration, product shelf life, as well as other pharmacological considerations will be contemplated by one skilled in the art of preparing such pharmaceutical formulations, and as such, a variety of dosages and treatment regimens may be desirable.


Methods of Use
Reducing KHK Expression

In some embodiments, the disclosure provides methods for contacting or delivering to a cell or population of cells an effective amount of oligonucleotides (e.g., dsRNAi oligonucleotides) herein to reduce KHK expression. In some embodiments, a reduction of KHK expression is determined by measuring a reduction in the amount or level of KHK mRNA, KHK protein, or KHK activity in a cell. The methods include those described herein and known to one of ordinary skill in the art.


Methods provided herein are useful in any appropriate cell type. In some embodiments, a cell is any cell that expresses KHK mRNA (e.g., hepatocytes). In some embodiments, the cell is a primary cell obtained from a subject. In some embodiments, the primary cell has undergone a limited number of passages such that the cell substantially maintains its natural phenotypic properties. In some embodiments, a cell to which the oligonucleotide is delivered is ex vivo or in vitro (i.e., can be delivered to a cell in culture or to an organism in which the cell resides).


In some embodiments, the oligonucleotides herein are delivered to a cell or population of cells using a nucleic acid delivery method known in the art including, but not limited to, injection of a solution containing the oligonucleotides, bombardment by particles covered by the oligonucleotides, exposing the cell or population of cells to a solution containing the oligonucleotides, or electroporation of cell membranes in the presence of the oligonucleotides. Other methods known in the art for delivering oligonucleotides to cells may be used, such as lipid-mediated carrier transport, chemical-mediated transport, and cationic liposome transfection such as calcium phosphate, and others.


In some embodiments, reduction of KHK expression is determined by an assay or technique that evaluates one or more molecules, properties, or characteristics of a cell or population of cells associated with KHK expression, or by an assay or technique that evaluates molecules that are directly indicative of KHK expression in a cell or population of cells (e.g., KHK mRNA or KHK protein). In some embodiments, the extent to which an oligonucleotide provided herein reduces KHK expression is evaluated by comparing KHK expression in a cell or population of cells contacted with the oligonucleotide to an appropriate control (e.g., an appropriate cell or population of cells not contacted with the oligonucleotide or contacted with a control oligonucleotide). In some embodiments, a control amount or level of KHK expression in a control cell or population of cells is predetermined, such that the control amount or level need not be measured in every instance the assay or technique is performed. The predetermined level or value can take a variety of forms. In some embodiments, a predetermined level or value can be single cut-off value, such as a median or mean.


In some embodiments, contacting or delivering an oligonucleotide (e.g., dsRNAi oligonucleotides) described herein to a cell or a population of cells results in a reduction in KHK expression in a cell or population of cells not contacted with the oligonucleotide or contacted with a control oligonucleotide. In some embodiments, the reduction in KHK expression is about 1% or lower, about 5% or lower, about 10% or lower, about 15% or lower, about 20% or lower, about 25% or lower, about 30% or lower, about 35% or lower, about 40% or lower, about 45% or lower, about 50% or lower, about 55% or lower, about 60% or lower, about 70% or lower, about 80% or lower, or about 90% or lower relative to a control amount or level of KHK expression. In some embodiments, the control amount or level of KHK expression is an amount or level of KHK mRNA and/or KHK protein in a cell or population of cells that has not been contacted with an oligonucleotide herein. In some embodiments, the effect of delivery of an oligonucleotide to a cell or population of cells according to a method herein is assessed after any finite period or amount of time (e.g., minutes, hours, days, weeks, months). For example, in some embodiments, KHK expression is determined in a cell or population of cells at least about 4 hours, about 8 hours, about 12 hours, about 18 hours, about 24 hours; or at least about 1 day, about 2 days, about 3 days, about 4 days, about 5 days, about 6 days, about 7 days, about 8 days, about 9 days, about 10 days, about 11 days, about 12 days, about 13 days, about 14 days, about 21 days, about 28 days, about 35 days, about 42 days, about 49 days, about 56 days, about 63 days, about 70 days, about 77 days, or about 84 days or more after contacting or delivering the oligonucleotide to the cell or population of cells. In some embodiments, KHK expression is determined in a cell or population of cells at least about 1 month, about 2 months, about 3 months, about 4 months, about 5 months, or about 6 months or more after contacting or delivering the oligonucleotide to the cell or population of cells.


In some embodiments, an oligonucleotide is delivered in the form of a transgene that is engineered to express in a cell the oligonucleotide or strands comprising the oligonucleotide (e.g., its sense and antisense strands). In some embodiments, an oligonucleotide is delivered using a transgene engineered to express any oligonucleotide disclosed herein. Transgenes may be delivered using viral vectors (e.g., adenovirus, retrovirus, vaccinia virus, poxvirus, adeno-associated virus, or herpes simplex virus) or non-viral vectors (e.g., plasmids or synthetic mRNAs). In some embodiments, transgenes can be injected directly to a subject.


Treatment Methods

The disclosure provides oligonucleotides for use as a medicament, in particular for use in a method for the treatment of diseases, disorders, and conditions associated with expression of KHK. The disclosure also provides oligonucleotides for use, or adaptable for use, to treat a subject (e.g., a human having a disease, disorder or condition associated with KHK expression) that would benefit from reducing KHK expression. In some respects, the disclosure provides oligonucleotides for use, or adapted for use, to treat a subject having a disease, disorder or condition associated with expression of KHK. The disclosure also provides oligonucleotides for use, or adaptable for use, in the manufacture of a medicament or pharmaceutical composition for treating a disease, disorder or condition associated with KHK expression. In some embodiments, the oligonucleotides for use, or adaptable for use, target KHK mRNA and reduce KHK expression (e.g., via the RNAi pathway). In some embodiments, the oligonucleotides for use, or adaptable for use, target KHK mRNA and reduce the amount or level of KHK mRNA, KHK protein and/or KHK activity.


In addition, in some embodiments of the methods herein, a subject having a disease, disorder, or condition associated with KHK expression or is predisposed to the same is selected for treatment with an oligonucleotide (e.g., a double-stranded oligonucleotide) herein. In some embodiments, the method comprises selecting an individual having a marker (e.g., a biomarker) for a disease, disorder, or condition associated with KHK expression or predisposed to the same, such as, but not limited to, KHK mRNA, KHK protein, or a combination thereof. Likewise, and as detailed below, some embodiments of the methods provided by the disclosure include steps such as measuring or obtaining a baseline value for a marker of KHK expression (e.g., KHK), and then comparing such obtained value to one or more other baseline values or values obtained after the subject is administered the oligonucleotide to assess the effectiveness of treatment.


The disclosure also provides methods of treating a subject having, suspected of having, or at risk of developing a disease, disorder or condition associated with a KHK expression with an oligonucleotide provided herein. In some aspects, the disclosure provides methods of treating or attenuating the onset or progression of a disease, disorder or condition associated with KHK expression using the oligonucleotides herein. In other aspects, the disclosure provides methods to achieve one or more therapeutic benefits in a subject having a disease, disorder, or condition associated with KHK expression using the oligonucleotides provided herein. In some embodiments of the methods herein, the subject is treated by administering a therapeutically effective amount of any one or more of the oligonucleotides provided herein. In some embodiments, treatment comprises reducing KHK expression. In some embodiments, the subject is treated therapeutically. In some embodiments, the subject is treated prophylactically.


In some embodiments of the methods herein, one or more oligonucleotides (e.g., dsRNAi oligonucleotides) herein, or a pharmaceutical composition comprising one or more oligonucleotides, is administered to a subject having a disease, disorder or condition associated with KHK expression such that KHK expression is reduced in the subject, thereby treating the subject. In some embodiments, an amount or level of KHK mRNA is reduced in the subject. In some embodiments, an amount or level of KHK protein is reduced in the subject. In some embodiments, an amount or level of KHK activity is reduced in the subject. In some embodiments, an amount or level of triglyceride (TG) (e.g., one or more TG(s) or total TGs) is reduced in the subject. In some embodiments, an amount or level of plasma glucose is reduced in the subject. In some embodiments, an amount or level of blood pressure (e.g., systolic pressure, diastolic pressure, or both) is reduced in the subject. In some embodiments, an amount or level of abdominal fat is reduced in the subject. In some embodiments, an amount or level of cholesterol (e.g., total cholesterol, LDL cholesterol, and/or HDL cholesterol) is reduced in the subject. In some embodiments, an amount or level of liver steatosis is reduced in the subject. In some embodiments, an amount or level of liver fibrosis is reduced in the subject. In some embodiments, the ratio of total cholesterol to HDL cholesterol is altered in the subject. In some embodiments, any combination of the following is reduced or altered in the subject: KHK expression, an amount or level of KHK mRNA, an amount or level of KHK protein, an amount or level of KHK activity, an amount or level of blood glucose, an amount or level of abdominal fat, an amount or level of blood pressure, an amount or level of TG, an amount or level of cholesterol and/or the ratio of total cholesterol to HDL cholesterol, an amount or level of liver steatosis, and amount or level of liver fibrosis.


In some embodiments of the methods herein, an oligonucleotide (e.g., dsRNAi oligonucleotides) herein, or a pharmaceutical composition comprising the oligonucleotide, is administered to a subject having a disease, disorder or condition associated with KHK such that KHK expression is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to KHK expression prior to administration of one or more oligonucleotides or pharmaceutical composition. In some embodiments, KHK expression is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to KHK expression in a subject (e.g., a reference or control subject) not receiving the oligonucleotide or oligonucleotides or pharmaceutical composition or receiving a control oligonucleotide or oligonucleotides, pharmaceutical composition or treatment.


In some embodiments of the methods herein, an oligonucleotide or oligonucleotides herein, or a pharmaceutical composition comprising the oligonucleotide or oligonucleotides, is administered to a subject having a disease, disorder or condition associated with KHK expression such that an amount or level of KHK mRNA is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to the amount or level of KHK mRNA prior to administration of the oligonucleotide or pharmaceutical composition. In some embodiments, an amount or level of KHK mRNA is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to an amount or level of KHK mRNA in a subject (e.g., a reference or control subject) not receiving the oligonucleotide or oligonucleotides or pharmaceutical composition or receiving a control oligonucleotide or oligonucleotides, pharmaceutical composition or treatment.


In some embodiments of the methods herein, an oligonucleotide or oligonucleotides herein, or a pharmaceutical composition comprising the oligonucleotide or oligonucleotides, is administered to a subject having a disease, disorder or condition associated with KHK expression such that an amount or level of KHK protein is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to the amount or level of KHK protein prior to administration of the oligonucleotide or pharmaceutical composition. In some embodiments, an amount or level of KHK protein is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to an amount or level of KHK protein in a subject (e.g., a reference or control subject) not receiving the oligonucleotide or oligonucleotides or pharmaceutical composition or receiving a control oligonucleotide, oligonucleotides or pharmaceutical composition or treatment.


In some embodiments of the methods herein, an oligonucleotide or oligonucleotides (e.g., dsRNAi oligonucleotides) herein, or a pharmaceutical composition comprising the oligonucleotide or oligonucleotides, is administered to a subject having a disease, disorder or condition associated with KHK such that an amount or level of KHK activity/expression is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to the amount or level of KHK activity prior to administration of the oligonucleotide or pharmaceutical composition. In some embodiments, an amount or level of KHK activity is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to an amount or level of KHK activity in a subject (e.g., a reference or control subject) not receiving the oligonucleotide or pharmaceutical composition or receiving a control oligonucleotide, pharmaceutical composition or treatment.


In some embodiments of the methods herein, an oligonucleotide herein, or a pharmaceutical composition comprising the oligonucleotide, is administered to a subject having a disease, disorder or condition associated with KHK expression such that an amount or level of TG (e.g., one or more TGs or total TGs) is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to the amount or level of TG prior to administration of the oligonucleotide or pharmaceutical composition. In some embodiments, an amount or level of TG is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to an amount or level of TG in a subject (e.g., a reference or control subject) not receiving the oligonucleotide or pharmaceutical composition or receiving a control oligonucleotide, pharmaceutical composition or treatment.


Generally, a normal or desirable TG range for a human patient is <150 mg/dL of blood, with <100 being considered ideal. In some embodiments, the patient selected for treatment or treated is identified or determined to have an amount or level of TG of 150 mg/dL. In some embodiments, the patient selected for treatment or treated is identified or determined to have an amount or level of TG in the range of 150 to 199 mg/dL, which is considered borderline high TG levels. In some embodiments, the patient selected for treatment or treated is identified or determined to have an amount or level of TG in the range of 200 to 499 mg/dL, which is considered high TG levels. In some embodiments, the patient selected for treatment or treated is identified or determined to have an amount or level of TG in the range of 500 mg/dL or higher (i.e., 500 mg/dL), which is considered very high TG levels. In some embodiments, the patient selected for treatment or treated is identified or determined to have an amount or level of TG which is 150 mg/dL, 200 mg/dL or 500 mg/dL. In some embodiments, the patient selected for treatment or treated is identified or determined to have an amount of level of TG of 200 to 499 mg/dL, or 500 mg/dL or higher. In some embodiments, the patient selected for treatment or treated is identified or determined to have an amount or level of TG which is 200 mg/dL. In some embodiments of the methods herein, an oligonucleotide (e.g., dsRNAi oligonucleotide) herein, or a pharmaceutical composition comprising the oligonucleotide, is administered to a subject having a disease, disorder or condition associated with KHK expression such that an amount or level of cholesterol (e.g., total cholesterol, LDL cholesterol, and/or HDL cholesterol) is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to the amount or level of cholesterol prior to administration of the oligonucleotide or pharmaceutical composition. In some embodiments, an amount or level of cholesterol is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to an amount or level of cholesterol in a subject (e.g., a reference or control subject) not receiving the oligonucleotide or pharmaceutical composition or receiving a control oligonucleotide, pharmaceutical composition or treatment.


Generally, a normal or desirable cholesterol range (total cholesterol) for an adult human patient is <200 mg/dL of blood. In some embodiments, the patient selected for treatment or treated is identified or determined to have an amount or level of cholesterol of 200 mg/dL. In some embodiments, the patient selected for treatment or treated is identified or determined to have an amount or level of cholesterol in the range of 200 to 239 mg/dL, which is considered borderline high cholesterol levels. In some embodiments, the patient selected for treatment or treated is identified or determined to have an amount or level of cholesterol in the range of 240 mg/dL and higher (i.e., 240 mg/dL), which is considered high cholesterol levels. In some embodiments, the patient selected from treatment or treated is identified or determined to have an amount or level of cholesterol of 200 to 239 mg/dL, or 240 mg/dL or higher. In some embodiments, the patient selected for treatment or treated is identified or determined to have an amount or level of cholesterol which is 200 mg/dL or 240 mg/dL or higher.


In some embodiments of the methods herein, an oligonucleotide herein, or a pharmaceutical composition comprising the oligonucleotide, is administered to a subject having a disease, disorder, or condition associated with KHK expression such that an amount or level of liver fibrosis is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to the amount or level of liver fibrosis prior to administration of the oligonucleotide or pharmaceutical composition. In some embodiments, an amount or level of liver fibrosis is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to an amount or level of liver fibrosis in a subject (e.g., a reference or control subject) not receiving the oligonucleotide or pharmaceutical composition or receiving a control oligonucleotide, pharmaceutical composition or treatment.


In some embodiments of the methods herein, an oligonucleotide herein, or a pharmaceutical composition comprising the oligonucleotide, is administered to a subject having a disease, disorder or condition associated with KHK expression such that an amount or level of liver steatosis is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to the amount or level of liver steatosis prior to administration of the oligonucleotide or pharmaceutical composition. In some embodiments, an amount or level of liver steatosis is reduced in the subject by at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99% when compared to an amount or level of liver steatosis in a subject (e.g., a reference or control subject) not receiving the oligonucleotide or pharmaceutical composition or receiving a control oligonucleotide, pharmaceutical composition or treatment.


Suitable methods for determining KHK expression, the amount or level of KHK mRNA, KHK protein, KHK activity, TG, plasma glucose or cholesterol amount or activity in the subject, or in a sample from the subject, are known in the art. Further, the Examples set forth herein illustrate methods for determining KHK expression.


In some embodiments, KHK expression, the amount or level of KHK mRNA, KHK protein, KHK activity, TG, plasma glucose, or cholesterol, is reduced in a cell (e.g., a hepatocyte), a population or a group of cells (e.g., an organoid), an organ (e.g., liver), blood or a fraction thereof (e.g., plasma), a tissue (e.g., liver tissue), a sample (e.g., a liver biopsy sample), or any other appropriate biological material obtained or isolated from the subject. In some embodiments, KHK expression, the amount or level of KHK mRNA, KHK protein, KHK activity, TG, plasma glucose or cholesterol or any combination thereof, is reduced in more than one type of cell (e.g., a hepatocyte and one or more other type(s) of cell), more than one groups of cells, more than one organ (e.g., liver and one or more other organ(s)), more than one fraction of blood (e.g., plasma and one or more other blood fraction(s)), more than one type of tissue (e.g., liver tissue and one or more other type(s) of tissue), or more than one type of sample (e.g., a liver biopsy sample and one or more other type(s) of biopsy sample).


Generally, a normal or desirable blood sugar level for a human patient is <140 mg/dL. Blood sugar levels between 140 and 199 mg/dL two hours after eating indicates pre-diabetes, and >200 mg/dL indicates diabetes. In some embodiments, the patient selected for treatment or treated is identified or determined to have a level of blood sugar between about 140 mg/dL and about 199 mg/dL, which is considered pre-diabetes. In some embodiments, the patient selected for treatment or treated is identified or determined to have a level of blood sugar 200 mg/dL, which is considered diabetes. In some embodiments of the methods herein, an oligonucleotide (e.g., dsRNAi oligonucleotide) herein, or a pharmaceutical composition comprising the oligonucleotide, is administered to a subject having a disease, disorder or condition associated with KHK expression such that an amount or level of blood sugar is reduced to a normal or pre-diabetes range.


Examples of a disease, disorder or condition associated with KHK expression include, but are not limited to, glucose intolerance, pre-diabetes, type-1 diabetes, type-2 diabetes, metabolic liver diseases, non-alcoholic fatty liver disease (NAFLD), non-alcoholic steatohepatitis (NASH), drug-induced liver diseases, alcohol-induced liver diseases, infectious agent induced liver diseases, inflammatory liver diseases, immune system dysfunction-mediated liver diseases, dyslipidemia, cardiovascular diseases, restenosis, syndrome X, metabolic syndrome, diabetes, obesity, hypertension, chronic cholangiopathies such as Primary Sclerosing Cholangitis (PSC), Primary Biliary Cholangitis (PBC), biliary atresia, progressive familial intrahepatic cholestasis type 3 (PFIC3), inflammatory bowel diseases, Crohn's disease, ulcerative colitis, liver cancer, hepatocellular carcinoma, gastrointestinal cancer, gastric cancer, colorectal cancer, metabolic disease-induced liver fibrosis or cirrhosis, NAFLD induced fibrosis or cirrhosis, NASH-induced fibrosis or cirrhosis, alcohol-induced liver fibrosis or cirrhosis, drug-induced liver fibrosis or cirrhosis, radiation- or chemotherapy-induced fibrosis or cirrhosis, biliary tract fibrosis, liver fibrosis or cirrhosis due to any chronic cholestatic disease, gut fibrosis of any etiology, Crohn's disease induced fibrosis, ulcerative colitis-induced fibrosis, intestine (e.g. small intestine) fibrosis, colon fibrosis, stomach fibrosis, disease of elevated uric acid (e.g. hyperuricemia, gout), sugar craving, alcohol craving, aldolase B deficiency, hereditary fructose intolerance, chronic kidney disease, diabetic nephropathy, kidney fibrosis, liver failure, liver function loss, coagulopathy, steatohepatitis, disorders of glycemic control, and other KHK-associated metabolic-related disorders and diseases. Of particular interest herein are metabolic syndrome, hypertriglyceridemia, NAFLD, NASH, obesity, or a combination thereof.


Because of their high specificity, the oligonucleotides herein (e.g., dsRNAi oligonucleotides) specifically target mRNAs of target genes of cells and tissue(s), or organs(s) (e.g., liver). In preventing disease, the target gene may be one which is required for initiation or maintenance of the disease or which has been identified as being associated with a higher risk of contracting the disease. In treating disease, the oligonucleotide can be brought into contact with the cells, tissue(s), or organ(s) (e.g., liver) exhibiting or responsible for mediating the disease. For example, an oligonucleotide substantially identical to all or part of a wild-type (i.e., native) or mutated gene associated with a disorder or condition associated with KHK expression may be brought into contact with or introduced into a cell or tissue type of interest such as a hepatocyte or other liver cell.


In some embodiments, the target gene may be a target gene from any mammal, such as a human target. Any gene may be silenced according to the method described herein.


Methods described herein typically involve administering to a subject an effective amount of an oligonucleotide herein (e.g., a dsRNAi oligonucleotide), that is, an amount capable of producing a desirable therapeutic result. A therapeutically acceptable amount may be an amount that can therapeutically treat a disease or disorder. The appropriate dosage for any one subject will depend on certain factors, including the subject's size, body surface area, age, the particular composition to be administered, the active ingredient(s) in the composition, time and route of administration, general health, and other drugs being administered concurrently.


In some embodiments, a subject is administered any one of the compositions herein either enterally (e.g., orally, by gastric feeding tube, by duodenal feeding tube, via gastrostomy or rectally), parenterally (e.g., subcutaneous injection, intravenous injection or infusion, intra-arterial injection or infusion, intraosseous infusion, intramuscular injection, intracerebral injection, intracerebroventricular injection, intrathecal), topically (e.g., epicutaneous, inhalational, via eye drops, or through a mucous membrane), or by direct injection into a target organ (e.g., the liver of a subject). Typically, oligonucleotides herein are administered intravenously or subcutaneously.


As a non-limiting set of examples, the oligonucleotides herein (e.g., dsRNAi oligonucleotides) would typically be administered quarterly (once every three months), bi-monthly (once every two months), monthly or weekly. For example, the oligonucleotides may be administered every week or at intervals of two, or three weeks. Alternatively, the oligonucleotides may be administered daily. In some embodiments, a subject is administered one or more loading doses of the oligonucleotide followed by one or more maintenance doses of the oligonucleotide.


In some embodiments the oligonucleotides herein are administered alone or in combination. In some embodiments the oligonucleotides herein are administered in combination concurrently, sequentially (in any order), or intermittently. For example, two oligonucleotides may be co-administered concurrently. Alternatively, one oligonucleotide may be administered and followed any amount of time later (e.g., one hour, one day, one week or one month) by the administration of a second oligonucleotide.


In some embodiments, the subject to be treated is a human or non-human primate or other mammalian subject. Other exemplary subjects include domesticated animals such as dogs and cats; livestock such as horses, cattle, pigs, sheep, goats, and chickens; and animals such as mice, rats, guinea pigs, and hamsters.


In some embodiments, a single dose of one or more oligonucleotides (e.g., dsRNAi oligonucleotides) herein, or a pharmaceutical composition comprising the oligonucleotide(s), is administered to a subject having a disease, disorder, or condition associated with KHK expression such that an amount or level of KHK mRNA and/or KHK protein, preferably of KHK protein, is reduced in the subject. Said reduction of an amount or level of KHK mRNA and/or KHK protein may be determined by comparison with the amount or level of KHK mRNA and/or KHK protein in a subject (e.g., a reference or control subject) not receiving the oligonucleotide(s) or pharmaceutical composition or receiving one or more control oligonucleotides or pharmaceutical compositions or treatments, or—preferably—by comparison with the amount or level of KHK mRNA and/or KHK protein prior to administration of the oligonucleotide(s) or pharmaceutical composition. Said amount or level of KHK mRNA and/or KHK protein may be determined from liver biopsy samples from the subject. Said single dose may be administered subcutaneously. Said dose of the oligonucleotide(s) may be below 10 mg/kg bodyweight of the subject, e.g. 6 mg/kg or below, in particular from 0.01 mg/kg to 5 mg/kg. Said reduction of an amount or level of KHK mRNA and/or KHK protein may be detectable more than 10 days after the single dose administration of the oligonucleotide(s), e.g. it may remain detectable at day 28, 56, and/or 84 after administration. Said reduction of an amount or level of KHK mRNA and/or KHK protein may be, e.g., at least about 30%, about 35%, about 40%, about 45%, about 50%, about 55%, about 60%, about 65%, about 70%, about 75%, about 80%, about 85%, about 90%, about 95%, about 99% or greater than 99%. In a preferred embodiment, the reduction of an amount or level of KHK mRNA and/or KHK protein remains detectable at day 28, optionally at day 56 and/or 84, after subcutaneous administration of a single dose of one or more oligonucleotides (e.g., dsRNAi oligonucleotides) herein, or a pharmaceutical composition comprising the oligonucleotide(s).


Kits

In some embodiments, the disclosure provides a kit comprising an oligonucleotide herein, and instructions for use. In some embodiments, the kit comprises an oligonucleotide herein, and a package insert containing instructions for use of the kit and/or any component thereof. In some embodiments, the kit comprises, in a suitable container, an oligonucleotide herein, one or more controls, and various buffers, reagents, enzymes and other standard ingredients well known in the art. In some embodiments, the container comprises at least one vial, well, test tube, flask, bottle, syringe, or other container means, into which the oligonucleotide is placed, and in some instances, suitably aliquoted. In some embodiments where an additional component is provided, the kit contains additional containers into which this component is placed. The kits can also include a means for containing the oligonucleotide and any other reagent in close confinement for commercial sale. Such containers may include injection or blow-molded plastic containers into which the desired vials are retained. Containers and/or kits can include labeling with instructions for use and/or warnings.


In some embodiments, a kit comprises an oligonucleotide herein, and a pharmaceutically acceptable carrier, or a pharmaceutical composition comprising the oligonucleotide and instructions for treating or delaying progression of a disease, disorder or condition associated with KHK expression in a subject in need thereof.


Definitions

As used herein, the term “antisense oligonucleotide” encompasses a nucleic acid-based molecule which has a sequence complementary to all or part of the target mRNA, in particular seed sequence thereby capable of forming a duplex with a mRNA. Thus, the term “antisense oligonucleotide”, as used herein, may be referred to as “complementary nucleic acid-based inhibitor”.


As used herein, “approximately” or “about”, as applied to one or more values of interest, refers to a value that is similar to a stated reference value. In certain embodiments, “about” refers to a range of values that fall within 25%, 20%, 19%, 18%, 17%, 16%, 15%, 14%, 13%, 12%, 11%, 10%, 9%, 8%, 7%, 6%, 5%, 4%, 3%, 2%, 1% or less in either direction (greater than or less than) of the stated reference value unless otherwise stated or otherwise evident from the context (except where such number would exceed 100% of a possible value).


As used herein, “administer”, “administering”, “administration” and the like refers to providing a substance (e.g., an oligonucleotide) to a subject in a manner that is pharmacologically useful (e.g., to treat a condition in the subject).


As used herein, “attenuate”, “attenuating”, “attenuation” and the like refers to reducing or effectively halting. As a non-limiting example, one or more of the treatments herein may reduce or effectively halt the onset or progression of dyslipidemia/hypertriglyceridemia/hyperlipidemia, NAFLD, NASH, or glucose intolerance in a subject. This attenuation may be exemplified by, for example, a decrease in one or more aspects (e.g., symptoms, tissue characteristics, and cellular, inflammatory or immunological activity, etc.) of dyslipidemia/hypertriglyceridemia/hyperlipidemia, NAFLD, NASH, or glucose intolerance, no detectable progression (worsening) of one or more aspects of dyslipidemia/hypertriglyceridemia/hyperlipidemia, NAFLD, NASH, or glucose intolerance, or no detectable aspects of dyslipidemia/hypertriglyceridemia/hyperlipidemia, NAFLD, NASH, or glucose intolerance in a subject when they might otherwise be expected.


As used herein, “complementary” refers to a structural relationship between two nucleotides (e.g., on two opposing nucleic acids or on opposing regions of a single nucleic acid strand) that permits the two nucleotides to form base pairs with one another. For example, a purine nucleotide of one nucleic acid that is complementary to a pyrimidine nucleotide of an opposing nucleic acid may base pair together by forming hydrogen bonds with one another. In some embodiments, complementary nucleotides can base pair in the Watson-Crick manner or in any other manner that allows for the formation of stable duplexes. In some embodiments, two nucleic acids may have regions of multiple nucleotides that are complementary with each other to form regions of complementarity, as described herein.


As used herein, “deoxyribonucleotide” refers to a nucleotide having a hydrogen in place of a hydroxyl at the 2′ position of its pentose sugar when compared with a ribonucleotide. A modified deoxyribonucleotide is a deoxyribonucleotide having one or more modifications or substitutions of atoms other than at the 2′ position, including modifications or substitutions in or of the sugar, phosphate group or base.


As used herein, “double-stranded oligonucleotide” or “ds oligonucleotide” refers to an oligonucleotide that is substantially in a duplex form. In some embodiments, the complementary base-pairing of duplex region(s) of a double-stranded oligonucleotide is formed between antiparallel sequences of nucleotides of covalently separate nucleic acid strands. In some embodiments, complementary base-pairing of duplex region(s) of a double-stranded oligonucleotide is formed between antiparallel sequences of nucleotides of nucleic acid strands that are covalently linked. In some embodiments, complementary base-pairing of duplex region(s) of a double-stranded oligonucleotide is formed from single nucleic acid strand that is folded (e.g., via a hairpin) to provide complementary antiparallel sequences of nucleotides that base pair together. In some embodiments, a double-stranded oligonucleotide comprises two covalently separate nucleic acid strands that are fully duplexed with one another. However, in some embodiments, a double-stranded oligonucleotide comprises two covalently separate nucleic acid strands that are partially duplexed (e.g., having overhangs at one or both ends). In some embodiments, a double-stranded oligonucleotide comprises antiparallel sequence of nucleotides that are partially complementary, and thus, may have one or more mismatches, which may include internal mismatches or end mismatches.


As used herein, “duplex,” in reference to nucleic acids (e.g., oligonucleotides), refers to a structure formed through complementary base pairing of two antiparallel sequences of nucleotides.


As used herein, “excipient” refers to a non-therapeutic agent that may be included in a composition, for example, to provide or contribute to a desired consistency or stabilizing effect.


As used herein, the phrase “glucose intolerance” refers to a metabolic condition resulting in higher-than-normal levels of blood glucose. Glucose intolerance can include type 1, type 1.5, and type 2 diabetes.


As used herein, “hepatocyte” or “hepatocytes” refers to cells of the parenchymal tissues of the liver. These cells make up about 70%-85% of the liver's mass and manufacture serum albumin, FBN and the prothrombin group of clotting factors (except for Factors 3 and 4). Markers for hepatocyte lineage cells include, but are not limited to, transthyretin (Ttr), glutamine synthetase (Glul), hepatocyte nuclear factor 1a (Hnf1a) and hepatocyte nuclear factor 4a (Hnf4a). Markers for mature hepatocytes may include, but are not limited to, cytochrome P450 (Cyp3a11), fumarylacetoacetate hydrolase (Fah), glucose 6-phosphate (G6p), albumin (Alb) and 002-2F8. See, e.g., Huch et al. (2013) Nature 494:247-50.


As used herein, a “hepatotoxic agent” refers to a chemical compound, virus or other substance that is itself toxic to the liver or can be processed to form a metabolite that is toxic to the liver. Hepatotoxic agents may include, but are not limited to, carbon tetrachloride (0014), acetaminophen (paracetamol), vinyl chloride, arsenic, chloroform, nonsteroidal anti-inflammatory drugs (such as aspirin and phenylbutazone).


As used herein, the term “ketohexokinase” or “KHK” refers to an enzyme, specifically a hepatic fructokinase, that catalyzes the phosphorylation of fructose. The KHK gene encodes two protein isoforms (KHK-A and KHK-C). The two products are generated from the same primary transcript by alternative splicing. The term “KHK” is intended to refer to both isoforms unless stated otherwise. ‘KHK’ may also refer to the gene which encodes the protein.


As used herein, “labile linker” refers to a linker that can be cleaved (e.g., by acidic pH). A “fairly stable linker” refers to a linker that cannot be cleaved.


As used herein, “liver inflammation” or “hepatitis” refers to a physical condition in which the liver becomes swollen, dysfunctional and/or painful, especially as a result of injury or infection, as may be caused by exposure to a hepatotoxic agent. Symptoms may include jaundice (yellowing of the skin or eyes), fatigue, weakness, nausea, vomiting, appetite reduction and weight loss. Liver inflammation, if left untreated, may progress to fibrosis, cirrhosis, liver failure or liver cancer.


As used herein, “liver fibrosis”, “Liver Fibrosis” or “fibrosis of the liver” refers to an excessive accumulation in the liver of extracellular matrix proteins, which could include collagens (I, Ill, and IV), FBN, undulin, elastin, laminin, hyaluronan and proteoglycans resulting from inflammation and liver cell death. Liver fibrosis, if left untreated, may progress to cirrhosis, liver failure or liver cancer.


As used herein, “loop” refers to an unpaired region of a nucleic acid (e.g., oligonucleotide) that is flanked by two antiparallel regions of the nucleic acid that are sufficiently complementary to one another, such that under appropriate hybridization conditions (e.g., in a phosphate buffer, in a cell), the two antiparallel regions, which flank the unpaired region, hybridize to form a duplex (referred to as a “stem”).


As used herein, “Metabolic syndrome’ or “metabolic liver disease” refers to a disorder characterized by a cluster of associated medical conditions and associated pathologies including, but not limited to the following medical conditions: abdominal obesity, elevated blood pressure, elevated fasting plasma glucose, high serum triglycerides, liver fibrosis, and low levels of high-density lipoprotein (HDL) levels. As used herein, the term metabolic syndrome or metabolic liver disease may encompass a wide array of direct and indirect manifestations, diseases and pathologies associated with metabolic syndrome and metabolic liver disease, with an expanded list of conditions used throughout the document.


As used herein, “modified internucleotide linkage” refers to an internucleotide linkage having one or more chemical modifications when compared with a reference internucleotide linkage comprising a phosphodiester bond. In some embodiments, a modified nucleotide is a non-naturally occurring linkage. Typically, a modified internucleotide linkage confers one or more desirable properties to a nucleic acid in which the modified internucleotide linkage is present. For example, a modified internucleotide linkage may improve thermal stability, resistance to degradation, nuclease resistance, solubility, bioavailability, bioactivity, reduced immunogenicity, etc.


As used herein, “modified nucleotide” refers to a nucleotide having one or more chemical modifications when compared with a corresponding reference nucleotide selected from: adenine ribonucleotide, guanine ribonucleotide, cytosine ribonucleotide, uracil ribonucleotide, adenine deoxyribonucleotide, guanine deoxyribonucleotide, cytosine deoxyribonucleotide and thymidine deoxyribonucleotide. In some embodiments, a modified nucleotide is a non-naturally occurring nucleotide. In some embodiments, a modified nucleotide has one or more chemical modification in its sugar, nucleobase and/or phosphate group. In some embodiments, a modified nucleotide has one or more chemical moieties conjugated to a corresponding reference nucleotide. Typically, a modified nucleotide confers one or more desirable properties to a nucleic acid in which the modified nucleotide is present. For example, a modified nucleotide may improve thermal stability, resistance to degradation, nuclease resistance, solubility, bioavailability, bioactivity, reduced immunogenicity, etc.


As used herein, “nicked tetraloop structure” refers to a structure of a RNAi oligonucleotide that is characterized by separate sense (passenger) and antisense (guide) strands, in which the sense strand has a region of complementarity with the antisense strand, and in which at least one of the strands, generally the sense strand, has a tetraloop configured to stabilize an adjacent stem region formed within the at least one strand.


As used herein, “oligonucleotide” refers to a short nucleic acid (e.g., less than about 100 nucleotides in length). An oligonucleotide may be single-stranded (ss) or ds. An oligonucleotide may or may not have duplex regions. As a set of non-limiting examples, an oligonucleotide may be, but is not limited to, a small interfering RNA (siRNA), microRNA (miRNA), short hairpin RNA (shRNA), dicer substrate interfering RNA (DsiRNA), antisense oligonucleotide, short siRNA or ss siRNA. In some embodiments, a double-stranded (dsRNA) is an RNAi oligonucleotide.


As used herein, “overhang” (or “overhang sequence”) refers to terminal non-base pairing nucleotide(s) resulting from one strand or region extending beyond the terminus of a complementary strand with which the one strand or region forms a duplex. In some embodiments, an overhang comprises one or more unpaired nucleotides extending from a duplex region at the 5′ terminus or 3′ terminus of a dsRNA. In certain embodiments, the overhang is a 3′ or 5′ overhang on the antisense strand or sense strand of a dsRNA.


As used herein, “phosphate analog” refers to a chemical moiety that mimics the electrostatic and/or steric properties of a phosphate group. In some embodiments, a phosphate analog is positioned at the 5′ terminal nucleotide of an oligonucleotide in place of a 5′-phosphate, which is often susceptible to enzymatic removal. In some embodiments, a 5′ phosphate analog contains a phosphatase-resistant linkage. Examples of phosphate analogs include, but are not limited to, 5′ phosphonates, such as 5′ methylene phosphonate (5′-MP) and 5′-(E)-vinylphosphonate (5′-VP). In some embodiments, an oligonucleotide has a phosphate analog at a 4′-carbon position of the sugar (referred to as a “4′-phosphate analog”) at a 5′-terminal nucleotide. An example of a 4′-phosphate analog is oxymethylphosphonate, in which the oxygen atom of the oxymethyl group is bound to the sugar moiety (e.g., at its 4′-carbon) or analog thereof. See, e.g., US Patent Publication No. 2019-0177729. Other modifications have been developed for the 5′ end of oligonucleotides (see, e.g., Intl. Patent Application No. WO 2011/133871; U.S. Pat. No. 8,927,513; and Prakash et al. (2015) NUCLEIC ACIDS RES. 43:2993-3011).


As used herein, “reduced expression” of a gene (e.g., KHK) refers to a decrease in the amount or level of RNA transcript (e.g., KHK mRNA) or protein encoded by the gene and/or a decrease in the amount or level of activity of the gene in a cell, a population of cells, a sample, or a subject, when compared to an appropriate reference (e.g., a reference cell, population of cells, sample or subject). For example, the act of contacting a cell with an oligonucleotide herein (e.g., an oligonucleotide comprising an antisense strand having a nucleotide sequence that is complementary to a nucleotide sequence comprising KHK mRNA) may result in a decrease in the amount or level of KHK mRNA, protein and/or activity (e.g., via degradation of KHK mRNA by the RNAi pathway) when compared to a cell that is not treated with the dsRNA. Similarly, and as used herein, “reducing expression” refers to an act that results in reduced expression of a gene (e.g., KHK).


As used herein, “reduction of KHK expression” refers to a decrease in the amount or level of KHK mRNA, KHK protein and/or KHK activity in a cell, a population of cells, a sample or a subject when compared to an appropriate reference (e.g., a reference cell, population of cells, sample, or subject).


As used herein, “region of complementarity” refers to a sequence of nucleotides of a nucleic acid (e.g., a dsRNA) that is sufficiently complementary to an antiparallel sequence of nucleotides to permit hybridization between the two sequences of nucleotides under appropriate hybridization conditions (e.g., in a phosphate buffer, in a cell, etc.). In some embodiments, an oligonucleotide herein comprises a targeting sequence having a region of complementarity to a mRNA target sequence. In some embodiments, the region of complementarity is full complementary. In some embodiments, the region of complementarity is partially complementary (e.g., up to 3 nucleotide mismatches).


As used herein, “ribonucleotide” refers to a nucleotide having a ribose as its pentose sugar, which contains a hydroxyl group at its 2′ position. A modified ribonucleotide is a ribonucleotide having one or more modifications or substitutions of atoms other than at the 2′ position, including modifications or substitutions in or of the ribose, phosphate group or base.


As used herein, “RNAi oligonucleotide” refers to either (a) a double-stranded oligonucleotide having a sense strand (passenger) and antisense strand (guide), in which the antisense strand or part of the antisense strand is used by the Argonaute 2 (Ago2) endonuclease in the cleavage of a target mRNA (e.g., KHK mRNA) or (b) a single-stranded oligonucleotide having a single antisense strand, where that antisense strand (or part of that antisense strand) is used by the Ago2 endonuclease in the cleavage of a target mRNA (e.g., KHK mRNA).


As used herein, “strand” refers to a single, contiguous sequence of nucleotides linked together through internucleotide linkages (e.g., phosphodiester linkages or phosphorothioate linkages). In some embodiments, a strand has two free ends (e.g., a 5′ end and a 3′ end).


As used herein, “subject” means any mammal, including mice, rabbits, and humans. In one embodiment, the subject is a human or NHP. Moreover, “individual” or “patient” may be used interchangeably with “subject.”


As used herein, “synthetic” refers to a nucleic acid or other molecule that is artificially synthesized (e.g., using a machine (e.g., a solid-state nucleic acid synthesizer)) or that is otherwise not derived from a natural source (e.g., a cell or organism) that normally produces the molecule.


As used herein, “targeting ligand” refers to a molecule (e.g., a carbohydrate, amino sugar, cholesterol, polypeptide, or lipid) that selectively binds to a cognate molecule (e.g., a receptor) of a tissue or cell of interest and that is conjugatable to another substance for purposes of targeting the other substance to the tissue or cell of interest. For example, in some embodiments, a targeting ligand may be conjugated to an oligonucleotide for purposes of targeting the oligonucleotide to a specific tissue or cell of interest. In some embodiments, a targeting ligand selectively binds to a cell surface receptor. Accordingly, in some embodiments, a targeting ligand when conjugated to an oligonucleotide facilitates delivery of the oligonucleotide into a particular cell through selective binding to a receptor expressed on the surface of the cell and endosomal internalization by the cell of the complex comprising the oligonucleotide, targeting ligand and receptor. In some embodiments, a targeting ligand is conjugated to an oligonucleotide via a linker that is cleaved following or during cellular internalization such that the oligonucleotide is released from the targeting ligand in the cell.


As used herein, “tetraloop” refers to a loop that increases stability of an adjacent duplex formed by hybridization of flanking sequences of nucleotides. The increase in stability is detectable as an increase in melting temperature (Tm) of an adjacent stem duplex that is higher than the Tm of the adjacent stem duplex expected, on average, from a set of loops of comparable length consisting of randomly selected sequences of nucleotides. For example, a tetraloop can confer a Tm of at least about 50° C., at least about 55° C., at least about 56° C., at least about 58° C., at least about 60° C., at least about 65° C. or at least about 75° C. in 10 mM Na2HPO4 to a hairpin comprising a duplex of at least 2 base pairs (bp) in length. In some embodiments, a tetraloop can confer a Tm of at least about 50° C., at least about 55° C., at least about 56° C., at least about 58° C., at least about 60° C., at least about 65° C. or at least about 75° C. in 10 mM NaH2PO4 to a hairpin comprising a duplex of at least 2 base pairs (bp) in length. In some embodiments, a tetraloop may stabilize a bp in an adjacent stem duplex by stacking interactions. In addition, interactions among the nucleotides in a tetraloop include, but are not limited to, non-Watson-Crick base pairing, stacking interactions, hydrogen bonding and contact interactions (Cheong et al. (1990) NATURE 346:680-82; Heus & Pardi (1991) SCIENCE 253:191-94). In some embodiments, a tetraloop comprises or consists of 3 to 6 nucleotides and is typically 4 to 5 nucleotides. In certain embodiments, a tetraloop comprises or consists of 3, 4, 5 or 6 nucleotides, which may or may not be modified (e.g., which may or may not be conjugated to a targeting moiety). In one embodiment, a tetraloop consists of 4 nucleotides. Any nucleotide may be used in the tetraloop and standard IUPAC-IUB symbols for such nucleotides may be used as described in Cornish-Bowden (1985) Nucleic Acids Res. 13:3021-3030. For example, the letter “N” may be used to mean that any base may be in that position, the letter “R” may be used to show that A (adenine) or G (guanine) may be in that position, and “B” may be used to show that C (cytosine), G (guanine), or T (thymine) may be in that position. Examples of tetraloops include the UNCG family of tetraloops (e.g., UUCG), the GNRA family of tetraloops (e.g., GAAA), and the CUUG tetraloop (Woese et al. (1990) PROC. NATL. ACAD. SCI. USA 87:8467-8471; Antao et al. (1991) NUCLEIC ACIDS RES. 19:5901-5905). Examples of DNA tetraloops include the d(GNNA) family of tetraloops (e.g., d(GTTA), the d(GNRA)) family of tetraloops, the d(GNAB) family of tetraloops, the d(CNNG) family of tetraloops, and the d(TNCG) family of tetraloops (e.g., d(TTCG)). See, e.g., Nakano et al. (2002) BIOCHEM. 41:14281-92; Okabe et al. (2000) NIPPON KAGAKKAI KOEN YOKOSHU 78:731. In some embodiments, the tetraloop is contained within a nicked tetraloop structure.


As used herein, “treat” or “treating” refers to the act of providing care to a subject in need thereof, for example, by administering a therapeutic agent (e.g., an oligonucleotide herein) to the subject, for purposes of improving the health and/or well-being of the subject with respect to an existing condition (e.g., a disease, disorder) or to prevent or decrease the likelihood of the occurrence of a condition. In some embodiments, treatment involves reducing the frequency or severity of at least one sign, symptom or contributing factor of a condition (e.g., disease, disorder) experienced by a subject.


EXAMPLES

While the disclosure has been described with reference to the specific embodiments set forth in the following Examples, it should be understood by those skilled in the art that various changes may be made, and equivalents may be substituted without departing from the true spirit and scope of the disclosure. Further, the following Examples are offered by way of illustration and are not intended to limit the scope of the disclosure in any manner. In addition, modifications may be made to adapt to a situation, material, composition of matter, process, process step or steps, to the objective, spirit, and scope of the disclosure. All such modifications are intended to be within the scope of the disclosure. Standard techniques well known in the art or the techniques specifically described below were utilized.


RNAi agents targeting KHK have been described and tested in vitro (e.g., WO 2015123264 and WO 2020060986). The following studies describe the identification of novel dsRNAi agents useful for reducing or inhibiting KHK expression based on in vitro and in vivo screening, including studies in non-human primates. The novel dsRNAi agents comprise 36mer sense strands and 22mer antisense strands with a stem loop having a nicked tetraloop conjugated to GalNAc moieties at the 3′end of the sense strand for reducing KHK mRNA. The presence of a nick within the stem loop provides a precut antisense strand to form a pre-processed binding substrate for the Dicer enzyme, allowing Dicer to efficiently bind and hand off the double stranded molecule to Ago2. The tetraloop provides a thermodynamically stabilizing element to prevent the loop from opening and exposing the 5′-end of the antisense strand and the 3′-end of the sense strand, thereby providing increased nuclease resistance. Accordingly, the present dsRNAi agents are particularly useful for inhibiting KHK expression in vitro and in vivo as described in the following examples.


In comparison to dsRNAi agents described in the prior art, the dsRNAi agents presented herein may, in particular, show improved in vitro and/or in vivo reduction or inhibition of KHK expression as determined on the KHK mRNA and/or KHK protein level. Such improvement may relate to the size and/or duration of the inhibitory action. Thus, for instance, for medical uses of the dsRNAi agents according to this invention, lower doses and/or lower dose frequencies may be applicable. Also, dsRNAi agents presented herein may benefit from advantageous safety and tolerability features like high specificity, low off-target effects or reduced immunogenicity.


Example 1: Preparation of Double-Stranded RNAi Oligonucleotides
Oligonucleotide Synthesis and Purification

The double-stranded RNAi (dsRNA) oligonucleotides described in the foregoing Examples are chemically synthesized using methods described herein. Generally, dsRNAi oligonucleotides are synthesized using solid phase oligonucleotide synthesis methods as described for 19-23mer siRNAs (see, e.g., Scaringe et al. (1990) NUCLEIC ACIDS RES. 18:5433-5441 and Usman et al. (1987) J. AM. CHEM. SOC. 109:7845-7845; see also, U.S. Pat. Nos. 5,804,683; 5,831,071; 5,998,203; 6,008,400; 6,111,086; 6,117,657; 6,353,098; 6,362,323; 6,437,117 and 6,469,158) in addition to using known phosphoramidite synthesis (see, e.g. Hughes and Ellington (2017) COLD SPRING HARB PERSPECT BIOL. 9(1):a023812; Beaucage S. L., Caruthers M. H., Studies on Nucleotide Chemistry V: Deoxynucleoside Phosphoramidites—A New Class of Key Intermediates for Deoxypolynucleotide Synthesis, TETRAHEDRON LETT. 1981; 22:1859-62. doi: 10.1016/S0040-4039(01)90461-7). dsRNAi oligonucleotides having a 19mer core sequence were formatted into constructs having a 25mer sense strand and a 27mer antisense strand to allow for processing by the RNAi machinery. The 19mer core sequence is complementary to a region in the KHK mRNA.


Individual RNA strands were synthesized and HPLC purified according to standard methods (Integrated DNA Technologies; Coralville, Iowa). For example, RNA oligonucleotides were synthesized using solid phase phosphoramidite chemistry, deprotected and desalted on NAP-5 columns (Amersham Pharmacia Biotech; Piscataway, N.J.) using standard techniques (Damha & Olgivie (1993) METHODS MOL. BIOL. 20:81-114; Wincott et al. (1995) NUCLEIC ACIDS RES. 23:2677-84). The oligomers were purified using ion-exchange high performance liquid chromatography (IE-HPLC) on an Amersham Source 15Q column (1.0 cm×25 cm; Amersham Pharmacia Biotech) using a 15 min step-linear gradient. The gradient varied from 90:10 Buffers A:B to 52:48 Buffers A:B, where Buffer A is 100 mM Tris pH 8.5 and Buffer B is 100 mM Tris pH 8.5, 1 M NaCl. Samples were monitored at 260 nm and peaks corresponding to the full-length oligonucleotide species were collected, pooled, desalted on NAP-5 columns, and lyophilized.


The purity of each oligomer was determined by capillary electrophoresis (CE) on a Beckman PACE 5000 (Beckman Coulter, Inc.; Fullerton, Calif.). The CE capillaries have a 100 μm inner diameter and contain ssDNA 100R Gel (Beckman-Coulter). Typically, about 0.6 nmole of oligonucleotide was injected into a capillary, run in an electric field of 444 V/cm, and was detected by UV absorbance at 260 nm. Denaturing Tris-Borate-7 M-urea running buffer was purchased from Beckman-Coulter. Oligoribonucleotides were obtained that were at least 90% pure as assessed by CE for use in experiments described below. Compound identity was verified by matrix-assisted laser desorption ionization time-of-flight (MALDI-TOF) mass spectroscopy on a Voyager DE™ Biospectometry Work Station (Applied Biosystems; Foster City, Calif.) following the manufacturer's recommended protocol. Relative molecular masses of all oligomers were obtained, often within 0.2% of expected molecular mass.


Preparation of Duplexes

Single strand RNA oligomers were resuspended (e.g., at 100 μM concentration) in duplex buffer consisting of 100 mM potassium acetate, 30 mM HEPES, pH 7.5. Complementary sense and antisense strands were mixed in equal molar amounts to yield a final solution of, for example, 50 μM duplex. Samples were heated to 100° C. for 5′ in RNA buffer (IDT) and were allowed to cool to room temperature before use. The dsRNA oligonucleotides were stored at −20° C. Single strand RNA oligomers were stored lyophilized or in nuclease-free water at −80° C.


Example 2: Generation of KHK-Targeting Double-Stranded (DS) RNAi Oligonucleotides

Identification of KHK mRNA Target Sequences


Ketohexokinase (KHK) is an enzyme involved in fructose metabolism. KHK has two isoforms, differing by one alternative exon, with distinct substrates and mechanisms of action. The isoform KHK-A is encoded by Exon 3A whereas the KHK-C isoform is encoded by Exon 3C. To generate RNAi oligonucleotide inhibitors of KHK-A and KHK-C expression, a computer-based algorithm was used to computationally identify KHK mRNA target sequences suitable for assaying inhibition of KHK expression by the RNAi pathway. The algorithm provided RNAi oligonucleotide guide (antisense) strand sequences each having a region of complementarity to a suitable KHK target sequence of human KHK mRNA (e.g., SEQ ID NO: 1; Table 1). Some of the guide strand sequences identified by the algorithm were also complementary to the corresponding KHK target sequence of monkey and/or mouse KHK mRNA (SEQ ID NO: 2 and 3, respectively; Table 1). KHK RNAi oligonucleotides comprising a region of complementarity to homologous KHK mRNA target sequences with nucleotide sequence similarity are predicted to have the ability to target homologous KHK mRNAs.









TABLE 1







Sequences of Human, Monkey and Mouse KHK mRNA









Species
Ref Seq #
SEQ ID NO





Human (Hs)
NM_006488.3
1


Cynomolgus monkey (Mf)
XM_005576322.2
2


Mouse (Mm)
NM_008439.4
3









RNAi oligonucleotides (formatted as DsiRNA oligonucleotides) were generated as described in Example 1 for evaluation in vitro. Each DsiRNA was generated with the same modification pattern, and each with a unique guide strand having a region of complementarity to a KHK target sequence identified by the algorithm (Table 2). Modifications for the sense and anti-sense DsiRNA included the following (X− any nucleotide; m-2′-O-methyl modified nucleotide; r-ribosyl modified nucleotide):









Sense Strand:



rXmXrXmXrXrXrXrXrXrXrXrXrXmXrXmXrXrXrXrXrXrXrXXX






Anti-sense Strand:



mXmXmXmXrXrXrXrXrXrXmXrXmXrXrXrXrXrXrXrXrXrXmXrX







mXmXmX







In Vitro Cell-Based Assays

The ability of each of the modified DsiRNA in Table 2 to reduce KHK mRNA was measured using in vitro cell-based assays. Briefly, human hepatoma (Hep3B) cells expressing endogenous human KHK gene were transfected with each of the DsiRNAs listed in Table 2 (Sense Strand SEQ ID NOs: 4-387) at 1 nM in separate wells of a multi-well cell-culture plate. Cells were maintained for 24 hours following transfection with the modified DsiRNA, and then the amount of remaining KHK mRNA from the transfected cells was determined using TAQMAN®-based qPCR assays. Two qPCR assays, a 3′ assay (Forward-1026; TGGAGGTGGAGAAGCCA, Reverse-1157; GACCATACAAGCCCCTCAAG, Probe-1080; TGGTGTTTGTCAGCAAAGATGTGGC) and a 5′ assay (Forward-496; AGGAAGCTCTGGGAGTA, Reverse-596; CCTCCTTAGGGTACTTGTC, Probe-518; ATGGAAGAGAAGCAGATCCTGTGCG) were used to determine KHK mRNA levels as measured using PCR probes conjugated to 6-carboxy-fluorescein (FAM). Each primer pair (KHK-825 for KHK-C isoform, NM_006488.3) and KHK-All (both isoforms) (KHK-F495, KHK-F1026 for KHK-All (both isoforms) was assayed for % remaining RNA as shown in Table 2 and FIG. 1. DsiRNAs resulting in less than or equal to 10% KHK mRNA remaining in DsiRNA-transfected cells when compared to mock-transfected cells were considered DsiRNA “hits”. The Hep3B cell-based assay evaluating the ability of the DsiRNAs listed in Table 2 to inhibit KHK expression identified several candidate DsiRNAs.


Taken together, these results show that DsiRNAs designed to target human KHK mRNA inhibit KHK expression in cells, as determined by a reduced amount of KHK mRNA in DsiRNA-transfected cells relative to control cells. These results demonstrate that the nucleotide sequences comprising the DsiRNA are useful for generating RNAi oligonucleotides to inhibit KHK expression. Further, these results demonstrate that multiple KHK mRNA target sequences are suitable for the RNAi-mediated inhibition of KHK expression.









TABLE 2







Analysis of KHK mRNA in HepB3 cells













SEQ ID NO
SEQ ID NO

KHK-F495
KHK-F1026
KHK-825
% average
















(Sense
(Anti-sense

%

%

%

of all


Strand)
Strand)
DsiRNA name
remaining
SEM
remaining
SEM
remaining
SEM
assays



















4
388
KHK-115-154
28.3
2.4
33.1
2.7
30.22
6.148
30.5


5
389
KHK-116-155
27.8
5.9
33.3
6.5
25.691
8.728
28.9


6
390
KHK-117-156
26.7
9.9
47.5
14.6
32.656
13.903
35.6


7
391
KHK-118-157
43.7
6.3
63.9
6.4
47.299
13.144
51.6


8
392
KHK-119-158
34.6
8.6
57.5
14.7
22.791
11.895
38.3


9
393
KHK-120-159
31.4
3.8
49.7
3.5
40.388
5.289
40.5


10
394
KHK-121-160
35.8
4.4
53.2
5.7
43.359
8.043
44.1


11
395
KHK-122-161
41.8
3.7
67.6
6.5
39.75
5.587
49.7


12
396
KHK-123-162
49.5
3.7
66.7
4.6
41.386
7.102
52.5


13
397
KHK-124-163
30.9
2.5
49.6
4.4
40.966
7.589
40.5


14
398
KHK-125-164
39.5
3.7
52.5
5.1
43.748
9.465
45.3


15
399
KHK-126-165
37.1
2.8
57.9
5.2
53.25
7.484
49.4


16
400
KHK-127-166
38.6
3.1
63.0
4.3
45.393
5.073
49.0


17
401
KHK-128-167
31.1
2.6
44.6
3.3
47.943
5.962
41.2


18
402
KHK-179
28.9
23.1
81.2
21.2
62.845
5.928
57.6


19
403
KHK-181-220
43.4
5.3
57.6
5.6
56.679
10.519
52.5


20
404
KHK-182-221
33.8
1.8
40.4
3.4
50.153
10.698
41.5


21
405
KHK-183-222
48.9
3.5
57.7
5.4
58.074
7.904
54.9


22
406
KHK-184-223
37.0
2.6
38.5
3.0
49.417
4.396
41.6


23
407
KHK-185-224
34.3
4.0
44.8
4.3
53.186
7.765
44.1


24
408
KHK-186-225
36.1
4.9
42.4
5.0
51.087
6.631
43.2


25
409
KHK-187-226
48.5
3.9
48.2
4.5
81.75
6.116
59.5


26
410
KHK-188-227
50.9
2.8
50.5
5.6
75.858
6.936
59.1


27
411
KHK-431-470
38.7
2.5
42.1
3.8
52.142
5.549
44.3


28
412
KHK-432-471
74.1
38.8
65.5
11.0
50.476
11.385
63.3


29
413
KHK-433-472
53.1
8.6
72.4
9.0
47.428
12.036
57.7


30
414
KHK-507-545-376-218
23.8
3.1
31.1
2.5
84.241
10.972
46.4


31
415
KHK-508-546-377-219
15.7
1.8
43.7
2.6
52.076
6.767
37.2


32
416
KHK-509-547-378-220
10.9
2.4
24.5
4.2
25.526
5.12
20.3


33
417
KHK-510-548-379-221
9.1
3.2
15.0
5.0
15.853
4.385
13.3


34
418
KHK-511-549-380-222
10.4
3.0
23.8
3.5
17.016
6.998
17.1


35
419
KHK-512-550-381-223
6.5
2.2
28.8
8.3
33.059
5.266
22.8


36
420
KHK-513-551-382-224
25.4
8.6
25.2
3.2
22.514
5.225
24.4


37
421
KHK-514-552-383-225
16.4
4.8
33.5
11.4
45.353
14.944
31.7


38
422
KHK-515-553-384-226
66.1
4.5
47.0
3.6
150.28
13.471
87.8


39
423
KHK-516-554-385-227
10.6
2.6
19.4
5.6
27.145
7.112
19.0


40
424
KHK-517-555-386-228
12.0
3.4
24.7
6.3
24.382
9.127
20.4


41
425
KHK-518-556-387-229
15.9
5.6
23.1
6.5
16.128
6.295
18.4


42
426
KHK-520-558-389-231
8.9
1.9
15.6
3.4
20.589
4.844
15.0


43
427
KHK-521-559-390-232
5.0
2.9
23.6
6.4
23.218
8.661
17.3


44
428
KHK-522-560-391-233
9.7
1.7
12.3
2.7
12.226
3.342
11.4


45
429
KHK-541-579
17.8
1.5
26.0
2.6
27.272
5.808
23.7


46
430
KHK-544-582
22.9
2.7
18.4
1.9
59.795
8.985
33.7


47
431
KHK-546-584
30.6
5.8
42.2
7.1
35.433
9.834
36.1


48
432
KHK-547-585
12.2
1.9
17.8
2.6
20.431
7.549
16.8


49
433
KHK-548-586
11.8
2.3
25.1
7.8
7.622
2.199
14.8


50
434
KHK-549-587
12.2
2.0
15.0
3.6
14.783
3.155
14.0


51
435
KHK-550-588
15.9
6.2
23.7
8.1
18.365
7.143
19.3


52
436
KHK-551-589
24.7
4.2
34.8
6.1
14.11
5.994
24.5


53
437
KHK-552-590
24.6
4.3
30.5
5.3
22.483
8.443
25.9


54
438
KHK-553-591
16.1
1.6
27.3
4.3
21.753
4.168
21.7


55
439
KHK-554-592
18.9
6.7
26.3
9.0
20.976
8.622
22.1


56
440
KHK-555-593
22.2
7.1
27.2
10.4
24.612
15.246
24.7


57
441
KHK-556-594
25.9
7.5
32.3
9.9
24.205
11.232
27.5


58
442
KHK-557-595
15.1
1.9
18.9
2.2
29.27
5.8
21.1


59
443
KHK-558-596
25.6
8.0
24.2
11.2
29.227
13.255
26.4


60
444
KHK-559-597
21.3
1.9
29.7
1.8
23.268
4.973
24.8


61
445
KHK-560-598
58.6
2.8
77.3
4.2
61.287
4.768
65.7


62
446
KHK-561-599
14.7
2.2
28.9
3.3
23.131
4.888
22.3


63
447
KHK-562-600
15.1
5.1
21.2
6.5
22.347
6.503
19.6


64
448
KHK-563-601
34.7
1.7
47.5
2.5
63.417
8.195
48.5


65
449
KHK-564-602
19.2
1.8
30.1
2.4
44.737
9.177
31.3


66
450
KHK-565-603
55.7
3.1
73.0
5.6
106.349
11.887
78.3


67
451
KHK-566-604
19.7
1.0
30.1
2.8
31.606
2.125
27.1


68
452
KHK-567-605
9.9
0.5
15.4
1.3
14.15
2.218
13.2


69
453
KHK-568-606
15.6
1.0
19.6
1.1
21.246
2.662
18.8


70
454
KHK-569-607
45.3
5.4
53.3
5.9
42.462
12.958
47.0


71
455
KHK-570-608
14.6
1.4
21.6
2.3
24.089
3.615
20.1


72
456
KHK-571-609
15.4
1.8
17.4
1.9
28.812
4.966
20.6


73
457
KHK-572-610
27.2
1.2
33.3
2.2
38.47
4.931
33.0


74
458
KHK-573-611
20.6
1.7
23.1
2.1
50.396
5.757
31.4


75
459
KHK-574-612
19.8
1.6
27.3
2.2
29.683
5.49
25.6


76
460
KHK-575-613
31.1
1.9
31.2
2.4
37.359
5.282
33.2


77
461
KHK-576-614
30.0
4.0
32.2
1.9
19.014
3.763
27.1


78
462
KHK-577-615
20.8
1.9
31.6
2.8
22.807
5.999
25.1


79
463
KHK-638-676
25.1
2.0
27.0
2.0
38.226
3.255
30.1


80
464
KHK-641-679
29.0
1.7
33.5
2.0
30.662
5.567
31.0


81
465
KHK-642-680
22.6
2.6
31.3
2.7
12.983
3.632
22.3


82
466
KHK-643-681
39.1
2.1
41.5
2.4
38.644
6.762
39.7


83
467
KHK-644-682
25.3
3.2
34.7
7.5
11.343
4.407
23.8


84
468
KHK-645-683
15.9
5.0
21.0
3.1
21.433
1.586
19.5


85
469
KHK-646-684
22.8
1.8
30.8
2.2
13.876
3.967
22.5


86
470
KHK-647-685
38.8
1.5
41.9
2.4
32.316
6.062
37.7


87
471
KHK-650-688
40.6
2.1
42.3
3.2
41.675
12.029
41.5


88
472
KHK-676-714
56.0
2.4
52.8
2.8
71.792
10.911
60.2


89
473
KHK-713-722
71.9
3.5
78.9
3.4
49.345
10.259
66.7


90
474
KHK-826-835
87.0
6.4
101.5
5.1
76.866
14.977
88.5


91
475
KHK-827-836
62.3
2.7
98.9
8.8
29.087
3.652
63.4


92
476
KHK-829-838
100.3
4.5
86.8
5.3
17.67
3.397
68.3


93
477
KHK-830-839
67.4
3.2
81.8
3.6
17.686
2.276
55.6


94
478
KHK-831-840
61.7
3.4
69.8
5.2
13.313
3.649
48.3


95
479
KHK-832-841
82.3
4.4
80.0
4.4
34.692
4.011
65.7


96
480
KHK-857-895
73.2
10.7
53.0
13.9
88.908
21.326
71.7


97
481
KHK-858-896
25.9
1.6
23.5
2.4
34.15
5.07
27.8


98
482
KHK-859-897
42.4
2.4
51.3
4.2
47.048
2.926
46.9


99
483
KHK-860-898-729-571
9.9
1.8
19.1
2.7
13.298
2.656
14.1


100
484
KHK-861-899-730-572
5.0
0.6
3.3
0.4
2.869
0.815
3.7


101
485
KHK-862-900
10.8
1.5
12.2
0.9
12.047
3.121
11.7


102
486
KHK-865
6.3
0.7
7.6
0.5
5.2
0.828
6.4


103
487
KHK-880
11.8
0.8
11.5
1.6
15.705
2.293
13.0


104
488
KHK-882-920
6.5
0.8
6.5
0.9
4.934
1.748
6.0


105
489
KHK-883-921
6.0
1.0
5.3
1.1
5.884
1.209
5.7


106
490
KHK-884-922
11.6
1.4
13.2
1.4
8.24
2.55
11.0


107
491
KHK-885-923
7.9
0.7
9.9
1.0
7.119
2.941
8.3


108
492
KHK-886-924
10.7
7.4
10.9
7.0
4.814
1.257
8.8


109
493
KHK-887-925
14.2
0.7
16.2
1.1
22.141
2.292
17.5


110
494
KHK-888-926
13.3
1.1
17.9
1.4
17.895
1.465
16.4


111
495
KHK-889-927
11.5
0.8
12.3
0.8
13.253
2.142
12.3


112
496
KHK-890-928
8.5
0.7
7.1
0.9
9.332
1.26
8.3


113
497
KHK-891-929
9.0
1.6
8.1
1.3
10.279
2.136
9.1


114
498
KHK-892-930
6.0
1.0
9.4
1.2
7.1
2.124
7.5


115
499
KHK-893-931
11.1
1.0
12.6
1.2
8.773
1.823
10.8


116
500
KHK-894-932
16.1
2.3
19.0
1.7
8.757
1.518
14.6


117
501
KHK-895-933
9.2
0.5
7.4
0.4
14.47
1.915
10.3


118
502
KHK-896-934
10.4
1.1
10.5
1.5
19.901
4.905
13.6


119
503
KHK-897-935
13.1
0.8
14.2
0.9
24.106
2.363
17.1


120
504
KHK-898-936
28.7
1.4
32.0
2.9
25.261
2.143
28.7


121
505
KHK-899-937
10.3
0.8
10.6
1.1
13.265
2.804
11.4


122
506
KHK-900-938
9.2
0.9
10.4
0.8
8.036
1.468
9.2


123
507
KHK-901-939
10.7
2.1
15.3
3.3
9.39
2.386
11.8


124
508
KHK-902-940
17.6
1.2
17.4
2.2
13.271
2.387
16.1


125
509
KHK-903-941
11.5
0.8
15.2
1.2
6.246
1.494
11.0


126
510
KHK-904-942
16.1
3.0
20.6
2.5
12.783
3.392
16.5


127
511
KHK-905-943
10.7
1.7
20.3
0.9
12.273
1.446
14.4


128
512
KHK-906-944
13.2
2.9
24.9
2.4
6.582
2.052
14.9


129
513
KHK-907-945
18.6
11.2
54.3
31.6
14.417
4.546
29.1


130
514
KHK-908-946-777-619
26.7
14.6
46.4
21.7
125.267
92.567
66.1


131
515
KHK-909-947-778-620
7.0
2.5
12.9
4.2
10.062
3.153
10.0


132
516
KHK-910-948-779-621
19.9
3.0
19.2
2.6
19.331
4.315
19.5


133
517
KHK-911-949-780-622
14.0
1.3
12.6
1.0
13.083
3.238
13.2


134
518
KHK-912-950-781-623
20.4
1.1
18.3
1.3
21.258
3.237
20.0


135
519
KHK-913-951-782-624
23.3
0.9
23.6
1.2
28.036
3.803
25.0


136
520
KHK-914-952-783-625
70.2
6.9
69.6
6.1
65.824
7.388
68.5


137
521
KHK-939-977
26.7
4.5
28.7
3.9
22.079
3.952
25.8


138
522
KHK-940-978
14.8
2.5
18.1
3.2
11.124
3.4
14.7


139
523
KHK-941-979
31.0
2.1
35.9
2.4
26.216
2.217
31.1


140
524
KHK-942-980
106.5
6.3
93.3
6.2
55.665
9.171
85.2


141
525
KHK-943-981
15.6
1.6
14.3
1.3
14.943
2.853
14.9


142
526
KHK-944-982
68.2
2.2
64.0
3.2
71.816
5.94
68.0


143
527
KHK-945-983
44.6
1.4
42.6
2.1
60.527
7.442
49.2


144
528
KHK-946-984
42.2
2.1
43.0
2.0
44.669
6.993
43.3


145
529
KHK-947-985
21.0
1.1
22.3
1.9
18.992
1.862
20.8


146
530
KHK-948-986-817
12.7
1.7
13.3
2.9
11.454
2.967
12.5


147
531
KHK-949-987-818
9.1
0.5
9.8
0.8
16.011
13.037
11.7


148
532
KHK-950-988-819
9.6
1.2
8.5
0.8
12.475
3.586
10.2


149
533
KHK-951-989-820
23.5
2.2
25.3
1.9
23.247
6.755
24.0


150
534
KHK-952-990-821
14.5
0.8
18.3
1.6
15.126
4.553
16.0


151
535
KHK-953-991-822
23.0
1.5
25.9
2.2
25.674
5.773
24.9


152
536
KHK-954-992-823
14.1
1.5
16.9
2.7
17.22
2.41
16.1


153
537
KHK-955-993-824
13.0
2.4
14.4
2.5
10.614
3.054
12.7


154
538
KHK-956-994
11.8
2.7
11.9
3.0
17.221
5.593
13.6


155
539
KHK-957-995
6.1
2.1
10.2
1.7
14.207
1.553
10.2


156
540
KHK-958-996
17.4
3.2
17.9
1.0
26.913
3.733
20.7


157
541
KHK-978-1016
43.0
3.9
50.1
4.1
41.716
3.912
45.0


158
542
KHK-982-1020
51.8
2.6
69.1
5.3
67.745
3.674
62.9


159
543
KHK-983-1021
57.0
6.9
60.3
7.5
60.141
8.62
59.2


160
544
KHK-984-1022
15.4
2.1
16.8
2.1
17.339
3.931
16.5


161
545
KHK-985-1023
17.4
2.3
22.7
7.7
16.976
8.222
19.0


162
546
KHK-991-1029
21.4
2.9
22.7
3.9
27.54
9.397
23.9


163
547
KHK-992-1030
11.2
1.3
11.7
1.4
18.836
2.724
13.9


164
548
KHK-993-1031
32.3
5.5
26.5
4.5
19.635
5.352
26.1


165
549
KHK-999-1037
20.8
1.8
24.4
1.8
26.652
2.248
24.0


166
550
KHK-1000-1038
15.3
0.8
20.9
2.4
15.57
2.369
17.3


167
551
KHK-1019-1057
29.8
4.4
29.5
4.4
36.461
4.748
31.9


168
552
KHK-1054-1092
17.3
2.7
14.9
1.9
19.554
3.963
17.2


169
553
KHK-1055-1093
21.0
1.7
22.2
2.4
20.314
4.35
21.2


170
554
KHK-1057-1095
8.8
1.5
8.0
1.4
12.267
1.962
9.7


171
555
KHK-1058-1096
51.6
3.0
52.5
4.1
54.022
5.889
52.7


172
556
KHK-1059-1097
22.0
2.3
13.9
1.9
23.814
3.884
19.9


173
557
KHK-1060-1098
14.7
0.7
10.4
0.8
26.531
6.527
17.2


174
558
KHK-1061-1099
28.3
1.7
22.1
1.5
40.784
3.797
30.4


175
559
KHK-1062-1100
11.6
0.7
12.0
1.1
20.499
2.193
14.7


176
560
KHK-1063-1101
12.6
0.8
9.8
1.2
15.613
1.439
12.7


177
561
KHK-1064-1102
12.7
2.2
9.7
2.5
18.761
3.098
13.7


178
562
KHK-1065-1103
15.2
2.3
13.0
2.0
29.056
2.117
19.1


179
563
KHK-1066-1104
14.0
1.4
13.8
2.9
16.23
2.914
14.7


180
564
KHK-1067-1105
13.7
1.2
10.0
1.2
8.155
3.486
10.6


181
565
KHK-1068-1106
14.0
0.8
11.4
1.1
28.373
4.283
17.9


182
566
KHK-1069-1107
11.8
0.6
9.8
0.7
17.654
3.053
13.1


183
567
KHK-1070-1108
20.2
2.0
14.4
2.7
30.393
6.07
21.7


184
568
KHK-1071-1109
30.0
3.2
22.0
1.5
39.098
8.12
30.4


185
569
KHK-1072-1110
14.5
0.7
12.9
0.8
41.196
15.367
22.8


186
570
KHK-1073-1111
17.7
1.3
14.6
1.7
23.629
3.262
18.6


187
571
KHK-1074-1112-943-785
25.1
2.1
23.0
2.4
34.784
6.555
27.6


188
572
KHK-1075-1113-944-786
12.4
2.5
8.4
1.9
9.594
2.863
10.1


189
573
KHK-1076-1114-945-787
9.8
1.0
7.5
1.0
11.44
3.242
9.6


190
574
KHK-1077-1115-946-788
13.8
1.6
11.9
1.4
19.983
4.226
15.2


191
575
KHK-1078-1116-947-789
12.2
1.4
10.2
1.5
19.236
3.613
13.9


192
576
KHK-1079-1117-948-790
23.0
1.6
20.2
1.4
36.758
3.387
26.6


193
577
KHK-1080-1118-949-791
12.4
0.7
10.3
0.9
23.489
2.532
15.4


194
578
KHK-1081-1119-950-792
19.0
2.8
15.4
1.4
35.094
5.069
23.2


195
579
KHK-1082-1120-951-793
51.6
12.7
36.2
7.1
79.445
13.29
55.8


196
580
KHK-1083-1121-952-794
12.4
0.9
7.6
1.6
29.815
4.341
16.6


197
581
KHK-1084-1122-953-795
17.8
1.5
15.4
1.3
34.538
5.134
22.6


198
582
KHK-1085-1123-954-796
20.4
2.5
19.1
2.4
28.082
3.898
22.5


199
583
KHK-1086-1124-955-797
9.8
1.4
9.1
1.9
22.862
5.973
13.9


200
584
KHK-1087-1125-956-798
25.1
2.4
26.2
5.9
60.678
13
37.3


201
585
KHK-1090-1128
15.7
2.5
14.2
4.3
47.765
6.748
25.9


202
586
KHK-1091-1129
17.1
1.5
16.0
1.2
47.935
10.554
27.0


203
587
KHK-1092-1130
59.1
13.1
81.9
15.1
116.084
17.529
85.7


204
588
KHK-1093-1131
68.9
6.5
72.1
6.2
135.298
14.786
92.1


205
589
KHK-1095-1133
39.3
2.2
34.2
2.9
49.369
9.398
41.0


206
590
KHK-1096-1134
54.0
3.8
58.2
5.6
107.545
13.331
73.2


207
591
KHK-1097-1135
26.5
3.4
22.1
3.0
39.738
6.746
29.5


208
592
KHK-1099-1137
19.4
2.2
21.9
2.9
37.312
8.866
26.2


209
593
KHK-1100-1138
31.5
3.9
31.8
4.6
86.882
29.059
50.1


210
594
KHK-1101-1139
60.8
5.1
65.8
3.9
89.898
14.227
72.2


211
595
KHK-1102-1140
29.8
1.9
25.1
2.9
49.962
4.639
34.9


212
596
KHK-1103-1141
9.9
1.3
5.7
0.9
14.357
4.377
10.0


213
597
KHK-1104-1142
7.9
0.5
5.3
0.7
14.498
2.508
9.2


214
598
KHK-1106-1144
12.0
2.1
6.8
2.4
17.615
5.575
12.1


215
599
KHK-1107-1145
7.6
1.5
3.5
1.2
12.097
3.884
7.7


216
600
KHK-1135-1173
9.8
2.7
6.3
2.1
20.368
5.935
12.2


217
601
KHK-1136-1174
55.0
8.2
57.6
8.7
51.67
14.619
54.8


218
602
KHK-1137-1175
6.9
1.5
5.5
0.9
14.082
4.459
8.8


219
603
KHK-1138-1176
3.4
1.2
2.7
1.0
20.618
4.034
8.9


220
604
KHK-1139-1177
14.2
4.2
10.3
2.6
45.243
8.325
23.2


221
605
KHK-1140-1178
22.3
7.0
14.9
4.7
58.511
10.307
31.9


222
606
KHK-1141-1179
16.8
4.6
18.2
4.1
34.609
7.425
23.2


223
607
KHK-1142-1180
10.0
4.1
8.0
2.3
33.362
7.336
17.1


224
608
KHK-1143-1181
13.7
2.2
12.5
4.2
28.204
4.236
18.1


225
609
KHK-1144-1182
11.7
2.1
14.6
4.6
49.769
18.354
25.3


226
610
KHK-1145-1183
19.0
6.3
22.7
6.7
51.464
20.568
31.1


227
611
KHK-1146-1184
16.8
4.7
14.7
5.5
71.937
37.067
34.5


228
612
KHK-1147-1185
9.0
1.6
9.1
1.1
11.22
4.674
9.7


229
613
KHK-1148-1186
8.8
1.7
6.0
1.8
18.481
8.166
11.1


230
614
KHK-1149-1187
20.1
3.1
18.3
2.8
36.481
11.397
24.9


231
615
KHK-1153-1191
24.4
3.7
20.5
3.0
29.434
6.394
24.8


232
616
KHK-1154-1192
11.9
2.5
8.9
2.2
22.093
6.996
14.3


233
617
KHK-1157-1195
14.5
2.2
11.9
2.2
26.024
4.864
17.5


234
618
KHK-1158-1196
9.3
1.4
5.0
1.5
8.547
5.09
7.6


235
619
KHK-1159-1197
7.3
1.3
11.6
1.3
18.971
4.052
12.6


236
620
KHK-1161-1199
9.9
1.0
4.8
0.7
16.083
3.57
10.3


237
621
KHK-1163-1201
13.7
1.3
11.9
1.4
28.564
6.393
18.0


238
622
KHK-1164-1202
14.6
2.9
10.0
2.5
17.654
4.993
14.1


239
623
KHK-1232-1270
12.0
2.4
13.2
2.6
29.824
4.644
18.4


240
624
KHK-1278-1316-1147-989
14.0
2.6
8.5
3.2
16.096
5.812
12.9


241
625
KHK-1279-1317-1148-990
9.4
2.2
8.2
2.0
23.969
10.352
13.9


242
626
KHK-1280-1318-1149-991
4.5
1.4
5.3
1.2
11.007
1.786
6.9


243
627
KHK-1281-1319-1150-992
4.0
1.3
7.4
2.3
30.368
6.698
13.9


244
628
KHK-1282-1320-1151-993
10.0
1.5
9.4
2.9
10.4
2.173
10.0


245
629
KHK-1283-1321
23.7
3.6
25.9
5.1
20.361
6.111
23.3


246
630
KHK-1284-1322
17.5
1.2
15.1
1.9
23.591
3.59
18.8


247
631
KHK-1285-1323
15.8
1.4
19.5
1.2
13.69
2.902
16.3


248
632
KHK-1286-1324
17.7
2.8
18.7
2.8
18.507
3.994
18.3


249
633
KHK-1287-1325
9.2
3.3
7.7
3.0
10.381
3.571
9.1


250
634
KHK-1288-1326
8.4
2.9
3.8
1.7
11.461
3.398
7.9


251
635
KHK-1289-1327
8.4
2.9
6.4
4.6
11.992
3.025
8.9


252
636
KHK-1290-1328
8.7
1.5
6.7
1.2
8.926
3.258
8.1


253
637
KHK-1291-1329
6.9
0.7
3.8
1.0
7.55
2.469
6.1


254
638
KHK-1292-1330
17.7
1.1
12.8
1.2
30.785
7.501
20.5


255
639
KHK-1293-1331
11.6
1.3
9.7
1.6
15.795
2.45
12.4


256
640
KHK-1294-1332
25.7
1.4
34.2
2.2
33.058
7.279
31.0


257
641
KHK-1295-1333
13.1
1.5
12.2
2.1
15.793
3.001
13.7


258
642
KHK-1297-1335
21.1
1.3
21.8
1.5
24.699
4.755
22.5


259
643
KHK-1323-1361
49.4
8.1
57.3
8.3
44.887
11.548
50.5


260
644
KHK-1325-1363
38.7
2.6
32.1
3.3
28.739
4.127
33.2


261
645
KHK-1326-1364
10.7
0.8
8.2
0.9
20.863
2.809
13.3


262
646
KHK-1327-1365
54.1
2.2
52.2
3.4
94.086
19.883
66.8


263
647
KHK-1328-1366
40.5
1.7
45.3
3.8
44.867
7.194
43.5


264
648
KHK-1329-1367
17.2
1.4
14.4
1.0
32.257
2.561
21.3


265
649
KHK-1330-1368
15.6
1.2
18.9
1.9
19.171
3.863
17.9


266
650
KHK-1331-1369
15.4
1.6
12.9
2.0
42.066
5.461
23.4


267
651
KHK-1332-1370
12.0
0.8
8.5
0.9
10.488
3.467
10.3


268
652
KHK-1333-1371
7.2
0.9
3.7
0.9
8.179
2.058
6.3


269
653
KHK-1334-1372
8.7
1.5
6.5
1.0
7.49
0.985
7.6


270
654
KHK-1335-1373
9.7
0.6
5.2
1.1
9.403
1.153
8.1


271
655
KHK-1336-1374
10.0
1.8
5.2
1.4
14.512
2.647
9.9


272
656
KHK-1385-1423
47.5
3.5
49.0
4.8
44.122
7.678
46.9


273
657
KHK-1387-1425
14.4
2.1
15.9
3.0
22.666
4.122
17.7


274
658
KHK-1388-1426
27.0
2.9
28.2
3.3
34.575
4.985
29.9


275
659
KHK-1389-1427
25.1
3.0
29.5
2.8
18.759
3.577
24.5


276
660
KHK-1538-1588
81.1
15.3
73.7
17.3
71.289
16.403
75.3


277
661
KHK-1540-1590
46.8
4.2
35.5
4.6
23.533
8.593
35.3


278
662
KHK-1542-1592
80.6
4.7
89.1
3.3
85.445
7.942
85.0


279
663
KHK-1665-1708
84.8
4.3
86.6
8.9
116.186
21.343
95.8


280
664
KHK-1666-1709
97.0
2.5
99.6
3.9
115.899
10.593
104.2


281
665
KHK-1667-1710
99.5
4.4
109.4
5.7
123.463
8.991
110.8


282
666
KHK-1707-1750
91.1
3.5
107.3
6.3
123.75
26.01
107.4


283
667
KHK-1708-1751
72.5
5.7
85.8
8.2
76.118
10.985
78.1


284
668
KHK-1709-1752
136.2
5.8
114.5
5.9
75.202
14.025
108.7


285
669
KHK-1869-1918
118.1
21.1
111.2
20.6
97.088
18.195
108.8


286
670
KHK-1870-1919
90.2
8.7
83.2
11.2
87.62
22.519
87.0


287
671
KHK-1871-1920
81.7
4.6
80.6
4.6
119.805
13.019
94.1


288
672
KHK-1872-1921
94.5
4.4
87.4
5.7
74.492
13.782
85.4


289
673
KHK-1873-1922
93.2
5.4
90.9
4.6
88.62
13.98
90.9


290
674
KHK-1874-1923
93.2
6.3
90.7
4.9
74.793
8.913
86.2


291
675
KHK-1875-1924
86.5
8.5
76.3
8.2
45.965
7.621
69.6


292
676
KHK-1876-1925
73.7
9.7
61.1
8.7
34.813
6.807
56.6


293
677
KHK-1877-1926
72.7
3.9
51.0
5.3
45.122
9.468
56.3


294
678
KHK-1878-1927
75.8
4.8
79.7
8.0
54.716
8.031
70.1


295
679
KHK-1879-1928
90.6
8.4
77.0
9.0
86.62
13.219
84.7


296
680
KHK-1880-1929
100.4
8.5
84.5
9.8
85.501
13.022
90.1


297
681
KHK-1900-1949
104.9
12.1
96.5
15.3
70.712
8.039
90.7


298
682
KHK-1905-1954
71.4
17.0
71.0
22.1
35.273
14.001
59.2


299
683
KHK-1971-2025
77.5
25.4
128.3
28.3
34.399
9.559
80.1


300
684
KHK-1974-2028
74.2
6.0
64.4
7.7
50.763
6.122
63.1


301
685
KHK-1975-2029
80.8
7.8
80.5
7.1
55.779
10.606
72.3


302
686
KHK-1976-2030
69.2
6.8
73.5
8.5
53.873
16.663
65.5


303
687
KHK-1978-2032
73.7
10.3
73.6
10.0
57.334
7.876
68.2


304
688
KHK-1979-2033
81.2
9.5
95.1
13.6
43.016
8.767
73.1


305
689
KHK-2032-2086
94.2
6.3
124.6
9.4
99.842
10.374
106.2


306
690
KHK-2035-2089
66.5
6.2
72.2
14.5
47.134
6.316
61.9


307
691
KHK-2036-2090
82.4
9.1
110.4
15.5
56.532
12.458
83.1


308
692
KHK-2037-2091
88.9
8.1
72.5
7.9
48.451
10.859
70.0


309
693
KHK-2038-2092
74.2
3.6
58.7
4.7
44.437
4.32
59.1


310
694
KHK-2039-2093
75.1
5.3
76.3
8.1
51.597
6.117
67.7


311
695
KHK-2040-2094
75.9
8.5
70.0
11.2
57.499
6.477
67.8


312
696
KHK-2041-2095
80.5
4.1
78.1
3.5
78.593
10.192
79.1


313
697
KHK-2042-2096
79.1
5.2
84.7
4.0
88.699
8.352
84.2


314
698
KHK-2043-2097
72.0
3.8
70.0
2.7
83.791
8.891
75.3


315
699
KHK-2044-2098
37.6
12.9
32.3
13.4
30.83
15.258
33.6


316
700
KHK-2045-2099
101.3
8.7
87.4
11.3
54.839
12.261
81.2


317
701
KHK-2067-2121
88.2
5.1
78.4
2.6
75.916
8.438
80.8


318
702
KHK-2069-2123
83.1
3.7
84.9
5.2
63.679
10.343
77.2


319
703
KHK-2091-2145
83.8
5.4
87.1
8.9
53.463
10.34
74.8


320
704
KHK-2092-2146
85.4
6.2
89.7
7.8
68.656
5.01
81.3


321
705
KHK-2093-2147
102.7
21.4
65.4
19.9
71.693
14.857
79.9


322
706
KHK-2094-2148
88.8
6.4
94.1
6.7
53.85
10.392
78.9


323
707
KHK-2095-2149
76.2
21.4
97.2
25.9
47.372
14.735
73.6


324
708
KHK-2096-2150
87.9
16.4
78.6
13.2
49.454
14.398
72.0


325
709
KHK-2105
92.1
7.7
90.8
11.5
97.683
10.156
93.5


326
710
KHK-2148-2197
86.5
5.8
79.3
16.0
76.198
8.142
80.7


327
711
KHK-2149-2198
71.3
3.7
73.8
4.2
55.558
6.731
66.9


328
712
KHK-2150-2199
92.1
7.1
97.5
4.9
75.703
6.126
88.4


329
713
KHK-2151-2200
96.2
3.7
108.0
10.3
91.908
5.852
98.7


330
714
KHK-2152-2201
78.7
6.5
74.7
9.6
42.766
6.332
65.4


331
715
KHK-2153-2202
95.2
14.8
73.9
13.1
47.169
10.902
72.1


332
716
KHK-2154-2203
114.1
11.9
92.3
7.2
61.728
10.943
89.4


333
717
KHK-2155-2204
92.1
8.4
83.1
3.8
119.537
11.18
98.2


334
718
KHK-2156-2205
104.7
5.4
91.6
4.7
148.445
15.208
114.9


335
719
KHK-2157-2206
94.2
8.4
92.0
10.4
68.735
7.132
85.0


336
720
KHK-2159-2208
85.4
4.5
78.4
6.2
62.397
10.642
75.4


337
721
KHK-2160-2209
72.7
1.9
81.8
5.3
56.483
11.255
70.3


338
722
KHK-2161-2210
93.7
14.6
74.3
10.9
18.252
5.102
62.1


339
723
KHK-2162-2211
106.7
11.3
127.3
17.9
53.455
15.254
95.8


340
724
KHK-2163-2212
79.5
8.2
91.6
6.4
49.199
6.236
73.5


341
725
KHK-2164-2213
101.1
13.4
115.2
20.4
84.893
29.662
100.4


342
726
KHK-2165-2214
97.0
10.8
102.1
9.9
76.079
10.525
91.7


343
727
KHK-2166-2215
91.6
20.4
89.3
22.7
55.353
11.894
78.8


344
728
KHK-2170-2219
75.9
4.5
89.7
4.6
68.461
8.991
78.0


345
729
KHK-2196-2245
60.3
2.9
65.1
4.4
43.35
5.951
56.3


346
730
KHK-2197-2246
85.4
8.4
98.9
9.4
65.81
6.865
83.4


347
731
KHK-2198-2247
89.4
15.0
108.1
10.3
44.371
7.323
80.6


348
732
KHK-2199-2248
97.2
14.8
91.3
16.1
49.493
8.874
79.3


349
733
KHK-2200-2249
104.7
10.7
111.8
13.5
47.327
5.488
87.9


350
734
KHK-2201-2250
100.3
11.7
102.7
13.8
52.984
11.652
85.3


351
735
KHK-2205
96.9
17.0
88.0
10.9
55.021
8.208
80.0


352
736
KHK-2238
89.1
8.0
99.6
8.2
113.917
11.636
100.9


353
737
KHK-2260-2309
111.5
13.2
110.2
11.9
95.452
20.407
105.7


354
738
KHK-2261-2310
103.6
9.1
106.9
12.4
97.581
15.894
102.7


355
739
KHK-2262-2311
141.3
14.6
132.9
11.8
112.052
19.366
128.7


356
740
KHK-2263-2312
104.0
10.5
80.5
11.4
59.852
7.342
81.4


357
741
KHK-2264-2313
100.7
17.1
88.6
15.5
53.023
12.056
80.8


358
742
KHK-2265-2314
103.2
11.2
103.8
11.9
60.929
8.309
89.3


359
743
KHK-2266-2315
119.8
8.9
110.3
8.5
66.846
9.19
99.0


360
744
KHK-2299
77.7
3.2
72.0
5.9
69.804
11.442
73.2


361
745
KHK-2317-2366
81.2
3.0
84.4
7.7
66.04
7.299
77.2


362
746
KHK-2318-2367
86.6
3.7
97.0
5.2
66.519
4.573
83.4


363
747
KHK-2319-2368
127.5
12.5
102.9
8.9
82.338
11.524
104.2


364
748
KHK-2320-2369
98.9
11.1
94.2
15.6
59.154
17.115
84.1


365
749
KHK-2321-2370
127.6
13.8
127.6
16.5
81.979
19.313
112.4


366
750
KHK-2322-2371
83.3
9.1
68.5
8.6
78.252
14.344
76.7


367
751
KHK-2323-2372
83.2
7.3
79.8
7.7
57.202
9.062
73.4


368
752
KHK-2324-2373
95.0
3.0
101.4
5.2
118.194
16.285
104.9


369
753
KHK-2325-2374
123.0
15.6
153.7
23.1
188.498
24.768
155.1


370
754
KHK-2326-2375
94.5
12.0
101.2
8.2
110.056
29.627
101.9


371
755
KHK-2332
96.2
11.9
122.2
10.2
120.096
15.829
112.8


372
756
KHK-2333
97.9
12.7
73.0
9.9
50.041
16.617
73.7


373
757
KHK-2335
104.4
9.0
81.2
7.5
33.77
6.814
73.1


374
758
KHK-2340
64.4
14.3
45.7
12.3
34.661
10.468
48.2


375
759
KHK-2341
61.9
10.6
53.7
6.9
43.579
8.14
53.1


376
760
KHK-2346
104.5
9.2
92.5
12.6
104.386
32.315
100.4


377
761
KHK-2352
78.5
6.7
83.6
8.0
97.544
18.168
86.6


378
762
KHK-2358
78.8
7.0
75.7
9.9
64.974
13.327
73.1


379
763
KHK-2359
89.5
9.0
91.8
8.2
71.314
7.358
84.2


380
764
KHK-2360
132.4
26.2
82.8
8.7
159.973
15.729
125.0


381
765
KHK-2361
110.4
8.5
87.7
7.8
87.634
7.799
95.3


382
766
KHK-2362
92.5
12.8
72.7
7.2
84.427
12.833
83.2


383
767
KHK-2363
100.4
9.2
76.1
14.4
52.066
18.068
76.2


384
768
KHK-2364
116.4
9.8
88.5
8.3
120.931
26.855
108.6


385
769
KHK-2365
100.5
5.7
92.9
5.2
132.668
7.14
108.7


386
770
KHK-2366
129.3
7.2
113.5
5.7
135.163
16.2
126.0


387
771
KHK-2367
123.3
9.0
105.9
9.2
136.356
9.025
121.9









Example 3: RNAi Oligonucleotide Inhibition of Both KHK Isoforms In Vivo

The in vitro screening assay in Example 2 validated the ability of KHK DsiRNA to knock-down both isoforms of KHK (KHK-All). To confirm the ability of the RNAi oligonucleotides to knockdown both KHK-A and KHK-C isoforms, a side-by-side HDI mouse model was used. First, the nucleotide sequences comprising a subset of the 384 DsiRNAs identified in Example 2, and that recognize human/NHP-conserved KHK, were used to generate corresponding double-stranded RNAi oligonucleotides comprising a nicked tetraloop GalNAc-conjugated structure (referred to herein as “GalNAc-conjugated KHK oligonucleotides” or “GalNAc-KHK constructs”) having a 36-mer passenger strand and a 22-mer guide strand (Table 3). Specifically, to generate the 22-mer guide strand, the 19-mer core antisense strand sequences used in Example 2 (e.g., SEQ ID NOs: 948-953) were modified to have a phosphorylated uracil at the 5′ end and two guanines at the 3′ end. To generate the 36-mer passenger strand, an adenine corresponding to the phosphorylated uracil in the antisense strand and a 16-mer stem loop (SEQ ID NO: 871) were added to the 3′ end of the 19-mer core sense strand sequences used in Example 2 (e.g., SEQ ID NOs: 942-947). Further, the nucleotide sequences comprising the passenger strand and guide strand of the GalNAc-conjugated KHK oligonucleotides have a distinct pattern of modified nucleotides and phosphorothioate linkages (e.g., see FIG. 2A, FIG. 2B and Table 3 for schematics of the generic structure and key of chemical modifications; referred to herein as Low-2′-Fluoro (3PS) and Low-2′-Fluoro (2PS), respectively, together as the Low-2′-Fluoro pattern for GalNAc-conjugated KHK oligonucleotides). The three adenosine nucleotides comprising the tetraloop are each conjugated to a GalNAc moiety (CAS #: 14131-60-3). The modification pattern is represented below in two interchangeable modification keys.











Low-2′-Fluoro (3PS) Modification Pattern for 



GalNAc-KHK Constructs (5′ Antisense 3PS)



Sense Strand: 



5′-mX-S-mX-mX-mX-mX-mX-mX-fX-fX-fX-fX-mX-mX-







mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-







[ademA-GalNAc]- [ademA-GalNAc]- [ademA-







GalNAc]-mX-mX-mX-mX-mX-mX-3′.







Hybridized to:



Antisense Strand: 



5′-[MePhosphonate-4O-mX]-S-fX-S-fX-S-fX-fX-







mX-fX-mX-mX-fX-mX-mX-mX-fX-mX-mX-mX-mX-mX-







mX-S-mX-S-mX-3′



(Modification key: Table 3).







Or, represented as:



Sense Strand: 



[mXs][mX][mX][mX][mX][mX][mX][fX][fX][fX]







[fX][mX][mX][mX][mX][mX][mX][mX][mX][mX]







[mX][mX][mX][mX][mX][mX][mX][ademA-GalNAc]







[ademA-GalNAc][ademA-GalNAc][mX][mX][mX]







[mX][mX][mX]







Hybridized to:



Antisense Strand: 



[MePhosphonate-4O-mXs][fXs][fXs][fX][fX]







[mX][fX][mX][mX][fX][mX][mX][mX][fX][mX]







[mX][mX][mX][mX][mXs][mXs][mX]



(Modification key: Table 3).







Low-2′Fluoro (2PS) Modification Pattern 



for GalNAc-KHK Constructs (5′ Antisense 



2PS)



Sense Strand: 



5′-mX-S-mX-mX-mX-mX-mX-mX-fX-fX-fX-fX-mX-







mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-







mX-mX-[ademA-GalNAc]- [ademA-GalNAc]- 







[ademA-GalNAc]-mX-mX-mX-mX-mX-mX-3′.







Hybridized to:



Antisense Strand: 



5′-[MePhosphonate-4O-mX]-S-fX-S-fX-fX-fX-







mX-fX-mX-mX-fX-mX-mX-mX-fX-mX-mX-mX-mX-







mX-mX-S-mX-S-mX-3′



(Modification key: Table 3).







Or, represented as:



Sense Strand: 







[mXs][mX][mX][mX][mX][mX][mX][fX][fX][fX]







[fX][mX][mX][mX][mX][mX][mX][mX][mX][mX]







[mX][mX][mX][mX][mX][mX][mX][ademA-GalNAc]







[ademA-GalNAc][ademA-GalNAc][mX][mX][mX]







[mX][mX][mX]







Hybridized to:



Antisense Strand: 



[MePhosphonate-4O-mXs][fXs][fX][fX][fX]







[mX][fX][mX][mX][fX][mX][mX][mX][fX][mX]







[mX][mX][mX][mX][mXs][mXs][mX]













TABLE 3







Modification Key








Symbol
Modification/linkage










Key 1








mX
2′-O-methyl modified nucleotide


fX
2′-fluoro modified nucleotide


-S-
phosphorothioate linkage



phosphodiester linkage


[MePhosphonate-
5′-methoxyphosphonate-4′-oxy modified nucleotide


4O-mX]


ademA-GalNAc
GalNAc attached to an adenine nucleotide







Key 2








[mXs]
2′-O-methyl modified nucleotide with a



phosphorothioate linkage to the neighboring nucleotide


[fXs]
2′-fluoro modified nucleotide with a



phosphorothioate linkage to the neighboring nucleotide


[mX]
2′-O-methyl modified nucleotide with phosphodiester



linkages to neighboring nucleotides


[fX]
2′-fluoro modified nucleotide with phosphodiester



linkages to neighboring nucleotides









The GalNAc-KHK constructs were then used to evaluate inhibition efficacy in mice. Specifically, 6-8-week-old female CD-1 mice (n=5) were subcutaneously administered the indicated GalNAc-conjugated KHK oligonucleotides (Table 4) at a dose of 2 mg/kg formulated in PBS. A control group of mice (n=5) were administered only PBS. Three days later (72 hours), the mice were hydrodynamically injected (HDI) either with a DNA plasmid (pCMV6-KHK-C, Cat #: RC223488, OriGene) encoding the full human KHK gene (NM_006488.3) (25 μg) or plasmid (pCMV6-KHK-A, Cat #; RC202424, OriGene) encoding the full human KHK-A gene (NM_000221) under control of a ubiquitous cytomegalovirus (CMV) promoter sequence. One day after introduction of the DNA plasmid, liver samples from HDI mice were collected. The values were normalized for transfection efficiency using the NeoR gene included on the DNA plasmid.


Total RNA isolated from mouse livers were used to assess relative KHK mRNA expressions by qRT-PCR. The TaqMan RT-qPCR probes from Life Technologies were used to evaluate [3′ assay (Forward-1026; TGGAGGTGGAGAAGCCA (SEQ ID NO: 865), Reverse-1157; GACCATACAAGCCCCTCAAG (SEQ ID NO:866), Probe-1080; TGGTGTTTGTCAGCAAAGATGTGGC (SEQ ID NO:867)) and a 5′ assay (Forward-496; AGGAAGCTCTGGGAGTA (SEQ ID NO: 868), Reverse-596; CCTCCTTAGGGTACTTGTC (SEQ ID NO: 869), Probe-518; ATGGAAGAGAAGCAGATCCTGTGCG (SEQ ID NO: 870))]. The values were normalized for transfection efficiency using the NeoR gene included on the DNA plasmid. HDI mice were generated as described above but using a human KHK-A plasmid or a human KHK-C plasmid. The mice were treated in groups of 5 with the GalNAc-KHK constructs in Table 4 (with the Low-2′-Fluoro modification pattern). Livers were collected and mRNA measured using primer pairs recognizing KHK-All, KHK-C, or KHK-A. The results confirmed that GalNAc-KHK constructs designed to target all KHK transcripts demonstrate successful knockdown in both the human KHK-A and KHK-C HDI mouse models (FIG. 3).









TABLE 4







GalNAc-KHK Constructs Evaluated In


KHK-C and KHK-A HDI Mouse Models












Sense
Anti-sense
Sense
Anti-sense



Strand
Strand
Strand
Strand



Unmodified
Unmodified
Modified
Modified


Name
SEQ ID NO
SEQ ID NO
SEQ ID NO
SEQ ID NO














KHK-516
39
423
775
820


KHK-865
102
486
779
824


KHK-882
104
488
780
825


KHK-885
107
491
782
827


KHK-1078
191
575
785
830


KHK-1334
269
653
804
849









Example 4: Changes in Modification Pattern of KHK-Targeting RNAi Oligonucleotides Maintains mRNA Inhibition Efficacy

To assess whether modification patterns may impact the targeting efficiency and stability of GalNAc-KHK constructs, two unique patterns were analyzed in HDI mice. Specifically, the modification patterns used were the Low-2′-fluoro pattern described in Example 3 (see FIG. 2A and FIG. 2B) and a Med-2′-fluoro pattern (see FIG. 4A).











Med-2′-Fluoro Modification Pattern for GalNAc-



KHK Constructs



Sense Strand: 



5′-mX-S-mX-fX-mX-mX-mX-mX-fX-fX-fX-mX-fX-fX-







mX-mX-mX-fX-mX-mX-mX-mX-mX-mX-mX-mX-mX-mX-







[ademA-GalNAc]- [ademA-GalNAc]- [ademA-







GalNAc]-mX-mX-mX-mX-mX-mX-3′.







Hybridized to:



Antisense Strand: 



5′-[MePhosphonate-4O-mX]-S-fX-S-fX-S-fX-fX-







mX-fX-fX-mX-fX-mX-mX-mX-fX-mX-fX-mX-mX-fX-







mX-S-mX-S-mX-3′



(Modification key: Table 3).







Or, represented as:



Sense Strand: 



[mXs][mX][fX][mX][mX][mX][mX][fX][fX][fX]







[mX][fX][fX][mX][mX][mX][fX][mX][mX][mX]







[mX][mX][mX][mX][mX][mX][mX][ademA-GalNAc]







[ademA-GalNAc][ademA-GalNAc][mX][mX][mX]







[mX][mX][mX]







Hybridized to:



Antisense Strand: 



[MePhosphonate-4O-mXs][fXs][fXs][fX][fX]







[mX][fX][fX][mX][fX][mX][mX][mX][fX][mX]







[fX][mX][mX][fX][mXs][mXs][mX] 







(Modification key: Table 3).






HDI mice were generated as described in Example 3. Mice were treated with Low-2′-Fluoro or Med-2′-Fluoro modified KHK constructs (Table 5). 72 hours after treatment, mice were hydrodynamically injected with [pcDNA3.1-KHK-C, encoding the full human KHK gene (NM_006488)]. Livers were collected and processed as described in Example 3. A group of GalNAc-KHK constructs (KHK-0861, -0865, -0882, -0883, -0885) were mixed together and used as a positive control for inhibition. Both modification patterns resulted in inhibition of KHK mRNA in mice (FIG. 4B-4E). These results demonstrate that both modification patterns provided knockdown of the target mRNA.









TABLE 5







GalNAc-KHK Constructs for Modification Pattern Assay














Sense
Anti-sense
Sense
Anti-sense




Strand
Strand
Strand
Strand



Modifi-
Unmodi-
Unmodi-
Modified
Modified



cation
fied SEQ
fied SEQ
SEQ
SEQ


Name
pattern
ID NO
ID NO
ID NO
ID NO















KHK-861
Low-2′F
100
484
778
823


KHK-861
Med-2′F
100
484
808
853


KHK-865
Low-2′F
102
486
779
824


KHK-865
Med-2′F
102
486
809
854


KHK-882
Low-2′F
104
488
780
820


KHK-882
Med-2′F
104
488
810
855


KHK-883
Low-2′F
105
489
781
826


KHK-883
Med-2′F
105
489
811
856


KHK-885
Low-2′F
107
491
782
827


KHK-885
Med-2′F
107
491
812
857


KHK-1288
Low-2′F
250
634
787
832


KHK-1288
Med-2′F
250
634
816
861


KHK-1290
Low-2′F
252
636
788
833


KHK-1290
Med-2′F
252
636
817
862


KHK-1334
Low-2′F
269
653
804
849


KHK-1334
Med-2′F
269
653
818
863


KHK-516
Med-2′F
39
423
805
850


KHK-804
Med-2′F
N/A
N/A
806
851


KHK-829
Med-2′F
92
476
807
852


KHK-1076
Med-2′F
189
573
814
859


KHK-1078
Med-2′F
191
575
815
860









Example 5: RNAi Oligonucleotide Inhibition of KHK Expression In Vivo Mouse HDI KHK Knockdown Screening Studies

The GalNAc-conjugated KHK oligonucleotides listed in Table 6 were evaluated in HDI mice as described in Example 3. GalNAc-KHK construct treatment effectively reduced KHK-All mRNA (FIG. 5). When using primers specific for the KHK-C isoform, the GalNAc-KHK constructs were still effective at reducing mRNA (FIG. 5).









TABLE 6







GalNAc-KHK Constructs Assayed in HDI Model












Sense Strand
Antisense Strand



Name
Modified SEQ ID NO
Modified SEQ ID NO















KHK-885
782
827



KHK-869
795
840



KHK-873
796
841



KHK-879
797
842



KHK-881
798
843



KHK-896
799
844



KHK-1064
800
845



KHK-1075
784
829



KHK-1077
801
846



KHK-1080
802
847



KHK-1106
803
848



KHK-1147
794
839



KHK-1148
789
834



KHK-1152
790
835



KHK-1154
791
836



KHK-1155
792
837



KHK-1277
793
838










Additional constructs (Table 7) were assayed using the same methods and found effective knock-down for KHK-All and KHK-C (FIGS. 6A and 6B). Similarly, endogenous mouse KHK was reduced by GalNAc-KHK constructs which align with mouse KHK mRNA (FIG. 6C). Overall, both HDI studies identified GalNAc-KHK constructs effective at reducing KHK mRNA in vivo.









TABLE 7







GalNAc-KHK Constructs Assayed in HDI Model












Sense Strand
Antisense Strand



Name
Modified SEQ ID NO
Modified SEQ ID NO















KHK-1054
783
828



KHK-510
774
819



KHK-516
775
820



KHK-829
776
821



KHK-860
777
822



KHK-861
778
823



KHK-865
779
824



KHK-882
780
825



KHK-883
781
826



KHK-885
782
827



KHK-1075
784
829



KHK-1078
785
830



KHK-1281
786
831



KHK-1288
787
832



KHK-1290
788
833



KHK-1334
804
849










Example 6: RNAi Oligonucleotide Inhibition of KHK Expression and Studies in Non-Human Primates
Single-dose Non-Human Primate (NHP) Studies

Effective GalNAc-KHK constructs identified in the HDI mouse studies were assayed for targeting efficiency in non-human primates. Specifically, GalNAc-conjugated KHK oligonucleotides listed in Table 8 were evaluated in non-naïve cynomolgus monkeys (Macaca fascicularis). In this study, the monkeys were grouped so that their mean body weights (about 5.4 kg) were comparable between the control and experimental groups. Each cohort contained at least two female and at least two male subjects. The GalNAc-conjugated KHK oligonucleotides were administered subcutaneously at a dose of 6 mg/kg on Study Day 0. Blood samples were collected one week prior to dosing (Day −7), on the dosing date (Day 0) and days 28, 56 and 84 after dosing. Ultrasound-guided core needle liver biopsies were collected on Study Days −7, 28, 56 and 84. At each time point, total RNA derived from the liver biopsy samples was subjected to qRT-PCR analysis to measure KHK mRNA in oligonucleotide-treated monkeys relative to those treated with a comparable volume of PBS. To normalize the data, the measurements were made relative to the geometric mean of two reference genes, PPIB and 18S rRNA. The following TaqMan qPCR probes purchased from Life Technologies, Inc, were used to evaluate gene expressions: Forward—TGCCTTCATGGGCTCAATG (SEQ ID NO: 772); Reverse—TCGGCCACCAGGAAGTCA (SEQ ID NO: 773); Fam probe-CCCTGGCCATGTTG (SEQ ID NO:864)). As shown in FIG. 7A (Day 28), treating NHPs with the GalNAc-conjugated KHK oligonucleotides listed in Table 8 inhibited KHK expression in the liver, as determined by a reduced amount of KHK mRNA in liver samples from oligonucleotide-treated NHPs relative to NHPs treated with PBS. The mean percent reduction of KHK mRNA in the liver samples of treated NHPs is indicated above the set of data points for each treatment group. Days 56 and 84 were also measured (FIGS. 7B and 7C) and a plot of the mean values over each time point is shown in FIG. 7D. For all time points evaluated, almost all the tested GalNAc-conjugated KHK oligonucleotides significantly inhibited KHK mRNA expression. In the same samples, KHK protein levels were detected using rabbit anti-Ketohexokinase (Abcam, AB197593) and anti-rabbit Detection Module for Sally Sue (Protein Simple, cat #DM-001). As shown in FIGS. 8A-8C, at the 28-day timepoint, GalNAc-KHK constructs inhibit KHK protein expression, as normalized to the vinculin control and slowly increases by Day 86. These results demonstrate that treating NHPs with the GalNAc-conjugated KHK oligonucleotides reduces the amount of KHK mRNA in the liver and concomitantly reduces the amount of KHK protein in the liver. However, this correlation is reduced over time after the initial dose (FIGS. 9A-9C).


Taken together, these results show that GalNAc-conjugated KHK oligonucleotides designed to target human total KHK mRNA inhibit total KHK expression in vivo (as determined by the reduction of the amount of KHK mRNA and protein).









TABLE 8







Single-dose GalNAc-KHK Constructs for NHP Study









Name
Sense strand SEQ ID NO
Anti-sense strand SEQ ID NO












KHK-516
775
820


KHK-865
779
824


KHK-882
780
825


KHK-885
782
827


KHK-1078
785
830


KHK-1334
804
849



















SEQUENCE LISTING












Descrip-






tion






Species






(Hs-Mf-


SEQ



Ms-Rn


ID


Name
(rat))
Strand
Sequence
NO





Human
Human
N/A
AGGCAGGGCTGCAGATGCGAGGCCCAGC
  1


(Hs) KHK
(Hs)

TGTACCTCGCGTGTCCCGGGTCGGGAGTC



nucleotide


GGAGACGCAGGTGCAGGAGAGTGCGGGG



sequence


CAAGTAGCGCATTTTCTCTTTGCATTCTCG



NM_00648


AGATCGCTTAGCCGCGCTTTAAAAAGGTTT



8.3


GCATCAGCTGTGAGTCCATCTGACAAGCG






AGGAAACTAAGGCTGAGAAGTGGGAGGC






GTTGCCATCTGCAGGCCCAGGCAACCTGC






TACGGGAAGACCGGGGACCAAGACCTCT






GGGTTGGCTTTCCTAGACCCGCTCGGGTC






TTCGGGTGTCGCGAGGAAGGGCCCTGCT






CCTTTCGTTCCCTGCACCCCTGGCCGCTG






CAGGTGGCTCCCTGGAGGAGGAGCTCCC






ACGCGGAGGAGGAGCCAGGGCAGCTGGG






AGCGGGGACACCATCCTCCTGGATAAGAG






GCAGAGGCCGGGAGGAACCCCGTCAGCC






GGGCGGGCAGGAAGCTCTGGGAGTAGCC






TCATGGAAGAGAAGCAGATCCTGTGCGTG






GGGCTAGTGGTGCTGGACGTCATCAGCCT






GGTGGACAAGTACCCTAAGGAGGACTCGG






AGATAAGGTGTTTGTCCCAGAGATGGCAG






CGCGGAGGCAACGCGTCCAACTCCTGCA






CCGTTCTCTCCCTGCTCGGAGCCCCCTGT






GCCTTCATGGGCTCAATGGCTCCTGGCCA






TGTTGCTGACTTCCTGGTGGCCGACTTCA






GGCGGCGGGGCGTGGACGTGTCTCAGGT






GGCCTGGCAGAGCAAGGGGGACACCCCC






AGCTCCTGCTGCATCATCAACAACTCCAAT






GGCAACCGTACCATTGTGCTCCATGACAC






GAGCCTGCCAGATGTGTCTGCTACAGACT






TTGAGAAGGTTGATCTGACCCAGTTCAAGT






GGATCCACATTGAGGGCCGGAACGCATCG






GAGCAGGTGAAGATGCTGCAGCGGATAGA






CGCACACAACACCAGGCAGCCTCCAGAGC






AGAAGATCCGGGTGTCCGTGGAGGTGGA






GAAGCCACGAGAGGAGCTCTTCCAGCTGT






TTGGCTACGGAGACGTGGTGTTTGTCAGC






AAAGATGTGGCCAAGCACTTGGGGTTCCA






GTCAGCAGAGGAAGCCTTGAGGGGCTTGT






ATGGTCGTGTGAGGAAAGGGGCTGTGCTT






GTCTGTGCCTGGGCTGAGGAGGGCGCCG






ACGCCCTGGGCCCTGATGGCAAATTGCTC






CACTCGGATGCTTTCCCGCCACCCCGCGT






GGTGGATACACTGGGAGCTGGAGACACCT






TCAATGCCTCCGTCATCTTCAGCCTCTCCC






AGGGGAGGAGCGTGCAGGAAGCACTGAG






ATTCGGGTGCCAGGTGGCCGGCAAGAAG






TGTGGCCTGCAGGGCTTTGATGGCATCGT






GTGAGAGCAGGTGCCGGCTCCTCACACAC






CATGGAGACTACCATTGCGGCTGCATCGC






CTTCTCCCCTCCATCCAGCCTGGCGTCCA






GGTTGCCCTGTTCAGGGGACAGATGCAAG






CTGTGGGGAGGACTCTGCCTGTGTCCTGT






GTTCCCCACAGGGAGAGGCTCTGGGGGG






ATGGCTGGGGGATGCAGAGCCTCAGAGC






AAATAAATCTTCCTCAGAGCCAGCTTCTCC






TCTCAATGTCTGAACTGCTCTGGCTGGGC






ATTCCTGAGGCTCTGACTCTTCGATCCTCC






CTCTTTGTGTCCATTCCCCAAATTAACCTC






TCCGCCCAGGCCCAGAGGAGGGGCTGCC






TGGGCTAGAGCAGCGAGAAGTGCCCTGG






GCTTGCCACCAGCTCTGCCCTGGCTGGG






GAGGACACTCGGTGCCCCACACCCAGTGA






ACCTGCCAAAGAAACCGTGAGAGCTCTTC






GGGGCCCTGCGTTGTGCAGACTCTATTCC






CACAGCTCAGAAGCTGGGAGTCCACACCG






CTGAGCTGAACTGACAGGCCAGTGGGGG






GCAGGGGTGCGCCTCCTCTGCCCTGCCC






ACCAGCCTGTGATTTGATGGGGTCTTCATT






GTCCAGAAATACCTCCTCCCGCTGACTGC






CCCAGAGCCTGAAAGTCTCACCCTTGGAG






CCCACCTTGGAATTAAGGGCGTGCCTCAG






CCACAAATGTGACCCAGGATACAGAGTGT






TGCTGTCCTCAGGGAGGTCCGATCTGGAA






CACATATTGGAATTGGGGCCAACTCCAATA






TAGGGTGGGTAAGGCCTTATAATGTAAAG






AGCATATAATGTAAAGGGCTTTAGAGTGAG






ACAGACCTGGATTAAAATCTGCCATTTAAT






TAGCTGCATATCACCTTAGGGTACAGCACT






TAACGCAATCTGCCTCAATTTCTTCATCTG






TCAAATGGAACCAATTCTGCTTGGCTACAG






AATTATTGTGAGGATAAAATCATATATAAAA






TGCCCAGCATGATGCCTGATGTGTA







Cyno-


Cyno-

N/A
GGGGCCGGGCAGCCGCGACCACGGTCTT
  2



molgus 


molgus


CAGGCAGGGCTGCAGATGCAGGCCCAGC



monkey
monkey

TCTACCTCGCGGGTCCAGGGTCGGGAGT



(Mf)
(Mf)

CCGAGACGCAGGTGCAGCAGAGGGCGGG



KHK


GCACGTAGCGCATTTCCAGCGCATTTTCT



nucleotide


CTTTGCATTCTCGAGATCGCTTAGCCGCG



sequence


CTTTAGAAGGGTTTGCATCAGCTCCGAGT



XM_00557


CCATCTGACAAGCGAGGAAACTGAGGCTG



6322.2


AGAAGTGGGAGGCGTTGCCATCTGCAGG






CCCAGGCAACCTGCTACGGGAAGACCGG






GGGCCAAGACCTCCGGGTTGGCTTTCCCA






GGCCAGCTTGGGTCTTCGGGTGTCGGGA






GCAAAGGCCCAGCTCCTTTCGTTTCCTGC






ACCCCTCGCCGCTGCAGGTGGCTCCCCG






GAGGAGGAGCTCCCACGCGGAGGAGGAG






CCAGGGCAGCTGGGAGCGAGGACACCAT






CCTCCTGGATAACAGGCAGAGGCCGGGA






GGAACCCGTCAGTCGGGCGGGCAGGAAG






CTCTGGGATCAGCCTCATGGAAGAGAAGC






AGATCCTGTGCGTGGGGCTAGTGGTGCTG






GACGTCATCAGCCTGGTGGACAAGTACCC






TAAGGAGGACTCAGAGATAAGGTGCTTGT






CCCAGAGATGGCAACGCGGAGGCAACGC






GTCCAACTCCTGCACCGTTCTCTCCCTGC






TCGGAGCCCCCTGTGCCTTCATGGGCTCA






ATGGCCCCTGGCCATGTTGCTGACTTCCT






GGTGGCCGACTTCAGGCGGCGGGGTGTG






GACGTGTCTCAGGTGGCCTGGCAGAGCAA






GGGGGACACCCCCAGCTCCTGCTGCATCA






TCAACAACTCCAATGGCAACCGTACCATTG






TGCTCCATGACACGAGCCTGCCAGATGTG






TCTGCTACGGACTTTGAGAAGGTTGATCT






GACCCAGTTCAAGTGGATCCACATTGAGG






GCCGGAATGCATCGGAGCAGGTGAAGAT






GCTGCAGCGGATAGACGCGCACAACACCA






GGCAGCCTCCAGAGCAGAAGATCCGGGT






GTCCGTGGAGGTGGAGAAGCCACAAGAG






GAGCTCTTTCAGCTGTTTGGCTACGGAGA






CGTGGTGTTTGTCAGCAAAGATGTGGCCA






AGCACTTGGGGTTCCAGTCAGCAGGGGAA






GCCCTGAGGGGCTTGTATGGTCGTGTGAG






GAAAGGGGCTGTGCTTGTCTGTGCCTGGG






CTGAGGAGGGCGCCGACGCCCTGGGCCC






TGATGGCAAACTGATCCACTCGGATGCTTT






CCCGCCACCCCGCGTGGTGGATACCCTG






GGGGCTGGAGACACCTTCAATGCCTCCGT






CATCTTCAGCCTCTCCCAGGGGAGGAGCG






TGCAGGAAGCACTGAGATTCGGATGCCAG






GTGGCCGGCAAGAAGTGTGGCCAGCAGG






GCTTTGATGGCATCGTGTCAGAGCCGGTG






CGGTAGGAGGTGCCGGCTCCCCGCACAC






TATGGAGGCTGACATTGCGGCTGCATCGC






CTTCTCCCCTCCATCCAGCCTGGCATCCA






GGTTGCCCTGCTCAGGGGACAGATGCAG






GCTGTGGGGAGGACTCCGCCTGTGTCCT






GTGTTCCCCACACGTCTCTCCCTGCAGAG






CCTCAGAGCGAATAAATCTTCCTCGGAGC






CAGCTTCCCCTGGCAGCTTCTGTCCTCGA






TGTCTGAACTGCTCTGGCTGGGCATTCCT






GAGGCTCTGACTCTCCAGTCCTCCCTCCT






CGTGTGCATTCCCCAAATTAACCTCTCCAC






CCAGGCCCAGAGGAGGGGCTGCCTGGGC






TATAGCAGCAAGAAGTGCCCCAGGCTTGC






CGCCAGCTCTGCCCTGGCTGGGGAGGAC






ACTCAGTGCCCCATACCCAGCGAACCTGC






CAAAGAACCAGAAGCCATGAGAGCTCTTT






GGGGCCCTGCGTTGTGCAGACTCTATTCC






CATAGCTCAGAAGCTGGGAGTCCACACGG






CTGAGCCAAACTGACAGGCCAGTGGGGG






GCGAGGGGGTGGGGCGCCTCCTCTGCCC






TGCCCACCAGCCTGTGATTTGGTGGCGTC






TTTGTTGTCCAAAAATATCTCCTCCCGCTG






ACTGCCCCAGAGCCTGAAAGTCTCACCCG






TGGAGCCCACCTTGGAATTAAGGGGATGC






CTCAGCCACAAATGTGACCCAAGATAGAG






TGTTGTCCTCAGGGAGGTCGGATCTGGAA






CACATATTGGAATTGGGGCCAACTCCAATA






TAGAGTGGATAAGGCCTTATAATGTAAAGA






GCACATAAGGTAAAGGGCTTTAGAGTCAG






ACAGACCTAGATTCAAATCTGCCATTTAAT






TAGCTGCATGTCACCTGAGGGTACAGCGC






TTAACACAATCCGCCTCAATTTCTTCATCT






GTCAAATGGAGCCAATTCTGCCTGGCTAC






AGAATTATTGCGAGGATAAAATCATGTA






Mouse
Mouse
N/A
GAGGGAGAGAACGCTTGCTTCTGTGCTCC
  3


(Mm) KHK
(Mm)

GCCTGCGAAGGCGAAGTTTCTGTTGCCAG



nucleotide


ACTGTGCTAGTCCGGGTGGTCCAGGGTCT



sequence


GCAGCAGGCGCAGAGGGATCGGAAAGGC



NM_00843


GATGCATTACTAGTGCGCTTTCGCTTTGAC



9.4


AGCTGAGGCGGAAAAGTGAGAGGGCCTG






CCATTGGCCGGGCTAGGTAACCCACCCTT






GCAAAGCAGAAAGCTCCCTGCGGGAGGA






GTTCTGCACGCAGAGGAGGAGCCAAGGTA






GCCAGTGAGAAGTTGGGACACGGTCCTCC






AGTAGATAAGAGGCAGAGCCCAGCAGGAA






CCCCCTCTGCTTGCGGGTAGGAAGCTTGG






GGAGCAGCCTCATGGAAGAGAAGCAGATC






CTGTGCGTGGGGCTGGTGGTGCTGGACA






TCATCAATGTGGTGGACAAATACCCAGAG






GAAGACACGGATCGCAGGTGCCTGTCCCA






GAGATGGCAGCGTGGAGGCAACGCATCC






AACTCCTGCACTGTCCTTTCCTTGCTTGGA






GCCCGCTGTGCCTTCATGGGCTCTTTGGC






CCCTGGCCACGTTGCCGACTTCCTGGTGG






CTGACTTCAGGCAGAGGGGCGTGGATGT






GTCTCAAGTGACTTGGCAGAGCCAGGGAG






ATACCCCTTGCTCTTGCTGCATCGTCAACA






ACTCCAATGGCTCCCGTACCATTATACTCT






ACGACACGAACCTGCCAGATGTGTCTGCT






AAGGACTTTGAGAAGGTCGATCTGACCCG






GTTCAAGTGGATCCACATTGAGGGCCGGA






ATGCATCGGAACAGGTGAAGATGCTGCAG






CGGATAGAGGAGCACAATGCCAAGCAGCC






TCTGCCACAGAAGGTCCGGGTGTCGGTG






GAGATAGAGAAGCCCCGTGAGGAGCTCTT






CCAGTTGTTTAGCTATGGTGAGGTGGTGT






TTGTCAGCAAAGATGTGGCCAAGCACCTG






GGGTTCCAGTCAGCAGTGGAGGCCCTGA






GGGGCTTGTACAGTCGAGTGAAGAAAGGG






GCTACGCTTGTCTGTGCCTGGGCTGAGGA






GGGTGCCGATGCCCTGGGCCCCGATGGT






CAGCTGCTCCACTCAGATGCCTTCCCACC






GCCCCGAGTAGTAGACACTCTTGGGGCTG






GAGACACCTTCAATGCCTCTGTCATCTTCA






GCCTCTCGAAGGGAAACAGCATGCAAGAG






GCCCTGAGATTCGGGTGCCAGGTGGCTG






GCAAGAAGTGTGGCTTGCAGGGGTTTGAT






GGCATTGTGTGAGAGGCAAGCGGCACCA






GCTCGATACCTCAGAGGCTGGCACCATGC






CTGCCACTGCCTTCTCTACTTCCTCCAGCT






TAGCATCCAGCTGCCATTCCCCGGCAGGT






GTGGGATGTGGGACAGCCTCTGTCTGTGT






CTGCGTCTCTGTATACCTATCTCCTCTCTG






CAGATACCTGGAGCAAATAAATCTTCCCCT






GAGCCAGC






KHK-115-
Hs-Mf
25 mer
AGCGCAUUUUCUCUUUGCAUUCUCG
  4


154
commons
Sense






Strand







KHK-116-
Hs-Mf
25 mer
GCGCAUUUUCUCUUUGCAUUCUCGA
  5


155
commons
Sense






Strand







KHK-117-
Hs-Mf
25 mer
CGCAUUUUCUCUUUGCAUUCUCGAG
  6


156
commons
Sense






Strand







KHK-118-
Hs-Mf
25 mer
GCAUUUUCUCUUUGCAUUCUCGAGA
  7


157
commons
Sense






Strand







KHK-119-
Hs-Mf
25 mer
CAUUUUCUCUUUGCAUUCUCGAGAT
  8


158
commons
Sense






Strand







KHK-120-
Hs-Mf
25 mer
AUUUUCUCUUUGCAUUCUCGAGATC
  9


159
commons
Sense






Strand







KHK-121-
Hs-Mf
25 mer
UUUUCUCUUUGCAUUCUCGAGAUCG
 10


160
commons
Sense






Strand







KHK-122-
Hs-Mf
25 mer
UUUCUCUUUGCAUUCUCGAGAUCGC
 11


161
commons
Sense






Strand







KHK-123-
Hs-Mf
25 mer
UUCUCUUUGCAUUCUCGAGAUCGCT
 12


162
commons
Sense






Strand







KHK-124-
Hs-Mf
25 mer
UCUCUUUGCAUUCUCGAGAUCGCTT
 13


163
commons
Sense






Strand







KHK-125-
Hs-Mf
25 mer
CUCUUUGCAUUCUCGAGAUCGCUTA
 14


164
commons
Sense






Strand







KHK-126-
Hs-Mf
25 mer
UCUUUGCAUUCUCGAGAUCGCUUAG
 15


165
commons
Sense






Strand







KHK-127-
Hs-Mf
25 mer
CUUUGCAUUCUCGAGAUCGCUUAGC
 16


166
commons
Sense






Strand







KHK-128-
Hs-Mf
25 mer
UUUGCAUUCUCGAGAUCGCUUAGCC
 17


167
commons
Sense






Strand







KHK-179
Hs
25 mer
GUGAGUCCAUCUGACAAGCGAGGAA
 18



unique
Sense






Strand







KHK-181-
Hs-Mf
25 mer
GAGUCCAUCUGACAAGCGAGGAAAC
 19


220
commons
Sense






Strand







KHK-182-
Hs-Mf
25 mer
AGUCCAUCUGACAAGCGAGGAAACT
 20


221
commons
Sense






Strand







KHK-183-
Hs-Mf
25 mer
GUCCAUCUGACAAGCGAGGAAACTA
 21


222
commons
Sense






Strand







KHK-184-
Hs-Mf
25 mer
UCCAUCUGACAAGCGAGGAAACUAA
 22


223
commons
Sense






Strand







KHK-185-
Hs-Mf
25 mer
CCAUCUGACAAGCGAGGAAACUAAG
 23


224
commons
Sense






Strand







KHK-186-
Hs-Mf
25 mer
CAUCUGACAAGCGAGGAAACUAAGG
 24


225
commons
Sense






Strand







KHK-187-
Hs-Mf
25 mer
AUCUGACAAGCGAGGAAACUAAGGC
 25


226
commons
Sense






Strand







KHK-188-
Hs-Mf
25 mer
UCUGACAAGCGAGGAAACUAAGGCT
 26


227
commons
Sense






Strand







KHK-431-
Hs-Mf
25 mer
GGACACCAUCCUCCUGGAUAAGAGG
 27


470
commons
Sense






Strand







KHK-432-
Hs-Mf
25 mer
GACACCAUCCUCCUGGAUAAGAGGC
 28


471
commons
Sense






Strand







KHK-433-
Hs-Mf
25 mer
ACACCAUCCUCCUGGAUAAGAGGCA
 29


472
commons
Sense






Strand







KHK-507-
Hs-Mf-
25 mer
AGCCUCAUGGAAGAGAAGCAGAUCC
 30


545-376-
Mm-Rn
Sense




218
commons
Strand







KHK-508-
Hs-Mf-
25 mer
GCCUCAUGGAAGAGAAGCAGAUCCT
 31


546-377-
Mm-Rn
Sense




219
commons
Strand







KHK-509-
Hs-Mf-
25 mer
CCUCAUGGAAGAGAAGCAGAUCCTG
 32


547-378-
Mm-Rn
Sense




220
commons
Strand







KHK-510-
Hs-Mf-
25 mer
CUCAUGGAAGAGAAGCAGAUCCUGT
 33


548-379-
Mm-Rn
Sense




221
commons
Strand







KHK-511-
Hs-Mf-
25 mer
UCAUGGAAGAGAAGCAGAUCCUGTG
 34


549-380-
Mm-Rn
Sense




222
commons
Strand







KHK-512-
Hs-Mf-
25 mer
CAUGGAAGAGAAGCAGAUCCUGUGC
 35


550-381-
Mm-Rn
Sense




223
commons
Strand







KHK-513-
Hs-Mf-
25 mer
AUGGAAGAGAAGCAGAUCCUGUGCG
 36


551-382-
Mm-Rn
Sense




224
commons
Strand







KHK-514-
Hs-Mf-
25 mer
UGGAAGAGAAGCAGAUCCUGUGCGT
 37


552-383-
Mm-Rn
Sense




225
commons
Strand







KHK-515-
Hs-Mf-
25 mer
GGAAGAGAAGCAGAUCCUGUGCGTG
 38


553-384-
Mm-Rn
Sense




226
commons
Strand







KHK-516-
Hs-Mf-
25 mer
GAAGAGAAGCAGAUCCUGUGCGUGG
 39


554-385-
Mm-Rn
Sense




227
commons
Strand







KHK-517-
Hs-Mf-
25 mer
AAGAGAAGCAGAUCCUGUGCGUGGG
 40


555-386-
Mm-Rn
Sense




228
commons
Strand







KHK-518-
Hs-Mf-
25 mer
AGAGAAGCAGAUCCUGUGCGUGGGG
 41


556-387-
Mm-Rn
Sense




229
commons
Strand







KHK-520-
Hs-Mf-
25 mer
AGAAGCAGAUCCUGUGCGUGGGGCT
 42


558-389-
Mm-Rn
Sense




231
commons
Strand







KHK-521-
Hs-Mf-
25 mer
GAAGCAGAUCCUGUGCGUGGGGCTA
 43


559-390-
Mm-Rn
Sense




232
commons
Strand







KHK-522-
Hs-Mf-
25 mer
AAGCAGAUCCUGUGCGUGGGGCUAG
 44


560-391-
Mm-Rn
Sense




233
commons
Strand







KHK-541-
Hs-Mf
25 mer
GGCUAGUGGUGCUGGACGUCAUCAG
 45


579
commons
Sense






Strand







KHK-544-
Hs-Mf
25 mer
UAGUGGUGCUGGACGUCAUCAGCCT
 46


582
commons
Sense






Strand







KHK-546-
Hs-Mf
25 mer
GUGGUGCUGGACGUCAUCAGCCUGG
 47


584
commons
Sense






Strand







KHK-547-
Hs-Mf
25 mer
UGGUGCUGGACGUCAUCAGCCUGGT
 48


585
commons
Sense






Strand







KHK-548-
Hs-Mf
25 mer
GGUGCUGGACGUCAUCAGCCUGGTG
 49


586
commons
Sense






Strand







KHK-549-
Hs-Mf
25 mer
GUGCUGGACGUCAUCAGCCUGGUGG
 50


587
commons
Sense






Strand







KHK-550-
Hs-Mf
25 mer
UGCUGGACGUCAUCAGCCUGGUGGA
 51


588
commons
Sense






Strand







KHK-551-
Hs-Mf
25 mer
GCUGGACGUCAUCAGCCUGGUGGAC
 52


589
commons
Sense






Strand







KHK-552-
Hs-Mf
25 mer
CUGGACGUCAUCAGCCUGGUGGACA
 53


590
commons
Sense






Strand







KHK-553-
Hs-Mf
25 mer
UGGACGUCAUCAGCCUGGUGGACAA
 54


591
commons
Sense






Strand







KHK-554-
Hs-Mf
25 mer
GGACGUCAUCAGCCUGGUGGACAAG
 55


592
commons
Sense






Strand







KHK-555-
Hs-Mf
25 mer
GACGUCAUCAGCCUGGUGGACAAGT
 56


593
commons
Sense






Strand







KHK-556-
Hs-Mf
25 mer
ACGUCAUCAGCCUGGUGGACAAGTA
 57


594
commons
Sense






Strand







KHK-557-
Hs-Mf
25 mer
CGUCAUCAGCCUGGUGGACAAGUAC
 58


595
commons
Sense






Strand







KHK-558-
Hs-Mf
25 mer
GUCAUCAGCCUGGUGGACAAGUACC
 59


596
commons
Sense






Strand







KHK-559-
Hs-Mf
25 mer
UCAUCAGCCUGGUGGACAAGUACCC
 60


597
commons
Sense






Strand







KHK-560-
Hs-Mf
25 mer
CAUCAGCCUGGUGGACAAGUACCCT
 61


598
commons
Sense






Strand







KHK-561-
Hs-Mf
25 mer
AUCAGCCUGGUGGACAAGUACCCTA
 62


599
commons
Sense






Strand







KHK-562-
Hs-Mf
25 mer
UCAGCCUGGUGGACAAGUACCCUAA
 63


600
commons
Sense






Strand







KHK-563-
Hs-Mf
25 mer
CAGCCUGGUGGACAAGUACCCUAAG
 64


601
commons
Sense






Strand







KHK-564-
Hs-Mf
25 mer
AGCCUGGUGGACAAGUACCCUAAGG
 65


602
commons
Sense






Strand







KHK-565-
Hs-Mf
25 mer
GCCUGGUGGACAAGUACCCUAAGGA
 66


603
commons
Sense






Strand







KHK-566-
Hs-Mf
25 mer
CCUGGUGGACAAGUACCCUAAGGAG
 67


604
commons
Sense






Strand







KHK-567-
Hs-Mf
25 mer
CUGGUGGACAAGUACCCUAAGGAGG
 68


605
commons
Sense






Strand







KHK-568-
Hs-Mf
25 mer
UGGUGGACAAGUACCCUAAGGAGGA
 69


606
commons
Sense






Strand







KHK-569-
Hs-Mf
25 mer
GGUGGACAAGUACCCUAAGGAGGAC
 70


607
commons
Sense






Strand







KHK-570-
Hs-Mf
25 mer
GUGGACAAGUACCCUAAGGAGGACT
 71


608
commons
Sense






Strand







KHK-571-
Hs-Mf
25 mer
UGGACAAGUACCCUAAGGAGGACTC
 72


609
commons
Sense






Strand







KHK-572-
Hs-Mf
25 mer
GGACAAGUACCCUAAGGAGGACUCG
 73


610
commons
Sense






Strand







KHK-573-
Hs-Mf
25 mer
GACAAGUACCCUAAGGAGGACUCGG
 74


611
commons
Sense






Strand







KHK-574-
Hs-Mf
25 mer
ACAAGUACCCUAAGGAGGACUCGGA
 75


612
commons
Sense






Strand







KHK-575-
Hs-Mf
25 mer
CAAGUACCCUAAGGAGGACUCGGAG
 76


613
commons
Sense






Strand







KHK-576-
Hs-Mf
25 mer
AAGUACCCUAAGGAGGACUCGGAGA
 77


614
commons
Sense






Strand







KHK-577-
Hs-Mf
25 mer
AGUACCCUAAGGAGGACUCGGAGAT
 78


615
commons
Sense






Strand







KHK-638-
Hs-Mf
25 mer
CGCGUCCAACUCCUGCACCGUUCTC
 79


676
commons
Sense






Strand







KHK-641-
Hs-Mf
25 mer
GUCCAACUCCUGCACCGUUCUCUCC
 80


679
commons
Sense






Strand







KHK-642-
Hs-Mf
25 mer
UCCAACUCCUGCACCGUUCUCUCCC
 81


680
commons
Sense






Strand







KHK-643-
Hs-Mf
25 mer
CCAACUCCUGCACCGUUCUCUCCCT
 82


681
commons
Sense






Strand







KHK-644-
Hs-Mf
25 mer
CAACUCCUGCACCGUUCUCUCCCTG
 83


682
commons
Sense






Strand







KHK-645-
Hs-Mf
25 mer
AACUCCUGCACCGUUCUCUCCCUGC
 84


683
commons
Sense






Strand







KHK-646-
Hs-Mf
25 mer
ACUCCUGCACCGUUCUCUCCCUGCT
 85


684
commons
Sense






Strand







KHK-647-
Hs-Mf
25 mer
CUCCUGCACCGUUCUCUCCCUGCTC
 86


685
commons
Sense






Strand







KHK-650-
Hs-Mf
25 mer
CUGCACCGUUCUCUCCCUGCUCGGA
 87


688
commons
Sense






Strand







KHK-676-
Hs-Mf
25 mer
CCCCCUGUGCCUUCAUGGGCUCAAT
 88


714
commons
Sense






Strand







KHK-713-
Hs-Mf
25 mer
UGUUGCUGACUUCCUGGUGGCCGAC
 89


722
commons
Sense






Strand







KHK-826-
Hs-Mf
25 mer
AUGGCAACCGUACCAUUGUGCUCCA
 90


835
commons
Sense






Strand







KHK-827-
Hs-Mf
25 mer
UGGCAACCGUACCAUUGUGCUCCAT
 91


836
commons
Sense






Strand







KHK-829-
Hs-Mf
25 mer
GCAACCGUACCAUUGUGCUCCAUGA
 92


838
commons
Sense






Strand







KHK-830-
Hs-Mf
25 mer
CAACCGUACCAUUGUGCUCCAUGAC
 93


839
commons
Sense






Strand







KHK-831-
Hs-Mf
25 mer
AACCGUACCAUUGUGCUCCAUGACA
 94


840
commons
Sense






Strand







KHK-832-
Hs-Mf
25 mer
ACCGUACCAUUGUGCUCCAUGACAC
 95


841
commons
Sense






Strand







KHK-857-
Hs-Mf
25 mer
GAGCCUGCCAGAUGUGUCUGCUACA
 96


895
commons
Sense






Strand







KHK-858-
Hs-Mf
25 mer
AGCCUGCCAGAUGUGUCUGCUACAG
 97


896
commons
Sense






Strand







KHK-859-
Hs-Mf
25 mer
GCCUGCCAGAUGUGUCUGCUACAGA
 98


897
commons
Sense






Strand







KHK-860-
Hs-Mf-
25 mer
CCUGCCAGAUGUGUCUGCUACAGAC
 99


898-729-
Mm-Rn
Sense




571
commons
Strand







KHK-861-
Hs-Mf-
25 mer
CUGCCAGAUGUGUCUGCUACAGACT
100


899-730-
Mm-Rn
Sense




572
commons
Strand







KHK-862-
Hs-Mf
25 mer
UGCCAGAUGUGUCUGCUACAGACTT
101


900
commons
Sense






Strand







KHK-865
Hs
25 mer
CAGAUGUGUCUGCUACAGACUUUGA
102



unique
Sense






Strand







KHK-880
Hs
25 mer
CAGACUUUGAGAAGGUUGAUCUGAC
103



unique
Sense






Strand







KHK-882-
Hs-Mf
25 mer
GACUUUGAGAAGGUUGAUCUGACCC
104


920
commons
Sense






Strand







KHK-883-
Hs-Mf
25 mer
ACUUUGAGAAGGUUGAUCUGACCCA
105


921
commons
Sense






Strand







KHK-884-
Hs-Mf
25 mer
CUUUGAGAAGGUUGAUCUGACCCAG
106


922
commons
Sense






Strand







KHK-885-
Hs-Mf
25 mer
UUUGAGAAGGUUGAUCUGACCCAGT
107


923
commons
Sense






Strand







KHK-886-
Hs-Mf
25 mer
UUGAGAAGGUUGAUCUGACCCAGTT
108


924
commons
Sense






Strand







KHK-887-
Hs-Mf
25 mer
UGAGAAGGUUGAUCUGACCCAGUTC
109


925
commons
Sense






Strand







KHK-888-
Hs-Mf
25 mer
GAGAAGGUUGAUCUGACCCAGUUCA
110


926
commons
Sense






Strand







KHK-889-
Hs-Mf
25 mer
AGAAGGUUGAUCUGACCCAGUUCAA
111


927
commons
Sense






Strand







KHK-890-
Hs-Mf
25 mer
GAAGGUUGAUCUGACCCAGUUCAAG
112


928
commons
Sense






Strand







KHK-891-
Hs-Mf
25 mer
AAGGUUGAUCUGACCCAGUUCAAGT
113


929
commons
Sense






Strand







KHK-892-
Hs-Mf
25 mer
AGGUUGAUCUGACCCAGUUCAAGTG
114


930
commons
Sense






Strand







KHK-893-
Hs-Mf
25 mer
GGUUGAUCUGACCCAGUUCAAGUGG
115


931
commons
Sense






Strand







KHK-894-
Hs-Mf
25 mer
GUUGAUCUGACCCAGUUCAAGUGGA
116


932
commons
Sense






Strand







KHK-895-
Hs-Mf
25 mer
UUGAUCUGACCCAGUUCAAGUGGAT
117


933
commons
Sense






Strand







KHK-896-
Hs-Mf
25 mer
UGAUCUGACCCAGUUCAAGUGGATC
118


934
commons
Sense






Strand







KHK-897-
Hs-Mf
25 mer
GAUCUGACCCAGUUCAAGUGGAUCC
119


935
commons
Sense






Strand







KHK-898-
Hs-Mf
25 mer
AUCUGACCCAGUUCAAGUGGAUCCA
120


936
commons
Sense






Strand







KHK-899-
Hs-Mf
25 mer
UCUGACCCAGUUCAAGUGGAUCCAC
121


937
commons
Sense






Strand







KHK-900-
Hs-Mf
25 mer
CUGACCCAGUUCAAGUGGAUCCACA
122


938
commons
Sense






Strand







KHK-901-
Hs-Mf
25 mer
UGACCCAGUUCAAGUGGAUCCACAT
123


939
commons
Sense






Strand







KHK-902-
Hs-Mf
25 mer
GACCCAGUUCAAGUGGAUCCACATT
124


940
commons
Sense






Strand







KHK-903-
Hs-Mf
25 mer
ACCCAGUUCAAGUGGAUCCACAUTG
125


941
commons
Sense






Strand







KHK-904-
Hs-Mf
25 mer
CCCAGUUCAAGUGGAUCCACAUUGA
126


942
commons
Sense






Strand







KHK-905-
Hs-Mf
25 mer
CCAGUUCAAGUGGAUCCACAUUGAG
127


943
commons
Sense






Strand







KHK-906-
Hs-Mf
25 mer
CAGUUCAAGUGGAUCCACAUUGAGG
128


944
commons
Sense






Strand







KHK-907-
Hs-Mf
25 mer
AGUUCAAGUGGAUCCACAUUGAGGG
129


945
commons
Sense






Strand







KHK-908-
Hs-Mf-
25 mer
GUUCAAGUGGAUCCACAUUGAGGGC
130


946-777-
Mm-Rn
Sense




619
commons
Strand







KHK-909-
Hs-Mf-
25 mer
UUCAAGUGGAUCCACAUUGAGGGCC
131


947-778-
Mm-Rn
Sense




620
commons
Strand







KHK-910-
Hs-Mf-
25 mer
UCAAGUGGAUCCACAUUGAGGGCCG
132


948-779-
Mm-Rn
Sense




621
commons
Strand







KHK-911-
Hs-Mf-
25 mer
CAAGUGGAUCCACAUUGAGGGCCGG
133


949-780-
Mm-Rn
Sense




622
commons
Strand







KHK-912-
Hs-Mf-
25 mer
AAGUGGAUCCAGAUUGAGGGCCGGA
134


950-781-
Mm-Rn
Sense




623
commons
Strand







KHK-913-
Hs-Mf-
25 mer
AGUGGAUCCACAUUGAGGGCCGGAA
135


951-782-
Mm-Rn
Sense




624
commons
Strand







KHK-914-
Hs-Mf-
25 mer
GUGGAUCCACAUUGAGGGCCGGAAC
136


952-783-
Mm-Rn
Sense




625
commons
Strand







KHK-939-
Hs-Mf
25 mer
GCAUCGGAGCAGGUGAAGAUGCUGC
137


977
commons
Sense






Strand







KHK-940-
Hs-Mf
25 mer
CAUCGGAGCAGGUGAAGAUGCUGCA
138


978
commons
Sense






Strand







KHK-941-
Hs-Mf
25 mer
AUCGGAGCAGGUGAAGAUGCUGCAG
139


979
commons
Sense






Strand







KHK-942-
Hs-Mf
25 mer
UCGGAGCAGGUGAAGAUGCUGCAGC
140


980
commons
Sense






Strand







KHK-943-
Hs-Mf
25 mer
CGGAGCAGGUGAAGAUGCUGCAGCG
141


981
commons
Sense






Strand







KHK-944-
Hs-Mf
25 mer
GGAGCAGGUGAAGAUGCUGCAGCGG
142


982
commons
Sense






Strand







KHK-945-
Hs-Mf
25 mer
GAGCAGGUGAAGAUGCUGCAGCGGA
143


983
commons
Sense






Strand







KHK-946-
Hs-Mf
25 mer
AGCAGGUGAAGAUGCUGCAGCGGAT
144


984
commons
Sense






Strand







KHK-947-
Hs-Mf
25 mer
GCAGGUGAAGAUGCUGCAGCGGATA
145


985
commons
Sense






Strand







KHK-948-
Hs-Mf-
25 mer
CAGGUGAAGAUGCUGCAGCGGAUAG
146


986-817
Mm
Sense





commons
Strand







KHK-949-
Hs-Mf-
25 mer
AGGUGAAGAUGCUGCAGCGGAUAGA
147


987-818
Mm
Sense





commons
Strand







KHK-950-
Hs-Mf-
25 mer
GGUGAAGAUGCUGCAGCGGAUAGAC
148


988-819
Mm
Sense





commons
Strand







KHK-951-
Hs-Mf-
25 mer
GUGAAGAUGCUGCAGCGGAUAGACG
149


989-820
Mm
Sense





commons
Strand







KHK-952-
Hs-Mf-
25 mer
UGAAGAUGCUGCAGCGGAUAGACGC
150


990-821
Mm
Sense





commons
Strand







KHK-953-
Hs-Mf-
25 mer
GAAGAUGCUGCAGCGGAUAGACGCA
151


991-822
Mm
Sense





commons
Strand







KHK-954-
Hs-Mf-
25 mer
AAGAUGCUGCAGCGGAUAGACGCAC
152


992-823
Mm
Sense





commons
Strand







KHK-955-
Hs-Mf-
25 mer
AGAUGCUGCAGCGGAUAGACGCACA
153


993-824
Mm
Sense





commons
Strand







KHK-956-
Hs-Mf
25 mer
GAUGCUGCAGCGGAUAGACGCACAC
154


994
commons
Sense






Strand







KHK-957-
Hs-Mf
25 mer
AUGCUGCAGCGGAUAGACGCACACA
155


995
commons
Sense






Strand







KHK-958-
Hs-Mf
25 mer
UGCUGCAGCGGAUAGACGCACACAA
156


996
commons
Sense






Strand







KHK-978-
Hs-Mf
25 mer
CACAACACCAGGCAGCCUCCAGAGC
157


1016
commons
Sense






Strand







KHK-982-
Hs-Mf
25 mer
ACACCAGGCAGCCUCCAGAGCAGAA
158


1020
commons
Sense






Strand







KHK-983-
Hs-Mf
25 mer
CACCAGGCAGCCUCCAGAGCAGAAG
159


1021
commons
Sense






Strand







KHK-984-
Hs-Mf
25 mer
ACCAGGCAGCCUCCAGAGCAGAAGA
160


1022
commons
Sense






Strand







KHK-985-
Hs-Mf
25 mer
CCAGGCAGCCUCCAGAGCAGAAGAT
161


1023
commons
Sense






Strand







KHK-991-
Hs-Mf
25 mer
AGCCUCCAGAGCAGAAGAUCCGGGT
162


1029
commons
Sense






Strand







KHK-992-
Hs-Mf
25 mer
GCCUCCAGAGCAGAAGAUCCGGGTG
163


1030
commons
Sense






Strand







KHK-993-
Hs-Mf
25 mer
CCUCCAGAGCAGAAGAUCCGGGUGT
164


1031
commons
Sense






Strand







KHK-999-
Hs-Mf
25 mer
GAGCAGAAGAUCCGGGUGUCCGUGG
165


1037
commons
Sense






Strand







KHK-1000-
Hs-Mf
25 mer
AGCAGAAGAUCCGGGUGUCCGUGGA
166


1038
commons
Sense






Strand







KHK-1019-
Hs-Mf
25 mer
CGUGGAGGUGGAGAAGCCACGAGAG
167


1057
commons
Sense






Strand







KHK-1054-
Hs-Mf
25 mer
AGCUGUUUGGCUACGGAGACGUGGT
168


1092
commons
Sense






Strand







KHK-1055-
Hs-Mf
25 mer
GCUGUUUGGCUACGGAGACGUGGTG
169


1093
commons
Sense






Strand







KHK-1057-
Hs-Mf
25 mer
UGUUUGGCUACGGAGACGUGGUGTT
170


1095
commons
Sense






Strand







KHK-1058-
Hs-Mf
25 mer
GUUUGGCUACGGAGACGUGGUGUTT
171


1096
commons
Sense






Strand







KHK-1059-
Hs-Mf
25 mer
UUUGGCUACGGAGACGUGGUGUUTG
172


1097
commons
Sense






Strand







KHK-1060-
Hs-Mf
25 mer
UUGGCUACGGAGACGUGGUGUUUGT
173


1098
commons
Sense






Strand







KHK-1061-
Hs-Mf
25 mer
UGGCUACGGAGACGUGGUGUUUGTC
174


1099
commons
Sense






Strand







KHK-1062-
Hs-Mf
25 mer
GGCUACGGAGACGUGGUGUUUGUCA
175


1100
commons
Sense






Strand







KHK-1063-
Hs-Mf
25 mer
GCUACGGAGACGUGGUGUUUGUCAG
176


1101
commons
Sense






Strand







KHK-1064-
Hs-Mf
25 mer
CUACGGAGACGUGGUGUUUGUCAGC
177


1102
commons
Sense






Strand







KHK-1065-
Hs-Mf
25 mer
UACGGAGACGUGGUGUUUGUCAGCA
178


1103
commons
Sense






Strand







KHK-1066-
Hs-Mf
25 mer
ACGGAGACGUGGUGUUUGUCAGCAA
179


1104
commons
Sense






Strand







KHK-1067-
Hs-Mf
25 mer
CGGAGACGUGGUGUUUGUCAGCAAA
180


1105
commons
Sense






Strand







KHK-1068-
Hs-Mf
25 mer
GGAGACGUGGUGUUUGUCAGCAAAG
181


1106
commons
Sense






Strand







KHK-1069-
Hs-Mf
25 mer
GAGACGUGGUGUUUGUCAGCAAAGA
182


1107
commons
Sense






Strand







KHK-1070-
Hs-Mf
25 mer
AGACGUGGUGUUUGUCAGCAAAGAT
183


1108
commons
Sense






Strand







KHK-1071-
Hs-Mf
25 mer
GACGUGGUGUUUGUCAGCAAAGATG
184


1109
commons
Sense






Strand







KHK-1072-
Hs-Mf
25 mer
ACGUGGUGUUUGUCAGCAAAGAUGT
185


1110
commons
Sense






Strand







KHK-1073-
Hs-Mf
25 mer
CGUGGUGUUUGUCAGCAAAGAUGTG
186


1111
commons
Sense






Strand







KHK-1074-
Hs-Mf-
25 mer
GUGGUGUUUGUCAGCAAAGAUGUGG
187


1112-943-
Mm-Rn
Sense




785
commons
Strand







KHK-1075-
Hs-Mf-
25 mer
UGGUGUUUGUCAGCAAAGAUGUGGC
188


1113-944-
Mm-Rn
Sense




786
commons
Strand







KHK-1076-
Hs-Mf-
25 mer
GGUGUUUGUCAGCAAAGAUGUGGCC
189


1114-945-
Mm-Rn
Sense




787
commons
Strand







KHK-1077-
Hs-Mf-
25 mer
GUGUUUGUCAGCAAAGAUGUGGCCA
190


1115-946-
Mm-Rn
Sense




788
commons
Strand







KHK-1078-
Hs-Mf-
25 mer
UGUUUGUCAGCAAAGAUGUGGCCAA
191


1116-947-
Mm-Rn
Sense




789
commons
Strand







KHK-1079-
Hs-Mf-
25 mer
GUUUGUCAGCAAAGAUGUGGCCAAG
192


1117-948-
Mm-Rn
Sense




790
commons
Strand







KHK-1080-
Hs-Mf-
25 mer
UUUGUCAGCAAAGAUGUGGCCAAGC
193


11 18-949-
Mm-Rn
Sense




791
commons
Strand







KHK-1081-
Hs-Mf-
25 mer
UUGUCAGCAAAGAUGUGGCCAAGCA
194


1119-950-
Mm-Rn
Sense




792
commons
Strand







KHK-1082-
Hs-Mf-
25 mer
UGUCAGCAAAGAUGUGGCCAAGCAC
195


1120-951-
Mm-Rn
Sense




793
commons
Strand







KHK-1083-
Hs-Mf-
25 mer
GUCAGCAAAGAUGUGGCCAAGCACT
196


1121-952-
Mm-Rn
Sense




794
commons
Strand







KHK-1084-
Hs-Mf-
25 mer
UCAGCAAAGAUGUGGCCAAGCACTT
197


1122-953-
Mm-Rn
Sense




795
commons
Strand







KHK-1085-
Hs-Mf-
25 mer
CAGCAAAGAUGUGGCCAAGCACUTG
198


1123-954-
Mm-Rn
Sense




796
commons
Strand







KHK-1086-
Hs-Mf-
25 mer
AGCAAAGAUGUGGCCAAGCACUUGG
199


1124-955-
Mm-Rn
Sense




797
commons
Strand







KHK-1087-
Hs-Mf-
25 mer
GCAAAGAUGUGGCCAAGCACUUGGG
200


1125-956-
Mm-Rn
Sense




798
commons
Strand







KHK-1090-
Hs-Mf
25 mer
AAGAUGUGGCCAAGCACUUGGGGTT
201


1128
commons
Sense






Strand







KHK-1091-
Hs-Mf
25 mer
AGAUGUGGCCAAGCACUUGGGGUTC
202


1129
commons
Sense






Strand







KHK-1092-
Hs-Mf
25 mer
GAUGUGGCCAAGCACUUGGGGUUCC
203


1130
commons
Sense






Strand







KHK-1093-
Hs-Mf
25 mer
AUGUGGCCAAGCACUUGGGGUUCCA
204


1131
commons
Sense






Strand







KHK-1095-
Hs-Mf
25 mer
GUGGCCAAGCACUUGGGGUUCCAGT
205


1133
commons
Sense






Strand







KHK-1096-
Hs-Mf
25 mer
UGGCCAAGCACUUGGGGUUCCAGTC
206


1134
commons
Sense






Strand







KHK-1097-
Hs-Mf
25 mer
GGCCAAGCACUUGGGGUUCCAGUCA
207


1135
commons
Sense






Strand







KHK-1099-
Hs-Mf
25 mer
CCAAGCACUUGGGGUUCCAGUCAGC
208


1137
commons
Sense






Strand







KHK-1100-
Hs-Mf
25 mer
CAAGCACUUGGGGUUCCAGUCAGCA
209


1138
commons
Sense






Strand







KHK-1101-
Hs-Mf
25 mer
AAGCACUUGGGGUUCCAGUCAGCAG
210


1139
commons
Sense






Strand







KHK-1102-
Hs-Mf
25 mer
AGCACUUGGGGUUCCAGUCAGCAGA
211


1140
commons
Sense






Strand







KHK-1103-
Hs-Mf
25 mer
GCACUUGGGGUUCCAGUCAGCAGAG
212


1141
commons
Sense






Strand







KHK-1104-
Hs-Mf
25 mer
CACUUGGGGUUCCAGUCAGCAGAGG
213


1142
commons
Sense






Strand







KHK-1106-
Hs-Mf
25 mer
CUUGGGGUUCCAGUCAGCAGAGGAA
214


1144
commons
Sense






Strand







KHK-1107-
Hs-Mf
25 mer
UUGGGGUUCCAGUCAGCAGAGGAAG
215


1145
commons
Sense






Strand







KHK-1135-
Hs-Mf
25 mer
UGAGGGGCUUGUAUGGUCGUGUGAG
216


1173
commons
Sense






Strand







KHK-1136-
Hs-Mf
25 mer
GAGGGGCUUGUAUGGUCGUGUGAGG
217


ll74
commons
Sense






Strand







KHK-1137-
Hs-Mf
25 mer
AGGGGCUUGUAUGGUCGUGUGAGGA
218


1175
commons
Sense






Strand







KHK-1138-
Hs-Mf
25 mer
GGGGCUUGUAUGGUCGUGUGAGGAA
219


1176
commons
Sense






Strand







KHK-1139-
Hs-Mf
25 mer
GGGCUUGUAUGGUCGUGUGAGGAAA
220


1177
commons
Sense






Strand







KHK-1140-
Hs-Mf
25 mer
GGCUUGUAUGGUCGUGUGAGGAAAG
221


1178
commons
Sense






Strand







KHK-1141-
Hs-Mf
25 mer
GCUUGUAUGGUCGUGUGAGGAAAGG
222


1179
commons
Sense






Strand







KHK-1142-
Hs-Mf
25 mer
CUUGUAUGGUCGUGUGAGGAAAGGG
223


1180
commons
Sense






Strand







KHK-1143-
Hs-Mf
25 mer
UUGUAUGGUCGUGUGAGGAAAGGGG
224


1181
commons
Sense






Strand







KHK-1144-
Hs-Mf
25 mer
UGUAUGGUCGUGUGAGGAAAGGGGC
225


1182
commons
Sense






Strand







KHK-1145-
Hs-Mf
25 mer
GUAUGGUCGUGUGAGGAAAGGGGCT
226


1183
commons
Sense






Strand







KHK-1146-
Hs-Mf
25 mer
UAUGGUCGUGUGAGGAAAGGGGCTG
227


1184
commons
Sense






Strand







KHK-1147-
Hs-Mf
25 mer
AUGGUCGUGUGAGGAAAGGGGCUGT
228


1185
commons
Sense






Strand







KHK-1148-
Hs-Mf
25 mer
UGGUCGUGUGAGGAAAGGGGCUGTG
229


1186
commons
Sense






Strand







KHK-1149-
Hs-Mf
25 mer
GGUCGUGUGAGGAAAGGGGCUGUGC
230


1187
commons
Sense






Strand







KHK-1153-
Hs-Mf
25 mer
GUGUGAGGAAAGGGGCUGUGCUUGT
231


1191
commons
Sense






Strand







KHK-1154-
Hs-Mf
25 mer
UGUGAGGAAAGGGGCUGUGCUUGTC
232


1192
commons
Sense






Strand







KHK-1157-
Hs-Mf
25 mer
GAGGAAAGGGGCUGUGCUUGUCUGT
233


1195
commons
Sense






Strand







KHK-1158-
Hs-Mf
25 mer
AGGAAAGGGGCUGUGCUUGUCUGTG
234


1196
commons
Sense






Strand







KHK-1159-
Hs-Mf
25 mer
GGAAAGGGGCUGUGCUUGUCUGUGC
235


1197
commons
Sense






Strand







KHK-1161-
Hs-Mf
25 mer
AAAGGGGCUGUGCUUGUCUGUGCCT
236


1199
commons
Sense






Strand







KHK-1163-
Hs-Mf
25 mer
AGGGGCUGUGCUUGUCUGUGCCUGG
237


1201
commons
Sense






Strand







KHK-1164-
Hs-Mf
25 mer
GGGGCUGUGCUUGUCUGUGCCUGGG
238


1202
commons
Sense






Strand







KHK-1232-
Hs-Mf
25 mer
CCACUCGGAUGCUUUCCCGCCACCC
239


1270
commons
Sense






Strand







KHK-1278-
Hs-Mf-
25 mer
GCUGGAGACACCUUCAAUGCCUCCG
240


1316-1147-
Mm-Rn
Sense




989
commons
Strand







KHK-1279-
Hs-Mf-
25 mer
CUGGAGACACCUUCAAUGCCUCCGT
241


1317-1148-
Mm-Rn
Sense




990
commons
Strand







KHK-1280-
Hs-Mf-
25 mer
UGGAGACACCUUCAAUGCCUCCGTC
242


1318-1149-
Mm-Rn
Sense




991
commons
Strand







KHK-1281-
Hs-Mf-
25 mer
GGAGACACCUUCAAUGCCUCCGUCA
243


1319-1150-
Mm-Rn
Sense




992
commons
Strand







KHK-1282-
Hs-Mf-
25 mer
GAGACACCUUCAAUGCCUCCGUCAT
244


1320-1151-
Mm-Rn
Sense




993
commons
Strand







KHK-1283-
Hs-Mf
25 mer
AGACACCUUCAAUGCCUCCGUCATC
245


1321
commons
Sense






Strand







KHK-1284-
Hs-Mf
25 mer
GACACCUUCAAUGCCUCCGUCAUCT
246


1322
commons
Sense






Strand







KHK-1285-
Hs-Mf
25 mer
ACACCUUCAAUGCCUCCGUCAUCTT
247


1323
commons
Sense






Strand







KHK-1286-
Hs-Mf
25 mer
CACCUUCAAUGCCUCCGUCAUCUTC
248


1324
commons
Sense






Strand







KHK-1287-
Hs-Mf
25 mer
ACCUUCAAUGCCUCCGUCAUCUUCA
249


1325
commons
Sense






Strand







KHK-1288-
Hs-Mf
25 mer
CCUUCAAUGCCUCCGUCAUCUUCAG
250


1326
commons
Sense






Strand







KHK-1289-
Hs-Mf
25 mer
CUUCAAUGCCUCCGUCAUCUUCAGC
251


1327
commons
Sense






Strand







KHK-1290-
Hs-Mf
25 mer
UUCAAUGCCUCCGUCAUCUUCAGCC
252


1328
commons
Sense






Strand







KHK-1291-
Hs-Mf
25 mer
UCAAUGCCUCCGUCAUCUUCAGCCT
253


1329
commons
Sense






Strand







KHK-1292-
Hs-Mf
25 mer
CAAUGCCUCCGUCAUCUUCAGCCTC
254


1330
commons
Sense






Strand







KHK-1293-
Hs-Mf
25 mer
AAUGCCUCCGUCAUCUUCAGCCUCT
255


1331
commons
Sense






Strand







KHK-1294-
Hs-Mf
25 mer
AUGCCUCCGUCAUCUUCAGCCUCTC
256


1332
commons
Sense






Strand







KHK-1295-
Hs-Mf
25 mer
UGCCUCCGUCAUCUUCAGCCUCUCC
257


1333
commons
Sense






Strand







KHK-1297-
Hs-Mf
25 mer
CCUCCGUCAUCUUCAGCCUCUCCCA
258


1335
commons
Sense






Strand







KHK-1323-
Hs-Mf
25 mer
GGGAGGAGCGUGCAGGAAGCACUGA
259


1361
commons
Sense






Strand







KHK-1325-
Hs-Mf
25 mer
GAGGAGCGUGCAGGAAGCACUGAGA
260


1363
commons
Sense






Strand







KHK-1326-
Hs-Mf
25 mer
AGGAGCGUGCAGGAAGCACUGAGAT
261


1364
commons
Sense






Strand







KHK-1327-
Hs-Mf
25 mer
GGAGCGUGCAGGAAGCACUGAGATT
262


1365
commons
Sense






Strand







KHK-1328-
Hs-Mf
25 mer
GAGCGUGCAGGAAGCACUGAGAUTC
263


1366
commons
Sense






Strand







KHK-1329-
Hs-Mf
25 mer
AGCGUGCAGGAAGCACUGAGAUUCG
264


1367
commons
Sense






Strand







KHK-1330-
Hs-Mf
25 mer
GCGUGCAGGAAGCACUGAGAUUCGG
265


1368
commons
Sense






Strand







KHK-1331-
Hs-Mf
25 mer
CGUGCAGGAAGCACUGAGAUUCGGG
266


1369
commons
Sense






Strand







KHK-1332-
Hs-Mf
25 mer
GUGCAGGAAGCACUGAGAUUCGGGT
267


1370
commons
Sense






Strand







KHK-1333-
Hs-Mf
25 mer
UGCAGGAAGCACUGAGAUUCGGGTG
268


1371
commons
Sense






Strand







KHK-1334-
Hs-Mf
25 mer
GCAGGAAGCACUGAGAUUCGGGUGC
269


1372
commons
Sense






Strand







KHK-1335-
Hs-Mf
25 mer
CAGGAAGCACUGAGAUUCGGGUGCC
270


1373
commons
Sense






Strand







KHK-1336-
Hs-Mf
25 mer
AGGAAGCACUGAGAUUCGGGUGCCA
271


1374
commons
Sense






Strand







KHK-1385-
Hs-Mf
25 mer
GCAGGGCUUUGAUGGCAUCGUGUGA
272


1423
commons
Sense






Strand







KHK-1387-
Hs-Mf
25 mer
AGGGCUUUGAUGGCAUCGUGUGAGA
273


1425
commons
Sense






Strand







KHK-1388-
Hs-Mf
25 mer
GGGCUUUGAUGGCAUCGUGUGAGAG
274


1426
commons
Sense






Strand







KHK-1389-
Hs-Mf
25 mer
GGCUUUGAUGGCAUCGUGUGAGAGC
275


1427
commons
Sense






Strand







KHK-1538-
Hs-Mf
25 mer
GCCUGUGUCCUGUGUUCCCCACAGG
276


1588
commons
Sense






Strand







KHK-1540-
Hs-Mf
25 mer
CUGUGUCCUGUGUUCCCCACAGGGA
277


1590
commons
Sense






Strand







KHK-1542-
Hs-Mf
25 mer
GUGUCCUGUGUUCCCCACAGGGAGA
278


1592
commons
Sense






Strand







KHK-1665-
Hs-Mf
25 mer
CAUUCCUGAGGCUCUGACUCUUCGA
279


1708
commons
Sense






Strand







KHK-1666-
Hs-Mf
25 mer
AUUCCUGAGGCUCUGACUCUUCGAT
280


1709
commons
Sense






Strand







KHK-1667-
Hs-Mf
25 mer
UUCCUGAGGCUCUGACUCUUCGATC
281


1710
commons
Sense






Strand







KHK-1707-
Hs-Mf
25 mer
CAUUCCCCAAAUUAACCUCUCCGCC
282


1750
commons
Sense






Strand







KHK-1708-
Hs-Mf
25 mer
AUUCCCCAAAUUAACCUCUCCGCCC
283


1751
commons
Sense






Strand







KHK-1709-
Hs-Mf
25 mer
UUCCCCAAAUUAACCUCUCCGCCCA
284


1752
commons
Sense






Strand







KHK-1869-
Hs-Mf
25 mer
GGGCCCUGCGUUGUGCAGACUCUAT
285


1918
commons
Sense






Strand







KHK-1870-
Hs-Mf
25 mer
GGCCCUGCGUUGUGCAGACUCUATT
286


1919
commons
Sense






Strand







KHK-1871-
Hs-Mf
25 mer
GCCCUGCGUUGUGCAGACUCUAUTC
287


1920
commons
Sense






Strand







KHK-1872-
Hs-Mf
25 mer
CCCUGCGUUGUGCAGACUCUAUUCC
288


1921
commons
Sense






Strand







KHK-1873-
Hs-Mf
25 mer
CCUGCGUUGUGCAGACUCUAUUCCC
289


1922
commons
Sense






Strand







KHK-1874-
Hs-Mf
25 mer
CUGCGUUGUGCAGACUCUAUUCCCA
290


1923
commons
Sense






Strand







KHK-1875-
Hs-Mf
25 mer
UGCGUUGUGCAGACUCUAUUCCCAC
291


1924
commons
Sense






Strand







KHK-1876-
Hs-Mf
25 mer
GCGUUGUGCAGACUCUAUUCCCACA
292


1925
commons
Sense






Strand







KHK-1877-
Hs-Mf
25 mer
CGUUGUGCAGACUCUAUUCCCACAG
293


1926
commons
Sense






Strand







KHK-1878-
Hs-Mf
25 mer
GUUGUGCAGACUCUAUUCCCACAGC
294


1927
commons
Sense






Strand







KHK-1879-
Hs-Mf
25 mer
UUGUGCAGACUCUAUUCCCACAGCT
295


1928
commons
Sense






Strand







KHK-1880-
Hs-Mf
25 mer
UGUGCAGACUCUAUUCCCACAGCTC
296


1929
commons
Sense






Strand







KHK-1900-
Hs-Mf
25 mer
AGCUCAGAAGCUGGGAGUCCACACC
297


1949
commons
Sense






Strand







KHK-1905-
Hs-Mf
25 mer
AGAAGCUGGGAGUCCACACCGCUGA
298


1954
commons
Sense






Strand







KHK-1971-
Hs-Mf
25 mer
CUGCCCUGCCCACCAGCCUGUGATT
299


2025
commons
Sense






Strand







KHK-1974-
Hs-Mf
25 mer
CCCUGCCCACCAGCCUGUGAUUUGA
300


2028
commons
Sense






Strand







KHK-1975-
Hs-Mf
25 mer
CCUGCCCACCAGCCUGUGAUUUGAT
301


2029
commons
Sense






Strand







KHK-1976-
Hs-Mf
25 mer
CUGCCCACCAGCCUGUGAUUUGATG
302


2030
commons
Sense






Strand







KHK-1978-
Hs-Mf
25 mer
GCCCACCAGCCUGUGAUUUGAUGGG
303


2032
commons
Sense






Strand







KHK-1979-
Hs-Mf
25 mer
CCCACCAGCCUGUGAUUUGAUGGGG
304


2033
commons
Sense






Strand







KHK-2032-
Hs-Mf
25 mer
GCUGACUGCCCCAGAGCCUGAAAGT
305


2086
commons
Sense






Strand







KHK-2035-
Hs-Mf
25 mer
GACUGCCCCAGAGCCUGAAAGUCTC
306


2089
commons
Sense






Strand







KHK-2036-
Hs-Mf
25 mer
ACUGCCCCAGAGCCUGAAAGUCUCA
307


2090
commons
Sense






Strand







KHK-2037-
Hs-Mf
25 mer
CUGCCCCAGAGCCUGAAAGUCUCAC
308


2091
commons
Sense






Strand







KHK-2038-
Hs-Mf
25 mer
UGCCCCAGAGCCUGAAAGUCUCACC
309


2092
commons
Sense






Strand







KHK-2039-
Hs-Mf
25 mer
GCCCCAGAGCCUGAAAGUCUCACCC
310


2093
commons
Sense






Strand







KHK-2040-
Hs-Mf
25 mer
CCCCAGAGCCUGAAAGUCUCACCCT
311


2094
commons
Sense






Strand







KHK-2041-
Hs-Mf
25 mer
CCCAGAGCCUGAAAGUCUCACCCTT
312


2095
commons
Sense






Strand







KHK-2042-
Hs-Mf
25 mer
CCAGAGCCUGAAAGUCUCACCCUTG
313


2096
commons
Sense






Strand







KHK-2043-
Hs-Mf
25 mer
CAGAGGCUGAAAGUCUCACCCUUGG
314


2097
commons
Sense






Strand







KHK-2044-
Hs-Mf
25 mer
AGAGCCUGAAAGUCUCACCCUUGGA
315


2098
commons
Sense






Strand







KHK-2045-
Hs-Mf
25 mer
GAGCCUGAAAGUCUCACCCUUGGAG
316


2099
commons
Sense






Strand







KHK-2067-
Hs-Mf
25 mer
GAGCCCACCUUGGAAUUAAGGGCGT
317


2121
commons
Sense






Strand







KHK-2069-
Hs-Mf
25 mer
GCCCACCUUGGAAUUAAGGGCGUGC
318


2123
commons
Sense






Strand







KHK-2091-
Hs-Mf
25 mer
UGCCUCAGCCACAAAUGUGACCCAG
319


2145
commons
Sense






Strand







KHK-2092-
Hs-Mf
25 mer
GCCUCAGCCACAAAUGUGACCCAGG
320


2146
commons
Sense






Strand







KHK-2093-
Hs-Mf
25 mer
CCUCAGCCACAAAUGUGACCCAGGA
321


2147
commons
Sense






Strand







KHK-2094-
Hs-Mf
25 mer
CUCAGCCACAAAUGUGACCCAGGAT
322


2148
commons
Sense






Strand







KHK-2095-
Hs-Mf
25 mer
UCAGCCACAAAUGUGACCCAGGATA
323


2149
commons
Sense






Strand







KHK-2096-
Hs-Mf
25 mer
CAGCCACAAAUGUGACCCAGGAUAC
324


2150
commons
Sense






Strand







KHK-2105
Hs
25 mer
AUGUGACCCAGGAUACAGAGUGUTG
325



unique
Sense






Strand







KHK-2148-
Hs-Mf
25 mer
GAUCUGGAACACAUAUUGGAAUUGG
326


2197
commons
Sense






Strand







KHK-2149-
Hs-Mf
25 mer
AUCUGGAACACAUAUUGGAAUUGGG
327


2198
commons
Sense






Strand







KHK-2150-
Hs-Mf
25 mer
UCUGGAACACAUAUUGGAAUUGGGG
328


2199
commons
Sense






Strand







KHK-2151-
Hs-Mf
25 mer
CUGGAACACAUAUUGGAAUUGGGGC
329


2200
commons
Sense






Strand







KHK-2152-
Hs-Mf
25 mer
UGGAACACAUAUUGGAAUUGGGGCC
330


2201
commons
Sense






Strand







KHK-2153-
Hs-Mf
25 mer
GGAACACAUAUUGGAAUUGGGGCCA
331


2202
commons
Sense






Strand







KHK-2154-
Hs-Mf
25 mer
GAACACAUAUUGGAAUUGGGGCCAA
332


2203
commons
Sense






Strand







KHK-2155-
Hs-Mf
25 mer
AACACAUAUUGGAAUUGGGGCCAAC
333


2204
commons
Sense






Strand







KHK-2156-
Hs-Mf
25 mer
ACACAUAUUGGAAUUGGGGCCAACT
334


2205
commons
Sense






Strand







KHK-2157-
Hs-Mf
25 mer
CACAUAUUGGAAUUGGGGCCAACTC
335


2206
commons
Sense






Strand







KHK-2159-
Hs-Mf
25 mer
CAUAUUGGAAUUGGGGCCAACUCCA
336


2208
commons
Sense






Strand







KHK-2160-
Hs-Mf
25 mer
AUAUUGGAAUUGGGGCCAACUCCAA
337


2209
commons
Sense






Strand







KHK-2161-
Hs-Mf
25 mer
UAUUGGAAUUGGGGCCAACUCCAAT
338


2210
commons
Sense






Strand







KHK-2162-
Hs-Mf
25 mer
AUUGGAAUUGGGGCCAACUCCAATA
339


2211
commons
Sense






Strand







KHK-2163-
Hs-Mf
25 mer
UUGGAAUUGGGGCCAACUCCAAUAT
340


2212
commons
Sense






Strand







KHK-2164-
Hs-Mf
25 mer
UGGAAUUGGGGCCAACUCCAAUATA
341


2213
commons
Sense






Strand







KHK-2165-
Hs-Mf
25 mer
GGAAUUGGGGCCAACUCCAAUAUAG
342


2214
commons
Sense






Strand







KHK-2166-
Hs-Mf
25 mer
GAAUUGGGGCCAACUCCAAUAUAGG
343


2215
commons
Sense






Strand







KHK-2170-
Hs-Mf
25 mer
UGGGGCCAACUCCAAUAUAGGGUGG
344


2219
commons
Sense






Strand







KHK-2196-
Hs-Mf
25 mer
UAAGGCCUUAUAAUGUAAAGAGCAT
345


2245
commons
Sense






Strand







KHK-2197-
Hs-Mf
25 mer
AAGGCCUUAUAAUGUAAAGAGCATA
346


2246
commons
Sense






Strand







KHK-2198-
Hs-Mf
25 mer
AGGCCUUAUAAUGUAAAGAGCAUAT
347


2247
commons
Sense






Strand







KHK-2199-
Hs-Mf
25 mer
GGCCUUAUAAUGUAAAGAGCAUATA
348


2248
commons
Sense






Strand







KHK-2200-
Hs-Mf
25 mer
GCCUUAUAAUGUAAAGAGCAUAUAA
349


2249
commons
Sense






Strand







KHK-2201-
Hs-Mf
25 mer
CCUUAUAAUGUAAAGAGCAUAUAAT
350


2250
commons
Sense






Strand







KHK-2205
Hs
25 mer
AUAAUGUAAAGAGCAUAUAAUGUAA
351



unique
Sense






Strand







KHK-2238
Hs
25 mer
AGAGUGAGACAGACCUGGAUUAAAA
352



unique
Sense






Strand







KHK-2260-
Hs-Mf
25 mer
AAAUCUGCCAUUUAAUUAGCUGCAT
353


2309
commons
Sense






Strand







KHK-2261-
Hs-Mf
25 mer
AAUCUGCCAUUUAAUUAGCUGCATA
354


2310
commons
Sense






Strand







KHK-2262-
Hs-Mf
25 mer
AUCUGCCAUUUAAUUAGCUGCAUAT
355


2311
commons
Sense






Strand







KHK-2263-
Hs-Mf
25 mer
UCUGCCAUUUAAUUAGCUGCAUATC
356


2312
commons
Sense






Strand







KHK-2264-
Hs-Mf
25 mer
CUGCCAUUUAAUUAGCUGCAUAUCA
357


2313
commons
Sense






Strand







KHK-2265-
Hs-Mf
25 mer
UGCCAUUUAAUUAGCUGCAUAUCAC
358


2314
commons
Sense






Strand







KHK-2266-
Hs-Mf
25 mer
GCCAUUUAAUUAGCUGCAUAUCACC
359


2315
commons
Sense






Strand







KHK-2299
Hs
25 mer
CAGCACUUAACGCAAUCUGCCUCAA
360



unique
Sense






Strand







KHK-2317-
Hs-Mf
25 mer
GCCUCAAUUUCUUCAUCUGUCAAAT
361


2366
commons
Sense






Strand







KHK-2318-
Hs-Mf
25 mer
CCUCAAUUUCUUCAUCUGUCAAATG
362


2367
commons
Sense






Strand







KHK-2319-
Hs-Mf
25 mer
CUCAAUUUCUUCAUCUGUCAAAUGG
363


2368
commons
Sense






Strand







KHK-2320-
Hs-Mf
25 mer
UCAAUUUCUUCAUCUGUCAAAUGGA
364


2369
commons
Sense






Strand







KHK-2321-
Hs-Mf
25 mer
CAAUUUCUUCAUCUGUCAAAUGGAA
365


2370
commons
Sense






Strand







KHK-2322-
Hs-Mf
25 mer
AAUUUCUUCAUCUGUCAAAUGGAAC
366


2371
commons
Sense






Strand







KHK-2323-
Hs-Mf
25 mer
AUUUCUUCAUCUGUCAAAUGGAACC
367


2372
commons
Sense






Strand







KHK-2324-
Hs-Mf
25 mer
UUUCUUCAUCUGUCAAAUGGAACCA
368


2373
commons
Sense






Strand







KHK-2325-
Hs-Mf
25 mer
UUCUUCAUCUGUCAAAUGGAACCAA
369


2374
commons
Sense






Strand







KHK-2326-
Hs-Mf
25 mer
UGUUCAUCUGUCAAAUGGAACCAAT
370


2375
commons
Sense






Strand







KHK-2332
Hs
25 mer
UCUGUCAAAUGGAACCAAUUCUGCT
371



unique
Sense






Strand







KHK-2333
Hs
25 mer
CUGUCAAAUGGAACCAAUUCUGCTT
372



unique
Sense






Strand







KHK-2335
Hs
25 mer
GUCAAAUGGAACCAAUUCUGCUUGG
373



unique
Sense






Strand







KHK-2340
Hs
25 mer
AUGGAACCAAUUCUGCUUGGCUACA
374



unique
Sense






Strand







KHK-2341
Hs
25 mer
UGGAACCAAUUCUGCUUGGCUACAG
375



unique
Sense






Strand







KHK-2346
Hs
25 mer
CCAAUUCUGCUUGGCUACAGAAUTA
376



unique
Sense






Strand







KHK-2352
Hs
25 mer
CUGCUUGGCUACAGAAUUAUUGUGA
377



unique
Sense






Strand







KHK-2358
Hs
25 mer
GGCUACAGAAUUAUUGUGAGGAUAA
378



unique
Sense






Strand







KHK-2359
Hs
25 mer
GCUACAGAAUUAUUGUGAGGAUAAA
379



unique
Sense






Strand







KHK-2360
Hs
25 mer
CUACAGAAUUAUUGUGAGGAUAAAA
380



unique
Sense






Strand







KHK-2361
Hs
25 mer
UACAGAAUUAUUGUGAGGAUAAAAT
381



unique
Sense






Strand







KHK-2362
Hs
25 mer
ACAGAAUUAUUGUGAGGAUAAAATC
382



unique
Sense






Strand







KHK-2363
Hs
25 mer
CAGAAUUAUUGUGAGGAUAAAAUCA
383



unique
Sense






Strand







KHK-2364
Hs
25 mer
AGAAUUAUUGUGAGGAUAAAAUCAT
384



unique
Sense






Strand







KHK-2365
Hs
25 mer
GAAUUAUUGUGAGGAUAAAAUCATA
385



unique
Sense






Strand







KHK-2366
Hs
25 mer
AAUUAUUGUGAGGAUAAAAUCAUAT
386



unique
Sense






Strand







KHK-2367
Hs
25 mer
AUUAUUGUGAGGAUAAAAUCAUATA
387



unique
Sense






Strand







KHK-115-
Hs-Mf
27mer
CGAGAAUGCAAAGAGAAAAUGCGCUAC
388


154
commons
Anti-sense






Strand







KHK-116-
Hs-Mf
27mer
UCGAGAAUGCAAAGAGAAAAUGCGCUA
389


155
commons
Anti-sense






Strand







KHK-117-
Hs-Mf
27mer
CUCGAGAAUGCAAAGAGAAAAUGCGCU
390


156
commons
Anti-sense






Strand







KHK-118-
Hs-Mf
27mer
UCUCGAGAAUGCAAAGAGAAAAUGCGC
391


157
commons
Anti-sense






Strand







KHK-119-
Hs-Mf
27mer
AUCUCGAGAAUGCAAAGAGAAAAUGCG
392


158
commons
Anti-sense






Strand







KHK-120-
Hs-Mf
27mer
GAUCUGGAGAAUGCAAAGAGAAAAUGC
393


159
commons
Anti-sense






Strand







KHK-121-
Hs-Mf
27mer
CGAUCUGGAGAAUGCAAAGAGAAAAUG
394


160
commons
Anti-sense






Strand







KHK-122-
Hs-Mf
27mer
GCGAUCUCGAGAAUGCAAAGAGAAAAU
395


161
commons
Anti-sense






Strand







KHK-123-
Hs-Mf
27mer
AGCGAUCUCGAGAAUGCAAAGAGAAAA
396


162
commons
Anti-sense






Strand







KHK-124-
Hs-Mf
27mer
AAGCGAUCUCGAGAAUGCAAAGAGAAA
397


163
commons
Anti-sense






Strand







KHK-125-
Hs-Mf
27mer
UAAGCGAUCUCGAGAAUGCAAAGAGAA
398


164
commons
Anti-sense






Strand







KHK-126-
Hs-Mf
27mer
CUAAGCGAUCUCGAGAAUGCAAAGAGA
399


165
commons
Anti-sense






Strand







KHK-127-
Hs-Mf
27mer
GCUAAGCGAUCUCGAGAAUGCAAAGAG
400


166
commons
Anti-sense






Strand







KHK-128-
Hs-Mf
27mer
GGCUAAGCGAUCUCGAGAAUGCAAAGA
401


167
commons
Anti-sense






Strand







KHK-179
Hs
27mer
UUCCUCGCUUGUCAGAUGGACUCACAG
402



unique
Anti-sense






Strand







KHK-181-
Hs-Mf
27mer
GUUUCCUCGCUUGUCAGAUGGACUCAC
403


220
commons
Anti-sense






Strand







KHK-182-
Hs-Mf
27mer
AGUUUCCUCGCUUGUCAGAUGGACUCA
404


221
commons
Anti-sense






Strand







KHK-183-
Hs-Mf
27mer
UAGUUUCCUCGCUUGUCAGAUGGACUC
405


222
commons
Anti-sense






Strand







KHK-184-
Hs-Mf
27mer
UUAGUUUCCUCGCUUGUCAGAUGGACU
406


223
commons
Anti-sense






Strand







KHK-185-
Hs-Mf
27mer
CUUAGUUUCCUCGCUUGUCAGAUGGAC
407


224
commons
Anti-sense






Strand







KHK-186-
Hs-Mf
27mer
CCUUAGUUUCCUCGCUUGUCAGAUGGA
408


225
commons
Anti-sense






Strand







KHK-187-
Hs-Mf
27mer
GCCUUAGUUUCCUCGCUUGUCAGAUGG
409


226
commons
Anti-sense






Strand







KHK-188-
Hs-Mf
27mer
AGCCUUAGUUUCCUCGCUUGUCAGAUG
410


227
commons
Anti-sense






Strand







KHK-431-
Hs-Mf
27mer
CCUCUUAUCCAGGAGGAUGGUGUCCCC
411


470
commons
Anti-sense






Strand







KHK-432-
Hs-Mf
27mer
GCCUCUUAUCCAGGAGGAUGGUGUCCC
412


471
commons
Anti-sense






Strand







KHK-433-
Hs-Mf
27mer
UGCCUCUUAUCCAGGAGGAUGGUGUCC
413


472
commons
Anti-sense






Strand







KHK-507-
Hs-Mf-
27mer
GGAUCUGCUUCUCUUCCAUGAGGCUAC
414


545-376-
Mm-Rn
Anti-sense




218
commons
Strand







KHK-508-
Hs-Mf-
27mer
AGGAUCUGCUUCUCUUCCAUGAGGCUA
415


546-377-
Mm-Rn
Anti-sense




219
commons
Strand







KHK-509-
Hs-Mf-
27mer
CAGGAUCUGCUUCUCUUCCAUGAGGCU
416


547-378-
Mm-Rn
Anti-sense




220
commons
Strand







KHK-510-
Hs-Mf-
27mer
ACAGGAUCUGCUUCUCUUCCAUGAGGC
417


548-379-
Mm-Rn
Anti-sense




221
commons
Strand







KHK-511-
Hs-Mf-
27mer
CACAGGAUCUGCUUCUCUUCCAUGAGG
418


549-380-
Mm-Rn
Anti-sense




222
commons
Strand







KHK-512-
Hs-Mf-
27mer
GCACAGGAUCUGCUUCUCUUCCAUGAG
419


550-381-
Mm-Rn
Anti-sense




223
commons
Strand







KHK-513-
Hs-Mf-
27mer
CGCACAGGAUCUGCUUCUCUUCCAUGA
420


551-382-
Mm-Rn
Anti-sense




224
commons
Strand







KHK-514-
Hs-Mf-
27mer
AGGCACAGGAUCUGCUUCUCUUCCAUG
421


552-383-
Mm-Rn
Anti-sense




225
commons
Strand







KHK-515-
Hs-Mf-
27mer
CAGGCACAGGAUCUGCUUCUCUUCCAU
422


553-384-
Mm-Rn
Anti-sense




226
commons
Strand







KHK-516-
Hs-Mf-
27mer
CCAGGCACAGGAUCUGCUUCUCUUCCA
423


554-385-
Mm-Rn
Anti-sense




227
commons
Strand







KHK-517-
Hs-Mf-
27mer
CCCACGCACAGGAUCUGCUUCUCUUCC
424


555-386-
Mm-Rn
Anti-sense




228
commons
Strand







KHK-518-
Hs-Mf-
27mer
CCCCACGCACAGGAUCUGCUUCUCUUC
425


556-387-
Mm-Rn
Anti-sense




229
commons
Strand







KHK-520-
Hs-Mf-
27mer
AGCCCCACGCACAGGAUCUGCUUCUCU
426


558-389-
Mm-Rn
Anti-sense




231
commons
Strand







KHK-521-
Hs-Mf-
27mer
UAGCCCCACGCACAGGAUCUGCUUCUC
427


559-390-
Mm-Rn
Anti-sense




232
commons
Strand







KHK-522-
Hs-Mf-
27mer
CUAGCCCCACGCACAGGAUCUGCUUCU
428


560-391-
Mm-Rn
Anti-sense




233
commons
Strand







KHK-541-
Hs-Mf
27mer
CUGAUGACGUCCAGCACCACUAGCCCC
429


579
commons
Anti-sense






Strand







KHK-544-
Hs-Mf
27mer
AGGCUGAUGACGUCCAGCACCACUAGC
430


582
commons
Anti-sense






Strand







KHK-546-
Hs-Mf
27mer
CCAGGCUGAUGACGUCCAGCACCACUA
431


584
commons
Anti-sense






Strand







KHK-547-
Hs-Mf
27mer
ACCAGGCUGAUGACGUCCAGCACCACU
432


585
commons
Anti-sense






Strand







KHK-548-
Hs-Mf
27mer
CACCAGGCUGAUGACGUCCAGCACCAC
433


586
commons
Anti-sense






Strand







KHK-549-
Hs-Mf
27mer
CCACCAGGCUGAUGACGUCCAGCACCA
434


587
commons
Anti-sense






Strand







KHK-550-
Hs-Mf
27mer
UCCACCAGGCUGAUGACGUCCAGCACC
435


588
commons
Anti-sense






Strand







KHK-551-
Hs-Mf
27mer
GUCCACCAGGCUGAUGACGUCCAGCAC
436


589
commons
Anti-sense






Strand







KHK-552-
Hs-Mf
27mer
UGUCCACCAGGCUGAUGACGUCCAGCA
437


590
commons
Anti-sense






Strand







KHK-553-
Hs-Mf
27mer
UUGUCCACCAGGCUGAUGACGUCCAGC
438


591
commons
Anti-sense






Strand







KHK-554-
Hs-Mf
27mer
CUUGUCCACCAGGCUGAUGACGUCCAG
439


592
commons
Anti-sense






Strand







KHK-555-
Hs-Mf
27mer
ACUUGUCCACCAGGCUGAUGACGUCCA
440


593
commons
Anti-sense






Strand







KHK-556-
Hs-Mf
27mer
UACUUGUCCACCAGGCUGAUGACGUCC
441


594
commons
Anti-sense






Strand







KHK-557-
Hs-Mf
27mer
GUACUUGUCCACCAGGCUGAUGACGUC
442


595
commons
Anti-sense






Strand







KHK-558-
Hs-Mf
27mer
GGUACUUGUCCACCAGGCUGAUGACGU
443


596
commons
Anti-sense






Strand







KHK-559-
Hs-Mf
27mer
GGGUACUUGUCCACCAGGCUGAUGACG
444


597
commons
Anti-sense






Strand







KHK-560-
Hs-Mf
27mer
AGGGUACUUGUCCACCAGGCUGAUGAC
445


598
commons
Anti-sense






Strand







KHK-561-
Hs-Mf
27mer
UAGGGUACUUGUCCACCAGGCUGAUGA
446


599
commons
Anti-sense






Strand







KHK-562-
Hs-Mf
27mer
UUAGGGUACUUGUCCACCAGGCUGAUG
447


600
commons
Anti-sense






Strand







KHK-563-
Hs-Mf
27mer
CUUAGGGUACUUGUCCACCAGGCUGAU
448


601
commons
Anti-sense






Strand







KHK-564-
Hs-Mf
27mer
CCUUAGGGUACUUGUCCACCAGGCUGA
449


602
commons
Anti-sense






Strand







KHK-565-
Hs-Mf
27mer
UCCUUAGGGUACUUGUCCACCAGGCUG
450


603
commons
Anti-sense






Strand







KHK-566-
Hs-Mf
27mer
CUCCUUAGGGUACUUGUCCACCAGGCU
451


604
commons
Anti-sense






Strand







KHK-567-
Hs-Mf
27mer
CCUCCUUAGGGUACUUGUCCACCAGGC
452


605
commons
Anti-sense






Strand







KHK-568-
Hs-Mf
27mer
UCCUCCUUAGGGUACUUGUCCACCAGG
453


606
commons
Anti-sense






Strand







KHK-569-
Hs-Mf
27mer
GUCCUCCUUAGGGUACUUGUCCACCAG
454


607
commons
Anti-sense






Strand







KHK-570-
Hs-Mf
27mer
AGUCCUCCUUAGGGUACUUGUCCACCA
455


608
commons
Anti-sense






Strand







KHK-571-
Hs-Mf
27mer
GAGUCCUCCUUAGGGUACUUGUCCACC
456


609
commons
Anti-sense






Strand







KHK-572-
Hs-Mf
27mer
CGAGUCCUCCUUAGGGUACUUGUCCAC
457


610
commons
Anti-sense






Strand







KHK-573-
Hs-Mf
27mer
CCGAGUCCUCCUUAGGGUACUUGUCCA
458


611
commons
Anti-sense






Strand







KHK-574-
Hs-Mf
27mer
UCCGAGUCCUCCUUAGGGUACUUGUCC
459


612
commons
Anti-sense






Strand







KHK-575-
Hs-Mf
27mer
CUCCGAGUCCUCCUUAGGGUACUUGUC
460


613
commons
Anti-sense






Strand







KHK-576-
Hs-Mf
27mer
UCUCCGAGUCCUCCUUAGGGUACUUGU
461


614
commons
Anti-sense






Strand







KHK-577-
Hs-Mf
27mer
AUCUCCGAGUCCUCCUUAGGGUACUUG
462


615
commons
Anti-sense






Strand







KHK-638-
Hs-Mf
27mer
GAGAACGGUGCAGGAGUUGGACGCGUU
463


676
commons
Anti-sense






Strand







KHK-641-
Hs-Mf
27mer
GGAGAGAACGGUGCAGGAGUUGGACGC
464


679
commons
Anti-sense






Strand







KHK-642-
Hs-Mf
27mer
GGGAGAGAACGGUGCAGGAGUUGGACG
465


680
commons
Anti-sense






Strand







KHK-643-
Hs-Mf
27mer
AGGGAGAGAACGGUGCAGGAGUUGGAC
466


681
commons
Anti-sense






Strand







KHK-644-
Hs-Mf
27mer
CAGGGAGAGAACGGUGCAGGAGUUGGA
467


682
commons
Anti-sense






Strand







KHK-645-
Hs-Mf
27mer
GCAGGGAGAGAACGGUGCAGGAGUUGG
468


683
commons
Anti-sense






Strand







KHK-646-
Hs-Mf
27mer
AGCAGGGAGAGAACGGUGCAGGAGUUG
469


684
commons
Anti-sense






Strand







KHK-647-
Hs-Mf
27mer
GAGCAGGGAGAGAACGGUGCAGGAGUU
470


685
commons
Anti-sense






Strand







KHK-650-
Hs-Mf
27mer
UCCGAGCAGGGAGAGAACGGUGCAGGA
471


688
commons
Anti-sense






Strand







KHK-676-
Hs-Mf
27mer
AUUGAGCCCAUGAAGGCACAGGGGGCU
472


714
commons
Anti-sense






Strand







KHK-713-
Hs-Mf
27mer
GUCGGCCACCAGGAAGUCAGCAACAUG
473


722
commons
Anti-sense






Strand







KHK-826-
Hs-Mf
27mer
UGGAGCACAAUGGUACGGUUGCCAUUG
474


835
commons
Anti-sense






Strand







KHK-827-
Hs-Mf
27mer
AUGGAGCACAAUGGUACGGUUGCCAUU
475


836
commons
Anti-sense






Strand







KHK-829-
Hs-Mf
27mer
UCAUGGAGCACAAUGGUACGGUUGCCA
476


838
commons
Anti-sense






Strand







KHK-830-
Hs-Mf
27mer
GUCAUGGAGCACAAUGGUACGGUUGCC
477


839
commons
Anti-sense






Strand







KHK-831-
Hs-Mf
27mer
UGUCAUGGAGCACAAUGGUACGGUUGC
478


840
commons
Anti-sense






Strand







KHK-832-
Hs-Mf
27mer
GUGUCAUGGAGCACAAUGGUACGGUUG
479


841
commons
Anti-sense






Strand







KHK-857-
Hs-Mf
27mer
UGUAGCAGACACAUCUGGCAGGCUCGU
480


895
commons
Anti-sense






Strand







KHK-858-
Hs-Mf
27mer
CUGUAGCAGACACAUCUGGCAGGCUCG
481


896
commons
Anti-sense






Strand







KHK-859-
Hs-Mf
27mer
UCUGUAGCAGACACAUCUGGCAGGCUC
482


897
commons
Anti-sense






Strand







KHK-860-
Hs-Mf-
27mer
GUCUGUAGCAGACACAUCUGGCAGGCU
483


898-729-
Mm-Rn
Anti-sense




571
commons
Strand







KHK-861-
Hs-Mf-
27mer
AGUCUGUAGCAGACACAUCUGGCAGGC
484


899-730-
Mm-Rn
Anti-sense




572
commons
Strand







KHK-862-
Hs-Mf
27mer
AAGUCUGUAGCAGACACAUCUGGCAGG
485


900
commons
Anti-sense






Strand







KHK-865
Hs
27mer
UCAAAGUCUGUAGCAGACACAUCUGGC
486



unique
Anti-sense






Strand







KHK-880
Hs
27mer
GUCAGAUCAACCUUCUCAAAGUCUGUA
487



unique
Anti-sense






Strand







KHK-882-
Hs-Mf
27mer
GGGUCAGAUCAACCUUCUCAAAGUCUG
488


920
commons
Anti-sense






Strand







KHK-883-
Hs-Mf
27mer
UGGGUCAGAUCAACCUUCUCAAAGUCU
489


921
commons
Anti-sense






Strand







KHK-884-
Hs-Mf
27mer
CUGGGUCAGAUCAACCUUCUCAAAGUC
490


922
commons
Anti-sense






Strand







KHK-885-
Hs-Mf
27mer
ACUGGGUCAGAUCAACCUUCUCAAAGU
491


923
commons
Anti-sense






Strand







KHK-886-
Hs-Mf
27mer
AACUGGGUCAGAUCAACCUUCUCAAAG
492


924
commons
Anti-sense






Strand







KHK-887-
Hs-Mf
27mer
GAACUGGGUCAGAUCAACCUUCUCAAA
493


925
commons
Anti-sense






Strand







KHK-888-
Hs-Mf
27mer
UGAACUGGGUCAGAUCAACCUUCUCAA
494


926
commons
Anti-sense






Strand







KHK-889-
Hs-Mf
27mer
UUGAACUGGGUCAGAUCAACCUUCUCA
495


927
commons
Anti-sense






Strand







KHK-890-
Hs-Mf
27mer
CUUGAACUGGGUCAGAUCAACCUUCUC
496


928
commons
Anti-sense






Strand







KHK-891-
Hs-Mf
27mer
ACUUGAACUGGGUCAGAUCAACCUUCU
497


929
commons
Anti-sense






Strand







KHK-892-
Hs-Mf
27mer
CACUUGAACUGGGUCAGAUCAACCUUC
498


930
commons
Anti-sense






Strand







KHK-893-
Hs-Mf
27mer
CCACUUGAACUGGGUCAGAUCAACCUU
499


931
commons
Anti-sense






Strand







KHK-894-
Hs-Mf
27mer
UCCACUUGAACUGGGUCAGAUCAACCU
500


932
commons
Anti-sense






Strand







KHK-895-
Hs-Mf
27mer
AUCCACUUGAACUGGGUCAGAUCAACC
501


933
commons
Anti-sense






Strand







KHK-896-
Hs-Mf
27mer
GAUCCACUUGAACUGGGUCAGAUCAAC
502


934
commons
Anti-sense






Strand







KHK-897-
Hs-Mf
27mer
GGAUCCACUUGAACUGGGUCAGAUCAA
503


935
commons
Anti-sense






Strand







KHK-898-
Hs-Mf
27mer
UGGAUCCACUUGAACUGGGUCAGAUCA
504


936
commons
Anti-sense






Strand







KHK-899-
Hs-Mf
27mer
GUGGAUCCACUUGAACUGGGUCAGAUC
505


937
commons
Anti-sense






Strand







KHK-900-
Hs-Mf
27mer
UGUGGAUCCACUUGAACUGGGUCAGAU
506


938
commons
Anti-sense






Strand







KHK-901-
Hs-Mf
27mer
AUGUGGAUCCACUUGAACUGGGUCAGA
507


939
commons
Anti-sense






Strand







KHK-902-
Hs-Mf
27mer
AAUGUGGAUCCACUUGAACUGGGUCAG
508


940
commons
Anti-sense






Strand







KHK-903-
Hs-Mf
27mer
CAAUGUGGAUCCACUUGAACUGGGUCA
509


941
commons
Anti-sense






Strand







KHK-904-
Hs-Mf
27mer
UCAAUGUGGAUCCACUUGAACUGGGUC
510


942
commons
Anti-sense






Strand







KHK-905-
Hs-Mf
27mer
CUCAAUGUGGAUCCACUUGAACUGGGU
511


943
commons
Anti-sense






Strand







KHK-906-
Hs-Mf
27mer
CCUCAAUGUGGAUCCACUUGAACUGGG
512


944
commons
Anti-sense






Strand







KHK-907-
Hs-Mf
27mer
CCCUCAAUGUGGAUCCACUUGAACUGG
513


945
commons
Anti-sense






Strand







KHK-908-
Hs-Mf-
27mer
GCCCUCAAUGUGGAUCCACUUGAACUG
514


946-777-
Mm-Rn
Anti-sense




619
commons
Strand







KHK-909-
Hs-Mf-
27mer
GGCCCUCAAUGUGGAUCCACUUGAACU
515


947-778-
Mm-Rn
Anti-sense




620
commons
Strand







KHK-910-
Hs-Mf-
27mer
CGGCCCUCAAUGUGGAUCCACUUGAAC
516


948-779-
Mm-Rn
Anti-sense




621
commons
Strand







KHK-911-
Hs-Mf-
27mer
CCGGCCCUCAAUGUGGAUCCACUUGAA
517


949-780-
Mm-Rn
Anti-sense




622
commons
Strand







KHK-912-
Hs-Mf-
27mer
UCCGGCCCUCAAUGUGGAUCCACUUGA
518


950-781-
Mm-Rn
Anti-sense




623
commons
Strand







KHK-913-
Hs-Mf-
27mer
UUCCGGCCCUCAAUGUGGAUCCACUUG
519


951-782-
Mm-Rn
Anti-sense




624
commons
Strand







KHK-914-
Hs-Mf-
27mer
GUUCCGGCCCUCAAUGUGGAUCCACUU
520


952-783-
Mm-Rn
Anti-sense




625
commons
Strand







KHK-939-
Hs-Mf
27mer
GCAGCAUCUUCACCUGCUCCGAUGCGU
521


977
commons
Anti-sense






Strand







KHK-940-
Hs-Mf
27mer
UGCAGCAUCUUCACCUGCUCCGAUGCG
522


978
commons
Anti-sense






Strand







KHK-941-
Hs-Mf
27mer
CUGCAGCAUCUUCACCUGCUCCGAUGC
523


979
commons
Anti-sense






Strand







KHK-942-
Hs-Mf
27mer
GCUGCAGCAUCUUCACCUGCUCCGAUG
524


980
commons
Anti-sense






Strand







KHK-943-
Hs-Mf
27mer
CGCUGCAGCAUCUUCACCUGCUCCGAU
525


981
commons
Anti-sense






Strand







KHK-944-
Hs-Mf
27mer
CCGCUGCAGCAUCUUCACCUGCUCCGA
526


982
commons
Anti-sense






Strand







KHK-945-
Hs-Mf
27mer
UCCGCUGCAGCAUCUUCACCUGCUCCG
527


983
commons
Anti-sense






Strand







KHK-946-
Hs-Mf
27mer
AUCCGCUGCAGCAUCUUCACCUGCUCC
528


984
commons
Anti-sense






Strand







KHK-947-
Hs-Mf
27mer
UAUCCGCUGCAGCAUCUUCACCUGCUC
529


985
commons
Anti-sense






Strand







KHK-948-
Hs-Mf-
27mer
CUAUCCGCUGCAGCAUCUUCACCUGCU
530


986-817
Mm
Anti-sense





commons
Strand







KHK-949-
Hs-Mf-
27mer
UCUAUCCGCUGCAGCAUCUUCACCUGC
531


987-818
Mm
Anti-sense





commons
Strand







KHK-950-
Hs-Mf-
27mer
GUCUAUCCGCUGCAGCAUCUUCACCUG
532


988-819
Mm
Anti-sense





commons
Strand







KHK-951-
Hs-Mf-
27mer
CGUCUAUCCGCUGCAGCAUCUUCACCU
533


989-820
Mm
Anti-sense





commons
Strand







KHK-952-
Hs-Mf-
27mer
GCGUCUAUCCGCUGCAGCAUCUUCACC
534


990-821
Mm
Anti-sense





commons
Strand







KHK-953-
Hs-Mf-
27mer
UGCGUCUAUCCGCUGCAGCAUCUUCAC
535


991-822
Mm
Anti-sense





commons
Strand







KHK-954-
Hs-Mf-
27mer
GUGCGUCUAUCCGCUGCAGCAUCUUCA
536


992-823
Mm
Anti-sense





commons
Strand







KHK-955-
Hs-Mf-
27mer
UGUGCGUCUAUCCGCUGCAGCAUCUUC
537


993-824
Mm
Anti-sense





commons
Strand







KHK-956-
Hs-Mf
27mer
GUGUGCGUCUAUCCGCUGCAGCAUCUU
538


994
commons
Anti-sense






Strand







KHK-957-
Hs-Mf
27mer
UGUGUGCGUCUAUCCGCUGCAGCAUCU
539


995
commons
Anti-sense






Strand







KHK-958-
Hs-Mf
27mer
UUGUGUGCGUCUAUCCGCUGCAGCAUC
540


996
commons
Anti-sense






Strand







KHK-978-
Hs-Mf
27mer
GCUCUGGAGGCUGCCUGGUGUUGUGUG
541


1016
commons
Anti-sense






Strand







KHK-982-
Hs-Mf
27mer
UUCUGCUCUGGAGGCUGCCUGGUGUUG
542


1020
commons
Anti-sense






Strand







KHK-983-
Hs-Mf
27mer
CUUCUGCUCUGGAGGCUGCCUGGUGUU
543


1021
commons
Anti-sense






Strand







KHK-984-
Hs-Mf
27mer
UCUUCUGCUCUGGAGGCUGCCUGGUGU
544


1022
commons
Anti-sense






Strand







KHK-985-
Hs-Mf
27mer
AUCUUCUGCUCUGGAGGCUGCCUGGUG
545


1023
commons
Anti-sense






Strand







KHK-991-
Hs-Mf
27mer
ACCCGGAUCUUCUGCUCUGGAGGCUGC
546


1029
commons
Anti-sense






Strand







KHK-992-
Hs-Mf
27mer
CACCCGGAUCUUCUGCUCUGGAGGCUG
547


1030
commons
Anti-sense






Strand







KHK-993-
Hs-Mf
27mer
ACACCCGGAUCUUCUGCUCUGGAGGCU
548


1031
commons
Anti-sense






Strand







KHK-999-
Hs-Mf
27mer
CCACGGACACCCGGAUCUUCUGCUCUG
549


1037
commons
Anti-sense






Strand







KHK-1000-
Hs-Mf
27mer
UCCACGGACACCCGGAUCUUCUGCUCU
550


1038
commons
Anti-sense






Strand







KHK-1019-
Hs-Mf
27mer
CUCUCGUGGCUUCUCCACCUCCACGGA
551


1057
commons
Anti-sense






Strand







KHK-1054-
Hs-Mf
27mer
ACCACGUCUCCGUAGCCAAACAGCUGG
552


1092
commons
Anti-sense






Strand







KHK-1055-
Hs-Mf
27mer
CACCACGUCUCCGUAGCCAAACAGCUG
553


1093
commons
Anti-sense






Strand







KHK-1057-
Hs-Mf
27mer
AACACCACGUCUCCGUAGCCAAACAGC
554


1095
commons
Anti-sense






Strand







KHK-1058-
Hs-Mf
27mer
AAACACCACGUCUCCGUAGCCAAACAG
555


1096
commons
Anti-sense






Strand







KHK-1059-
Hs-Mf
27mer
CAAACACCACGUCUCCGUAGCCAAACA
556


1097
commons
Anti-sense






Strand







KHK-1060-
Hs-Mf
27mer
ACAAACACCACGUCUCCGUAGCCAAAC
557


1098
commons
Anti-sense






Strand







KHK-1061-
Hs-Mf
27mer
GACAAACACCACGUCUCCGUAGCCAAA
558


1099
commons
Anti-sense






Strand







KHK-1062-
Hs-Mf
27mer
UGACAAACACCACGUCUCCGUAGCCAA
559


1100
commons
Anti-sense






Strand







KHK-1063-
Hs-Mf
27mer
CUGACAAACACCACGUCUCCGUAGCCA
560


1101
commons
Anti-sense






Strand







KHK-1064-
Hs-Mf
27mer
GCUGACAAACACCACGUCUCCGUAGCC
561


1102
commons
Anti-sense






Strand







KHK-1065-
Hs-Mf
27mer
UGCUGACAAACACCACGUCUCCGUAGC
562


1103
commons
Anti-sense






Strand







KHK-1066-
Hs-Mf
27mer
UUGCUGACAAACACCACGUCUCCGUAG
563


1104
commons
Anti-sense






Strand







KHK-1067-
Hs-Mf
27mer
UUUGCUGACAAACACCACGUCUCCGUA
564


1105
commons
Anti-sense






Strand







KHK-1068-
Hs-Mf
27mer
CUUUGCUGACAAACACCACGUCUCCGU
565


1106
commons
Anti-sense






Strand







KHK-1069-
Hs-Mf
27mer
UCUUUGCUGACAAACACCACGUCUCCG
566


1107
commons
Anti-sense






Strand







KHK-1070-
Hs-Mf
27mer
AUCUUUGCUGACAAACACCACGUCUCC
567


1108
commons
Anti-sense






Strand







KHK-1071-
Hs-Mf
27mer
CAUCUUUGCUGACAAACACCACGUCUC
568


1109
commons
Anti-sense






Strand







KHK-1072-
Hs-Mf
27mer
ACAUCUUUGCUGACAAACACCACGUCU
569


1110
commons
Anti-sense






Strand







KHK-1073-
Hs-Mf
27mer
CACAUCUUUGCUGACAAACACCACGUC
570


1111
commons
Anti-sense






Strand







KHK-1074-
Hs-Mf-
27mer
CCACAUCUUUGCUGACAAACACCACGU
571


1112-943-
Mm-Rn
Anti-sense




785
commons
Strand







KHK-1075-
Hs-Mf-
27mer
GCCACAUCUUUGCUGACAAACACCACG
572


1113-944-
Mm-Rn
Anti-sense




786
commons
Strand







KHK-1076-
Hs-Mf-
27mer
GGCCACAUCUUUGCUGACAAACACCAC
573


1114-945-
Mm-Rn
Anti-sense




787
commons
Strand







KHK-1077-
Hs-Mf-
27mer
UGGCCACAUCUUUGCUGACAAACACCA
574


1115-946-
Mm-Rn
Anti-sense




788
commons
Strand







KHK-1078-
Hs-Mf-
27mer
UUGGCCACAUCUUUGCUGACAAACACC
575


1116-947-
Mm-Rn
Anti-sense




789
commons
Strand







KHK-1079-
Hs-Mf-
27mer
CUUGGCCACAUCUUUGCUGACAAACAC
576


1117-948-
Mm-Rn
Anti-sense




790
commons
Strand







KHK-1080-
Hs-Mf-
27mer
GCUUGGCCACAUCUUUGCUGACAAACA
577


1118-949-
Mm-Rn
Anti-sense




791
commons
Strand







KHK-1081-
Hs-Mf-
27mer
UGCUUGGCCACAUCUUUGCUGACAAAC
578


1119-950-
Mm-Rn
Anti-sense




792
commons
Strand







KHK-1082-
Hs-Mf-
27mer
GUGCUUGGCCACAUCUUUGCUGACAAA
579


1120-951-
Mm-Rn
Anti-sense




793
commons
Strand







KHK-1083-
Hs-Mf-
27mer
AGUGCUUGGCCACAUCUUUGCUGACAA
580


1121-952-
Mm-Rn
Anti-sense




794
commons
Strand







KHK-1084-
Hs-Mf-
27mer
AAGUGCUUGGCCACAUCUUUGCUGACA
581


1122-953-
Mm-Rn
Anti-sense




795
commons
Strand







KHK-1085-
Hs-Mf-
27mer
CAAGUGCUUGGCCACAUCUUUGCUGAC
582


1123-954-
Mm-Rn
Anti-sense




796
commons
Strand







KHK-1086-
Hs-Mf-
27mer
CCAAGUGCUUGGCCACAUCUUUGCUGA
583


1124-955-
Mm-Rn
Anti-sense




797
commons
Strand







KHK-1087-
Hs-Mf-
27mer
CCCAAGUGCUUGGCCACAUCUUUGCUG
584


1125-956-
Mm-Rn
Anti-sense




798
commons
Strand







KHK-1090-
Hs-Mf
27mer
AACCCCAAGUGCUUGGCCACAUCUUUG
585


1128
commons
Anti-sense






Strand







KHK-1091-
Hs-Mf
27mer
GAACCCCAAGUGCUUGGCCACAUCUUU
586


1129
commons
Anti-sense






Strand







KHK-1092-
Hs-Mf
27mer
GGAACCCCAAGUGCUUGGCCACAUCUU
587


1130
commons
Anti-sense






Strand







KHK-1093-
Hs-Mf
27mer
UGGAACCCCAAGUGCUUGGCCACAUCU
588


1131
commons
Anti-sense






Strand







KHK-1095-
Hs-Mf
27mer
ACUGGAACCCCAAGUGCUUGGCCACAU
589


1133
commons
Anti-sense






Strand







KHK-1096-
Hs-Mf
27mer
GACUGGAACCCCAAGUGCUUGGCCACA
590


1134
commons
Anti-sense






Strand







KHK-1097-
Hs-Mf
27mer
UGACUGGAACCCCAAGUGCUUGGCCAC
591


1135
commons
Anti-sense






Strand







KHK-1099-
Hs-Mf
27mer
GCUGACUGGAACCCCAAGUGCUUGGCC
592


1137
commons
Anti-sense






Strand







KHK-1100-
Hs-Mf
27mer
UGCUGACUGGAACCCCAAGUGCUUGGC
593


1138
commons
Anti-sense






Strand







KHK-1101-
Hs-Mf
27mer
CUGCUGACUGGAACCCCAAGUGCUUGG
594


1139
commons
Anti-sense






Strand







KHK-1102-
Hs-Mf
27mer
UCUGCUGACUGGAACCCCAAGUGCUUG
595


1140
commons
Anti-sense






Strand







KHK-1103-
Hs-Mf
27mer
CUCUGCUGACUGGAACCCCAAGUGCUU
596


1141
commons
Anti-sense






Strand







KHK-1104-
Hs-Mf
27mer
CCUCUGCUGACUGGAACCCCAAGUGCU
597


1142
commons
Anti-sense






Strand







KHK-1106-
Hs-Mf
27mer
UUCCUCUGCUGACUGGAACCCCAAGUG
598


1144
commons
Anti-sense






Strand







KHK-1107-
Hs-Mf
27mer
CUUCCUCUGCUGACUGGAACCCCAAGU
599


1145
commons
Anti-sense






Strand







KHK-1135-
Hs-Mf
27mer
CUCACACGACCAUACAAGCCCCUCAAG
600


1173
commons
Anti-sense






Strand







KHK-1136-
Hs-Mf
27mer
CCUCACACGACCAUACAAGCCCCUCAA
601


ll74
commons
Anti-sense






Strand







KHK-1137-
Hs-Mf
27mer
UCCUCACACGACCAUACAAGCCCCUCA
602


1175
commons
Anti-sense






Strand







KHK-1138-
Hs-Mf
27mer
UUCCUCACACGACCAUACAAGCCCCUC
603


1176
commons
Anti-sense






Strand







KHK-1139-
Hs-Mf
27mer
UUUCCUCACACGACCAUACAAGCCCCU
604


1177
commons
Anti-sense






Strand







KHK-1140-
Hs-Mf
27mer
CUUUCCUCACACGACCAUACAAGCCCC
605


1178
commons
Anti-sense






Strand







KHK-1141-
Hs-Mf
27mer
CCUUUCCUCACACGACCAUACAAGCCC
606


1179
commons
Anti-sense






Strand







KHK-1142-
Hs-Mf
27mer
CCCUUUCCUCACACGACCAUACAAGCC
607


1180
commons
Anti-sense






Strand







KHK-1143-
Hs-Mf
27mer
CCCCUUUCCUCACACGACCAUACAAGC
608


1181
commons
Anti-sense






Strand







KHK-1144-
Hs-Mf
27mer
GCCCCUUUCCUCACACGACCAUACAAG
609


1182
commons
Anti-sense






Strand







KHK-1145-
Hs-Mf
27mer
AGCCCCUUUCCUCACACGACCAUACAA
610


1183
commons
Anti-sense






Strand







KHK-1146-
Hs-Mf
27mer
CAGCCCCUUUCCUCACACGACCAUACA
611


1184
commons
Anti-sense






Strand







KHK-1147-
Hs-Mf
27mer
ACAGCCCCUUUCCUCACACGACCAUAC
612


1185
commons
Anti-sense






Strand







KHK-1148-
Hs-Mf
27mer
CACAGCCCCUUUCCUCACACGACCAUA
613


1186
commons
Anti-sense






Strand







KHK-1149-
Hs-Mf
27mer
GCACAGCCCCUUUCCUCACACGACCAU
614


1187
commons
Anti-sense






Strand







KHK-1153-
Hs-Mf
27mer
ACAAGCACAGCCCCUUUCCUCACACGA
615


1191
commons
Anti-sense






Strand







KHK-1154-
Hs-Mf
27mer
GACAAGCACAGCCCCUUUCCUCACACG
616


1192
commons
Anti-sense






Strand







KHK-1157-
Hs-Mf
27mer
ACAGACAAGCACAGCCCCUUUCCUCAC
617


1195
commons
Anti-sense






Strand







KHK-1158-
Hs-Mf
27mer
CACAGACAAGCACAGCCCCUUUCCUCA
618


1196
commons
Anti-sense






Strand







KHK-1159-
Hs-Mf
27mer
GCACAGACAAGCACAGCCCCUUUCCUC
619


1197
commons
Anti-sense






Strand







KHK-1161-
Hs-Mf
27mer
AGGCACAGACAAGCACAGCCCCUUUCC
620


1199
commons
Anti-sense






Strand







KHK-1163-
Hs-Mf
27mer
CCAGGCACAGACAAGCACAGCCCCUUU
621


1201
commons
Anti-sense






Strand







KHK-1164-
Hs-Mf
27mer
CCCAGGCACAGACAAGCACAGCCCCUU
622


1202
commons
Anti-sense






Strand







KHK-1232-
Hs-Mf
27mer
GGGUGGCGGGAAAGCAUCCGAGUGGAG
623


1270
commons
Anti-sense






Strand







KHK-1278-
Hs-Mf-
27mer
CGGAGGCAUUGAAGGUGUCUCCAGCUC
624


1316-1147-
Mm-Rn
Anti-sense




989
commons
Strand







KHK-1279-
Hs-Mf-
27mer
ACGGAGGCAUUGAAGGUGUCUCCAGCU
625


1317-1148-
Mm-Rn
Anti-sense




990
commons
Strand







KHK-1280-
Hs-Mf-
27mer
GACGGAGGCAUUGAAGGUGUCUCCAGC
626


1318-1149-
Mm-Rn
Anti-sense




991
commons
Strand







KHK-1281-
Hs-Mf-
27mer
UGACGGAGGCAUUGAAGGUGUCUCCAG
627


1319-1150-
Mm-Rn
Anti-sense




992
commons
Strand







KHK-1282-
Hs-Mf-
27mer
AUGACGGAGGCAUUGAAGGUGUCUCCA
628


1320-1151-
Mm-Rn
Anti-sense




993
commons
Strand







KHK-1283-
Hs-Mf
27mer
GAUGACGGAGGCAUUGAAGGUGUCUCC
629


1321
commons
Anti-sense






Strand







KHK-1284-
Hs-Mf
27mer
AGAUGACGGAGGCAUUGAAGGUGUCUC
630


1322
commons
Anti-sense






Strand







KHK-1285-
Hs-Mf
27mer
AAGAUGACGGAGGCAUUGAAGGUGUCU
631


1323
commons
Anti-sense






Strand







KHK-1286-
Hs-Mf
27mer
GAAGAUGACGGAGGCAUUGAAGGUGUC
632


1324
commons
Anti-sense






Strand







KHK-1287-
Hs-Mf
27mer
UGAAGAUGACGGAGGCAUUGAAGGUGU
633


1325
commons
Anti-sense






Strand







KHK-1288-
Hs-Mf
27mer
CUGAAGAUGACGGAGGCAUUGAAGGUG
634


1326
commons
Anti-sense






Strand







KHK-1289-
Hs-Mf
27mer
GCUGAAGAUGACGGAGGCAUUGAAGGU
635


1327
commons
Anti-sense






Strand







KHK-1290-
Hs-Mf
27mer
GGCUGAAGAUGACGGAGGCAUUGAAGG
636


1328
commons
Anti-sense






Strand







KHK-1291-
Hs-Mf
27mer
AGGCUGAAGAUGACGGAGGCAUUGAAG
637


1329
commons
Anti-sense






Strand







KHK-1292-
Hs-Mf
27mer
GAGGCUGAAGAUGACGGAGGCAUUGAA
638


1330
commons
Anti-sense






Strand







KHK-1293-
Hs-Mf
27mer
AGAGGCUGAAGAUGACGGAGGCAUUGA
639


1331
commons
Anti-sense






Strand







KHK-1294-
Hs-Mf
27mer
GAGAGGCUGAAGAUGACGGAGGCAUUG
640


1332
commons
Anti-sense






Strand







KHK-1295-
Hs-Mf
27mer
GGAGAGGCUGAAGAUGACGGAGGCAUU
641


1333
commons
Anti-sense






Strand







KHK-1297-
Hs-Mf
27mer
UGGGAGAGGCUGAAGAUGACGGAGGCA
642


1335
commons
Anti-sense






Strand







KHK-1323-
Hs-Mf
27mer
UCAGUGCUUCCUGCACGCUCCUCCCCU
643


1361
commons
Anti-sense






Strand







KHK-1325-
Hs-Mf
27mer
UCUCAGUGCUUCCUGCACGCUCCUCCC
644


1363
commons
Anti-sense






Strand







KHK-1326-
Hs-Mf
27mer
AUCUCAGUGCUUCCUGCACGCUCCUCC
645


1364
commons
Anti-sense






Strand







KHK-1327-
Hs-Mf
27mer
AAUCUCAGUGCUUCCUGCACGCUCCUC
646


1365
commons
Anti-sense






Strand







KHK-1328-
Hs-Mf
27mer
GAAUCUCAGUGCUUCCUGCACGCUCCU
647


1366
commons
Anti-sense






Strand







KHK-1329-
Hs-Mf
27mer
CGAAUCUCAGUGCUUCCUGCACGCUCC
648


1367
commons
Anti-sense






Strand







KHK-1330-
Hs-Mf
27mer
CCGAAUCUCAGUGCUUCCUGCACGCUC
649


1368
commons
Anti-sense






Strand







KHK-1331-
Hs-Mf
27mer
CCCGAAUCUCAGUGCUUCCUGCACGCU
650


1369
commons
Anti-sense






Strand







KHK-1332-
Hs-Mf
27mer
ACCCGAAUCUCAGUGCUUCCUGCACGC
651


1370
commons
Anti-sense






Strand







KHK-1333-
Hs-Mf
27mer
CACCCGAAUCUCAGUGCUUCCUGCACG
652


1371
commons
Anti-sense






Strand







KHK-1334-
Hs-Mf
27mer
GCACCCGAAUCUCAGUGCUUCCUGCAC
653


1372
commons
Anti-sense






Strand







KHK-1335-
Hs-Mf
27mer
GGCACCCGAAUCUCAGUGCUUCCUGCA
654


1373
commons
Anti-sense






Strand







KHK-1336-
Hs-Mf
27mer
UGGCACCCGAAUCUCAGUGCUUCCUGC
655


1374
commons
Anti-sense






Strand







KHK-1385-
Hs-Mf
27mer
UCACACGAUGCCAUCAAAGCCCUGCAG
656


1423
commons
Anti-sense






Strand







KHK-1387-
Hs-Mf
27mer
UCUCACACGAUGCCAUCAAAGCCCUGC
657


1425
commons
Anti-sense






Strand







KHK-1388-
Hs-Mf
27mer
CUCUCACACGAUGCCAUCAAAGCCCUG
658


1426
commons
Anti-sense






Strand







KHK-1389-
Hs-Mf
27mer
GCUCUCACACGAUGCCAUCAAAGCCCU
659


1427
commons
Anti-sense






Strand







KHK-1538-
Hs-Mf
27mer
CCUGUGGGGAACACAGGACACAGGCAG
660


1588
commons
Anti-sense






Strand







KHK-1540-
Hs-Mf
27mer
UCCCUGUGGGGAACACAGGACACAGGC
661


1590
commons
Anti-sense






Strand







KHK-1542-
Hs-Mf
27mer
UCUCCCUGUGGGGAACACAGGACACAG
662


1592
commons
Anti-sense






Strand







KHK-1665-
Hs-Mf
27mer
UCGAAGAGUCAGAGCCUCAGGAAUGCC
663


1708
commons
Anti-sense






Strand







KHK-1666-
Hs-Mf
27mer
AUCGAAGAGUCAGAGCCUCAGGAAUGC
664


1709
commons
Anti-sense






Strand







KHK-1667-
Hs-Mf
27mer
GAUCGAAGAGUCAGAGCCUCAGGAAUG
665


1710
commons
Anti-sense






Strand







KHK-1707-
Hs-Mf
27mer
GGCGGAGAGGUUAAUUUGGGGAAUGGA
666


1750
commons
Anti-sense






Strand







KHK-1708-
Hs-Mf
27mer
GGGCGGAGAGGUUAAUUUGGGGAAUGG
667


1751
commons
Anti-sense






Strand







KHK-1709-
Hs-Mf
27mer
UGGGCGGAGAGGUUAAUUUGGGGAAUG
668


1752
commons
Anti-sense






Strand







KHK-1869-
Hs-Mf
27mer
AUAGAGUCUGCACAACGCAGGGCCCCG
669


1918
commons
Anti-sense






Strand







KHK-1870-
Hs-Mf
27mer
AAUAGAGUCUGCACAACGCAGGGCCCC
670


1919
commons
Anti-sense






Strand







KHK-1871-
Hs-Mf
27mer
GAAUAGAGUCUGCACAACGCAGGGCCC
671


1920
commons
Anti-sense






Strand







KHK-1872-
Hs-Mf
27mer
GGAAUAGAGUCUGCACAACGCAGGGCC
672


1921
commons
Anti-sense






Strand







KHK-1873-
Hs-Mf
27mer
GGGAAUAGAGUCUGCACAACGCAGGGC
673


1922
commons
Anti-sense






Strand







KHK-1874-
Hs-Mf
27mer
UGGGAAUAGAGUCUGCACAACGCAGGG
674


1923
commons
Anti-sense






Strand







KHK-1875-
Hs-Mf
27mer
GUGGGAAUAGAGUCUGCACAACGCAGG
675


1924
commons
Anti-sense






Strand







KHK-1876-
Hs-Mf
27mer
UGUGGGAAUAGAGUCUGCACAACGCAG
676


1925
commons
Anti-sense






Strand







KHK-1877-
Hs-Mf
27mer
CUGUGGGAAUAGAGUCUGCACAACGCA
677


1926
commons
Anti-sense






Strand







KHK-1878-
Hs-Mf
27mer
GCUGUGGGAAUAGAGUCUGCACAACGC
678


1927
commons
Anti-sense






Strand







KHK-1879-
Hs-Mf
27mer
AGCUGUGGGAAUAGAGUCUGCACAACG
679


1928
commons
Anti-sense






Strand







KHK-1880-
Hs-Mf
27mer
GAGCUGUGGGAAUAGAGUCUGCACAAC
680


1929
commons
Anti-sense






Strand







KHK-1900-
Hs-Mf
27mer
GGUGUGGACUCCCAGCUUCUGAGCUGU
681


1949
commons
Anti-sense






Strand







KHK-1905-
Hs-Mf
27mer
UCAGCGGUGUGGACUCCCAGCUUCUGA
682


1954
commons
Anti-sense






Strand







KHK-1971-
Hs-Mf
27mer
AAUCACAGGCUGGUGGGCAGGGCAGAG
683


2025
commons
Anti-sense






Strand







KHK-1974-
Hs-Mf
27mer
UCAAAUCACAGGCUGGUGGGCAGGGCA
684


2028
commons
Anti-sense






Strand







KHK-1975-
Hs-Mf
27mer
AUCAAAUCACAGGCUGGUGGGCAGGGC
685


2029
commons
Anti-sense






Strand







KHK-1976-
Hs-Mf
27mer
CAUCAAAUCACAGGCUGGUGGGCAGGG
686


2030
commons
Anti-sense






Strand







KHK-1978-
Hs-Mf
27mer
CCCAUCAAAUCACAGGCUGGUGGGCAG
687


2032
commons
Anti-sense






Strand







KHK-1979-
Hs-Mf
27mer
CCCCAUCAAAUCACAGGCUGGUGGGCA
688


2033
commons
Anti-sense






Strand







KHK-2032-
Hs-Mf
27mer
ACUUUCAGGCUCUGGGGCAGUCAGCGG
689


2086
commons
Anti-sense






Strand







KHK-2035-
Hs-Mf
27mer
GAGACUUUCAGGCUCUGGGGCAGUCAG
690


2089
commons
Anti-sense






Strand







KHK-2036-
Hs-Mf
27mer
UGAGACUUUCAGGCUCUGGGGCAGUCA
691


2090
commons
Anti-sense






Strand







KHK-2037-
Hs-Mf
27mer
GUGAGACUUUCAGGCUCUGGGGCAGUC
692


2091
commons
Anti-sense






Strand







KHK-2038-
Hs-Mf
27mer
GGUGAGACUUUCAGGCUCUGGGGCAGU
693


2092
commons
Anti-sense






Strand







KHK-2039-
Hs-Mf
27mer
GGGUGAGACUUUCAGGCUCUGGGGCAG
694


2093
commons
Anti-sense






Strand







KHK-2040-
Hs-Mf
27mer
AGGGUGAGACUUUCAGGCUCUGGGGCA
695


2094
commons
Anti-sense






Strand







KHK-2041-
Hs-Mf
27mer
AAGGGUGAGACUUUCAGGCUCUGGGGC
696


2095
commons
Anti-sense






Strand







KHK-2042-
Hs-Mf
27mer
CAAGGGUGAGACUUUCAGGCUCUGGGG
697


2096
commons
Anti-sense






Strand







KHK-2043-
Hs-Mf
27mer
CCAAGGGUGAGACUUUCAGGCUCUGGG
698


2097
commons
Anti-sense






Strand







KHK-2044-
Hs-Mf
27mer
UCCAAGGGUGAGACUUUCAGGCUCUGG
699


2098
commons
Anti-sense






Strand







KHK-2045-
Hs-Mf
27mer
CUCCAAGGGUGAGACUUUCAGGCUCUG
700


2099
commons
Anti-sense






Strand







KHK-2067-
Hs-Mf
27mer
ACGCCCUUAAUUCCAAGGUGGGCUCCA
701


2121
commons
Anti-sense






Strand







KHK-2069-
Hs-Mf
27mer
GCACGCCCUUAAUUCCAAGGUGGGCUC
702


2123
commons
Anti-sense






Strand







KHK-2091-
Hs-Mf
27mer
CUGGGUCACAUUUGUGGCUGAGGCACG
703


2145
commons
Anti-sense






Strand







KHK-2092-
Hs-Mf
27mer
CCUGGGUCACAUUUGUGGCUGAGGCAC
704


2146
commons
Anti-sense






Strand







KHK-2093-
Hs-Mf
27mer
UCCUGGGUCACAUUUGUGGCUGAGGCA
705


2147
commons
Anti-sense






Strand







KHK-2094-
Hs-Mf
27mer
AUCCUGGGUCACAUUUGUGGCUGAGGC
706


2148
commons
Anti-sense






Strand







KHK-2095-
Hs-Mf
27mer
UAUCCUGGGUCACAUUUGUGGCUGAGG
707


2149
commons
Anti-sense






Strand







KHK-2096-
Hs-Mf
27mer
GUAUCCUGGGUCACAUUUGUGGCUGAG
708


2150
commons
Anti-sense






Strand







KHK-2105
Hs
27mer
CAACACUCUGUAUCCUGGGUCACAUUU
709



unique
Anti-sense






Strand







KHK-2148-
Hs-Mf
27mer
CCAAUUCCAAUAUGUGUUCCAGAUCGG
710


2197
commons
Anti-sense






Strand







KHK-2149-
Hs-Mf
27mer
CCCAAUUCCAAUAUGUGUUCCAGAUCG
711


2198
commons
Anti-sense






Strand







KHK-2150-
Hs-Mf
27mer
CCCCAAUUCCAAUAUGUGUUCCAGAUC
712


2199
commons
Anti-sense






Strand







KHK-2151-
Hs-Mf
27mer
GCCCCAAUUCCAAUAUGUGUUCCAGAU
713


2200
commons
Anti-sense






Strand







KHK-2152-
Hs-Mf
27mer
GGCCCCAAUUCCAAUAUGUGUUCCAGA
714


2201
commons
Anti-sense






Strand







KHK-2153-
Hs-Mf
27mer
UGGCCCCAAUUCCAAUAUGUGUUCCAG
715


2202
commons
Anti-sense






Strand







KHK-2154-
Hs-Mf
27mer
UUGGCCCCAAUUCCAAUAUGUGUUCCA
716


2203
commons
Anti-sense






Strand







KHK-2155-
Hs-Mf
27mer
GUUGGCCCCAAUUCCAAUAUGUGUUCC
717


2204
commons
Anti-sense






Strand







KHK-2156-
Hs-Mf
27mer
AGUUGGCCCCAAUUCCAAUAUGUGUUC
718


2205
commons
Anti-sense






Strand







KHK-2157-
Hs-Mf
27mer
GAGUUGGCCCCAAUUCCAAUAUGUGUU
719


2206
commons
Anti-sense






Strand







KHK-2159-
Hs-Mf
27mer
UGGAGUUGGCCCCAAUUCCAAUAUGUG
720


2208
commons
Anti-sense






Strand







KHK-2160-
Hs-Mf
27mer
UUGGAGUUGGCCCCAAUUCCAAUAUGU
721


2209
commons
Anti-sense






Strand







KHK-2161-
Hs-Mf
27mer
AUUGGAGUUGGCCCCAAUUCCAAUAUG
722


2210
commons
Anti-sense






Strand







KHK-2162-
Hs-Mf
27mer
UAUUGGAGUUGGCCCCAAUUCCAAUAU
723


2211
commons
Anti-sense






Strand







KHK-2163-
Hs-Mf
27mer
AUAUUGGAGUUGGCCCCAAUUCCAAUA
724


2212
commons
Anti-sense






Strand







KHK-2164-
Hs-Mf
27mer
UAUAUUGGAGUUGGCCCCAAUUCCAAU
725


2213
commons
Anti-sense






Strand







KHK-2165-
Hs-Mf
27mer
CUAUAUUGGAGUUGGCCCCAAUUCCAA
726


2214
commons
Anti-sense






Strand







KHK-2166-
Hs-Mf
27mer
CCUAUAUUGGAGUUGGCCCCAAUUCCA
727


2215
commons
Anti-sense






Strand







KHK-2170-
Hs-Mf
27mer
CCACCCUAUAUUGGAGUUGGCCCCAAU
728


2219
commons
Anti-sense






Strand







KHK-2196-
Hs-Mf
27mer
AUGCUCUUUACAUUAUAAGGCCUUACC
729


2245
commons
Anti-sense






Strand







KHK-2197-
Hs-Mf
27mer
UAUGCUCUUUACAUUAUAAGGCCUUAC
730


2246
commons
Anti-sense






Strand







KHK-2198-
Hs-Mf
27mer
AUAUGCUCUUUACAUUAUAAGGCCUUA
731


2247
commons
Anti-sense






Strand







KHK-2199-
Hs-Mf
27mer
UAUAUGCUCUUUACAUUAUAAGGCCUU
732


2248
commons
Anti-sense






Strand







KHK-2200-
Hs-Mf
27mer
UUAUAUGCUCUUUACAUUAUAAGGCCU
733


2249
commons
Anti-sense






Strand







KHK-2201-
Hs-Mf
27mer
AUUAUAUGCUCUUUACAUUAUAAGGCC
734


2250
commons
Anti-sense






Strand







KHK-2205
Hs
27mer
UUACAUUAUAUGCUCUUUACAUUAUAA
735



unique
Anti-sense






Strand







KHK-2238
Hs
27mer
UUUUAAUCCAGGUCUGUCUCACUCUAA
736



unique
Anti-sense






Strand







KHK-2260-
Hs-Mf
27mer
AUGCAGCUAAUUAAAUGGCAGAUUUUA
737


2309
commons
Anti-sense






Strand







KHK-2261-
Hs-Mf
27mer
UAUGCAGCUAAUUAAAUGGCAGAUUUU
738


2310
commons
Anti-sense






Strand







KHK-2262-
Hs-Mf
27mer
AUAUGCAGCUAAUUAAAUGGCAGAUUU
739


2311
commons
Anti-sense






Strand







KHK-2263-
Hs-Mf
27mer
GAUAUGCAGCUAAUUAAAUGGCAGAUU
740


2312
commons
Anti-sense






Strand







KHK-2264-
Hs-Mf
27mer
UGAUAUGCAGCUAAUUAAAUGGCAGAU
741


2313
commons
Anti-sense






Strand







KHK-2265-
Hs-Mf
27mer
GUGAUAUGCAGCUAAUUAAAUGGCAGA
742


2314
commons
Anti-sense






Strand







KHK-2266-
Hs-Mf
27mer
GGUGAUAUGCAGCUAAUUAAAUGGCAG
743


2315
commons
Anti-sense






Strand







KHK-2299
Hs
27mer
UUGAGGCAGAUUGCGUUAAGUGCUGUA
744



unique
Anti-sense






Strand







KHK-2317-
Hs-Mf
27mer
AUUUGACAGAUGAAGAAAUUGAGGCAG
745


2366
commons
Anti-sense






Strand







KHK-2318-
Hs-Mf
27mer
CAUUUGACAGAUGAAGAAAUUGAGGCA
746


2367
commons
Anti-sense






Strand







KHK-2319-
Hs-Mf
27mer
CCAUUUGACAGAUGAAGAAAUUGAGGC
747


2368
commons
Anti-sense






Strand







KHK-2320-
Hs-Mf
27mer
UCCAUUUGACAGAUGAAGAAAUUGAGG
748


2369
commons
Anti-sense






Strand







KHK-2321-
Hs-Mf
27mer
UUCCAUUUGACAGAUGAAGAAAUUGAG
749


2370
commons
Anti-sense






Strand







KHK-2322-
Hs-Mf
27mer
GUUCCAUUUGACAGAUGAAGAAAUUGA
750


2371
commons
Anti-sense






Strand







KHK-2323-
Hs-Mf
27mer
GGUUCCAUUUGACAGAUGAAGAAAUUG
751


2372
commons
Anti-sense






Strand







KHK-2324-
Hs-Mf
27mer
UGGUUCCAUUUGACAGAUGAAGAAAUU
752


2373
commons
Anti-sense






Strand







KHK-2325-
Hs-Mf
27mer
UUGGUUCCAUUUGACAGAUGAAGAAAU
753


2374
commons
Anti-sense






Strand







KHK-2326-
Hs-Mf
27mer
AUUGGUUCCAUUUGACAGAUGAAGAAA
754


2375
commons
Anti-sense






Strand







KHK-2332
Hs
27mer
AGCAGAAUUGGUUCCAUUUGACAGAUG
755



unique
Anti-sense






Strand







KHK-2333
Hs
27mer
AAGCAGAAUUGGUUCCAUUUGACAGAU
756



unique
Anti-sense






Strand







KHK-2335
Hs
27mer
CCAAGCAGAAUUGGUUCCAUUUGACAG
757



unique
Anti-sense






Strand







KHK-2340
Hs
27mer
UGUAGCCAAGCAGAAUUGGUUCCAUUU
758



unique
Anti-sense






Strand







KHK-2341
Hs
27mer
CUGUAGCCAAGCAGAAUUGGUUCCAUU
759



unique
Anti-sense






Strand







KHK-2346
Hs
27mer
UAAUUCUGUAGCCAAGCAGAAUUGGUU
760



unique
Anti-sense






Strand







KHK-2352
Hs
27mer
UCACAAUAAUUCUGUAGCCAAGCAGAA
761



unique
Anti-sense






Strand







KHK-2358
Hs
27mer
UUAUCCUCACAAUAAUUCUGUAGCCAA
762



unique
Anti-sense






Strand







KHK-2359
Hs
27mer
UUUAUCCUCACAAUAAUUCUGUAGCCA
763



unique
Anti-sense






Strand







KHK-2360
Hs
27mer
UUUUAUCCUCACAAUAAUUCUGUAGCC
764



unique
Anti-sense






Strand







KHK-2361
Hs
27mer
AUUUUAUCCUCACAAUAAUUCUGUAGC
765



unique
Anti-sense






Strand







KHK-2362
Hs
27mer
GAUUUUAUCCUCACAAUAAUUCUGUAG
766



unique
Anti-sense






Strand







KHK-2363
Hs
27mer
UGAUUUUAUCCUCACAAUAAUUCUGUA
767



unique
Anti-sense






Strand







KHK-2364
Hs
27mer
AUGAUUUUAUCCUCACAAUAAUUCUGU
768



unique
Anti-sense






Strand







KHK-2365
Hs
27mer
UAUGAUUUUAUCCUCACAAUAAUUCUG
769



unique
Anti-sense






Strand







KHK-2366
Hs
27mer
AUAUGAUUUUAUCCUCACAAUAAUUCU
770



unique
Anti-sense






Strand







KHK-2367
Hs
27mer
UAUAUGAUUUUAUCCUCACAAUAAUUC
771



unique
Anti-sense






Strand







Forward
NHP
N/A
TGCCTTCATGGGCTCAATG
772


Primer
KHK








Reverse
NHP
N/A
TCGGCCACCAGGAAGTCA
773


Primer
KHK








KHK-510-
Hs-Mf-
Low-2′-
[mCs][mU][mC][mA][mU][mG][mG][fA]
774


548-379-
Mm-Rn
Fluoro
[fA][fG][fA][mG][mA][mA][mG][mC]



221
commons
Pattern
[mA][mG][mA][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-516-
Hs-Mf-
Low-2′-
[mGs][mA][mA][mG][mA][mG][mA][fA]
775


554-385-
Mm-Rn
Fluoro
[fG][fC][fA][mG][mA][mU][mC][mC]



227
commons
Pattern
[mU][mG][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-829-
Hs-Mf
Low-2′-
[mGs][mC][mA][mA][mC][mC][mG][fU]
776


838
commons
Fluoro
[fA][fC][fC][mA][mU][mU][mG][mU]





Pattern
[mG][mC][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-860-
Hs-Mf-
Low-2′-
[mCs][mC][mU][mG][mC][mC][mA][fG]
777


898-729-
Mm-Rn
Fluoro
[fA][fU][fG][mU][mG][mU][mC][mU]



571
commons
Pattern
[mG][mC][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-861-
Hs-Mf-
Low-2′-
[mCs][mU][mG][mC][mC][mA][mG][fA]
778


899-730-
Mm-Rn
Fluoro
[fU][fG][fU][mG][mU][mC][mU][mG]



572
commons
Pattern
[mC][mU][mA][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-865
Hs
Low-2′-
[mCs][mA][mG][mA][mU][mG][mU][fG]
779



unique
Fluoro
[fU][fC][fU][mG][mC][mU][mA][mC]





Pattern
[mA][mG][mA][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-882-
Hs-Mf
Low-2′-
[mGs][mA][mC][mU][mU][mU][mG][fA]
780


920
commons
Fluoro
[fG][fA][fA][mG][mG][mU][mU][mG]





Pattern
[mA][mU][mC][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-883-
Hs-Mf
Low-2′-
[mAs][mC][mU][mU][mU][mG][mA][fG]
781


921
commons
Fluoro
[fA][fA][fG][mG][mU][mU][mG][mA]





Pattern
[mU][mC][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-885-
Hs-Mf
Low-2′-
[mUs][mU][mU][mG][mA][mG][mA][fA]
782


923
commons
Fluoro
[fG][fG][fU][mU][mG][mA][mU][mC]





Pattern
[mU][mG][mA][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1054-
Hs-Mf
Low-2′-
[mAs][mG][fC][mU][mG][mU][mU][fU]
783


1092
commons
Fluoro
[fG][fG][m][fU][fA][mC][mG][mG]





Pattern
C[fA][mG][mA][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1075-
Hs-Mf-
Low-2′-
[mUs][mG][mG][mU][mG][mU][mU][fU]
784


1113-944-
Mm-Rn
Fluoro
[fG][fU][fC][mA][mG][mC][mA][mA]



786
commons
Pattern
[mA][mG][mA][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1078-
Hs-Mf-
Low-2′-
[mUs][mG][mU][mU][mU][mG][mU][fC]
785


1116-947-
Mm-Rn
Fluoro
[fA][fG][fC][mA][mA][mA][mG][mA]



789
commons
Pattern
[mU][mG][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1281-
Hs-Mf-
Low-2′-
[mGs][mG][mA][mG][mA][mC][mA][fC]
786


1319-1150-
Mm-Rn
Fluoro
[fC][fU][fU][mC][mA][mA][mU][mG]



992
commons
Pattern
[mC][mC][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1288-
Hs-Mf
Low-2′-
[mCs][mC][mU][mU][mC][mA][mA][fU]
787


1326
commons
Fluoro
[fG][fC][fC][mU][mC][mC][mG][mU]





Pattern
[mC][mA][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1290-
Hs-Mf
Low-2′-
[mUs][mU][mC][mA][mA][mU][mG][fC]
788


1328
commons
Fluoro
[fC][fU][fC][mC][mG][mU][mC][mA]





Pattern
[mU][mC][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1148-
Hs-Mf
Low-2′-
[mUs][mG][mG][mU][mC][mG][mU][fG]
789


1186
commons
Fluoro
[fU][fG][fA][mG][mG][mA][mA][mA]





Pattern
[mG][mG][mG][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1152-
Hs-Mf
Low-2′-
[mCs][mG][mU][mG][mU][mG][mA][fG]
790


1190
commons
Fluoro
[fG][fA][fA][mA][mG][mG][mG][mG]





Pattern
[mC][mU][mG][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1154-
Hs-Mf
Low-2′-
[mUs][mG][mU][mG][mA][mG][mG][fA]
791


1192
commons
Fluoro
[fA][fA][fG][mG][mG][mG][mC][mU]





Pattern
[mG][mU][mG][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1155-
Hs-Mf
Low-2′-
[mGs][mU][mG][mA][mG][mG][mA][fA]
792


1193
commons
Fluoro
[fA][fG][fG][mG][mG][mC][mU][mG]





Pattern
[mU][mG][mC][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1277
Hs
Low-2′-
[mAs][mG][mC][mU][mG][mG][mA][fG]
793



unique
Fluoro
[fA][fC][fA][mC][mC][mU][mU][mC]





Pattern
[mA][mA][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1147-
Hs-Mf
Low-2′-
[mAs][mU][mG][mG][mU][mC][mG][fU]
794


1185
commons
Fluoro
[fG][fU][fG][mA][mG][mG][mA][mA]





Pattern
[mA][mG][mG][mA][G][mC][mA][mG]





Modified
m[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-869-
Hs-Mf
Low-2′-
[mUs][mG][mU][mG][mU][mC][mU][fG]
795


934
commons
Fluoro
[fC][fU][fA][mC][mA][mG][mA][mC]





Pattern
[mU][mU][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-alNAc][mG][mG][mC]





Strand
G[mU][mG][mC]






KHK-873
Hs
Low-2′-
[mUs][mC][mU][mG][mC][mU][mA][fC]
796



unique
Fluoro
[fA][fG][fA][mC][mU][mU][mU][mG]





Pattern
[mA][mG][mA][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-879
Hs
Low-2′-
[mAs][mC][mA][mG][mA][mC][mU][fU]
797



unique
Fluoro
[fU][fG][fA][mG][mA][mA][mG][mG]





Pattern
[mU][mU][mG][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-881
Hs
Low-2′-
[mAs][mG][mA][mC][mU][mU][mU][fG]
798



unique
Fluoro
[fA][fG][fA][mA][mG][mG][mU][mU]





Pattern
[mG][mA][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-896-
Hs-Mf
Low-2′-
[mUs][mG][mA][mU][mC][mU][mG][fA]
799


934
commons
Fluoro
[fC][fC][fC][mA][mG][mU][mU][mC]





Pattern
[mA][mA][mG][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1064-
Hs-Mf
Low-2′-
[mCs][mU][mA][mC][mG][mG][mA][fG]
800


1102
commons
Fluoro
[fA][fC][fG][mU][mG][mG][mU][mG]





Pattern
[mU][mU][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1077-
Hs-Mf-
Low-2′-
[mGs][mU][mG][mU][mU][mU][mG][fU]
801


1115-946-
Mm-Rn
Fluoro
[fC][fA][fG][mC][mA][mA][mA][mG]



788
commons
Pattern
[mA][mU][mG][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1080-
Hs-Mf-
Low-2′-
[mUs][mU][mU][mG][mU][mC][mA][fG]
802


1118-949-
Mm-Rn
Fluoro
[fC][fA][fA][mA][mG][mA][mU][mG]



791
commons
Pattern
[mU][mG][mG][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-alNAc][mG][mG][mC]





Strand
G[mU][mG][mC]






KHK-1106-
Hs-Mf
Low-2′-
[mCs][mU][mU][mG][mG][mG][mG][fU]
803


1144
commons
Fluoro
[fU][fC][fC][mA][mG][mU][mC][mA]





Pattern
[mG][mC][mA][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1334-
Hs-Mf
Low-2′-
[mGs][mC][mA][mG][mG][mA][mA][fG]
804


1372
commons
Fluoro
[fC][fA][fC][mU][mG][mA][mG][mA]





Pattern
[mU][mU][mC][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-516-
Hs-Mf-
Med-2′-
[mGs][mA][fA][mG][mA][mG][mA][fA]
805


554-385-
Mm-Rn
Fluoro
[fG][fC][mA][fG][fA][mU][mC][mC]



227
commons
Pattern
[fU][mG][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-804
Hs
Med-2′-
[mUs][mG][fC][mU][mG][mC][mA][fU]
806



unique
Fluoro
[fC][fA][mU][fC][fA][mA][mC][mA]





Pattern
[fA][mC][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-829-
Hs-Mf
Med-2′-
[mGs][mC][fA][mA][mC][mC][mG][fU]
807


838
commons
Fluoro
[fA][fC][mC][fA][fU][mU][mG][mU]





Pattern
[fG][mC][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-861-
Hs-Mf-
Med-2′-
[mCs][mU][fG][mC][mC][mA][mG][fA]
808


899-730-
Mm-Rn
Fluoro
[fU][fG][mU][fG][fU][mC][mU][mG]



572
commons
Pattern
[fC][mU][mA][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-865
Hs
Med-2′-
[mCs][mA][fG][mA][mU][mG][mU][fG]
809



unique
Fluoro
[fU][fC][mU][fG][fC][mU][mA][mC]





Pattern
[fA][mG][mA][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-882-
Hs-Mf
Med-2′-
[mGs][mA][fC][mU][mU][mU][mG][fA]
810


920
commons
Fluoro
[fG][fA][mA][fG][fG][mU][mU][mG]





Pattern
[fA][mU][mC][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-883-
Hs-Mf
Med-2′-
[mAs][mC][fU][mU][mU][mG][mA][fG]
811


921
commons
Fluoro
[fA][fA][mG][fG][fU][mU][mG][mA]





Pattern
[fU][mC][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-885-
Hs-Mf
Med-2′-
[mUs][mU][fU][mG][mA][mG][mA][fA]
812


923
commons
Fluoro
[fG][fG][mU][fU][fG][mA][mU][mC]





Pattern
[fU][mG][mA][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1054-
Hs-Mf
Med-2′-
[mAs][mG][fC][mU][mG][mU][mU][fU]
813


1092
commons
Fluoro
[fG][fG][mC][fU][fA][mC][mG][mG]





Pattern
[fA][mG][mA][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1076-
Hs-Mf-
Med-2′-
[mGs][mG][fU][mG][mU][mU][mU][fG]
814


1114-945-
Mm-Rn
Fluoro
[fU][fC][mA][fG][fC][mA][mA][mA]



787
commons
Pattern
[fG][mA][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1078-
Hs-Mf-
Med-2′-
[mUs][mG][fU][mU][mU][mG][mU][fC]
815


1116-947-
Mm-Rn
Fluoro
[fA][fG][mC][fA][fA][mA][mG][mA]



789
commons
Pattern
[fU][mG][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1288-
Hs-Mf
Med-2′-
[mCs][mC][fU][mU][mC][mA][mA][fU]
816


1326
commons
Fluoro
[fG][fC][mC][fU][fC][mC][mG][mU]





Pattern
[fC][mA][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1290-
Hs-Mf
Med-2′-
[mUs][mU][fC][mA][mA][mU][mG][fC]
817


1328
commons
Fluoro
[fC][fU][mC][fC][fG][mU][mC][mA]





Pattern
[fU][mC][mU][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-1334-
Hs-Mf
Med-2′-
[mGs][mC][fA][mG][mG][mA][mA][fG]
818


1372
commons
Fluoro
[fC][fA][mC][fU][fG][mA][mG][mA]





Pattern
[fU][mU][mC][mA][mG][mC][mA][mG]





Modified
[mC][mC][mG][ademA-GalNAc][ademA-





Sense
GalNAc][ademA-GalNAc][mG][mG][mC]





Strand
[mU][mG][mC]






KHK-510-
Hs-Mf-
Low-2′-
[MePhosphonate-4O-
819


548-379-
Mm-Rn
Fluoro
mUs][fUs][fCs][fU][fG][mC][fU][mU]



221
commons
Pattern
[mC][fU][mC][mU][mU][fC][mC][mA]





Modified
[mU][mG][mA][mGs][mGs][mG]





Anti-sense






Strand







KHK-516-
Hs-Mf-
Low-2′-
[MePhosphonate-4O-
820


554-385-
Mm-Rn
Fluoro
mUs][fAs][fC][fA][fG][mG][fA][mU]



227
commons
Pattern
[mC][fU][mG][mC][mU][fU][mC][mU]





Modified
[mC][mU][mU][mCs][mGs][mG]





Anti-sense






Strand







KHK-829-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
821


838
commons
Fluoro
mUs][fAs][fG][fC][fA][mC][fA][mA]





Pattern
[mU][fG][mG][mU][mA][fC][mG][mG]





Modified
[mU][mU][mG][mCs][mGs][mG]





Anti-sense






Strand







KHK-860-
Hs-Mf-
Low-2′-
[MePhosphonate-4O-
822


898-729-
Mm-Rn
Fluoro
mUs][fAs][fGs][fC][fA][mG][fA][mC]



571
commons
Pattern
[mA][fC][mA][mU][mC][fU][mG][mG]





Modified
[mC][mA][mG][mGs][mGs][mG]





Anti-sense






Strand







KHK-861-
Hs-Mf-
Low-2′-
[MePhosphonate-4O-
823


899-730-
Mm-Rn
Fluoro
mUs][fUs][fAs][fG][fC][mA][fG][mA]



572
commons
Pattern
[mC][fA][mC][mA][mU][fC][mU][mG]





Modified
[mG][mC][mA][mGs][mGs][mG]





Anti-sense






Strand







KHK-865
Hs
Low-2′-
[MePhosphonate-4O-
824



unique
Fluoro
mUs][fUs][fCs][fU][fG][mU][fA][mG]





Pattern
[mC][fA][mG][mA][mC][fA][mC][mA]





Modified
[mU][mC][mU][mGs][mGs][mG]





Anti-sense






Strand







KHK-882-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
825


920
commons
Fluoro
mUs][fGs][fAs][fU][fC][mA][fA][mC]





Pattern
[mC][fU][mU][mC][mU][fC][mA][mA]





Modified
[mA][mG][mU][mCs][mGs][mG]





Anti-sense






Strand







KHK-883-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
826


921
commons
Fluoro
mUs][fAs][fGs][fA][fU][mC][fA][mA]





Pattern
[mC][fC][mU][mU][mC][fU][mC][mA]





Modified
[mA][mA][mG][mUs][mGs][mG]





Anti-sense






Strand







KHK-885-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
827


923
commons
Fluoro
mUs][fUs][fCs][fA][fG][mA][fU][mC]





Pattern
[mA][fA][mC][mC][mU][fU][mC][mU]





Modified
[mC][mA][mA][mAs][mGs][mG]





Anti-sense






Strand







KHK-1054-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
828


1092
commons
Fluoro
mUs][fUs][mCs][mU][fC][mC][fG][fU]





Pattern
[mA][fG][mC][fC][mA][fA][mA][fC]





Modified
[mA][mG][fC][mUs][mGs][mG]





Anti-sense






Strand







KHK-1075-
Hs-Mf-
Low-2′-
[MePhosphonate-4O-
829


1113-944-
Mm-Rn
Fluoro
mUs][fUs][fCs][fU][fU][mU][fG][mC]



786
commons
Pattern
[mU][fG][mA][mC][mA][fA][mA][mC]





Modified
[mA][mC][mC][mAs][mGs][mG]





Anti-sense






Strand







KHK-1078-
Hs-Mf-
Low-2′-
[MePhosphonate-4O-
830


1116-947-
Mm-Rn
Fluoro
mUs][fAs][fC][fA][fU][mC][fU][mU]



789
commons
Pattern
[mU][fG][mC][mU][mG][fA][mC][mA]





Modified
[mA][mA][mC][mAs][mGs][mG]





Anti-sense






Strand







KHK-1281-
Hs-Mf-
Low-2′-
[MePhosphonate-4O-
831


1319-1150-
Mm-Rn
Fluoro
mUs][fAs][fGs][fG][fC][mA][fU][mU]



992
commons
Pattern
[mG][fA][mA][mG][mG][fU][mG][mU]





Modified
[mC][mU][mC][mCs][mGs][mG]





Anti-sense






Strand







KHK-1288-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
832


1326
commons
Fluoro
mUs][fAs][fUs][fG][fA][mC][fG][mG]





Pattern
[mA][fG][mG][mC][mA][fU][mU][mG]





Modified
[mA][mA][mG][mGs][mGs][mG]





Anti-sense






Strand







KHK-1290-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
833


1328
commons
Fluoro
mUs][fAs][fGs][fA][fU][mG][fA][mC]





Pattern
[mG][fG][mA][mG][mG][fC][mA][mU]





Modified
[mU][mG][mA][mAs][mGs][mG]





Anti-sense






Strand







KHK-1148-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
834


1186
commons
Fluoro
mUs][fCs][fCs][fC][fU][mU][fU][mC]





Pattern
[mC][fU][mC][mA][mC][fA][mC][mG]





Modified
[mA][mC][mC][mAs][mGs][mG]





Anti-sense






Strand







KHK-1152-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
835


1190
commons
Fluoro
mUs][fCs][fAs][fG][fC][mC][fC][mC]





Pattern
[mU][fU][mU][mC][mC][fU][mC][mA]





Modified
[mC][mA][mC][mGs][mGs][mG]





Anti-sense






Strand







KHK-1154-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
836


1192
commons
Fluoro
mUs][fCs][fAs][fC][fA][mG][fC][mC]





Pattern
[mC][fC][mU][mU][mU][fC][mC][mU]





Modified
[mC][mA][mC][mAs][mGs][mG]





Anti-sense






Strand







KHK-1155-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
837


1193
commons
Fluoro
mUs][fGs][fCs][fA][fC][mA][fG][mC]





Pattern
[mC][fC][mC][mU][mU][fU][mC][mC]





Modified
[mU][mC][mA][mCs][mGs][mG]





Anti-sense






Strand







KHK-1277
Hs
Low-2′-
[MePhosphonate-4O-
838



unique
Fluoro
mUs][fAs][fUs][fU][fG][mA][fA][mG]





Pattern
[mG][fU][mG][mU][mC][fU][mC][mC]





Modified
[mA][mG][mC][mUs][mGs][mG]





Anti-sense






Strand







KHK-1147-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
839


1185
commons
Fluoro
mUs][fCs][fCs][fU][fU][mU][fC][mC]





Pattern
[mU][fC][mA][mC][mA][fC][mG][mA]





Modified
[mC][mC][mA][mUs][mGs][mG]





Anti-sense






Strand







KHK-869-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
840


934
commons
Fluoro
mUs][fAs][fAs][fA][fG][mU][fC][mU]





Pattern
[mG][fU][mA][mG][mC][fA][mG][mA]





Modified
[mC][mA][mC][mAs][mGs][mG]





Anti-sense






Strand







KHK-873
Hs
Low-2′-
[MePhosphonate-4O-
841



unique
Fluoro
mUs][fUs][fCs][fU][fC][mA][fA][mA]





Pattern
[mG][fU][mC][mU][mG][fU][mA][mG]





Modified
[mC][mA][mG][mAs][mGs][mG]





Anti-sense






Strand







KHK-879
Hs
Low-2′-
[MePhosphonate-4O-
842



unique
Fluoro
mUs][fCs][fAs][fA][fC][mC][fU][mU]





Pattern
[mC][fU][mC][mA][mA][fA][mG][mU]





Modified
[mC][mU][mG][mUs][mGs][mG]





Anti-sense






Strand







KHK-881
Hs
Low-2′-
[MePhosphonate-4O-
843



unique
Fluoro
mUs][fAs][fUs][fC][fA][mA][fC][mC]





Pattern
[mU][fU][mC][mU][mC][fA][mA][mA]





Modified
[mG][mU][mC][mUs][mGs][mG]





Anti-sense






Strand







KHK-896-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
844


934
commons
Fluoro
mUs][fCs][fUs][fU][fG][mA][fA][mC]





Pattern
[mU][fG][mG][mG][mU][fC][mA][mG]





Modified
[mA][mU][mC][mAs][mGs][mG]





Anti-sense






Strand







KHK-1064-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
845


1102
commons
Fluoro
mUs][fAs][fAs][fA][fC][mA][fC][mC]





Pattern
[mA][fC][mG][mU][mC][fU][mC][mC]





Modified
[mG][mU][mA][mGs][mGs][mG]





Anti-sense






Strand







KHK-1077-
Hs-Mf-
Low-2′-
[MePhosphonate-4O-
846


1115-946-
Mm-Rn
Fluoro
mUs][fCs][fAs][fU][fC][mU][fU][mU]



788
commons
Pattern
[mG][fC][mU][mG][mA][fC][mA][mA]





Modified
[mA][mC][mA][mCs][mGs][mG]





Anti-sense






Strand







KHK-1080-
Hs-Mf-
Low-2′-
[MePhosphonate-4O-
847


1118-949-
Mm-Rn
Fluoro
mUs][fCs][fCs][fA][fC][mA][fU][mC]



791
commons
Pattern
[mU][fU][mU][mG][mC][fU][mG][mA]





Modified
[mC][mA][mA][mAs][mGs][mG]





Anti-sense






Strand







KHK-1106-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
848


1144
commons
Fluoro
mUs][fUs][fGs][fC][fU][mG][fA][mC]





Pattern
[mU][fG][mG][mA][mA][fC][mC][mC]





Modified
[mC][mA][mA][mGs][mGs][mG]





Anti-sense






Strand







KHK-1334-
Hs-Mf
Low-2′-
[MePhosphonate-4O-
849


1372
commons
Fluoro
mUs][fGs][fAs][fA][fU][mC][fU][mC]





Pattern
[mA][fG][mU][mG][mC][fU][mU][mC]





Modified
[mC][mU][mG][mCs][mGs][mG]





Anti-sense






Strand







KHK-516-
Hs-Mf-
Med-2′-
[MePhosphonate-4O-
850


554-385-
Mm-Rn
Fluoro
mUs][fAs][fCs][fA][fG][mG][fA][fU]



227
commons
Pattern
[mC][fU][mG][mC][mU][fU][mC][fU]





Modified
[mC][mU][fU][mCs][mGs][mG]





Anti-sense






Strand







KHK-804
Hs
Med-2′-
[MePhosphonate-4O-
851



unique
Fluoro
mUs][fAs][fGs][fU][fU][mG][fU][fU]





Pattern
[mG][fA][mU][mG][mA][fU][mG][fC]





Modified
[mA][mG][fC][mAs][mGs][mG]





Anti-sense






Strand







KHK-829-
Hs-Mf
Med-2′-
[MePhosphonate-4O-
852


838
commons
Fluoro
mUs][fAs][fGs][fC][fA][mC][fA][fA]





Pattern
[mU][fG][mG][mU][mA][fC][mG][fG]





Modified
[mU][mU][fG][mCs][mGs][mG]





Anti-sense






Strand







KHK-861-
Hs-Mf-
Med-2′-
[MePhosphonate-4O-
853


899-730-
Mm-Rn
Fluoro
mUs][fUs][fAs][fG][fC][mA][fG][fA]



572
commons
Pattern
[mC][fA][mC][mA][mU][fC][mU][fG]





Modified
[mG][mC][fA][mGs][mGs][mG]





Anti-sense






Strand







KHK-865
Hs
Med-2′-
[MePhosphonate-4O-
854



unique
Fluoro
mUs][fUs][fCs][fU][fG][mU][fA][fG]





Pattern
[mC][fA][mG][mA][mC][fA][mC][fA]





Modified
[mU][mC][fU][mGs][mGs][mG]





Anti-sense






Strand







KHK-882-
Hs-Mf
Med-2′-
[MePhosphonate-4O-
855


920
commons
Fluoro
mUs][fGs][fAs][fU][fC][mA][fA][fC]





Pattern
[mC][fU][mU][mC][mU][fC][mA][fA]





Modified
[mA][mG][fU][mCs][mGs][mG]





Anti-sense






Strand







KHK-883-
Hs-Mf
Med-2′-
[MePhosphonate-4O-
856


921
commons
Fluoro
mUs][fAs][fGs][fA][fU][mC][fA][fA]





Pattern
[mC][fC][mU][mU][mC][fU][mC][fA]





Modified
[mA][mA][fG][mUs][mGs][mG]





Anti-sense






Strand







KHK-885-
Hs-Mf
Med-2′-
[MePhosphonate-4O-
857


923
commons
Fluoro
mUs][fUs][fCs][fA][fG][mA][fU][fC]





Pattern
[mA][fA][mC][mC][mU][fU][mC][fU]





Modified
[mC][mA][fA][mAs][mGs][mG]





Anti-sense






Strand







KHK-1054-
Hs-Mf
Med-2′-
[MePhosphonate-4O-
858


1092
commons
Fluoro
mUs][fUs][mCs][mU][fC][mC][fG][fU]





Pattern
[mA][fG][mC][fC][mA][fA][mA][fC]





Modified
[mA][mG][fC][mUs][mGs][mG]





Anti-sense






Strand







KHK-1076-
Hs-Mf-
Med-2′-
[MePhosphonate-4O-
859


1114-945-
Mm-Rn
Fluoro
mUs][fAs][fUs][fC][fU][mU][fU][fG]



787
commons
Pattern
[mC][fU][mG][mA][mC][fA][mA][fA]





Modified
[mC][mA][fC][mCs][mGs][mG]





Anti-sense






Strand







KHK-1078-
Hs-Mf-
Med-2′-
[MePhosphonate-4O-
860


1116-947-
Mm-Rn
Fluoro
mUs][fAs][fCs][fA][fU][mC][fU][fU]



789
commons
Pattern
[mU][fG][mC][mU][mG][fA][mC][fA]





Modified
[mA][mA][fC][mAs][mGs][mG]





Anti-sense






Strand







KHK-1288-
Hs-Mf
Med-2′-
[MePhosphonate-4O-
861


1326
commons
Fluoro
mUs][fAs][fUs][fG][fA][mC][fG][fG]





Pattern
[mA][fG][mG][mC][mA][fU][mU][fG]





Modified
[mA][mA][fG][mGs][mGs][mG]





Anti-sense






Strand







KHK-1290-
Hs-Mf
Med-2′-
[MePhosphonate-4O-
862


1328
commons
Fluoro
mUs][fAs][fGs][fA][fU][mG][fA][fC]





Pattern
[mG][fG][mA][mG][mG][fC][mA][fU]





Modified
[mU][mG][fA][mAs][mGs][mG]





Anti-sense






Strand







KHK-1334-
Hs-Mf
Med-2′-
[MePhosphonate-4O-
863


1372
commons
Fluoro
mUs][fGs][fAs][fA][fU][mC][fU][fC]





Pattern
[mA][fG][mU][mG][mC][fU][mU][fC]





Modified
[mC][mU][fG][mCs][mGs][mG]





Anti-sense






Strand







Fam Probe
Fam
N/A
CCCTGGCCATGTTG
864



Probe 






for NHP






KHK






primers








Forward-
Mouse
N/A
TGGAGGTGGAGAAGCCA
865


1026
KHK





Primer









Reverse-
Mouse
N/A
GACCATACAAGCCCCTCAAG
866


1157
KHK





Primer









Probe-
Probe 
N/A
TGGTGTTTGTCAGCAAAGATGTGGC
867


1080
for 






Mouse






KHK






primers








Forward-
5′ 
N/A
AGGAAGCTCTGGGAGTA
868


496 
Assay





Primer









Reverse-
5′ 
N/A
CCTCCTTAGGGTACTTGTC
869


596 
Assay





Primer









Probe-518
5′ 
N/A
ATGGAAGAGAAGCAGATCCTGTGCG
870



Assay






Probe








Stem Loop
Un-
N/A
GCAGCCGAAAGGCUGC
871



modified






stem 






loop






sequence








KHK-1277
Hs
36mer
AGCUGGAGACACCUUCAAUAGCAGCCGA
872



unique
Sense
AAGGCUGC





Strand







KHK-1155-
Hs-Mf
36mer
GUGAGGAAAGGGGCUGUGCAGCAGCCGA
873


1193
commons
Sense
AAGGCUGC





Strand







KHK-1152-
Hs-Mf
36mer
CGUGUGAGGAAAGGGGCUGAGCAGCCGA
874


1190
commons
Sense
AAGGCUGC





Strand







KHK-881
Hs
36mer
AGACUUUGAGAAGGUUGAUAGCAGCCGA
875



unique
Sense
AAGGCUGC





Strand







KHK-879
Hs
36mer
ACAGACUUUGAGAAGGUUGAGCAGCCGA
876



unique
Sense
AAGGCUGC





Strand







KHK-869
Hs-Mf
36mer
UGUGUCUGCUACAGACUUUAGCAGCCGA
877



commons
Sense
AAGGCUGC





Strand







KHK-873
Hs
36mer
UCUGCUACAGACUUUGAGAAGCAGCCGA
878



unique
Sense
AAGGCUGC





strand







KHK-1277
Hs
22mer
UAUUGAAGGUGUCUCCAGCUGG
879



unique
anti-sense






strand







KHK-1155-
Hs-Mf
22mer
UGCACAGCCCCUUUCCUCACGG
880


1193
commons
anti-sense






strand







KHK-1152-
Hs-Mf
22mer
UCAGCCCCUUUCCUCACACGGG
881


1190
commons
anti-sense






strand







KHK-881
Hs
22mer
UAUCAACCUUCUCAAAGUCUGG
882



unique
anti-sense






strand







KHK-879
Hs
22mer
UCAACCUUCUCAAAGUCUGUGG
883



unique
anti-sense






strand







KHK-869
Hs-Mf
22mer
UAAAGUCUGUAGCAGACACAGG
884



commons
anti-sense






strand







KHK-873
Hs
22mer
UUCUCAAAGUCUGUAGCAGAGG
885



unique
anti-sense






strand







KHK-510-
Hs-Mf-
36mer
CUCAUGGAAGAGAAGCAGAAGCAGCCGA
886


548-379-
Mm-Rn
Sense
AAGGCUGC



221
commons
strand







KHK-516-
Hs-Mf-
36mer
GAAGAGAAGCAGAUCCUGUAGCAGCCGA
887


554-385-
Mm-Rn
Sense
AAGGCUGC



227
commons
strand







KHK-829-
Hs-Mf
36mer
GCAACCGUACCAUUGUGCUAGCAGCCGA
888


838
commons
Sense
AAGGCUGC





strand







KHK-860-
Hs-Mf-
36mer
CCUGCCAGAUGUGUCUGCUAGCAGCCGA
889


898-729-
Mm-Rn
Sense
AAGGCUGC



571
commons
strand







KHK-861-
Hs-Mf-
36mer
CUGCCAGAUGUGUCUGCUAAGCAGCCGA
890


899-730-
Mm-Rn
Sense
AAGGCUGC



572
commons
strand







KHK-865
Hs
36mer
CAGAUGUGUCUGCUACAGAAGCAGCCGA
891



unique
Sense
AAGGCUGC





strand







KHK-882-
Hs-Mf
36mer
GACUUUGAGAAGGUUGAUCAGCAGCCGA
892


920
commons
Sense
AAGGCUGC





strand







KHK-883-
Hs-Mf
36mer
ACUUUGAGAAGGUUGAUCUAGCAGCCGA
893


921
commons
Sense
AAGGCUGC





strand







KHK-885-
Hs-Mf
36mer
UUUGAGAAGGUUGAUCUGAAGCAGCCGA
894


923
commons
Sense
AAGGCUGC





strand







KHK-1054-
Hs-Mf
36mer
AGCUGUUUGGCUACGGAGAAGCAGCCGA
895


1092
commons
Sense
AAGGCUGC





strand







KHK-1075-
Hs-Mf-
36mer
UGGUGUUUGUCAGCAAAGAAGCAGCCGA
896


1113-944-
Mm-Rn
Sense
AAGGCUGC



786
commons
strand







KHK-1078-
Hs-Mf-
36mer
UGUUUGUCAGCAAAGAUGUAGCAGCCGA
897


1116-947-
Mm-Rn
Sense
AAGGCUGC



789
commons
strand







KHK-1281-
Hs-Mf-
36mer
GGAGACACCUUCAAUGCCUAGCAGCCGA
898


1319-1150-
Mm-Rn
Sense
AAGGCUGC



992
commons
strand







KHK-1288-
Hs-Mf
36mer
CCUUCAAUGCCUCCGUCAUAGCAGCCGA
899


1326
commons
Sense
AAGGCUGC





strand







KHK-1290-
Hs-Mf
36mer
UUCAAUGCCUCCGUCAUCUAGCAGCCGA
900


1328
commons
Sense
AAGGCUGC





strand







KHK-1148-
Hs-Mf
36mer
UGGUCGUGUGAGGAAAGGGAGCAGCCGA
901


1186
commons
Sense
AAGGCUGC





strand







KHK-1154-
Hs-Mf
36mer
UGUGAGGAAAGGGGCUGUGAGCAGCCGA
902


1192
commons
Sense
AAGGCUGC





strand







KHK-1147-
Hs-Mf
36mer
AUGGUCGUGUGAGGAAAGGAGCAGCCGA
903


1185
commons
Sense
AAGGCUGC





strand







KHK-896-
Hs-Mf
36mer
UGAUCUGACCCAGUUCAAGAGCAGCCGA
904


934
commons
Sense
AAGGCUGC





strand







KHK-1064-
Hs-Mf
36mer
CUACGGAGACGUGGUGUUUAGCAGCCGA
905


1102
commons
Sense
AAGGCUGC





strand







KHK-1077-
Hs-Mf-
36mer
GUGUUUGUCAGCAAAGAUGAGCAGCCGA
906


1115-946-
Mm-Rn
Sense
AAGGCUGC



788
commons
strand







KHK-1080-
Hs-Mf-
36mer
UUUGUCAGCAAAGAUGUGGAGCAGCCGA
907


11 18-949-
Mm-Rn
Sense
AAGGCUGC



791
commons
strand







KHK-1106-
Hs-Mf
36mer
CUUGGGGUUCCAGUCAGCAAGCAGCCGA
908


1144
commons
Sense
AAGGCUGC





strand







KHK-1334-
Hs-Mf
36mer
GCAGGAAGCACUGAGAUUCAGCAGCCGA
909


1372
commons
Sense
AAGGCUGC





strand







KHK-804
Hs
36mer
UGCUGCAUCAUCAACAACUAGCAGCCGAA
910



unique
Sense
AGGCUGC





strand







KHK-1076-
Hs-Mf-
36mer
GGUGUUUGUCAGCAAAGAUAGCAGCCGA
911


1114-945-
Mm-Rn
Sense
AAGGCUGC



787
commons
strand







KHK-510-
Hs-Mf-
22mer
UUCUGCUUCUCUUCCAUGAGGG
912


548-379-
Mm-Rn
anti-sense




221
commons
strand







KHK-516-
Hs-Mf-
22mer
UACAGGAUCUGCUUCUCUUCGG
913


554-385-
Mm-Rn
anti-sense




227
commons
strand







KHK-829-
Hs-Mf
22mer
UAGCACAAUGGUACGGUUGCGG
914


838
commons
anti-sense






strand







KHK-860-
Hs-Mf-
22mer
UAGCAGACACAUCUGGCAGGGG
915


898-729-
Mm-Rn
anti-sense




571
commons
strand







KHK-861-
Hs-Mf-
22mer
UUAGCAGACACAUCUGGCAGGG
916


899-730-
Mm-Rn
anti-sense




572
commons
strand







KHK-865
Hs
22mer
UUCUGUAGCAGACACAUCUGGG
917



unique
anti-sense






strand







KHK-882-
Hs-Mf
22mer
UGAUCAACCUUCUCAAAGUCGG
918


920
commons
anti-sense






strand







KHK-883-
Hs-Mf
22mer
UAGAUCAACCUUCUCAAAGUGG
919


921
commons
anti-sense






strand







KHK-885-
Hs-Mf
22mer
UUCAGAUCAACCUUCUCAAAGG
920


923
commons
anti-sense






strand







KHK-1054-
Hs-Mf
22mer
UUCUCCGUAGCCAAACAGCUGG
921


1092
commons
anti-sense






strand







KHK-1075-
Hs-Mf-
22mer
UUCUUUGCUGACAAACACCAGG
922


1113-944-
Mm-Rn
anti-sense




786
commons
strand







KHK-1078-
Hs-Mf-
22mer
UACAUCUUUGCUGACAAACAGG
923


1116-947-
Mm-Rn
anti-sense




789
commons
strand







KHK-1281-
Hs-Mf-
22mer
UAGGCAUUGAAGGUGUCUCCGG
924


1319-1150-
Mm-Rn
anti-sense




992
commons
strand







KHK-1288-
Hs-Mf
22mer
UAUGACGGAGGCAUUGAAGGGG
925


1326
commons
anti-sense






strand







KHK-1290-
Hs-Mf
22mer
UAGAUGACGGAGGCAUUGAAGG
926


1328
commons
anti-sense






strand







KHK-1148-
Hs-Mf
22mer
UCCCUUUCCUCACACGACCAGG
927


1186
commons
anti-sense






strand







KHK-1154-
Hs-Mf
22mer
UCACAGCCCCUUUCCUCACAGG
928


1192
commons
anti-sense






strand







KHK-1147-
Hs-Mf
22mer
UCCUUUCCUCACACGACCAUGG
929


1185
commons
anti-sense






strand







KHK-873
Hs
22mer
UUCUCAAAGUCUGUAGCAGAGG
930



unique
anti-sense






strand







KHK-896-
Hs-Mf
22mer
UGUUGAACUGGGUCAGAUCAGG
931


934
commons
anti-sense






strand







KHK-1064-
Hs-Mf
22mer
UAAACACCACGUCUCCGUAGGG
932


1102
commons
anti-sense






strand







KHK-1077-
Hs-Mf-
22mer
UCAUCUUUGCUGACAAACACGG
933


1115-946-
Mm-Rn
anti-sense




788
commons
strand







KHK-1080-
Hs-Mf-
22mer
UCCACAUCUUUGCUGACAAAGG
934


1118-949-
Mm-Rn
anti-sense




791
commons
strand







KHK-1106-
Hs-Mf
22mer
UUGCUGACUGGAACCCCAAGGG
935


1144
commons
anti-sense






strand







KHK-1334-
Hs-Mf
22mer
UGAAUCUCAGUGCUUCCUGCGG
936


1372
commons
anti-sense






strand







KHK-804
Hs
22mer
UAGUUGUUGAUGAUGCAGCAGG
937



unique
anti-sense






strand







KHK-1076-
Hs-Mf-
22mer
UAUCUUUGCUGACAAACACCGG
938


1114-945-
Mm-Rn
anti-sense




787
commons
strand







MmKHK-
Forward
N/A
GCTCTTCCAGTTGTTTAGCTATGGT
939


ALL-5-6









MmKHK-
Reverse
N/A
CAGGTGCTTGGCCACATCTT
940


ALL-5-6









MmKHK-
Probe
N/A
AGGTGGTGTTTGTCAGC
941


ALL-5-6









KHK-516-
Hs-Mf-
19mer
GAAGAGAAGCAGAUCCUGU
942


554-385-
Mm-Rn
Sense




227
commons
strand







KHK-865
Hs
19mer
CAGAUGUGUCUGCUACAGA
943



unique
Sense






strand







KHK-882-
Hs-Mf
19mer
GACUUUGAGAAGGUUGAUC
944


920
commons
Sense






strand







KHK-885-
Hs-Mf
19mer
UUUGAGAAGGUUGAUCUGA
945


923
commons
Sense






strand







KHK-1078-
Hs-Mf-
19mer
UGUUUGUCAGCAAAGAUGU
946


1116-947-
Mm-Rn
Sense




789
commons
strand







KHK-1334-
Hs-Mf
19mer
GCAGGAAGCACUGAGAUUC
947


1372
commons
Sense






strand







KHK-516-
Hs-Mf-
19mer
ACAGGAUCUGCUUCUCUUC
948


554-385-
Mm-Rn
anti-sense




227
commons
strand







KHK-865
Hs
19mer
UCUGUAGCAGACACAUCUG
949



unique
anti-sense






strand







KHK-882-
Hs-Mf
19mer
GAUCAACCUUCUCAAAGUC
950


920
commons
anti-sense






strand







KHK-885-
Hs-Mf
19mer
UCAGAUCAACCUUCUCAAA
951


923
commons
anti-sense






strand







KHK-1078-
Hs-Mf-
19mer
ACAUCUUUGCUGACAAACA
952


1116-947-
Mm-Rn
anti-sense




789
commons
strand







KHK-1334-
Hs-Mf
19mer
GAAUCUCAGUGCUUCCUGC
953


1372
commons
anti-sense






strand










Particular Aspects and Embodiments of the Present Invention are Described with Reference to the Following Clauses:


1. A double stranded RNAi oligonucleotide for reducing ketohexokinase (KHK) expression, the oligonucleotide comprising an antisense strand and a sense strand, wherein the antisense strand and the sense strand form a duplex region, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387 and wherein the region of complementarity is at least 15 contiguous nucleotides in length, or a pharmaceutically acceptable salt thereof.


2. The RNAi oligonucleotide of clause 1, wherein the sense strand comprises a sequence set forth in any one of SEQ ID NOs: 4-387.


3. The RNAi oligonucleotide of clause 1 or 2, wherein the antisense strand comprises a sequence set forth in any one of SEQ ID NOs: 388-771.


4. A double stranded RNAi oligonucleotide for inhibiting expression of KHK, wherein said double stranded RNAi oligonucleotide comprises a sense strand and an antisense strand forming a duplex region, wherein said sense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from any one of the nucleotide sequences of SEQ ID NO:4-387 and said antisense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from any one of the nucleotide sequences of SEQ ID NO: 388-771, or a pharmaceutically acceptable salt thereof.


5. The RNAi oligonucleotide of any one of clauses 1-4, wherein the sense strand is 15 to 50 nucleotides in length.


6. The RNAi oligonucleotide of any one of clauses 1-4, wherein the sense strand is 18 to 36 nucleotides in length.


7. The RNAi oligonucleotide of any one of clauses 1-4, wherein the sense strand is 15 to 30 nucleotides in length.


8. The RNAi oligonucleotide of any one of clauses 1-7, wherein the antisense strand is 15-30 nucleotides in length.


9. The RNAi oligonucleotide of any one of clauses 1-8, wherein the antisense strand and the sense strand form a duplex region of at least 19 nucleotides in length, optionally at least 20 nucleotides in length.


10. The RNAi oligonucleotide of any one of clauses 1-3 and 5-9, wherein the region of complementarity is at least 19 contiguous nucleotides in length, optionally at least 20 nucleotides in length.


11. A double stranded RNAi oligonucleotide for reducing KHK expression, the oligonucleotide comprising:
    • (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is selected from SEQ ID NOs: 948-953, and
    • (ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand, wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.


      12. The RNAi oligonucleotide of any one of clauses 1-11, wherein the sense strand comprises at its 3′ end a stem-loop set forth as: S1-L-S2, wherein S1 is complementary to


S2, and wherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length.


13. The RNAi oligonucleotide of clause 12, wherein L is a triloop or a tetraloop.


14. The RNAi oligonucleotide of clause 13, wherein L is a tetraloop.


15. The RNAi oligonucleotide of clause 14, wherein the tetraloop comprises the sequence 5′-GAAA-3′.


16. The RNAi oligonucleotide of any one of clauses 12-15, wherein the S1 and S2 are 1-10 nucleotides in length and have the same length.


17. The RNAi oligonucleotide of clause 16, wherein S1 and S2 are 1 nucleotide, 2 nucleotides, 3 nucleotides, 4 nucleotides, 5 nucleotides, 6 nucleotides, 7 nucleotides, 8 nucleotides, 9 nucleotides, or 10 nucleotides in length.


18. The RNAi oligonucleotide of clause 17, wherein S1 and S2 are 6 nucleotides in length.


19. The RNAi oligonucleotide of any one of clauses 12-18, wherein the stem-loop comprises the sequence 5′-GCAGCCGAAAGGCUGC-3′ (SEQ ID NO: 871).


20. The RNAi oligonucleotide of any one of clauses 1-19, comprising a nicked tetraloop structure.


21. The RNAi oligonucleotide of any one of clauses 1-19, comprising a nick between the 3′ terminus of the sense strand and the 5′ terminus of the antisense strand.


22. The RNAi oligonucleotide of any one of clauses 1-21, wherein the antisense and sense strands are not covalently linked.


23. The RNAi oligonucleotide of any one of clauses 1-10 and 12-22, wherein the antisense strand comprises an overhang of one or more nucleotides in length at the 3′ terminus.


24. The RNAi oligonucleotide of any one of clauses 11-23, wherein the overhang comprises purine nucleotides.


25. The RNAi oligonucleotide of any one of clauses 11-24, wherein the overhang is 2 nucleotides in length.


26. The RNAi oligonucleotide of clause 25, wherein the 3′ overhang is selected from AA, GG, AG, and GA.


27. The RNAi oligonucleotide of clause 26, wherein the overhang is GG or AA.


28. The RNAi oligonucleotide of clause 26, wherein the overhang is GG.


29. The RNAi oligonucleotide of any one of the preceding clauses, wherein the oligonucleotide comprises at least one modified nucleotide.


30. The RNAi oligonucleotide of clause 29, wherein the modified nucleotide comprises a 2′-modification.


31. The RNAi oligonucleotide of clause 30, wherein the 2′-modification is a modification selected from 2′-aminoethyl, 2′-fluoro, 2′-O-methyl, 2′-O-methoxyethyl, and 2′-deoxy-2′-fluoro-β-d-arabinonucleic acid.


32. The RNAi oligonucleotide of any one of clauses 29-31, wherein about 10-15%, 10%, 11%, 12%, 13%, 14% or 15% of the nucleotides of the sense strand comprise a 2′-fluoro modification.


33. The RNAi oligonucleotide of any one of clauses 29-32, wherein about 25-35%, 25%, 26%, 27%, 28%, 29%, 30%, 31%, 32%, 33%, 34% or 35% of the nucleotides of the antisense strand comprise a 2′-fluoro modification.


34. The RNAi oligonucleotide of any one of clauses 29-33, wherein about 25-35%, 25%, 26%, 27%, 28%, 29%, 30%, 31%, 32%, 33%, 34% or 35% of the nucleotides of the oligonucleotide comprise a 2′-fluoro modification.


35. The RNAi oligonucleotide of any one of clauses 29-34, wherein all the nucleotides of the oligonucleotide are modified.


36. The RNAi oligonucleotide of any one of clauses 29-34, wherein the sense strand comprises 36 nucleotides with positions 1-36 numbered from 5′ to 3′, wherein positions 8, 9, 10 and 11 of the sense strand are modified.


37. The RNAi oligonucleotide of any one of clauses 29-34, wherein the sense strand comprises 36 nucleotides with positions 1-36 numbered from 5′ to 3′, wherein positions 3, 8, 9, 10, 12, 13 and 17 of the sense strand are modified.


38. The RNAi oligonucleotide of any one of clauses 29-34, wherein the antisense strand comprises 22 nucleotides with positions 1-22 numbered from 5′ to 3′, and wherein positions 2, 3, 4, 5, 7, 10 and 14 of the antisense strand are modified.


39. The RNAi oligonucleotide of any one of clauses 29-34, wherein the antisense strand comprises 22 nucleotides with positions 1-22 numbered from 5′ to 3′, and wherein positions 2-5, 7, 8, 10, 14, 16 and 19 of the antisense strand are modified.


40. The RNAi oligonucleotide of any one of clauses 36-39, where the modification is 2′-fluoro.


41. The RNAi oligonucleotide of any one of clauses 32-34 and 36-40, wherein the remaining nucleotides comprise a 2′-O-methyl modification.


42. The RNAi oligonucleotide of any one of the preceding clauses, wherein the oligonucleotide comprises at least one modified internucleotide linkage.


43. The RNAi oligonucleotide of clause 42, wherein the at least one modified internucleotide linkage is a phosphorothioate linkage.


44. The RNAi oligonucleotide of clause 43, wherein the antisense strand comprises a phosphorothioate linkage (i) between positions 1 and 2, and between positions 2 and 3; or (ii) between positions 1 and 2, between positions 2 and 3, and between positions 3 and 4, wherein positions are numbered 1-4 from 5′ to 3′.


45. The RNAi oligonucleotide of clause 43 or 44, wherein the antisense strand is 22 nucleotides in length, and wherein the antisense strand comprises a phosphorothioate linkage between positions 20 and 21 and between positions 21 and 22, wherein positions are numbered 1-22 from 5′ to 3′.


46. The RNAi oligonucleotide of any one of clauses 1-45, wherein the antisense strand comprises a phosphorylated nucleotide at the 5′ terminus, wherein the phosphorylated nucleotide is selected from uridine and adenosine.


47. The RNAi oligonucleotide of clause 46, wherein the phosphorylated nucleotide is uridine.


48. The RNAi oligonucleotide of any one of the preceding clauses, wherein the 4′-carbon of the sugar of the 5′-terminal nucleotide of the antisense strand comprises a phosphate analog.


49. The RNAi oligonucleotide of clause 48, wherein the phosphate analog is oxymethylphosphonate, vinylphosphonate or malonyl phosphonate, optionally wherein the phosphate analog is a 4′-phosphate analog comprising 5′-methoxyphosphonate-4′-oxy.


50. The RNAi oligonucleotide of any one of the preceding clauses, wherein at least one nucleotide of the oligonucleotide is conjugated to one or more targeting ligands.


51. The RNAi oligonucleotide of clause 50, wherein each targeting ligand comprises a carbohydrate, amino sugar, cholesterol, polypeptide, or lipid.


52. The RNAi oligonucleotide of any one of clauses 11-51, wherein the stem loop comprises one or more targeting ligands conjugated to one or more nucleotides of the stem loop.


53. The RNAi oligonucleotide of clause 52, wherein the one or more targeting ligands is conjugated to one or more nucleotides of the loop.


54. The RNAi oligonucleotide of clause 53, wherein the loop comprises 4 nucleotides numbered 1-4 from 5′ to 3′, wherein nucleotides at positions 2, 3, and 4 each comprise one or more targeting ligands, wherein the targeting ligands are the same or different.


55. The RNAi oligonucleotide of any one of clauses 50-54, wherein each targeting ligand comprises a N-acetylgalactosamine (GalNAc) moiety.


56. The RNAi oligonucleotide of clause 55, wherein the GalNAc moiety is a monovalent GalNAc moiety, a bivalent GalNAc moiety, a trivalent GalNAc moiety or a tetravalent GalNAc moiety.


57. The RNAi oligonucleotide of any one of clauses 11-56, wherein up to 4 nucleotides of L of the stem-loop are each conjugated to a monovalent GalNAc moiety.


58. The RNAi oligonucleotide of any one of clauses 1-57, wherein the region of complementarity comprised by the antisense strand is fully complementary to the KHK mRNA target sequence at nucleotide positions 2-8 of the antisense strand, wherein nucleotide positions are numbered 5′ to 3′.


59. The RNAi oligonucleotide of any one of clauses 1-57, wherein the region of complementarity comprised by the antisense strand is fully complementary to the KHK mRNA target sequence at nucleotide positions 2-11 of the antisense strand, wherein nucleotide positions are numbered 5′ to 3′.


60. The RNAi oligonucleotide of any one of clauses 1-59, wherein the sense strand comprises a nucleotide sequence of any one of SEQ ID NOs: 872-878 and 886-911.


61. The RNAi oligonucleotide of any one of clauses 1-60, wherein the antisense strand comprises a nucleotide sequence of any one of SEQ ID NOs: 879-884 and 912-938.


62. The RNAi oligonucleotide of any one of clauses 1-61, wherein the sense and antisense strands comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 886 and 912, respectively;
    • (b) SEQ ID NOs: 887 and 913, respectively;
    • (c) SEQ ID NOs: 910 and 937, respectively;
    • (d) SEQ ID NOs: 888 and 914, respectively;
    • (e) SEQ ID NOs: 889 and 915, respectively;
    • (f) SEQ ID NOs: 890 and 916, respectively;
    • (g) SEQ ID NOs: 891 and 917, respectively;
    • (h) SEQ ID NOs: 877 and 884, respectively;
    • (i) SEQ ID NOs: 878 and 930, respectively;
    • (j) SEQ ID NOs: 876 and 883, respectively;
    • (k) SEQ ID NOs: 875 and 882, respectively;
    • (l) SEQ ID NOs: 892 and 918, respectively;
    • (m) SEQ ID NOs: 893 and 919, respectively;
    • (n) SEQ ID NOs: 894 and 920, respectively;
    • (o) SEQ ID NOs: 904 and 931, respectively;
    • (p) SEQ ID NOs: 895 and 921, respectively;
    • (q) SEQ ID NOs: 905 and 932, respectively;
    • (r) SEQ ID NOs: 896 and 922, respectively;
    • (s) SEQ ID NOs: 911 and 938, respectively;
    • (t) SEQ ID NOs: 906 and 933, respectively;
    • (u) SEQ ID NOs: 897 and 923, respectively;
    • (v) SEQ ID NOs: 907 and 934, respectively;
    • (w) SEQ ID NOs: 908 and 935, respectively;
    • (x) SEQ ID NOs: 903 and 929, respectively;
    • (y) SEQ ID NOs: 901 and 927, respectively;
    • (z) SEQ ID NOs: 874 and 881, respectively;
    • (aa) SEQ ID NOs: 902 and 928, respectively;
    • (bb) SEQ ID NOs: 873 and 880, respectively;
    • (cc) SEQ ID NOs: 872 and 879, respectively;
    • (dd) SEQ ID NOs: 898 and 924, respectively;
    • (ee) SEQ ID NOs: 899 and 925, respectively;
    • (ff) SEQ ID NOs: 900 and 926, respectively; and
    • (gg) SEQ ID NOs: 909 and 936, respectively.


      63. The RNAi oligonucleotide of any one of clauses 1-62, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 909 and 936, respectively.


      64. The RNAi oligonucleotide of any one of clauses 1-62, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 894 and 920, respectively.


      65. The RNAi oligonucleotide of any one of clauses 1-62, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 897 and 923, respectively.


      66. The RNAi oligonucleotide of any one of clauses 1-62, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 892 and 918, respectively.


      67. The RNAi oligonucleotide of any one of clauses 1-62, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 891 and 917, respectively.


      68. The RNAi oligonucleotide of any one of clauses 1-62, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 887 and 913, respectively.


      69. The RNAi oligonucleotide of any one of clauses 1-59, wherein the antisense strand is 22 nucleotides in length.


      70. The RNAi oligonucleotide of clause 69, wherein the antisense strand comprises a nucleotide sequence selected from SEQ ID NOs: 913, 917, 918, 920, 923 and 936.


      71. The RNAi oligonucleotide of any one of clauses 1-59 and 69-70, wherein the sense strand comprises a nucleotide sequence selected from SEQ ID NOs: 942-947.


      72. The RNAi oligonucleotide of any one of clauses 1-59 and 69-71, wherein the sense strand is 36 nucleotides in length.


      73. The RNAi oligonucleotide of clause 72, wherein the sense strand comprises a nucleotide sequence selected from SEQ ID NOs: 887, 891, 892, 894, 897 and 909.


      74. The RNAi oligonucleotide of any one of clauses 60-73, wherein the sense strand and the antisense strand are modified, wherein the antisense strand and the sense strand comprise one or more 2′-fluoro and 2′-O-methyl modified nucleotides and at least one phosphorothioate linkage, wherein the 4′-carbon of the sugar of the 5′-nucleotide of the antisense strand comprises a phosphate analog.


      75. The RNAi oligonucleotide of any one of clauses 1-59, wherein the sense strand comprises a nucleotide sequence of any one of SEQ ID NOs: 774-804.


      76. The RNAi oligonucleotide of any one of clauses 1-59 and 75, wherein the antisense strand comprises a nucleotide sequence of any one of SEQ ID NOs: 819-849.


      77. The RNAi oligonucleotide of any one of clauses 1-59 and 75-76, wherein the sense and antisense strands comprise nucleotide sequences selected from the group consisting of:


      (a) SEQ ID NOs: 774 and 819, respectively;


      (b) SEQ ID NOs: 775 and 820, respectively;


      (c) SEQ ID NOs: 776 and 821, respectively;


      (d) SEQ ID NOs: 777 and 822, respectively;


      (e) SEQ ID NOs: 778 and 823, respectively;


      (f) SEQ ID NOs: 779 and 824, respectively;


      (g) SEQ ID NOs: 780 and 825, respectively;


      (h) SEQ ID NOs: 781 and 826, respectively;


      (i) SEQ ID NOs: 782 and 827, respectively;


      (j) SEQ ID NOs: 783 and 828, respectively;


      (k) SEQ ID NOs: 784 and 829, respectively;


      (l) SEQ ID NOs: 785 and 830, respectively;


      (m) SEQ ID NOs: 786 and 831, respectively;


      (n) SEQ ID NOs: 787 and 832, respectively;


      (o) SEQ ID NOs: 788 and 833, respectively;


      (p) SEQ ID NOs: 789 and 834, respectively;


      (q) SEQ ID NOs: 790 and 835, respectively;


      (r) SEQ ID NOs: 791 and 836, respectively;


      (s) SEQ ID NOs: 792 and 837, respectively;


      (t) SEQ ID NOs: 793 and 838, respectively;


      (u) SEQ ID NOs: 794 and 839, respectively;


      (v) SEQ ID NOs: 795 and 840, respectively;


      (w) SEQ ID NOs: 796 and 841, respectively;


      (x) SEQ ID NOs: 797 and 842, respectively;


      (y) SEQ ID NOs: 798 and 843, respectively;


      (z) SEQ ID NOs: 799 and 844, respectively;


      (aa) SEQ ID NOs: 800 and 845, respectively;


      (bb) SEQ ID NOs: 801 and 846, respectively;


      (cc) SEQ ID NOs: 802 and 847, respectively;


      (dd) SEQ ID NOs: 803 and 848, respectively; and


      (ee) SEQ ID NOs: 804 and 849, respectively.


      78. The RNAi oligonucleotide of any one of clauses 1-59 and 75-76, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 804 and 849, respectively.


      79. The RNAi oligonucleotide of any one of clauses 1-59 and 75-76, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 782 and 827, respectively.


      80. The RNAi oligonucleotide of any one of clauses 1-59 and 75-76, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 775 and 820, respectively.


      81. The RNAi oligonucleotide of any one of clauses 1-59 and 75-76, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 779 and 824, respectively.


      82. The RNAi oligonucleotide of any one of clauses 1-59 and 75-76, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 780 and 825, respectively.


      83. The RNAi oligonucleotide of any one of clauses 1-59 and 75-76, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 785 and 830, respectively.


      84. The RNAi oligonucleotide of any one of clauses 1-59, wherein the sense strand comprises a nucleotide sequence of any one of SEQ ID NOs: 805-818.


      85. The RNAi oligonucleotide of any one of clauses 1-59 and 84, wherein the antisense strand comprises a nucleotide sequence of any one of SEQ ID NOs: 850-863


      86. The RNAi oligonucleotide of any one of clauses 1-59 and 84-85, wherein the sense and antisense strands comprise nucleotide sequences selected from the group consisting of:


      (a) SEQ ID NOs: 805 and 850, respectively;


      (b) SEQ ID NOs: 806 and 851, respectively;


      (c) SEQ ID NOs: 807 and 852, respectively;


      (d) SEQ ID NOs: 808 and 853, respectively;


      (e) SEQ ID NOs: 809 and 854, respectively;


      (f) SEQ ID NOs: 810 and 855, respectively;


      (g) SEQ ID NOs: 811 and 856, respectively;


      (h) SEQ ID NOs: 812 and 857, respectively;


      (i) SEQ ID NOs: 813 and 858, respectively;


      (j) SEQ ID NOs: 814 and 859, respectively;


      (k) SEQ ID NOs: 815 and 860, respectively;


      (l) SEQ ID NOs: 816 and 861, respectively;


      (m) SEQ ID NOs: 817 and 862, respectively and;


      (n) SEQ ID NOs: 818 and 863, respectively.


      87. The RNAi oligonucleotide of any one of clauses 1-59 and 84-86, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 805 and 850, respectively.


      88. The RNAi oligonucleotide of any one of clauses 1-59 and 84-86, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 809 and 854, respectively.


      89. The RNAi oligonucleotide of any one of clauses 1-59 and 84-86, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 810 and 855, respectively.


      90. The RNAi oligonucleotide of any one of clauses 1-59 and 84-86, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 812 and 857, respectively.


      91. The RNAi oligonucleotide of any one of clauses 1-59 and 84-86, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 815 and 860, respectively.


      92. The RNAi oligonucleotide of any one of clauses 1-59 and 84-86, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 818 and 863, respectively.


      93. A double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand and an antisense strand, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein the sense strand comprises the sequence and all of the modifications of 5′-mG-S-mC-mA-mG-mG-mA-mA-fG-fC-fA-fC-mU-mG-mA-mG-mA-mU-mU-mC-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 804), and wherein the antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fG-S-fA-S-fA-fU-mC-fU-mC-mA-fG-mU-mG-mC-fU-mU-mC-mC-mU-mG-mC-S-mG-S-mG-3′ (SEQ ID NO: 849), wherein mC, mA, mG, mU=2′-OMe ribonucleosides; fA, fC, fG, fU=2′F ribonucleosides; “-”=phosphodiester linkage, “—S—”=phosphorothioate linkage, and wherein ademA-GalNAc=




embedded image


or a pharmaceutically acceptable salt thereof.


94. A double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand and an antisense strand, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein the sense strand comprises the sequence and all of the modifications of 5′-mU-S-mU-mU-mG-mA-mG-mA-fA-fG-fG-fU-mU-mG-mA-mU-mC-mU-mG-mA-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 782), and wherein the antisense strand comprises the sequence and all of the modifications of 5′ [MePhosphonate-4O-mU]-S-fU-S-fC-S-fA-fG-mA-fU-mC-mA-fA-mC-mC-mU-fU-mC-mU-mC-mA-mA-mA-S-mG-S-mG-3′ (SEQ ID NO: 827), wherein mC, mA, mG, mU=2′-OMe ribonucleosides; fA, fC, fG, fU=2′F ribonucleosides; “-”=phosphodiester linkage, “—S—”=phosphorothioate linkage, and wherein ademA-GalNAc=




embedded image


or a pharmaceutically acceptable salt thereof.


95. A double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand and an antisense strand, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein the sense strand comprises the sequence and all of the modifications of 5′-mG-S-mA-mA-mG-mA-mG-mA-fA-fG-fC-fA-mG-mA-mU-mC-mC-mU-mG-mU-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 775), and wherein the antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fA-S-fC-fA-fG-mG-fA-mU-mC-fU-mG-mC-mU-fU-mC-mU-mC-mU-mU-mC-S-mG-S-mG-3′ (SEQ ID NO: 820), wherein mC, mA, mG, mU=2′-OMe ribonucleosides; fA, fC, fG, fU=2′F ribonucleosides; “-”=phosphodiester linkage, “—S—”=phosphorothioate linkage, and wherein ademA-GalNAc=




embedded image


or a pharmaceutically acceptable salt thereof.


96. A double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand and an antisense strand, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein the sense strand comprises the sequence and all of the modifications of 5′-mC-S-mA-mG-mA-mU-mG-mU-mG-fU-fC-fU-mG-mC-mU-mA-mC-mA-mG-mA-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 779), and wherein the antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fU-S-fC-S-fU-fG-mU-fA-mG-mC-fA-mG-mA-mC-fA-mC-mA-mU-mC-mU-mG-S-mG-S-mG-3′ (SEQ ID NO: 824), wherein mC, mA, mG, mU=2′-OMe ribonucleosides; fA, fC, fG, fU=2′F ribonucleosides; “-”=phosphodiester linkage, “—S—”=phosphorothioate linkage, and wherein ademA-GalNAc=




embedded image


or a pharmaceutically acceptable salt thereof.


97. A double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand and an antisense strand, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein the sense strand comprises the sequence and all of the modifications of 5′-mG-S-mA-mC-mU-mU-mU-mG-fA-fG-fA-fA-mG-mG-mU-mU-mG-mA-mU-mC-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 780), and wherein the antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fG-S-fA-S-fU-fC-mA-fA-mC-mC-fU-mU-mC-mU-fC-mA-mA-mA-mG-mU-mC-S-mG-S-mG-3′ (SEQ ID NO: 825), wherein mC, mA, mG, mU=2′-OMe ribonucleosides; fA, fC, fG, fU=2′F ribonucleosides; “-”=phosphodiester linkage, “—S—”=phosphorothioate linkage, and wherein ademA-GalNAc=




embedded image


or a pharmaceutically acceptable salt thereof.


98. A double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand and an antisense strand, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein the sense strand comprises the sequence and all of the modifications of 5′-mU-S-mG-mU-mU-mU-mG-mU-fC-fA-fG-fC-mA-mA-mA-mG-mA-mU-mG-mU-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 785), and wherein the antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fA-S-fC-fA-fU-mC-fU-mU-mU-fG-mC-mU-mG-fA-mC-mA-mA-mA-mC-mA-S-mG-S-mG-3′ (SEQ ID NO: 830), wherein mC, mA, mG, mU=2′-OMe ribonucleosides; fA, fC, fG, fU=2′F ribonucleosides; “-”=phosphodiester linkage, “—S—”=phosphorothioate linkage, and wherein ademA-GalNAc=




embedded image


or a pharmaceutically acceptable salt thereof.


99. A dsRNAi oligonucleotide for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand comprising SEQ ID NO: 775 and an antisense strand comprising SEQ ID NO: 820, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNAi is in the form of a conjugate having the structure as depicted in FIG. 10A continuing to FIG. 10B, or a pharmaceutically acceptable salt thereof.


100. A dsRNAi oligonucleotide for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand comprising SEQ ID NO: 779 and an antisense strand comprising SEQ ID NO: 824, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNAi is in the form of a conjugate having the structure as depicted FIG. 11A continuing to FIG. 11B, or a pharmaceutically acceptable salt thereof.


101. A dsRNAi oligonucleotide for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand comprising SEQ ID NO: 780 and an antisense strand comprising SEQ ID NO: 825, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNAi is in the form of a conjugate having the structure as depicted in FIG. 12A continuing to FIG. 12B, or a pharmaceutically acceptable salt thereof.


102. A dsRNAi oligonucleotide for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand comprising SEQ ID NO: 782 and an antisense strand comprising SEQ ID NO: 827, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNAi is in the form of a conjugate having the structure FIG. 13A continuing to FIG. 13B, or a pharmaceutically acceptable salt thereof.


103. A dsRNAi oligonucleotide for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand comprising SEQ ID NO: 785 and an antisense strand comprising SEQ ID NO: 830, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNAi is in the form of a conjugate having the structure FIG. 14A continuing to FIG. 14B, or a pharmaceutically acceptable salt thereof.


104. A dsRNAi oligonucleotide for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand comprising SEQ ID NO: 804 and an antisense strand comprising SEQ ID NO: 849, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNAi is in the form of a conjugate having the structure of FIG. 15A continuing to FIG. 15B, or a pharmaceutically acceptable salt thereof.


105. The RNAi oligonucleotide of any one of clauses 1-104, wherein expression of KHK is reduced or inhibited in vivo.


106. The RNAi oligonucleotide of any one of clauses 1-105, wherein the oligonucleotide is a Dicer substrate.


107. The RNAi oligonucleotide of any one of clauses 1-105, wherein the oligonucleotide is a Dicer substrate that, upon endogenous Dicer processing, yields double-stranded nucleic acids of 19-23 nucleotides in length capable of reducing KHK expression in a mammalian cell.


108. A cell containing the RNAi oligonucleotide of any one of the preceding clauses.


109. A method for treating a subject having a disease, disorder or condition associated with KHK expression, the method comprising administering to the subject a therapeutically effective amount of the RNAi oligonucleotide of any one of clauses 1-107, or pharmaceutically acceptable salt thereof, or pharmaceutical composition thereof, thereby treating the subject.


110. A pharmaceutical composition comprising the RNAi oligonucleotide of any one of clauses 1-107, or a pharmaceutically acceptable salt thereof, and at least one pharmaceutically acceptable carrier, delivery agent or excipient.


111. A method of delivering an oligonucleotide to a subject, the method comprising administering the pharmaceutical composition of clause 110 to the subject.


112. An in vitro or in vivo method for modulating, e.g. inhibiting or reducing, KHK expression in a target cell expressing KHK, the method comprising administering the pharmaceutical composition of clause 110 in an effective amount to the target cell.


113. A method for reducing KHK expression in a cell, a population of cells or a subject, the method comprising the step of:


i. contacting the cell or the population of cells with the RNAi oligonucleotide, or a pharmaceutically acceptable salt thereof, of any one of clauses 1-107, or the pharmaceutical composition of clause 110; or


ii. administering to the subject the RNAi oligonucleotide, or a pharmaceutically acceptable salt thereof of any one of clauses 1-107, or the pharmaceutical composition of clause 110.


114. The method of clause 113, wherein reducing KHK expression comprises reducing an amount or level of KHK mRNA, an amount or level of KHK protein, or both.


115. The method of any one of clauses 111 and 113-114, wherein the subject has a disease, disorder or condition associated with KHK expression.


116. The method of clause 115, wherein the disease, disorder or condition associated with KHK expression is non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


117. The method of any one of clauses 109 and 111-116, wherein the RNAi oligonucleotide, or pharmaceutical composition, is administered in combination with a second composition or therapeutic agent.


118. A method for treating a subject having a disease, disorder or condition associated with KHK expression, the method comprising administering to the subject a therapeutically effective amount of an RNAi oligonucleotide comprising a sense strand and an antisense strand, or a pharmaceutically acceptable salt thereof, wherein the sense strand and antisense strand comprise nucleotide sequences selected from the group consisting of:

    • (a) SEQ ID NOs: 886 and 912, respectively;
    • (b) SEQ ID NOs: 887 and 913, respectively;
    • (c) SEQ ID NOs: 910 and 937, respectively;
    • (d) SEQ ID NOs: 888 and 914, respectively;
    • (e) SEQ ID NOs: 889 and 915, respectively;
    • (f) SEQ ID NOs: 890 and 916, respectively;
    • (g) SEQ ID NOs: 891 and 917, respectively;
    • (h) SEQ ID NOs: 877 and 884, respectively;
    • (i) SEQ ID NOs: 878 and 930, respectively;
    • (j) SEQ ID NOs: 876 and 883, respectively;
    • (k) SEQ ID NOs: 875 and 882, respectively;
    • (l) SEQ ID NOs: 892 and 918, respectively;
    • (m) SEQ ID NOs: 893 and 919, respectively;
    • (n) SEQ ID NOs: 894 and 920, respectively;
    • (o) SEQ ID NOs: 904 and 931, respectively;
    • (p) SEQ ID NOs: 895 and 921, respectively;
    • (q) SEQ ID NOs: 905 and 932, respectively;
    • (r) SEQ ID NOs: 896 and 922, respectively;
    • (s) SEQ ID NOs: 911 and 938, respectively;
    • (t) SEQ ID NOs: 906 and 933, respectively;
    • (u) SEQ ID NOs: 897 and 923, respectively;
    • (v) SEQ ID NOs: 907 and 934, respectively;
    • (w) SEQ ID NOs: 908 and 935, respectively;
    • (x) SEQ ID NOs: 903 and 929, respectively;
    • (y) SEQ ID NOs: 901 and 927, respectively;
    • (z) SEQ ID NOs: 874 and 881, respectively;
    • (aa) SEQ ID NOs: 902 and 928, respectively;
    • (bb) SEQ ID NOs: 873 and 880, respectively;
    • (cc) SEQ ID NOs: 872 and 879, respectively;
    • (dd) SEQ ID NOs: 898 and 924, respectively;
    • (ee) SEQ ID NOs: 899 and 925, respectively (ff) SEQ ID NOs: 900 and 926, respectively; and
    • (gg) SEQ ID NOs: 909 and 936, respectively.


      119. The method of clause 118, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 909 and 936, respectively.


      120. The method of clause 118, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 894 and 920, respectively.


      121. The method of clause 118, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 897 and 923, respectively.


      122. The method of clause 118, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 892 and 918, respectively.


      123. The method of clause 118, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 891 and 917, respectively.


      124. The method of clause 118, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 887 and 913, respectively.


      125. A method for treating a subject having a disease, disorder or condition associated with KHK expression, the method comprising administering to the subject a therapeutically effective amount of an RNAi oligonucleotide comprising a sense strand and an antisense strand, or a pharmaceutically acceptable salt thereof, wherein the sense strand and antisense strands are selected from the group consisting of:


      (a) SEQ ID NOs: 774 and 819, respectively;


      (b) SEQ ID NOs: 775 and 820, respectively;


      (c) SEQ ID NOs: 776 and 821, respectively;


      (d) SEQ ID NOs: 777 and 822, respectively;


      (e) SEQ ID NOs: 778 and 823, respectively;


      (f) SEQ ID NOs: 779 and 824, respectively;


      (g) SEQ ID NOs: 780 and 825, respectively;


      (h) SEQ ID NOs: 781 and 826, respectively;


      (i) SEQ ID NOs: 782 and 827, respectively;


      (j) SEQ ID NOs: 783 and 828, respectively;


      (k) SEQ ID NOs: 784 and 829, respectively;


      (l) SEQ ID NOs: 785 and 830, respectively;


      (m) SEQ ID NOs: 786 and 831, respectively;


      (n) SEQ ID NOs: 787 and 832, respectively;


      (o) SEQ ID NOs: 788 and 833, respectively;


      (p) SEQ ID NOs: 789 and 834, respectively;


      (q) SEQ ID NOs: 790 and 835, respectively;


      (r) SEQ ID NOs: 791 and 836, respectively;


      (s) SEQ ID NOs: 792 and 837, respectively;


      (t) SEQ ID NOs: 793 and 838, respectively;


      (u) SEQ ID NOs: 794 and 839, respectively;


      (v) SEQ ID NOs: 795 and 840, respectively;


      (w) SEQ ID NOs: 796 and 841, respectively;


      (x) SEQ ID NOs: 797 and 842, respectively;


      (y) SEQ ID NOs: 798 and 843, respectively;


      (z) SEQ ID NOs: 799 and 844, respectively;


      (aa) SEQ ID NOs: 800 and 845, respectively;


      (bb) SEQ ID NOs: 801 and 846, respectively;


      (cc) SEQ ID NOs: 802 and 847, respectively;


      (dd) SEQ ID NOs: 803 and 848, respectively; and


      (ee) SEQ ID NOs: 804 and 849, respectively.


      126. The method of clause 125, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 804 and 849, respectively.


      127. The method of clause 125 wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 782 and 827, respectively.


      128. The method of clause 125, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 775 and 820, respectively.


      129. The method of clause 125, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 779 and 824, respectively.


      130. The method of clause 125, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 780 and 825, respectively.


      131. The method of clause 125, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 785 and 830, respectively.


      132. A method for treating a subject having a disease, disorder or condition associated with KHK expression, the method comprising administering to the subject a therapeutically effective amount of an RNAi oligonucleotide comprising a sense strand and an antisense strand, or a pharmaceutically acceptable salt thereof, wherein the sense strand and antisense strands are selected from the group consisting of:


      (a) SEQ ID NOs: 805 and 850, respectively;


      (b) SEQ ID NOs: 806 and 851, respectively;


      (c) SEQ ID NOs: 807 and 852, respectively;


      (d) SEQ ID NOs: 808 and 853, respectively;


      (e) SEQ ID NOs: 809 and 854, respectively;


      (f) SEQ ID NOs: 810 and 855, respectively;


      (g) SEQ ID NOs: 811 and 856, respectively;


      (h) SEQ ID NOs: 812 and 857, respectively;


      (i) SEQ ID NOs: 813 and 858, respectively;


      (j) SEQ ID NOs: 814 and 859, respectively;


      (k) SEQ ID NOs: 815 and 860, respectively;


      (l) SEQ ID NOs: 816 and 861, respectively;


      (m) SEQ ID NOs: 817 and 862, respectively and;


      (n) SEQ ID NOs: 818 and 863, respectively.


      133. The method of clause 132, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 805 and 850, respectively.


      134. The method of clause 132, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 809 and 854, respectively.


      135. The method of clause 132, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 810 and 855, respectively.


      136. The method of clause 132, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 812 and 857, respectively.


      137. The method of clause 132, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 815 and 860, respectively.


      138. The method of clause 132, wherein the sense and antisense strands comprise the nucleotide sequences set forth in SEQ ID NOs: 818 and 863, respectively.


      139. The method of any one of clauses 118-138, wherein the disease, disorder or condition associated with KHK expression is non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


      140. The method of any one of clauses 109, 111 and 113-132, wherein the dsRNA is administered at a concentration of 0.01 mg/kg-5 mg/kg bodyweight of the subject.


      141. Use of the RNAi oligonucleotide of any one of clauses 1-107, or the pharmaceutical composition of clause 110, in the manufacture of a medicament for the treatment of a disease, disorder or condition associated with KHK expression, optionally for the treatment of non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


      142. The RNAi oligonucleotide of any one of clauses 1-107, or the pharmaceutical composition of clause 110, for use, or adaptable for use, in the treatment of a disease, disorder or condition associated with KHK expression, optionally for the treatment of non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


      143. A kit comprising the RNAi oligonucleotide of any one of clauses 1-107, an optional pharmaceutically acceptable carrier, and a package insert comprising instructions for administration to a subject having a disease, disorder or condition associated with KHK expression.


      144. The use of clause 141, the RNAi oligonucleotide or pharmaceutical composition for use, or adaptable for use, of clause 142, or the kit of clause 143, wherein the disease, disorder or condition associated with KHK expression is non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


      145. An oligonucleotide for reducing KHK expression, the oligonucleotide comprising a nucleotide sequence of 15-50 nucleotides in length, wherein the nucleotide sequence comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387, and wherein the region of complementarity is at least 15 contiguous nucleotides.


      146. The oligonucleotide of clause 145, wherein the oligonucleotide is single stranded.


      147. The oligonucleotide of clause 145 or 146, wherein the oligonucleotide is an antisense oligonucleotide.


      148. The oligonucleotide of any one of clauses 145-147, wherein the nucleotide sequence is 15-30 nucleotides in length.


      149. The oligonucleotide of any one of clauses 145-148, wherein the nucleotide sequence is 20-25 nucleotides in length.


      150. The oligonucleotide of any one of clauses 145-149, wherein the nucleotide sequence is 22 nucleotides in length.


      151. The oligonucleotide of any one of clauses 145-150, wherein the region of complementarity is 19 contiguous nucleotides in length.


      152. The oligonucleotide of any one of clauses 145-150, wherein the region of complementarity is 20 contiguous nucleotides in length.


      153. The oligonucleotide of any one of clauses 145-152, wherein the nucleotide sequence comprises at least one modification.


      154. The oligonucleotide of any one of clauses 145-153, wherein the nucleotide sequence comprises a nucleotide sequence selected from the group consisting of SEQ ID NOs: 879-884 and 912-938.


      155. The oligonucleotide of any one of clauses 145-153, wherein the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 909.


      156. The oligonucleotide of any one of clauses 145-153, wherein the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 894.


      157. The oligonucleotide of any one of clauses 145-153, wherein the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 897.


      158. The oligonucleotide of any one of clauses 145-153, wherein the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 892.


      159. The oligonucleotide of any one of clauses 145-153, wherein the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 891.


      160. The oligonucleotide of any one of clauses 145-153, wherein the nucleotide sequence comprises the nucleotide sequence set forth in SEQ ID NO: 887.


      161. A cell comprising the oligonucleotide of any one of clauses 145-160. 162. A pharmaceutical composition comprising the oligonucleotide of any one of clauses 145-160, or a pharmaceutically acceptable salt thereof, and at least one pharmaceutically acceptable carrier, delivery agent or excipient.


      163. A method for treating a subject having a disease, disorder or condition associated with


KHK expression, the method comprising administering to the subject a therapeutically effective amount of the oligonucleotide of any one of clauses 145-160, or pharmaceutical composition of clause 162.


164. A method of delivering an oligonucleotide to a subject, the method comprising administering the pharmaceutical composition of clause 162 to the subject.


165. A method for reducing KHK expression in a cell, a population of cells or a subject, the method comprising the step of:


i. contacting the cell or the population of cells with the oligonucleotide of any one of clauses 145-160, or the pharmaceutical composition of clause 162; or


ii. administering to the subject the oligonucleotide of any one of clauses 145-160, or the pharmaceutical composition of clause 162.


166. The method of clause 165, wherein reducing KHK expression comprises reducing an amount or level of KHK mRNA, an amount or level of KHK protein, or both.


167. The method of any one of clauses 164-166, wherein the subject has a disease, disorder or condition associated with KHK expression.


168. The method of clause 167, wherein the disease, disorder or condition associated with KHK expression is non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


169. The method of any one of clauses 163-168, wherein the oligonucleotide, or pharmaceutical composition, is administered in combination with a second composition or therapeutic agent.


170. Use of the oligonucleotide of any one of clauses 145-160, or the pharmaceutical composition of clause 161, in the manufacture of a medicament for the treatment of a disease, disorder or condition associated with KHK expression, optionally for the treatment of non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


171. The oligonucleotide of any one of clauses 145-160, or the pharmaceutical composition of clause 161, for use, or adaptable for use, in the treatment of a disease, disorder or condition associated with KHK expression, optionally for the treatment of non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


172. A kit comprising the oligonucleotide of any one of clauses 145-160, an optional pharmaceutically acceptable carrier, and a package insert comprising instructions for administration to a subject having a disease, disorder or condition associated with KHK expression.


173. The use of clause 170, the RNAi oligonucleotide or pharmaceutical composition for use, or adaptable for use, of clause 171, or the kit of clause 172, wherein the disease, disorder or condition associated with KHK expression is non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).


174. A double stranded ribonucleic acid (dsRNA) agent for inhibiting expression of KHK, wherein the dsRNA agent comprises a sense strand and an antisense strand forming a duplex region, wherein the sense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from a nucleotide sequence selected from SEQ ID NOs: 4-387, and the antisense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from a nucleotide sequence selected from SEQ ID NOs: 388-771, or a pharmaceutically acceptable salt thereof.


175. A double stranded ribonucleic acid (dsRNA) agent for inhibiting expression of KHK, wherein the dsRNA agent comprises a sense strand and an antisense strand forming a duplex region, wherein the sense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from a nucleotide sequence selected from SEQ ID NOs: 872-878 and 886-911, and the antisense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from a nucleotide sequence selected from SEQ ID NOs: 879-884 and 912-938, or a pharmaceutically acceptable salt thereof.


176. A pharmaceutical composition comprising the dsRNA agent of clause 174 or 175, and a pharmaceutically acceptable diluent, solvent, carrier, salt, and/or adjuvant.


177. An in vitro or in vivo method for reducing or inhibiting KHK expression in a target cell expressing KHK, the method comprising administering the pharmaceutical composition of clause 176 in an effective amount to the target cell.


178. A method for treating or preventing a disease associated with KHK expression, comprising administering a therapeutically or prophylactically effective amount of the pharmaceutical composition of clause 176 to a subject suffering from or susceptible to the disease.


179. The method of any one of clauses 109 and 113-140, wherein a single dose of one or more RNAi oligonucleotides of any one of clauses 1-107, or pharmaceutically acceptable salts thereof, or the pharmaceutical composition of any one of clauses 110, 162, or 176 is administered such that an amount or level of KHK mRNA and/or KHK protein is reduced in the subject when compared to KHK expression prior to administration of the one or more RNAi oligonucleotides, or pharmaceutically acceptable salts thereof, or the pharmaceutical composition and/or when compared to KHK expression in a subject not receiving the one or more RNAi oligonucleotides, or pharmaceutically acceptable salts thereof, or pharmaceutical composition or receiving one or more control oligonucleotides, pharmaceutical compositions or treatments, and wherein said reduction remains detectable at day 28, 56, and/or 84 after the single dose administration.


180. The method of clause 179, wherein the amount or level of KHK mRNA and/or KHK protein is reduced by at least about 30%, by at least about 50%, or by at least about 70%. 181. The method of any one of clauses 179-180, wherein the dose is administered subcutaneously.

Claims
  • 1. A double stranded RNAi oligonucleotide for reducing ketohexokinase (KHK) expression, the oligonucleotide comprising an antisense strand and a sense strand, wherein the antisense strand and the sense strand form a duplex region, wherein the antisense strand comprises a region of complementarity to a KHK mRNA target sequence of any one of SEQ ID NOs: 4-387 and wherein the region of complementarity is at least 15 contiguous nucleotides in length, or a pharmaceutically acceptable salt thereof, wherein the sense strand comprises a sequence set forth in any one of SEQ ID NOs: 4-387 and/orthe antisense strand comprises a sequence set forth in any one of SEQ ID NOs: 388-771.
  • 2. A double stranded RNAi oligonucleotide for inhibiting expression of KHK, wherein said double stranded RNAi oligonucleotide comprises a sense strand and an antisense strand forming a duplex region, wherein said sense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from any one of the nucleotide sequences of SEQ ID NO:4-387 and said antisense strand comprises at least 15 contiguous nucleotides differing by no more than 3 nucleotides from any one of the nucleotide sequences of SEQ ID NO: 388-771, or a pharmaceutically acceptable salt thereof, wherein the sense strand is 18 to 36 nucleotides in length and/or the antisense strand is 15-30 nucleotides in length.
  • 3. A double stranded RNAi (dsRNAi) oligonucleotide for reducing or inhibiting ketohexokinase (KHK) expression, the oligonucleotide comprising: (i) an antisense strand of 19-30 nucleotides in length, wherein the antisense strand comprises a nucleotide sequence comprising a region of complementarity to a KHK mRNA target sequence, wherein the region of complementarity is selected from SEQ ID NOs: 948-953; and(ii) a sense strand of 19-50 nucleotides in length comprising a region of complementarity to the antisense strand,wherein the antisense and sense strands are separate strands which form an asymmetric duplex region having an overhang of 1-4 nucleotides at the 3′ terminus of the antisense strand.
  • 4. The RNAi oligonucleotide of claim 1, wherein the region of complementarity comprised by the antisense strand is at least 19 contiguous nucleotides in length.
  • 5. The RNAi oligonucleotide of claim 1, wherein the duplex region is at least 20 nucleotides in length.
  • 6. The RNAi oligonucleotide of claim 1, wherein the sense strand comprises at its 3′ end a stem-loop set forth as: S1-L-S2, wherein S1 is complementary to S2, andwherein L forms a loop between S1 and S2 of 3 to 5 nucleotides in length,preferably the stem-loop comprises the sequence 5′-GCAGCCGAAAGGCUGC-3′ (SEQ ID NO: 871).
  • 7. The RNAi oligonucleotide of claim 6, wherein at least one nucleotide of the oligonucleotide is conjugated to one or more targeting ligands,wherein each targeting ligand comprises an N-acetylgalactosamine (GalNAc) moiety,wherein the one or more targeting ligands is conjugated to one or more nucleotides of the loop according to claim 6.
  • 8. The RNAi oligonucleotide of claim 1, wherein the overhang is 2 nucleotides in length and is selected from AA, GG, AG, and GA.
  • 9. The RNAi oligonucleotide of any one of claim 1, wherein all the nucleotides of the oligonucleotide are modified, 10-15%, 10%, 11%, 12%, 13%, 14% or 15% of the nucleotides of the sense strand comprise a 2′-fluoro modificationand/or about 25-35%, 25%, 26%, 27%, 28%, 29%, 30%, 31%, 32%, 33%, 34% or 35% of the nucleotides of the antisense strand comprise a 2′-fluoro modification.
  • 10. The RNAi oligonucleotide of claim 1, wherein the oligonucleotide comprises at least one phosphorothioate linkage between positions 1 and 2, between positions 2 and 3, and between positions 3 and 4,wherein positions are numbered 1-4 from 5′ to 3′.
  • 11. The RNAi oligonucleotide of claim 1, wherein the 4′-carbon of the sugar of the 5′-terminal nucleotide of the antisense strand comprises a 4′-phosphate analog comprising 5′-methoxyphosphonate-4′-oxy.
  • 12. The RNAi oligonucleotide of claim 1, wherein the antisense strand is 22 nucleotides in length and/orwherein the sense strand is 36 nucleotides in length.
  • 13. The RNAi oligonucleotide of claim 1, wherein the sense and antisense strands comprise the nucleotide sequences set forth in(a) SEQ ID NOs: 887 and 913, respectively, or(b) SEQ ID NOs: 891 and 917, respectively, or(c) SEQ ID NOs: 892 and 918, respectively, or(d) SEQ ID NOs: 894 and 920, respectively, or(e) SEQ ID NOs: 897 and 923, respectively, or(f) SEQ ID NOs: 909 and 936, respectively.
  • 14. A double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNAi comprises a sense strand and an antisense strand, the antisense strand comprising a region of complementarity to a KHK RNA transcript, wherein (a) the sense strand comprises the sequence and all of the modifications of 5′-mG-S-mA-mA-mG-mA-mG-mA-fA-fG-fC-fA-mG-mA-mU-mC-mC-mU-mG-mU-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 775), andthe antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fA-S-fC-fA-fG-mG-fA-mU-mC-fU-mG-mC-mU-fU-mC-mU-mC-mU-mU-mC-S-mG-S-mG-3′ (SEQ ID NO: 820); or(b) the sense strand comprises the sequence and all of the modifications of 5′-mC-S-mA-mG-mA-mU-mG-mU-fG-fU-fC-fU-mG-mC-mU-mA-mC-mA-mG-mA-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 779), andthe antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fU-S-fC-S-fU-fG-mU-fA-mG-mC-fA-mG-mA-mC-fA-mC-mA-mU-mC-mU-mG-S-mG-S-mG-3′ (SEQ ID NO: 824); or(c) the sense strand comprises the sequence and all of the modifications of 5′-mG-S-mA-mC-mU-mU-mU-mG-fA-fG-fA-fA-mG-mG-mU-mU-mG-mA-mU-mC-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 780), andthe antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fG-S-fA-S-fU-fC-mA-fA-mC-mC-fU-mU-mC-mU-fC-mA-mA-mA-mG-mU-mC-S-mG-S-mG-3′ (SEQ ID NO: 825); or(d) the sense strand comprises the sequence and all of the modifications of 5′-mU-S-mU-mU-mG-mA-mG-mA-fA-fG-fG-fU-mU-mG-mA-mU-mC-mU-mG-mA-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 782), andthe antisense strand comprises the sequence and all of the modifications of 5′ [MePhosphonate-4O-mU]-S-fU-S-fC-S-fA-fG-mA-fU-mC-mA-fA-mC-mC-mU-fU-mC-mU-mC-mA-mA-mA-S-mG-S-mG-3′ (SEQ ID NO: 827); or(e) the sense strand comprises the sequence and all of the modifications of 5′-mU-S-mG-mU-mU-mU-mG-mU-fC-fA-fG-fC-mA-mA-mA-mG-mA-mU-mG-mU-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 785), andthe antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fA-S-fC-fA-fU-mC-fU-mU-mU-fG-mC-mU-mG-fA-mC-mA-mA-mA-mC-mA-S-mG-S-mG-3′ (SEQ ID NO: 830); or(f) the sense strand comprises the sequence and all of the modifications of 5′-mG-S-mC-mA-mG-mG-mA-mA-fG-fC-fA-fC-mU-mG-mA-mG-mA-mU-mU-mC-mA-mG-mC-mA-mG-mC-mC-mG-[ademA-GalNAc]-[ademA-GalNAc]-[ademA-GalNAc]-mG-mG-mC-mU-mG-mC-3′ (SEQ ID NO: 804), andthe antisense strand comprises the sequence and all of the modifications of 5′-[MePhosphonate-4O-mU]-S-fG-S-fA-S-fA-fU-mC-fU-mC-mA-fG-mU-mG-mC-fU-mU-mC-mC-mU-mG-mC-S-mG-S-mG-3′ (SEQ ID NO: 849);wherein mC, mA, mG, mU=2′-OMe ribonucleosides; fA, fC, fG, fU=2′F ribonucleosides; “-”=phosphodiester linkage, “—S—”=phosphorothioate linkage, and wherein ademA-GalNAc=
  • 15. A double stranded RNAi oligonucleotide (dsRNAi) for inhibiting expression of KHK, wherein said dsRNAi comprises (a) a sense strand comprising SEQ ID NO: 775 and an antisense strand comprising SEQ ID NO: 820, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNAi is in the form of a conjugate having the structure depicted in FIG. 10A continuing to FIG. 10B;or(b) a sense strand comprising SEQ ID NO: 779 and an antisense strand comprising SEQ ID NO: 824, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNAi is in the form of a conjugate having the structure depicted in FIG. 11A continuing to FIG. 11B;or(c) a sense strand comprising SEQ ID NO: 780 and an antisense strand comprising SEQ ID NO: 825, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNAi is in the form of a conjugate having the structure depicted in depicted in FIG. 12A continuing to FIG. 12B;or(d) a sense strand comprising SEQ ID NO: 782 and an antisense strand comprising SEQ ID NO: 827, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNAi is in the form of a conjugate having the structure depicted in FIG. 13A continuing to FIG. 13B;or(e) a sense strand comprising SEQ ID NO: 785 and an antisense strand comprising SEQ ID NO: 830, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNAi is in the form of a conjugate having the structure depicted in FIG. 14A continuing to FIG. 14B;or(f) a sense strand comprising SEQ ID NO: 804 and an antisense strand comprising SEQ ID NO: 849, the antisense strand comprising a region of complementarity to a KHK RNA transcript, e.g. KHK mRNA, wherein said dsRNAi is in the form of a conjugate having the structure depicted in FIG. 15A continuing to FIG. 15B;or a pharmaceutically acceptable salt thereof.
  • 16. A pharmaceutical composition comprising the dsRNAi oligonucleotide of claim 1, or a pharmaceutically acceptable salt thereof, and at least one pharmaceutically acceptable carrier, delivery agent or excipient.
  • 17. A method for treating a disease, disorder or condition associated with KHK expression, comprising administering to a patient in need thereof a pharmaceutically effective amount of the RNAi oligonucleotide of claim 1.
  • 18. The method of claim 14, wherein the disease, disorder or condition is selected from the group consisting of non-alcoholic fatty liver disease (NAFLD) and non-alcoholic steatohepatitis (NASH).
  • 19. The method according to claim 18, further comprising administering the RNAi in combination with a second therapeutic agent.
  • 20. A method for reducing KHK expression in a cell, a population of cells or a subject, the method comprising the step of: i. contacting the cell or the population of cells with the RNAi oligonucleotide, or a pharmaceutically acceptable salt thereof, of claim 1; orii. administering to the subject the RNAi oligonucleotide, or a pharmaceutically acceptable salt thereof of claim 1.
Priority Claims (1)
Number Date Country Kind
21196784.9 Sep 2021 EP regional
Provisional Applications (2)
Number Date Country
63182277 Apr 2021 US
63173775 Apr 2021 US