COMPOUNDS AND METHODS FOR REDUCING APP EXPRESSION

Information

  • Patent Application
  • 20220380773
  • Publication Number
    20220380773
  • Date Filed
    January 29, 2020
    5 years ago
  • Date Published
    December 01, 2022
    2 years ago
Abstract
Provided are compounds, methods, and pharmaceutical compositions for reducing the amount or activity of APP RNA in a cell or animal, and in certain instances reducing the amount of APP protein in a cell or animal Such compounds, methods, and pharmaceutical compositions are useful to ameliorate at least one symptom or hallmark of a neurodegenerative disease. Such symptoms and hallmarks include cognitive impairment, including a decline in memory and language skills, behavioral and psychological symptoms such as apathy and lack of motivation, gait disturbances and seizures, progressive dementia, and abnormal amyloid deposits.
Description
SEQUENCE LISTING

The present application is being filed along with a Sequence Listing in electronic format. The Sequence Listing is provided as a file entitled BIOL0351WOSEQ_ST25.txt, created on Jan. 22, 2020, which is 580 KB in size. The information in the electronic format of the sequence listing is incorporated herein by reference in its entirety.


FIELD

Provided are compounds, methods, and pharmaceutical compositions for reducing the amount or activity of APP RNA in a cell or animal, and in certain instances reducing the amount of APP protein in a cell or animal. Certain such compounds, methods, and pharmaceutical compositions are useful to ameliorate at least one symptom or hallmark of a neurodegenerative disease. Such symptoms and hallmarks include cognitive impairment, including a decline in memory and language skills, behavioral and psychological symptoms such as apathy and lack of motivation, gait disturbances and seizures, progressive dementia, and abnormal amyloid deposits. Such neurodegenerative diseases include Alzheimer's Disease, Alzheimer's Disease in Down Syndrome patients, and Cerebral Amyloid Angiopathy.


BACKGROUND

Alzheimer's Disease (AD) is the most common cause of age-associated dementia, affecting an estimated 5.7 million Americans a year (Alzheimer's Association. 2018 Alzheimer's Disease Facts and Figures. Alzheimer's Dement. 2018; 14(3):367-429). AD is characterized by the accumulation of β-amyloid plaques in the brain prior to the onset of overt clinical symptoms. Such overt clinical symptoms include cognitive impairment, including a decline in memory and language skills, behavioral and psychological symptoms such as apathy and lack of motivation, gait disturbances and seizures, and progressive dementia.


Patients with Down Syndrome (DS) can experience early-onset Alzheimer's disease (AD in DS), with amyloid plaque formation observed by age 40 in most DS patients, and Alzheimer's dementia observed by age 50 in more than 50% of Down syndrome patients.


Cerebral Amyloid Angiopathy (CAA) is a related disease that is characterized by the deposition of β-amyloid in blood vessels of the CNS. CAA is often observed in AD patients upon autopsy, but is also associated with aging in the absence of clinical signs of AD.


AD, AD in DS, and CAA are all characterized by the abnormal accumulation of β-amyloid plaques. β-amyloid (Aβ) is derived from amyloid precursor protein (APP) upon processing of APP by α-, β-, and γ-secretases. In addition to the 42-amino acid fragment Aβ, a variety of other fragments of APP are also formed, several of which are proposed to contribute to the onset of dementia in AD (reviewed in Nhan, et al., “The multifaceted nature of amyloid precursor protein and its proteolytic fragments: friends and foes”, Acta Neuropath., 2015, 129(1):1-19). The increased incidence of AD in DS patients is thought to be directly related to the increased copy number of the APP gene, which resides on chromosome 21.


Certain RNAi compounds have been described. RNAi compounds interact with the RNA silencing complex (RISC), ultimately resulting in cleavage of the target nucleic acid. See, e.g., Sharp et al., 2001, Genes Dev. 15: 485; Bernstein, et al., 2001, Nature, 409: 363; Nykanen, et al., 2001, Cell, 107: 309; Elbashir, et al., 2001, Genes Dev. 15: 188; Lima et al., (2012) Cell 150: 883-894.


Currently there is a lack of acceptable options for treating neurodegenerative diseases such as AD, AD in DS, and CAA. It is therefore an object herein to provide compounds, methods, and pharmaceutical compositions for the treatment of such diseases.


SUMMARY OF THE INVENTION

Provided herein are compounds, methods and pharmaceutical compositions for reducing the amount or activity of APP RNA, and in certain embodiments reducing the amount of APP protein in a cell or animal. In certain embodiments, the animal has a neurodegenerative disease. In certain embodiments, the animal has Alzheimer's Disease (AD). In certain embodiments, the animal has Alzheimer's Disease in conjunction with Down Syndrome (AD in DS). In certain embodiments, the animal has Cerebral Amyloid Angiopathy (CAA). In certain embodiments, compounds useful for reducing expression of APP RNA are oligomeric compounds. In certain embodiments, compounds useful for reducing expression of APP RNA are modified oligonucleotides.


Also provided are methods useful for ameliorating at least one symptom or hallmark of a neurodegenerative disease. In certain embodiments, the neurodegenerative disease is Alzheimer's Disease. In certain embodiments, the neurodegenerative disease is Alzheimer's Disease in Down Syndrome patients. In certain embodiments, the neurodegenerative disease is Cerebral Amyloid Angiopathy (CAA). In certain embodiments, the symptom or hallmark includes cognitive impairment, including a decline in memory and language skills, behavioral and psychological symptoms such as apathy and lack of motivation, gait disturbances and seizures, progressive dementia, or abnormal amyloid deposits.







DETAILED DESCRIPTION OF THE INVENTION

It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive. Herein, the use of the singular includes the plural unless specifically stated otherwise. As used herein, the use of “or” means “and/or” unless stated otherwise. Furthermore, the use of the term “including” as well as other forms, such as “includes” and “included”, is not limiting. Also, terms such as “element” or “component” encompass both elements and components comprising one unit and elements and components that comprise more than one subunit, unless specifically stated otherwise.


The section headings used herein are for organizational purposes only and are not to be construed as limiting the subject matter described. All documents, or portions of documents, cited in this application, including, but not limited to, patents, patent applications, articles, books, and treatises, are hereby expressly incorporated-by-reference for the portions of the document discussed herein, as well as in their entirety.


Definitions

Unless specific definitions are provided, the nomenclature used in connection with, and the procedures and techniques of, analytical chemistry, synthetic organic chemistry, and medicinal and pharmaceutical chemistry described herein are those well-known and commonly used in the art. Where permitted, all patents, applications, published applications and other publications and other data referred to throughout in the disclosure are incorporated by reference herein in their entirety.


Unless otherwise indicated, the following terms have the following meanings:


Definitions

As used herein, “2′-deoxynucleoside” means a nucleoside comprising a 2′-H(H) deoxyribosyl sugar moiety. In certain embodiments, a 2′-deoxynucleoside is a 2′-β-D-deoxynucleoside and comprises a 2′-β-D-deoxyribosyl sugar moiety, which has the β-D configuration as found in naturally occurring deoxyribonucleic acids (DNA). In certain embodiments, a 2′-deoxynucleoside or a nucleoside comprising an unmodified 2′-deoxyribosyl sugar moiety may comprise a modified nucleobase or may comprise an RNA nucleobase (uracil).


As used herein, “2′-substituted nucleoside” means a nucleoside comprising a 2′-substituted sugar moiety. As used herein, “2′-substituted” in reference to a sugar moiety means a sugar moiety comprising at least one 2′-substituent group other than H or OH.


As used herein, “3′ target site” refers to the 3′-most nucleotide of a target nucleic acid which is complementary to an antisense oligonucleotide, when the antisense oligonucleotide is hybridized to the target nucleic acid.


As used herein, “5′ target site” refers to the 5′-most nucleotide of a target nucleic acid which is complementary to an antisense oligonucleotide, when the antisense oligonucleotide is hybridized to the target nucleic acid.


As used herein, “5-methyl cytosine” means a cytosine modified with a methyl group attached to the 5 position. A 5-methyl cytosine is a modified nucleobase.


As used herein, “abasic sugar moiety” means a sugar moiety of a nucleoside that is not attached to a nucleobase. Such abasic sugar moieties are sometimes referred to in the art as “abasic nucleosides.”


As used herein, “administration” or “administering” means providing a pharmaceutical agent or composition to an animal.


As used herein, “animal” means a human or non-human animal.


As used herein, “antisense activity” means any detectable and/or measurable change attributable to the hybridization of an antisense compound to its target nucleic acid. In certain embodiments, antisense activity is a decrease in the amount or expression of a target nucleic acid or protein encoded by such target nucleic acid compared to target nucleic acid levels or target protein levels in the absence of the antisense compound.


As used herein, “antisense compound” means an oligomeric compound capable of achieving at least one antisense activity.


As used herein, “antisense oligonucleotide” means an oligonucleotide, including the oligonucleotide portion of an oligomeric compound that is complementary to a target nucleic acid and is capable of achieving at least one antisense activity. Antisense oligonucleotides include but are not limited to antisense RNAi oligonucleotides and antisense RNase H oligonucleotides.


As used herein, “ameliorate” in reference to a treatment means improvement in at least one symptom relative to the same symptom in the absence of the treatment. In certain embodiments, amelioration is the reduction in the severity or frequency of a symptom or the delayed onset or slowing of progression in the severity or frequency of a symptom. In certain embodiments, the symptom or hallmark is cognitive impairment, including a decline in memory and language skills, behavioral and psychological symptoms such as apathy and lack of motivation, gait disturbances and seizures, progressive dementia, or abnormal amyloid deposits.


As used herein, “bicyclic nucleoside” or “BNA” means a nucleoside comprising a bicyclic sugar moiety.


As used herein, “bicyclic sugar” or “bicyclic sugar moiety” means a modified sugar moiety comprising two rings, wherein the second ring is formed via a bridge connecting two of the atoms in the first ring thereby forming a bicyclic structure. In certain embodiments, the first ring of the bicyclic sugar moiety is a furanosyl moiety. In certain embodiments, the bicyclic sugar moiety does not comprise a furanosyl moiety.


As used herein, “blunt” or “blunt ended” in reference to a duplex formed by two oligonucleotides mean that there are no terminal unpaired nucleotides (i.e. no overhanging nucleotides). One or both ends of a double-stranded RNAi compound can be blunt.


As used herein, “cleavable moiety” means a bond or group of atoms that is cleaved under physiological conditions, for example, inside a cell, an animal, or a human.


As used herein, “complementary” in reference to an oligonucleotide means that at least 70% of the nucleobases of the oligonucleotide or one or more regions thereof and the nucleobases of another nucleic acid or one or more regions thereof are capable of hydrogen bonding with one another when the nucleobase sequence of the oligonucleotide and the other nucleic acid are aligned in opposing directions. Complementary nucleobases means nucleobases that are capable of forming hydrogen bonds with one another. Complementary nucleobase pairs include adenine (A) and thymine (T), adenine (A) and uracil (U), cytosine (C) and guanine (G), 5-methyl cytosine (mC) and guanine (G). Certain modified nucleobases that pair with natural nucleobases or with other modified nucleobases are known in the art. For example, inosine can pair with adenosine, cytosine, or uracil. Complementary oligonucleotides and/or nucleic acids need not have nucleobase complementarity at each nucleoside. Rather, some mismatches are tolerated. As used herein, “fully complementary” or “100% complementary” in reference to oligonucleotides means that oligonucleotides are complementary to another oligonucleotide or nucleic acid at each nucleoside of the oligonucleotide.


As used herein, “conjugate group” means a group of atoms that is directly attached to an oligonucleotide. Conjugate groups include a conjugate moiety and a conjugate linker that attaches the conjugate moiety to the oligonucleotide.


As used herein, “conjugate linker” means a single bond or a group of atoms comprising at least one bond that connects a conjugate moiety to an oligonucleotide.


As used herein, “conjugate moiety” means a group of atoms that is attached to an oligonucleotide via a conjugate linker.


As used herein, “contiguous” in the context of an oligonucleotide refers to nucleosides, nucleobases, sugar moieties, or internucleoside linkages that are immediately adjacent to each other. For example, “contiguous nucleobases” means nucleobases that are immediately adjacent to each other in a sequence.


As used herein, “constrained ethyl” or “cEt” or “cEt modified sugar moiety” means a β-D ribosyl bicyclic sugar moiety wherein the second ring of the bicyclic sugar is formed via a bridge connecting the 4′-carbon and the 2′-carbon of the β-D ribosyl sugar moiety, wherein the bridge has the formula 4′-CH(CH3)—O-2′, and wherein the methyl group of the bridge is in the S configuration.


As used herein, “cEt nucleoside” means a nucleoside comprising a cEt modified sugar moiety.


As used herein, “chirally enriched population” means a plurality of molecules of identical molecular formula, wherein the number or percentage of molecules within the population that contain a particular stereochemical configuration at a particular chiral center is greater than the number or percentage of molecules expected to contain the same particular stereochemical configuration at the same particular chiral center within the population if the particular chiral center were stereorandom. Chirally enriched populations of molecules having multiple chiral centers within each molecule may contain one or more stereorandom chiral centers. In certain embodiments, the molecules are modified oligonucleotides. In certain embodiments, the molecules are oligomeric compounds comprising modified oligonucleotides.


As used herein, “double-stranded” means a duplex formed by complementary strands of nucleic acids (including, but not limited to oligonucleotides) hybridized to one another. In certain embodiments, the two strands of a double-stranded region are separate molecules. In certain embodiments, the two strands are regions of the same molecule that has folded onto itself (e.g., a hairpin structure).


As used herein, “duplex” or “duplex region” means the structure formed by two oligonucleotides or portions thereof that are hybridized to one another.


As used herein, “gapmer” means a modified oligonucleotide comprising an internal region having a plurality of nucleosides that support RNase H cleavage positioned between external regions having one or more nucleosides, wherein at least one of the nucleosides comprising the internal region is chemically distinct from at least one nucleoside of each of the external regions. Specifically, the nucleosides that define the boundaries of the internal region and each external region must be chemically distinct. The internal region may be referred to as the “gap” and the external regions may be referred to as the “wings.” Unless otherwise indicated, “gapmer” refers to a sugar motif. In certain embodiments, the sugar moiety of each nucleoside of the gap is a 2′-β-D-deoxyribosyl sugar moiety. In certain embodiments, the gap comprises one 2′-substituted nucleoside at position 1, 2, 3, 4, or 5 of the gap, and the remainder of the nucleosides of the gap are 2′-β-D-deoxynucleosides. Unless otherwise indicated, a gapmer may comprise one or more modified internucleoside linkages and/or modified nucleobases and such modifications do not necessarily follow the gapmer pattern of the sugar modifications. As used herein, the term “mixed gapmer” indicates a gapmer having a gap comprising 2′-β-D-deoxynucleosides and wings comprising modified nucleosides comprising at least two different sugar modifications.


As used herein, “hotspot region” is a range of nucleobases on a target nucleic acid that is amenable to oligomeric compound-mediated reduction of the amount or activity of the target nucleic acid.


As used herein, “hybridization” means the pairing or annealing of complementary oligonucleotides and/or nucleic acids. While not limited to a particular mechanism, the most common mechanism of hybridization involves hydrogen bonding, which may be Watson-Crick, Hoogsteen or reversed Hoogsteen hydrogen bonding, between complementary nucleobases.


As used herein, “internucleoside linkage” is the covalent linkage between adjacent nucleosides in an oligonucleotide. As used herein “modified internucleoside linkage” means any internucleoside linkage other than a phosphodiester internucleoside linkage. “Phosphorothioate internucleoside linkage” is a modified internucleoside linkage in which one of the non-bridging oxygen atoms of a phosphodiester internucleoside linkage is replaced with a sulfur atom.


As used herein, “inverted nucleoside” means a nucleotide having a 3′ to 3′ and/or 5′ to 5′ internucleoside linkage, as shown herein.


As used herein, “inverted sugar moiety” means the sugar moiety of an inverted nucleoside or an abasic sugar moiety having a 3′ to 3′ and/or 5′ to 5′ internucleoside linkage.


As used herein, “linker-nucleoside” means a nucleoside that links, either directly or indirectly, an oligonucleotide to a conjugate moiety. Linker-nucleosides are located within the conjugate linker of an oligomeric compound. Linker-nucleosides are not considered part of the oligonucleotide portion of an oligomeric compound even if they are contiguous with the oligonucleotide.


“Lipid nanoparticle” or “LNP” is a vesicle comprising a lipid layer encapsulating a pharmaceutically active molecule, such as a nucleic acid molecule, e.g., an RNAi or a plasmid from which an RNAi is transcribed. LNPs are described in, for example, U.S. Pat. Nos. 6,858,225, 6,815,432, 8,158,601, and 8,058,069, the entire contents of which are hereby incorporated herein by reference.


As used herein, “non-bicyclic modified sugar moiety” means a modified sugar moiety that comprises a modification, such as a substituent, that does not form a bridge between two atoms of the sugar to form a second ring.


As used herein, “mismatch” or “non-complementary” means a nucleobase of a first nucleic acid sequence that is not complementary with the corresponding nucleobase of a second nucleic acid sequence or target nucleic acid when the first and second nucleic acid sequences are aligned.


As used herein, “MOE” means O-methoxyethyl. “2′-MOE” or “2′-MOE modified sugar” means a 2′-OCH2CH2OCH3 group in place of the 2′—OH group of a ribosyl sugar moiety. As used herein, “2′-MOE nucleoside” means a nucleoside comprising a 2′-MOE sugar moiety.


As used herein, “motif” means the pattern of unmodified and/or modified sugar moieties, nucleobases, and/or internucleoside linkages, in an oligonucleotide.


As used herein, “neurodegenerative disease” means a condition marked by progressive loss of function or structure, including loss of neuronal function and death of neurons. In certain embodiments, the neurodegenerative disease is Alzheimer's Disease. In certain embodiments, the neurodegenerative disease is Alzheimer's Disease in Down Syndrome patients. In certain embodiments, the neurodegenerative disease is Cerebral Amyloid Angiopathy.


As used herein, “nucleobase” means an unmodified nucleobase or a modified nucleobase. A nucleobase is a heterocyclic moiety. As used herein an “unmodified nucleobase” is adenine (A), thymine (T), cytosine (C), uracil (U), or guanine (G). As used herein, a “modified nucleobase” is a group of atoms other than unmodified A, T, C, U, or G capable of pairing with at least one other nucleobase. A “5-methyl cytosine” is a modified nucleobase. A universal base is a modified nucleobase that can pair with any one of the five unmodified nucleobases.


As used herein, “nucleobase sequence” means the order of contiguous nucleobases in a nucleic acid or oligonucleotide independent of any sugar or internucleoside linkage modification.


As used herein, “nucleoside” means a compound or fragment of a compound comprising a nucleobase and a sugar moiety. The nucleobase and sugar moiety are each, independently, unmodified or modified.


As used herein, “nucleoside overhang” refers to unpaired nucleotides at either or both ends of a duplex formed by hybridization of an antisense RNAi oligonucleotide and a sense RNAi oligonucleotide.


As used herein, “modified nucleoside” means a nucleoside comprising a modified nucleobase and/or a modified sugar moiety.


As used herein, “linked nucleosides” are nucleosides that are connected in a contiguous sequence (i.e., no additional nucleosides are presented between those that are linked).


As used herein, “oligomeric compound” means an oligonucleotide and optionally one or more additional features, such as a conjugate group or terminal group. An oligomeric compound may be paired with a second oligomeric compound that is complementary to the first oligomeric compound or may be unpaired. A “singled-stranded oligomeric compound” is an unpaired oligomeric compound. The term “oligomeric duplex” means a duplex formed by two oligomeric compounds having complementary nucleobase sequences. Each oligomeric compound of an oligomeric duplex may be referred to as a “duplexed oligomeric compound.”


As used herein, “oligonucleotide” means a polymer of linked nucleosides connected via internucleoside linkages, wherein each nucleoside and internucleoside linkage may be modified or unmodified. Unless otherwise indicated, oligonucleotides consist of 8-50 linked nucleosides. An oligonucleotide may be paired with a second oligonucleotide that is complementary to the oligonucleotide or it may be unpaired. A “single-stranded oligonucleotide” is an unpaired oligonucleotide. A “double-stranded oligonucleotide” is an oligonucleotide that is paired with a second oligonucleotide. An “oligonucleotide duplex” means a duplex formed by two paired oligonucleotides having complementary nucleobase sequences. Each oligo of an oligonucleotide duplex is a “duplexed oligonucleotide” or a “double-stranded oligonucleotide”.


As used herein, “modified oligonucleotide” means an oligonucleotide, wherein at least one nucleoside or internucleoside linkage is modified. As used herein, “unmodified oligonucleotide” means an oligonucleotide that does not comprise any nucleoside modifications or internucleoside modifications. Thus, each nucleoside of an unmodified oligonucleotide is a DNA or RNA nucleoside and each internucleoside linkage is a phosphodiester linkage.


As used herein, “pharmaceutically acceptable carrier or diluent” means any substance suitable for use in administering to an animal. Certain such carriers enable pharmaceutical compositions to be formulated as, for example, tablets, pills, dragees, capsules, liquids, gels, syrups, slurries, suspension and lozenges for the oral ingestion by a subject. In certain embodiments, a pharmaceutically acceptable carrier or diluent is sterile water, sterile saline, sterile buffer solution or sterile artificial cerebrospinal fluid.


As used herein “pharmaceutically acceptable salts” means physiologically and pharmaceutically acceptable salts of compounds. Pharmaceutically acceptable salts retain the desired biological activity of the parent compound and do not impart undesired toxicological effects thereto.


As used herein “pharmaceutical composition” means a mixture of substances suitable for administering to a subject. For example, a pharmaceutical composition may comprise an oligomeric compound and a sterile aqueous solution. In certain embodiments, a pharmaceutical composition shows activity in free uptake assay in certain cell lines.


As used herein “prodrug” means a therapeutic agent in a first form outside the body that is converted to a second form within an animal or cells thereof. Typically, conversion of a prodrug within the animal is facilitated by the action of an enzymes (e.g., endogenous or viral enzyme) or chemicals present in cells or tissues and/or by physiologic conditions. In certain embodiments, the first form of the prodrug is less active than the second form.


As used herein, “reducing or inhibiting the amount or activity” refers to a reduction or blockade of the transcriptional expression or activity relative to the transcriptional expression or activity in an untreated or control sample and does not necessarily indicate a total elimination of transcriptional expression or activity.


As used herein, “RNAi compound” means an antisense compound that acts, at least in part, through RISC or Ago2 to modulate a target nucleic acid and/or protein encoded by a target nucleic acid. RNAi compounds include, but are not limited to double-stranded siRNA, single-stranded RNA (ssRNA), and microRNA, including microRNA mimics. RNAi compounds may comprise conjugate groups and/or terminal groups. In certain embodiments, an RNAi compound modulates the amount, activity, and/or splicing of a target nucleic acid. The term RNAi compound excludes antisense compounds that act through RNase H.


As used herein, “RNAi oligonucleotide” means an antisense RNAi oligonucleotide or a sense RNAi oligonucleotide.


As used herein, “antisense RNAi oligonucleotide” means an oligonucleotide comprising a region that is complementary to a target sequence, and which includes at least one chemical modification suitable for RNAi.


As used herein, “sense RNAi oligonucleotide” means an oligonucleotide comprising a region that is complementary to a region of an antisense RNAi oligonucleotide, and which is capable of forming a duplex with such antisense RNAi oligonucleotide. A duplex formed by an antisense RNAi oligonucleotide and a sense RNAi oligonucleotide is referred to as a double-stranded RNAi compound (dsRNAi) or a short interfering RNA (siRNA).


As used herein, “RNase H compound” means an antisense compound that acts, at least in part, through RNase H to modulate a target nucleic acid and/or protein encoded by a target nucleic acid. In certain embodiments, RNase H compounds are single-stranded. In certain embodiments, RNase H compounds are double-stranded. RNase H compounds may comprise conjugate groups and/or terminal groups. In certain embodiments, an RNase H compound modulates the amount or activity of a target nucleic acid. The term RNase H compound excludes antisense compounds that act principally through RISC/Ago2.


As used herein, “antisense RNase H oligonucleotide” means an oligonucleotide comprising a region that is complementary to a target sequence, and which includes at least one chemical modification suitable for RNase H-mediated nucleic acid reduction.


As used herein, “self-complementary” in reference to an oligonucleotide means an oligonucleotide that at least partially hybridizes to itself.


As used herein, “single-stranded” means a nucleic acid (including but not limited to an oligonucleotide) that is unpaired and is not part of a duplex. Single-stranded compounds are capable of hybridizing with complementary nucleic acids to form duplexes, at which point they are no longer single-stranded.


As used herein, “stabilized phosphate group” means a 5′-phosphate analog that is metabolically more stable than a 5′-phosphate as naturally occurs on DNA or RNA.


As used herein, “standard cell assay” means the assay described in Examples 1 or 5 and reasonable variations thereof.


As used herein, “stereorandom chiral center” in the context of a population of molecules of identical molecular formula means a chiral center having a random stereochemical configuration. For example, in a population of molecules comprising a stereorandom chiral center, the number of molecules having the (S) configuration of the stereorandom chiral center may be but is not necessarily the same as the number of molecules having the (R) configuration of the stereorandom chiral center. The stereochemical configuration of a chiral center is considered random when it is the result of a synthetic method that is not designed to control the stereochemical configuration. In certain embodiments, a stereorandom chiral center is a stereorandom phosphorothioate internucleoside linkage.


As used herein, “sugar moiety” means an unmodified sugar moiety or a modified sugar moiety. As used herein, “unmodified sugar moiety” means a 2′-OH(H) ribosyl moiety, as found in RNA (an “unmodified RNA sugar moiety”), or a 2′-H(H) deoxyribosyl sugar moiety, as found in DNA (an “unmodified DNA sugar moiety”). Unmodified sugar moieties have one hydrogen at each of the 1′, 3′, and 4′ positions, an oxygen at the 3′ position, and two hydrogens at the 5′ position. As used herein, “modified sugar moiety” or “modified sugar” means a modified furanosyl sugar moiety or a sugar surrogate.


As used herein, “sugar surrogate” means a modified sugar moiety having other than a furanosyl moiety that can link a nucleobase to another group, such as an internucleoside linkage, conjugate group, or terminal group in an oligonucleotide. Modified nucleosides comprising sugar surrogates can be incorporated into one or more positions within an oligonucleotide and such oligonucleotides are capable of hybridizing to complementary oligomeric compounds or target nucleic acids.


As used herein, “symptom or hallmark” means any physical feature or test result that indicates the existence or extent of a disease or disorder. In certain embodiments, a symptom is apparent to a subject or to a medical professional examining or testing said subject. In certain embodiments, a hallmark is apparent upon invasive diagnostic testing, including, but not limited to, post-mortem tests.


As used herein, “target nucleic acid” and “target RNA” mean a nucleic acid that an antisense compound is designed to affect. Target RNA means an RNA transcript and includes pre-mRNA and mRNA unless otherwise specified.


As used herein, “target region” means a portion of a target nucleic acid to which an oligomeric compound is designed to hybridize.


As used herein, “terminal group” means a chemical group or group of atoms that is covalently linked to a terminus of an oligonucleotide.


As used herein, “therapeutically effective amount” means an amount of a pharmaceutical agent or composition that provides a therapeutic benefit to an animal. For example, a therapeutically effective amount improves a symptom of a disease.


CERTAIN EMBODIMENTS

The present disclosure provides the following non-limiting numbered embodiments:

    • Embodiment 1. An oligomeric compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides wherein the nucleobase sequence of the modified oligonucleotide is at least 80% complementary to an equal length portion of a APP RNA, and wherein the modified oligonucleotide comprises at least one modification selected from a modified sugar, a sugar surrogate, and a modified internucleoside linkage.
    • Embodiment 2. An oligomeric compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides and having a nucleobase sequence comprising at least 12, 13, 14, 15, 16, 17, or 18 nucleobases of any of SEQ ID NOS: 12-501 Embodiment 3. An oligomeric compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides and having a nucleobase sequence comprising at least 12, 13, 14, 15, 16, 17, 18, 19, or 20 nucleobases of any of SEQ ID NOS: 502-516.
    • Embodiment 4. An oligomeric compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides and having a nucleobase sequence complementary to at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, or at least 20 contiguous nucleobases of:
      • an equal length portion of nucleobases 40-78 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 69-146 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 83-129 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 194-231 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 194-238 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 236-268 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 258-284 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 285-311 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 296-321 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 307-330 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 339-383 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 415-439 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 415-477 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 477-506 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 477-523 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 477-541 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 530-557 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 636-661 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 652-697 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 920-950 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1152-1179 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1227-1265 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1227-1274 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1518-1543 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1531-1593 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1544-1593 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1635-1657 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1778-1800 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1882-1908 of SEQ ID NO: 1; or
      • an equal length portion of nucleobases 2051-2074 of SEQ ID NO: 1.
    • Embodiment 5. The oligomeric compound of any of embodiments 1-4, wherein the modified oligonucleotide has a nucleobase sequence that is at least 80%, 85%, 90%, 95%, or 100% complementary to any of the nucleobase sequences of SEQ ID NO: 1-7 when measured across the entire nucleobase sequence of the modified oligonucleotide.
    • Embodiment 6. The oligomeric compound of any of embodiments 1-5, wherein the modified oligonucleotide comprises at least one modified nucleoside.
    • Embodiment 7. The oligomeric compound of embodiment 6, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a modified sugar moiety.
    • Embodiment 8. The oligomeric compound of embodiment 7, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a bicyclic sugar moiety.
    • Embodiment 9. The oligomeric compound of embodiment 8, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a bicyclic sugar moiety having a 2′-4′ bridge, wherein the 2′-4′ bridge is selected from —O—CH2—; and —O—CH(CH3)—.
    • Embodiment 10. The oligomeric compound of any of embodiments 5-9, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a non-bicyclic modified sugar moiety.
    • Embodiment 11. The oligomeric compound of embodiment 7, wherein the modified oligonucleotide comprises at least one nucleoside comprising a bicyclic sugar moiety having a 2′-4′ bridge and at least one nucleoside comprising a non-bicyclic modified sugar moiety.
    • Embodiment 12. The oligomeric compound of embodiment 10 or 11, wherein the non-bicyclic modified sugar moiety is a 2′-MOE modified sugar moiety or a 2′-OMe modified sugar moiety.
    • Embodiment 13. The oligomeric compound of embodiment 11, wherein the bicyclic modified sugar moiety has a 2′-4′ bridge, wherein the 2′-4′ bridge is selected from —O—CH2 and —O—CH(CH3)—.
    • Embodiment 14. The oligomeric compound of any of embodiments 1-13, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a sugar surrogate.
    • Embodiment 15. The oligomeric compound of embodiment 14, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a sugar surrogate selected from morpholino and PNA.
    • Embodiment 16. The oligomeric compound of any of embodiments 1-13, wherein the modified oligonucleotide has a sugar motif comprising:
      • a 5′-region consisting of 1-5 linked 5′-region nucleosides;
      • a central region consisting of 6-10 linked central region nucleosides; and
      • a 3′-region consisting of 1-5 linked 3′-region nucleosides; wherein
      • each of the 5′-region nucleosides and each of the 3′-region nucleosides comprises a modified sugar moiety and each of the central region nucleosides comprises a 2′-β-D-deoxyribosyl sugar moiety.
    • Embodiment 17. The oligomeric compound of embodiment 16, wherein the modified oligonucleotide has a sugar motif comprising:
      • a 5′-region consisting of 5 linked 5′-region nucleosides;
      • a central region consisting of 10 linked central region nucleosides; and
      • a 3′-region consisting of 5 linked 3′-region nucleosides; wherein
      • each of the 5′-region nucleosides and each of the 3′-region nucleosides comprises either a cEt modified sugar moiety or a 2′-MOE modified sugar moiety, and each of the central region nucleosides comprises a 2′-β-D-deoxyribosyl sugar moiety.
    • Embodiment 18. The oligomeric compound of any of embodiments 1-17, wherein the modified oligonucleotide comprises at least one modified internucleoside linkage.
    • Embodiment 19. The oligomeric compound of embodiment 18, wherein each internucleoside linkage of the modified oligonucleotide is a modified internucleoside linkage.
    • Embodiment 20. The oligomeric compound of embodiment 18 or 19, wherein at least one internucleoside linkage is a phosphorothioate internucleoside linkage.
    • Embodiment 21. The oligomeric compound of embodiment 18 or 20, wherein the modified oligonucleotide comprises at least one phosphodiester internucleoside linkage.
    • Embodiment 22. The oligomeric compound of any of embodiments 18, 20, or 21, wherein each internucleoside linkage is independently selected from a phosphodiester internucleoside linkage or a phosphorothioate internucleoside linkage.
    • Embodiment 23. The oligomeric compound of any of embodiments 1-22, wherein the modified oligonucleotide comprises a modified nucleobase.
    • Embodiment 24. The oligomeric compound of embodiment 23, wherein the modified nucleobase is a 5-methyl cytosine.
    • Embodiment 25. The oligomeric compound of any of embodiments 1-24, wherein the modified oligonucleotide consists of 12-22, 12-20, 14-18, 14-20, 15-17, 15-25, 16-20, 16-18, 18-22 or 18-20 linked nucleosides.
    • Embodiment 26. The oligomeric compound of any of embodiments 1-25, wherein the modified oligonucleotide consists of 18 linked nucleosides.
    • Embodiment 27. The oligomeric compound of any of embodiments 1-25, wherein the modified oligonucleotide consists of 20 linked nucleosides.
    • Embodiment 28. The oligomeric compound of any of embodiments 1-27, consisting of the modified oligonucleotide.
    • Embodiment 29. The oligomeric compound of any of embodiments 1-27, comprising a conjugate group comprising a conjugate moiety and a conjugate linker.
    • Embodiment 30. The oligomeric compound of embodiment 29, wherein the conjugate linker consists of a single bond.
    • Embodiment 31. The oligomeric compound of embodiment 29, wherein the conjugate linker is cleavable.
    • Embodiment 32. The oligomeric compound of embodiment 29, wherein the conjugate linker comprises 1-3 linker-nucleosides.
    • Embodiment 33. The oligomeric compound of any of embodiments 29-32, wherein the conjugate group is attached to the modified oligonucleotide at the 5′-end of the modified oligonucleotide.
    • Embodiment 34. The oligomeric compound of any of embodiments 29-32, wherein the conjugate group is attached to the modified oligonucleotide at the 3′-end of the modified oligonucleotide.
    • Embodiment 35. The oligomeric compound of any of embodiments 1-27 and 29-34, comprising a terminal group.
    • Embodiment 36. The oligomeric compound of any of embodiments 1-35 wherein the oligomeric compound is a singled-stranded oligomeric compound.
    • Embodiment 37. The oligomeric compound of any of embodiments 1-31 or 33-36, wherein the oligomeric compound does not comprise linker-nucleosides.
    • Embodiment 38. An oligomeric duplex comprising an oligomeric compound of any of embodiments 1-27, 29-35, or 37.
    • Embodiment 39. An antisense compound comprising or consisting of an oligomeric compound of any of embodiments 1-37 or an oligomeric duplex of embodiment 38.
    • Embodiment 40. A pharmaceutical composition comprising an oligomeric compound of any of embodiments 1-37 or an oligomeric duplex of embodiment 38 and a pharmaceutically acceptable carrier or diluent.
    • Embodiment 41. The pharmaceutical composition of embodiment 40, wherein the pharmaceutically acceptable diluent is artificial cerebral spinal fluid, sterile saline, or PBS.
    • Embodiment 42. The pharmaceutical composition of embodiment 41, wherein the pharmaceutical composition consists essentially of the modified oligonucleotide and sterile saline.
    • Embodiment 43. A method comprising administering to an animal a pharmaceutical composition of any of embodiments 40-42.
    • Embodiment 44. A method of treating a disease associated with APP comprising administering to an individual having or at risk for developing a disease associated with APP a therapeutically effective amount of a pharmaceutical composition according to any of embodiments 40-42; and thereby treating the disease associated with APP.
    • Embodiment 45. The method of embodiment 44, wherein the APP-associated disease is Alzheimer's
    • Disease, Alzheimer's Disease in a Down Syndrome patient, or Cerebral Amyloid Angiopathy.
    • Embodiment 46. The method of any of embodiments 43-45, wherein at least one symptom or hallmark of the APP-associated disease is ameliorated.
    • Embodiment 47. The method of embodiment 46, wherein the symptom or hallmark is cognitive impairment, including a decline in memory and language skills, behavioral and psychological symptoms such as apathy and lack of motivation, gait disturbances and seizures, progressive dementia, and/or abnormal amyloid deposits.
    • Embodiment 48. An RNAi compound comprising an antisense RNAi oligonucleotide consisting of 17 to 30 linked nucleosides, wherein the nucleobase sequence of the antisense RNAi oligonucleotide comprises a targeting region comprising at least 15 contiguous nucleobases wherein the targeting region is at least 90% complementary to an equal length portion of an APP RNA, and wherein at least one nucleoside of the antisense RNAi oligonucleotide is a modified nucleoside comprising a modified sugar moiety or a sugar surrogate.
    • Embodiment 49. The RNAi compound of embodiment 48, wherein the antisense RNAi oligonucleotide consists of 18-25 linked nucleosides.
    • Embodiment 50. The RNAi compound of embodiment 48, wherein the antisense RNAi oligonucleotide consists of 20-25 linked nucleosides.
    • Embodiment 51. The RNAi compound of embodiment 48, wherein the antisense RNAi oligonucleotide consists of 21-23 linked nucleosides.
    • Embodiment 52. The RNAi compound of embodiment 48, wherein the antisense RNAi oligonucleotide consists of 21 linked nucleosides.
    • Embodiment 53. The RNAi compound of embodiment 48, wherein the antisense RNAi oligonucleotide consists of 23 linked nucleosides.
    • Embodiment 54. The RNAi compound of any of embodiments 48-53, wherein the targeting region of the antisense RNAi oligonucleotide is at least 95% complementary to the equal length portion of the APP RNA.
    • Embodiment 55. The RNAi compound of any of embodiments 48-53, wherein the targeting region of the antisense RNAi oligonucleotide is 100% complementary to the equal length portion of the APP RNA.
    • Embodiment 56. The RNAi compound of any of embodiments 48-55, wherein the targeting region of the antisense RNAi oligonucleotide comprises at least 19 contiguous nucleobases.
    • Embodiment 57. The RNAi compound of any of embodiments 48-55, wherein the targeting region of the antisense RNAi oligonucleotide comprises at least 21 contiguous nucleobases.
    • Embodiment 58. The RNAi compound of any of embodiments 48-55 wherein the targeting region of the antisense RNAi oligonucleotide comprises at least 25 contiguous nucleobases.
    • Embodiment 59. The RNAi compound of any embodiments 48-55, wherein the targeting region of the antisense RNAi oligonucleotide constitutes the entire nucleobase sequence of the antisense RNAi oligonucleotide.
    • Embodiment 60. The RNAi compound of any of embodiments 48-59 wherein the targeting region of the antisense oligonucleotide is complementary to an equal length portion of SEQ ID NOs: 1-7.
    • Embodiment 61. The RNAi compound of any of embodiments 48-60, wherein the APP RNA has the nucleobase sequence of any of SEQ ID NOs: 1-3 or SEQ ID NOs: 4-7.
    • Embodiment 62. The RNAi compound of any of embodiment 48-61, wherein the nucleobase sequence of the targeting region of the antisense RNAi compound is a least 12, 13, 14, 15, 16, 17, 18 19, 10, 21 nucleobases of any of SEQ ID NOs: 517-665, 815-840 or 867-888.
    • Embodiment 63. The RNAi compound of any of embodiments 48-62, wherein at least one nucleoside of the antisense RNAi oligonucleotide comprises a modified sugar moiety selected from: 2′-F, 2′-OMe, 2′-NMA, LNA, and cEt; or a sugar surrogate selected from GNA, and UNA.
    • Embodiment 64. The RNAi compound of any of embodiments 48-63, wherein each nucleoside of the antisense RNAi oligonucleotide comprises a modified sugar moiety or a sugar surrogate.
    • Embodiment 65. The compound of any of embodiments 48-64, wherein at least 80% of the nucleosides of the antisense RNAi oligonucleotide comprises a modified sugar moiety selected from 2′-F and 2′-OMe.
    • Embodiment 66. The RNAi compound of any of embodiments 65, wherein at least 90% of the nucleosides of the antisense RNAi oligonucleotide comprises a modified sugar moiety selected from 2′-F and 2′-OMe.
    • Embodiment 67. The RNAi compound of embodiment 66, wherein each nucleoside of the antisense RNAi oligonucleotide comprises a modified sugar moiety selected from 2′-F and 2′-OMe.
    • Embodiment 68. The RNAi compound of any of embodiments 48-67, wherein 1-4 nucleosides of the antisense RNAi oligonucleotide comprises a 2′-F modified sugar moiety.
    • Embodiment 69. The RNAi compound of embodiment 68, wherein at least 2 of the nucleosides of the antisense RNAi oligonucleotide comprising a 2′-F modified sugar moiety are adjacent to one another.
    • Embodiment 70. The RNAi compound of embodiment 69, wherein at least 3 nucleosides of the antisense RNAi oligonucleotide comprising a 2′-F modified sugar moiety are contiguous.
    • Embodiment 71. The RNAi compound of any of embodiments 48-66 or 68-70 wherein 1 nucleoside of the antisense RNAi oligonucleotide comprises GNA sugar surrogate.
    • Embodiment 72. The RNAi compound of embodiment 71, wherein the GNA sugar surrogate is (S)-GNA.
    • Embodiment 73. The RNAi compound of embodiment 71 or 72, wherein the nucleoside comprising the GNA sugar surrogate is at position 7 of the antisense RNAi oligonucleotide counting from the 5′-end.
    • Embodiment 74. The RNAi compound of any of embodiments 48-66 or 68-73 wherein 1 nucleoside of the antisense RNAi oligonucleotide is a UNA.
    • Embodiment 75. The RNAi compound of embodiment 74, wherein the nucleoside comprising the UNA sugar surrogate is at position 7 of the antisense RNAi oligonucleotide counting from the 5′-end.
    • Embodiment 76. The RNAi compound of any of embodiments 48-75, wherein at least one nucleoside of the antisense RNAi oligonucleotide comprises a modified nucleobase.
    • Embodiment 77. The RNAi compound of embodiment 76, wherein at least one nucleobase of the antisense RNAi oligonucleotide is inosine.
    • Embodiment 78. The RNAi compound of any of embodiments 48-77, wherein at least one internucleoside linkage of the antisense RNAi oligonucleotide is a modified internucleoside linkage.
    • Embodiment 79. The RNAi compound of embodiment 78, wherein at least one internucleoside linkage of the antisense RNAi oligonucleotide is a phosphorothioate internucleoside linkage.
    • Embodiment 80. The RNAi compound of any of embodiments 48-79, wherein each internucleoside linkage of the antisense RNAi oligonucleotide is selected from an unmodified phosphodiester internucleoside linkage and a phosphorothioate internucleoside linkage.
    • Embodiment 81. The RNAi compound of any of embodiments 79-80, wherein 1-3 internucleoside linkages at each end of the antisense RNAi oligonucleotide is a phosphorothioate internucleoside linkage.
    • Embodiment 82. The RNAi compound of embodiment 81, wherein 1-3 internucleoside linkages at each end of the antisense RNAi oligonucleotide is a phosphorothioate internucleoside linkage and all of the remaining internucleoside linkages of the antisense RNAi oligonucleotide are phosphodiester internucleoside linkages.
    • Embodiment 83. The RNAi compound of any of embodiments 48-82, comprising a sense RNAi oligonucleotide consisting of 17 to 30 linked nucleosides, wherein the nucleobase sequence of the sense RNAi oligonucleotide comprises an antisense-hybridizing region comprising least 15 contiguous nucleobases wherein the antisense-hybridizing region is at least 90% complementary to an equal length portion of the antisense RNAi oligonucleotide, wherein the sense RNAi oligonucleotide and the antisense RNAi oligonucleotide are hybridized to one another to form a duplex.
    • Embodiment 84. The RNAi compound of embodiment 83, wherein the sense RNAi oligonucleotide consists of 18-25 linked nucleosides.
    • Embodiment 85. The RNAi compound of embodiment 83, wherein the sense RNAi oligonucleotide consists of 20-25 linked nucleosides.
    • Embodiment 86. The RNAi compound of embodiment 83, wherein the sense RNAi oligonucleotide consists of 21-23 linked nucleosides.
    • Embodiment 87. The RNAi compound of embodiment 83, wherein the sense RNAi oligonucleotide consists of 21 linked nucleosides.
    • Embodiment 88. The RNAi compound of embodiment 83, wherein the sense RNAi oligonucleotide consists of 23 linked nucleosides.
    • Embodiment 89. The RNAi compound of any of embodiments 83-88, wherein the antisense-hybridizing region of the sense RNAi oligonucleotide is at least 95% complementary to the equal length portion of the antisense RNAi oligonucleotide.
    • Embodiment 90. The RNAi compound of any of embodiments 83-88, wherein the antisense-hybridizing region of the sense RNAi oligonucleotide is 100% complementary to the equal length portion of the antisense RNAi oligonucleotide.
    • Embodiment 91. The RNAi compound of any of embodiments 83-90, wherein the antisense-hybridizing region of the sense RNAi oligonucleotide comprises at least 20 contiguous nucleobases.
    • Embodiment 92. The RNAi compound of any of embodiments 83-90, wherein the antisense-hybridizing region of the sense RNAi oligonucleotide comprises at least 21 contiguous nucleobases.
    • Embodiment 93. The RNAi compound of any of embodiments 83-90, wherein the antisense-hybridizing region of the sense RNAi oligonucleotide comprises at least 25 contiguous nucleobases.
    • Embodiment 94. The RNAi compound of any embodiments 83-93, wherein the antisense-hybridizing region of the sense RNAi oligonucleotide constitutes the entire nucleobase sequence of the sense RNAi oligonucleotide.
    • Embodiment 95. The RNAi compound of any of embodiments 83-94, wherein 1-4 3′-most nucleosides of the antisense RNAi oligonucleotide are overhanging nucleosides.
    • Embodiment 96. The RNAi compound of any of embodiments 83-95, wherein 1-4 5′-most nucleosides of the antisense RNAi oligonucleotide are overhanging nucleosides.
    • Embodiment 97. The RNAi compound of any of embodiments 83-96, wherein 1-4 3′-most nucleosides of the sense RNAi oligonucleotide are overhanging nucleosides.
    • Embodiment 98. The RNAi compound of any of embodiments 83-97, wherein 1-4 4′-most nucleosides of the sense RNAi oligonucleotide are overhanging nucleosides.
    • Embodiment 99. The RNAi compound of any of embodiments 83-94, wherein the duplex is blunt ended at the 3′-end of the antisense RNAi oligonucleotide.
    • Embodiment 100. The RNAi compound of any of embodiments 83-94 or 99, wherein the duplex is blunt ended at the 5′-end of the antisense RNAi oligonucleotide.
    • Embodiment 101. The RNAi compound of any of embodiments 95-97, wherein at least one overhanging nucleoside is a deoxyribonucleoside.
    • Embodiment 102. The RNAi compound of any of embodiments 83-101, wherein at least one nucleoside of the sense RNAi oligonucleotide is a modified nucleoside.
    • Embodiment 103. The RNAi compound of embodiment 102, wherein at least one nucleoside of the sense RNAi oligonucleotide comprises a modified sugar moiety selected from: 2′-F, 2′-OMe, LNA, cEt, or a sugar surrogate selected from GNA, and UNA.
    • Embodiment 104. The RNAi compound of any of embodiments 83-103, wherein each nucleoside of the sense RNAi oligonucleotide comprises a modified sugar moiety or a sugar surrogate.
    • Embodiment 105. The RNAi compound of any of embodiments 83-104, wherein at least 80% of the nucleosides of the sense RNAi oligonucleotide comprises a modified sugar moiety selected from 2′-F and 2′-OMe.
    • Embodiment 106. The RNAi compound of embodiment 105, wherein each nucleoside of the sense RNAi oligonucleotide comprises a modified sugar moiety selected from 2′-F and 2′-OMe.
    • Embodiment 107. The RNAi compound of any of embodiments 83-106, wherein 1-4 nucleosides of the sense RNAi oligonucleotide comprises a 2′-F modified sugar moiety.
    • Embodiment 108. The RNAi compound of any of embodiments 83-107, wherein at least 2 nucleosides of the sense RNAi oligonucleotide comprising a 2′-F modified sugar moiety are adjacent to one another.
    • Embodiment 109. The RNAi compound of embodiment 108, wherein at least 3 nucleosides of the sense RNAi oligonucleotide comprising a 2′-F modified sugar moiety are contiguous.
    • Embodiment 110. The RNAi compound of any of embodiments 83-105 or 107-109 wherein at least one nucleoside of the sense RNAi oligonucleotide is a GNA.
    • Embodiment 111. The RNAi compound of any of embodiments 83-105 or 107-109 wherein one nucleoside of the sense RNAi oligonucleotide is a GNA.
    • Embodiment 112. The RNAi compound of embodiment 110 or 111, wherein the GNA sugar surrogate is (S)-GNA.
    • Embodiment 113. The RNAi compound of any of embodiments 83-105 or 107-109 wherein at least one nucleoside of the sense RNAi oligonucleotide is a UNA.
    • Embodiment 114. The RNAi compound of any of embodiments 83-105 or 107-109 wherein one nucleoside of the sense RNAi oligonucleotide is a UNA.
    • Embodiment 115. The RNAi compound of any of embodiments 83-114, wherein at least one nucleoside of the sense RNAi oligonucleotide comprises a modified nucleobase.
    • Embodiment 116. The RNAi compound of embodiment 115, wherein at least one nucleobase of the sense RNAi oligonucleotide is hypoxanthine.
    • Embodiment 117. The RNAi compound of any of embodiments 83-116, wherein at least one internucleoside linkage of the sense RNAi oligonucleotide is a modified internucleoside linkage.
    • Embodiment 118. The RNAi compound of embodiment 117, wherein at least one internucleoside linkage of the sense RNAi oligonucleotide is a phosphorothioate internucleoside linkage.
    • Embodiment 119. The RNAi compound of embodiment 118, wherein each internucleoside linkage of the sense RNAi oligonucleotide is selected from an unmodified phosphodiester internucleoside linkage and a phosphorothioate internucleoside linkage.
    • Embodiment 120. The RNAi compound of any of embodiments 117-119, wherein 1-3 internucleoside linkages at each end of the sense RNAi oligonucleotide is a phosphorothioate internucleoside linkage.
    • Embodiment 121. The RNAi compound of embodiment 120, wherein 1-3 internucleoside linkages at each end of the antisense RNAi oligonucleotide is a phosphorothioate internucleoside linkage and all of the remaining internucleoside linkages of the antisense RNAi oligonucleotide are phosphodiester internucleoside linkages.
    • Embodiment 122. The RNAi compound of any of embodiments 48-121 comprising a stabilized phosphate group attached to the 5′ position of the 5′-most nucleoside of the antisense RNAi oligonucleotide.
    • Embodiment 123. The RNAi compound of embodiment 122, wherein the stabilized phosphate group comprises a (E)-vinylphosphonate.
    • Embodiment 124. The RNAi compound of embodiment 122, wherein the stabilized phosphate group comprises a cyclopropyl phosphonate.
    • Embodiment 125. The RNAi compound of any of embodiments 48-124, wherein the compound comprises 1-5 abasic sugar moieties attached to one or both ends of the antisense RNA oligonucleotide.
    • Embodiment 126. The RNAi compound of embodiment 125, wherein the compound comprises one abasic sugar moiety attached to one or both ends of the antisense RNA oligonucleotide
    • Embodiment 127. The RNAi compound of embodiment 125 or 126, wherein each abasic sugar moiety is inverted.
    • Embodiment 128. The RNAi compound of any of embodiments 125-127, wherein the abasic sugar moieties are attached to the antisense RNA oligonucleotide through a phosphorothioate linkage.
    • Embodiment 129. The RNAi compound of any of embodiments 48-128, wherein the compound comprises 1-5 abasic sugar moieties attached to one or both ends of the sense RNA oligonucleotide.
    • Embodiment 130. The RNAi compound of embodiment 129, wherein the compound comprises one abasic sugar moiety attached to one or both ends of the sense RNA oligonucleotide
    • Embodiment 131. The RNAi compound of embodiment 129 or 130, wherein each abasic sugar moiety is inverted.
    • Embodiment 132. The RNAi compound of any of embodiments 129-131, wherein the abasic sugar moieties are attached to the sense RNA oligonucleotide through a phosphorothioate linkage.
    • Embodiment 133. The RNAi compound of any of embodiments 48-132, wherein the RNAi compound is a prodrug.
    • Embodiment 134. The RNAi compound of any of embodiments 48-132, wherein the compound comprises a conjugate group.
    • Embodiment 135. The RNAi compound of embodiment 134, wherein the conjugate group is conjugated to the antisense RNAi oligonucleotide.
    • Embodiment 136. The RNAi compound of embodiment 135, wherein the conjugate group is conjugated to the 5′-end of the antisense RNAi oligonucleotide.
    • Embodiment 137. The RNAi compound of embodiment 135, wherein the conjugate group is conjugated to the 3′-end of the antisense RNAi oligonucleotide.
    • Embodiment 138. The RNAi compound of embodiment 134, wherein the conjugate group is conjugated to the sense RNAi oligonucleotide.
    • Embodiment 139. The RNAi compound of embodiment 138, wherein the conjugate group is conjugated to the 5′-end of the sense RNAi oligonucleotide.
    • Embodiment 140. The RNAi compound of embodiment 138, wherein the conjugate group is conjugated to the 3′-end of the sense RNAi oligonucleotide.
    • Embodiment 141. The RNAi compound of any of embodiments 138-140, wherein the conjugate group is attached directly to the sense RNAi oligonucleotide.
    • Embodiment 142. The RNAi compound of any of embodiments 138-141, wherein the conjugate group is attached to the sense RNAi oligonucleotide through 1-5 abasic sugar moieties.
    • Embodiment 143. The RNAi compound of embodiment 142, wherein the 1-5 abasic sugar moieties are inverted.
    • Embodiment 144. The RNAi compound of any of embodiments 134-143, wherein the conjugate group comprises a pyrrolidine linker.
    • Embodiment 145. The RNAi compound of any of embodiments 134-144, wherein the conjugate group comprises a cell targeting moiety.
    • Embodiment 146. The RNAi compound of embodiment 145, wherein the cell targeting moiety is a neurotransmitter receptor ligand.
    • Embodiment 147. The RNAi compound of embodiment 146, wherein the targeting ligand targets a GABA transporter.
    • Embodiment 148. A pharmaceutical composition comprising the RNAi compound of any of embodiments 48-147 and a pharmaceutically acceptable carrier or diluent.
    • Embodiment 149. The pharmaceutical composition of embodiment 148, wherein the pharmaceutically acceptable diluent is artificial cerebral spinal fluid, sterile saline, or PBS.
    • Embodiment 150. The pharmaceutical composition of embodiment 149, wherein the pharmaceutical composition consists essentially of the RNAi compound and sterile saline.
    • Embodiment 151. The pharmaceutical composition of embodiment 148 or 149 comprising a lipid.
    • Embodiment 152. The pharmaceutical composition of embodiment 151 comprising a lipid nanoparticle.
    • Embodiment 153. A method comprising administering to an animal a pharmaceutical composition of any of embodiments 148-152.
    • Embodiment 154. A method of treating a disease associated with APP comprising administering to an individual having or at risk for developing a disease associated with APP a therapeutically effective amount of a pharmaceutical composition according to any of embodiments 148-152; and thereby treating the disease associated with APP.
    • Embodiment 155. The method of embodiment 154, wherein the APP-associated disease is Alzheimer's Disease, Alzheimer's Disease in a Down Syndrome patient, or Cerebral Amyloid Angiopathy.
    • Embodiment 156. The method of embodiment 155, wherein at least one symptom or hallmark of the APP-associated disease is ameliorated.
    • Embodiment 157. The method of embodiment 156, wherein the symptom or hallmark is cognitive impairment, including a decline in memory and language skills, behavioral and psychological symptoms such as apathy and lack of motivation, gait disturbances and seizures, progressive dementia, and/or abnormal amyloid deposits.
    • Embodiment 158. An oligomeric compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides wherein the nucleobase sequence of the modified oligonucleotide is at least 80% complementary to an equal length portion of an APP RNA, and wherein the modified oligonucleotide comprises at least one modification selected from a modified sugar, a sugar surrogate, and a modified internucleoside linkage.
    • Embodiment 159. An oligomeric compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides wherein the nucleobase sequence of the modified oligonucleotide comprises at least 12, 13, 14, 15, 16, 17, or 18 nucleobases of any of SEQ ID NOS: 12-501; wherein the modified oligonucleotide comprises at least one modification selected from a modified sugar and a modified internucleoside linkage.
    • Embodiment 160. An oligomeric compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides wherein the nucleobase sequence of the modified oligonucleotide comprises at least 12, 13, 14, 15, 16, 17, 18, 19, or 20 nucleobases of any of SEQ ID NOS: 502-516; wherein the modified oligonucleotide comprises at least one modification selected from a modified sugar and a modified internucleoside linkage.
    • Embodiment 161. An oligomeric compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides wherein the nucleobase sequence of the modified oligonucleotide comprises at least 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, or 23 nucleobases of any of SEQ ID NOS: 517-665, 815-840 or 867-888; wherein the modified oligonucleotide comprises at least one modification selected from a modified sugar and a modified internucleoside linkage.
    • Embodiment 162. An oligomeric compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides wherein the nucleobase sequence of the modified oligonucleotide is complementary to at least 8, at least 9, at least 10, at least 11, 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, or at least 21 contiguous nucleobases of:
      • an equal length portion of nucleobases 40-78 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 69-146 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 83-129 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 83-246 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 94-225 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 194-231 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 194-238 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 236-268 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 258-288 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 285-311 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 296-321 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 307-330 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 329-352 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 330-352 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 339-383 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 415-439 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 413-477 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 415-477 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 477-506 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 477-523 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 477-541 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 530-557 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 581-638 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 636-661 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 652-697 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 728-821 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 770-821 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 920-950 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1006-1049 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1152-1179 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1227-1265 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1227-1274 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1268-1332 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1268-1311 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1289-1332 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1518-1543 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1531-1593 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1544-1593 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1634-1657 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1778-1800 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 1882-1908 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 2051-2074 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 2360-3117 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 2402-3117 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 2360-2655 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 2402-2655 of SEQ ID NO: 1;
      • an equal length portion of nucleobases 2675-3054 of SEQ ID NO: 1; or
      • an equal length portion of nucleobases 3192-3277 of SEQ ID NO: 3; wherein the modified oligonucleotide comprises at least one modification selected from a modified sugar and a modified internucleoside linkage.
    • Embodiment 163. The oligomeric compound of any of embodiments 158-162, wherein the modified oligonucleotide has a nucleobase sequence that is at least 80%, 85%, 90%, 95%, or 100% complementary to any of the nucleobase sequences of SEQ ID NO: 1-7 when measured across the entire nucleobase sequence of the modified oligonucleotide.
    • Embodiment 164. The oligomeric compound of any of embodiments 158-162, wherein at least one nucleoside of the modified oligonucleotide is a modified nucleoside.
    • Embodiment 165. The oligomeric compound of embodiment 164, wherein at least one modified nucleoside of the modified oligonucleotide comprises a modified sugar moiety.
    • Embodiment 166. The oligomeric compound of embodiment 165, wherein at least one modified nucleoside of the modified oligonucleotide comprises a bicyclic sugar moiety.
    • Embodiment 167. The oligomeric compound of embodiment 166, wherein at least one modified nucleoside of the modified oligonucleotide comprises a bicyclic sugar moiety having a 2′-4′ bridge, wherein the 2′-4′ bridge is selected from —O—CH2—; and —O—CH(CH3)—.
    • Embodiment 168. The oligomeric compound of any of embodiments 162-167, wherein at least one modified nucleoside of the modified oligonucleotide comprises a non-bicyclic modified sugar moiety.
    • Embodiment 169. The oligomeric compound of embodiment 168, wherein at least one modified nucleoside of the modified oligonucleotide comprises a bicyclic sugar moiety having a 2′-4′ bridge and at least one nucleoside of the modified oligonucleotide comprises a non-bicyclic modified sugar moiety.
    • Embodiment 170. The oligomeric compound of embodiment 168 or 169, wherein the non-bicyclic modified sugar moiety is a 2′-MOE modified sugar moiety, a 2′-OMe modified sugar moiety, or a 2′-F modified sugar moiety.
    • Embodiment 171. The oligomeric compound of any of embodiments 158-170, wherein tat least one modified nucleoside of the modified oligonucleotide comprises a sugar surrogate.
    • Embodiment 172. The oligomeric compound of embodiment 171, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a sugar surrogate selected from morpholino and PNA.
    • Embodiment 173. The oligomeric compound of any of embodiments 158-172, wherein the modified oligonucleotide comprises at least one modified internucleoside linkage.
    • Embodiment 174. The oligomeric compound of embodiment 173, wherein each internucleoside linkage of the modified oligonucleotide is a modified internucleoside linkage.
    • Embodiment 175. The oligomeric compound of embodiment 173 or 174, wherein at least one internucleoside linkage is a phosphorothioate internucleoside linkage.
    • Embodiment 176. The oligomeric compound of embodiment 173 or 175, wherein the modified oligonucleotide comprises at least one phosphodiester internucleoside linkage.
    • Embodiment 177. The oligomeric compound of any of embodiments 173, 175, or 176, wherein each internucleoside linkage is independently selected from a phosphodiester internucleoside linkage or a phosphorothioate internucleoside linkage.
    • Embodiment 178. The oligomeric compound of any of embodiments 158-177, wherein the modified oligonucleotide comprises a modified nucleobase.
    • Embodiment 179. The oligomeric compound of embodiment 178, wherein the modified nucleobase is a 5-methyl cytosine.
    • Embodiment 180. The oligomeric compound of any of embodiments 158-179 wherein the modified oligonucleotide consists of 12-22, 12-20, 14-18, 14-20, 15-17, 15-25, 16-20, 16-18, 18-22, 18-25, 18-20, 20-25, or 21-23 linked nucleosides.
    • Embodiment 181. The oligomeric compound of any of embodiments 158-180, wherein the modified oligonucleotide consists of 18 linked nucleosides.
    • Embodiment 182. The oligomeric compound of any of embodiments 158-180, wherein the modified oligonucleotide consists of 20 linked nucleosides.
    • Embodiment 183. The oligomeric compound of any of embodiments 158-180, wherein the modified oligonucleotide consists of 21 linked nucleosides.
    • Embodiment 184. The oligomeric compound of any of embodiments 158-180, wherein the modified oligonucleotide consists of 23 linked nucleosides.
    • Embodiment 185. The oligomeric compound of any of embodiments 158-184, wherein the oligomeric compound is an RNase H compound.
    • Embodiment 186. The oligomeric compound of embodiment 185, wherein the modified oligonucleotide is a gapmer.
    • Embodiment 187. The oligomeric compound of any of claims 158-186, wherein the modified oligonucleotide has a sugar motif comprising:
      • a 5′-region consisting of 1-6 linked 5′-region nucleosides;
      • a central region consisting of 6-10 linked central region nucleosides; and
      • a 3′-region consisting of 1-6 linked 3′-region nucleosides;
      • wherein the 3′-most nucleoside of the 5′-region and the 5′-most nucleoside of the 3′-region comprise modified sugar moieties, and
      • each of the central region nucleosides is selected from a nucleoside comprising a 2′-β-D-deoxyribosyl sugar moiety and a nucleoside comprising a 2′-substituted sugar moiety, wherein the central region comprises at least six nucleosides comprising a 2′-β-D-deoxyribosyl sugar moiety and no more than two nucleosides comprising a 2′-substituted sugar moiety.
    • Embodiment 188. The oligomeric compound of any of embodiments 158-183 or 185-187, wherein the modified oligonucleotide has a sugar motif comprising:
      • a 5′-region consisting of 1-6 linked 5′-region nucleosides;
      • a central region consisting of 6-10 linked central region nucleosides; and
      • a 3′-region consisting of 1-6 linked 3′-region nucleosides; wherein
      • each of the 5′-region nucleosides and each of the 3′-region nucleosides comprises a modified sugar moiety and each of the central region nucleosides comprises a 2′-β-D-deoxyribosyl sugar moiety.
    • Embodiment 189. The oligomeric compound of embodiment 188, wherein the modified oligonucleotide has a sugar motif comprising:
      • a 5′-region consisting of 5 linked 5′-region nucleosides;
      • a central region consisting of 10 linked central region nucleosides; and
      • a 3′-region consisting of 5 linked 3′-region nucleosides; wherein
      • each of the 5′-region nucleosides and each of the 3′-region nucleosides comprises either a cEt modified sugar moiety or a 2′-MOE modified sugar moiety, and each of the central region nucleosides comprises a 2′-β-D-deoxyribosyl sugar moiety.
    • Embodiment 190. The oligomeric compound of any of embodiments 158-184, wherein the oligomeric compound is an RNAi compound.
    • Embodiment 191. The oligomeric compound of any of embodiments 158-190, wherein the oligomeric compound comprises an antisense RNAi oligonucleotide comprising a targeting region comprising at least 15 contiguous nucleobases, wherein the targeting region is at least 90% complementary to an equal-length portion of an APP RNA.
    • Embodiment 192. The oligomeric compound of embodiment 191, wherein the targeting region of the antisense RNAi oligonucleotide is at least 95% complementary or is 100% complementary to the equal length portion of an APP RNA.
    • Embodiment 193. The oligomeric compound of any of embodiments 191-192, wherein the targeting region of the antisense RNAi oligonucleotide comprises at least 19, 20, 21, or 25 contiguous nucleobases.
    • Embodiment 194. The oligomeric compound of any of embodiments 191-193, wherein the APP RNA has the nucleobase sequence of any of SEQ ID NOs: 1-7.
    • Embodiment 195. The oligomeric compound of any of embodiments 191-194 wherein at least one nucleoside of the antisense RNAi oligonucleotide comprises a modified sugar moiety selected from: 2′-F, 2′-OMe, 2′-NMA, LNA, and cEt; or a sugar surrogate selected from GNA, and UNA.
    • Embodiment 196. The oligomeric compound of any of embodiments 191-195, wherein each nucleoside of the antisense RNAi oligonucleotide comprises a modified sugar moiety or a sugar surrogate.
    • Embodiment 197. The oligomeric compound of any of embodiments 191-196 wherein at least 80%, at least 90%, or 100% of the nucleosides of the antisense RNAi oligonucleotide comprises a modified sugar moiety selected from 2′-F and 2′-OMe.
    • Embodiment 198. The oligomeric compound of any of embodiments 191-197, comprising a stabilized phosphate group attached to the 5′ position of the 5′-most nucleoside of the antisense RNAi oligonucleotide.
    • Embodiment 199. The oligomeric compound of embodiment 198, wherein the stabilized phosphate group comprises a cyclopropyl phosphonate or an (E)-vinyl phosphonate.
    • Embodiment 200. The oligomeric compound of any of embodiments 158-199, wherein the oligomeric compound is a single-stranded oligomeric compound.
    • Embodiment 201. The oligomeric compound of any of embodiments 158-200, consisting of the modified oligonucleotide or the RNAi antisense oligonucleotide.
    • Embodiment 202. The oligomeric compound of any of embodiments 158-200 comprising a conjugate group comprising a conjugate moiety and a conjugate linker.
    • Embodiment 203. The oligomeric compound of embodiment 202, wherein the conjugate linker consists of a single bond.
    • Embodiment 204. The oligomeric compound of embodiment 202, wherein the conjugate linker is cleavable.
    • Embodiment 205. The oligomeric compound of embodiment 202, wherein the conjugate linker comprises 1-3 linker-nucleosides.
    • Embodiment 206. The oligomeric compound of any of embodiments 202-205, wherein the conjugate group is attached to the 5′-end of the modified oligonucleotide or the antisense RNAi oligonucleotide.
    • Embodiment 207. The oligomeric compound of any of embodiments 202-205 wherein the conjugate group is attached to the 3′-end of the modified oligonucleotide or the antisense RNAi oligonucleotide.
    • Embodiment 208. The oligomeric compound of any of embodiments 158-200 or 202-206, comprising a terminal group.
    • Embodiment 209. The oligomeric compound of any of embodiments 158-204 or 206-208, wherein the oligomeric compound does not comprise linker-nucleosides.
    • Embodiment 210. An oligomeric duplex, comprising a first oligomeric compound comprising an antisense RNAi oligonucleotide of any of embodiments 188-209 and a second oligomeric compound comprising a sense RNAi oligonucleotide consisting of 17 to 30 linked nucleosides, wherein the nucleobase sequence of the sense RNAi oligonucleotide comprises an antisense-hybridizing region comprising least 15 contiguous nucleobases wherein the antisense-hybridizing region is at least 90% complementary to an equal length portion of the antisense RNAi oligonucleotide.
    • Embodiment 211. The oligomeric duplex of embodiment 210, wherein the sense RNAi oligonucleotide consists of 18-25, 20-25, or 21-23 linked nucleosides.
    • Embodiment 212. The oligomeric duplex of embodiment 211, wherein the sense RNAi oligonucleotide consists of 21 or 23 linked nucleosides.
    • Embodiment 213. The oligomeric duplex of any of embodiments 210-212, wherein 1-4 3′-most nucleosides of the antisense or the sense RNAi oligonucleotide are overhanging nucleosides.
    • Embodiment 214. The oligomeric duplex of any of embodiments 210-213, wherein 1-4 5′-most nucleosides of the antisense or sense RNAi oligonucleotide are overhanging nucleosides.
    • Embodiment 215. The oligomeric duplex of any of embodiments 210-214, wherein the duplex is blunt ended at the 3′-end of the antisense RNAi oligonucleotide.
    • Embodiment 216. The oligomeric duplex of any of embodiments 210-214, wherein the duplex is blunt ended at the 5′-end of the antisense RNAi oligonucleotide.
    • Embodiment 217. The oligomeric duplex of any of embodiments 210-216, wherein at least one nucleoside of the sense RNAi oligonucleotide comprises a modified sugar moiety selected from: 2′-F, 2′-OMe, LNA, cEt, or a sugar surrogate selected from GNA, and UNA.
    • Embodiment 218. The oligomeric duplex of embodiment 217, wherein each nucleoside of the sense RNAi oligonucleotide comprises a modified sugar moiety or a sugar surrogate.
    • Embodiment 219. The oligomeric duplex of embodiment 218, wherein at least 80%, at least 90%, or 100% of the nucleosides of the sense RNAi oligonucleotide comprises a modified sugar moiety selected from 2′-F and 2′-OMe.
    • Embodiment 220. The oligomeric duplex of any of embodiments 210-219, wherein at least one nucleoside of the sense RNAi oligonucleotide comprises a modified nucleobase.
    • Embodiment 221. The oligomeric duplex of any of embodiments 210-220, wherein at least one internucleoside linkage of the sense RNAi oligonucleotide is a modified internucleoside linkage.
    • Embodiment 222. The oligomeric duplex of embodiment 221, wherein at least one internucleoside linkage of the sense RNAi oligonucleotide is a phosphorothioate internucleoside linkage.
    • Embodiment 223. The oligomeric duplex of any of embodiments 210-222, wherein the compound comprises 1-5 abasic sugar moieties attached to one or both ends of the antisense or sense RNA oligonucleotide.
    • Embodiment 224. The oligomeric duplex of any of embodiments 210-223, consisting of the antisense RNAi oligonucleotide and the sense RNAi oligonucleotide.
    • Embodiment 225. The oligomeric duplex of embodiment 210, wherein the second oligomeric compound comprises a conjugate group comprising a conjugate moiety and a conjugate linker.
    • Embodiment 226. The oligomeric duplex of embodiment 225, wherein the conjugate linker consists of a single bond.
    • Embodiment 227. The oligomeric duplex of embodiment 225, wherein the conjugate linker is cleavable.
    • Embodiment 228. The oligomeric duplex of embodiment 225, wherein the conjugate linker comprises 1-3 linker-nucleosides.
    • Embodiment 229. The oligomeric duplex of any of embodiments 225-228, wherein the conjugate group is attached to the 5′-end of the sense RNAi oligonucleotide.
    • Embodiment 230. The oligomeric compound of any of embodiments 225-225 wherein the conjugate group is attached to the 3′-end of the sense RNAi oligonucleotide.
    • Embodiment 231. The oligomeric compound of any of embodiments 225-225 wherein the conjugate group is attached via the 2′ position of a ribosyl sugar moiety at an internal position within the sense RNAi oligonucleotide.
    • Embodiment 232. The oligomeric compound of any of embodiments 202-207 or the oligomeric duplex of any of embodiments 225-231, wherein at least one conjugate group comprises a C16 alkyl group.
    • Embodiment 233. The oligomeric duplex of embodiment 210, wherein the second oligomeric compound comprises a terminal group.
    • Embodiment 234. A pharmaceutical composition comprising an oligomeric compound of any of embodiments 158-209 or an oligomeric duplex of embodiments 210-233 and a pharmaceutically acceptable carrier or diluent.
    • Embodiment 235. The pharmaceutical composition of embodiment 234, wherein the pharmaceutically acceptable diluent is artificial cerebral spinal fluid, sterile saline, or PBS.
    • Embodiment 236. The pharmaceutical composition of embodiment 234, wherein the pharmaceutical composition consists essentially of the modified oligonucleotide and sterile saline.
    • Embodiment 237. A method comprising administering to an animal a pharmaceutical composition of any of embodiments 234-236.
    • Embodiment 238. A method of treating a disease associated with APP comprising administering to an individual having or at risk for developing a disease associated with APP a therapeutically effective amount of a pharmaceutical composition according to any of embodiments 234-236; and thereby treating the disease associated with APP.
    • Embodiment 239. The method of embodiment 238, wherein the APP-associated disease is Alzheimer's Disease, Alzheimer's Disease in a Down Syndrome patient, or Cerebral Amyloid Angiopathy.
    • Embodiment 240. The method of any of embodiments 238-239 wherein at least one symptom or hallmark of the APP-associated disease is ameliorated.
    • Embodiment 241. The method of embodiment 240, wherein the symptom or hallmark is cognitive impairment, including a decline in memory and language skills, behavioral and psychological symptoms such as apathy and lack of motivation, gait disturbances and seizures, progressive dementia, and/or abnormal amyloid deposits.


I. Certain Oligonucleotides


In certain embodiments, provided herein are oligomeric compounds comprising oligonucleotides, which consist of linked nucleosides. Oligonucleotides may be unmodified oligonucleotides (RNA or DNA) or may be modified oligonucleotides. Modified oligonucleotides comprise at least one modification relative to unmodified RNA or DNA. That is, modified oligonucleotides comprise at least one modified nucleoside (comprising a modified sugar moiety and/or a modified nucleobase) and/or at least one modified internucleoside linkage. In certain embodiments, provided herein are RNAi compounds comprising antisense RNAi oligonucleotides complementary to APP and optionally sense RNAi oligonucleotides complementary to the antisense RNAi oligonucleotides. Antisense RNAi oligonucleotides and sense RNAi oligonucleotides typically comprise at least one modified nucleoside and/or at least one modified internucleoside linkage. Certain modified nucleosides and modified internucleoside linkages suitable for use in modified oligonucleotides are described below.


A. Certain Modified Nucleosides


Modified nucleosides comprise a modified sugar moiety or a modified nucleobase or both a modified sugar moiety and a modified nucleobase. In certain embodiments, modified nucleosides comprising the following modified sugar moieties and/or the following modified nucleobases may be incorporated into antisense RNAi oligonucleotides and/or sense RNAi oligonucleotides.


1. Certain Sugar Moieties


In certain embodiments, modified sugar moieties are non-bicyclic modified sugar moieties. In certain embodiments, modified sugar moieties are bicyclic or tricyclic sugar moieties. In certain embodiments, modified sugar moieties are sugar surrogates. Such sugar surrogates may comprise one or more substitutions corresponding to those of other types of modified sugar moieties.


In certain embodiments, modified sugar moieties are non-bicyclic modified sugar moieties comprising a furanosyl ring with one or more substituent groups none of which bridges two atoms of the furanosyl ring to form a bicyclic structure. Such non bridging substituents may be at any position of the furanosyl, including but not limited to substituents at the 2′, 3′, 4′, and/or 5′ positions. In certain embodiments one or more non-bridging substituent of non-bicyclic modified sugar moieties is branched. Examples of 2′-substituent groups suitable for non-bicyclic modified sugar moieties include but are not limited to: 2′-F, 2′-OCH3(“OMe” or “O-methyl”), and 2′-O(CH2)2OCH3 (“MOE”). In certain embodiments, 2′-substituent groups are selected from among: halo, allyl, amino, azido, SH, CN, OCN, CF3, OCF3, O—C1-C10 alkoxy, O—C1-C10 substituted alkoxy, O—C1-C10 alkyl, O—C1-C10 substituted alkyl, S-alkyl, N(Rm)-alkyl, O-alkenyl, S-alkenyl, N(Rm)-alkenyl, O-alkynyl, S-alkynyl, N(Rm)-alkynyl, O-alkylenyl-O-alkyl, alkynyl, alkaryl, aralkyl, O-alkaryl, O-aralkyl, O(CH2)2SCH3, O(CH2)2ON(Rm)(Rn) or OCH2C(═O)—N(Rm)(Rn), where each Rm and Rn is, independently, H, an amino protecting group, or substituted or unsubstituted C1-C10 alkyl, —O(CH2)2ON(CH3)2 (“DMAOE”), 2′-OCH2OCH2N(CH2)2 (“DMAEOE”), and the 2′-substituent groups described in Cook et al., U.S. Pat. No. 6,531,584; Cook et al., U.S. Pat. No. 5,859,221; and Cook et al., U.S. Pat. No. 6,005,087. Certain embodiments of these 2′-substituent groups can be further substituted with one or more substituent groups independently selected from among: hydroxyl, amino, alkoxy, carboxy, benzyl, phenyl, nitro (NO2), thiol, thioalkoxy, thioalkyl, halogen, alkyl, aryl, alkenyl and alkynyl. In certain embodiments, non-bicyclic modified sugar moieties comprise a substituent group at the 3′-position. Examples of substituent groups suitable for the 3′-position of modified sugar moieties include but are not limited to alkoxy (e.g., methoxy), alkyl (e.g., methyl, ethyl). In certain embodiments, non-bicyclic modified sugar moieties comprise a substituent group at the 4′-position. Examples of 4′-substituent groups suitable for non-bicyclic modified sugar moieties include but are not limited to alkoxy (e.g., methoxy), alkyl, and those described in Manoharan et al., WO 2015/106128. Examples of 5′-substituent groups suitable for non-bicyclic modified sugar moieties include but are not limited to: 5′-methyl (R or S), 5′-vinyl, ethyl, and 5′-methoxy. In certain embodiments, non-bicyclic modified sugar moieties comprise more than one non-bridging sugar substituent, for example, 2′-F-5′-methyl sugar moieties and the modified sugar moieties and modified nucleosides described in Migawa et al., WO 2008/101157 and Rajeev et al., US2013/0203836).


In certain embodiments, a 2′-substituted non-bicyclic modified nucleoside comprises a sugar moiety comprising a non-bridging 2′-substituent group selected from: F, NH2, N3, OCF3, OCH3, O(CH2)3NH2, CH2CH═CH2, OCH2CH═CH2, OCH2CH2OCH3, O(CH2)2SCH3, O(CH2)2ON(Rm)(Rn), O(CH2)2O(CH2)2N(CH3)2, and N-substituted acetamide (OCH2C(═O)—N(Rm)(124)), where each Rm and Rn is, independently, H, an amino protecting group, or substituted or unsubstituted C1-C10 alkyl.


In certain embodiments, a 2′-substituted nucleoside non-bicyclic modified nucleoside comprises a sugar moiety comprising a non-bridging 2′-substituent group selected from: F, OCF3, OCH3, OCH2CH2OCH3, O(CH2)2SCH3, O(CH2)2ON(CH3)2, O(CH2)2O(CH2)2N(CH3)2, O(CH2)2ON(CH3)2 (“DMAOE”), OCH2OCH2N(CH2)2 (“DMAEOE”) and OCH2C(═O)—N(H)CH3 (“NMA”).


In certain embodiments, a 2′-substituted non-bicyclic modified nucleoside comprises a sugar moiety comprising a non-bridging 2′-substituent group selected from: F, OCH3, and OCH2CH2OCH3.


In naturally occurring nucleic acids, sugars are linked to one another 3′ to 5′. In certain embodiments, oligonucleotides include one or more nucleoside or sugar moiety linked at an alternative position, for example at the 2′ or inverted 5′ to 3′. For example, where the linkage is at the 2′ position, the 2′-substituent groups may instead be at the 3′-position.


Certain modified sugar moieties comprise a substituent that bridges two atoms of the furanosyl ring to form a second ring, resulting in a bicyclic sugar moiety. Nucleosides comprising such bicyclic sugar moieties have been referred to as bicyclic nucleosides (BNAs), locked nucleosides, or conformationally restricted nucleotides (CRN). Certain such compounds are described in US Patent Publication No. 2013/0190383; and PCT publication WO 2013/036868. In certain such embodiments, the bicyclic sugar moiety comprises a bridge between the 4′ and the 2′ furanose ring atoms. n certain such embodiments, the furanose ring is a ribose ring. Examples of such 4′ to 2′ bridging sugar substituents include but are not limited to: 4′-CH2-2′, 4′-(CH2)2-2′, 4′-(CH2)3-2′, 4′-CH2—O-2′ (“LNA”), 4′-CH2—S-2′, 4′- (CH2)2—O-2′ (“ENA”), 4′-CH(CH3)—O-2′ (referred to as “constrained ethyl” or “cEt” when in the S configuration), 4′-CH2—O—CH2-2′, 4′-CH2—N(R)-2′, 4′-CH(CH2OCH3)—O-2′ (“constrained MOE” or “cMOE”) and analogs thereof (see, e.g., Seth et al., U.S. Pat. No. 7,399,845, Bhat et al., U.S. Pat. No. 7,569,686, Swayze et al., U.S. Pat. No. 7,741,457, and Swayze et al., U.S. Pat. No. 8,022,193), 4′-C(CH3)(CH3)—O-2′ and analogs thereof (see, e.g., Seth et al., U.S. Pat. No. 8,278,283), 4′-CH2—N(OCH3)-2′ and analogs thereof (see, e.g., Prakash et al., U.S. Pat. No. 8,278,425), 4′-CH2—O—N(CH3)-2′ (see, e.g., Allerson et al., U.S. Pat. No. 7,696,345 and Allerson et al., U.S. Pat. No. 8,124,745), 4′-CH2—C(H)(CH3)-2′ (see, e.g., Zhou, et al., J. Org. Chem., 2009, 74, 118-134), 4′-CH2—C(═CH2)-2′ and analogs thereof (see e.g., Seth et al., U.S. Pat. No. 8,278,426), 4′-C(RaRb)—N(R)—O-2′, 4′-C(RaRb)—O—N(R)-2′, 4′-CH2—O—N(R)-2′, and 4′-CH2—N(R)—O-2′, wherein each R, Ra, and Rb is, independently, H, a protecting group, or C1-C12 alkyl (see, e.g. Imanishi et al., U.S. Pat. No. 7,427,672).


In certain embodiments, such 4′ to 2′ bridges independently comprise from 1 to 4 linked groups independently selected from: —[C(Ra)(Rb)]n-, —[C(Ra)(Rb)]n-O—, C(Ra)═C(Rb)-, C(Ra)═N—, C(═NRa)-, —C(═O)—, —C(═S)—, —O—, —Si(Ra)2-, —S(═O)x-, and N(Ra)-;


wherein:


x is 0, 1, or 2;


n is 1, 2, 3, or 4;


each Ra and Rb is, independently, H, a protecting group, hydroxyl, C1-C12 alkyl, substituted C1-C12 alkyl, C2-C12 alkenyl, substituted C2-C12 alkenyl, C2-C12 alkynyl, substituted C2-C12 alkynyl, C5-C20 aryl, substituted C5-C20 aryl, heterocycle radical, substituted heterocycle radical, heteroaryl, substituted heteroaryl, C5-C7 alicyclic radical, substituted C5-C7 alicyclic radical, halogen, OJ1, NJ1J2, SJ1, N3, COOJ1 acyl (C(═O)—H), substituted acyl, CN, sulfonyl (S(═O)2-J1), or sulfoxyl (S(═O)-J1); and each J1 and J2 is, independently, H, C1-C12 alkyl, substituted C1-C12 alkyl, C2-C12 alkenyl, substituted C2-C12 alkenyl, C2-C12 alkynyl, substituted C2-C12 alkynyl, C5-C20 aryl, substituted C5-C20 aryl, acyl (C(═O)—H), substituted acyl, a heterocycle radical, a substituted heterocycle radical, C1-C12 aminoalkyl, substituted C1-C12 aminoalkyl, or a protecting group.


Additional bicyclic sugar moieties are known in the art, see, for example: Freier et al., Nucleic Acids Research, 1997, 25(22), 4429-4443, Albaek et al., J. Org. Chem., 2006, 71, 7731-7740, Singh et al., Chem. Commun., 1998, 4, 455-456; Koshkin et al., Tetrahedron, 1998, 54, 3607-3630; Wahlestedt et al., Proc. Natl. Acad. Sci. U.S.A, 2000, 97, 5633-5638; Kumar et al., Bioorg. Med. Chem. Lett., 1998, 8, 2219-2222; Singh et al., J. Org. Chem., 1998, 63, 10035-10039; Srivastava et al., J. Am. Chem. Soc., 2007, 129, 8362-8379; Elayadi et al., Curr. Opinion Invens. Drugs, 2001, 2, 558-561; Braasch et al., Chem. Biol., 2001, 8, 1-7; Orum et al., Curr. Opinion Mol. Ther., 2001, 3, 239-243; Wengel et al., U.S. Pat. No. 7,053,207, Imanishi et al., U.S. Pat. No. 6,268,490, Imanishi et al. U.S. Pat. No. 6,770,748, Imanishi et al., U.S. RE44,779; Wengel et al., U.S. Pat. No. 6,794,499, Wengel et al., U.S. Pat. No. 6,670,461; Wengel et al., U.S. Pat. No. 7,034,133, Wengel et al., U.S. Pat. No. 8,080,644; Wengel et al., U.S. Pat. No. 8,034,909; Wengel et al., U.S. Pat. No. 8,153,365; Wengel et al., U.S. Pat. No. 7,572,582; and Ramasamy et al., U.S. Pat. No. 6,525,191, Torsten et al., WO 2004/106356, Wengel et al., WO 1999/014226; Seth et al., WO 2007/134181; Seth et al., U.S. Pat. No. 7,547,684; Seth et al., U.S. Pat. No. 7,666,854; Seth et al., U.S. Pat. No. 8,088,746; Seth et al., U.S. Pat. No. 7,750,131; Seth et al., U.S. Pat. No. 8,030,467; Seth et al., U.S. Pat. No. 8,268,980; Seth et al., U.S. Pat. No. 8,546,556; Seth et al., U.S. Pat. No. 8,530,640; Migawa et al., U.S. Pat. No. 9,012,421; Seth et al., U.S. Pat. No. 8,501,805; Allerson et al., US2008/0039618; and Migawa et al., US2015/0191727. In certain embodiments, bicyclic sugar moieties and nucleosides incorporating such bicyclic sugar moieties are further defined by isomeric configuration. For example, an LNA nucleoside (described herein) may be in the α-L configuration or in the 0-D configuration.




embedded image


α-L-methyleneoxy (4′-CH2—O-2′) or α-L-LNA bicyclic nucleosides have been incorporated into oligonucleotides that showed antisense activity (Frieden et al., Nucleic Acids Research, 2003, 21, 6365-6372). The addition of locked nucleic acids to siRNAs has been shown to increase siRNA stability in serum, and to reduce off-target effects (Elmen, J. et al., (2005) Nucleic Acids Research 33(1):439-447; Mook, O R. et al., (2007) Mal Cane Ther 6(3):833-843; Grunweller, A. et al., (2003) Nucleic Acids Research 31(12):3185-3193). Herein, general descriptions of bicyclic nucleosides include both isomeric configurations. When the positions of specific bicyclic nucleosides (e.g., LNA or cEt) are identified in exemplified embodiments herein, they are in the β-D configuration, unless otherwise specified.


In certain embodiments, modified sugar moieties comprise one or more non-bridging sugar substituent and one or more bridging sugar substituent (e.g., 5′-substituted and 4′-2′ bridged sugars).


In certain embodiments, modified sugar moieties are sugar surrogates. In certain such embodiments, the oxygen atom of the sugar moiety is replaced, e.g., with a sulfur, carbon or nitrogen atom. In certain such embodiments, such modified sugar moieties also comprise bridging and/or non-bridging substituents as described herein. For example, certain sugar surrogates comprise a 4′-sulfur atom and a substitution at the 2′-position (see, e.g., Bhat et al., U.S. Pat. No. 7,875,733 and Bhat et al., U.S. Pat. No. 7,939,677) and/or the 5′ position.


In certain embodiments, sugar surrogates comprise rings having other than 5 atoms. For example, in certain embodiments, a sugar surrogate comprises a six-membered tetrahydropyran (“THP”). Such tetrahydropyrans may be further modified or substituted. Nucleosides comprising such modified tetrahydropyrans include but are not limited to hexitol nucleic acid (“HNA”), anitol nucleic acid (“ANA”), manitol nucleic acid (“MNA”) (see, e.g., Leumann, C J. Bioorg. & Med. Chem. 2002, 10, 841-854), fluoro HNA:




embedded image


(“F-HNA”, see e.g. Swayze et al., U.S. Pat. No. 8,088,904; Swayze et al., U.S. Pat. No. 8,440,803; Swayze et al., U.S. Pat. No. 8,796,437; and Swayze et al., U.S. Pat. No. 9,005,906; F-HNA can also be referred to as a F-THP or 3′-fluoro tetrahydropyran), and nucleosides comprising additional modified THP compounds having the formula:




embedded image


wherein, independently, for each of said modified THP nucleoside:


Bx is a nucleobase moiety;


T3 and T4 are each, independently, an internucleoside linking group linking the modified THP nucleoside to the remainder of an oligonucleotide or one of T3 and T4 is an internucleoside linking group linking the modified THP nucleoside to the remainder of an oligonucleotide and the other of T3 and T4 is H, a hydroxyl protecting group, a linked conjugate group, or a 5′ or 3′-terminal group; q1, q2, q3, q4, q5, q6 and q7 are each, independently, H, C1-C6 alkyl, substituted C1-C6 alkyl, C2-C6 alkenyl, substituted C2-C6 alkenyl, C2-C6 alkynyl, or substituted C2-C6 alkynyl; and


each of R1 and R2 is independently selected from among: hydrogen, halogen, substituted or unsubstituted alkoxy, NJ1J2, SJ1, N3, OC(═X)J1, OC(═X)NJ1J2, NJ3C(═X)NJ1J2, and CN, wherein X is O, S or NJ1, and each J1, J2, and J3 is, independently, H or C1-C6 alkyl.


In certain embodiments, modified THP nucleosides are provided wherein q1, q2, q3, q4, q5, q6 and q7 are each H. In certain embodiments, at least one of q1, q2, q3, q4, q5, q6 and q7 is other than H. In certain embodiments, at least one of q1, q2, q3, q4, q5, q6 and q7 is methyl. In certain embodiments, modified THP nucleosides are provided wherein one of R1 and R2 is F. In certain embodiments, R1 is F and R2 is H, in certain embodiments, R1 is methoxy and R2 is H, and in certain embodiments, R1 is methoxyethoxy and R2 is H.


In certain embodiments, sugar surrogates comprise rings having more than 5 atoms and more than one heteroatom. For example, nucleosides comprising morpholino sugar moieties and their use in oligonucleotides have been reported (see, e.g., Braasch et al., Biochemistry, 2002, 41, 4503-4510 and Summerton et al., U.S. Pat. No. 5,698,685; Summerton et al., U.S. Pat. No. 5,166,315; Summerton et al., U.S. Pat. No. 5,185,444; and Summerton et al., U.S. Pat. No. 5,034,506). As used here, the term “morpholino” means a sugar surrogate having the following structure:




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In certain embodiments, morpholinos may be modified, for example by adding or altering various substituent groups from the above morpholino structure. Such sugar surrogates are referred to herein as “modified morpholinos.”


In certain embodiments, sugar surrogates comprise acyclic moieties. Examples of nucleosides and oligonucleotides comprising such acyclic sugar surrogates include but are not limited to: peptide nucleic acid (“PNA”), acyclic butyl nucleic acid (see, e.g., Kumar et al., Org. Biomol. Chem., 2013, 11, 5853-5865), and nucleosides and oligonucleotides described in Manoharan et al., WO2011/133876. In certain embodiments, sugar surrogates comprise acyclic moieties. Examples of nucleosides and oligonucleotides comprising such acyclic sugar surrogates include, but are not limited to: peptide nucleic acid (“PNA”), acyclic butyl nucleic acid (see, e.g., Kumar et al., Org. Biomol. Chem., 2013, 11, 5853-5865), and nucleosides and oligonucleotides described in Manoharan et al., US2013/130378. Representative U.S. patents that teach the preparation of PNA compounds include, but are not limited to, U.S. Pat. Nos. 5,539,082; 5,714,331; and 5,719,262. Additional PNA compounds suitable for use in the RNAi oligonucleotides of the invention are described in, for example, in Nielsen et al., Science, 1991, 254, 1497-1500.


In certain embodiments, sugar surrogates are the “unlocked” sugar structure of UNA (unlocked nucleic acid) nucleosides. UNA is an unlocked acyclic nucleic acid, wherein any of the bonds of the sugar has been removed, forming an unlocked sugar surrogate. Representative U.S. publications that teach the preparation of UNA include, but are not limited to, U.S. Pat. No. 8,314,227; and US Patent Publication Nos. 2013/0096289; 2013/0011922; and 2011/0313020, the entire contents of each of which are hereby incorporated herein by reference.


In certain embodiments, sugar surrogates are the glycerol as found in GNA (glycol nucleic acid) nucleosides as depicted below:




embedded image


where Bx represents any nucleobase.


Many other bicyclic and tricyclic sugar and sugar surrogats are known in the art that can be used in modified nucleosides.


2. Certain Modified Nucleobases


In certain embodiments, modified oligonucleotides comprise one or more nucleoside comprising an unmodified nucleobase. In certain embodiments, modified oligonucleotides comprise one or more nucleoside comprising a modified nucleobase. In certain embodiments, modified oligonucleotides comprise one or more nucleoside that does not comprise a nucleobase, referred to as an abasic nucleoside. In certain embodiments, modified oligonucleotides comprise one or more inosine nucleosides (i.e., nucleosides comprising a hypoxanthine nucleobase).


In certain embodiments, modified nucleobases are selected from: 5-substituted pyrimidines, 6-azapyrimidines, alkyl or alkynyl substituted pyrimidines, alkyl substituted purines, and N-2, N-6 and O-6 substituted purines. In certain embodiments, modified nucleobases are selected from: 5-methylcytosine, 2-aminopropyladenine, 5-hydroxymethyl cytosine, xanthine, hypoxanthine, 2-aminoadenine, 6-N-methylguanine, 6-N-methyladenine, 2-propyladenine, 2-thiouracil, 2-thiothymine and 2-thiocytosine, 5-propynyl (—C≡C—CH3) uracil, 5-propynylcytosine, 6-azouracil, 6-azocytosine, 6-azothymine, 5-ribosyluracil (pseudouracil), 4-thiouracil, 8-halo, 8-amino, 8-thiol, 8-thioalkyl, 8-hydroxyl, 8-aza and other 8-substituted purines, 5-halo, particularly 5-bromo, 5-trifluoromethyl, 5-halouracil, and 5-halocytosine, 7-methylguanine, 7-methyladenine, 2-F-adenine, 2-aminoadenine, 7-deazaguanine, 7-deazaadenine, 3-deazaguanine, 3-deazaadenine, 6-N-benzoyladenine, 2-N-isobutyrylguanine, 4-N-benzoylcytosine, 4-N-benzoyluracil, 5-methyl 4-N-benzoylcytosine, 5-methyl 4-N-benzoyluracil, universal bases, hydrophobic bases, promiscuous bases, size-expanded bases, and fluorinated bases. Further modified nucleobases include tricyclic pyrimidines, such as 1,3-diazaphenoxazine-2-one, 1,3-diazaphenothiazine-2-one and 9-(2-aminoethoxy)-1,3-diazaphenoxazine-2-one (G-clamp). Modified nucleobases may also include those in which the purine or pyrimidine base is replaced with other heterocycles, for example 7-deaza-adenine, 7-deazaguanosine, 2-aminopyridine and 2-pyridone. Further nucleobases include those disclosed in Merigan et al., U.S. Pat. No. 3,687,808, those disclosed in The Concise Encyclopedia Of Polymer Science And Engineering, Kroschwitz, J. I., Ed., John Wiley & Sons, 1990, 858-859; Englisch et al., Angewandte Chemie, International Edition, 1991, 30, 613; Sanghvi, Y. S., Chapter 15, Antisense Research and Applications, Crooke, S. T. and Lebleu, B., Eds., CRC Press, 1993, 273-288; and those disclosed in Chapters 6 and 15, Antisense Drug Technology, Crooke S. T., Ed., CRC Press, 2008, 163-166 and 442-443.


Publications that teach the preparation of certain of the above noted modified nucleobases as well as other modified nucleobases include without limitation, Manoharan et al., US2003/0158403; Manoharan et al., US2003/0175906; Dinh et al., U.S. Pat. No. 4,845,205; Spielvogel et al., U.S. Pat. No. 5,130,302; Rogers et al., U.S. Pat. No. 5,134,066; Bischofberger et al., U.S. Pat. No. 5,175,273; Urdea et al., U.S. Pat. No. 5,367,066; Benner et al., U.S. Pat. No. 5,432,272; Matteucci et al., U.S. Pat. No. 5,434,257; Gmeiner et al., U.S. Pat. No. 5,457,187; Cook et al., U.S. Pat. No. 5,459,255; Froehler et al., U.S. Pat. No. 5,484,908; Matteucci et al., U.S. Pat. No. 5,502,177; Hawkins et al., U.S. Pat. No. 5,525,711; Haralambidis et al., U.S. 5,552,540; Cook et al., U.S. Pat. No. 5,587,469; Froehler et al., U.S. Pat. No. 5,594,121; Switzer et al., U.S. Pat. No. 5,596,091; Cook et al., U.S. Pat. No. 5,614,617; Froehler et al., U.S. Pat. No. 5,645,985; Cook et al., U.S. Pat. No. 5,681,941; Cook et al., U.S. Pat. No. 5,811,534; Cook et al., U.S. Pat. No. 5,750,692; Cook et al., U.S. Pat. No. 5,948,903; Cook et al., U.S. Pat. No. 5,587,470; Cook et al., U.S. Pat. No. 5,457,191; Matteucci et al., U.S. Pat. No. 5,763,588; Froehler et al., U.S. Pat. No. 5,830,653; Cook et al., U.S. Pat. No. 5,808,027; Cook et al., U.S. Pat. No. 6,166,199; and Matteucci et al., U.S. Pat. No. 6,005,096.


3. Certain Modified Internucleoside Linkages


The naturally occurring internucleoside linkage of RNA and DNA is a 3′ to 5′ phosphodiester linkage. In certain embodiments, nucleosides of modified oligonucleotides may be linked together using one or more modified internucleoside linkages. The two main classes of internucleoside linking groups are defined by the presence or absence of a phosphorus atom. Representative phosphorus-containing internucleoside linkages include but are not limited to phosphates, which contain a phosphodiester bond (“P═O”) (also referred to as unmodified or naturally occurring linkages), phosphotriesters, methylphosphonates, phosphoramidates, and phosphorothioates (“P═S”), and phosphorodithioates (“HS-P═S”). Representative non-phosphorus containing internucleoside linking groups include but are not limited to methylenemethylimino (—CH2—N(CH3)—O—CH2—), thiodiester, thionocarbamate (—O—C(═O)(NH)—S—); siloxane (—O—SiH2—O—); and N,N′-dimethylhydrazine (—CH2—N(CH3)—N(CH3)—). Modified internucleoside linkages, compared to naturally occurring phosphate linkages, can be used to alter, typically increase, nuclease resistance of the oligonucleotide. In certain embodiments, internucleoside linkages having a chiral atom can be prepared as a racemic mixture, or as separate enantiomers. Methods of preparation of phosphorous-containing and non-phosphorous-containing internucleoside linkages are well known to those skilled in the art.


Representative internucleoside linkages having a chiral center include but are not limited to alkylphosphonates and phosphorothioates. Modified oligonucleotides comprising internucleoside linkages having a chiral center can be prepared as populations of modified oligonucleotides comprising stereorandom internucleoside linkages, or as populations of modified oligonucleotides comprising phosphorothioate linkages in particular stereochemical configurations. In certain embodiments, populations of modified oligonucleotides comprise phosphorothioate internucleoside linkages wherein all of the phosphorothioate internucleoside linkages are stereorandom. Such modified oligonucleotides can be generated using synthetic methods that result in random selection of the stereochemical configuration of each phosphorothioate linkage. Nonetheless, each individual phosphorothioate of each individual oligonucleotide molecule has a defined stereoconfiguration. In certain embodiments, populations of modified oligonucleotides are enriched for modified oligonucleotides comprising one or more particular phosphorothioate internucleoside linkages in a particular, independently selected stereochemical configuration. In certain embodiments, the particular configuration of the particular phosphorothioate linkage is present in at least 65% of the molecules in the population. In certain embodiments, the particular configuration of the particular phosphorothioate linkage is present in at least 70% of the molecules in the population. In certain embodiments, the particular configuration of the particular phosphorothioate linkage is present in at least 80% of the molecules in the population. In certain embodiments, the particular configuration of the particular phosphorothioate linkage is present in at least 90% of the molecules in the population. In certain embodiments, the particular configuration of the particular phosphorothioate linkage is present in at least 99% of the molecules in the population. Such chirally enriched populations of modified oligonucleotides can be generated using synthetic methods known in the art, e.g., methods described in Oka et al., JACS 125, 8307 (2003), Wan et al. Nuc. Acid. Res. 42, 13456 (2014), and WO 2017/015555. In certain embodiments, a population of modified oligonucleotides is enriched for modified oligonucleotides having at least one indicated phosphorothioate in the (Sp) configuration. In certain embodiments, a population of modified oligonucleotides is enriched for modified oligonucleotides having at least one phosphorothioate in the (Rp) configuration. In certain embodiments, modified oligonucleotides comprising (Rp) and/or (Sp) phosphorothioates comprise one or more of the following formulas, respectively, wherein “B” indicates a nucleobase:




embedded image


Unless otherwise indicated, chiral internucleoside linkages of modified oligonucleotides described herein can be stereorandom or in a particular stereochemical configuration.


Neutral internucleoside linkages include, without limitation, phosphotriesters, methylphosphonates, MMI (3′—CH2—N(CH3)—O-5), amide-3 (3′—CH2—C(═O)—N(H)-5), amide-4 (3′—CH2—N(H)—C(═O)-5), formacetal (3′-O—CH2—O-5′), methoxypropyl (MOP), and thioformacetal (3′-S—CH2—O-5′). Further neutral internucleoside linkages include nonionic linkages comprising siloxane (dialkylsiloxane), carboxylate ester, carboxamide, sulfide, sulfonate ester and amides (See for example: Carbohydrate Modifications in Antisense Research; Y. S. Sanghvi and P. D. Cook, Eds., ACS Symposium Series 580; Chapters 3 and 4, 40-65). Further neutral internucleoside linkages include nonionic linkages comprising mixed N, O, S and CH2 component parts.


In certain embodiments, modified oligonucleotides (such as antisense RNAi oligonucleotides and/or sense RNAi oligonucleotides) comprise one or more inverted nucleoside, as shown below:




embedded image


wherein each Bx independently represents any nucleobase.


In certain embodiments, an inverted nucleoside is terminal (i.e., the last nucleoside on one end of an oligonucleotide) and so only one internucleoside linkage depicted above will be present. In certain such embodiments, additional features (such as a conjugate group) may be attached to the inverted nucleoside. Such terminal inverted nucleosides can be attached to either or both ends of an oligonucleotide.


In certain embodiments, such groups lack a nucleobase and are referred to herein as inverted sugar moieties. In certain embodiments, an inverted sugar moiety is terminal (i.e., attached to the last nucleoside on one end of an oligonucleotide) and so only one internucleoside linkage above will be present. In certain such embodiments, additional features (such as a conjugate group) may be attached to the inverted sugar moiety. Such terminal inverted sugar moieties can be attached to either or both ends of an oligonucleotide.


In certain embodiments, nucleic acids can be linked 2′ to 5′ rather than the standard 3′ to 5′ linkage. Such a linkage is illustrated below.




embedded image


wherein each Bx represents any nucleobase.


B. Certain Motifs


In certain embodiments, modified oligonucleotides comprise one or more modified nucleosides comprising a modified sugar moiety. In certain embodiments, modified oligonucleotides comprise one or more modified nucleosides comprising a modified nucleobase. In certain embodiments, modified oligonucleotides comprise one or more modified internucleoside linkage. In such embodiments, the modified, unmodified, and differently modified sugar moieties, nucleobases, and/or internucleoside linkages of a modified oligonucleotide define a pattern or motif. In certain embodiments, the patterns of sugar moieties, nucleobases, and internucleoside linkages are each independent of one another. Thus, a modified oligonucleotide may be described by its sugar motif, nucleobase motif and/or internucleoside linkage motif (as used herein, nucleobase motif describes the modifications to the nucleobases independent of the sequence of nucleobases).


1. Certain Sugar Motifs


In certain embodiments, oligonucleotides comprise one or more type of modified sugar and/or unmodified sugar moiety arranged along the oligonucleotide or region thereof in a defined pattern or sugar motif. In certain instances, such sugar motifs include but are not limited to any of the sugar modifications discussed herein.


Uniformly Modified Oligonucleotides

In certain embodiments, modified oligonucleotides comprise or consist of a region having a fully modified sugar motif. In such embodiments, each nucleoside of the fully modified region of the modified oligonucleotide comprises a modified sugar moiety. In certain embodiments, each nucleoside of the entire modified oligonucleotide comprises a modified sugar moiety. In certain embodiments, modified oligonucleotides comprise or consist of a region having a fully modified sugar motif, wherein each nucleoside within the fully modified region comprises the same modified sugar moiety, referred to herein as a uniformly modified sugar motif. In certain embodiments, a fully modified oligonucleotide is a uniformly modified oligonucleotide. In certain embodiments, each nucleoside of a uniformly modified nucleotide comprises the same 2′-modification.


Gapmer Oligonucleotides

In certain embodiments, modified oligonucleotides comprise or consist of a region having a gapmer motif, which is defined by two external regions or “wings” and a central or internal region or “gap.” The three regions of a gapmer motif (the 5′-wing, the gap, and the 3′-wing) form a contiguous sequence of nucleosides wherein at least some of the sugar moieties of the nucleosides of each of the wings differ from at least some of the sugar moieties of the nucleosides of the gap. Specifically, at least the sugar moieties of the nucleosides of each wing that are closest to the gap (the 3′-most nucleoside of the 5′-wing and the 5′-most nucleoside of the 3′-wing) differ from the sugar moiety of the neighboring gap nucleosides, thus defining the boundary between the wings and the gap (i.e., the wing/gap junction). In certain embodiments, the sugar moieties within the gap are the same as one another. In certain embodiments, the gap includes one or more nucleoside having a sugar moiety that differs from the sugar moiety of one or more other nucleosides of the gap. In certain embodiments, the sugar motifs of the two wings are the same as one another (symmetric gapmer). In certain embodiments, the sugar motif of the 5′-wing differs from the sugar motif of the 3′-wing (asymmetric gapmer).


In certain embodiments, the wings of a gapmer comprise 1-6 nucleosides. In certain embodiments, each nucleoside of each wing of a gapmer comprises a modified sugar moiety. In certain embodiments, at least one nucleoside of each wing of a gapmer comprises a modified sugar moiety. In certain embodiments, at least two nucleosides of each wing of a gapmer comprises a modified sugar moiety. In certain embodiments, at least three nucleosides of each wing of a gapmer comprises a modified sugar moiety. In certain embodiments, at least four nucleosides of each wing of a gapmer comprises a modified sugar moiety.


In certain embodiments, the gap of a gapmer comprises 7-12 nucleosides. In certain embodiments, each nucleoside of the gap of a gapmer comprises a 2′-β-D-deoxyribosyl sugar moiety. In certain embodiments, at least one nucleoside of the gap of a gapmer comprises a modified sugar moiety.


In certain embodiments, the gapmer is a deoxy gapmer. In certain embodiments, the nucleosides on the gap side of each wing/gap junction comprise 2′-deoxyribosyl sugar moieties and the nucleosides on the wing sides of each wing/gap junction comprise modified sugar moieties. In certain embodiments, each nucleoside of the gap comprises a 2′-β-D-deoxyribosyl sugar moiety. In certain embodiments, each nucleoside of each wing of a gapmer comprises a modified sugar moiety. In certain embodiments, at least one nucleoside of the gap of a gapmer comprises a modified sugar moiety. In certain embodiments, at least one nucleoside of the gap of a gapmer comprises a 2′-OMe sugar moiety.


Herein, the lengths (number of nucleosides) of the three regions of a gapmer may be provided using the notation [# of nucleosides in the 5′-wing]−[# of nucleosides in the gap]−[# of nucleosides in the 3′-wing]. Thus, a 3-10-3 gapmer consists of 3 linked nucleosides in each wing and 10 linked nucleosides in the gap. Where such nomenclature is followed by a specific modification, that modification is the modification in each sugar moiety of each wing and the gap nucleosides comprise 2′-β-D-deoxyribosyl sugar moieties. Thus, a 5-10-5 MOE gapmer consists of 5 linked 2′-MOE nucleosides in the 5′-wing, 10 linked 2′-β-D-deoxynucleosides in the gap, and 5 linked 2′-MOE nucleosides in the 3′-wing. A 3-10-3 cEt gapmer consists of 3 linked cEt nucleosides in the 5′-wing, 10 linked 2′-α-D-deoxynucleosides in the gap, and 3 linked cEt nucleosides in the 3′-wing. A 5-8-5 gapmer consists of 5 linked nucleosides comprising a modified sugar moiety in the 5′-wing, 8 linked 2′-β-D-deoxynucleosides in the gap, and 5 linked nucleosides comprising a modified sugar moiety in the 3′-wing. A 5-8-5 mixed gapmer has at least two different modified sugar moieties in the 5′- and/or the 3′-wing.


In certain embodiments, modified oligonucleotides are 5-10-5 MOE gapmers. In certain embodiments, modified oligonucleotides are 3-10-3 BNA gapmers. In certain embodiments, modified oligonucleotides are 3-10-3 cEt gapmers. In certain embodiments, modified oligonucleotides are 3-10-3 LNA gapmers.


In certain embodiments, modified oligonucleotides are 5-8-5 mixed gapmers that consist of 5 linked 2′-MOE nucleosides in the 5′-wing, 8 linked 2′-β-D-deoxynucleosides in the gap, and a mixture of cEt and 2′-MOE nucleosides in the 3′-wing. In certain embodiments, modified nucleosides have a sugar motif of eeeeeddddddddkkeee, where each “e” represents a nucleoside comprising a 2′-MOE modified sugar moiety, each “d” represents a nucleoside comprising a 2′-β-D-deoxyribosyl sugar moiety, and each “k” represents a nucleoside comprising a cEt modified sugar moiety. In certain embodiments, modified nucleosides have a sugar motif of eeeeeddddddddkeeee, where each “e” represents a nucleoside comprising a 2′-MOE modified sugar moiety, each “d” represents a nucleoside comprising a 2′-β-D-deoxyribosyl sugar moiety, and each “k” represents a nucleoside comprising a cEt modified sugar moiety.


Antisense RNAi Oligonucleotides

In certain embodiments, the sugar moiety of at least one nucleoside of an antisense RNAi oligonucleotide is a modified sugar moiety.


In certain such embodiments, at least one nucleoside comprises a 2′-OMe modified sugar moiety. In certain embodiments, at least 2 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 5 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 8 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 10 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 12 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 14 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 15 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 17 nucleosides comprise 2′-OMe modified sugar moieties. In certain such embodiments, at least 18 nucleosides comprise 2′-OMe modified sugar moieties. In certain such embodiments, at least 20 nucleosides comprise 2′-OMe modified sugar moieties. In certain such embodiments, at least 21 nucleosides comprise 2′-OMe modified sugar moieties.


In certain embodiments, at least one nucleoside comprises a 2′-F modified sugar. In certain embodiments, at least 2 nucleosides comprise 2′-F modified sugar moieties. In certain embodiments, at least 3 nucleosides comprise 2′-F modified sugar moieties. In certain embodiments, at least 4 nucleosides comprise 2′-F modified sugar moieties. In certain embodiments, one, but not more than one nucleoside comprises a 2′-F modified sugar. In certain embodiments, 1 or 2 nucleosides comprise 2′-F modified sugar moieties. In certain embodiments, 1-3 nucleosides comprise 2′-F modified sugar moieties. In certain embodiments, at least 1-4 nucleosides comprise 2′-F modified sugar moieties. In certain embodiments, antisense RNAi oligonucleotides have a block of 2-4 contiguous 2′-F modified nucleosides. In certain embodiments, 4 nucleosides of an antisense RNAi oligonucleotide are 2′-F modified nucleosides and 3 of those 2′-F modified nucleosides are contiguous. In certain such embodiments the remainder of the nucleosides are 2′OMe modified.


Sense RNAi Oligonucleotides

In certain embodiments, the sugar moiety of at least one nucleoside of a sense RNAi oligonucleotides is a modified sugar moiety.


In certain such embodiments, at least one nucleoside comprises a 2′-OMe modified sugar moiety. In certain embodiments, at least 2 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 5 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 8 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 10 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 12 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 14 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 15 nucleosides comprise 2′-OMe modified sugar moieties. In certain embodiments, at least 17 nucleosides comprise 2′-OMe modified sugar moieties. In certain such embodiments, at least 18 nucleosides comprise 2′-OMe modified sugar moieties. In certain such embodiments, at least 20 nucleosides comprise 2′-OMe modified sugar moieties. In certain such embodiments, at least 21 nucleosides comprise 2′-OMe modified sugar moieties.


In certain embodiments, at least one nucleoside comprises a 2′-F modified sugar moiety. In certain embodiments, at least 2 nucleosides comprise 2′-F modified sugar moieties. In certain embodiments, at least 3 nucleosides comprise 2′-F modified sugar moieties. In certain embodiments, at least 4 nucleosides comprise 2′-F modified sugar moieties. In certain embodiments, one, but not more than nucleoside comprises a 2′-F modified sugar moiety. In certain embodiments, 1 or 2 nucleosides comprise 2′-F modified sugar moieties. In certain embodiments, 1-3 nucleosides comprise 2′-F modified sugar moieties. In certain embodiments, at least 1-4 nucleosides comprise 2′-F modified sugar moieties. In certain embodiments, sense RNAi oligonucleotides have a block of 2-4 contiguous 2′-F modified nucleosides. In certain embodiments, 4 nucleosides of a sense RNAi oligonucleotide are 2′-F modified nucleosides and 3 of those 2′-F modified nucleosides are contiguous. In certain such embodiments the remainder of the nucleosides are 2′OMe modified.


2. Certain Nucleobase Motifs


In certain embodiments, oligonucleotides comprise modified and/or unmodified nucleobases arranged along the oligonucleotide or region thereof in a defined pattern or motif. In certain embodiments, each nucleobase is modified. In certain embodiments, none of the nucleobases are modified. In certain embodiments, each purine or each pyrimidine is modified. In certain embodiments, each adenine is modified. In certain embodiments, each guanine is modified. In certain embodiments, each thymine is modified. In certain embodiments, each uracil is modified. In certain embodiments, each cytosine is modified. In certain embodiments, some or all of the cytosine nucleobases in a modified oligonucleotide are 5-methyl cytosines. In certain embodiments, all of the cytosine nucleobases are 5-methyl cytosines and all of the other nucleobases of the modified oligonucleotide are unmodified nucleobases.


In certain embodiments, modified oligonucleotides comprise a block of modified nucleobases. In certain such embodiments, the block is at the 3′-end of the oligonucleotide. In certain embodiments the block is within 3 nucleosides of the 3′-end of the oligonucleotide. In certain embodiments, the block is at the 5′-end of the oligonucleotide. In certain embodiments the block is within 3 nucleosides of the 5′-end of the oligonucleotide.


Gapmer Oligonucleotides

In certain embodiments, oligonucleotides having a gapmer motif comprise a nucleoside comprising a modified nucleobase. In certain such embodiments, one nucleoside comprising a modified nucleobase is in the central gap of an oligonucleotide having a gapmer motif. In certain such embodiments, the sugar moiety of said nucleoside is a 2′-deoxyribosyl sugar moiety. In certain embodiments, the modified nucleobase is selected from: a 2-thiopyrimidine and a 5-propynepyrimidine.


Antisense RNAi Oligonucleotides

In certain embodiments, one nucleoside of an antisense RNAi oligonucleotide is a UNA. In certain embodiments, one nucleoside of an antisense RNAi oligonucleotide is a GNA. In certain embodiments, 1-4 nucleosides of an antisense RNAi oligonucleotide is/are DNA. In certain such embodiments, the 1-4 DNA nucleosides are at one or both ends of the antisense RNAi oligonucleotide.


Sense RNAi Oligonucleotides

In certain embodiments, one nucleoside of a sense RNAi oligonucleotide is a UNA.


In certain embodiments, one nucleoside of a sense RNAi oligonucleotide is a GNA.


In certain embodiments, 1-4 nucleosides of a sense RNAi oligonucleotide is/are DNA. In certain such embodiments, the 1-4 DNA nucleosides are at one or both ends of the sense RNAi oligonucleotide.


3. Certain Internucleoside Linkage Motifs


In certain embodiments, oligonucleotides comprise modified and/or unmodified internucleoside linkages arranged along the oligonucleotide or region thereof in a defined pattern or motif. In certain embodiments, each internucleoside linking group is a phosphodiester internucleoside linkage (P═O). In certain embodiments, each internucleoside linking group of a modified oligonucleotide is a phosphorothioate internucleoside linkage (β=S). In certain embodiments, each internucleoside linkage of a modified oligonucleotide is independently selected from a phosphorothioate internucleoside linkage and phosphodiester internucleoside linkage. In certain embodiments, each phosphorothioate internucleoside linkage is independently selected from a stereorandom phosphorothioate a (Sp) phosphorothioate, and a (Rp) phosphorothioate.


Gapmer Oligonucleotides

In certain embodiments, the sugar motif of a modified oligonucleotide is a gapmer and the internucleoside linkages within the gap are all modified. In certain such embodiments, some or all of the internucleoside linkages in the wings are unmodified phosphodiester internucleoside linkages. In certain embodiments, the terminal internucleoside linkages are modified. In certain embodiments, the sugar motif of a modified oligonucleotide is a gapmer, and the internucleoside linkage motif comprises at least one phosphodiester internucleoside linkage in at least one wing, wherein the at least one phosphodiester linkage is not a terminal internucleoside linkage, and the remaining internucleoside linkages are phosphorothioate internucleoside linkages. In certain such embodiments, all of the phosphorothioate linkages are stereorandom. In certain embodiments, all of the phosphorothioate linkages in the wings are (Sp) phosphorothioates, and the gap comprises at least one Sp, Sp, Rp motif. In certain embodiments, populations of modified oligonucleotides are enriched for modified oligonucleotides comprising such internucleoside linkage motifs.


In certain embodiments, modified nucleotides have an internucleoside linkage motif of sososssssssssosss, wherein each “s” represents a phosphorothioate internucleoside linkage and each “o” represents a phosphate internucleoside linkage. In certain embodiments, modified nucleotides have an internucleoside linkage motif of sooosssssssssooss, wherein each “s” represents a phosphorothioate internucleoside linkage and each “o” represents a phosphate internucleoside linkage. In certain embodiments, modified nucleotides have an internucleoside linkage motif of sooosssssssssooss, wherein each “s” represents a phosphorothioate internucleoside linkage and each “o” represents a phosphate internucleoside linkage.


Antisense RNAi Oligonucleotides

In certain embodiments, at least one linkage of the antisense RNAi oligonucleotide is a modified linkage. In certain embodiments, the 5′-most linkage (i.e., linking the first nucleoside from the 5′-end to the second nucleoside from the 5′-end) is modified. In certain embodiments, the two 5′-most linkages are modified. In certain embodiments, the first one or 2 linkages from the 3′-end are modified. In certain such embodiments, the modified linkage is a phosphorothioate linkage. In certain embodiments, the remaining linkages are all unmodified phosphodiester linkages.


In certain embodiments, at least one linkage of the antisense RNAi oligonucleotide is an inverted linkage.


Sense RNAi Oligonucleotides

In certain embodiments, at least one linkage of the sense RNAi oligonucleotides is a modified linkage. In certain embodiments, the 5′-most linkage (i.e., linking the first nucleoside from the 5′-end to the second nucleoside from the 5′-end) is modified. In certain embodiments, the two 5′-most linkages are modified. In certain embodiments, the first one or 2 linkages from the 3′-end are modified. In certain such embodiments, the modified linkage is a phosphorothioate linkage. In certain embodiments, the remaining linkages are all unmodified phosphodiester linkages.


In certain embodiments, at least one linkage of the sense RNAi oligonucleotides is an inverted linkage.


C. Certain Lengths

It is possible to increase or decrease the length of an oligonucleotide without eliminating activity. For example, in Woolf et al. (Proc. Natl. Acad. Sci. USA 89:7305-7309, 1992), a series of oligonucleotides 13-25 nucleobases in length were tested for their ability to induce cleavage of a target RNA in an oocyte injection model. Oligonucleotides 25 nucleobases in length with 8 or 11 mismatch bases near the ends of the oligonucleotides were able to direct specific cleavage of the target RNA, albeit to a lesser extent than the oligonucleotides that contained no mismatches. Similarly, target specific cleavage was achieved using 13 nucleobase oligonucleotides, including those with 1 or 3 mismatches.


In certain embodiments, oligonucleotides (including modified oligonucleotides) can have any of a variety of ranges of lengths. In certain embodiments, oligonucleotides consist of X to Y linked nucleosides, where X represents the fewest number of nucleosides in the range and Y represents the largest number nucleosides in the range. In certain such embodiments, X and Y are each independently selected from 8, 9, 10, 11, 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, and 50; provided that X≤Y. For example, in certain embodiments, oligonucleotides consist of 12 to 13, 12 to 14, 12 to 15, 12 to 16, 12 to 17, 12 to 18, 12 to 19, 12 to 20, 12 to 21, 12 to 22, 12 to 23, 12 to 24, 12 to 25, 12 to 26, 12 to 27, 12 to 28, 12 to 29, 12 to 30, 13 to 14, 13 to 15, 13 to 16, 13 to 17, 13 to 18, 13 to 19, 13 to 20, 13 to 21, 13 to 22, 13 to 23, 13 to 24, 13 to 25, 13 to 26, 13 to 27, 13 to 28, 13 to 29, 13 to 30, 14 to 15, 14 to 16, 14 to 17, 14 to 18, 14 to 19, 14 to 20, 14 to 21, 14 to 22, 14 to 23, 14 to 24, 14 to 25, 14 to 26, 14 to 27, 14 to 28, 14 to 29, 14 to 30, 15 to 16, 15 to 17, 15 to 18, 15 to 19, 15 to 20, 15 to 21, 15 to 22, 15 to 23, 15 to 24, 15 to 25, 15 to 26, 15 to 27, 15 to 28, 15 to 29, 15 to 30, 16 to 17, 16 to 18, 16 to 19, 16 to 20, 16 to 21, 16 to 22, 16 to 23, 16 to 24, 16 to 25, 16 to 26, 16 to 27, 16 to 28, 16 to 29, 16 to 30, 17 to 18, 17 to 19, 17 to 20, 17 to 21, 17 to 22, 17 to 23, 17 to 24, 17 to 25, 17 to 26, 17 to 27, 17 to 28, 17 to 29, 17 to 30, 18 to 19, 18 to 20, 18 to 21, 18 to 22, 18 to 23, 18 to 24, 18 to 25, 18 to 26, 18 to 27, 18 to 28, 18 to 29, 18 to 30, 19 to 20, 19 to 21, 19 to 22, 19 to 23, 19 to 24, 19 to 25, 19 to 26, 19 to 29, 19 to 28, 19 to 29, 19 to 30, 20 to 21, 20 to 22, 20 to 23, 20 to 24, 20 to 25, 20 to 26, 20 to 27, 20 to 28, 20 to 29, 20 to 30, 21 to 22, 21 to 23, 21 to 24, 21 to 25, 21 to 26, 21 to 27, 21 to 28, 21 to 29, 21 to 30, 22 to 23, 22 to 24, 22 to 25, 22 to 26, 22 to 27, 22 to 28, 22 to 29, 22 to 30, 23 to 24, 23 to 25, 23 to 26, 23 to 27, 23 to 28, 23 to 29, 23 to 30, 24 to 25, 24 to 26, 24 to 27, 24 to 28, 24 to 29, 24 to 30, 25 to 26, 25 to 27, 25 to 28, 25 to 29, 25 to 30, 26 to 27, 26 to 28, 26 to 29, 26 to 30, 27 to 28, 27 to 29, 27 to 30, 28 to 29, 28 to 30, or 29 to 30 linked nucleosides.


Antisense RNAi Oligonucleotides

In certain embodiments, antisense RNAi oligonucleotides consist of 17-30 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 17-25 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 17-23 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 17-21 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 18-30 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 20-30 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 21-30 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 23-30 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 18-25 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 20-22 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 21-23 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 23-24 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 20 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 21 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 22 linked nucleosides. In certain embodiments, antisense RNAi oligonucleotides consist of 23 linked nucleosides.


Sense RNAi Oligonucleotides

In certain embodiments, sense RNAi oligonucleotides consist of 17-30 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 17-25 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 17-23 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 17-21 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 18-30 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 20-30 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 21-30 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 23-30 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 18-25 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 20-22 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 21-23 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 23-24 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 20 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 21 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 22 linked nucleosides. In certain embodiments, sense RNAi oligonucleotides consist of 23 linked nucleosides.


D. Certain Modified Oligonucleotides


In certain embodiments, the above modifications (sugar, nucleobase, internucleoside linkage) are incorporated into a modified oligonucleotide. In certain embodiments, modified oligonucleotides are characterized by their modification motifs and overall lengths. In certain embodiments, such parameters are each independent of one another. Thus, unless otherwise indicated, each internucleoside linkage of an oligonucleotide having a gapmer sugar motif may be modified or unmodified and may or may not follow the gapmer modification pattern of the sugar modifications. For example, the internucleoside linkages within the wing regions of a sugar gapmer may be the same or different from one another and may be the same or different from the internucleoside linkages of the gap region of the sugar motif. Likewise, such sugar gapmer oligonucleotides may comprise one or more modified nucleobase independent of the gapmer pattern of the sugar modifications. Unless otherwise indicated, all modifications are independent of nucleobase sequence.


E. Certain Populations of Modified Oligonucleotides


Populations of modified oligonucleotides in which all of the modified oligonucleotides of the population have the same molecular formula can be stereorandom populations or chirally enriched populations. All of the chiral centers of all of the modified oligonucleotides are stereorandom in a stereorandom population. In a chirally enriched population, at least one particular chiral center is not stereorandom in the modified oligonucleotides of the population. In certain embodiments, the modified oligonucleotides of a chirally enriched population are enriched for β-D ribosyl sugar moieties, and all of the phosphorothioate internucleoside linkages are stereorandom. In certain embodiments, the modified oligonucleotides of a chirally enriched population are enriched for both β-D ribosyl sugar moieties and at least one, particular phosphorothioate internucleoside linkage in a particular stereochemical configuration.


F. Nucleobase Sequence


In certain embodiments, oligonucleotides (unmodified or modified oligonucleotides) are further described by their nucleobase sequence. In certain embodiments oligonucleotides have a nucleobase sequence that is complementary to a second oligonucleotide or an identified reference nucleic acid, such as a target nucleic acid. In certain such embodiments, a region of an oligonucleotide has a nucleobase sequence that is complementary to a second oligonucleotide or an identified reference nucleic acid, such as a target nucleic acid. In certain embodiments, the nucleobase sequence of a region or entire length of an oligonucleotide is at least 50%, at least 60%, at least 70%, at least 80%, at least 85%, at least 90%, at least 95%, or 100% complementary to the second oligonucleotide or nucleic acid, such as a target nucleic acid.


II. Certain Oligomeric Compounds

In certain embodiments, provided herein are oligomeric compounds, which consist of an oligonucleotide (modified or unmodified) and optionally one or more conjugate groups and/or terminal groups. Conjugate groups consist of one or more conjugate moiety and a conjugate linker which links the conjugate moiety to the oligonucleotide. Conjugate groups may be attached to either or both ends of an oligonucleotide and/or at any internal position. In certain embodiments, conjugate groups are attached to the 2′-position of a nucleoside of a modified oligonucleotide. In certain embodiments, conjugate groups that are attached to either or both ends of an oligonucleotide are terminal groups. In certain such embodiments, conjugate groups or terminal groups are attached at the 3′ and/or 5′-end of oligonucleotides. In certain such embodiments, conjugate groups (or terminal groups) are attached at the 3′-end of oligonucleotides. In certain embodiments, conjugate groups are attached near the 3′-end of oligonucleotides. In certain embodiments, conjugate groups (or terminal groups) are attached at the 5′-end of oligonucleotides. In certain embodiments, conjugate groups are attached near the 5′-end of oligonucleotides.


Examples of terminal groups include but are not limited to conjugate groups, capping groups, phosphate moieties, protecting groups, modified or unmodified nucleosides, and two or more nucleosides that are independently modified or unmodified.


A. Certain RNAi Compounds


RNAi compounds comprise an antisense RNAi oligonucleotide and optionally a sense RNAi oligonucleotide. RNAi compounds may also comprise terminal groups and/or conjugate groups which may be attached to the antisense RNAi oligonucleotide or the sense RNAi oligonucleotide (when present).


Duplexes


RNAi compounds comprising an antisense RNAi oligonucleotide and a sense RNAi oligonucleotide form a duplex, because the sense RNAi oligonucleotide comprises an antisense-hybridizing region that is complementary to the antisense RNAi oligonucleotide. In certain embodiments, each nucleobase of the antisense RNAi oligonucleotide and the sense RNAi oligonucleotide are complementary to one another. In certain embodiments, the two RNAi oligonucleotides have at least one mismatch relative to one another.


In certain embodiments, the antisense hybridizing region constitutes the entire length of the sense RNAi oligonucleotide and the antisense RNAi oligonucleotide. In certain embodiments, one or both of the antisense RNAi oligonucleotide and the sense RNAi oligonucleotide comprise additional nucleosides at one or both ends that do not hybridize (overhanging nucleosides). In certain embodiments, overhanging nucleosides are DNA. In certain embodiments, overhanging nucleosides are linked to each other (where there is more than one) and to the first non-overhanging nucleoside with phosphorothioate linkages.


B. Certain Conjugate Groups


In certain embodiments, oligonucleotides are covalently attached to one or more conjugate groups. In certain embodiments, conjugate groups modify one or more properties of the attached oligonucleotide, including but not limited to pharmacodynamics, pharmacokinetics, stability, binding, absorption, tissue distribution, cellular distribution, cellular uptake, charge and clearance.


In certain embodiments, conjugation of one or more carbohydrate moieties to a modified oligonucleotide can optimize one or more properties of the modified oligonucleotide. In certain embodiments, the carbohydrate moiety is attached to a modified subunit of the modified oligonucleotide. For example, the ribose sugar of one or more ribonucleotide subunits of a modified oligonucleotide can be replaced with another moiety, e.g. a non-carbohydrate (preferably cyclic) carrier to which is attached a carbohydrate ligand. A ribonucleotide subunit in which the ribose sugar of the subunit has been so replaced is referred to herein as a ribose replacement modification subunit (RRMS), which is a modified sugar moiety. A cyclic carrier may be a carbocyclic ring system, i.e., one or more ring atoms may be a heteroatom, e.g., nitrogen, oxygen, sulphur. The cyclic carrier may be a monocyclic ring system, or may contain two or more rings, e.g. fused rings. The cyclic carrier may be a fully saturated ring system, or it may contain one or more double bonds. In certain embodiments, the modified oligonucleotide is a gapmer. In certain embodiments, the modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the modified oligonucleotide is a sense RNAi oligonucleotide.


In certain embodiments, conjugate groups impart a new property on the attached oligonucleotide, e.g., fluorophores or reporter groups that enable detection of the oligonucleotide. Certain conjugate groups and conjugate moieties have been described previously, for example: cholesterol moiety (Letsinger et al., Proc. Natl. Acad. Sci. USA, 1989, 86, 6553-6556), cholic acid (Manoharan et al., Bioorg. Med. Chem. Lett., 1994, 4, 1053-1060), a thioether, e.g., hexyl-S-tritylthiol (Manoharan et al., Ann. N.Y. Acad. Sci., 1992, 660, 306-309; Manoharan et al., Bioorg. Med. Chem. Lett., 1993, 3, 2765-2770), a thiocholesterol (Oberhauser et al., Nucl. Acids Res., 1992, 20, 533-538), an aliphatic chain, e.g., do-decan-diol or undecyl residues (Saison-Behmoaras et al., EMBO J., 1991, 10, 1111-1118; Kabanov et al., FEBS Lett., 1990, 259, 327-330; Svinarchuk et al., Biochimie, 1993, 75, 49-54), a phospholipid, e.g., di-hexadecyl-rac-glycerol or triethyl-ammonium 1,2-di-O-hexadecyl-rac-glycero-3-H-phosphonate (Manoharan et al., Tetrahedron Lett., 1995, 36, 3651-3654; Shea et al., Nucl. Acids Res., 1990, 18, 3777-3783), a polyamine or a polyethylene glycol chain (Manoharan et al., Nucleosides & Nucleotides, 1995, 14, 969-973), or adamantane acetic acid a palmityl moiety (Mishra et al., Biochim. Biophys. Acta, 1995, 1264, 229-237), an octadecylamine or hexylamino-carbonyl-oxycholesterol moiety (Crooke et al., J. Pharmacol. Exp. Ther., 1996, 277, 923-937), a tocopherol group (Nishina et al., Molecular Therapy Nucleic Acids, 2015, 4, e220; and Nishina et al., Molecular Therapy, 2008, 16, 734-740), or a GalNAc cluster (e.g., WO2014/179620).


In certain embodiments, conjugate groups may be selected from any of a C22 alkyl, C20 alkyl, C16 alkyl, C10 alkyl, C21 alkyl, C19 alkyl, C18 alkyl, C15 alkyl, C14 alkyl, C13 alkyl, C12 alkyl, C11 alkyl, C9 alkyl, C8 alkyl, C7 alkyl, C6 alkyl, C5 alkyl, C22 alkenyl, C20 alkenyl, C16 alkenyl, C10 alkenyl, C21 alkenyl, C19 alkenyl, C18 alkenyl, C15 alkenyl, C14 alkenyl, C13 alkenyl, C12 alkenyl, C11 alkenyl, C9 alkenyl, C8 alkenyl, C7 alkenyl, C6 alkenyl, or C5 alkenyl.


In certain embodiments, conjugate groups may be selected from any of C22 alkyl, C20 alkyl, C16 alkyl, C10 alkyl, C21 alkyl, C19 alkyl, C18 alkyl, C15 alkyl, C14 alkyl, C13 alkyl, C12 alkyl, C11 alkyl, C9 alkyl, C8 alkyl, C7 alkyl, C6 alkyl, and C5 alkyl, where the alkyl chain has one or more unsaturated bonds.


1. Conjugate Moieties


Conjugate moieties include, without limitation, intercalators, reporter molecules, polyamines, polyamides, peptides, carbohydrates (e.g., GalNAc), vitamin moieties, polyethylene glycols, thioethers, polyethers, cholesterols, thiocholesterols, cholic acid moieties, folate, lipids, phospholipids, biotin, phenazine, phenanthridine, anthraquinone, adamantane, acridine, fluoresceins, rhodamines, coumarins, fluorophores, and dyes.


In certain embodiments, a conjugate moiety comprises an active drug substance, for example, aspirin, warfarin, phenylbutazone, ibuprofen, suprofen, fen-bufen, ketoprofen, (S)-(+)-pranoprofen, carprofen, dansylsarcosine, 2,3,5-triiodobenzoic acid, fingolimod, flufenamic acid, folinic acid, a benzothiadiazide, chlorothiazide, a diazepine, indo-methicin, a barbiturate, a cephalosporin, a sulfa drug, an antidiabetic, an antibacterial or an antibiotic.


2. Conjugate Linkers


Conjugate moieties are attached to oligonucleotides through conjugate linkers. In certain oligomeric compounds, the conjugate linker is a single chemical bond (i.e., the conjugate moiety is attached directly to an oligonucleotide through a single bond). In certain embodiments, the conjugate linker comprises a chain structure, such as a hydrocarbyl chain, or an oligomer of repeating units such as ethylene glycol, nucleosides, or amino acid units.


In certain embodiments, a conjugate linker comprises pyrrolidine.


In certain embodiments, a conjugate linker comprises one or more groups selected from alkyl, amino, oxo, amide, disulfide, polyethylene glycol, ether, thioether, and hydroxylamino. In certain such embodiments, the conjugate linker comprises groups selected from alkyl, amino, oxo, amide and ether groups. In certain embodiments, the conjugate linker comprises groups selected from alkyl and amide groups. In certain embodiments, the conjugate linker comprises groups selected from alkyl and ether groups. In certain embodiments, the conjugate linker comprises at least one phosphorus moiety. In certain embodiments, the conjugate linker comprises at least one phosphate group. In certain embodiments, the conjugate linker includes at least one neutral linking group.


In certain embodiments, conjugate linkers, including the conjugate linkers described above, are bifunctional linking moieties, e.g., those known in the art to be useful for attaching conjugate groups to compounds, such as the oligonucleotides provided herein. In general, a bifunctional linking moiety comprises at least two functional groups. One of the functional groups is selected to bind to a particular site on a compound and the other is selected to bind to a conjugate group. Examples of functional groups used in a bifunctional linking moiety include but are not limited to electrophiles for reacting with nucleophilic groups and nucleophiles for reacting with electrophilic groups. In certain embodiments, bifunctional linking moieties comprise one or more groups selected from amino, hydroxyl, carboxylic acid, thiol, alkyl, alkenyl, and alkynyl.


Examples of conjugate linkers include but are not limited to pyrrolidine, 8-amino-3,6-dioxaoctanoic acid (ADO), succinimidyl 4-(N-maleimidomethyl) cyclohexane-1-carboxylate (SMCC) and 6-aminohexanoic acid (AHEX or AHA). Other conjugate linkers include but are not limited to substituted or unsubstituted C1-C10 alkyl, substituted or unsubstituted C2-C10 alkenyl or substituted or unsubstituted C2-C10 alkynyl, wherein a nonlimiting list of preferred substituent groups includes hydroxyl, amino, alkoxy, carboxy, benzyl, phenyl, nitro, thiol, thioalkoxy, halogen, alkyl, aryl, alkenyl and alkynyl.


In certain embodiments, conjugate linkers comprise 1-10 linker-nucleosides. In certain embodiments, conjugate linkers comprise 2-5 linker-nucleosides. In certain embodiments, conjugate linkers comprise exactly 3 linker-nucleosides. In certain embodiments, conjugate linkers comprise the TCA motif. In certain embodiments, such linker-nucleosides are modified nucleosides. In certain embodiments such linker-nucleosides comprise a modified sugar moiety. In certain embodiments, linker-nucleosides are unmodified. In certain embodiments, linker-nucleosides comprise an optionally protected heterocyclic base selected from a purine, substituted purine, pyrimidine or substituted pyrimidine. In certain embodiments, a cleavable moiety is a nucleoside selected from uracil, thymine, cytosine, 4-N-benzoylcytosine, 5-methyl cytosine, 4-N-benzoyl-5-methyl cytosine, adenine, 6-N-benzoyladenine, guanine and 2-N-isobutyrylguanine. It is typically desirable for linker-nucleosides to be cleaved from the oligomeric compound after it reaches a target tissue. Accordingly, linker-nucleosides are typically linked to one another and to the remainder of the oligomeric compound through cleavable bonds. In certain embodiments, such cleavable bonds are phosphodiester bonds.


Herein, linker-nucleosides are not considered to be part of the oligonucleotide. Accordingly, in embodiments in which an oligomeric compound comprises an oligonucleotide consisting of a specified number or range of linked nucleosides and/or a specified percent complementarity to a reference nucleic acid and the oligomeric compound also comprises a conjugate group comprising a conjugate linker comprising linker-nucleosides, those linker-nucleosides are not counted toward the length of the oligonucleotide and are not used in determining the percent complementarity of the oligonucleotide for the reference nucleic acid. For example, an oligomeric compound may comprise (1) a modified oligonucleotide consisting of 8-30 nucleosides and (2) a conjugate group comprising 1-10 linker-nucleosides that are contiguous with the nucleosides of the modified oligonucleotide. The total number of contiguous linked nucleosides in such an oligomeric compound is more than 30. Alternatively, an oligomeric compound may comprise a modified oligonucleotide consisting of 8-30 nucleosides and no conjugate group. The total number of contiguous linked nucleosides in such an oligomeric compound is no more than 30. Unless otherwise indicated conjugate linkers comprise no more than 10 linker-nucleosides. In certain embodiments, conjugate linkers comprise no more than 5 linker-nucleosides. In certain embodiments, conjugate linkers comprise no more than 3 linker-nucleosides. In certain embodiments, conjugate linkers comprise no more than 2 linker-nucleosides. In certain embodiments, conjugate linkers comprise no more than 1 linker-nucleoside.


In certain embodiments, it is desirable for a conjugate group to be cleaved from the oligonucleotide. For example, in certain circumstances oligomeric compounds comprising a particular conjugate moiety are better taken up by a particular cell type, but once the oligomeric compound has been taken up, it is desirable that the conjugate group be cleaved to release the unconjugated or parent oligonucleotide. Thus, certain conjugate linkers may comprise one or more cleavable moieties. In certain embodiments, a cleavable moiety is a cleavable bond. In certain embodiments, a cleavable moiety is a group of atoms comprising at least one cleavable bond. In certain embodiments, a cleavable moiety comprises a group of atoms having one, two, three, four, or more than four cleavable bonds. In certain embodiments, a cleavable moiety is selectively cleaved inside a cell or subcellular compartment, such as a lysosome. In certain embodiments, a cleavable moiety is selectively cleaved by endogenous enzymes, such as nucleases.


In certain embodiments, a cleavable bond is selected from among: an amide, an ester, an ether, one or both esters of a phosphodiester, a phosphate ester, a carbamate, or a disulfide. In certain embodiments, a cleavable bond is one or both of the esters of a phosphodiester. In certain embodiments, a cleavable moiety comprises a phosphate or phosphodiester. In certain embodiments, the cleavable moiety is a phosphate linkage between an oligonucleotide and a conjugate moiety or conjugate group.


In certain embodiments, a cleavable moiety comprises or consists of one or more linker-nucleosides. In certain such embodiments, the one or more linker-nucleosides are linked to one another and/or to the remainder of the oligomeric compound through cleavable bonds. In certain embodiments, such cleavable bonds are unmodified phosphodiester bonds. In certain embodiments, a cleavable moiety is 2′-deoxynucleoside that is attached to either the 3′ or 5′-terminal nucleoside of an oligonucleotide by a phosphate internucleoside linkage and covalently attached to the remainder of the conjugate linker or conjugate moiety by a phosphate or phosphorothioate linkage. In certain such embodiments, the cleavable moiety is 2′-deoxyadenosine.


3. Cell-Targeting Moieties


In certain embodiments, a conjugate group comprises a cell-targeting moiety. In certain embodiments, a conjugate group has the general formula:




embedded image


wherein n is from 1 to about 3, m is 0 when n is 1, m is 1 when n is 2 or greater, j is 1 or 0, and k is 1 or 0.


In certain embodiments, n is 1, j is 1 and k is 0. In certain embodiments, n is 1, j is 0 and k is 1. In certain embodiments, n is 1, j is 1 and k is 1. In certain embodiments, n is 2, j is 1 and k is 0. In certain embodiments, n is 2, j is 0 and k is 1. In certain embodiments, n is 2, j is 1 and k is 1. In certain embodiments, n is 3, j is 1 and k is 0. In certain embodiments, n is 3, j is 0 and k is 1. In certain embodiments, n is 3, j is 1 and k is 1.


In certain embodiments, conjugate groups comprise cell-targeting moieties that have at least one tethered ligand. In certain embodiments, cell-targeting moieties comprise two tethered ligands covalently attached to a branching group. In certain embodiments, cell-targeting moieties comprise three tethered ligands covalently attached to a branching group.


In certain embodiments, each ligand of a cell-targeting moiety has an affinity for at least one type of receptor on a target cell. In certain embodiments, each ligand has an affinity for at least one type of receptor on the surface of a mammalian liver cell. In certain embodiments, each ligand has an affinity for the hepatic asialoglycoprotein receptor (ASGP-R). In certain embodiments, each ligand is a carbohydrate.


In certain embodiments, the cell-targeting moiety targets neurons. In certain embodiments, the cell-targeting moiety targets a neurotransmitter receptor. In certain embodiments, the cell targeting moiety targets a neurotransmitter transporter. In certain embodiments, the cell targeting moiety targets a GABA transporter. See e.g., WO 2011/131693, WO 2014/064257.


C. Certain Terminal Groups


In certain embodiments, oligomeric compounds comprise one or more terminal groups. In certain such embodiments, modified oligonucleotides comprise a phosphorus-containing group at the 5′-end of the modified oligonucleotide. In certain embodiments, the phosphorus-containing group is at the 5′-end of the antisense RNAi oligonucleotide and/or the sense RNAi oligonucleotide. In certain embodiments, the terminal group is a phosphate stabilized phosphate group. The 5′-end phosphorus-containing group can be 5′-end phosphate (5′-P), 5′-end phosphorothioate (5′-PS), 5′-end phosphorodithioate (5′-PS2), 5′-end vinylphosphonate (5′-VP), 5′-end methylphosphonate (MePhos) or 5′-deoxy-5′-C-malonyl. When the 5′-end phosphorus-containing group is 5′-end vinylphosphonate, the 5′VP can be either 5′-E-VP isomer (i.e., trans-vinylphosphonate), 5′-Z-VP isomer (i.e., cis-vinylphosphonate), or mixtures thereof. Although such phosphate group can be attached to any modified oligonucleotide, it has particularly been shown that attachment of such a group to an antisense RNAi oligonucleotide improves activity of certain RNAi compounds. See, e.g., Prakash et al., Nucleic Acids Res., 43(6):2993-3011, 2015; Elkayam, et al., Nucleic Acids Res., 45(6):3528-3536, 2017; Parmar, et al. ChemBioChem, 17(11)985-989; 2016; Harastzi, et al., Nucleic Acids Res., 45(13):7581-7592, 2017. In certain embodiments, the phosphate stabilizing group is 5′-cyclopropyl phosphonate. See e.g., WO/2018/027106.


In certain embodiments, terminal groups comprise one or more abasic nucleosides and/or inverted nucleosides. In certain embodiments, terminal groups comprise one or more 2′-linked nucleosides. In certain such embodiments, the 2′-linked nucleoside is an abasic nucleoside.


D. Certain Specific RNAi Motifs


RNAi compounds can be described by motif or by specific features.


In certain embodiments, the RNAi compounds described herein comprise:

    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) a conjugate attached to the 3′-end; and
      • (iii) 2′-F modifications at positions 1, 3, 5, 7, 9 to 11, 13, 17, 19, and 21, and 2′-OMe modifications at positions 2, 4, 6, 8, 12, 14 to 16, 18, and 20 (counting from the 5′ end); and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 23 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3, 5, 9, 11 to 13, 15, 17, 19, 21, and 23, and 2′F modifications at positions 2, 4, 6 to 8, 10, 14, 16, 18, 20, and 22 (counting from the 5′ end); and
      • (iii) phosphorothioate internucleoside linkages between nucleoside positions 21 and 22, and between nucleoside positions 22 and 23 (counting from the 5′ end);
      • wherein the two nucleotides at the 3′end of the antisense RNAi oligonucleotide are overhanging nucleosides, and the end of the RNAi compound duplex constituting the 5′-end of the antisense RNAi oligonucleotide and the 3′-end of the sense RNAi oligonucleotide is blunt (i.e., neither oligonucleotide has overhang nucleoside at that end and instead the hybridizing region of the sense RNAi oligonucleotide includes the 3′-most nucleoside of the sense RNAi oligonucleotide and that nucleoside hybridizes with the 5′-most nucleoside of the antisense oligonucleotide).


In certain embodiments, the RNAi compounds described herein comprise:

    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) a conjugate attached to the 3′-end;
      • (iii) 2′-F modifications at positions 1, 3, 5, 7, 9 to 11, 13, 17, 19, and 21, and 2′-OMe modifications at positions 2, 4, 6, 8, 12, 14, 16, 18, and 20 (counting from the 5′ end); and
      • (iv) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, and between nucleoside positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 23 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3, 5, 7, 9, 11 to 13, 15, 17, 19, and 21 to 23, and 2′F modifications at positions 2, 4, 6, 8, 10, 14, 16, 18, and 20 (counting from the 5′ end); and
      • (iii) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 21 and 22, and between nucleoside positions 22 and 23 (counting from the 5′ end);
      • wherein the RNAi duplex includes a two nucleotide overhang at the 3′end of the antisense RNAi oligonucleotide, and a blunt end at the 5′-end of the antisense RNAi oligonucleotide.


In certain embodiments, the RNAi compounds described herein comprise:

    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) a conjugate attached to the 3′-end;
      • (iii) 2′-OMe modifications at positions 1 to 6, 8, 10, and 12 to 21, and 2′-F modifications at positions 7 and 9, and a deoxynucleotide at position 11 (counting from the 5′ end); and
      • (iv) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, and between nucleoside positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 23 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3, 7, 9, 11, 13, 15, 17, and 19 to 23, and 2′F modifications at positions 2, 4 to 6, 8, 10, 12, 14, 16, and 18 (counting from the 5′ end); and
      • (iii) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 21 and 22, and between nucleoside positions 22 and 23 (counting from the 5′ end);
      • wherein the RNAi duplex has a two nucleotide overhang at the 3′end of the antisense RNAi oligonucleotide, and a blunt end at the 5′-end of the antisense RNAi oligonucleotide.


In certain embodiments, the RNAi compounds described herein comprise:

    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) a conjugate attached to the 3′-end;
      • (iii) 2′-OMe modifications at positions 1 to 6, 8, and 12 to 21, and 2′-F modifications at positions 7, and 9 to 11; and
      • (iv) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, and between nucleoside positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 23 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3 to 5, 7, 8, 10 to 13, 15, and 17 to 23, and 2′F modifications at positions 2, 6, 9, 14, and 16 (counting from the 5′ end); and
      • (iii) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 21 and 22, and between nucleoside positions 22 and 23 (counting from the 5′ end);
      • wherein the RNAi duplex has a two nucleotide overhang at the 3′end of the antisense RNAi oligonucleotide, and a blunt end at the 5′-end of the antisense RNAi oligonucleotide.


In certain embodiments, the RNAi compounds described herein comprise:

    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) a conjugate attached to the 3′-end;
      • (iii) 2′-OMe modifications at positions 1 to 6, 8, and 12 to 21, and 2′-F modifications at positions 7, and 9 to 11; and
      • (iv) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, and between nucleoside positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 23 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3 to 5, 7, 10 to 13, 15, and 17 to 23, and 2′F modifications at positions 2, 6, 8, 9, 14, and 16 (counting from the 5′ end); and
      • (iii) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 21 and 22, and between nucleoside positions 22 and 23 (counting from the 5′ end);
    • wherein the RNAi duplex has a two nucleotide overhang at the 3′end of the antisense RNAi oligonucleotide, and a blunt end at the 5′-end of the antisense RNAi oligonucleotide.
      • In certain embodiments, the RNAi compounds described herein comprise:
    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 19 nucleotides;
      • (ii) a conjugate attached to the 3′-end;
      • (iii) 2′-OMe modifications at positions 1 to 4, 6, and 10 to 19, and 2′-F modifications at positions 5, and 7 to 9; and
      • (iv) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, and between nucleoside positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3 to 5, 7, 10 to 13, 15, and 17 to 21, and 2′F modifications at positions 2, 6, 8, 9, 14, and 16 (counting from the 5′ end); and
      • (iii) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 19 and 20, and between nucleoside positions 20 and 21 (counting from the 5′ end);
      • wherein the RNAi duplex has a two nucleotide overhang at the 3′end of the antisense RNAi oligonucleotide, and a blunt end at the 5′-end of the antisense RNAi oligonucleotide.


In certain embodiments, the RNAi compounds described herein comprise:

    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) a conjugate attached at position 6 (counting from the 5′ end);
      • (iii) 2′-F modifications at positions 7 and 9 to 11, and 2′-OMe modifications at positions 1 to 5, 8, and 12 to 21 (counting from the 5′ end); and
      • (iv) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 19 and 20, and between nucleoside positions 20 and 21 (counting from the 5′ end);
    • and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 23 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3 to 5, 7, 10 to 13, 15, and 17 to 23, and 2′F modifications at positions 2, 6, 8, 9, 14, and 16 (counting from the 5′ end);
      • (iii) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 21 and 22, and between nucleoside positions 22 and 23 (counting from the 5′ end); and
      • (iv) a stabilized phosphate group attached to the 5′ position of the 5′-most nucleoside;
      • wherein the RNAi duplex includes a two nucleotide overhang at the 3′end of the antisense RNAi oligonucleotide, and a blunt end at the 5′-end of the antisense RNAi oligonucleotide.


In certain embodiments, the RNAi compounds described herein comprise:

    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) a conjugate attached to the 3′-end;
      • (iii) 2′-F modifications at positions 7 and 9 to 11, and 2′-OMe modifications at positions 1 to 6, 8, and 12 to 21 (counting from the 5′ end);
      • (iv) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2 and between nucleoside positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 23 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3 to 5, 7 to 13, 15, and 17 to 23 an (S)-GNA modification at position 6, and 2′F modifications at positions 2, 14, and 16 (counting from the 5′ end); and
      • (iii) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 21 and 22, and between nucleoside positions 22 and 23 (counting from the 5′ end);
      • wherein the RNAi duplex includes a two nucleotide overhang at the 3′end of the antisense RNAi oligonucleotide, and a blunt end at the 5′-end of the antisense RNAi oligonucleotide.


In certain embodiments, the RNAi compounds described herein comprise:

    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) a conjugate attached to the 3′-end;
      • (iii) 2′-F modifications at positions 7 and 9 to 11, and 2′-OMe modifications at positions 1 to 6, 8, and 12 to 21 (counting from the 5′ end);
      • (iv) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2 and between nucleoside positions 2 and 3 (counting from the 5′ end);
    • and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 23 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3 to 6, 8 to 13, 15, and 17 to 23 an (S)-GNA modification at position 7, and 2′F modifications at positions 2, 14, and 16 (counting from the 5′ end); and
      • (iii) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 21 and 22, and between nucleoside positions 22 and 23 (counting from the 5′ end);
      • wherein the RNAi duplex includes a two nucleotide overhang at the 3′end of the antisense RNAi oligonucleotide, and a blunt end at the 5′-end of the antisense RNAi oligonucleotide.


In certain embodiments, the RNAi compounds described herein comprise:

    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) a conjugate attached at position 6 (counting from the 5′ end); and
      • (iii) 2′-F modifications at positions 7 and 9 to 11, and 2′-OMe modifications at positions 1 to 5, 8, and 12 to 21 (counting from the 5′ end);
      • (iv) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 19 and 20, and between nucleoside positions 20 and 21 (counting from the 5′ end);
    • and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 23 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3 to 5, 7 to 13, 15, and 17 to 23 an (S)-GNA modification at position 6, and 2′F modifications at positions 2, 14, and 16 (counting from the 5′ end);


(iii) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 21 and 22, and between nucleoside positions 22 and 23 (counting from the 5′ end); and


(iv) a stabilized phosphate group attached to the 5′ position of the 5′-most nucleoside; wherein the RNAi duplex includes a two nucleotide overhang at the 3′end of the antisense RNAi oligonucleotide, and a blunt end at the 5′-end of the antisense RNAi oligonucleotide.


In certain embodiments, the RNAi compounds described herein comprise:

    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) a conjugate attached at position 6 (counting from the 5′ end);
      • (iii) 2′-F modifications at positions 7 and 9 to 11, and 2′-OMe modifications at positions 1 to 5, 8, and 12 to 21 (counting from the 5′ end); and
      • (iv) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 19 and 20, and between nucleoside positions 20 and 21 (counting from the 5′ end);
    • and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 23 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3 to 6, 8 to 13, 15, and 17 to 23 an (S)-GNA modification at position 7, and 2′F modifications at positions 2, 14, and 16 (counting from the 5′ end);
      • (iii) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 21 and 22, and between nucleoside positions 22 and 23 (counting from the 5′ end); and
      • (iv) a stabilized phosphate group attached to the 5′ position of the 5′-most nucleoside;
      • wherein the two nucleotides at the 3′end of the antisense RNAi oligonucleotide are overhanging nucleosides, and the end of the RNAi compound duplex constituting the 5′-end of the antisense RNAi oligonucleotide and the 3′-end of the sense RNAi oligonucleotide is blunt (i.e., neither oligonucleotide has overhang nucleoside at that end and instead the hybridizing region of the sense RNAi oligonucleotide includes the 3′-most nucleoside of the sense RNAi oligonucleotide and that nucleoside hybridizes with the 5′-most nucleoside of the antisense oligonucleotide).


In certain embodiments, the RNAi compounds described herein comprise:

    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) a conjugate attached to the 5′-end;
      • (iii) 2′-OMe modifications at positions 1 to 8, and 12 to 21, and 2′-F modifications at positions 9 to 11; and
      • (iv) inverted abasic sugar moieties attached to both the 5′-most and 3′-most nucleosides;
    • and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, and 21, and 2′F modifications at positions 2, 4, 6, 8, 10, 12, 14, 16, 18, and 20 (counting from the 5′ end); and
      • (iii) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 3 and 4, and between nucleoside positions 20 and 21 (counting from the 5′ end).


In certain embodiments, the RNAi compounds described herein comprise:

    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) a conjugate attached to the 5′-end;
      • (iii) 2′-OMe modifications at positions 1 to 8, and 12 to 21, and 2′-F modifications at positions 9 to 11;
      • (iv) a phosphorothioate internucleoside linkage between nucleoside positions 1 and 2 (counting from the 5′ end); and
      • (v) an inverted abasic sugar moiety attached to the 3′-most nucleoside;
    • and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 21 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, and 21, and 2′F modifications at positions 2, 4, 6, 8, 10, 12, 14, 16, 18, and 20 (counting from the 5′ end); and
      • (iii) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 3 and 4, and between nucleoside positions 20 and 21 (counting from the 5′ end).


In certain embodiments, the RNAi compounds described herein comprise:

    • (a) a sense RNAi oligonucleotide having:
      • (i) a length of 19 nucleotides;
      • (ii) a conjugate attached to the 5′-end;
      • (iii) 2′-OMe modifications at positions 2, 4, 6, 8, 10, 12, 14, 16, 18, and 20, and 2′-F modifications at positions 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, and 21; and
      • (iv) phosphorothioate internucleoside linkages between nucleoside positions 17 and 18, and between nucleoside positions 18 and 19 (counting from the 5′ end);
    • and
    • (b) an antisense RNAi oligonucleotide having:
      • (i) a length of 19 nucleotides;
      • (ii) 2′-OMe modifications at positions 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, and 21, and 2′F modifications at positions 2, 4, 6, 8, 10, 12, 14, 16, 18, and 20 (counting from the 5′ end); and
      • (iii) phosphorothioate internucleoside linkages between nucleoside positions 1 and 2, between nucleoside positions 2 and 3, between nucleoside positions 17 and 18, and between nucleoside positions 18 and 19 (counting from the 5′ end).


In any of the above embodiments, the conjugate at the 3′-end of the sense RNAi oligonucleotide may comprise a targeting moiety. In certain such embodiments, the targeting moiety targets a neurotransmitter receptor. In certain embodiments, the cell targeting moiety targets a neurotransmitter transporter. In certain embodiments, the cell targeting moiety targets a GABA transporter. See e.g., WO 2011/131693, WO 2014/064257.


In certain embodiments, the RNAi compound comprises a 21 nucleotide sense RNAi oligonucleotide and a 23 nucleotide antisense RNAi oligonucleotide, wherein the sense RNAi oligonucleotide contains at least one motif of three contiguous 2′-F modified nucleosides at positions 9, 10, 11 from the 5′-end; the antisense RNAi oligonucleotide contains at least one motif of three 2′-O-methyl modifications on three consecutive nucleotides at positions 11, 12, 13 from the 5′ end, wherein one end of the RNAi compound is blunt, while the other end comprises a 2 nucleotide overhang. Preferably, the 2 nucleotide overhang is at the 3′-end of the antisense RNAi oligonucleotide.


In certain embodiments, when the 2 nucleotide overhang is at the 3′-end of the antisense RNAi oligonucleotide, there may be two phosphorothioate internucleoside linkages between the terminal three nucleotides, wherein two of the three nucleotides are the overhang nucleotides, and the third nucleotide is a paired nucleotide next to the overhang nucleotide. In certain embodiments, the RNAi compound additionally has two phosphorothioate internucleoside linkages between the terminal three nucleotides at both the 5′-end of the sense RNAi oligonucleotide and at the 5′-end of the antisense RNAi oligonucleotide. In certain embodiments, every nucleotide in the sense RNAi oligonucleotide and the antisense RNAi oligonucleotide of the RNAi compound is a modified nucleotide. In certain embodiments, each nucleotide is independently modified with a 2′-O-methyl or 3′-fluoro, e.g. in an alternating motif. Optionally, the RNAi compound comprises a conjugate.


In certain embodiments, every nucleotide in the sense RNAi oligonucleotide and antisense RNAi oligonucleotide of the RNAi compound, including the nucleotides that are part of the motifs, may be modified. Each nucleotide may be modified with the same or different modification, which can include one or more alteration of one or both of the non-linking phosphate oxygens; alteration of a constituent of the ribose sugar, e.g., of the 2′ hydroxyl on the ribose sugar; wholesale replacement of the phosphate moiety with “dephospho” linkers; modification or replacement of a naturally occurring base; and replacement or modification of the ribose-phosphate backbone.


In certain embodiments, each nucleoside of the sense RNAi oligonucleotide and antisense RNAi oligonucleotide is independently modified with LNA, cEt, UNA, HNA, CeNA, 2′-MOE, 2′-OMe, 2′-O-allyl, 2′-C-allyl, 2′-deoxy, 2′-hydroxyl, or 2′-fluoro. The RNAi compound can contain more than one modification. In one embodiment, each nucleoside of the sense RNAi oligonucleotide and antisense RNAi oligonucleotide is independently modified with 2′-O-methyl or 2′-F. In certain embodiments, the modification is a 2′-NMA modification.


The term “alternating motif” as used herein refers to a motif having one or more modifications, each modification occurring on alternating nucleotides of one RNAi oligonucleotide. The alternating nucleotide may refer to one per every other nucleotide or one per every three nucleotides, or a similar pattern. For example, if A, B and C each represent one type of modification to the nucleotide, the alternating motif can be “ABABABABABAB . . . ,” “AABBAABBAABB . . . ,” “AABAABAABAAB . . . ,” “AAABAAABAAAB . . . ,” “AAABBBAAABBB . . . ,” or “ABCABCABCABC . . . ,” etc.


The type of modifications contained in the alternating motif may be the same or different. For example, if A, B, C, D each represent one type of modification on the nucleotide, the alternating pattern, i.e., modifications on every other nucleotide, may be the same, but each of the sense RNAi oligonucleotide or antisense RNAi oligonucleotide can be selected from several possibilities of modifications within the alternating motif such as “ABABAB . . . ”, “ACACAC . . . ” “BDBDBD . . . ” or “CDCDCD . . . ,” etc.


In certain embodiments, the modification pattern for the alternating motif on the sense RNAi oligonucleotide relative to the modification pattern for the alternating motif on the antisense RNAi oligonucleotide is shifted. The shift may be such that the group of modified nucleotides of the sense RNAi oligonucleotide corresponds to a group of differently modified nucleotides of the antisense RNAi oligonucleotide and vice versa. For example, the sense RNAi oligonucleotide when paired with the antisense RNAi oligonucleotide in the RNAi duplex, the alternating motif in the sense RNAi oligonucleotide may start with “ABABAB” from 5′-3′ of the RNAi oligonucleotide and the alternating motif in the antisense RNAi oligonucleotide may start with “BABABA” from 5′-3 ‘of the RNAi oligonucleotide within the duplex region. As another example, the alternating motif in the sense RNAi oligonucleotide may start with “AABBAABB” from 5’-3′ of the RNAi oligonucleotide and the alternating motif in the antisense RNAi oligonucleotide may start with “BBAABBAA” from 5′-3′ of the RNAi oligonucleotide within the duplex region, so that there is a complete or partial shift of the modification 10 patterns between the sense RNAi oligonucleotide and the antisense RNAi oligonucleotide.


In certain embodiments, the RNAi compound comprising the pattern of the alternating motif of 2′-O-methyl modification and 2′-F modification on the sense RNAi oligonucleotide initially has a shift relative to the pattern of the alternating motif of 2′-O-methyl modification and 2′-F modification on the antisense RNAi oligonucleotide initially, i.e., the 2′-O-methyl modified nucleotide on the sense RNAi oligonucleotide base pairs with a 2′-F modified nucleotides on the antisense RNAi oligonucleotide and vice versa. The 1 position of the sense RNAi oligonucleotide may start with the 2′-F modification, and the 1 position of the antisense RNAi oligonucleotide may start with a 2′-O-methyl modification.


The introduction of one or more motifs of three identical modifications on three consecutive nucleotides to the sense RNAi oligonucleotide and/or antisense RNAi oligonucleotide interrupts the initial modification pattern present in the sense RNAi oligonucleotide and/or antisense RNAi oligonucleotide. This interruption of the modification pattern of the sense and/or antisense RNAi oligonucleotide by introducing one or more motifs of three identical modifications on three consecutive nucleotides to the sense and/or antisense RNAi oligonucleotide surprisingly enhances the gene silencing activity to the target gene. In one embodiment, when the motif of three identical modifications on three consecutive 25 nucleotides is introduced to any of the RNAi oligonucleotide s, the modification of the nucleotide next to the motif is a different modification than the modification of the motif. For example, the portion of the sequence containing the motif is “ . . . NaYYYNb . . . ,” where “Y” represents the modification of the motif of three identical modifications on three consecutive nucleotide, and “Na” and “Nb” represent a modification to the nucleotide next to the motif “YYY” that is different than the modification of Y, and where Na and Nb can be the same or different modifications. Alternatively, Na and/or Nb may be present or absent when there is a wing modification present.


In certain embodiments, the sense RNAi oligonucleotide may be represented by formula (I):





5′np-Na—(X X X)i-Nb—Y Y Y—Nb—(Z Z Z)rNa-nq3′  (I)


wherein:


i and j are each independently 0 or 1;


p and q are each independently 0-6;


each Na independently represents 0-25 linked nucleosides comprising at least two differently modified nucleosides;


each Nb independently represents 0-10 linked nucleosides;


each np and nq independently represent an overhanging nucleoside;


wherein Nb and Y do not have the same modification; and


XXX, YYY and ZZZ each independently represent modified nucleosides where each X nucleoside has the same modification; each Y nucleoside has the same modification; and each Z nucleoside has the same modification. In certain embodiments, each Y comprises a 2′-F modification.


In certain embodiments, the Na and Nb comprise modifications of alternating patterns.


In certain embodiments, the YYY motif occurs at or near the cleavage site of the target nucleic acid. For example, when the RNAi compound has a duplex region of 17-23 nucleotides in length, the YYY motif can occur at or near the vicinity of the cleavage site (e.g., can occur at positions 6, 7, 8; 7, 8, 9; 8, 9, 10; 9, 10, 11; 10, 11, 12; or 11, 12, 13) of the sense RNAi oligonucleotide, the count starting from the 1st nucleotide from the 5′-end; or optionally, the count starting at the 1st paired nucleotide within the duplex region, from the 5′-end.


In certain embodiments, the antisense RNAi oligonucleotide of the RNAi may be represented by the formula:





5′nq-Na′—(Z′Z′Z′)k—Nb′—Y′Y′Y′—Nb′—(X′X′X′)l—N′a-np3′  (II)


wherein:


k and l are each independently 0 or 1;


p′ and q′ are each independently 0-6;


each Na′ independently represents 0-25 linked nucleotides comprising at least two differently modified nucleotides;


each Nb′ independently represents 0-10 linked nucleotides;


each np′ and nq′ independently represent an overhanging nucleoside;


wherein Nb′ and Y′ do not have the same modification; and


X′X′X′, Y′Y′Y′ and Z′Z′Z′ each independently represent modified nucleosides where each X′ nucleoside has the same modification; each Y′ nucleoside has the same modification; and each Z′ nucleoside has the same modification. In certain embodiments, each Y′ comprises a 2′-F modification. In certain embodiments, each Y′ comprises a 2′-OMe modification.


In certain embodiments, the Na′ and/or Nb′ comprise modifications of alternating patterns.


In certain embodiments, the Y′Y′Y′ motif occurs at or near the cleavage site of the target nucleic acid. For example, when the RNAi compound has a duplex region of 17-23 nucleotides in length, the Y′Y′Y′ motif can occur at positions 9, 10, 11; 10, 11, 12; 11, 12, 13; 12, 13, 14; or 13, 14, 15 of the antisense RNAi oligonucleotide, with the count starting from the 1st nucleotide from the 5′-end; or, optionally, the count starting at the 1st paired nucleotide within the duplex region, from the 5′-end. Preferably, the Y′Y′Y′ motif occurs at positions 11, 12, 13.


In certain embodiments, k is 1 and 1 is 0, or k is 0 and 1 is 1, or both k and l are 1.


The antisense RNAi oligonucleotide can therefore be represented by the following formulas:





5′ng′-Na′—Z′Z′Z′—Nb′—Y′Y′Y′—Na′-np′3′  (IIb);





5′ ng′-Na′—Y′Y′Y′—Nb′—X′ X′X′-np′3′  (IIc); or





5′ ng′-Na— Z′Z′Z′—Nb′—Y′Y′Y′—Nb′— X′X′X′—Na′-np′3′  (IId).


When the antisense RNAi oligonucleotide is represented by formula IIb, Nb′ represents 0-10, 0-7, 0-5, 0-4, 0-2, or 0 linked nucleosides. Each Na′ independently represents 2-20, 2-15, or 2-10 linked nucleosides.


When the antisense RNAi oligonucleotide is represented by formula IIc, Nb′ represents 0-10, 0-7, 0-5, 0-4, 0-2, or 0 linked nucleosides. Each Na′ independently represents 2-20, 2-15, or 2-10 linked nucleosides.


When the antisense RNAi oligonucleotide is represented by formula IId, Nb′ represents 0-10, 0-7, 0-5, 0-4, 0-2, or 0 linked nucleosides. Each Na′ independently represents 2-20, 2-15, or 2-10 linked nucleosides.


Preferably, Nb′ is 0, 1, 2, 3, 4, 5, or 6.


In certain embodiments, k is 0 and 1 is 0 and the antisense RNAi oligonucleotide may be represented by the formula:





5′ np′-Na′—Y′Y′Y′—Na′-nq′3′  (Ia).


When the antisense RNAi oligonucleotide is represented by formula IIa, each Na′ independently represents 2-20, 2-15, or 2-10 linked nucleosides.


Each X′, Y′, and Z′ may be the same or different from each other.


Each nucleotide of the sense RNAi oligonucleotide and antisense RNAi oligonucleotide may be independently modified with LNA, UNA, cEt, HNA, CeNA, 2′-methoxyethyl, 2′-O-methyl, 2′-O-allyl, 2′-C-allyl, 2′-hydroxyl, or 2′-fluoro. For example, each nucleotide of the sense RNAi oligonucleotide and antisense RNAi oligonucleotide is independently modified with, 2′-O-methyl or 2′-fluoro. Each X, Y, Z, X′, Y′, and Z′, in particular, may represent a 2′-O-methyl modification or 2′-fluoro modification. In certain embodiments, the modification is a 2′-NMA modification.


In certain embodiments, the sense RNAi oligonucleotide of the RNAi compound may contain YYY motif occurring at 9, 10, and 11 positions of the RNAi oligonucleotide when the duplex region is 21 nucleotides, the count starting from the 1st nucleotide from the 5′-end, or optionally, the count starting at the 1st paired nucleotide within the duplex region, from the 5′-end; and Y represents 2′-F modification. The sense RNAi oligonucleotide may additionally contain XXX motif or ZZZ motifs as wing modifications at the opposite end of the duplex region; and XXX and ZZZ each independently represents a 2′-O-methyl modification or 2′-fluoro modification.


In certain embodiments, the antisense RNAi oligonucleotide may contain Y′Y′Y′ motif occurring at positions 11, 12, 13 of the RNAi oligonucleotide, the count starting from the 1st nucleotide from the 5′-end, or optionally, the count starting at the 1st paired nucleotide within the duplex region, from the 5′-end; and Y′ represents 2′-O-methyl modification. The antisense RNAi oligonucleotide may additionally contain X′X′X′ motif or Z′Z′Z′ motif as wing modifications at the opposite end of the duplex region; and X′X′X′ or Z′Z′Z′ each independently represents a 2′-O-methyl modification or 2′-fluoro modification.


The sense RNAi oligonucleotide represented by any one of the above formulas Ia, Ib, Ic, and Id forms a duplex with an antisense RNAi oligonucleotide being represented by any one of the formulas IIa, IIb, IIc, and IId, respectively.


Accordingly, the RNAi compounds described herein may comprise a sense RNAi oligonucleotide and an antisense RNAi oligonucleotide, each RNAi oligonucleotide having 14 to 30 nucleotides, the RNAi duplex represented by formula (III):





Sense: 5′np-Na—(XXX)i—Nb—YYY—Nb—(ZZZ)j—Na-nq3′





Antisense: 3′ np′-Na′—(X′X′X′)k—Nb′—Y′Y′Y′—Nb′—(Z′Z′Z′)l—Na′-nq′5′


wherein:


i, j, k, and 1 are each independently 0 or 1;


p, p′, q, and q′ are each independently 0-6;


each Na and Na′ independently represents 0-25 linked nucleosides, each sequence comprising at least two differently modified nucleotides;


each Nb and Nb′ independently represents 0-10 linked nucleosides;


wherein each np′, np, nq′ and nq, each of which may or may not be present, independently represents an overhang nucleotide; and


XXX, YYY, X′X′X′, Y′Y′Y′, and Z′Z′Z′ each independently represent one motif of three identical modifications on three consecutive nucleotides.


In certain embodiments, i is 0 and j is 0; or i is 1 and j is 0; or i is 0 and j is 1; or both i and j are 0; or both i and j are 1. In another embodiment, k is 0 and 1 is 0; or k is 1 and 1 is 0, or k is 0 and 1 is 1; or both k and 1 are 0; or both k and l are 1.


Exemplary combinations of the sense RNAi oligonucleotide and antisense RNAi oligonucleotide forming a RNAi duplex include the formulas below:





5′np-Na—Y Y Y—Na-nq3′





3′ np′-Na′—Y′Y′Y′—Na′nq′5′  (IIIa)





5′np—Na—Y Y Y—Nb—Z Z Z—Na-nq3′





3′ np′-Na′—Y′Y′Y′—Nb′—Z′Z′Z′—Na′nq′5′   (IIIb)





5′np-Na—X X X—Nb—Y Y Y—Na-nq3′





3′np′-Na′—X′X′X′—Nb′—Y′Y′Y′—Na′-nq5′   (IIIc)





5′np-Na—X X X—Nb—Y Y Y—Nb—Z Z Z—Na-nq3′





3′ np′-Na′—X′X′X′—Nb′—Y′Y′Y′—Nb′—Z′Z′Z′—Na-nq′5′   (IIId)


When the RNAi compound is represented with formula Ma, each Na independently represents 2-20, 2-15, or 2-10 linked nucleosides.


When the RNAi compound is represented with formula IIIb, each Nb independently represents 1-10, 1-7, 1-5, or 1-4 linked nucleosides. Each Na independently represents 2-20, 2-15, or 2-10 linked nucleosides.


When the RNAi compound is represented with formula IIIc, each Nb, Nb′ independently represents 0-10, 0-7, 0-10, 0-7, 0-5, 0-4, 0-2, or 0 linked nucleosides. Each Na independently represents 2-20, 2-15, or 2-10 linked nucleosides.


When the RNAi compound is represented with formula IIId, each Nb, Nb′ independently represents 0-10, 0-7, 0-10, 0-7, 0-5, 0-4, 0-2, or 0 linked nucleosides. Each Na, Na′ independently 2-20, 2-15, or 2-10 linked nucleosides. Each Na, Na′, Nb, Nb′ independently comprises modifications of alternating pattern.


Each of X, Y, and Z in formulas III, IIIa, IIIb, IIIc, and IIId may be the same or different from each other.


When the RNAi compound is represented by formula III, IIIa, IIIb, IIIc, and/or IIId, at least one of the Y nucleotides may form a base pair with one of the Y′ nucleotides. Alternatively, at least two of the Y nucleotides may form base pairs with the corresponding Y′ nucleotides; or all three of the Y nucleotides may form base pairs with the corresponding Y′ nucleotides.


When the RNAi compound is represented by formula IIIb or IIId, at least one of the Z nucleotides may form a base pair with one of the Z′ nucleotides. Alternatively, at least two of the Z nucleotides may form base pairs with the corresponding Z′ nucleotides; or all three of the Z nucleotides may form base pairs with the corresponding Z′ nucleotides.


When the RNAi compound is represented by formula IIIc or IIId, at least one of the X nucleotides may form a base pair with one of the X′ nucleotides. Alternatively, at least two of the X nucleotides may form base pairs with the corresponding X′ nucleotides; or all three of the X nucleotides may form base pairs with the corresponding X′ nucleotides.


In certain embodiments, the modification of the Y nucleotide is different than the modification on the Y′ nucleotide, the modification on the Z nucleotide is different than the modification on the Z′ nucleotide, and/or the modification on the X nucleotide is different than the modification on the X′ nucleotide.


In certain embodiments, when the RNAi compound is represented by the formula IIId, the Na modifications are 2′-O-methyl or 2′-fluoro modifications. In another embodiment, when the RNAi compound is represented by formula IIId, the Na modifications are 2′-O-methyl or 2′-fluoro modifications and np′>0 and at least one np′ is linked to a neighboring nucleotide via phosphorothioate linkage. In other embodiments, when the RNAi compound is represented by formula IIId, the Na modifications are 2′-O-methyl or 2′-fluoro modifications, np′>0 and at least one np′ is linked to a neighboring nucleotide via phosphorothioate linkage, and the sense RNAi oligonucleotide is conjugated to one or more cell targeting group attached through a bivalent or trivalent branched linker. In certain embodiments, when the RNAi compound is represented by formula IIId, the Na modifications are 2′-O-methyl or 2′-fluoro modifications, np′>0 and at least one np′ is linked to a neighboring nucleotide via phosphorothioate linkage, the sense RNAi oligonucleotide comprises at least one phosphorothioate linkage and the sense RNAi oligonucleotide is conjugated to one or more cell targeting group attached through a bivalent or trivalent branched linker.


In certain embodiments, when the RNAi compound is represented by the formula Ma, the Na modifications are 2′-O-methyl or 2′-fluoro modifications and np′>0 and at least one np′ is linked to a neighboring nucleotide via phosphorothioate linkage, the sense RNAi oligonucleotide comprises at least one phosphorothioate linkage and the sense RNAi oligonucleotide is conjugated to one or more cell targeting group attached through a bivalent or trivalent branched linker.


In certain embodiments, the modification is a 2′-NMA modification.


In certain embodiments, the antisense strand may comprise a stabilized phosphate group attached to the 5′ position of the 5′-most nucleoside. In certain embodiments, the stabilized phosphate group comprises an (E)-vinyl phosphonate. In certain embodiments, the stabilized phosphate group comprises a cyclopropyl phosphonate.


In certain embodiments, the antisense strand may comprise a seed-pairing destabilizing modification. In certain embodiments, the seed-pairing destabilizing modification is located at position 6 (counting from the 5′ end). In certain embodiments, the seed-pairing destabilizing modification is located at position 7 (counting from the 5′ end). In certain embodiments, the seed-pairing destabilizing modification is a GNA sugar surrogate. In certain embodiments, the seed-pairing destabilizing modification is an (S)-GNA. In certain embodiments, the seed-pairing destabilizing modification is a UNA. In certain embodiments, the seed-pairing destabilizing modification is a morpholino.


In certain embodiments, the sense strand may comprise an inverted abasic sugar moiety attached to the 5′-most nucleoside. In certain embodiments, the sense strand may comprise an inverted abasic sugar moiety attached to the 3′-most nucleoside. In certain embodiments, the sense strand may comprise inverted abasic sugar moieties attached to both the 5′-most and 3′-most nucleosides.


In certain embodiments, the sense strand may comprise a conjugate attached at position 6 (counting from the 5′ end). In certain embodiments, the conjugate is attached at the 2′ position of the nucleoside. In certain embodiments the conjugate is a C16 lipid conjugate. In certain embodiments, the modified nucleoside at position 6 of the sense strand has a 2′-O-hexadecyl modified sugar moiety.


IV. Antisense Activity

In certain embodiments, oligomeric compounds and oligomeric duplexes are capable of hybridizing to a target nucleic acid, resulting in at least one antisense activity; such oligomeric compounds and oligomeric duplexes are antisense compounds. In certain embodiments, antisense compounds have antisense activity when they reduce or inhibit the amount or activity of a target nucleic acid by 25% or more in the standard cell assay. In certain embodiments, antisense compounds selectively affect one or more target nucleic acid. Such antisense compounds comprise a nucleobase sequence that hybridizes to one or more target nucleic acid, resulting in one or more desired antisense activity and does not hybridize to one or more non-target nucleic acid or does not hybridize to one or more non-target nucleic acid in such a way that results in significant undesired antisense activity.


In certain antisense activities, hybridization of an antisense compound to a target nucleic acid results in recruitment of a protein that cleaves the target nucleic acid. For example, certain antisense compounds result in RNase H mediated cleavage of the target nucleic acid. RNase H is a cellular endonuclease that cleaves the RNA strand of an RNA:DNA duplex. The DNA in such an RNA:DNA duplex need not be unmodified DNA. In certain embodiments, described herein are antisense compounds that are sufficiently “DNA-like” to elicit RNase H activity. In certain embodiments, one or more non-DNA-like nucleoside in the gap of a gapmer is tolerated.


In certain antisense activities, an antisense compound or a portion of an antisense compound is loaded into an RNA-induced silencing complex (RISC), ultimately resulting in cleavage of the target nucleic acid. For example, certain antisense compounds result in cleavage of the target nucleic acid by Argonaute. Antisense compounds that are loaded into RISC are RNAi compounds. RNAi compounds may be double-stranded (siRNA or dsRNAi) or single-stranded (ssRNA).


In certain embodiments, hybridization of an antisense compound to a target nucleic acid does not result in recruitment of a protein that cleaves that target nucleic acid. In certain embodiments, hybridization of the antisense compound to the target nucleic acid results in alteration of splicing of the target nucleic acid. In certain embodiments, hybridization of an antisense compound to a target nucleic acid results in inhibition of a binding interaction between the target nucleic acid and a protein or other nucleic acid. In certain embodiments, hybridization of an antisense compound to a target nucleic acid results in alteration of translation of the target nucleic acid.


Antisense activities may be observed directly or indirectly. In certain embodiments, observation or detection of an antisense activity involves observation or detection of a change in an amount of a target nucleic acid or protein encoded by such target nucleic acid, a change in the ratio of splice variants of a nucleic acid or protein and/or a phenotypic change in a cell or animal.


V. Certain Target Nucleic Acids


In certain embodiments, oligomeric compounds comprise or consist of an oligonucleotide comprising a region that is complementary to a target nucleic acid. In certain embodiments, the target nucleic acid is an endogenous RNA molecule. In certain embodiments, the target nucleic acid encodes a protein. In certain such embodiments, the target nucleic acid is selected from: a mature mRNA and a pre-mRNA, including intronic, exonic and untranslated regions. In certain embodiments, the target RNA is a mature mRNA. In certain embodiments, the target nucleic acid is a pre-mRNA. In certain embodiments, the target region is entirely within an intron. In certain embodiments, the target region spans an intron/exon junction. In certain embodiments, the target region is at least 50% within an intron. In certain embodiments, the target nucleic acid is the RNA transcriptional product of a retrogene. In certain embodiments, the target nucleic acid is a non-coding RNA. In certain embodiments, the target non-coding RNA is selected from: a long non-coding RNA, a short non-coding RNA, an intronic RNA molecule.


A. Complementarity/Mismatches to the Target Nucleic Acid and Duplex Complementarity


In certain embodiments, oligonucleotides are complementary to the target nucleic acid over the entire length of the oligonucleotide. In certain embodiments, oligonucleotides are 99%, 95%, 90%, 85%, or 80% complementary to the target nucleic acid. In certain embodiments, oligonucleotides are at least 80% complementary to the target nucleic acid over the entire length of the oligonucleotide and comprise a region that is 100% or fully complementary to a target nucleic acid. In certain embodiments, the region of full complementarity is from 6 to 20, 10 to 18, or 18 to 20 nucleobases in length.


Gapmer Oligonucleotides

It is possible to introduce mismatch bases without eliminating activity. For example, Gautschi et al (J. Natl. Cancer Inst. 93:463-471, March 2001) demonstrated the ability of an oligonucleotide having 100% complementarity to the bcl-2 mRNA and having 3 mismatches to the bcl-xL mRNA to reduce the expression of both bcl-2 and bcl-xL in vitro and in vivo. Furthermore, this oligonucleotide demonstrated potent anti-tumor activity in vivo. Maher and Dolnick (Nuc. Acid. Res. 16:3341-3358, 1988) tested a series of tandem 14 nucleobase oligonucleotides, and 28 and 42 nucleobase oligonucleotides comprised of the sequence of two or three of the tandem oligonucleotides, respectively, for their ability to arrest translation of human DHFR in a rabbit reticulocyte assay. Each of the three 14 nucleobase oligonucleotides alone was able to inhibit translation, albeit at a more modest level than the 28 or 42 nucleobase oligonucleotides.


In certain embodiments, oligonucleotides comprise one or more mismatched nucleobases relative to the target nucleic acid. In certain embodiments, antisense activity against the target is reduced by such mismatch, but activity against a non-target is reduced by a greater amount. Thus, in certain embodiments selectivity of the oligonucleotide is improved. In certain embodiments, the mismatch is specifically positioned within an oligonucleotide having a gapmer motif. In certain embodiments, the mismatch is at position 1, 2, 3, 4, 5, 6, 7, or 8 from the 5′-end of the gap region. In certain embodiments, the mismatch is at position 9, 8, 7, 6, 5, 4, 3, 2, 1 from the 3′-end of the gap region. In certain embodiments, the mismatch is at position 1, 2, 3, or 4 from the 5′-end of the wing region. In certain embodiments, the mismatch is at position 4, 3, 2, or 1 from the 3′-end of the wing region.


Antisense RNAi Oligonucleotides

In certain embodiments, antisense RNAi oligonucleotides comprise one or more mismatched nucleobases relative to the target nucleic acid. In certain embodiments, RNAi activity against the target is reduced by such mismatch, but activity against a non-target is reduced by a greater amount. Thus, in certain embodiments selectivity of the antisense RNAi oligonucleotides is improved.


In certain embodiments, antisense RNAi oligonucleotides comprise a targeting region complementary to the target nucleic acid. In certain embodiments, the targeting region comprises or consists of at least 8, at least 9, at least 10, at least 11, 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, at least 23, at least 25 or at least 25 contiguous nucleotides. In certain embodiments, the targeting region constitutes 70%, 80%, 85%, 90%, 95% of the nucleosides of the antisense RNAi oligonucleotide. In certain embodiments, the targeting region constitutes all of the nucleosides of the antisense RNAi oligonucleotide. In certain embodiments, the targeting region of the antisense RNAi oligonucleotide is at least 99%, 95%, 90%, 85%, or 80% complementary to the target nucleic acid. In certain embodiments, the targeting region of the antisense RNAi oligonucleotide is 100% complementary to the target nucleic acid.


Sense RNAi Oligonucleotides

In certain embodiments, RNAi compounds comprise a sense RNAi oligonucleotide. In such embodiments, sense RNAi oligonucleotides comprise an antisense hybridizing region complementary to the antisense RNAi oligonucleotide. In certain embodiments, the antisense hybridizing region comprises or consists of at least 8, at least 9, at least 10, at least 11, 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, at least 23, at least 25 or at least 25 contiguous nucleotides. In certain embodiments, the antisense hybridizing region constitutes 70%, 80%, 85%, 90%, 95% of the nucleosides of the sense RNAi oligonucleotide. In certain embodiments, the antisense hybridizing region constitutes all of the nucleosides of the sense RNAi oligonucleotide. In certain embodiments, the antisense hybridizing region of the sense RNAi oligonucleotide is at least 99%, 95%, 90%, 85%, or 80% complementary to the antisense RNAi oligonucleotide. In certain embodiments, the antisense hybridizing region of the sense RNAi oligonucleotide is 100% complementary to the antisense RNAi oligonucleotide.


The hybridizing region of a sense RNAi oligonucleotide hybridizes with the antisense RNAi oligonucleotide to form a duplex region. In certain embodiments, such duplex region consists of 7 hybridized pairs of nucleosides (one of each pair being on the antisense RNAi oligonucleotide and the other of each pair bien on the sense RNAi oligonucleotide). In certain embodiments, a duplex region comprises least 8, at least 9, at least 10, at least 11, 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, at least 23, at least 25 or at least 25 hybridized pairs. In certain embodiments, each nucleoside of antisense RNAi oligonucleotide is paired in the duplex region (i.e., the antisense RNAi oligonucleotide has no overhanging nucleosides). In certain embodiments, the antisense RNAi oligonucleotide includes unpaired nucleosides at the 3′-end and/or the 5′end (overhanging nucleosides). In certain embodiments, each nucleoside of sense RNAi oligonucleotide is paired in the duplex region (i.e., the sense RNAi oligonucleotide has no overhanging nucleosides). In certain embodiments, the sense RNAi oligonucleotide includes unpaired nucleosides at the 3′-end and/or the 5′end (overhanging nucleosides). In certain embodiments, duplexes formed by the antisense RNAi oligonucleotide and the sense RNAi oligonucleotide do not include any overhangs at one or both ends. Such ends without overhangs are referred to as blunt. In certain embodiments wherein the antisense RNAi oligonucleotide has overhanging nucleosides, one or more of those overhanging nucleosides are complementary to the target nucleic acid. In certain embodiments wherein the antisense RNAi oligonucleotide has overhanging nucleosides, one or more of those overhanging nucleosides are not complementary to the target nucleic acid.


B. APP


In certain embodiments, oligomeric compounds comprise or consist of an oligonucleotide comprising a region that is complementary to a target nucleic acid, wherein the target nucleic acid is APP. In certain embodiments, APP nucleic acid has the sequence set forth SEQ ID NO: 1 (the cDNA of Ensembl transcript ENST00000346798.7) or the complement of SEQ ID NO: 2 (GENBANK Accession No. NC_000021.9 truncated from nucleotides 25878001 to 26174000). In certain embodiments, APP nucleic acid has the sequence set forth in any of known splice variants of APP, including but not limited to SEQ ID NO: 3 (the cDNA of Ensembl transcript ENST00000357903.7), SEQ ID NO: 4 (the cDNA of Ensembl transcript ENST00000348990.9), SEQ ID NO: 5 (the cDNA of Ensembl transcript ENST00000440126.7), SEQ ID NO: 6 (the cDNA of Ensembl transcript ENST00000354192.7), and/or SEQ ID NO: 7 (the cDNA of Ensembl transcript ENST00000358918.7). In certain embodiments, contacting a cell with an oligomeric compound complementary to SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3, SEQ ID NO: 4, SEQ ID NO: 5, SEQ ID NO: 6, or SEQ ID NO: 7 reduces the amount of APP RNA, and in certain embodiments reduces the amount of APP protein. In certain embodiments, the oligomeric compound consists of a modified oligonucleotide. In certain embodiments, contacting a cell with an oligomeric compound complementary to SEQ ID NO: 1, SEQ ID NO: 2, SEQ ID NO: 3, SEQ ID NO: 4, SEQ ID NO: 5, SEQ ID NO: 6, or SEQ ID NO: 7 results in reduced aggregation of β-amyloid. In certain embodiments, the oligomeric compound consists of a modified oligonucleotide. In certain embodiments, the oligomeric compound consists of a modified oligonucleotide and a conjugate group.


C. Certain Target Nucleic Acids in Certain Tissues


In certain embodiments, oligomeric compounds comprise or consist of an oligonucleotide comprising a region that is complementary to a target nucleic acid, wherein the target nucleic acid is expressed in a pharmacologically relevant tissue. In certain embodiments, the pharmacologically relevant tissues are the cells and tissues that comprise the central nervous system. Such tissues include the cortex, spinal cord, and the hippocampus.


VI. Certain Pharmaceutical Compositions

In certain embodiments, described herein are pharmaceutical compositions comprising one or more oligomeric compounds. In certain embodiments, the one or more oligomeric compounds each consists of a modified oligonucleotide. In certain embodiments, the pharmaceutical composition comprises a pharmaceutically acceptable diluent or carrier. In certain embodiments, a pharmaceutical composition comprises or consists of a sterile saline solution and one or more oligomeric compound. In certain embodiments, the sterile saline is pharmaceutical grade saline. In certain embodiments, a pharmaceutical composition comprises or consists of one or more oligomeric compound and sterile water. In certain embodiments, the sterile water is pharmaceutical grade water. In certain embodiments, a pharmaceutical composition comprises or consists of one or more oligomeric compound and phosphate-buffered saline (PBS). In certain embodiments, the sterile PBS is pharmaceutical grade PBS. In certain embodiments, a pharmaceutical composition comprises or consists of one or more oligomeric compound and artificial cerebrospinal fluid. In certain embodiments, the artificial cerebrospinal fluid is pharmaceutical grade.


In certain embodiments, a pharmaceutical composition comprises a modified oligonucleotide and artificial cerebrospinal fluid. In certain embodiments, a pharmaceutical composition consists of a modified oligonucleotide and artificial cerebrospinal fluid. In certain embodiments, a pharmaceutical composition consists essentially of a modified oligonucleotide and artificial cerebrospinal fluid. In certain embodiments, the artificial cerebrospinal fluid is pharmaceutical grade.


In certain embodiments, pharmaceutical compositions comprise one or more oligomeric compound and one or more excipients. In certain embodiments, excipients are selected from water, salt solutions, alcohol, polyethylene glycols, gelatin, lactose, amylase, magnesium stearate, talc, silicic acid, viscous paraffin, hydroxymethylcellulose and polyvinylpyrrolidone.


In certain embodiments, oligomeric compounds may be admixed with pharmaceutically acceptable active and/or inert substances for the preparation of pharmaceutical compositions or formulations. Compositions and methods for the formulation of pharmaceutical compositions depend on a number of criteria, including, but not limited to, route of administration, extent of disease, or dose to be administered.


In certain embodiments, pharmaceutical compositions comprising an oligomeric compound encompass any pharmaceutically acceptable salts of the oligomeric compound, esters of the oligomeric compound, or salts of such esters. In certain embodiments, pharmaceutical compositions comprising oligomeric compounds comprising one or more oligonucleotide, upon administration to an animal, including a human, are capable of providing (directly or indirectly) the biologically active metabolite or residue thereof. Accordingly, for example, the disclosure is also drawn to pharmaceutically acceptable salts of oligomeric compounds, prodrugs, pharmaceutically acceptable salts of such prodrugs, and other bioequivalents. Suitable pharmaceutically acceptable salts include, but are not limited to, sodium and potassium salts. In certain embodiments, prodrugs comprise one or more conjugate group attached to an oligonucleotide, wherein the conjugate group is cleaved by endogenous nucleases within the body.


Lipid moieties have been used in nucleic acid therapies in a variety of methods. In certain such methods, the nucleic acid, such as an oligomeric compound, is introduced into preformed liposomes or lipoplexes made of mixtures of cationic lipids and neutral lipids. In certain methods, DNA complexes with mono- or poly-cationic lipids are formed without the presence of a neutral lipid. In certain embodiments, a lipid moiety is selected to increase distribution of a pharmaceutical agent to a particular cell or tissue. In certain embodiments, a lipid moiety is selected to increase distribution of a pharmaceutical agent to fat tissue. In certain embodiments, a lipid moiety is selected to increase distribution of a pharmaceutical agent to muscle tissue.


In certain embodiments, pharmaceutical compositions comprise a delivery system. Examples of delivery systems include, but are not limited to, liposomes and emulsions. Certain delivery systems are useful for preparing certain pharmaceutical compositions including those comprising hydrophobic compounds. In certain embodiments, certain organic solvents such as dimethylsulfoxide are used.


In certain embodiments, pharmaceutical compositions comprise one or more tissue-specific delivery molecules designed to deliver the one or more pharmaceutical agents of the present invention to specific tissues or cell types. For example, in certain embodiments, pharmaceutical compositions include liposomes coated with a tissue-specific antibody.


In certain embodiments, pharmaceutical compositions comprise a co-solvent system. Certain of such co-solvent systems comprise, for example, benzyl alcohol, a nonpolar surfactant, a water-miscible organic polymer, and an aqueous phase. In certain embodiments, such co-solvent systems are used for hydrophobic compounds. A non-limiting example of such a co-solvent system is the VPD co-solvent system, which is a solution of absolute ethanol comprising 3% w/v benzyl alcohol, 8% w/v of the nonpolar surfactant Polysorbate 80™ and 65% w/v polyethylene glycol 300. The proportions of such co-solvent systems may be varied considerably without significantly altering their solubility and toxicity characteristics. Furthermore, the identity of co-solvent components may be varied: for example, other surfactants may be used instead of Polysorbate 80™; the fraction size of polyethylene glycol may be varied; other biocompatible polymers may replace polyethylene glycol, e.g., polyvinyl pyrrolidone; and other sugars or polysaccharides may substitute for dextrose.


In certain embodiments, pharmaceutical compositions are prepared for oral administration. In certain embodiments, pharmaceutical compositions are prepared for buccal administration. In certain embodiments, a pharmaceutical composition is prepared for administration by injection (e.g., intravenous, subcutaneous, intramuscular, intrathecal (IT), intracerebroventricular (ICV), etc.). In certain of such embodiments, a pharmaceutical composition comprises a carrier and is formulated in aqueous solution, such as water or physiologically compatible buffers such as Hanks's solution, Ringer's solution, or physiological saline buffer. In certain embodiments, other ingredients are included (e.g., ingredients that aid in solubility or serve as preservatives). In certain embodiments, injectable suspensions are prepared using appropriate liquid carriers, suspending agents and the like. Certain pharmaceutical compositions for injection are presented in unit dosage form, e.g., in ampoules or in multi-dose containers. Certain pharmaceutical compositions for injection are suspensions, solutions or emulsions in oily or aqueous vehicles, and may contain formulatory agents such as suspending, stabilizing and/or dispersing agents. Certain solvents suitable for use in pharmaceutical compositions for injection include, but are not limited to, lipophilic solvents and fatty oils, such as sesame oil, synthetic fatty acid esters, such as ethyl oleate or triglycerides, and liposomes.


Under certain conditions, certain compounds disclosed herein act as acids. Although such compounds may be drawn or described in protonated (free acid) form, or ionized and in association with a cation (salt) form, aqueous solutions of such compounds exist in equilibrium among such forms. For example, a phosphate linkage of an oligonucleotide in aqueous solution exists in equilibrium among free acid, anion and salt forms. Unless otherwise indicated, compounds described herein are intended to include all such forms. Moreover, certain oligonucleotides have several such linkages, each of which is in equilibrium. Thus, oligonucleotides in solution exist in an ensemble of forms at multiple positions all at equilibrium. The term “oligonucleotide” is intended to include all such forms. Drawn structures necessarily depict a single form. Nevertheless, unless otherwise indicated, such drawings are likewise intended to include corresponding forms. Herein, a structure depicting the free acid of a compound followed by the term “or a salt thereof” expressly includes all such forms that may be fully or partially protonated/de-protonated/in association with a cation. In certain instances, one or more specific cation is identified.


In certain embodiments, modified oligonucleotides or oligomeric compounds are in aqueous solution with sodium. In certain embodiments, modified oligonucleotides or oligomeric compounds are in aqueous solution with potassium. In certain embodiments, modified oligonucleotides or oligomeric compounds are in PBS. In certain embodiments, modified oligonucleotides or oligomeric compounds are in water. In certain such embodiments, the pH of the solution is adjusted with NaOH and/or HCl to achieve a desired pH.


Herein, certain specific doses are described. A dose may be in the form of a dosage unit. For clarity, a dose (or dosage unit) of a modified oligonucleotide or an oligomeric compound in milligrams indicates the mass of the free acid form of the modified oligonucleotide or oligomeric compound. As described above, in aqueous solution, the free acid is in equilibrium with anionic and salt forms. However, for the purpose of calculating dose, it is assumed that the modified oligonucleotide or oligomeric compound exists as a solvent-free, sodium-acetate free, anhydrous, free acid. For example, where a modified oligonucleotide or an oligomeric compound is in solution comprising sodium (e.g., saline), the modified oligonucleotide or oligomeric compound may be partially or fully de-protonated and in association with Na+ ions. However, the mass of the protons are nevertheless counted toward the weight of the dose, and the mass of the Na+ ions are not counted toward the weight of the dose. Thus, for example, a dose, or dosage unit, of 10 mg of a number of fully protonated molecules that weighs 10 mg. This would be equivalent to 10.58 mg of solvent-free, sodium acetate-free, anhydrous sodiated Compound No. 699467 or 10.65 mg of solvent-free, sodium acetate-free, anhydrous sodiated Compound No. 1381709. When an oligomeric compound comprises a conjugate group, the mass of the conjugate group is included in calculating the dose of such oligomeric compound. If the conjugate group also has an acid, the conjugate group is likewise assumed to be fully protonated for the purpose of calculating dose.


VII. Certain Hotspot Regions
1. Nucleobases 3192-9277 of SEQ ID NO: 3

In certain embodiments, nucleobases 3192-3277 of SEQ ID NO: 3 comprise a hotspot region. In certain embodiments, oligomeric compounds or oligomeric duplexes comprise modified oligonucleotides that are complementary within nucleobases 3192-3277 of SEQ ID NO: 3. In certain embodiments, modified oligonucleotides are 23 nucleobases in length. In certain embodiments, modified oligonucleotides are antisense RNAi oligonucleotides. In certain embodiments, the antisense RNAi oligonucleotide has a sugar motif (from 5′ to 3′) of: mfmfmfmfmfmfmfmfmfmfmmm; wherein “m” represents a 2′-O methylribosyl sugar, and the “f” represents a 2′-fluororibosyl sugar; and a linkage motif (from 5′ to 3′) of: ssooooooooooooooooooss; wherein ‘o’ represents a phosphodiester internucleoside linkage and ‘s’ represents a phosphorothioate internucleoside linkage.


The nucleobase sequences of SEQ ID Nos: 821-824 are complementary within nucleobases 3192-3277 of SEQ ID NO: 3.


RNAi compounds 1382120, 1382123, 1382124, and 1382128 comprise an antisense RNAi oligonucleotide that is complementary within nucleobases 3192-3277 of SEQ ID NO: 3.


In certain embodiments, modified oligonucleotides complementary within nucleobases 5635-5677 of SEQ ID NO: 3 achieve at least 92% reduction of APP RNA in vitro in the standard cell assay. In certain embodiments, modified oligonucleotides complementary within nucleobases 5635-5677 of SEQ ID NO: 3 achieve an average of 94% reduction of APP RNA in vitro in the standard cell assay.


2. Additional Hotspot Regions

In certain embodiments, the ranges described in the Table below comprise hotspot regions. Each hotspot region begins with the nucleobase of SEQ ID NO: 1 identified in the “Start Site SEQ ID NO: 1” column and ends with the nucleobase of SEQ ID NO: 1 identified in the “Stop Site SEQ ID NO: 1” column. In certain embodiments, oligomeric compounds or oligomeric duplexes comprise modified oligonucleotides that are complementary within any of the hotspot regions 1-47, as defined in the table below. In certain embodiments, modified oligonucleotides are 18 nucleobases in length. In certain embodiments, modified oligonucleotides are 20 nucleobases in length. In certain embodiments, modified oligonucleotides are 23 nucleobases in length. In certain embodiments, both RNAseH-based antisense oligonucleotides and RISC-based RNAi oligomeric duplexes are active within a given hotspot region, as indicated in the table below.


In certain embodiments, oligomeric compounds comprise modified oligonucleotides that are gapmers. In certain embodiments, modified oligonucleotides have the sugar motif eeeeeddddddddkkeee, wherein each “e” is nucleoside comprising a 2′-MOE sugar moiety, each “k” is a nucleoside comprising a cEt sugar moiety, and each “d” is a nucleoside comprising a 2′-β-D-deoxyribosyl sugar moiety. In certain embodiments, modified oligonucleotides have the sugar motif eeeeeddddddddkeeee, wherein each “e” is nucleoside comprising a 2′-MOE sugar moiety, each “k” is a nucleoside comprising a cEt sugar moiety, and each “d” is a nucleoside comprising a 2′-β-D-deoxyribosyl sugar moiety. In certain embodiments, modified oligonucleotides are 5-10-5 MOE gapmers.


In certain embodiments, oligomeric duplexes comprise an antisense RNAi oligonucleotide and a sense RNAi oligonucleotide, wherein, the antisense RNAi oligonucleotide is complementary within a given hotspot region. In certain embodiments, the antisense RNAi oligonucleotide is 23 nucleosides in length; has a sugar motif (from 5′ to 3′) of: mfmfmfmfmfmfmfmfmfmfmmm; wherein “m” represents a 2′-O methylribosyl sugar, and the “f” represents a 2′-fluororibosyl sugar; and a linkage motif (from 5′ to 3′) of: ssooooooooooooooooooss; wherein ‘o’ represents a phosphodiester internucleoside linkage and ‘s’ represents a phosphorothioate internucleoside linkage. The sense RNAi oligonucleotides in each case is 21 nucleosides in length; has a sugar motif (from 5′ to 3′) of: fmfmfmfmfmfmfmfmfmfmf; wherein “m” represents a 2′-O methylribosyl sugar, and the “f” represents a 2′-fluororibosyl sugar; and a linkage motif (from 5′ to 3′) of: ssooooooooooooooooss; wherein ‘o’ represents a phosphodiester internucleoside linkage and ‘s’ represents a phosphorothioate internucleoside linkage.


The nucleobase sequence of the gapmer antisense oligonucleotide listed under “Gapmer Antisense Oligonucleotides”/“Compound ID in range” column in the table below is complementary to SEQ ID NO: 1 within the specified hotspot region. The nucleobase sequence of the gapmer antisense oligonucleotides listed in the “Gapmer Antisense Oligonucleotides”/“SEQ ID NO: in range” column in the table below are complementary to the target sequence, SEQ ID NO: 1, within the specified hotspot region.


The nucleobase sequence of the antisense RNAi oligonculeotide corresponding to the RNAi Compound ID listed under “RNAi Compounds”/“RNAi Compound ID in range” column in the table below is complementary to SEQ ID NO: 1 within the specified hotspot region. The nucleobase sequence of the antisense RNAi oligonucleotide list in the “RNAi Compounds”/“SEQ ID NO: in range” column is complementary to the target sequence, NO: 1, within the specified hotspot region.


In certain embodiments, gapmers complementary to nucleobases within the hotspot region achieve at least “Gapmer Antisense Oligonucleotides”/“Min. % Red.” (minimum % reduction, relative to untreated control cells) of APP RNA in vitro in the standard cell assay, as indicated in the table below. In certain embodiments, modified oligonucleotides complementary to nucleobases within the hotspot region achieve an average of “Gapmer Antisense Oligonucleotides”/“Avg. % Red.” (average % reduction, relative to untreated control cells) of APP RNA in vitro in the standard cell assay, as indicated in the table below. In certain embodiments, modified oligonucleotides complementary to nucleobases within the hotspot region achieve a maximum of “Gapmer Antisense Oligonucleotides”/“Max. % Red.” (maximum % reduction, relative to untreated control cells) of APP RNA in vitro in the standard cell assay, as indicated in the table below.


In certain embodiments, RNAi oligomeric duplexes having an antisense RNAi oligonucleotide complementary to nucleobases within the hotspot region achieve at least “RNAi Compounds”/“Min. % Red. RNAi” (minimum % reduction, relative to untreated control cells) of APP RNA in vitro in the standard cell assay, as indicated in the table below. In certain embodiments, RNAi oligomeric duplexes having an antisense RNAi oligonucleotide complementary to nucleobases within the hotspot region achieve an average of “RNAi Compounds”/“Avg. % Red.” (average % reduction, relative to untreated control cells) of APP RNA in vitro in the standard cell assay, as indicated in the table below. In certain embodiments, RNAi oligomeric duplexes having an antisense RNAi oligonucleotide complementary to nucleobases within the hotspot region achieve a maximum of “RNAi Compounds”/“Max. % Red. RNAi” (maximum % reduction, relative to untreated control cells) of APP RNA in vitro in the standard cell assay, as indicated in the table below.









TABLE 1a







APP Hotspot Activity














Gapmer Antisense



Hotspot
Start Site
Stop Site
Oligonucleotides
RNAi Compounds















Region
SEQ ID
SEQ ID
Min. %
Max. %
Avg. %
Min. %
Max. %
Avg. %


ID
NO: 1
NO: 1
Red.
Red.
Red.
Red.
Red.
Red.


















1
40
78
54
74
60
8
8
8


2
69
146
41
69
53
8
83
53


3
83
246
40
77
56
62
93
78


4
94
225
45
77
58
62
93
81


5
83
129
41
69
53
67
67
67


6
194
231
45
75
58
80
80
80


7
194
238
40
75
57
80
80
80


8
236
268
46
76
62
92
92
92


9
258
288
48
81
66
82
82
82


10
285
311
46
59
51
89
89
89


11
296
321
46
76
61
n/a
n/a
n/a


12
307
330
41
60
50
76
76
76


13
330
352
34
64
55
n/a
n/a
n/a


14
329
352
33
64
51
65
65
65


15
339
383
38
81
56
50
50
50


16
413
477
23
74
55
30
90
68


17
415
477
23
74
55
n/a
n/a
n/a


18
415
439
57
65
62
n/a
n/a
n/a


19
477
506
1
71
52
n/a
n/a
n/a


20
477
523
1
81
59
92
92
92


21
477
541
1
81
59
92
97
95


22
530
557
56
70
65
n/a
n/a
n/a


23
581
638
71
76
73
80
91
85


24
636
661
55
84
68
24
24
24


25
652
697
1
85
62
79
79
79


26
728
821
58
76
67
65
86
78


27
770
821
58
58
58
65
85
75


28
920
950
41
67
53
19
19
19


29
1006
1049
13
62
43
72
72
72


30
1152
1179
40
78
57
n/a
n/a
n/a


31
1227
1274
33
74
50
33
33
33


32
1227
1265
33
74
49
n/a
n/a
n/a


33
1268
1332
0
0
0
85
92
89


34
1268
1311
n/a
n/a
n/a
85
92
88


35
1289
1332
0
0
0
91
92
91


36
1518
1543
39
65
50
28
28
28


37
1531
1593
33
80
55
44
71
57


38
1544
1593
33
80
56
71
71
71


39
1634
1657
0
82
43
n/a
n/a
n/a


40
1778
1800
39
58
51
n/a
n/a
n/a


41
1882
1908
43
90
70
n/a
n/a
n/a


42
2051
2074
51
58
53
n/a
n/a
n/a


43
2360
3117
n/a
n/a
n/a
59
96
88


44
2402
3117
n/a
n/a
n/a
59
96
88


45
2360
2655
n/a
n/a
n/a
83
94
90


46
2402
2655
n/a
n/a
n/a
83
94
90


47
2675
3054
n/a
n/a
n/a
84
96
91
















TABLE 1b







APP Hotspot Compounds and Sequences














Gapmer Antisense






Oligonucleotides
RNAi Compounds



















SEQ ID NO:


Hotspot
Start Site
Stop Site



in range


Region
SEQ ID
SEQ ID
Compound ID
SEQ ID NO:
RNAi Compound ID
(Antisense


ID
NO: 1
NO: 1
in range
in range
in range
Sequence)
















1
40
78
828404-828407
22, 241, 315,
1381712
668






391




2
69
146
828412-828421
23, 24, 95, 96,
1381733, 1381734,
674, 675, 678






170, 171, 243,
1381740







317, 392, 393




3
83
246
828413-828429
12, 23, 24, 95,
1381733, 1381735,
674, 676, 677,






96, 97, 170,
1381736, 1381740,
678, 682, 686,






171, 172, 243,
1381755, 1381771,
688






244, 245, 317,
1381773







318, 319, 393,








394, 395




4
94
225
828417-828424
24, 96, 171,
1381733, 1381735,
674, 676, 677,






244, 317, 318,
1381736, 1381740,
678, 682, 686






393, 394
1381755, 1381771



5
83
129
828413-828420
23, 24, 95, 96,
1381733
674






170, 243, 317,








393




6
194
231
699467,
12, 97, 172,
1381771
686





828423-828426
318, 394




7
194
238
699467,
12, 97, 172,
1381771
686





828423-828429
245, 318, 319,








394, 395




8
236
268
828434-828438
26, 99, 174,
1381772
687






320, 396




9
258
288
828440-828445
27, 100, 175,
1381776
689






248, 321, 397




10
285
311
828447-828452
28, 101, 176,
1381778
690






249, 323, 398




11
296
321
828454-828457
29, 102, 177,
n/a
n/a






250




12
307
330
699500, 699501,
13, 88, 163,
1381789
692





699503, 699505
386




13
330
352
699519,
15, 103, 178,
n/a
n/a





828458-828461
251, 400




14
329
352
699518, 699519,
15, 103, 178,
1381790
693





828458-828461
251, 313 400




15
339
383
828463-828467
30, 104, 179,
1381798
697






252, 401




16
413
477
828480-828491
33, 34, 107,
1381817, 1381818,
702, 703, 704






108, 182, 183,
1381825







255, 256, 327,








328, 404, 405




17
415
477
828480-828491
33, 34, 107,
1381817, 1381825
702, 704






108, 182, 183,








255, 256, 327,








328, 404, 405




18
415
439
828480-828482
33, 327, 404
n/a
n/a


19
477
506
699533, 699535,
16, 257, 330,
n/a
n/a





828497-828498,
388, 475 ,502







912249-912251,








912292





20
477
523
699533, 699535,
16, 90, 165,
1381832
708





699537,699539,
257, 258, 330,







828497-828499,
388, 475-477,







912249-912255,
502-504







912292-912294





21
477
541
699533, 699535,
16, 36, 90,
1381832, 1381904
708, 731





699537, 699539,
110, 165, 257,







828497-828503,
258, 330, 331,







912249-912255,
388, 407, 475-







912292-912294
477, 502-504




22
530
557
828507-828509
37, 111, 408
n/a
n/a


23
581
638
828526, 828527
40, 114
1381918, 1381923
736, 738


24
636
661
828531-828535
41, 115, 190,
1381935
743






264, 412




25
652
697
828537-828547,
42, 43, 116,
1381953
748





912256-912272,
117, 191, 192,







912295-912297,
265, 266, 338,







912303-912306
413,414, 478-








487, 505-507,








513-516




26
728
821
828550-828551
44, 118
1381982, 1381988,
759, 760, 767,







1382012, 1382030
773


27
770
821
828551
118
1382012, 1382030
767,773


28
920
950
828769-878774
78, 154, 228,
1382212
804






303, 376, 452




29
1006
1049
828790-828792
82, 157, 232
1382237, 1382243
807, 810


30
1152
1179
828565-828569
46, 120, 268,
n/a
n/a






341, 417




31
1227
1274
699590,699592,
17, 18, 48, 92,
1381746
679





699594,699596,
122, 166, 270,







699600,
271, 343, 344,







828577-828583
390, 419




32
1227
1265
699590, 699592,
17, 48, 92,
n/a
n/a





699594, 699596,
122, 166, 270,







828577-828583
271, 343, 344,








390, 419




33
1268
1332
828584
197
1381751, 1381752,
680, 681, 683







1381756



34
1268
1311
n/a
n/a
1381751, 1381752
680, 681


35
1289
1332
828584
197
1381752, 1381756
681, 683


36
1518
1543
828598-828602
51, 125, 200,
1381828
706






274, 422




37
1531
1593
699631,
19, 52, 53,
1381835, 1381840
709, 710





828604-828617
126-128, 201,








202, 275, 276,








349, 350,








423-425




38
1544
1593
699631,
19, 52, 53,
1381840
710





828605-828617
126-128, 201,








202, 275, 276,








349, 350, 424,








425




39
1634
1657
828641-828643,
207, 281, 354,
n/a
n/a





912285-912291,
498-510







912298-912300





40
1778
1800
828656-828658
60, 135, 432
n/a
n/a


41
1882
1908
828674-828678
62, 138, 213,
n/a
n/a






287, 360




42
2051
2074
828708-828710
68, 144, 441
n/a
n/a


43
2360
3117
n/a
n/a
1381981, 1381994,
758, 761-766,







1381995, 1381998,
769, 770, 772,







1381999, 1382004,
774, 775, 777,







1382006, 1382019,
779, 780-794,







1382020, 1382025,
795-801







1382033, 1382034,








1382039, 1382051-








1382054, 1382059,








1382063, 1382069-








1382071, 1382075,








1382078, 1382080,








1382087-1382090,








1382103-1382107,








1382116, 1382119



44
2402
3117
n/a
n/a
1381995, 1381998,
762-766, 769,







1381999, 1382004,
770, 772, 774,







1382006, 1382019,
775, 777, 779,







1382020, 1382025,
780-794,







1382033, 1382034,
795-801







1382039, 1382051-








1382054, 1382059,








1382063, 1382069-








1382071, 1382075,








1382078, 1382080,








1382087-1382090,








1382103-1382107,








1382116, 1382119



45
2360
2655
n/a
n/a
1381981, 1381994,
758, 761-766,







1381995, 1381998,
769, 770, 772,







1381999, 1382004,
774, 775, 777,







1382006, 1382019,
779







1382020, 1382025,








1382033, 1382034,








1382039, 1382051



46
2402
2655
n/a
n/a
1381995, 1381998,
762-766, 769,







1381999, 1382004,
770, 772, 774,







1382006, 1382019,
775, 777, 779







1382020, 1382025,








1382033, 1382034,








1382039, 1382051



47
2675
3054
n/a
n/a
1382052, 1382054,
780, 782-794,







1382059, 1382063,
795-797, 800







1382069-1382071,








1382075, 1382078,








1382080, 1382087-








1382090, 1382103-








1382105, 1382116









Nonlimiting Disclosure and Incorporation by Reference

Each of the literature and patent publications listed herein is incorporated by reference in its entirety. While certain compounds, compositions and methods described herein have been described with specificity in accordance with certain embodiments, the following examples serve only to illustrate the compounds described herein and are not intended to limit the same. Each of the references, GenBank accession numbers, ENSEMBL identifiers, and the like recited in the present application is incorporated herein by reference in its entirety.


Although the sequence listing accompanying this filing identifies each sequence as either “RNA” or “DNA” as required, in reality, those sequences may be modified with any combination of chemical modifications. One of skill in the art will readily appreciate that such designation as “RNA” or “DNA” to describe modified oligonucleotides is, in certain instances, arbitrary. For example, an oligonucleotide comprising a nucleoside comprising a 2′-OH sugar moiety and a thymine base could be described as a DNA having a modified sugar (2′-OH in place of one 2′-H of DNA) or as an RNA having a modified base (thymine (methylated uracil) in place of an uracil of RNA). Accordingly, nucleic acid sequences provided herein, including, but not limited to those in the sequence listing, are intended to encompass nucleic acids containing any combination of natural or modified RNA and/or DNA, including, but not limited to such nucleic acids having modified nucleobases. By way of further example and without limitation, an oligomeric compound having the nucleobase sequence “ATCGATCG” encompasses any oligomeric compounds having such nucleobase sequence, whether modified or unmodified, including, but not limited to, such compounds comprising RNA bases, such as those having sequence “AUCGAUCG” and those having some DNA bases and some RNA bases such as “AUCGATCG” and oligomeric compounds having other modified nucleobases, such as “ATmCGAUCG,” wherein mC indicates a cytosine base comprising a methyl group at the 5-position.


Certain compounds described herein (e.g., modified oligonucleotides) have one or more asymmetric center and thus give rise to enantiomers, diastereomers, and other stereoisomeric configurations that may be defined, in terms of absolute stereochemistry, as (R) or (S), as α or β such as for sugar anomers, or as (D) or (L), such as for amino acids, etc. Compounds provided herein that are drawn or described as having certain stereoisomeric configurations include only the indicated compounds. Compounds provided herein that are drawn or described with undefined stereochemistry include all such possible isomers, including their stereorandom and optically pure forms, unless specified otherwise. Likewise, tautomeric forms of the compounds herein are also included unless otherwise indicated. Unless otherwise indicated, compounds described herein are intended to include corresponding salt forms.


The compounds described herein include variations in which one or more atoms are replaced with a non-radioactive isotope or radioactive isotope of the indicated element. For example, compounds herein that comprise hydrogen atoms encompass all possible deuterium substitutions for each of the 1H hydrogen atoms. Isotopic substitutions encompassed by the compounds herein include but are not limited to: 2H or 3H in place of 1H, 13C or 14C in place of 12C, 15N in place of 14N, 17O or 18O in place of 16O, and 33S, 34S, 35S, or 36S in place of 32S. In certain embodiments, non-radioactive isotopic substitutions may impart new properties on the oligomeric compound that are beneficial for use as a therapeutic or research tool. In certain embodiments, radioactive isotopic substitutions may make the compound suitable for research or diagnostic purposes such as imaging.


EXAMPLES

The following examples illustrate certain embodiments of the present disclosure and are not limiting. Moreover, where specific embodiments are provided, the inventors have contemplated generic application of those specific embodiments. For example, disclosure of an oligonucleotide having a particular motif provides reasonable support for additional oligonucleotides having the same or similar motif. And, for example, where a particular high-affinity modification appears at a particular position, other high-affinity modifications at the same position are considered suitable, unless otherwise indicated.


Example 1: Effect of Mixed Wing and Mixed Backbone Modified Oligonucleotides on Human APP RNA In Vitro, Single Dose

Modified oligonucleotides complementary to human APP nucleic acid were tested for their effect on APP RNA levels in vitro.


Modified oligonucleotides in the tables below are 18 nucleosides in length and have the sugar motif eeeeeddddddddkkeee, wherein each “e” is nucleoside comprising a 2′-MOE sugar moiety, each “k” is a nucleoside comprising a cEt sugar moiety, and each “d” is a nucleoside comprising a 2′-β-D-deoxyribosyl sugar moiety. The internucleoside linkage motif is sooosssssssssooss, wherein each “s” represents a phosphorothioate internucleoside linkage and each “o” represents a phosphodiester internucleoside linkage. All cytosine residues are 5-methylcytosines.


“Start site” indicates the 5′-most nucleoside to which the modified oligonucleotide is complementary in the human gene sequence. “Stop site” indicates the 3′-most nucleoside to which the modified oligonucleotide is complementary in the human gene sequence. Each modified oligonucleotide listed in the Tables below is 100% complementary to SEQ ID NO: 1 (the cDNA of Ensembl transcript ENST00000346798.7), the complement of SEQ ID NO: 2 (GENBANK Accession No. NC_000021.9 truncated from nucleotides 25878001 to 26174000), SEQ ID NO: 3 (the cDNA of Ensembl transcript ENST00000357903.7), SEQ ID NO: 4 (the cDNA of Ensembl transcript ENST00000348990.9), SEQ ID NO: 5 (the cDNA of Ensembl transcript ENST00000440126.7), SEQ ID NO: 6 (the cDNA of Ensembl transcript ENST00000354192.7), and/or SEQ ID NO: 7 (the cDNA of Ensembl transcript ENST00000358918.7). If a modified oligonucleotide is 100% complementary to SEQ ID NO: 1 and/or SEQ ID NO: 2, it may also be 100% complementary to any of SEQ ID NOs: 3-7, but this information is not displayed in the tables below. ‘N/A’ indicates that the modified oligonucleotide is not 100% complementary to that particular gene sequence.


Cultured SH-SY5Y cells at a density of 20,000 cells per well were treated with 7,000 nM of modified oligonucleotide by electroporation. After a treatment period of approximately 24 hours, total RNA was isolated from the cells and APP RNA levels were measured by quantitative real-time RTPCR. Human APP primer probe set HTS96 (forward sequence CCTTCCCGTGAATGGAGAGTT, designated herein as SEQ ID NO: 910; reverse sequence CACAGAGTCAGCCCCAAAAGA, designated herein as SEQ ID NO: 911; probe sequence CCTGGACGATCTCCAGCCGTGG, designated herein as SEQ ID NO: 912) was used to measure RNA levels. APP RNA levels were adjusted according to total RNA content, as measured by RIBOGREEN®. Results are presented in the tables below as percent APP RNA levels relative to untreated control cells.









TABLE 2







Reduction of APP RNA by 5-8-5 gapmers with mixed wings and a mixed backbone















SEQ ID
SEQ ID
SEQ ID
SEQ ID

APP




NO: 1
NO: 1
NO: 2
NO: 2

RNA
SEQ


Compound
Start
Stop
Start
Stop

(%
ID


ID
Site
Site
Site
Site
Sequence (5’ to 3’)
control)
NO.





699467
 207
 224
 61970
 61987
CAATGCAGGTTTTGGTCC
 42
12





699501
 308
 325
 83977
 83994
CCAGTTCTGGATGGTCAC
 40
13





699511
 321
 338
 83990
 84007
GGCCCCGCTTGCACCAGT
 47
14





699519
 331
 348
 84000
 84017
CACTGCTTGCGGCCCCGC
 36
15





699535
 489
 506
N/A
N/A
ATGTCTCTTTGGCGACGG
 52
16





699594
1246
1263
N/A
N/A
ATGACCTGGGACATTCTC
 26
17





699600
1257
1274
197971
197988
CCCATTCTCTCATGACCT
 29
18





699631
1544
1561
218297
218314
TAGGGTGTGCTGTCTGTC
 28
19





699660
1844
1861
262161
262178
CACGGGAAGGAGCTCCAC
 69
20





828401
  36
  53
  3382
  3399
GTGCCAAACCGGGCAGCA
 58
21





828407
  61
  78
  3407
  3424
GCCGTCCAGGCGGCCAGC
 46
22





828413
  83
 100
N/A
N/A
AGTGGGTACCTCCAGCGC
 54
23





828419
  98
 115
 61861
 61878
GCCAGCATTACCATCAGT
 53
24





828430
 224
 241
 61987
 62004
GATGCCTTCCTTGGTATC
 70
25





828436
 246
 263
N/A
N/A
AGACTTCTTGGCAATACT
 24
26





828442
 260
 277
 83929
 83946
CTGCAGTTCAGGGTAGAC
 28
27





828448
 286
 303
 83955
 83972
TGGTTGGCTTCTACCACA
 54
28





828454
 296
 313
 83965
 83982
GGTCACTGGTTGGTTGGC
 40
29





828464
 341
 358
 84010
 84027
ATGGGTCTTGCACTGCTT
 19
30





828470
 370
 387
 84039
 84056
AAGCAGCGGTAGGGAATC
 49
31





828476
 379
 396
N/A
N/A
TCACCAACTAAGCAGCGG
 70
32





828482
 422
 439
120685
120702
GAATTTGCACTTGTCAGG
 36
33





828488
 451
 468
120714
120731
TCGCAAACATCCATCCTC
 32
34





828494
 466
 483
120729
120746
CAGTGAAGATGAGTTTCG
 73
35





828502
 516
 533
122821
122838
CATGCAAGTTGGTACTCT
 36
36





828508
 533
 550
122838
122855
CAGCAACATGCCGTAGTC
 30
37





828514
 549
 566
122854
122871
TGTCAATTCCGCAGGGCA
 60
38





828520
 563
 580
122868
122885
TACCCCTCGGAACTTGTC
 38
39





828526
 589
 606
122894
122911
TCAGCCAGTGGGCAACAC
 29
40





828532
 638
 655
122943
122960
ATCCGAGTCATCCTCCTC
 19
41





828538
 654
 671
122959
122976
CTCCGCCCCACCAGACAT
 46
42





828544
 674
 691
122979
122996
ATCTGCATAGTCTGTGTC
 47
43





828550
 752
 769
152014
152031
GTCATCATCGGCTTCTTC
 24
44





828562
1130
1147
191529
191546
GGTACTGGCTGCTGTTGT
 26
45





828568
1159
1176
191558
191575
GTCTCGAGATACTTGTCA
 42
46





828574
1186
1203
191585
191602
TGGGCATGTTCATTCTCA
 15
47





828580
1233
1250
191632
191649
TTCTCTCTCGGTGCTTGG
 31
48





828587
1453
1470
198892
198909
GCGGTGATGTAGTTCTCC
 35
49





828593
1476
1493
N/A
N/A
GCCGAGGAGGAACAGCCT
 46
50





828599
1520
1537
218273
218290
TTCTGCGCGGACATACTT
 49
51





828610
1564
1581
218317
218334
CGCACATGCTCGAAATGC
 20
52





828616
1575
1592
218328
218345
GATCCACCATGCGCACAT
 48
53





828622
1586
1603
218339
218356
GGCTTTCTTGGGATCCAC
 42
54





828628
1598
1615
218351
218368
CCGGATCTGAGCGGCTTT
 46
55





828634
1605
1622
218358
218375
CCTGGGACCGGATCTGAG
 37
56





828639
1629
1646
219319
219336
AAATCACACGGAGGTGTG
 72
57





828645
1648
1665
219338
219355
GACTGATTCATGCGCTCA
 13
58





828651
1765
1782
262082
262099
TCACTAATCATGTTGGCC
 45
59





828657
1781
1798
262098
262115
GTAACTGATCCTTGGTTC
 42
60





828663
1816
1833
262133
262150
GTTTCGGTCAAAGATGGC
 44
61





828674
1882
1899
262199
262216
TGCCACGGCTGGAGATCG
 57
62





828680
1947
1964
268927
268944
GGCGGGCATCAACAGGCT
 99
63





828686
1970
1987
268950
268967
GGTCAGTCCTCGGTCGGC
106
64





828692
1979
1996
268959
268976
TGGTCGAGTGGTCAGTCC
 71
65





828697
1988
2005
N/A
N/A
CCCAGAACCTGGTCGAGT
 86
66





828703
2017
2034
276347
276364
GAGATCTCCTCCGTCTTG
 57
67





828709
2053
2070
276383
276400
GAGTCATGTCGGAATTCT
 42
68





828715
2070
2087
276400
276417
GATGAACTTCATATCCTG
 70
69





828721
2128
2145
282162
282179
CCAATGATTGCACCTTTG
 43
70





828727
2141
2158
282175
282192
GCCCACCATGAGTCCAAT
 54
71





828733
2153
2170
282187
282204
TATGACAACACCGCCCAC
 70
72





828739
2173
2190
282207
282224
GTGATGACGATCACTGTC
 74
73





828745
2286
2303
292270
292287
AGCCGTTCTGCTGCATCT
 79
74





828751
 885
 902
N/A
N/A
CCTCTCGAACCACCTCTT
 65
75





828757
 897
 914
N/A
N/A
GTTCAGAGCACACCTCTC
 35
76





828763
 910
 927
173829
173846
CCCGTCTCGGCTTGTTCA
 46
77





828769
 920
 937
173839
173856
TCGGCACGGCCCCGTCTC
 55
78





828775
 934
 951
173853
173870
CGGGAGATCATTGCTCGG
 78
79





828781
 946
 963
173865
173882
TCAAAGTACCAGCGGGAG
 58
80





828785
 989
1006
173908
173925
ACATCCGCCGTAAAAGAA
 69
81





828790
1015
1032
173934
173951
GTGTCAAAGTTGTTCCGG
 46
82





828796
1038
1055
173957
173974
ACACGGCCATGCAGTACT
 46
83





828802
1069
1086
176586
176603
TTGAGTAAACTTTGGGAC
 69
84





828808
1094
1111
176611
176628
TCGGGCAAGAGGTTCCTG
 77
85





828814
1102
1119
176619
176636
ACAGGATCTCGGGCAAGA
 42
86





828820
N/A
N/A
 33811
 33828
ACAAGTCCTCTAATTGGT
 56
87
















TABLE 3







Reduction of APP RNA by 5-8-5 gapmers with mixed wings and a mixed backbone















SEQ ID
SEQ ID
SEQ ID
SEQ ID

APP




NO: 1
NO: 1
NO: 2
NO: 2

RNA
SEQ


Compound
Start
Stop
Start
Stop

(%
ID


ID
Site
Site
Site
Site
Sequence (5’ to 3’)
control)
NO.





699503
 311
 328
 83980
 83997
GCACCAGTTCTGGATGGT
 49
 88





699512
 323
 340
 83992
 84009
GCGGCCCCGCTTGCACCA
 77
 89





699537
 491
 508
N/A
N/A
GCATGTCTCTTTGGCGAC
 72
 90





699568
 948
 965
173867
173884
CATCAAAGTACCAGCGGG
 70
 91





699596
1248
1265
N/A
N/A
TCATGACCTGGGACATTC
 48
 92





699600
1257
1274
197971
197988
CCCATTCTCTCATGACCT
 34
 18





828402
  38
  55
  3384
  3401
CAGTGCCAAACCGGGCAG
 69
 93





828408
  63
  80
  3409
  3426
GAGCCGTCCAGGCGGCCA
 80
 94





828414
  84
 101
N/A
N/A
CAGTGGGTACCTCCAGCG
 59
 95





828420
 112
 129
 61875
 61892
GGTTCAGCCAGCAGGCCA
 39
 96





828425
 212
 229
 61975
 61992
GGTATCAATGCAGGTTTT
 25
 97





828431
 225
 242
 61988
 62005
GGATGCCTTCCTTGGTAT
 63
 98





828437
 250
 267
N/A
N/A
GGGTAGACTTCTTGGCAA
 38
 99





828443
 265
 282
 83934
 83951
GTGATCTGCAGTTCAGGG
 22
100





828449
 288
 305
 83957
 83974
GTTGGTTGGCTTCTACCA
 47
101





828455
 300
 317
 83969
 83986
GGATGGTCACTGGTTGGT
 24
102





828459
 332
 349
 84001
 84018
GCACTGCTTGCGGCCCCG
 36
103





828465
 343
 360
 84012
 84029
GGATGGGTCTTGCACTGC
 39
104





828471
 372
 389
 84041
 84058
CTAAGCAGCGGTAGGGAA
 70
105





828477
 381
 398
N/A
N/A
ACTCACCAACTAAGCAGC
 52
106





828483
 429
 446
120692
120709
GGTGTAAGAATTTGCACT
 61
107





828489
 453
 470
120716
120733
TTTCGCAAACATCCATCC
 49
108





828495
 473
 490
120736
120753
GGTGTGCCAGTGAAGATG
 64
109





828503
 524
 541
122829
122846
GCCGTAGTCATGCAAGTT
 37
110





828509
 540
 557
122845
122862
CGCAGGGCAGCAACATGC
 31
111





828515
 551
 568
122856
122873
CTTGTCAATTCCGCAGGG
 74
112





828521
 564
 581
122869
122886
CTACCCCTCGGAACTTGT
 67
113





828527
 621
 638
122926
122943
CCGCATCAGCAGAATCCA
 24
114





828533
 639
 656
122944
122961
CATCCGAGTCATCCTCCT
 16
115





828539
 657
 674
122962
122979
CTGCTCCGCCCCACCAGA
 47
116





828545
 676
 693
122981
122998
CCATCTGCATAGTCTGTG
 24
117





828551
 804
 821
152066
152083
CGTAGGGTTCCTCAGCCT
 42
118





828563
1131
1148
191530
191547
GGGTACTGGCTGCTGTTG
 41
119





828569
1162
1179
191561
191578
GGTGTCTCGAGATACTTG
 52
120





828575
1224
1241
191623
191640
GGTGCTTGGCCTCAAGCC
 71
121





828581
1235
1252
191634
191651
CATTCTCTCTCGGTGCTT
 67
122





828588
1455
1472
198894
198911
GAGCGGTGATGTAGTTCT
 65
123





828594
1485
1502
N/A
N/A
CGTGACGAGGCCGAGGAG
 88
124





828600
1521
1538
218274
218291
GTTCTGCGCGGACATACT
 35
125





828605
1546
1563
218299
218316
TTTAGGGTGTGCTGTCTG
 29
126





828611
1566
1583
218319
218336
TGCGCACATGCTCGAAAT
 52
127





828617
1576
1593
218329
218346
GGATCCACCATGCGCACA
 46
128





828623
1588
1605
218341
218358
GCGGCTTTCTTGGGATCC
 60
129





828629
1599
1616
218352
218369
ACCGGATCTGAGCGGCTT
 50
130





828635
1607
1624
N/A
N/A
AACCTGGGACCGGATCTG
 69
131





828640
1632
1649
219322
219339
CATAAATCACACGGAGGT
 61
132





828646
1650
1667
219340
219357
GAGACTGATTCATGCGCT
 30
133





828652
1768
1785
262085
262102
GGTTCACTAATCATGTTG
 50
134





828658
1783
1800
262100
262117
CCGTAACTGATCCTTGGT
 43
135





828664
1833
1850
262150
262167
GCTCCACGGTGGTTTTCG
 69
136





828669
1848
1865
262165
262182
CATTCACGGGAAGGAGCT
 39
137





828675
1883
1900
262200
262217
ATGCCACGGCTGGAGATC
 43
138





828681
1961
1978
268941
268958
TCGGTCGGCAGCAGGGCG
 98
139





828687
1971
1988
268951
268968
TGGTCAGTCCTCGGTCGG
 87
140





828693
1981
1998
268961
268978
CCTGGTCGAGTGGTCAGT
 91
141





828698
1991
2008
N/A
N/A
CAACCCAGAACCTGGTCG
 88
142





828704
2019
2036
276349
276366
CAGAGATCTCCTCCGTCT
 46
143





828710
2057
2074
276387
276404
TCCTGAGTCATGTCGGAA
 49
144





828716
2073
2090
276403
276420
GATGATGAACTTCATATC
 80
145





828722
2130
2147
282164
282181
GTCCAATGATTGCACCTT
 51
146





828728
2143
2160
282177
282194
CCGCCCACCATGAGTCCA
 91
147





828734
2155
2172
282189
282206
GCTATGACAACACCGCCC
 41
148





828740
2175
2192
282209
282226
AGGTGATGACGATCACTG
 75
149





828746
2288
2305
292272
292289
GTAGCCGTTCTGCTGCAT
 85
150





828752
 887
 904
N/A
N/A
CACCTCTCGAACCACCTC
 49
151





828758
 900
 917
173819
173836
CTTGTTCAGAGCACACCT
 55
152





828764
 912
 929
173831
173848
GCCCCGTCTCGGCTTGTT
 42
153





828770
 924
 941
173843
173860
TTGCTCGGCACGGCCCCG
 33
154





828776
 935
 952
173854
173871
GCGGGAGATCATTGCTCG
 53
155





828786
 992
1009
173911
173928
GCCACATCCGCCGTAAAA
 72
156





828791
1017
1034
173936
173953
CTGTGTCAAAGTTGTTCC
 38
157





828797
1039
1056
173958
173975
CACACGGCCATGCAGTAC
 38
158





828803
1077
1094
176594
176611
GGGTAGTCTTGAGTAAAC
 54
159





828809
1095
1112
176612
176629
CTCGGGCAAGAGGTTCCT
 90
160





828815
1105
1122
176622
176639
TTAACAGGATCTCGGGCA
 58
161





828821
N/A
N/A
 33815
 33832
ACCAACAAGTCCTCTAAT
105
162
















TABLE 4







Reduction of APP RNA by 5-8-5 gapmers with mixed wings and a mixed backbone















SEQ ID
SEQ ID
SEQ ID
SEQ ID

APP




NO: 1
NO: 1
NO: 2
NO: 2

RNA
SEQ


Compound
Start
Stop
Start
Stop

(%
ID


ID
Site
Site
Site
Site
Sequence (5’ to 3’)
control)
NO:





699505
 313
 330
 83982
 83999
TTGCACCAGTTCTGGATG
 53
163





699514
 325
 342
 83994
 84011
TTGCGGCCCCGCTTGCAC
 61
164





699539
 493
 510
N/A
N/A
CTGCATGTCTCTTTGGCG
 42
165





699590
1237
1254
191636
191653
GACATTCTCTCTCGGTGC
 66
166





699600
1257
1274
197971
197988
CCCATTCTCTCATGACCT
 60
 18





699669
1983
2000
N/A
N/A
AACCTGGTCGAGTGGTCA
166
167





828403
  39
  56
  3385
  3402
GCAGTGCCAAACCGGGCA
 73
168





828409
  66
  83
  3412
  3429
CCCGAGCCGTCCAGGCGG
 70
169





828415
  86
 103
N/A
N/A
ATCAGTGGGTACCTCCAG
 56
170





828421
 129
 146
 61892
 61909
AGAACATGGCAATCTGGG
 45
171





828426
 214
 231
 61977
 61994
TTGGTATCAATGCAGGTT
 37
172





828432
 233
 250
 61996
 62013
ATACTGCAGGATGCCTTC
108
173





828438
 251
 268
N/A
N/A
AGGGTAGACTTCTTGGCA
 54
174





828444
 266
 283
 83935
 83952
GGTGATCTGCAGTTCAGG
 19
175





828450
 289
 306
 83958
 83975
GGTTGGTTGGCTTCTACC
 52
176





828456
 302
 319
 83971
 83988
CTGGATGGTCACTGGTTG
 38
177





828460
 334
 351
 84003
 84020
TTGCACTGCTTGCGGCCC
 40
178





828466
 361
 378
 84030
 84047
TAGGGAATCACAAAGTGG
 62
179





828472
 373
 390
N/A
N/A
ACTAAGCAGCGGTAGGGA
 63
180





828478
 409
 426
120672
120689
TCAGGAACGAGAAGGGCA
 67
181





828484
 432
 449
120695
120712
CCTGGTGTAAGAATTTGC
 38
182





828490
 456
 473
120719
120736
GAGTTTCGCAAACATCCA
 26
183





828496
 474
 491
120737
120754
CGGTGTGCCAGTGAAGAT
 98
184





828504
 525
 542
122830
122847
TGCCGTAGTCATGCAAGT
 82
185





828510
 541
 558
122846
122863
CCGCAGGGCAGCAACATG
 76
186





828516
 555
 572
122860
122877
GGAACTTGTCAATTCCGC
115
187





828522
 567
 584
122872
122889
ACTCTACCCCTCGGAACT
101
188





828528
 624
 641
122929
122946
CCTCCGCATCAGCAGAAT
 24
189





828534
 643
 660
122948
122965
CAGACATCCGAGTCATCC
 45
190





828540
 662
 679
122967
122984
TGTGTCTGCTCCGCCCCA
 49
191





828546
 677
 694
122982
122999
CCCATCTGCATAGTCTGT
 33
192





828552
 881
 898
152143
152160
TCGAACCACCTCTTCCAC
 88
193





828564
1147
1164
191546
191563
TTGTCAACGGCATCAGGG
 88
194





828570
1164
1181
191563
191580
CAGGTGTCTCGAGATACT
 80
195





828576
1225
1242
191624
191641
CGGTGCTTGGCCTCAAGC
 88
196





828584
1315
1332
198029
198046
TGGATAACTGCCTTCTTA
150
197





828589
1457
1474
198896
198913
CAGAGCGGTGATGTAGTT
 74
198





828595
1512
1529
218265
218282
GGACATACTTCTTTAGCA
 67
199





828601
1524
1541
218277
218294
TCTGTTCTGCGCGGACAT
 55
200





828606
1548
1565
218301
218318
GCTTTAGGGTGTGCTGTC
 36
201





828612
1568
1585
218321
218338
CATGCGCACATGCTCGAA
 48
202





828618
1577
1594
218330
218347
GGGATCCACCATGCGCAC
 68
203





828624
1590
1607
218343
218360
GAGCGGCTTTCTTGGGAT
106
204





828630
1600
1617
218353
218370
GACCGGATCTGAGCGGCT
 75
205





828636
1608
1625
N/A
N/A
TAACCTGGGACCGGATCT
105
206





828641
1635
1652
219325
219342
GCTCATAAATCACACGGA
 40
207





828647
1684
1701
219374
219391
TCGGCCACTGCAGGCACG
 87
208





828653
1771
1788
262088
262105
CTTGGTTCACTAATCATG
 70
209





828659
1784
1801
262101
262118
TCCGTAACTGATCCTTGG
 78
210





828665
1837
1854
262154
262171
AGGAGCTCCACGGTGGTT
165
211





828670
1849
1866
262166
262183
CCATTCACGGGAAGGAGC
 31
212





828676
1885
1902
262202
262219
GAATGCCACGGCTGGAGA
 17
213





828682
1963
1980
268943
268960
CCTCGGTCGGCAGCAGGG
151
214





828688
1973
1990
268953
268970
AGTGGTCAGTCCTCGGTC
 97
215





828699
2001
2018
276331
276348
TGATATTTGTCAACCCAG
 51
216





828705
2021
2038
276351
276368
TTCAGAGATCTCCTCCGT
101
217





828711
2058
2075
276388
276405
ATCCTGAGTCATGTCGGA
 88
218





828717
2117
2134
282151
282168
ACCTTTGTTTGAACCCAC
 47
219





828723
2132
2149
282166
282183
GAGTCCAATGATTGCACC
 92
220





828729
2146
2163
282180
282197
ACACCGCCCACCATGAGT
 94
221





828735
2157
2174
282191
282208
TCGCTATGACAACACCGC
 47
222





828741
2209
2226
282243
282260
ATGGATGTGTACTGTTTC
 46
223





828747
2289
2306
292273
292290
CGTAGCCGTTCTGCTGCA
157
224





828753
 889
 906
N/A
N/A
CACACCTCTCGAACCACC
 56
225





828759
 901
 918
173820
173837
GCTTGTTCAGAGCACACC
 63
226





828765
 914
 931
173833
173850
CGGCCCCGTCTCGGCTTG
119
227





828771
 926
 943
173845
173862
CATTGCTCGGCACGGCCC
 59
228





828777
 937
 954
173856
173873
CAGCGGGAGATCATTGCT
 75
229





828782
 952
 969
173871
173888
GTCACATCAAAGTACCAG
 53
230





828787
 993
1010
173912
173929
CGCCACATCCGCCGTAAA
100
231





828792
1032
1049
173951
173968
CCATGCAGTACTCTTCTG
 87
232





828798
1041
1058
173960
173977
CACACACGGCCATGCAGT
 80
233





828804
1080
1097
176597
176614
CCTGGGTAGTCTTGAGTA
114
234





828810
1097
1114
176614
176631
ATCTCGGGCAAGAGGTTC
 69
235





828816
1108
1125
N/A
N/A
AGTTTAACAGGATCTCGG
 71
236
















TABLE 5







Reduction of APP RNA by 5-8-5 gapmers with mixed wings and a mixed backbone















SEQ ID
SEQ ID
SEQ ID
SEQ ID

APP




NO: 1
NO: 1
NO: 2
NO: 2

RNA
SEQ


Compound
Start
Stop
Start
Stop

(%
ID


ID
Site
Site
Site
Site
Sequence (5′ to 3′)
control)
NO.





699506
 314
 331
 83983
 84000
CTTGCACCAGTTCTGGAT
 60
237





699516
 327
 344
 83996
 84013
GCTTGCGGCCCCGCTTGC
 85
238





699573
 995
1012
173914
173931
GCCGCCACATCCGCCGTA
 97
239





699600
1257
1274
197971
197988
CCCATTCTCTCATGACCT
 57
 18





699623
1428
1445
198867
198884
GGCGGCGGCGGTCATTGA
105
240





828404
  40
  57
  3386
  3403
AGCAGTGCCAAACCGGGC
 26
241





828410
  67
  84
  3413
  3430
GCCCGAGCCGTCCAGGCG
 66
242





828416
  89
 106
N/A
N/A
ACCATCAGTGGGTACCTC
 46
243





828422
 150
 167
 61913
 61930
TGTGCATGTTCAGTCTGC
 23
244





828427
 216
 233
 61979
 61996
CCTTGGTATCAATGCAGG
 45
245





828433
 235
 252
 61998
 62015
CAATACTGCAGGATGCCT
 80
246





828439
 252
 269
N/A
N/A
CAGGGTAGACTTCTTGGC
104
247





828445
 267
 284
 83936
 83953
TGGTGATCTGCAGTTCAG
 31
248





828451
 291
 308
 83960
 83977
CTGGTTGGTTGGCTTCTA
 48
249





828457
 304
 321
 83973
 83990
TTCTGGATGGTCACTGGT
 54
250





828461
 335
 352
 84004
 84021
CTTGCACTGCTTGCGGCC
 48
251





828467
 366
 383
 84035
 84052
AGCGGTAGGGAATCACAA
 58
252





828473
 375
 392
N/A
N/A
CAACTAAGCAGCGGTAGG
 61
253





828479
 410
 427
120673
120690
GTCAGGAACGAGAAGGGC
117
254





828485
 437
 454
120700
120717
CCTCTCCTGGTGTAAGAA
 42
255





828491
 460
 477
120723
120740
AGATGAGTTTCGCAAACA
 52
256





828497
 477
 494
120740
120757
CGACGGTGTGCCAGTGAA
 35
257





828499
 506
 523
122811
122828
GGTACTCTTCTCACTGCA
 32
258





828505
 527
 544
122832
122849
CATGCCGTAGTCATGCAA
 66
259





828511
 543
 560
122848
122865
TTCCGCAGGGCAGCAACA
 57
260





828517
 557
 574
122862
122879
TCGGAACTTGTCAATTCC
 82
261





828523
 568
 585
122873
122890
AACTCTACCCCTCGGAAC
 79
262





828529
 633
 650
122938
122955
AGTCATCCTCCTCCGCAT
 81
263





828535
 644
 661
122949
122966
CCAGACATCCGAGTCATC
 40
264





828541
 664
 681
122969
122986
TCTGTGTCTGCTCCGCCC
 33
265





828547
 680
 697
N/A
N/A
ACTCCCATCTGCATAGTC
 43
266





828553
 882
 899
152144
152161
CTCGAACCACCTCTTCCA
100
267





828565
1152
1169
191551
191568
GATACTTGTCAACGGCAT
 22
268





828571
1167
1184
191566
191583
CCCCAGGTGTCTCGAGAT
 50
269





828577
1227
1244
191626
191643
CTCGGTGCTTGGCCTCAA
 44
270





828582
1238
1255
191637
191654
GGACATTCTCTCTCGGTG
 40
271





828590
1461
1478
198900
198917
CCTGCAGAGCGGTGATGT
 98
272





828596
1515
1532
218268
218285
CGCGGACATACTTCTTTA
 54
273





828602
1526
1543
218279
218296
CTTCTGTTCTGCGCGGAC
 51
274





828607
1550
1567
218303
218320
ATGCTTTAGGGTGTGCTG
 66
275





828613
1569
1586
218322
218339
CCATGCGCACATGCTCGA
 67
276





828619
1579
1596
218332
218349
TTGGGATCCACCATGCGC
 64
277





828625
1592
1609
218345
218362
CTGAGCGGCTTTCTTGGG
 84
278





828631
1601
1618
218354
218371
GGACCGGATCTGAGCGGC
 62
279





828637
1610
1627
N/A
N/A
CATAACCTGGGACCGGAT
 38
280





828642
1637
1654
219327
219344
GCGCTCATAAATCACACG
 55
281





828648
1692
1709
219382
219399
GAATCTCCTCGGCCACTG
 38
282





828654
1773
1790
262090
262107
TCCTTGGTTCACTAATCA
 67
283





828660
1788
1805
262105
262122
CGTTTCCGTAACTGATCC
 83
284





828666
1839
1856
262156
262173
GAAGGAGCTCCACGGTGG
139
285





828671
1851
1868
262168
262185
CTCCATTCACGGGAAGGA
 35
286





828677
1887
1904
262204
262221
AAGAATGCCACGGCTGGA
 25
287





828683
1965
1982
268945
268962
GTCCTCGGTCGGCAGCAG
198
288





828689
1975
1992
268955
268972
CGAGTGGTCAGTCCTCGG
130
289





828694
1984
2001
N/A
N/A
GAACCTGGTCGAGTGGTC
131
290





828700
2010
2027
276340
276357
CCTCCGTCTTGATATTTG
291
291





828706
2046
2063
276376
276393
GTCGGAATTCTGCATCCA
 50
292





828712
2059
2076
276389
276406
TATCCTGAGTCATGTCGG
 84
293





828718
2119
2136
282153
282170
GCACCTTTGTTTGAACCC
 48
294





828724
2134
2151
282168
282185
ATGAGTCCAATGATTGCA
 55
295





828730
2147
2164
282181
282198
AACACCGCCCACCATGAG
113
296





828736
2162
2179
282196
282213
CACTGTCGCTATGACAAC
139
297





828742
2223
2240
282257
282274
CCACACCATGATGAATGG
 84
298





828748
2305
2322
292289
292306
TTGTAGGTTGGATTTTCG
 76
299





828754
 890
 907
N/A
N/A
GCACACCTCTCGAACCAC
 71
300





828760
 904
 921
173823
173840
TCGGCTTGTTCAGAGCAC
 90
301





828766
 916
 933
173835
173852
CACGGCCCCGTCTCGGCT
 71
302





828772
 928
 945
173847
173864
ATCATTGCTCGGCACGGC
 45
303





828778
 940
 957
173859
173876
TACCAGCGGGAGATCATT
 68
304





828783
 954
 971
173873
173890
CAGTCACATCAAAGTACC
 33
305





828793
1034
1051
173953
173970
GGCCATGCAGTACTCTTC
 90
306





828799
1047
1064
173966
173983
CGCTGCCACACACGGCCA
 73
307





828805
1081
1098
176598
176615
TCCTGGGTAGTCTTGAGT
124
308





828811
1098
1115
176615
176632
GATCTCGGGCAAGAGGTT
 74
309





828817
1111
1128
N/A
N/A
GGAAGTTTAACAGGATCT
 80
310
















TABLE 6







Reduction of APP RNA by 5-8-5 gapmers with mixed wings and a mixed backbone















SEQ ID
SEQ ID
SEQ ID
SEQ ID

APP




NO: 1
NO: 1
NO: 2
NO: 2

RNA
SEQ


Compound
Start
Stop
Start
Stop

(%
ID


ID
Site
Site
Site
Site
Sequence (5′ to 3′)
control)
NO





699498
 305
 322
 83974
 83991
GTTCTGGATGGTCACTGG
 83
311





699508
 316
 333
 83985
 84002
CGCTTGCACCAGTTCTGG
 65
312





699518
 329
 346
 83998
 84015
CTGCTTGCGGCCCCGCTT
 67
313





699600
1257
1274
197971
197988
CCCATTCTCTCATGACCT
 61
 18





699644
1612
1629
N/A
N/A
GTCATAACCTGGGACCGG
 77
314





828405
  42
  59
  3388
  3405
GGAGCAGTGCCAAACCGG
 44
315





828411
  68
  85
  3414
  3431
CGCCCGAGCCGTCCAGGC
 81
316





828417
  94
 111
 61857
 61874
GCATTACCATCAGTGGGT
 39
317





828423
 194
 211
 61957
 61974
GGTCCCTGATGGATCTGA
 50
318





828428
 219
 236
 61982
 61999
CTTCCTTGGTATCAATGC
 29
319





828434
 236
 253
 61999
 62016
GCAATACTGCAGGATGCC
 48
320





828440
 258
 275
N/A
N/A
GCAGTTCAGGGTAGACTT
 51
321





828446
 279
 296
 83948
 83965
CTTCTACCACATTGGTGA
 88
322





828452
 294
 311
 83963
 83980
TCACTGGTTGGTTGGCTT
 41
323





828462
 337
 354
 84006
 84023
GTCTTGCACTGCTTGCGG
 84
324





828468
 367
 384
 84036
 84053
CAGCGGTAGGGAATCACA
 71
325





828474
 376
 393
N/A
N/A
CCAACTAAGCAGCGGTAG
 76
326





828480
 415
 432
120678
120695
CACTTGTCAGGAACGAGA
 35
327





828486
 439
 456
120702
120719
ATCCTCTCCTGGTGTAAG
 77
328





828492
 462
 479
120725
120742
GAAGATGAGTTTCGCAAA
 80
329





828498
 478
 495
120741
120758
GCGACGGTGTGCCAGTGA
 64
330





828500
 509
 526
122814
122831
GTTGGTACTCTTCTCACT
 64
331





828506
 528
 545
122833
122850
ACATGCCGTAGTCATGCA
114
332





828512
 545
 562
122850
122867
AATTCCGCAGGGCAGCAA
 63
333





828518
 561
 578
122866
122883
CCCCTCGGAACTTGTCAA
 96
334





828524
 570
 587
122875
122892
CAAACTCTACCCCTCGGA
 75
335





828530
 634
 651
122939
122956
GAGTCATCCTCCTCCGCA
 70
336





828536
 646
 663
122951
122968
CACCAGACATCCGAGTCA
 96
337





828542
 666
 683
122971
122988
AGTCTGTGTCTGCTCCGC
 26
338





828548
 681
 698
N/A
N/A
CACTCCCATCTGCATAGT
 71
339





828560
N/A
N/A
191523
191540
GGCTGCTGTTGTAGGAAC
 45
340





828566
1154
1171
191553
191570
GAGATACTTGTCAACGGC
 41
341





828572
1168
1185
191567
191584
TCCCCAGGTGTCTCGAGA
 63
342





828578
1229
1246
191628
191645
CTCTCGGTGCTTGGCCTC
 63
343





828583
1239
1256
191638
191655
GGGACATTCTCTCTCGGT
 65
344





828585
1451
1468
198890
198907
GGTGATGTAGTTCTCCAG
 58
345





828591
1462
1479
198901
198918
GCCTGCAGAGCGGTGATG
100
346





828597
1517
1534
218270
218287
TGCGCGGACATACTTCTT
 67
347





828603
1529
1546
218282
218299
GTCCTTCTGTTCTGCGCG
128
348





828608
1557
1574
218310
218327
GCTCGAAATGCTTTAGGG
 39
349





828614
1572
1589
218325
218342
CCACCATGCGCACATGCT
 28
350





828620
1580
1597
218333
218350
CTTGGGATCCACCATGCG
 69
351





828626
1594
1611
218347
218364
ATCTGAGCGGCTTTCTTG
 74
352





828632
1603
1620
218356
218373
TGGGACCGGATCTGAGCG
 77
353





828643
1640
1657
219330
219347
CATGCGCTCATAAATCAC
 52
354





828649
1694
1711
219384
219401
CTGAATCTCCTCGGCCAC
 90
355





828655
1775
1792
262092
262109
GATCCTTGGTTCACTAAT
 85
356





828661
1804
1821
262121
262138
GATGGCATGAGAGCATCG
 88
357





828667
1841
1858
262158
262175
GGGAAGGAGCTCCACGGT
 91
358





828672
1853
1870
262170
262187
CTCTCCATTCACGGGAAG
 73
359





828678
1891
1908
262208
262225
CCAAAAGAATGCCACGGC
 10
360





828684
1967
1984
268947
268964
CAGTCCTCGGTCGGCAGC
233
361





828690
1977
1994
268957
268974
GTCGAGTGGTCAGTCCTC
 74
362





828695
1986
2003
N/A
N/A
CAGAACCTGGTCGAGTGG
 90
363





828701
2013
2030
276343
276360
TCTCCTCCGTCTTGATAT
242
364





828707
2047
2064
276377
276394
TGTCGGAATTCTGCATCC
 84
365





828713
2061
2078
276391
276408
CATATCCTGAGTCATGTC
 67
366





828719
2121
2138
282155
282172
TTGCACCTTTGTTTGAAC
 76
367





828725
2136
2153
282170
282187
CCATGAGTCCAATGATTG
 85
368





828731
2148
2165
282182
282199
CAACACCGCCCACCATGA
257
369





828737
2166
2183
282200
282217
CGATCACTGTCGCTATGA
 86
370





828743
2283
2300
292267
292284
CGTTCTGCTGCATCTTGG
 90
371





828749
2310
2327
292294
292311
AGAACTTGTAGGTTGGAT
 50
372





828755
 892
 909
N/A
N/A
GAGCACACCTCTCGAACC
 85
373





828761
 906
 923
173825
173842
TCTCGGCTTGTTCAGAGC
 62
374





828767
 917
 934
173836
173853
GCACGGCCCCGTCTCGGC
 75
375





828773
 932
 949
173851
173868
GGAGATCATTGCTCGGCA
 35
376





828779
 942
 959
173861
173878
AGTACCAGCGGGAGATCA
 84
377





828784
 969
 986
173888
173905
GGGCACACTTCCCTTCAG
 84
378





828788
 996
1013
173915
173932
TGCCGCCACATCCGCCGT
 64
379





828794
1036
1053
173955
173972
ACGGCCATGCAGTACTCT
 53
380





828800
1048
1065
173967
173984
GCGCTGCCACACACGGCC
 67
381





828806
1084
1101
176601
176618
GGTTCCTGGGTAGTCTTG
 73
382





828812
1099
1116
176616
176633
GGATCTCGGGCAAGAGGT
 80
383





828818
1124
1141
N/A
N/A
GGCTGCTGTTGTAGGAAG
 73
384





828830
N/A
N/A
 83927
 83944
GCAGTTCAGGGTAGACCT
 74
385
















TABLE 7







Reduction of APP RNA by 5-8-5 gapmers with mixed wings and a mixed backbone















SEQ ID
SEQ ID
SEQ ID
SEQ ID

APP




NO: 1
NO: 1
NO: 2
NO: 2

RNA
SEQ


Compound
Start
Stop
Start
Stop

(%
ID


ID
Site
Site
Site
Site
Sequence (5′ to 3′)
control)
NO:





699500
 307
 324
 83976
 83993
CAGTTCTGGATGGTCACT
 59
386





699509
 317
 334
 83986
 84003
CCGCTTGCACCAGTTCTG
 43
387





699533
 487
 504
N/A
N/A
GTCTCTTTGGCGACGGTG
 32
388





699572
 985
1002
173904
173921
CCGCCGTAAAAGAATGGG
 85
389





699592
1244
1261
N/A
N/A
GACCTGGGACATTCTCTC
 58
390





699600
1257
1274
197971
197988
CCCATTCTCTCATGACCT
 47
 18





828406
  44
  61
  3390
  3407
CAGGAGCAGTGCCAAACC
 45
391





828412
  69
  86
  3415
  3432
GCGCCCGAGCCGTCCAGG
 51
392





828418
  97
 114
 61860
 61877
CCAGCATTACCATCAGTG
 31
393





828424
 200
 217
 61963
 61980
GGTTTTGGTCCCTGATGG
 55
394





828429
 221
 238
 61984
 62001
GCCTTCCTTGGTATCAAT
 60
395





828435
 238
 255
 62001
 62018
TGGCAATACTGCAGGATG
 27
396





828441
 259
 276
N/A
N/A
TGCAGTTCAGGGTAGACT
 52
397





828447
 285
 302
 83954
 83971
GGTTGGCTTCTACCACAT
 51
398





828453
 295
 312
 83964
 83981
GTCACTGGTTGGTTGGCT
 78
399





828458
 330
 347
 83999
 84016
ACTGCTTGCGGCCCCGCT
 66
400





828463
 339
 356
 84008
 84025
GGGTCTTGCACTGCTTGC
 41
401





828469
 368
 385
 84037
 84054
GCAGCGGTAGGGAATCAC
 85
402





828475
 378
 395
N/A
N/A
CACCAACTAAGCAGCGGT
102
403





828481
 417
 434
120680
120697
TGCACTTGTCAGGAACGA
 43
404





828487
 441
 458
120704
120721
CCATCCTCTCCTGGTGTA
 54
405





828493
 464
 481
120727
120744
GTGAAGATGAGTTTCGCA
 88
406





828501
 513
 530
122818
122835
GCAAGTTGGTACTCTTCT
 40
407





828507
 530
 547
122835
122852
CAACATGCCGTAGTCATG
 44
408





828513
 547
 564
122852
122869
TCAATTCCGCAGGGCAGC
 72
409





828519
 562
 579
122867
122884
ACCCCTCGGAACTTGTCA
 66
410





828525
 571
 588
122876
122893
ACAAACTCTACCCCTCGG
 90
411





828531
 636
 653
122941
122958
CCGAGTCATCCTCCTCCG
 42
412





828537
 652
 669
122957
122974
CCGCCCCACCAGACATCC
 44
413





828543
 671
 688
122976
122993
TGCATAGTCTGTGTCTGC
 45
414





828549
 682
 699
N/A
N/A
TCACTCCCATCTGCATAG
 94
415





828561
1128
1145
191527
191544
TACTGGCTGCTGTTGTAG
116
416





828567
1157
1174
191556
191573
CTCGAGATACTTGTCAAC
 60
417





828573
1169
1186
191568
191585
ATCCCCAGGTGTCTCGAG
 78
418





828579
1231
1248
191630
191647
CTCTCTCGGTGCTTGGCC
 58
419





828586
1452
1469
198891
198908
CGGTGATGTAGTTCTCCA
 71
420





828592
1474
1491
198913
198930
CGAGGAGGAACAGCCTGC
 69
421





828598
1518
1535
218271
218288
CTGCGCGGACATACTTCT
 61
422





828604
1531
1548
218284
218301
CTGTCCTTCTGTTCTGCG
 57
423





828609
1559
1576
218312
218329
ATGCTCGAAATGCTTTAG
 59
424





828615
1574
1591
218327
218344
ATCCACCATGCGCACATG
 53
425





828621
1582
1599
218335
218352
TTCTTGGGATCCACCATG
112
426





828627
1595
1612
218348
218365
GATCTGAGCGGCTTTCTT
127
427





828633
1604
1621
218357
218374
CTGGGACCGGATCTGAGC
 68
428





828638
1624
1641
219314
219331
ACACGGAGGTGTGTCATA
 54
429





828644
1642
1659
219332
219349
TTCATGCGCTCATAAATC
100
430





828650
1696
1713
219386
219403
TCCTGAATCTCCTCGGCC
 59
431





828656
1778
1795
262095
262112
ACTGATCCTTGGTTCACT
 61
432





828662
1812
1829
262129
262146
CGGTCAAAGATGGCATGA
 79
433





828668
1842
1859
262159
262176
CGGGAAGGAGCTCCACGG
100
434





828673
1856
1873
262173
262190
GAACTCTCCATTCACGGG
113
435





828679
1939
1956
N/A
N/A
TCAACAGGCTCAACTTCG
178
436





828685
1969
1986
268949
268966
GTCAGTCCTCGGTCGGCA
138
437





828691
1978
1995
268958
268975
GGTCGAGTGGTCAGTCCT
158
438





828696
1987
2004
N/A
N/A
CCAGAACCTGGTCGAGTG
124
439





828702
2014
2031
276344
276361
ATCTCCTCCGTCTTGATA
322
440





828708
2051
2068
276381
276398
GTCATGTCGGAATTCTGC
 49
441





828714
2067
2084
276397
276414
GAACTTCATATCCTGAGT
 99
442





828720
2123
2140
282157
282174
GATTGCACCTTTGTTTGA
306
443





828726
2138
2155
282172
282189
CACCATGAGTCCAATGAT
114
444





828732
2151
2168
282185
282202
TGACAACACCGCCCACCA
102
445





828738
2170
2187
282204
282221
ATGACGATCACTGTCGCT
 96
446





828744
2285
2302
292269
292286
GCCGTTCTGCTGCATCTT
152
447





828750
 883
 900
N/A
N/A
TCTCGAACCACCTCTTCC
100
448





828756
 895
 912
N/A
N/A
TCAGAGCACACCTCTCGA
109
449





828762
 909
 926
173828
173845
CCGTCTCGGCTTGTTCAG
 64
450





828768
 918
 935
173837
173854
GGCACGGCCCCGTCTCGG
 70
451





828774
 933
 950
173852
173869
GGGAGATCATTGCTCGGC
 56
452





828780
 945
 962
173864
173881
CAAAGTACCAGCGGGAGA
 79
453





828789
 999
1016
173918
173935
GGTTGCCGCCACATCCGC
 98
454





828795
1037
1054
173956
173973
CACGGCCATGCAGTACTC
 58
455





828801
1062
1079
N/A
N/A
AACTTTGGGACATGGCGC
 89
456





828807
1086
1103
176603
176620
GAGGTTCCTGGGTAGTCT
 86
457





828813
1101
1118
176618
176635
CAGGATCTCGGGCAAGAG
 68
458





828819
N/A
N/A
 33809
 33826
AAGTCCTCTAATTGGTCC
 82
459
















TABLE 8







Reduction of APP RNA by 5-8-5 gapmers with mixed wings and a mixed backbone















SEQ ID
SEQ ID
SEQ ID
SEQ ID

APP




NO: 3
NO: 3
NO: 4
NO: 4

RNA
SEQ


Compound
Start
Stop
Start
Stop

(%
ID


ID
Site
Site
Site
Site
Sequence (5′ to 3′)
control)
NO





828554
N/A
N/A
 999
1016
GGAACTCGAACCACCTCT
121
460





828555
N/A
N/A
1001
1018
TAGGAACTCGAACCACCT
 87
461





828556
N/A
N/A
1002
1019
GTAGGAACTCGAACCACC
 56
462





828557
N/A
N/A
1005
1022
GTTGTAGGAACTCGAACC
 88
463





828558
N/A
N/A
1008
1025
GCTGTTGTAGGAACTCGA
 79
464





828559
N/A
N/A
1010
1027
CTGCTGTTGTAGGAACTC
 43
465





828824
1195
1212
N/A
N/A
CTGTTGTAGGAATGGCGC
145
468





828825
1200
1217
N/A
N/A
GGCTGCTGTTGTAGGAAT
 57
469
















TABLE 9







Reduction of APP RNA by 5-8-5 gapmers with mixed wings and a mixed backbone

















SEQ ID
SEQ ID
SEQ ID
SEQ ID
SEQ ID
SEQ ID

APP




NO: 5
NO: 5
NO: 6
NO: 6
NO: 7
NO: 7

RNA
SEQ


Compound
Start
Stop
Start
Stop
Start
Stop

(%
ID


ID
Site
Site
Site
Site
Site
Site
Sequence (5′ to 3′)
control)
NO





828822
241
258
N/A
N/A
N/A
N/A
CAGTGGGTACATAGTTGA
122
466





828823
243
260
N/A
N/A
N/A
N/A
CCATCAGTGGGTACATAG
 57
467





828826
N/A
N/A
176
193
N/A
N/A
AGGGTAGACCTCCAGCGC
 57
470





828827
N/A
N/A
178
195
N/A
N/A
TCAGGGTAGACCTCCAGC
 80
471





828828
N/A
N/A
180
197
N/A
N/A
GTTCAGGGTAGACCTCCA
 84
472





828829
N/A
N/A
182
199
N/A
N/A
CAGTTCAGGGTAGACCTC
 67
473





828831
N/A
N/A
N/A
N/A
1952
1969
GTCAACCCAGAACCTTCG
121
474









Example 2: Effect of Modified Oligonucleotides on Human APP In Vitro, Multiple Doses

Modified oligonucleotides selected from the examples above were tested at various doses in SH-S5Y cells. Cells were plated at a density of 20,000 cells per well and treated by electroporation with various modified oligonucleotides, as specified in the tables below. After a treatment period of approximately 24 hours, total RNA was isolated from the cells and APP RNA levels were measured by quantitative real-time PCR. Human APP primer probe set HTS96, described herein above, was used to measure RNA levels. APP RNA levels were normalized to GADPH. Results are presented in the tables below as percent APP RNA levels relative to untreated control cells. The half maximal inhibitory concentration (IC50) of each modified oligonucleotide is also presented. IC50 was calculated using a linear regression on a log/linear plot of the data in excel. ‘N.D.’ (‘no data’) indicates that the % inhibition was not determined for that particular modified oligonucleotide in that particular experiment. ‘N.C.’ (“no calculation”) indicates that the range of concentrations tested was not sufficient for an accurate calculation of IC50.









TABLE 10







Dose-dependent reduction of human APP RNA expression


in SH-S5Y cells










APP RNA Expression (% control)













Compound ID
0.31 nM
1.25 nM
5.0 nM
20.0 nM
IC50(μM)















828425
87
55
36
18
2.3


828426
84
87
54
27
6.6


828443
126
107
144
62
N.C.


828444
108
83
51
26
5.8


828455
83
96
58
25
7.3


828464
71
43
18
7
0.9


828490
61
38
34
19
0.7


828527
85
52
21
30
1.4


828528
97
63
37
20
3.2


828532
74
49
44
11
1.4


828533
64
49
40
10
1.2


828545
78
52
27
14
1.5


828546
110
62
72
52
N.C.


828550
103
75
82
59
N.C.


828574
59
38
22
21
0.6


828606
151
107
76
63
N.C.


828610
129
81
58
34
7.8


828645
69
58
25
20
1.5
















TABLE 11







Dose-dependent reduction of human APP RNA expression


in SH-S5Y cells










APP RNA Expression (% control)














0.31 nM
1.25 nM
5.0 nM
20.0 nM
IC50(μM)















699533
63
33
25
13
0.6


828404
78
56
30
N.D.
1.7


828417
92
57
48
19
3.2


828418
63
40
27
10
0.7


828422
68
36
23
8
0.8


828428
44
29
40
13
0.1


828435
83
55
34
34
1.9


828445
113
52
37
6
2.7


828463
103
103
13
N.D.
2.6


828480
83
56
30
11
1.9


828499
86
66
32
11
2.3


828501
134
47
38
9
3.2


828531
77
76
39
54
3.6


828541
70
69
40
31
3.1


828542
60
51
31
7
0.9


828565
46
27
14
5
0.2


828614
63
40
26
9
0.7


828645
94
73
35
27
3.8


828773
61
39
43
17
0.8









Example 3: Effect of Mixed Wing and Mixed Backbone or MOE and Mixed Backbone Modified Oligonucleotides on Human APP RNA In Vitro, Single Dose

Modified oligonucleotides complementary to human APP were synthesized with chemical modification patterns as indicated in the table below. The modified oligonucleotides in the table below are gapmers. The gapmers have a central gap segment that comprises 2′-deoxynucleosides and is flanked by wing segments on both the 5′ end on the 3′ end comprising and cEt nucleosides and/or 2′-MOE nucleosides. All cytosine residues throughout each gapmer are 5′-methyl cytosines. The internucleoside linkages are mixed phosphodiester internucleoside linkages and phosphorothioate internucleoside linkages.


Cultured SH-SY5Y cells at a density of 20,000 cells per well were treated with 4,000 nM of modified oligonucleotide by electroporation. After a treatment period of approximately 24 hours, total RNA was isolated from the cells and APP RNA levels were measured by quantitative real-time RTPCR. Human APP primer probe set RTS35571 (forward sequence CCCACTTTGTGATTCCCTACC, designated herein as SEQ ID NO: 913; reverse sequence ATCCATCCTCTCCTGGTGTAA, designated herein as SEQ ID NO: 914; probe sequence TGATGCCCTTCTCGTTCCTGACAA, designated herein as SEQ ID NO: 915) was used to measure RNA levels. APP RNA levels were adjusted according to total RNA content, as measured by RIBOGREEN®. Results are presented in the tables below as percent APP RNA levels relative to untreated control cells.


Modified oligonucleotides in Table 12 below are 18 nucleosides in length and have the sugar motif eeeeeddddddddkeeee, wherein each “e” is nucleoside comprising a 2′-MOE sugar moiety, each “k” is a nucleoside comprising a cEt sugar moiety, and each “d” is a nucleoside comprising a 2′-β-D-deoxyribosyl sugar moiety. The internucleoside linkage motif is sososssssssssosss, wherein each “s” represents a phosphorothioate internucleoside linkage and each “o” represents a phosphodiester internucleoside linkage. All cytosine residues are 5-methylcytosines. “Start Site” indicates the 5′-most nucleoside to which the gapmer is complementary in the human nucleic acid sequence. “Stop Site” indicates the 3′-most nucleoside to which the gapmer is complementary in the human nucleic acid sequence.









TABLE 12







Reduction of APP with 5-8-5 gapmers with mixed wings and a mixed backbone















SEQ ID
SEQ ID
SEQ ID
SEQ ID

APP




NO: 1
NO: 1
NO: 2
NO: 2

RNA
SEQ


Compound
Start
Stop
Start
Stop

(%
ID


ID
Site
Site
Site
Site
Sequence (5′ to 3′)
control)
NO:





912249
 487
 504
N/A
N/A
GTCTCTTTGGCGACGGTG
 99
388





912250
 488
 505
N/A
N/A
TGTCTCTTTGGCGACGGT
 36
475





912251
 489
 506
N/A
N/A
ATGTCTCTTTGGCGACGG
 29
 16





912252
 490
 507
N/A
N/A
CATGTCTCTTTGGCGACG
 36
476





912253
 491
 508
N/A
N/A
GCATGTCTCTTTGGCGAC
 33
 90





912254
 492
 509
N/A
N/A
TGCATGTCTCTTTGGCGA
 27
477





912255
 493
 510
N/A
N/A
CTGCATGTCTCTTTGGCG
 19
165





912256
 657
 674
122962
122979
CTGCTCCGCCCCACCAGA
 52
116





912257
 659
 676
122964
122981
GTCTGCTCCGCCCCACCA
 64
478





912258
 661
 678
122966
122983
GTGTCTGCTCCGCCCCAC
 32
479





912259
 662
 679
122967
122984
TGTGTCTGCTCCGCCCCA
 30
191





912260
 663
 680
122968
122985
CTGTGTCTGCTCCGCCCC
 46
480





912261
 664
 681
122969
122986
TCTGTGTCTGCTCCGCCC
 99
265





912262
 665
 682
122970
122987
GTCTGTGTCTGCTCCGCC
 17
481





912263
 666
 683
122971
122988
AGTCTGTGTCTGCTCCGC
 15
338





912264
 667
 684
122972
122989
TAGTCTGTGTCTGCTCCG
 43
482





912265
 668
 685
122973
122990
ATAGTCTGTGTCTGCTCC
 43
483





912266
 669
 686
122974
122991
CATAGTCTGTGTCTGCTC
 28
484





912267
 670
 687
122975
122992
GCATAGTCTGTGTCTGCT
 24
485





912268
 671
 688
122976
122993
TGCATAGTCTGTGTCTGC
 33
414





912269
 672
 689
122977
122994
CTGCATAGTCTGTGTCTG
 41
486





912270
 674
 691
122979
122996
ATCTGCATAGTCTGTGTC
 60
 43





912271
 676
 693
122981
122998
CCATCTGCATAGTCTGTG
 24
117





912272
 678
 695
122983
123000
TCCCATCTGCATAGTCTG
 17
487





912273
1614
1631
N/A
N/A
GTGTCATAACCTGGGACC
 36
488





912274
1616
1633
N/A
N/A
GTGTGTCATAACCTGGGA
 41
489





912275
1618
1635
N/A
N/A
AGGTGTGTCATAACCTGG
 61
490





912276
1620
1637
219310
219327
GGAGGTGTGTCATAACCT
 52
491





912277
1622
1639
219312
219329
ACGGAGGTGTGTCATAAC
 56
492





912278
1624
1641
219314
219331
ACACGGAGGTGTGTCATA
 52
429





912279
1626
1643
219316
219333
TCACACGGAGGTGTGTCA
 69
493





912280
1628
1645
219318
219335
AATCACACGGAGGTGTGT
 51
494





912281
1630
1647
219320
219337
TAAATCACACGGAGGTGT
 45
495





912282
1631
1648
219321
219338
ATAAATCACACGGAGGTG
 68
496





912283
1632
1649
219322
219339
CATAAATCACACGGAGGT
352
132





912284
1633
1650
219323
219340
TCATAAATCACACGGAGG
362
497





912285
1634
1651
219324
219341
CTCATAAATCACACGGAG
 32
498





912286
1635
1652
219325
219342
GCTCATAAATCACACGGA
 26
207





912287
1636
1653
219326
219343
CGCTCATAAATCACACGG
 85
499





912288
1637
1654
219327
219344
GCGCTCATAAATCACACG
150
281





912289
1638
1655
219328
219345
TGCGCTCATAAATCACAC
 63
500





912290
1639
1656
219329
219346
ATGCGCTCATAAATCACA
 56
501





912291
1640
1657
219330
219347
CATGCGCTCATAAATCAC
 61
354









Modified oligonucleotides in Table 13 below are 20 nucleosides in length and are 5-10-5 MOE gapmers. The internucleoside linkage motif is sososssssssssssosss, wherein each “s” represents a phosphorothioate internucleoside linkage and each “o” represents a phosphodiester internucleoside linkage. All cytosine residues are 5-methylcytosines. “Start Site” indicates the 5′-most nucleoside to which the gapmer is complementary in the human nucleic acid sequence. “Stop Site” indicates the 3′-most nucleoside to which the gapmer is complementary in the human nucleic acid sequence.









TABLE 13







Reduction of APP RNA by 5-10-5 MOE gapmers having a mixed backbone















SEQ ID
SEQ ID
SEQ ID
SEQ ID

APP




NO: 1
NO: 1
NO: 2
NO: 2

RNA
SEQ


Compound
Start
Stop
Start
Stop

(%
ID


ID
Site
Site
Site
Site
Sequence (5′ to 3′)
control)
NO:





912292
 486
 505
N/A
N/A
TGTCTCTTTGGCGACGGTGT
37
502





912293
 490
 509
N/A
N/A
TGCATGTCTCTTTGGCGACG
25
503





912294
 492
 511
N/A
N/A
ACTGCATGTCTCTTTGGCGA
23
504





912295
 663
 682
122968
122985
GTCTGTGTCTGCTCCGCCCC
15
505





912296
 665
 684
122970
122987
TAGTCTGTGTCTGCTCCGCC
32
506





912297
 670
 689
122975
122992
CTGCATAGTCTGTGTCTGCT
40
507





912298
1634
1653
219324
219341
CGCTCATAAATCACACGGAG
18
508





912299
1635
1654
219325
219342
GCGCTCATAAATCACACGGA
30
509





912300
1636
1655
219326
219343
TGCGCTCATAAATCACACGG
67
510





912301
1633
1652
219323
219340
GCTCATAAATCACACGGAGG
23
511





912302
1632
1651
219322
219339
CTCATAAATCACACGGAGGT
72
512





912303
 669
 688
122974
122991
TGCATAGTCTGTGTCTGCTC
27
513





912304
 668
 687
122973
122990
GCATAGTCTGTGTCTGCTCC
28
514





912305
 671
 690
122976
122993
TCTGCATAGTCTGTGTCTGC
42
515





912306
 672
 691
122977
122994
ATCTGCATAGTCTGTGTCTG
48
516









Example 4: Design of RNAi Compounds with Antisense RNAi Oligonucleotides Complementary to a Human APP Nucleic Acid

RNAi compounds comprising antisense RNAi oligonucleotides complementary to a human APP nucleic acid and sense RNAi oligonucleotides complementary to the antisense RNAi oligonucleotides were designed as follows.


The RNAi compounds in the tables below consist of an antisense RNAi oligonucleotide and a sense RNAi oligonucleotide, wherein, in each case the antisense RNAi oligonucleotides is 23 nucleosides in length; has a sugar motif (from 5′ to 3′) of: mfmfmfmfmfmfmfmfmfmfmmm; wherein “m” represents a 2′-O methylribosyl sugar, and the “f” represents a 2′-fluororibosyl sugar; and a linkage motif (from 5′ to 3′) of: ssooooooooooooooooooss; wherein ‘o’ represents a phosphodiester internucleoside linkage and ‘s’ represents a phosphorothioate internucleoside linkage. The sense RNAi oligonucleotides in each case is 21 nucleosides in length; has a sugar motif (from 5′ to 3′) of: fmfmfmfmfmfmfmfmfmfmf; wherein “m” represents a 2′-O methylribosyl sugar, and the “f” represents a 2′-fluororibosyl sugar; and a linkage motif (from 5′ to 3′) of: ssooooooooooooooooss; wherein ‘o’ represents a phosphodiester internucleoside linkage and ‘s’ represents a phosphorothioate internucleoside linkage. Each antisense RNAi oligonucleotides is complementary to the target nucleic acid (APP), and each sense RNAi oligonucleotides is complementary to the first of the 21 nucleosides of the antisense RNAi oligonucleotide (from 5′ to 3′) wherein the last two 3′-nucleosides of the antisense RNAi oligonucleotides are not paired with the sense RNAi oligonucleotide (are overhanging nucleosides).


“Start site” indicates the 5′-most nucleoside to which the antisense RNAi oligonucleotides is complementary in the human gene sequence. “Stop site” indicates the 3′-most nucleoside to which the antisense RNAi oligonucleotide is complementary in the human gene sequence. Each modified antisense RNAi oligonucleoside listed in the Tables below is 100% complementary to either SEQ ID NO: 1 (described herein above), SEQ ID NO: 2 (described herein above) or SEQ ID No:3 (described herein above) as indicated in the tables below.









TABLE 14







RNAi compounds targeting human APP SEQ ID No: 1



















SEQ ID
SEQ ID







Antisense
SEQ
NO: 1
NO: 1





Compound
Antisense
Sequence
ID
Antisense
Antisense
Sense
Sense Sequence
SEQ


Number
oligo ID
(5′ to 3′)
NO
Start Site
Stop Site
oligo ID
(5′ to 3′)
ID NO





1381709
1381714
AGCAGUGCCAAAC
517
  35
  57
1381715
GCUGCCCGGUUU
666




CGGGCAGCAU




GGCACUGCU






1381710
1381713
AUCGCGACCCUGC
518
  14
  36
1381711
UGCCCCGCGCAG
667




GCGGGGCACC




GGUCGCGAU






1381712
1381717
GCCGUCCAGGCGG
519
  56
  78
1381716
CCUGCUGGCCGC
668




CCAGCAGGAG




CUGGACGGC






1381718
1381720
UUGUCAACGGCAU
520
1142
1164
1381719
UACCCCUGAUGC
669




CAGGGGUACU




CGUUGACAA






1381721
1381722
AAAUGGGCAUGUU
521
1184
1206
1381724
UGAGAAUGAACA
670




CAUUCUCAUC




UGCCCAUUU






1381723
1381726
UCCCCAGGUGUCU
522
1163
1185
1381728
GUAUCUCGAGAC
671




CGAGAUACUU




ACCUGGGGA






1381725
1381730
AGCCUCUCUUUGG
523
1205
1227
1381729
CCAGAAAGCCAA
672




CUUUCUGGAA




AGAGAGGCU






1381727
1381732
CUCUCUCGGUGCU
524
1226
1248
1381731
UGAGGCCAAGCA
673




UGGCCUCAAG




CCGAGAGAG






1381733
1381742
AGCAGGCCAGCAU
525
  98
 120
1381739
UGAUGGUAAUGC
674




UACCAUCAGU




UGGCCUGCU






1381734
1381737
GUGGGUACCUCCA
526
  77
  99
1381738
UCGGGCGCUGGA
675




GCGCCCGAGC




GGUACCCAC






1381735
1381743
CCAUUCUGGACAU
527
 161
 183
1381741
GCACAUGAAUGU
676




UCAUGUGCAU




CCAGAAUGG






1381736
1381745
AUGUUCAGUCUGC
528
 140
 162
1381744
GUUCUGUGGCAG
677




CACAGAACAU




ACUGAACAU






1381740
1381748
AUGGCAAUCUGGG
529
 119
 141
1381750
GGCUGAACCCCA
678




GUUCAGCCAG




GAUUGCCAU






1381746
1381749
UCUCUCAUGACCU
530
1247
1269
1381747
AAUGUCCCAGGU
679




GGGACAUUCU




CAUGAGAGA






1381751
1381754
UGACGUUCUGCCU
531
1268
1290
1381753
AUGGGAAGAGGC
680




CUUCCCAUUC




AGAACGUCA






1381752
1381762
GCUUUAGGCAAGU
532
1289
1311
1381764
AGCAAAGAACUU
681




UCUUUGCUUG




GCCUAAAGC






1381755
1381758
GAUGGAUCUGAAU
533
 182
204
1381757
GAAGUGGGAUUC
682




CCCACUUCCC




AGAUCCAUC






1381756
1381760
UGGAUAACUGCCU
534
1310
1332
1381763
UGAUAAGAAGGC
683




UCUUAUCAGC




AGUUAUCCA






1381759
1381767
UCCACUUUCUCCU
535
1331
1353
1381768
GCAUUUCCAGGA
684




GGAAAUGCUG




GAAAGUGGA






1381761
1381765
GCUGCUUCCUGUU
536
1352
1374
1381766
AUCUUUGGAACA
685




CCAAAGAUUC




GGAAGCAGC






1381771
1381769
UCAAUGCAGGUUU
537
 203
 225
1381770
AGGGACCAAAAC
686




UGGUCCCUGA




CUGCAUUGA






1381772
1381777
GGGUAGACUUCUU
538
 245
 267
1381775
GUAUUGCCAAGA
687




GGCAAUACUG




AGUCUACCC






1381773
1381780
UGCAGGAUGCCUU
539
 224
 246
1381774
UACCAAGGAAGG
688




CCUUGGUAUC




CAUCCUGCA






1381776
1381785
ACAUUGGUGAUCU
540
 266
 288
1381783
UGAACUGCAGAU
689




GCAGUUCAGG




CACCAAUGU






1381778
1381779
ACUGGUUGGUUGG
541
 287
 309
1381781
GGUAGAAGCCAA
690




CUUCUACCAC




CCAACCAGU






1381782
1381786
ACCAGCUGCUGUC
542
1373
1395
1381784
CAACGAGAGACA
691




UCUCGUUGGC




GCAGCUGGU






1381789
1381787
UUGCACCAGUUCU
543
 308
 330
1381788
GACCAUCCAGAA
692




GGAUGGUCAC




CUGGUGCAA






1381790
1381799
UUGCACUGCUUGC
544
 329
 351
1381800
GCGGGGCCGCAA
693




GGCCCCGCUU




GCAGUGCAA






1381791
1381793
CGGUCAUUGAGCA
545
1415
1437
1381794
GGAAGCCAUGCU
694




UGGCUUCCAC




CAAUGACCG






1381792
1381797
ACUCUGGCCAUGU
546
1394
1416
1381796
GGAGACACACAU
695




GUGUCUCCAC




GGCCAGAGU






1381795
1381804
UUCUCCAGGGCCA
547
1436
1458
1381803
CCGCCGCCUGGC
696




GGCGGCGGCG




CCUGGAGAA






1381798
1381801
AUCACAAAGUGGG
548
 350
 372
1381806
GACCCAUCCCCA
697




GAUGGGUCUU




CUUUGUGAU






1381802
1381807
GCCUGCAGAGCGG
549
1457
1479
1381805
CUACAUCACCGC
698




UGAUGUAGUU




UCUGCAGGC






1381808
1381815
UGACGAGGCCGAG
550
1478
1500
1381819
UGUUCCUCCUCG
699




GAGGAACAGC




GCCUCGUCA






1381809
1381812
AGGGCAUCACUUA
551
 392
 414
1381811
UGAGUUUGUAA
700




CAAACUCACC




GUGAUGCCCU






1381810
1381816
CCAACUAAGCAGC
552
 371
 393
1381813
UCCCUACCGCUG
701




GGUAGGGAAU




CUUAGUUGG






1381817
1381820
AUCCUCUCCUGGU
553
 434
 456
1381814
AUUCUUACACCA
702




GUAAGAAUUU




GGAGAGGAU






1381818
1381823
UUGCACUUGUCAG
554
 413
 435
1381821
UCUCGUUCCUGA
703




GAACGAGAAG




CAAGUGCAA






1381825
1381824
AGAUGAGUUUCGC
555
 455
 477
1381822
GGAUGUUUGCGA
704




AAACAUCCAU




AACUCAUCU






1381826
1381829
UUCUUUAGCAUAU
556
1499
1521
1381827
CGUGUUCAAUAU
705




UGAACACGUG




GCUAAAGAA






1381828
1381833
UUCUGUUCUGCGC
557
1520
1542
1381834
GUAUGUCCGCGC
706




GGACAUACUU




AGAACAGAA






1381830
1381836
UUGGCGACGGUGU
558
 476
 498
1381831
UCACUGGCACAC
707




GCCAGUGAAG




CGUCGCCAA






1381832
1381837
CUCUUCUCACUGC
559
 497
 519
1381838
AGAGACAUGCAG
708




AUGUCUCUUU




UGAGAAGAG






1381835
1381843
UUUAGGGUGUGCU
560
1541
1563
1381839
GGACAGACAGCA
709




GUCUGUCCUU




CACCCUAAA






1381840
1381841
AUGCGCACAUGCU
561
1562
1584
1381845
GCAUUUCGAGCA
710




CGAAAUGCUU




UGUGCGCAU






1381842
1381846
GCGGCUUUCUUGG
562
1583
1605
1381847
GGUGGAUCCCAA
711




GAUCCACCAU




GAAAGCCGC






1381844
1381849
AUAACCUGGGACC
563
1604
1626
1381848
UCAGAUCCGGUC
712




GGAUCUGAGC




CCAGGUUAU






1381850
1381852
UAAAUCACACGGA
564
1625
1647
1381851
GACACACCUCCG
713




GGUGUGUCAU




UGUGAUUUA






1381853
1381856
AGAGACUGAUUCA
565
1646
1668
1381857
UGAGCGCAUGAA
714




UGCGCUCAUA




UCAGUCUCU






1381854
1381859
GGCACGUUGUAGA
566
1667
1689
1381860
CUCCCUGCUCUA
715




GCAGGGAGAG




CAACGUGCC






1381855
1381866
UGAAUCUCCUCGG
567
1688
1710
1381867
UGCAGUGGCCGA
716




CCACUGCAGG




GGAGAUUCA






1381858
1381865
AGCAGCUCAUCAA
568
1709
1731
1381862
GGAUGAAGUUG
717




CUUCAUCCUG




AUGAGCUGCU






1381861
1381869
GAAUAGUUUUGCU
569
1730
1752
1381863
UCAGAAAGAGCA
718




CUUUCUGAAG




AAACUAUUC






1381864
1381870
AUGUUGGCCAAGA
570
1751
1773
1381868
AGAUGACGUCUU
719




CGUCAUCUGA




GGCCAACAU






1381872
1381871
CUGAUCCUUGGUU
571
1772
1794
1381873
GAUUAGUGAACC
720




CACUAAUCAU




AAGGAUCAG






1381874
1381878
AUGAGAGCAUCGU
572
1793
1815
1381877
UUACGGAAACGA
721




UUCCGUAACU




UGCUCUCAU






1381875
1381881
GGAAGGAGCUCCA
573
1835
1857
1381880
AACCACCGUGGA
722




CGGUGGUUUU




GCUCCUUCC






1381876
1381883
UUCGUUUCGGUCA
574
1814
1836
1381885
GCCAUCUUUGAC
723




AAGAUGGCAU




CGAAACGAA






1381879
1381884
UGCCACGGCUGGA
575
1877
1899
1381886
GGACGAUCUCCA
724




GAUCGUCCAG




GCCGUGGCA






1381882
1381890
AGGCUGAACUCUC
576
1856
1878
1381891
CGUGAAUGGAGA
725




CAUUCACGGG




GUUCAGCCU






1381887
1381888
ACAGAGUCAGCCC
577
1898
1920
1381889
UUCUUUUGGGGC
726




CAAAAGAAUG




UGACUCUGU






1381892
1381895
UCGUUUUCUGUGU
578
1919
1941
1381894
GCCAGCCAACAC
727




UGGCUGGCAC




AGAAAACGA






1381893
1381902
CGGGCAUCAACAG
579
1940
1962
1381903
AGUUGAGCCUGU
728




GCUCAACUUC




UGAUGCCCG






1381896
1381898
CCAGAACCUGGUC
580
1982
2004
1381899
GACCACUCGACC
729




GAGUGGUCAG




AGGUUCUGG






1381897
1381900
AGUCCUCGGUCGG
581
1961
1983
1381901
CCCUGCUGCCGA
730




CAGCAGGGCG




CCGAGGACU






1381904
1381908
CCGUAGUCAUGCA
582
 518
 540
1381907
UACCAACUUGCA
731




AGUUGGUACU




UGACUACGG






1381909
1381906
AUUCCGCAGGGCA
583
 539
 561
1381905
CAUGUUGCUGCC
732




GCAACAUGCC




CUGCGGAAU






1381910
1381915
UCUACCCCUCGGA
584
 560
 582
1381916
UGACAAGUUCCG
733




ACUUGUCAAU




AGGGGUAGA






1381911
1381914
UCCGUCUUGAUAU
585
2003
2025
1381913
GUUGACAAAUAU
734




UUGUCAACCC




CAAGACGGA






1381912
1381919
AUCUUCACUUCAG
586
2024
2046
1381917
GGAGAUCUCUGA
735




AGAUCUCCUC




AGUGAAGAU






1381918
1381921
UCCACAUUGUCAC
587
 602
 624
1381920
UGAAGAAAGUG
736




UUUCUUCAGC




ACAAUGUGGA






1381922
1381924
UCAUGUCGGAAUU
588
2045
2067
1381926
GGAUGCAGAAUU
737




CUGCAUCCAU




CCGACAUGA






1381923
1381925
GCCAGUGGGCAAC
589
 581
 603
1381927
GUUUGUGUGUU
738




ACACAAACUC




GCCCACUGGC






1381928
1381932
UGAUGAACUUCAU
590
2066
2088
1381936
CUCAGGAUAUGA
739




AUCCUGAGUC




AGUUCAUCA






1381929
1381934
GCAAAGAACACCA
591
2087
2109
1381931
UCAAAAAUUGGU
740




AUUUUUGAUG




GUUCUUUGC






1381930
1381937
UCCUCCUCCGCAU
592
 623
 645
1381938
UUCUGCUGAUGC
741




CAGCAGAAUC




GGAGGAGGA






1381933
1381941
UUGUUUGAACCCA
593
2108
2130
1381942
AGAAGAUGUGG
742




CAUCUUCUGC




GUUCAAACAA






1381935
1381940
CCCCACCAGACAU
594
 644
 666
1381943
UGACUCGGAUGU
743




CCGAGUCAUC




CUGGUGGGG






1381939
1381945
AUGAGUCCAAUGA
595
2129
2151
1381944
AGGUGCAAUCAU
744




UUGCACCUUU




UGGACUCAU






1381946
1381955
GCUAUGACAACAC
596
2150
2172
1381951
GGUGGGCGGUGU
745




CGCCCACCAU




UGUCAUAGC






1381949
1381954
UGUUUCUUCUUCA
597
2192
2214
1381947
GGUGAUGCUGAA
746




GCAUCACCAA




GAAGAAACA






1381950
1381956
AAGGUGAUGACGA
598
2171
2193
1381957
GACAGUGAUCGU
747




UCACUGUCGC




CAUCACCUU






1381953
1381952
GCAUAGUCUGUGU
599
 665
 687
1381948
CGGAGCAGACAC
748




CUGCUCCGCC




AGACUAUGC






1381958
1381965
CCAUGAUGAAUGG
600
2213
2235
1381966
GUACACAUCCAU
749




AUGUGUACUG




UCAUCAUGG






1381959
1381962
GCGGCGUCAACCU
601
2234
2256
1381961
UGUGGUGGAGG
750




CCACCACACC




UUGACGCCGC






1381960
1381968
UGGCGCUCCUCUG
602
2255
2277
1381964
UGUCACCCCAGA
751




GGGUGACAGC




GGAGCGCCA






1381963
1381971
UAGGUUGGAUUU
603
2297
2319
1381969
CGGCUACGAAAA
752




UCGUAGCCGUU




UCCAACCUA






1381967
1381973
ACUUUGUCUUCAC
604
 686
708
1381975
AGAUGGGAGUG
753




UCCCAUCUGC




AAGACAAAGU






1381970
1381974
UUCUGCUGCAUCU
605
2276
2298
1381972
CCUGUCCAAGAU
754




UGGACAGGUG




GCAGCAGAA






1381976
1381978
UCCUCCUCUGCUA
606
 707
 729
1381980
AGUAGAAGUAGC
755




CUUCUACUAC




AGAGGAGGA






1381977
1381989
UGCAUCUGCUCAA
607
2318
2340
1381990
CAAGUUCUUUGA
756




AGAACUUGUA




GCAGAUGCA






1381979
1381984
GCUGUGGCGGGGG
608
2339
2361
1381985
GAACUAGACCCC
757




UCUAGUUCUG




CGCCACAGC






1381981
1381983
UGCUGUCCAACUU
609
2360
2382
1381987
AGCCUCUGAAGU
758




CAGAGGCUGC




UGGACAGCA






1381982
1381991
UCGUCAUCAUCGG
610
 749
 771
1381986
AGAAGAAGCCGA
759




cuucuucuuc




UGAUGACGA






1381988
1381992
UCUUCCACCUCAG
611
 728
 750
1381993
AGAAGUGGCUGA
760




CCACUUCUUC




GGUGGAAGA






1381994
1381997
UGGGUAGUGAAGC
612
2381
2403
1381996
AAACCAUUGCUU
761




AAUGGUUUUG




CACUACCCA






1381995
1382003
UAUUCUAUAAAUG
613
2402
2424
1382000
UCGGUGUCCAUU
762




GACACCGAUG




UAUAGAAUA






1381998
1382002
ACAGCACAGCUGU
614
2465
2487
1382001
GCCUUUUGACAG
763




CAAAAGGCGA




CUGUGCUGU






1381999
1382007
GAUAAUGAGUAA
615
2444
2466
1382005
UUUUAUGAUUU
764




AUCAUAAAACG




ACUCAUUAUC






1382004
1382011
CGGGUUUGUUUCU
616
2423
2445
1382008
AUGUGGGAAGA
765




UCCCACAUUA




AACAAACCCG






1382006
1382010
GUUCAGGCAUCUA
617
2486
2508
1382009
AACACAAGUAGA
766




CUUGUGUUAC




UGCCUGAAC






1382012
1382013
UCCUCAGCCUCUU
618
 791
 813
1382014
GGUAGAGGAAG
767




CCUCUACCUC




AGGCUGAGGA






1382015
1382017
UCUGUGGCUUCUU
619
 812
 834
1382018
ACCCUACGAAGA
768




CGUAGGGUUC




AGCCACAGA






1382019
1382021
AAAGAGAGAUAG
620
2528
2550
1382016
UAAUGUAUUCUA
769




AAUACAUUACU




UCUCUCUUU






1382020
1382024
CUGAUGUGUGGAU
621
2507
2529
1382022
UUGAAUUAAUCC
770




UAAUUCAAGU




ACACAUCAG






1382023
1382029
GUGGCAAUGCUGG
622
 833
 855
1382028
GAGAACCACCAG
771




UGGUUCUCUC




CAUUGCCAC






1382025
1382027
GUAGUAUAGAGAC
623
2549
2571
1382026
ACAUUUUGGUCU
772




CAAAAUGUAA




CUAUACUAC






1382030
1382032
UCAUCACCAUCCU
624
 770
 792
1382031
GGACGAUGAGGA
773




CAUCGUCCUC




UGGUGAUGA






1382033
1382038
UACACAAAACCCA
625
2570
2592
1382035
AUUAUUAAUGG
774




UUAAUAAUGU




GUUUUGUGUA






1382034
1382037
AUACAGCUAAAUU
626
2591
2613
1382042
CUGUAAAGAAUU
775




CUUUACAGUA




UAGCUGUAU






1382036
1382041
UCUGUGGUGGUGG
627
 854
 876
1382040
CACCACCACCAC
776




UGGUGGUGGU




CACCACAGA






1382039
1382046
AUCUAUUCAUGCA
628
2612
2634
1382047
CAAACUAGUGCA
777




CUAGUUUGAU




UGAAUAGAU






1382043
1382044
CGAACCACCUCUU
629
 875
 897
1382045
GUCUGUGGAAGA
778




CCACAGACUC




GGUGGUUCG






1382051
1382064
GUGAUAAAUAAUC
630
2633
2655
1382060
UCUCUCCUGAUU
779




AGGAGAGAAU




AUUUAUCAC






1382052
1382058
UCACAAACCACAA
631
2675
2697
1382055
UAUUAUUCUUGU
780




GAAUAAUAUA




GGUUUGUGA






1382053
1382057
UACAACUGGCUAA
632
2654
2676
1382056
AUAGCCCCUUAG
781




GGGGCUAUGU




CCAGUUGUA






1382054
1382061
GUAAAGUAGGACU
633
2696
2718
1382062
CCCAAUUAAGUC
782




UAAUUGGGUC




CUACUUUAC






1382059
1382068
CCAUCGAUUCUUA
634
2717
2739
1382065
AUAUGCUUUAAG
783




AAGCAUAUGU




AAUCGAUGG






1382063
1382067
CACGUUCACAUGA
635
2738
2760
1382066
GGGAUGCUUCAU
784




AGCAUCCCCC




GUGAACGUG






1382069
1382076
CAAGAGAAGCAGC
636
2759
2781
1382072
GGAGUUCAGCUG
785




UGAACUCCCA




CUUCUCUUG






1382070
1382074
AUCAGGAAAGGAA
637
2780
2802
1382073
CCUAAGUAUUCC
786




UACUUAGGCA




UUUCCUGAU






1382071
1382077
AUCUGAAAUACUU
638
2822
2844
1382079
ACAUUUUUAAGU
787




AAAAAUGUUU




AUUUCAGAU






1382075
1382081
UUAACUUUAAAAU
639
2801
2823
1382082
CACUAUGCAUUU
788




GCAUAGUGAU




UAAAGUUAA






1382078
1382085
GAAAAAAAAUCUC
640
2843
2865
1382083
GCUUUAGAGAGA
789




UCUAAAGCAU




UUUUUUUUC






1382080
1382086
GUACAGUAAAAUG
641
2864
2886
1382084
CAUGACUGCAUU
790




CAGUCAUGGA




UUACUGUAC






1382087
1382095
AUAUAGCAGAAGC
642
2885
2907
1382098
AGAUUGCUGCUU
791




AGCAAUCUGU




CUGCUAUAU






1382088
1382092
CUCUUAAUUCCUA
643
2906
2928
1382091
UUGUGAUAUAG
792




UAUCACAAAU




GAAUUAAGAG






1382089
1382093
GAAGAAACAAACG
644
2927
2949
1382097
GAUACACACGUU
793




UGUGUAUCCU




UGUUUCUUC






1382090
1382096
GUGUGCACAUAAA
645
2948
2970
1382100
GUGCCUGUUUUA
794




ACAGGCACGA




UGUGCACAC






1382103
1382101
CUUGAAGUCUCAA
646
2969
2991
1382102
AUUAGGCAUUGA
795




UGCCUAAUGU




GACUUCAAG






1382104
1382099
ACGUGGACAAAAA
647
2990
3012
1382094
CUUUUCUUUUUU
796




AAGAAAAGCU




UGUCCACGU






1382105
1382110
CUUUAUCAAAGAC
648
3011
3033
1382118
AUCUUUGGGUCU
797




CCAAAGAUAC




UUGAUAAAG






1382106
1382112
ACCAGCAGAGCAC
649
3074
3096
1382108
GGGGAGGGGUGC
798




CCCUCCCCAC




UCUGCUGGU






1382107
1382111
ACCCGCCCCGUAA
650
3053
3075
1382114
AAGCACUUUUAC
799




AAGUGCUUAC




GGGGCGGGU






1382116
1382113
ACAAUGAACAGGG
651
3032
3054
1382109
AAAAGAAUCCCU
800




AUUCUUUUCU




GUUCAUUGU






1382119
1382115
GAGAAUUCUUGGU
652
3095
3117
1382117
CUUCAAUUACCA
801




AAUUGAAGAC




AGAAUUCUC






1382207
1382216
CCUCUCGAACCAC
653
 880
 902
1382215
UGGAAGAGGUG
802




CUCUUCCACA




GUUCGAGAGG






1382208
1382210
UCUCGGCUUGUUC
654
 901
 923
1382211
UGUGCUCUGAAC
803




AGAGCACACC




AAGCCGAGA






1382212
1382217
UCAUUGCUCGGCA
655
 922
 944
1382218
CGGGGCCGUGCC
804




CGGCCCCGUC




GAGCAAUGA






1382222
1382230
CAUCAAAGUACCA
656
 943
 965
1382232
UCUCCCGCUGGU
805




GCGGGAGAUC




ACUUUGAUG






1382229
1382235
GGGCACACUUCCC
657
 964
 986
1382236
UGACUGAAGGGA
806




UUCAGUCACA




AGUGUGCCC






1382237
1382241
CCAUGCAGUACUC
658
1027
1049
1382242
ACACAGAAGAGU
807




UUCUGUGUCA




ACUGCAUGG






1382239
1382244
CACAUCCGCCGUA
659
 985
1007
1382245
CAUUCUUUUACG
808




AAAGAAUGGG




GCGGAUGUG






1382240
1382249
ACAUGGCGCUGCC
660
1048
1070
1382248
CCGUGUGUGGCA
809




ACACACGGCC




GCGCCAUGU






1382243
1382238
CAAAGUUGUUCCG
661
1006
1028
1382247
GCGGCAACCGGA
810




GUUGCCGCCA




ACAACUUUG






1382256
1382263
CUCGGGCAAGAGG
662
1090
1112
1382260
CCCAGGAACCUC
811




UUCCUGGGUA




UUGCCCGAG






1382259
1382261
UAGUCUUGAGUAA
663
1069
1091
1382262
CCCAAAGUUUAC
812




ACUUUGGGAC




UCAAGACUA






1382269
1382266
ACUGGCUGCUGUU
664
1122
1144
1382267
CUUCCUACAACA
813




GUAGGAAGUU




GCAGCCAGU






1382273
1382276
UUGUAGGAAGUU
665
1111
1133
1382275
AUCCUGUUAAAC
814




UAACAGGAUCU




UUCCUACAA
















TABLE 15







RNAi compounds targeting human APP SEQ ID No: 3



















SEQ ID
SEQ ID







Antisense
SEQ
NO: 3
NO: 3





Compound
Antisense
Sequence
ID
Antisense
Antisense
Sense
Sense Sequence
SEQ


Number
oligo ID
(5′ to 3′)
NO
Start Site
Stop Site
oligo ID
(5′ to 3′)
ID NO





1376142
1378900
GCCGUCUCCCGGG
815
  63
  85
1378899
GCGGGGGCCCC
841




GCCCCCGCGC




GGGAGACGGC






1376283
1376285
CGCCUACCGCUGC
816
  21
  43
1378828
UUUCCUCGGCA
842




CGAGGAAACU




GCGGUAGGCG






1378827
1378829
GCACGCUCCUCCG
817
  42
  64
1378830
AGAGCACGCGG
843




CGUGCUCUCG




AGGAGCGUGC






1378897
1378901
UCUGCCCGCGCCG
818
  84
 106
1378898
GGCGGUGGCGG
844




CCACCGCCGC




CGCGGGCAGA






1381703
1381705
UGGGAUCCGCCG
819
 105
 127
1381704
GCAAGGACGCG
845




CGUCCUUGCUC




GCGGAUCCCA






1381706
1381708
CCGAGUGCGCUG
820
 126
 148
1381707
CUCGCACAGCA
846




CUGUGCGAGUG




GCGCACUCGG






1382120
1382121
AUCCUGCAGAAA
821
3192
3214
1382122
CAAAACAAUUU
847




AUUGUUUUGGA




UCUGCAGGAU






1382123
1382129
UAAUUUAUUUAU
822
3255
3277
1382126
CUGUAUUACAU
848




GUAAUACAGUG




AAAUAAAUUA






1382124
1382131
UGUAGAAAGCGA
823
3234
3256
1382125
AUGACAUGAUC
849




UCAUGUCAUAA




GCUUUCUACA






1382128
1382134
AAGCAAUGAUUC
824
3213
3235
1382127
GAUUGUACAGA
850




UGUACAAUCAU




AUCAUUGCUU






1382130
1382136
CUUGCCCGGGGU
825
3276
3298
1382135
AAUAAAAUAAC
851




UAUUUUAUUUA




CCCGGGCAAG






1382132
1382137
AGUCAUCCUUCA
826
3297
3319
1382139
ACUUUUCUUUG
852




AAGAAAAGUCU




AAGGAUGACU






1382133
1382138
CUUCGAUUAUUU
827
3318
3340
1382140
ACAGACAUUAA
853




AAUGUCUGUAG




AUAAUCGAAG






1382141
1382145
UUAAAGAAAAUU
828
3360
3382
1382146
GGCAGAUUCAA
854




GAAUCUGCCUC




UUUUCUUUAA






1382142
1382148
UCUUCUCCCCACC
829
3339
3361
1382143
UAAUUUUGGGU
855




CAAAAUUACU




GGGGAGAAGA






1382144
1382150
AUUUUCAUCUUC
830
3402
3424
1382149
GAUACAAAAGA
856




UUUUGUAUCAU




AGAUGAAAAU






1382147
1382153
AUAAAUGAAACU
831
3381
3403
1382155
CCAGUCUGAAG
857




UCAGACUGGUU




UUUCAUUUAU






1382151
1382154
UGUCCAGGCAUG
832
3444
3466
1382157
UGAGGAAGGCA
858




CCUUCCUCAUC




UGCCUGGACA






1382152
1382156
UCCCCUUAUAUU
833
3423
3445
1382158
GGAAGUGGCAA
859




GCCACUUCCAU




UAUAAGGGGA






1382159
1382164
ACACAUCUUAAA
834
3465
3487
1382160
AACCCUUCUUU
860




AGAAGGGUUUG




UAAGAUGUGU






1382161
1382168
UGUAUUUAUUUA
835
3507
3529
1382167
GUUUUCAUGUA
861




CAUGAAAACAC




AAUAAAUACA






1382162
1382166
ACCAUUUUAUAC
836
3486
3508
1382165
CUUCAAUUUGU
862




AAAUUGAAGAC




AUAAAAUGGU






1382163
1382169
UGCUCCUCCAAG
837
3521
3543
1382170
AAAUACAUUCU
863




AAUGUAUUUAU




UGGAGGAGCA






1382270
1382271
GAAUGGCGCUGC
838
1181
1203
1382272
CCGUGUGUGGC
864




CACACACGGCC




AGCGCCAUUC






1382274
1382277
UACUGGCUGCUG
839
1199
1221
1382197
UUCCUACAACA
865




UUGUAGGAAUG




GCAGCCAGUA






1382278
1382279
ACUGACGGAGCC
840
   1
  23
1382280
CCGCGCUCGGGC
866




CGAGCGCGGCG




UCCGUCAGU
















TABLE 16







RNAi targeting human APP SEQ ID No: 4



















SEQ ID
SEQ ID







Antisense
SEQ
NO: 4
NO: 4





Compound
Antisense
Sequence
ID
Antisense
Antisense
Sense
Sense Sequence
SEQ


Number
oligo ID
(5′ to 3′)
NO
Start Site
Stop Site
oligo ID
(5′ to 3′)
ID NO





1382173
1382178
GGAACUCGAACC
867
 994
1016
1382177
GGAAGAGGUGGU
889




ACCUCUUCCAC




UCGAGUUCC






1382172
1382179
UAGGAACUCGAA
868
 996
1018
1382174
AAGAGGUGGUUC
890




CCACCUCUUCC




GAGUUCCUA






1382175
1382183
AACUCGAACCACC
869
 992
1014
1382180
GUGGAAGAGGUG
891




UCUUCCACAG




GUUCGAGUU






1382176
1382182
AGGAACUCGAAC
870
 995
1017
1382184
GAAGAGGUGGUU
892




CACCUCUUCCA




CGAGUUCCU






1382181
1382185
GAACUCGAACCA
871
 993
1015
1382188
UGGAAGAGGUGG
893




CCUCUUCCACA




UUCGAGUUC






1382171
1382186
ACUCGAACCACCU
872
 991
1013
1382187
UGUGGAAGAGGU
894




CUUCCACAGA




GGUUCGAGU






1382191
1382194
UACUGGCUGCUG
873
1011
1033
1382197
UUCCUACAACAG
865




UUGUAGGAACU




CAGCCAGUA






1382190
1382199
UUGUAGGAACUC
874
 999
1021
1382192
AGGUGGUUCGAG
895




GAACCACCUCU




UUCCUACAA






1382193
1382198
ACUGGCUGCUGU
875
1010
1032
1382200
GUUCCUACAACA
896




UGUAGGAACUC




GCAGCCAGU






1382189
1382195
GUAGGAACUCGA
876
 997
1019
1382196
AGAGGUGGUUCG
897




ACCACCUCUUC




AGUUCCUAC






1382206
1382204
GUACUGGCUGCU
877
1012
1034
1382201
UCCUACAACAGC
898




GUUGUAGGAAC




AGCCAGUAC






1382205
1382203
GUUGUAGGAACU
878
1000
1022
1382202
GGUGGUUCGAGU
899




CGAACCACCUC




UCCUACAAC






1382209
1382214
CUGUUGUAGGAA
879
1002
1024
1382213
UGGUUCGAGUUC
900




CUCGAACCACC




CUACAACAG






1382219
1382223
UGUAGGAACUCG
880
 998
1020
1382221
GAGGUGGUUCGA
901




AACCACCUCUU




GUUCCUACA






1382220
1382226
UGUUGUAGGAAC
881
1001
1023
1382224
GUGGUUCGAGUU
902




UCGAACCACCU




CCUACAACA






1382228
1382234
UGCUGUUGUAGG
882
1004
1026
1382233
GUUCGAGUUCCU
903




AACUCGAACCA




ACAACAGCA






1382225
1382231
GCUGUUGUAGGA
883
1003
1025
1382227
GGUUCGAGUUCC
904




ACUCGAACCAC




UACAACAGC






1382250
1382251
CUGCUGUUGUAG
884
1005
1027
1382253
UUCGAGUUCCUA
905




GAACUCGAACC




CAACAGCAG






1382246
1382254
GGCUGCUGUUGU
885
1007
1029
1382252
CGAGUUCCUACA
906




AGGAACUCGAA




ACAGCAGCC






1382255
1382257
UGGCUGCUGUUG
886
1008
1030
1382258
GAGUUCCUACAA
907




UAGGAACUCGA




CAGCAGCCA






1382268
1382265
GCUGCUGUUGUA
887
1006
1028
1382264
UCGAGUUCCUAC
908




GGAACUCGAAC




AACAGCAGC






1382048
1382050
CUGGCUGCUGUU
888
1009
1031
1382049
AGUUCCUACAAC
909




GUAGGAACUCG




AGCAGCCAG









Example 5: Effect of RNAi Compounds on Human APP RNA In Vitro, Single Dose

Double-stranded RNAi compounds described above were tested in a series of experiments under the same culture conditions. The results for each experiment are presented in separate tables below.


Cultured HeLa cells at a density of 6000 cells per well were transfected using RNAiMAX with 20 nM of double-stranded RNAi. After a treatment period of approximately 24 hours, RNA was isolated from the cells and APP RNA levels were measured by quantitative real-time RTPCR. Human primer probe set RTS35571 (described herein above) was used to measure RNA levels. APP RNA levels were normalized to total RNA content, as measured by RIBOGREEN®. Results are presented as percent change of APP RNA, relative to PBS control. The symbol “f” indicates that the modified oligonucleotide is complementary to the target transcript within the amplicon region of the primer probe set and so the associated data is not reliable. In such instances, additional assays using alternative primer probes must be performed to accurately assess the potency and efficacy of such modified oligonucleotides.









TABLE 17







Reduction of APP RNA by RNAi










Compound
APP RNA



Number
(% control)














1376283
96



1378827
102



1376142
135



1378897
96



1381703
59



1381706
40



1381710
81



1381709
18



1381712
92



1381734
91



1381733
33



1381735
8



1381736
38



1381740
17



1381755
7



1381771
20



1381772
8



1381778
11



1381773
30



1381776
18



1381789
24



1381790
35



1381798
50



1381809
26



1381810
33



1381817
70



1381818
16



1381825
10



1381830
88



1381832
8



1381835
56



1381842
58



1381909
76



1381904
3



1381910
90



1381918
9



1381923
20



1381930
85



1381935
76



1381953
21



1381982
14



1381988
25



1382030
15



1382173
88



1382172
94



1382176
89



1382175
49



1382181
82



1382171
26



1382191
28



1382189
88



1382193
105



1382190
87



1382205
99



1382206
75



1382208
27



1382209
83



1382207
75



1382212
81



1382219
66



1382220
87



1382222
58



1382225
108



1382228
109



1382229
40



1382243
28



1382237
28



1382239
63



1382240
60



1382250
86



1382246
101



1382255
96



1382259
55



1382256
83



1382268
100



1382269
64



1382270
66



1382273
51



1382274
47



1382278
93

















TABLE 18







Reduction of APP RNA by RNAi










Compound
APP RNA



Number
(% control)














1381718
51



1381721
53



1381723
61



1381725
51



1381727
98



1381746
66



1381751
15



1381756
9



1381752
8



1381761
68



1381759
50



1381782
21



1381791
32



1381792
76



1381795
90



1381802
66



1381808
98



1381826
9



1381828
72



1381840
29



1381844
63



1381850
45



1381853
7



1381854
71



1381858
23



1381855
44



1381861
8



1381864
13



1381872
42



1381874
6



1381875
56



1381876
8



1381879
72



1381887
82



1381882
32



1381892
5



1381896
89



1381897
73



1381893
17



1381911
19



1381912
17



1381922
9



1381928
10



1381929
14



1381933
16



1381939
7



1381949
13



1381946
49



1381950
37



1381959
62



1381958
8



1381960
97



1381963
12



1381967
13



1381970
8



1381976
70



1381981
13



1381979
97



1381977
16



1381994
12



1381998
13



1381995
9



1381999
8



1382006
10



1382004
8



1382012
35



1382015
60



1382019
7



1382020
11



1382025
8



1382023
38



1382034
6



1382033
10



1382036
89



1382043
62



1382039
17



1382048
89



1382053
38



1382051
9



1382059
8

















TABLE 19







Reduction of APP RNA by RNAi










Compound
APP RNA



Number
(% control)














1382052
12



1382054
5



1382063
16



1382070
10



1382069
10



1382071
10



1382075
7



1382078
11



1382080
13



1382088
14



1382089
5



1382087
9



1382090
7



1382104
4



1382103
6



1382105
5



1382107
30



1382106
41



1382116
7



1382119
7



1382120
8



1382123
5



1382124
7



1382128
5



1382130
67



1382132
51



1382133
57



1382141
60



1382142
67



1382144
68



1382147
56



1382151
66



1382152
62



1382159
62



1382162
54



1382161
51



1382163
64










Example 6: Activity of Modified Oligonucleotides Complementary to Human APP in Transgenic Mice

Compounds described above are tested in the Tc1 transgenic mouse model which contains a freely segregating, almost complete human chromosome 21 (Hsa21) with 92% of all known Hsa21 genes including APP (O'Doherty et al., Science 2005 309(5743):2033-2037). Compounds are also tested in the R1.40 YAC transgenic mouse model which contains the entire human APP gene harboring the Swedish mutations (K670N/M671L) as described in Lamb et al., Human Mol Genetics 1997, 6(9):1535-41. Groups of 2-3 mice are injected ICV with 300 ug ASO or PBS control, and sacrificed at 2 weeks post dosing. Various CNS tissues are collected. APP RNA are measured by RT-PCR as described in Example 1 above.

Claims
  • 1.-4. (canceled)
  • 5. An oligomeric compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides wherein the nucleobase sequence of the modified oligonucleotide is complementary to at least 8, at least 9, at least 10, at least 11, 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, or at least 21 contiguous nucleobases of: an equal length portion of nucleobases 40-78 of SEQ ID NO: 1;an equal length portion of nucleobases 69-146 of SEQ ID NO: 1;an equal length portion of nucleobases 83-129 of SEQ ID NO: 1;an equal length portion of nucleobases 83-246 of SEQ ID NO: 1;an equal length portion of nucleobases 94-225 of SEQ ID NO: 1;an equal length portion of nucleobases 194-231 of SEQ ID NO: 1;an equal length portion of nucleobases 194-238 of SEQ ID NO: 1;an equal length portion of nucleobases 236-268 of SEQ ID NO: 1;an equal length portion of nucleobases 258-288 of SEQ ID NO: 1;an equal length portion of nucleobases 285-311 of SEQ ID NO: 1;an equal length portion of nucleobases 296-321 of SEQ ID NO: 1;an equal length portion of nucleobases 307-330 of SEQ ID NO: 1;an equal length portion of nucleobases 329-352 of SEQ ID NO: 1;an equal length portion of nucleobases 330-352 of SEQ ID NO: 1;an equal length portion of nucleobases 339-383 of SEQ ID NO: 1;an equal length portion of nucleobases 415-439 of SEQ ID NO: 1;an equal length portion of nucleobases 413-477 of SEQ ID NO: 1;an equal length portion of nucleobases 415-477 of SEQ ID NO: 1;an equal length portion of nucleobases 477-506 of SEQ ID NO: 1;an equal length portion of nucleobases 477-523 of SEQ ID NO: 1;an equal length portion of nucleobases 477-541 of SEQ ID NO: 1;an equal length portion of nucleobases 530-557 of SEQ ID NO: 1;an equal length portion of nucleobases 581-638 of SEQ ID NO: 1;an equal length portion of nucleobases 636-661 of SEQ ID NO: 1;an equal length portion of nucleobases 652-697 of SEQ ID NO: 1;an equal length portion of nucleobases 728-821 of SEQ ID NO: 1;an equal length portion of nucleobases 770-821 of SEQ ID NO: 1;an equal length portion of nucleobases 920-950 of SEQ ID NO: 1;an equal length portion of nucleobases 1006-1049 of SEQ ID NO: 1;an equal length portion of nucleobases 1152-1179 of SEQ ID NO: 1;an equal length portion of nucleobases 1227-1265 of SEQ ID NO: 1;an equal length portion of nucleobases 1227-1274 of SEQ ID NO: 1;an equal length portion of nucleobases 1268-1332 of SEQ ID NO: 1;an equal length portion of nucleobases 1268-1311 of SEQ ID NO: 1;an equal length portion of nucleobases 1289-1332 of SEQ ID NO: 1;an equal length portion of nucleobases 1518-1543 of SEQ ID NO: 1;an equal length portion of nucleobases 1531-1593 of SEQ ID NO: 1;an equal length portion of nucleobases 1544-1593 of SEQ ID NO: 1;an equal length portion of nucleobases 1634-1657 of SEQ ID NO: 1;an equal length portion of nucleobases 1778-1800 of SEQ ID NO: 1;an equal length portion of nucleobases 1882-1908 of SEQ ID NO: 1;an equal length portion of nucleobases 2051-2074 of SEQ ID NO: 1;an equal length portion of nucleobases 2360-3117 of SEQ ID NO: 1;an equal length portion of nucleobases 2402-3117 of SEQ ID NO: 1;an equal length portion of nucleobases 2360-2655 of SEQ ID NO: 1;an equal length portion of nucleobases 2402-2655 of SEQ ID NO: 1;an equal length portion of nucleobases 2675-3054 of SEQ ID NO: 1; oran equal length portion of nucleobases 3192-3277 of SEQ ID NO: 3;wherein the modified oligonucleotide comprises at least one modification selected from a modified sugar and a modified internucleoside linkage.
  • 6. The oligomeric compound of claim 5, wherein the nucleobase sequence of the modified oligonucleotide is at least 80%, at least 85%, at least 90%, at least 95%, or 100% complementary to the nucleobase sequences of any of SEQ ID NO: 1-7 when measured across the entire nucleobase sequence of the modified oligonucleotide.
  • 7. The oligomeric compound of claim 5, wherein at least one nucleoside of the modified oligonucleotide is a modified nucleoside.
  • 8. The oligomeric compound of claim 7, wherein at least one modified nucleoside of the modified oligonucleotide comprises a modified sugar moiety.
  • 9. The oligomeric compound of claim 8, wherein at least one modified nucleoside of the modified oligonucleotide comprises a bicyclic sugar moiety.
  • 10. The oligomeric compound of claim 9, wherein at least one modified nucleoside of the modified oligonucleotide comprises a bicyclic sugar moiety having a 2′-4′ bridge, wherein the 2′-4′ bridge is selected from —O—CH2— and —O—CH(CH3)—.
  • 11. The oligomeric compound of claim 7, wherein at least one modified nucleoside of the modified oligonucleotide comprises a non-bicyclic modified sugar moiety.
  • 12. The oligomeric compound of claim 11, wherein at least one modified nucleoside of the modified oligonucleotide comprises a bicyclic sugar moiety having a 2′-4′ bridge and at least one modified nucleoside of the modified oligonucleotide comprises a non-bicyclic modified sugar moiety.
  • 13. The oligomeric compound of claim 11, wherein the non-bicyclic modified sugar moiety is a 2′-MOE modified sugar moiety, a 2′-OMe modified sugar moiety, or a 2′-F modified sugar moiety.
  • 14. The oligomeric compound of claim 5, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a sugar surrogate.
  • 15. The oligomeric compound of claim 14, wherein at least one modified nucleoside of the modified oligonucleotide comprises a sugar surrogate selected from morpholino and PNA.
  • 16. The oligomeric compound of claim 5, wherein the modified oligonucleotide comprises at least one modified internucleoside linkage.
  • 17. The oligomeric compound of claim 16, wherein each internucleoside linkage of the modified oligonucleotide is a modified internucleoside linkage.
  • 18. The oligomeric compound of claim 16, wherein at least one modified internucleoside linkage is a phosphorothioate internucleoside linkage.
  • 19. The oligomeric compound of claim 16, wherein the modified oligonucleotide comprises at least one phosphodiester internucleoside linkage.
  • 20. The oligomeric compound of claim 16, wherein each internucleoside linkage of the modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage or a phosphorothioate internucleoside linkage.
  • 21. The oligomeric compound of claim 5, wherein the modified oligonucleotide comprises at least one modified nucleobase.
  • 22. The oligomeric compound of claim 21, wherein the modified nucleobase is a 5-methyl cytosine.
  • 23. (canceled)
  • 24. The oligomeric compound of claim 5, wherein the modified oligonucleotide consists of 18-21 linked nucleosides.
  • 25.-28. (canceled)
  • 29. The oligomeric compound of claim 5, wherein the modified oligonucleotide is a gapmer.
  • 30. The oligomeric compound of claim 5, wherein the modified oligonucleotide has a sugar motif comprising: a 5′-region consisting of 1-6 linked 5′-region nucleosides;a central region consisting of 6-10 linked central region nucleosides; anda 3′-region consisting of 1-6 linked 3′-region nucleosides;wherein the 3′-most nucleoside of the 5′-region and the 5′-most nucleoside of the 3′-region comprise modified sugar moieties, andeach of the central region nucleosides is selected from a nucleoside comprising a 2′-β-D-deoxyribosyl sugar moiety and a nucleoside comprising a 2′-substituted sugar moiety, wherein the central region comprises at least six nucleosides comprising a 2′-β-D-deoxyribosyl sugar moiety and no more than two nucleosides comprising a 2′-substituted sugar moiety.
  • 31. The oligomeric compound of claim 5, wherein the modified oligonucleotide has a sugar motif comprising: a 5′-region consisting of 1-6 linked 5′-region nucleosides;a central region consisting of 6-10 linked central region nucleosides; anda 3′-region consisting of 1-6 linked 3′-region nucleosides; whereineach of the 5′-region nucleosides and each of the 3′-region nucleosides comprises a modified sugar moiety and each of the central region nucleosides comprises a 2′-β-D-deoxyribosyl sugar moiety.
  • 32. (canceled)
  • 33. (canceled)
  • 34. The oligomeric compound of claim 5, wherein the oligomeric compound comprises an antisense RNAi oligonucleotide comprising a targeting region comprising at least 15, 19, 20, 21, or 25 contiguous nucleobases, wherein the targeting region is at least 90% complementary, at least 95% complementary, or is 100% complementary to an equal-length portion of an APP RNA having the nucleobase sequence of any of SEQ ID NOs: 1-7.
  • 35.-42. (canceled)
  • 43. The oligomeric compound of claim 5, wherein the oligomeric compound is a single-stranded oligomeric compound.
  • 44.-52. (canceled)
  • 53. An oligomeric duplex, comprising a first oligomeric compound comprising an antisense RNAi oligonucleotide of claim 34 and a second oligomeric compound comprising a sense RNAi oligonucleotide consisting of 17 to 30 linked nucleosides, wherein the nucleobase sequence of the sense RNAi oligonucleotide comprises an antisense-hybridizing region comprising least 15 contiguous nucleobases wherein the antisense-hybridizing region is at least 90% complementary to an equal length portion of the antisense RNAi oligonucleotide.
  • 54. (canceled)
  • 55. The oligomeric duplex of claim 53, wherein the sense RNAi oligonucleotide consists of 21 or 23 linked nucleosides.
  • 56. The oligomeric duplex of claim 53, wherein 1-4 of the 3′-most nucleosides of the antisense RNAi oligonucleotide or the sense RNAi oligonucleotide are overhanging nucleosides.
  • 57. The oligomeric duplex of claim 53, wherein 1-4 of the 5′-most nucleosides of the antisense RNAi oligonucleotide or the sense RNAi oligonucleotide are overhanging nucleosides.
  • 58. The oligomeric duplex of claim 53, wherein the duplex is blunt ended at the 3′-end or at the 5′-end of the antisense RNAi oligonucleotide.
  • 59.-66. (canceled)
  • 67. The oligomeric duplex of claim 53, consisting of the antisense RNAi oligonucleotide and the sense RNAi oligonucleotide.
  • 68.-76. (canceled)
  • 77. A pharmaceutical composition comprising an oligomeric compound of claim 5 and a pharmaceutically acceptable carrier or diluent.
  • 78. The pharmaceutical composition of claim 77, wherein the pharmaceutically acceptable diluent is artificial cerebral spinal fluid, sterile saline, or PBS.
  • 79. (canceled)
  • 80. (canceled)
  • 81. A method of treating a disease associated with APP comprising administering to an individual having or at risk for developing a disease associated with APP a therapeutically effective amount of a pharmaceutical composition according to claim 77; and thereby treating the disease associated with APP.
  • 82. The method of claim 81, wherein the disease associated with APP is Alzheimer's Disease, Alzheimer's Disease in a Down Syndrome patient, or Cerebral Amyloid Angiopathy.
  • 83. The method of claim 81, wherein at least one symptom or hallmark of the disease associated with APP is ameliorated, wherein the symptom or hallmark comprises cognitive impairment, behavioral and psychological symptoms, gait disturbances seizures, progressive dementia, and/or abnormal amyloid deposits.
  • 84. (canceled)
PCT Information
Filing Document Filing Date Country Kind
PCT/US2020/015701 1/29/2020 WO
Provisional Applications (3)
Number Date Country
62798353 Jan 2019 US
62841169 Apr 2019 US
62915764 Oct 2019 US