COMPOUNDS AND METHODS FOR REDUCING ATXN3 EXPRESSION

Abstract
Provided are compounds, methods, and pharmaceutical compositions for reducing the amount or activity of ATXN3 mRNA in a cell or animal, and in certain instances reducing the amount of Ataxin-3 protein in a cell or animal. Such compounds, methods, and pharmaceutical compositions are useful to prevent or ameliorate at least one symptom or hallmark of a neurodegenerative disease. Such symptoms and hallmarks include ataxia, neuropathy, and aggregate formation. Such neurodegenerative diseases include SCA3.
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 BIOL0312SEQ.xml, created on Jan. 12, 2023, which is 3.22 MB 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 ATXN3 mRNA in a cell or animal, and in certain instances reducing the amount of Ataxin-3 protein in a cell or animal. Such compounds, methods, and pharmaceutical compositions are useful to prevent or ameliorate at least one symptom or hallmark of a neurodegenerative disease. Such symptoms and hallmarks include ataxia, neuropathy, and aggregate formation. Such neurodegenerative diseases include spinocerebellar ataxia type 3 (SCA3).


BACKGROUND

Spinocerebellar ataxia type 3 (SCA3), also known as Machado-Joseph disease (MJD), is caused by a mutation in the ATXN3 gene and is characterized by progressive cerebellar ataxia and variable findings including a dystonic-rigid syndrome, a parkinsonian syndrome, or a combined syndrome of dystonia and peripheral neuropathy. SCA3 is inherited in an autosomal dominant manner. Offspring of affected individuals have a 50% chance of inheriting the mutation. The diagnosis of SCA3 rests on the use of molecular genetic testing to detect an abnormal CAG trinucleotide repeat expansion in ATXN3. Affected individuals have alleles with 52 to 86 CAG trinucleotide repeats. Such testing detects 100% of affected individuals. Expanded CAG repeats in the ATXN3 gene are translated into expanded polyglutamine repeats (polyQ) in the ataxin-3 protein and this toxic ataxin-3 protein is associated with aggregates. The polyglutamine expanded ataxin-3 protein in these aggregates is ubiquinated and the aggregates contain other proteins, including heat shock proteins and transcription factors. Aggregates are frequently observed in the brain tissue of SCA3 patients. Management of SCA3 is supportive as no medication slows the course of disease; restless legs syndrome and extrapyramidal syndromes resembling parkinsonism may respond to levodopa or dopamine agonists; spasticity, drooling, and sleep problems respond variably to lioresal, atropine-like drugs, and hypnotic agents; botulinum toxin has been used for dystonia and spasticity; daytime fatigue may respond to psychostimulants such as modafinil; accompanying depression should be treated. Riess, O., Rüb, U., Pastore, A. et al. Cerebellum (2008) 7: 125.


Currently there is a lack of acceptable options for treating neurodegenerative diseases such as SCA3. 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 ATXN3 mRNA, and in certain embodiments reducing the amount of Ataxin-3 protein in a cell or animal. In certain embodiments, the animal has a neurodegenerative disease. In certain embodiments, the animal has SCA3. In certain embodiments, compounds useful for reducing expression of ATXN3 mRNA are oligomeric compounds or modified oligonucleotides. In certain embodiments, the oligomeric compound comprises a modified oligonucleotide.


Also provided are methods useful for ameliorating at least one symptom or hallmark of a neurodegenerative disease. In certain embodiments, the neurodegenerative disease is SCA3. In certain embodiments symptoms and hallmarks include ataxia, neuropathy, and aggregate formation. In certain embodiments, amelioration of these symptoms results in improved motor function, reduced neuropathy, and reduction in number of aggregates.







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 2′-H(H) furanosyl sugar moiety, as found in naturally occurring deoxyribonucleic acids (DNA). In certain embodiments, a 2′-deoxynucleoside 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, “administering” means providing a pharmaceutical agent 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 or oligomeric duplex capable of achieving at least one antisense activity. 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 ataxia, neuropathy, and aggregate formation. In certain embodiments, amelioration of these symptoms results in improved motor function, reduced neuropathy, or reduction in number of aggregates.


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, “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 sterorandom chiral centers. In certain embodiments, the molecules are modified oligonucleotides. In certain embodiments, the molecules are compounds comprising modified oligonucleotides.


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). 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 or indirectly 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 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, “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 the nucleosides comprising the internal region are chemically distinct from the nucleoside or nucleosides comprising the external regions. 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. Unless otherwise indicated, the sugar moieties of the nucleosides of the gap of a gapmer are unmodified 2′-deoxyfuranosyl. Thus, the term “MOE gapmer” indicates a gapmer having a sugar motif of 2′-MOE nucleosides in both wings and a gap of 2′-deoxynucleosides. Unless otherwise indicated, a MOE 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, “hotspot region” is a range of nucleobases on a target nucleic acid amenable to oligomeric compounds for reducing the amount or activity of the target nucleic acid as demonstrated in the examples hereinbelow.


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, the term “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 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, “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.


As used herein, “non-bicyclic modified sugar moiety” means a modified sugar moiety that comprises a modification, such as a substitutent, 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 oligonucleotide that is not complementary with the corresponding nucleobase of a second oligonucleotide or target nucleic acid when the first and second oligomeric compound are aligned.


As used herein, “MOE” means methoxyethyl. “2′-MOE” means a —OCH2 CH2 OCH3 group at the 2′ position of a furanosyl ring.


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, “mRNA” means an RNA transcript that encodes a protein and includes pre-mRNA and mature mRNA unless otherwise specified.


As used herein, “neurodegenerative disease” means a condition marked by progressive loss of structure or function of neurons, including death of neurons. In certain embodiments, neurodegenerative disease is spinocerebellar ataxia type 3 (SCA3).


As used herein, “nucleobase” means an unmodified nucleobase or a modified nucleobase. As used herein an “unmodified nucleobase” is adenine (A), thymine (T), cytosine (C), uracil (U), and 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 unmodified nucleobase. A “5-methylcytosine” 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 comprising a nucleobase and a sugar moiety. The nucleobase and sugar moiety are each, independently, unmodified or modified. As used herein, “modified nucleoside” means a nucleoside comprising a modified nucleobase and/or a modified sugar moiety. Modified nucleosides include abasic nucleosides, which lack a nucleobase. “Linked nucleosides” are nucleosides that are connected in a contiuous 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 strand 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. 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.


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; or sterile buffer solution.


As used herein “pharmaceutically acceptable salts” means physiologically and pharmaceutically acceptable salts of compounds, such as oligomeric compounds, i.e., salts that 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 antisense 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, “phosphorus moiety” means a group of atoms comprising a phosphorus atom. In certain embodiments, a phosphorus moiety comprises a mono-, di-, or tri-phosphate, or phosphorothioate.


As used herein “prodrug” means a therapeutic agent in a form outside the body that is converted to a different 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.


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


As used herein, “standard cell assay” means the assay described in Example 1 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) furanosyl moiety, as found in RNA (an “unmodified RNA sugar moiety”), or a 2′-H(H) 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, modified furanosyl sugar moiety means a furanosyl sugar comprising a non-hydrogen substituent in place of at least one hydrogen of an unmodified sugar moiety. In certain embodiments, a modified furanosyl sugar moiety is a 2′-substituted sugar moiety. Such modified furanosyl sugar moieties include bicyclic sugars and non-bicyclic sugars. 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 nucleic acids.


As used herein, “target nucleic acid” and “target RNA” mean a nucleic acid that an antisense compound is designed to affect.


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 that provides a therapeutic benefit to an animal. For example, a therapeutically effective amount improves a symptom of a disease.


The present disclosure provides the following non-limiting numbered embodiments: Embodiment 1. An oligomeric compound comprising a modified oligonucleotide consisting of 10-30 linked nucleosides and having a nucleobase sequence comprising at least 12, at least 13, at least 14, at least 15, or at least 16 contiguous nucleobases of any of SEQ ID NO: 23-334.


Embodiment 2. The oligomeric compound of embodiment 1, wherein the modified oligonucleotide has a nucleobase sequence that is at least 80%, 85%, 90%, 95%, or 100% complementary to the nucleobase sequence of SEQ ID NO: 1, when measured across the entire nucleobase sequence of the modified oligonucleotide.


Embodiment 3. The oligomeric compound of embodiments 1 or 2, wherein the modified oligonucleotide comprises at least one modified nucleoside.


Embodiment 4. The oligomeric compound of embodiments 3, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a modified sugar moiety.


Embodiment 5. The oligomeric compound of embodiment 4, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a bicyclic sugar moiety.


Embodiment 6. The oligomeric compound of embodiment 5, 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 7. The oligomeric compound of any of embodiments 3-6, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a modified non-bicyclic sugar moiety.


Embodiment 8. The oligomeric compound of embodiment 7, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a non-bicylic sugar moiety comprising a 2′-MOE or 2′-OMe.


Embodiment 9. The oligomeric compound of any of embodiments 4-8, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a sugar surrogate.


Embodiment 10. The oligomeric compound of embodiment 7, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a sugar surrogate selected from morpholino and PNA.


Embodiment 11. The oligomeric compound of any of embodiments 1-10, wherein the modified oligonucleotide has a sugar motif comprising:


a 5′-region consisting of 1-5 linked 5′-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 an unmodified DNA sugar moiety.


Embodiment 12. The oligomeric compound of any of embodiments 1-11, wherein the modified oligonucleotide comprises at least one modified internucleoside linkage.


Embodiment 13. The oligomeric compound of embodiment 12, wherein each internucleoside linkage of the modified oligonucleotide is a modified internucleoside linkage.


Embodiment 14. The oligomeric compound of embodiment 12 or 13 wherein at least one internucleoside linkage is a phosphorothioate internucleoside linkage.


Embodiment 15. The oligomeric compound of embodiment 12 or 13 wherein the modified oligonucleotide comprises at least one phosphodiester internucleoside linkage.


Embodiment 16. The oligomeric compound of any of embodiments 12-15, wherein each internucleoside linkage is either a phosphodiester internucleoside linkage or a phosphorothioate internucleoside linkage.


Embodiment 17. The oligomeric compound of any of embodiments 1-16, wherein the modified oligonucleotide comprises at least one modified nucleobase.


Embodiment 18. The oligomeric compound of embodiment 17, wherein the modified nucleobase is a 5-methylcytosine.


Embodiment 19. The oligomeric compound of any of embodiments 1-18, wherein the modified oligonucleotide consists of 12-22, 12-20, 14-20, 16-20, or 18-20 linked nucleosides.


Embodiment 20. The oligomeric compound of any of embodiments 1-14, wherein the modified oligonucleotide consists of 16, 17, 18, 19 or 20 linked nucleosides.


Embodiment 21. The oligomeric compound of any of embodiments 1-20 consisting of the modified oligonucleotide.


Embodiment 22. The oligomeric compound of any of embodiments 1-20 comprising a conjugate group comprising a conjugate moiety and a conjugate linker.


Embodiment 23. The oligomeric compound of embodiment 22, wherein the conjugate group comprises a GalNAc cluster comprising 1-3 GalNAc ligands.


Embodiment 24. The oligomeric compound of embodiment 22 or 23, wherein the conjugate linker consists of a single bond.


Embodiment 25. The oligomeric compound of embodiment 23, wherein the conjugate linker is cleavable.


Embodiment 26. The oligomeric compound of embodiment 25, wherein the conjugate linker comprises 1-3 linker-nucleosides.


Embodiment 27. The oligomeric compound of any of embodiments 22-26, wherein the conjugate group is attached to the modified oligonucleotide at the 5′-end of the modified oligonucleotide.


Embodiment 28. The oligomeric compound of any of embodiments 22-26, wherein the conjugate group is attached to the modified oligonucleotide at the 3′-end of the modified oligonucleotide.


Embodiment 29. The oligomeric compound of any of embodiments 1-28 comprising a terminal group.


Embodiment 30. The oligomeric compound of any of embodiments 1-29 wherein the oligomeric compound is a singled-stranded oligomeric compound.


Embodiment 31. The oligomeric compound of any of embodiments 1-25 or 27-30, wherein the oligomeric compound does not comprise linker-nucleosides.


Embodiment 32. An oligomeric duplex comprising an oligomeric compound of any of embodiments 1-29 and 31.


Embodiment 33. An antisense compound comprising or consisting of an oligomeric compound of any of embodiments 1-31 or an oligomeric duplex of embodiment 32.


Embodiment 34. A modified oligonucleotide consisting of 10-30 linked nucleosides and having a nucleobase sequence comprising at least 12, at least 13, at least 14, at least 15, or at least 16 contiguous nucleobases of any of SEQ ID NO: 23-334.


Embodiment 35. An oligomeric compound comprising a modified oligonucleotide consisting of 10-30 linked nucleosides and having a nucleobase sequence comprising a portion of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, or at least 14 contiguous nucleobases 100% complementary to an equal length portion of nucleobases 614-637 of SEQ ID NO: 1, nucleobases 833-852 of SEQ ID NO: 1, or nucleobases 1091-1131 of SEQ ID NO: 1, wherein the nucleobase sequence of the modified oligonucleotide is at least 90% complementary to SEQ ID NO: 1 as measured over the entirety of the modified oligonucleotide.


Embodiment 36. A pharmaceutical composition comprising an oligomeric compound of any of embodiments 1-31 and 35, an oligomeric duplex of embodiment 32, or a modified oligonucleotide of embodiment 34 and a pharmaceutically acceptable carrier or diluent.


Embodiment 37. A method comprising administering to an animal a pharmaceutical composition of embodiments 36.


Embodiment 38. A method of treating a disease associated with ATXN3 comprising administering to an individual having or at risk for developing a disease associated with ATXN3 a therapeutically effective amount of a pharmaceutical composition according to embodiment 36; and thereby treating the disease associated with ATXN3.


Embodiment 39. The method of embodiment 38, wherein the disease associated with ATXN3 is a neurodegenerative disease.


Embodiment 40. The method of embodiment 39, wherein the neurodegenerative disease is SCA3.


Embodiment 41. The method of embodiment 39, wherein at least one symptom or hallmark of the neurodegenerative disease is ameliorated.


Embodiment 42. The method of embodiment 41, wherein the symptom or hallmark is ataxia, neuropathy, and aggregate formation.


Embodiment 43. A chirally enriched population of oligomeric compounds of any of embodiments 1-32 or 35 wherein the population is enriched for modified oligonucleotides comprising at least one particular phosphorothioate internucleoside linkage having a particular stereochemical configuration.


Embodiment 44. The chirally enriched population of embodiment 43, wherein the population is enriched for modified oligonucleotides comprising at least one particular phosphorothioate internucleoside linkage having the (Sp) configuration.


Embodiment 45. The chirally enriched population of embodiment 43, wherein the population is enriched for modified oligonucleotides comprising at least one particular phosphorothioate internucleoside linkage having the (Rp) configuration.


Embodiment 46. The chirally enriched population of embodiment 43, wherein the population is enriched for modified oligonucleotides having a particular, independently selected stereochemical configuration at each phosphorothioate internucleoside linkage


Embodiment 47. The chirally enriched population of embodiment 46, wherein the population is enriched for modified oligonucleotides having the (Sp) configuration at each phosphorothioate internucleoside linkage.


Embodiment 48. The chirally enriched population of embodiment 46, wherein the population is enriched for modified oligonucleotides having the (Rp) configuration at each phosphorothioate internucleoside linkage.


Embodiment 49. The chirally enriched population of embodiment 46, wherein the population is enriched for modified oligonucleotides having the (Rp) configuration at one particular phosphorothioate internucleoside linkage and the (Sp) configuration at each of the remaining phosphorothioate internucleoside linkages.


Embodiment 50. The chirally enriched population of embodiment 43 or embodiment 46 wherein the population is enriched for modified oligonucleotides having at least 3 contiguous phosphorothioate internucleoside linkages in the Sp, Sp, and Rp configurations, in the 5′ to 3′ direction.


Embodiment 51. A chirally enriched population of oligomeric compounds of any of embodiments 1-32 or 35, wherein all of the phosphorothioate internucleoside linkages of the modified oligonucleotide are stereorandom.


Embodiment 52. A chirally enriched population of modified oligonucleotides of embodiment 34 wherein the population is enriched for modified oligonucleotides comprising at least one particular phosphorothioate internucleoside linkage having a particular stereochemical configuration.


Embodiment 53. The chirally enriched population of embodiment 52, wherein the population is enriched for modified oligonucleotides comprising at least one particular phosphorothioate internucleoside linkage having the (Sp) configuration.


Embodiment 54. The chirally enriched population of embodiment 52, wherein the population is enriched for modified oligonucleotides comprising at least one particular phosphorothioate internucleoside linkage having the (Rp) configuration.


Embodiment 55. The chirally enriched population of embodiment 52, wherein the population is enriched for modified oligonucleotides having a particular, independently selected stereochemical configuration at each phosphorothioate internucleoside linkage


Embodiment 56. The chirally enriched population of embodiment 55, wherein the population is enriched for modified oligonucleotides having the (Sp) configuration at each phosphorothioate internucleoside linkage.


Embodiment 57. The chirally enriched population of embodiment 55, wherein the population is enriched for modified oligonucleotides having the (Rp) configuration at each phosphorothioate internucleoside linkage.


Embodiment 58. The chirally enriched population of embodiment 55, wherein the population is enriched for modified oligonucleotides having the (Rp) configuration at one particular phosphorothioate internucleoside linkage and the (Sp) configuration at each of the remaining phosphorothioate internucleoside linkages.


Embodiment 59. The chirally enriched population of embodiment 52 or embodiment 55 wherein the population is enriched for modified oligonucleotides having at least 3 contiguous phosphorothioate internucleoside linkages in the Sp, Sp, and Rp configurations, in the 5′ to 3′ direction.


Embodiment 60. A chirally enriched population of modified oligonucleotides of embodiment 34, wherein all of the phosphorothioate internucleoside linkages of the modified oligonucleotide are stereorandom.

  • I. Certain Oligonucleotides


In certain embodiments, provided herein are 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.

  • 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.

  • 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′, 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 OCH2 C(═O)—N(Rm)(Rn), where each Rm and Rn is, independently, H, an amino protecting group, or substituted or unsubstituted C1-C10 alkyl, 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. 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, 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)(Rn)), 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, 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.


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. In certain such embodiments, the bicyclic sugar moiety comprises a bridge between the 4′ and the 2′ furanose ring atoms. 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”), 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: 4C(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., I Org. Chem., 2006, 71, 7731-7740, Singh et al., Chem. Commun., 1998, 4, 455-456; Koshkin et al., Tetrahedron, 1998, 54, 3607-3630; Kumar et al., Bioorg. Med. Chem. Lett., 1998, 8, 2219-2222; Singh et al., I Org. Chem., 1998, 63, 10035-10039; Srivastava et al., J. Am. Chem. Soc., 20017, 129, 8362-8379;Wengel et a., 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. 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. 25 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. 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; and U.S. Patent Publication Nos. 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 β-D configuration.




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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). 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:




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(“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:




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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 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.


Many other bicyclic and tricyclic sugar and sugar surrogate ring systems 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 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: 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 at, 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, Manohara 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. 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


In certain embodiments, nucleosides of modified oligonucleotides may be linked together using any internucleoside linkage. 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. 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, as is well understood by those of skill in the art, 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—CH213 O-5′), methoxypropyl, 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.

  • 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.


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 1-5 nucleosides. In certain embodiments, each nucleoside of each wing of a gapmer is a modified nucleoside.


In certain embodiments, the gap of a gapmer comprises 7-12 nucleosides. In certain embodiments, each nucleoside of the gap of a gapmer is an unmodified 2′-deoxy nucleoside.


In certain embodiments, the gapmer is a deoxy gapmer. In embodiments, the nucleosides on the gap side of each wing/gap junction are unmodified 2′-deoxy nucleosides and the nucleosides on the wing sides of each wing/gap junction are modified nucleosides. In certain embodiments, each nucleoside of the gap is an unmodified 2′-deoxy nucleoside. In certain embodiments, each nucleoside of each wing of a gapmer is a modified nucleoside.


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 comprises the same 2′-modification.


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 5-10-5 gapmer consists of 5 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 the wings and the gap nucleosides comprise unmodified deoxynucleosides sugars. Thus, a 5-10-5 MOE gapmer consists of 5 linked MOE modified nucleosides in the 5′-wing, 10 linked deoxynucleosides in the gap, and 5 linked MOE nucleosides in 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.

  • 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-methylcytosines. In certain embodiments, all of the cytosine nucleobases are 5-methylcytosines 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.


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 moiety. In certain embodiments, the modified nucleobase is selected from: a 2-thiopyrimidine and a 5-propynepyrimidine.

  • 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 (P═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. 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 phosphate 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.

  • C. Certain Lengths


It is possible to increase or decrease the length of an oligonuclotide 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 mRNA, 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

  • 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 (3-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 (3-D ribosyl sugar moieties and at least one, particular phosphorothioate internucleoside linkage in a particular sterochemical 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 15%, or 100% complementary to the second oligonucleotide or nucleic acid, such as a target nucleic acid.

  • II. Certain Oligomeric Compounds


In certain embodiments, the invention provides 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 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, 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, 35 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 1, 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).

  • 1. Conjugage Moieties


Conjugate moieties include, without limitation, intercalators, reporter molecules, polyamines, polyamides, peptides, carbohydrates, 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. Conjugage 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 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 parent 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 parent 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-l-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-methylcytosine, 4-N-benzoyl-5-methylcytosine, 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 embodimements, 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′-deoxy nucleoside 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.

  • B. Certain Terminal Groups


In certain embodiments, oligomeric compounds comprise one or more terminal groups. In certain such embodiments, oligomeric compounds comprise a stabilized 5′-phophate. Stabilized 5′-phosphates include, but are not limited to 5′-phosphanates, including, but not limited to 5′-vinylphosphonates. 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.

  • III. Oligomeric Duplexes


In certain embodiments, oligomeric compounds described herein comprise an oligonucleotide, having a nucleobase sequence complementary to that of a target nucleic acid. In certain embodiments, an oligomeric compound is paired with a second oligomeric compound to form an oligomeric duplex. Such oligomeric duplexes comprise a first oligomeric compound having a region complementary to a target nucleic acid and a second oligomeric compound having a region complementary to the first oligomeric compound. In certain embodiments, the first oligomeric compound of an oligomeric duplex comprises or consists of (1) a modified or unmodified oligonucleotide and optionally a conjugate group and (2) a second modified or unmodified oligonucleotide and optionally a conjugate group. Either or both oligomeric compounds of an oligomeric duplex may comprise a conjugate group. The oligonucleotides of each oligomeric compound of an oligomeric duplex may include non-complementary overhanging nucleosides.

  • 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 byridize 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 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 such 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 such 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


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 a 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, oligomeric compounds comprise oligonucletoides that 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.


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 oligomeric compound comprising an 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.

    • B. ATXN3


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 ATXN3. In certain embodiments, ATXN3 nucleic acid has the sequence set forth in SEQ ID NO: 1 (GENBANK Accession No: NM_004993.5); SEQ ID NO: 2 (GENBANK Accession No: GENBANK Accession No. NT_026437.12 truncated from nucleotides 73,524,000 to 73,574,000); SEQ ID NO: 3 (GENBANK Accession No: NM_001164778.1); SEQ ID NO: 4 (GENBANK Accession No: NM_001127696.1); SEQ ID NO: 5 (GENBANK Accession No: NM_001164781.1); SEQ ID NO: 6 (GENBANK Accession No: NR_028454.1); SEQ ID NO: 7 (GENBANK Accession No: NM_001164780.1); SEQ ID NO: 8 (GENBANK Accession No: NR_028469.1); SEQ ID NO: 9 (GENBANK Accession No: NM_001164779.1); SEQ ID NO: 10 (GENBANK Accession No: NR 028461.1); SEQ ID NO: 11 (GENBANK Accession No: NR_028466.1); SEQ ID NO: 12 (GENBANK Accession No: NR_028462.1); SEQ ID NO: 13 (GENBANK Accession No: NR_028467.1); SEQ ID NO: 14 (GENBANK Accession No: NR_031765.1); SEQ ID NO: 15 (GENBANK Accession No: NM_001164782.1): SEQ ID NO: 16 (GENBANK Accession No: NR_028465.1); SEQ ID NO: 17 (GENBANK Accession No: NR_028457.1); SEQ ID NO: 18 (GENBANK Accession No: NM_001164777.1); and SEQ ID NO: 19 (GENBANK Accession No: NM_001164774.1).


In certain embodiments, contacting a cell with an oligomeric compound complementary to SEQ ID NO: 1-19 reduces the amount of ATXN3 mRNA, and in certain embodiments reduces the amount of Ataxin-3 protein. In certain embodiments, contacting a cell in an animal with an oligomeric compound complementary to SEQ ID NO: 1-19 ameliorate one or more symptoms or hallmarks of neurodegenerative disease. In certain embodiments, such symptoms and hallmarks include ataxia, neuropathy, and aggregate formation. In certain embodiments, the neurodegenerative disease is spinocerebellar ataxia type 3(SCA3).

  • VI. Certain Hotspot Regions


1. Nucleobases 614-637 of SEQ ID NO: 1


In certain embodiments, modified oligonucleotides are complementary to nucleobases 614-637 of SEQ ID NO: 1. In certain embodiments, nucleobases 614-637 of SEQ ID NO: 1 is a hotspot region. In certain embodiments, such modified oligonucleotides are 18 nucleobases in length. In certain embodiments, such modified oligonucleotides are gapmers. In certain such embodiments, the gapmers are 5-8-5 MOE gapmers. In certain embodiments, the nucleosides of the modified oligonucleotides are linked by mixed phosphodiester (“o”) and phosphorothioate (“s”) internucleoside linkages. In certain embodiments, the mixed phosphodiester (“o”) and phosphorothioate (“s”) internucleoside linkages arranged in order from 5′ to 3′: sooosssssssssooss.


The nucleobase sequences of SEQ ID Nos: 73, 74, and 75 are complementary to nucleobases 614-637 of SEQ ID NO: 1.


In certain embodiments, modified oligonucleotides complementary to nucleobases 614-637 of SEQ ID NO: 1 achieve at least 40% reduction of ATXN3 mRNA in vitro in the standard cell assay.


2. Nucleobases 833-852 of SEQ ID NO: 1


In certain embodiments, modified oligonucleotides are complementary to nucleobases 833-852 of SEQ


ID NO: 1. In certain embodiments, nucleobases 833-852 of SEQ ID NO: 1 is a hotspot region. In certain embodiments, such modified oligonucleotides are 18 nucleobases in length. In certain embodiments, such modified oligonucleotides are gapmers. In certain such embodiments, the gapmers are 5-8-5 MOE gapmers. In certain embodiments, the nucleosides of the modified oligonucleotides are linked by mixed phosphodiester (“o”) and phosphorothioate (“s”) internucleoside linkages. In certain embodiments, the mixed phosphodiester (“o”) and phosphorothioate (“s”) internucleoside linkages arranged in order from 5′ to 3′: sooosssssssssooss.


The nucleobase sequences of SEQ ID Nos: 86 and 87 are complementary to nucleobases 833-852 of SEQ ID NO: 1.


In certain embodiments, modified oligonucleotides complementary to nucleobases 833-852 of SEQ ID NO: 1 achieve at least 30% reduction of ATXN3 mRNA in vitro in the standard cell assay.


3. Nucleobases 1091-1131 of SEQ ID NO: 1


In certain embodiments, modified oligonucleotides are complementary to nucleobases 1091-1131 of SEQ ID NO: 1. In certain embodiments, nucleobases 1091-1131 of SEQ ID NO: 1 is a hotspot region. In certain embodiments, such modified oligonucleotides are 18 nucleobases in length. In certain embodiments, such modified oligonucleotides are gapmers. In certain such embodiments, the gapmers are 5-8-5 MOE gapmers. In certain embodiments, the nucleosides of the modified oligonucleotides are linked by mixed phosphodiester (“o”) and phosphorothioate (“s”) internucleoside linkages. In certain embodiments, the mixed phosphodiester (“o”) and phosphorothioate (“s”) internucleoside linkages arranged in order from 5′ to 3′: sooosssssssssooss.


The nucleobase sequences of SEQ ID Nos: 98, 99, 100, 101, and 102 are complementary to nucleobases 1091-1131 of SEQ ID NO: 1.


In certain embodiments, modified oligonucleotides complementary to nucleobases 1091-1131 of SEQ ID NO: 1 achieve at least 30% reduction of ATXN3 mRNA in vitro in the standard cell assay.

    • 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.

  • VII. Certain Pharmaceutical Compositions


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


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, intracerebroventricular, 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. Aqueous injection suspensions may contain.


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, 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 a 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, all 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 36 S 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 Modified Oligonucleotides on Human ATXN3 In Vitro, Single Dose

Modified oligonucleotides complementary to an ATXN3 nucleic acid were designed and tested for their effect on ATXN3 mRNA in vitro. The modified oligonucleotides were tested in a series of experiments that had similar culture conditions.


Cultured HepG2 cells at a density of 20,000 cells per well were transfected using electroporation with a 2,000 nM concentration of modified oligonucleotide. After a treatment period of approximately 24 hours, RNA was isolated from the cells and ATXN3 mRNA levels were measured by quantitative real-time PCR. Human primer probe set RTS4392 (forward primer sequence TCAGGACAGAGTTCACATCCATGT, designated herein as SEQ ID NO: 20; reverse primer sequence TTCACTCATAGCATCACCTAGATCACT, designated herein as SEQ ID NO: 21; probe sequence AAGGCCAGCCACCAGTTCAGGAGC, designated herein as SEQ ID NO: 22) was used to measure mRNA levels. ATXN3 mRNA levels were adjusted according to total RNA content, as measured by RIBOGREEN®. Results are presented as percent reduction of the amount of ATXN3 mRNA, relative to untreated control cells (these conditions describe a “standard cell assay”). The oligonucleotides marked with an asterisk (*) target the amplicon region of the primer probe set. Additional assays may be used to measure the potency and efficacy of these oligonucleotides.


The modified oligonucleotides in the table below were designed as 5-8-5 MOE gapmers. The gapmers are 18 nucleosides in length, wherein the central gap segment comprises eight 2′-deoxynucleosides and is flanked by wing segments on both the 5′ end and on the 3′ end comprising five nucleosides each. Each nucleoside in the 5′ wing segment and each nucleoside in the 3′ wing segment comprises a MOE modification. All cytosine residues throughout each gapmer are 5-methylcytosines. The internucleoside linkages are mixed phosphodiester and phosphorothioate linkages. The internucleoside linkages are arranged in order from 5′ to 3′: sooosssssssssooss; wherein (“o”) is phosphodiester and (“s”) is phosphorothioate. “Start site” indicates the 5′-most nucleoside to which the gapmer is targeted in the human gene sequence. “Stop site” indicates the 3′-most nucleoside to which the gapmer is targeted human gene sequence.


Each modified oligonucleotide listed in Table 1 is targeted to either human ATXN3 mRNA sequence (isoform 1), designated herein as SEQ ID NO: 1 (GENBANK Accession No. NM_004993.5) or the human ATXN3 genomic sequence, designated herein as SEQ ID NO: 2 (GENBANK Accession No. NT_026437.12 15 truncated from nucleotides 73,524,000 to 73,574,000), or both. ‘N/A’ indicates that the antisense oligonucleotide does not target that particular gene sequence with 100% complementarity.









TABLE 1







Percent reduction of human ATXN3 mRNA by modified oligonucleotides relative to control















SEQ
SEQ
SEQ
SEQ






ID No:
ID No:
ID No:
ID No:


SEQ


IONIS
1 Start
1 Stop
2 Start
2 Stop

%
ID


No
Site
Site
Site
Site
Sequence (5′ to 3′)
Inhib.
No

















650362
14
31
1049
1066
AesmCeomCeomCeomCesmCdsTdsmCdsmCdsAdsGdsmCdsTdsmCeomCeoGesmCesmCe
0
23





650363
37
54
1072
1089
GesmCeomCeoAeoAesmCdsGdsGdsmCdsmCdsmCdsmCdsmCdsAeomCeoGesmCesmCe
10
24





650364
43
60
1078
1095
TesmCeoTeoGeoGesAdsGdsmCdsmCdsAdsAdsmCdsGdsGeomCeomCesmCesmCe
0
25





650365
48
65
1083
1100
AesTeoTeoTeoGesTdsmCdsTdsGdsGdsAdsGdsmCdsmCeoAeoAesmCesGe
2
26





650366
53
70
1088
1105
TesGeoTeoTeoTesAdsTdsTdsTdsGdsTdsmCdsTdsGeoGeoAesGesmCe
25
27





650367
59
76
1094
1111
AesmCeoTeomCeomCesAdsTdsGdsTdsTdsTdsAdsTdsTeoTeoGesTesmCe
8
28





650368
64
81
1099
1116
GesAeoTeoGeoGesAdsmCdsTdsmCdsmCdsAdsTdsGdsTeoTeoTesAesTe
0
29





650369
69
86
1104
1121
TesGeoGeoAeoAesGdsAdsTdsGdsGdsAdsmCdsTdsmCeomCeoAesTesGe
13
30





650370
87
104
N/A
N/A
GesAeoGeomCeomCesTdsTdsmCdsTdsTdsGdsTdsTdsTeomCeoTesmCesGe
33
31





650371
92
109
N/A
N/A
AesAeoAeoGeoTesGdsAdsGdsmCdsmCdsTdsTdsmCdsTeoTeoGesTesTe
20
32





650372
97
114
10822
10839
AesGeomCeoAeomCesAdsAdsAdsGdsTdsGdsAdsGdsmCeomCeoTesTesmCe
57
33





650373
100
117
10825
10842
TesTeoGeoAeoGesmCdsAdsmCdsAdsAdsAdsGdsTdsGeoAeoGesmCesmCe
19
34





650374
123
140
10848
10865
TesGeomCeoAeoAesTdsAdsAdsGdsTdsTdsAdsTdsTeomCeoAesGesGe
39
35





650375
147
164
10872
10889
TesmCeomCeoAeomCesAdsGdsGdsGdsmCdsTdsAdsAdsAeoAeoTesAesTe
0
36





650376
170
187
10895
10912
GesmCeoTeoGeoAesTdsGdsTdsGdsmCdsAdsAdsTdsTeoGeoAesGesGe
36
37





650377
195
212
10920
10937
AesTeoTeomCeoTesmCdsAdsTdsmCdsmCdsTdsmCdsTdsmCeomCeoTesmCesmCe
29
38





650378
218
235
10943
10960

mCesAeomCeoTeoAesGdsTdsAdsAdsmCdsTdsmCdsmCdsTeomCeoCesTesTe

39
39





650379
248
265
N/A
N/A
AesAeoGeoGeomCesTdsGdsmCdsTdsGdsTdsAdsAdsAeoAeoAesmCesGe
55
40





650380
251
268
N/A
N/A

mCesAeoGeoAeoAesGdsGdsmCdsTdsGdsmCdsTdsGdsTeoAeoAesAesAe

17
41





650381
256
273
11517
11534
AesTeoTeoTeomCesmCdsAdsGdsAdsAdsGdsGdsmCdsTeoGeomCesTesGe
21
42





650382
261
278
11522
11539
TesmCeomCeoAeoTesAdsTdsTdsTdsmCdsmCdsAdsGdsAeoAeoGesGesmCe
43
43





650383
266
283
11527
11544
TesGeoTeomCeoAesTdsmCdsmCdsAdsTdsAdsTdsTdsTeomCeomCesAesGe
14
44





650384
271
288
11532
11549
AesmCeomCeoAeomCesTdsGdsTdsmCdsAdsTdsmCdsmCdsAeoTeoAesTesTe
29
45





650385
294
311
N/A
N/A

mCesTeoTeoAeoTesAdsAdsmCdsmCdsTdsGdsAdsAdsTeoAeoGesAesGe

9
46





650386
320
337
13842
13859

mCesTeoAeoAeoAesmCdsmCdsmCdsmCdsAdsAdsAdsmCdsTeoTeoTesmCesAe

30
47





650387
325
342
13847
13864
TesAeoGeoTeoTesmCdsTdsAdsAdsAdsmCdsmCdsmCdsmCeoAeoAesAesmCe
0
48





650388
330
347
13852
13869
AesGeoGeoAeoTesTdsAdsGdsTdsTdsmCdsTdsAdsAeoAeomCesmCesmCe
15
49





650389
335
352
13857
13874
TesGeoAeoAeomCesAdsGdsGdsAdsTdsTdsAdsGdsTeoTeomCesTesAe
2
50





650390
340
357
13862
13879
AesmCeoTeoGeoTesTdsGdsAdsAdsmCdsAdsGdsGdsAeoTeoTesAesGe
33
51





650391
345
362
13867
13884
TesmCeoTeoGeoGesAdsmCdsTdsGdsTdsTdsGdsAdsAeomCeoAesGesGe
11
52





650392
349
366
13871
13888
AesTeoAeomCeoTesmCdsTdsGdsGdsAdsmCdsTdsGdsTeoTeoGesAesAe
23
53





650393
372
389
13894
13911
AesTeoAcoGeoGesAdsTdsmCdsGdsAdsTdsmCdsmCdsTeoGeoAesGesmCe
39
54





650394
404
421
14353
14370

mCesmCeoTeoTeoAesTdsAdsAdsTdsTdsGdsmCdsAdsTeoAeoTesAesAe

24
55





650395
422
439
14371
14388
TesAeoAeomCeoTesGdsTdsAdsAdsAdsmCdsmCdsAdsGeoTeoGesTesTe
8
56





650396
432
449
14381
14398

mCesmCeoTeoAeoAesTdsTdsTdsTdsmCdsTdsAdsAdsmCeoTeoGesTesAe

0
57





650397
433
450
14382
14399
TesmCeomCeoTeoAesAdsTdsTdsTdsTdsmCdsTdsAdsAeomCeoTesGesTe
13
58





650398
454
471
18837
18854
AesTeoTeomCeoAesAdsGdsTdsTdsAdsAdsAdsmCdsmCeoAeomCesTesGe
34
59





650399
459
476
18842
18859
AesGeoAeoGeoAesAdsTdsTdsmCdsAdsAdsGdsTdsTeoAeoAesAesmCe
5
60





650400
462
479
18845
18862
AesAeoGeoAeoGesAdsGdsAdsAdsTdsTdsmCdsAdsAeoGeoTesTesAe
17
61





650401
478
495
18861
18878
TesAeoAeoTeoTesmCdsTdsGdsGdsAdsmCdsmCdsmCdsGeoTeomCesAesAe
25
62





650402
483
500
18866
18883
GesAeoTeoAeoTesTdsAdsAdsTdsTdsmCdsTdsGdsGeoAeomCesmCesmCe
47
63





650403
489
506
18872
18889
GesTeoAeoTeomCesTdsGdsAdsTdsAdsTdsTdsAdsAeoTeoTesmCesTe
6
64





650404
494
511
18877
18894
GesAeoTeoAeoTesGdsTdsAdsTdsmCdsTdsGdsAdsTeoAeoTesTesAe
19
65





650405
517
534
18900
18917
TesAcoAeoTeoTesGdsAdsGdsmCdsmCdsAdsAdsGdsAeoAeoAesAesGe
0
66





650406
540
557
N/A
N/A
AesAeoTeoAeoTesAdsGdsAdsAdsTdsAdsAdsmCdsmCeoTeoTesmCesmCe
17
67





650407
542
559
N/A
N/A

mCesAeoAeoAeoTesAdsTdsAdsGdsAdsAdsTdsAdsAeomCeomCesTesTe

2
68





650408
562
579
24416
24433
TesGeoGeomCeoAesGdsAdsTdsmCdsAdsmCdsmCdsmCdsTeoTeoAesAesmCe
19
69





650409
567
584
24421
24438

mCesAeoAeoTeomCesTdsGdsGdsmCdsAdsGdsAdsTdsmCeoAeomCesmCesmCe

30
70





650410
568
585
24422
24439
GesmCeoAeoAeoTesmCdsTdsGdsGdsmCdsAdsGdsAdsTeomCeoAesmCesmCe
57
71





650411
591
608
24445
24462
AesTeomCeoTeoGesmCdsAdsGdsGdsAdsGdsTdsTdsGeoGeoTesmCesAe
12
72





650412
614
631
24468
24485
GesAeoTeoGeomCesAdsTdsmCdsTdsGdsTdsTdsGdsGeoAeomCesmCesmCe
45
73





650413
615
632
24469
24486

mCesGeoAeoTeoGesmCdsAdsTdsmCdsTdsGdsTdsTdsGeoGeoAesmCesmCe

41
74





650414
620
637
24474
24491
TesTeoGeoGeoTesmCdsGdsAdsTdsGdsmCdsAdsTdsmCeoTeoGesTesTe
41
75





650415
625
642
24479
24496
AesAeoGeoTeoTesTdsTdsGdsGdsTdsmCdsGdsAdsTeoGeomCesAesTe
0
76





650416
630
647
24484
24501

mCesmCeoAeoAeoTesAdsAdsGdsTdsTdsTdsTdsGdsGeoTeomCesGesAe

23
77





650417
638
655
24492
24509
AesTeoTeomCeoTesTdsmCdsTdsmCdsmCdsAdsAdsTdsAeoAeoGesTesTe
0
78





650418
661
678
N/A
N/A
TesmCeoTeoTeoTesGdsmCdsTdsmCdsTdsTdsTdsTdsAeoGeoTesTesGe
26
79





650419
684
701
25197
25214

mCesGeoTeoTeomCesmCdsAdsGdsGdsTdsmCdsTdsGdsTeoTeoTesTesAe

47
80





650420
708
725
25221
25238
GesAeoGeomCeomCesAdsTdsmCdsAdsTdsTdsTdsGdsmCeoTeoTesmCesTe
37
81





650421
738
755
25251
25268
AesAcoAcoTeomCesmCdsTdsmCdsmCdsTdsmCdsAdsTdsmCeoTeoTesmCesGe
7
82





650422
761
778
25274
25291
GesAeomCeoTeoTesAdsGdsTdsGdsmCdsmCdsAdsGdsAeoGeomCesmCesmCe
17
83





650423
787
804
25300
25317

mCesTeomCeoAeoTesmCdsTdsTdsmCdsmCdsAdsTdsGdsTeomCeoAesAesTe

0
84





650424
810
827
25323
25340
AesTeoAeoGeomCesmCdsmCdsTdsGdsmCdsGdsGdsAdsGeoAeoTesmCesTe
12
85





650425
833
850
N/A
N/A
AesAeomCeoTeoAesmCdsmCdsTdsTdsGdsmCdsAdsTdsAeomCeoTesTesAe
31
86





650426
835
852
N/A
N/A
GesGeoAeoAeomCesTdsAdsmCdsmCdsTdsTdsGdsmCdsAeoTeoAesmCesTe
33
87





650427
856
873
26607
26624

mCesAeoTeoAeoTesmCdsTdsTdsGdsAdsGdsAdsTdsAeoTeoGesTesTe

48
88





650428
879
896
26630
26647
AesGeoAeoTeoTesTdsGdsTdsAdsmCdsmCdsTdsGdsAeoTeoGesTesmCe
20
89





650429
902
919
26653
26670
TesmCeoTeoTeomCesmCdsGdsAdsAdsGdsmCdsTdsmCdsTeoTeomCesTesGe
3
90





650430
922
939
26673
26690
TesTeomCeoAeoAesAdsGdsTdsAdsGdsGdsmCdsTdsTeomCeoTesmCesGe
47
91





650431
925
942
N/A
N/A
TesTeoTeoTeoTesmCdsAdsAdsAdsGdsTdsAdsGdsGeomCeoTesTesmCe
0
92





650432*
976
993
36638
36655
TesAeoGeoGeoTesmCdsmCdsmCdsmCdsmCdsTdsGdsmCdsTeoGeomCesTesGe
68
93





650433*
999
1016
36661
36678

mCesAeoTeoGeoGesAdsTdsGdsTdsGdsAdsAdsmCdsTeomCeoTesGesTe

21
94





650434*
1022
1039
36684
36701

mCesTeoGeoAeoAesmCdsTdsGdsGdsTdsGdsGdsmCdsTeoGeoGesmCesmCe

49
95





650435*
1045
1062
36707
36724
AesmCeomCeoTeoAesGdsAdsTdsmCdsAdsmCdsTdsmCdsmCeomCeoAesAesGe
12
96





650436*
1068
1085
43250
43267
AesTeoGeoTeomCesTdsTdsmCdsTdsTdsmCdsAdsmCdsTeomCeoAesTesAe
32
97





650437
1091
1108
43273
43290
AesmCeoAeoTeoGesGdsTdsmCdsAdsmCdsAdsGdsmCdsTeoGeomCesmCesTe
67
98





650438
1092
1109
43274
43291
GesAeomCeoAeoTesGdsGdsTdsmCdsAdsmCdsAdsGdsmCeoTeoGesmCesmCe
69
99





650439
1097
1114
43279
43296

mCesTeoAeoAeoAesGdsAdsmCdsAdsTdsGdsGdsTdsmCeoAeomCesAesGe

36
100





650440
1102
1119
43284
43301
AesGeoTeoTeoTesmCdsTdsAdsAdsAdsGdsAdsmCdsAeoTeoGesGesTe
40
101





650441
1114
1131
43296
43313
AesTeomCeoAeoTesTdsTdsmCdsTdsGdsAdsmCdsAdsGeoTeoTesTesmCe
31
102





650442
1173
1190
43355
43372
GesAeoAeoAeoGesTdsAdsTdsGdsAdsAdsTdsAdsTeomCeoTesAesAe
27
103





650443
1196
1213
43378
43395
TesGeoTeoAeoAesTdsmCdsAdsmCdsAdsmCdsAdsGdsGeoAeoTesAesAe
35
104





650444
1219
1236
43401
43418

mCesAeoTeoTeoAesmCdsmCdsAdsAdsAdsGdsTdsGdsGeoAeomCesmCesmCe

18
105





650445
1250
126″
43432
43449

mCesTeoAeoAeoAesAdsGdsTdsmCdsTdsTdsAdsTdsTeoTeomCesmCesTe

17
106





650446
1279
1296
43461
43478

mCesAeomCeoTeoTesTdsmCdsmCdsmCdsAdsTdsmCdsAdsTeoTeoTesTesGe

17
107





650447
1302
1319
43484
43501
GesTeomCeomCeoTesAdsmCdsAdsAdsmCdsmCdsGdsAdsmCeoGeomCesAesTe
21
108





650448
1327
1344
43509
43526

mCesTeoAeoAeoTesAdsTdsTdsTdsGdsGdsAdsAdsGeoAeoTesmCesAe

39
109





650449
1350
136″
43532
43549
TesTeoAeoAeoTesTdsGdsmCdsTdsGdsAdsAdsTdsGeomCeomCesTesmCe
51
110





650450
1402
1419
43584
43601
TesTeoGeomCeoAesmCdsAdsmCdsTdsmCdsAdsAdsAdsAeoAeoAesGesAe
21
111





650451
1425
1442
43607
43624

mCesmCeoTeoAeoAesmCdsTdsTdsTdsAdsGdsAdsmCdsAeoTeoGesTesTe

15
112





650452
1450
1467
43632
43649

mCesTeoGeomCeoAesAdsAdsAdsAdsGdsAdsTdsmCdsmCeoAeoAesGesAe

20
113





650453
1473
1490
43655
43672
GesAeoGeoGeomCesGdsAdsGdsAdsGdsmCdsTdsAdsAeoTeoTesAesGe
17
114





650454
1518
1535
43700
43717
TesAeomCeomCeoTesAdsmCdsAdsAdsGdsAdsmCdsAdsGeoAeoAesAesAe
12
115





650455
1541
1558
43723
43740

mCesTeoAeoTeoTesAdsmCdsAdsTdsGdsAdsTdsGdsTeoGeoAesGesmCe

13
116





650456
1564
1581
43746
43763
TesGeoGeoTeoTesAdsAdsTdsAdsAdsGdsAdsAdsAeoTeoGesAesAe
0
117





650457
1588
1605
43770
43787
AesGeoAeoTeoAesmCdsTdsTdsTdsmCdsmCdsTdsGdsAeoAeoAesGesGe
0
118





650458
1613
1630
43795
43812
AesmCeoTeoAeoTesTdsAdsTdsmCdsAdsAdsmCdsAdsTeomCeoAesGesGe
6
119





650459
1636
1653
43818
43835

mCesTeoGeoTeoTesmCdsAdsTdsmCdsmCdsTdsTdsmCdsTeoAeoGesAesAe

15
120





650460
1659
1676
43841
43858
AesmCeoGeoGeoTesAdsTdsAdsmCdsAdsGdsTdsTdsGeoAeoAesGesGe
8
121





650461
1695
1712
43877
43894
GesAeoTeomCeoAesGdsAdsGdsAdsAdsAdsAdsmCdsAeoAeomCesAesmCe
18
122





650462
1720
1737
43902
43919
GesAeoAeoAeoAesmCdsmCdsAdsGdsGdsTdsAdsGdsmCeoAeoGesAesAe
15
123





650463
1743
1760
43925
43942

mCesAeoAeoAeoAesGdsAdsAdsTdsTdsGdsTdsGdsGeoGeoAesAesAe

11
124





650464
1766
1783
43948
43965

mCesmCeoTeomCeoAesGdsAdsAdsAdsAdsGdsAdsTdsTeoAeomCesmCesAe

29
125





650465
1803
1820
43985
44002
GesAeoAeoAeoTesAdsAdsTdsGdsAdsTdsmCdsmCdsmCeoAeoTesmCesGe
2
126





650466
1826
1843
44008
44025
GesAeoGeoTeoTesTdsAdsGdsGdsAdsAdsmCdsGdsmCeoAeomCesmCesAe
57
127





650467
1849
1866
44031
44048
GesTeoAeomCeoTesTdsGdsTdsGdsmCdsAdsAdsGdsGeomCeoTesGesAe
33
128





650468
1891
1908
44073
44090
GesmCeoAeomCeoAesTdsGdsmCdsTdsmCdsAdsmCdsAdsmCeoAeoTesTesTe
34
129





650469
1915
1932
44097
44114
GesAeomCeoAeoTesTdsmCdsAdsTdsAdsAdsAdsGdsmCeoAeoTesmCesTe
14
130





650470
1938
1955
44120
44137
TesAeoAeoGeoGesTdsTdsTdsTdsGdsAdsTdsAdsTeoAeoAesGesTe
0
131





650471
1971
1988
44153
44170
AesAeoGeoGeomCesGdsmCdsAdsGdsGdsAdsAdsGdsAeoAeoGesGesGe
19
132





650472
1996
2013
44178
44195
TesmCeoAeoAeoTesTdsGdsGdsAdsGdsAdsAdsGdsAeoAeoAesGesGe
2
133





650473
2019
2036
44201
44218
AesTeoAeomCeoTesAdsTdsGdsmCdsTdsTdsmCdsTdsmCeomCeoTesAesGe
6
134





650474
2042
2059
44224
44241

mCesTeoAeoAeomCesAdsGdsAdsAdsGdsGdsAdsGdsAeomCeoTesTesGe

18
135





650475
2073
2090
44255
44272
AesmCeoAeoTeoTesmCdsAdsTdsGdsGdsIdsGdsGdsGeoTeoAesmCesGe
19
136





650476
2096
2113
44278
44295
GesAeoAeoGeoGesmCdsmCdsAdsAdsAdsTdsTdsTdsmCeoAeoTesGesTe
29
137





650477
2141
2158
44323
44340

mCesTeomCeomCeoAesGdsTdsmCdsAdsTdsAdsGdsGdsAeoGeoAesAesAe

32
138





650478
2166
2183
44348
44365
AesmCeoTeomCeoAesAdsmCdsTdsGdsTdsAdsAdsAdsGeoAeoGesAesAe
36
139





650479
2189
2206
44371
44388
GesAeoAeoGeomCesAdsGdsAdsmCdsAdsmCdsmCdsTdsAeomCeoAesTesTe
0
140





650480
2213
2230
44395
44412

mCesAeoAeoGeomCesTdsAdsTdsAdsmCdsmCdsTdsAdsmCeoTeoAesAesAe

0
141





650481
2236
2253
44418
44435
AesTeoGeoTeoTesmCdsmCdsAdsGdsAdsTdsmCdsAdsmCeomCeoAesTesmCe
34
142





650482
2279
2296
44461
44478

mCesAeomCeoAeoGesTdsAdsTdsAdsAdsAdsTdsTdsTeoAeoAesAesmCe

4
143





650483
2302
2319
44484
44501
TesAeoAeoAeomCesAdsTdsGdsAdsTdsGdsmCdsAdsAeoGeoTesGesTe
3
144





650484
2325
2342
44507
44524
AesmCeoTeoTeomCesmCdsAdsTdsTdsGdsTdsTdsmCdsTeoTeoAesAesGe
31
145





650485
2348
2365
44530
44547
TesTeoAeoTeoAesGdsAdsTdsmCdsmCdsAdsmCdsTdsAeoAeoGesTesAe
3
146





650486
2371
2388
44553
44570
AesTeomCeoAeoAesAdsAdsmCdsTdsAdsTdsGdsGdsAeomCeoTesTesTe
32
147





650487
2396
2413
44578
44595
TesAeomCeoAeoTesmCdsTdsmCdsAdsAdsTdsTdsAdsAeoAeoGesAesGe
9
148





650488
2419
2436
44601
44618
TesTeoGeoAeomCesmCdsmCdsAdsGdsmCdsAdsAdsGdsAeoAeoAesmCesTe
14
149





650489
2442
2459
44624
44641
TesTeomCeoAeomCesmCdsAdsAdsAdsAdsTdsGdsAdsTeoAeomCesTesAe
19
150





650490
2466
2483
44648
44665
AesAeomCeoAeoTesmCdsAdsAdsTdsTdsTdsmCdsAdsGeoAeoGesAesmCe
28
151





650491
2501
2518
44683
44700
GesAeoTeoGeoGesAdsGdsAdsAdsTdsGdsAdsGdsGeoGeoAesTesAe
0
152





650492
2527
2544
44709
44726

mCesAeoAeomCeoAesTdsTdsmCdsAdsAdsAdsAdsGdsAeoGeomCesTesTe

28
153





650493
2550
2567
44732
44749
TesGeoGeoAeoTesTdsTdsTdsAdsGdsmCdsTdsTdsAeoTeoGesAesAe
23
154





650494
2573
2590
44755
44772

mCesGeoAeoAeoGesTdsTdsGdsTdsmCdsAdsGdsmCdsTeoGeoAesAesAe

59
155





650495
2596
2613
44778
44795
GesmCeoAeoAeoTesAdsTdsAdsmCdsmCdsAdsTdsAdsTeoTeoAesTesAe
4
156





650496
2619
2636
44801
44818
GesTeoGeoTeoGesmCdsAdsGdsmCdsmCdsAdsmCdsAdsmCeoAeomCesmCesAe
0
157





650497
2639
2656
44821
44838
AesAeoAeoAeomCesTdsTdsTdsmCdsmCdsmCdsTdsGidsAeoTeoAesAesAe
1
158





650498
2642
2659
44824
44841

mCesAeoAeoAeoAesAdsAdsmCdsTdsTdsTdsmCdsmCdsmCeoTeoGesAesTe

22
159





650499
2665
2682
44847
44864
TesTeoAeoGeoTesTdsAdsGdsmCdsAdsAdsTdsAdsAeoAeoTesmCesmCe
38
160





650500
2713
2730
44895
44912
AesGeomCeoTeoAesTdsTdsTdsTdsAdsTdsAdsAdsTeomCeoAesTesAe
0
161





650501
2736
2753
44918
44935
AesAeoAeoAeoTesmCdsTdsGdsTdsTdsAdsTdsAdsTeomCeoGesAesAe
0
162





650502
2759
2776
44941
44958
AesTeoTeoGeoGesmCdsAdsmCdsAdsAdsAdsAdsTdsAeoAeoTesGesAe
3
163





650503
2782
2799
44964
44981
GesTeoAeoAeoGesGdsGdsAdsAdsAdsmCdsTdsIdsmCeoAeoGesAesAe
6
164





650504
2853
2870
45035
45052
TesTeoAeoTeoAesAdsTdsTdsmCdsTdsTdsmCdsTdsGeoAeoAesAesmCe
0
165





650505
2876
2893
45058
45075
AesmCeoAeoTeomCesmCdsmCdsTdsTdsGdsmCdsAdsGdsTeoTeoTesTesAe
35
166





650506
2899
2916
45081
45098
TesGeoAeoGeoGesGdsAdsGdsTdsAdsGdsTdsAdsmCeoTeoAesAesAe
32
167





650507
2927
2944
45109
45126
GesTeomCeoTeoTesAdsAdsAdsAdsTdsAdsTdsTdsTeoAeoGesmCesTe
55
168





650508
2951
2968
45133
45150
GesGeoTeoAeoAesTdsAdsAdsTdsTdsAdsAdsmCdsAeoTeoAesAesAe
0
169





650509
2977
2994
45159
45176
TesmCeomCeoAeoTesGdsGdsAdsAdsAdsAdsTdsAdsTeoGeoAesmCesAe
31
170





650510
3000
3017
45182
45199
TesGeoGeoAeoAesAdsAdsAdsGdsGdsTdsAdsAdsTeoGeoAesAesmCe
13
171





650511
3025
3042
45207
45224
TesGeoAeoAeoAesAdsGdsTdsTdsTdsAdsAdsTdsGeoTeoAesAesmCe
0
172





650512
3048
3065
45230
45247
GesGeoTeoAeoGesmCdsTdsmCdsAdsTdsmCdsAdsAdsTeoTeomCesAesAe
64
173





650513
3076
3093
45258
45275
GesmCeoAeoTeoAesTdsTdsGdsGdsTdsTdsTdsTdsmCeoTeomCesAesTe
60
174





650514
3100
3117
45282
45299
AesmCeoTeomCeoTesAdsAdsAdsGdsTdsIdsAdsAdsAeoAeomCesTesTe
8
175





650515
3105
3122
45287
45304
TesAeoTeoAeoAesAdsmCdsTdsmCdsTdsAdsAdsAdsGeoTeoTesAesAe
0
176





650516
3123
3140
45305
45322
TesAcoGeoGeoGesTdsAdsTdsAdsTdsAdsTdsGdsAeoAeomCesTesTe
5
177





650517
3146
3163
45328
45345

mCesAeoTeoAeoTesTdsTdsTdsmCdsTdsTdsAdsAdsGeoTeoGesmCesTe

35
178





650518
3169
3186
45351
45368
TesAeoGeoGeoAesAdsmCdsTdsAdsAdsAdsAdsGdsTeomCeoAesAesAe
21
179





650519
3391
3408
45573
45590

mCesmCeoAeoAeoAesmCdsAdsTdsGdsAdsTdsGdsAdsAeoAeomCesmCesGe

28
180





650520
3491
3508
45673
45690
TesmCeoTeoAeoGesmCdsTdsGdsGdsmCdsmCdsAdsGdsGeomCeoGesmCesAe
0
181





650521
3514
3531
45696
45713
GesmCeoTeomCeoAesGdsmCdsTdsmCdsTdsGdsmCdsTdsTeoTeoAesAesAe
43
182





650522
3537
3554
45719
45736
AesmCeoAeoTeoTesmCdsAdsAdsAdsmCdsGdsmCdsAdsTeomCeomCesAesGe
41
183





650523
3560
3577
45742
45759
AesTeoTeoTeomCesAdsmCdsAdsAdsmCdsAdsAdsAdsmCeoTeoAesmCesAe
26
184





650524
3583
3600
45765
45782
GesGeoAeoTeomCesTdsGdsmCdsmCdsTdsGdsmCdsTdsAeoAeoAesTesGe
18
185





650525
3606
3623
45788
45805
GesAeoTeoGeoAesmCdsAdsGdsTdsIdsmCdsAdsmCdsTeoAeoGesTesGe
17
186





650526
3629
3646
45811
45828
TesAeoAeoAeoTesTdsTdsAdsAdsGdsmCdsmCdsAdsAeomCeomCesmCesmCe
17
187





650527
3659
3676
45841
45858

mCesAeoAeoTeoTesAdsAdsGdsAdsAdsAdsTdsGdsGeoAeoAesTesmCe

9
188





650528
3681
3698
45863
45880
GesmCeoAeoTeomCesTdsTdsTdsTdsmCdsAdsTdsAdsmCeoTeoGesGesmCe
63
189





650529
3684
3701
45866
45883

mCesTeoGeoGeomCesAdsTdsmCdsTdsTdsTdsTdsmCdsAeoTeoAesmCesTe

33
190





650530
3707
3724
45889
45906
TesTeoTeoTeoGesAdsIdsAdsmCdsTdsAdsTdsGdsGeoTeoTesAesmCe
33
191





650531
3731
3748
45913
45930
AesTeoAeoGeomCesTdsTdsTdsGdsAdsAdsTdsAdsAeoTeoTesTesTe
7
192





650532
3754
3771
45936
45953
TesGeoGeomCeoAesGdsTdsAdsmCdsmCdsTdsGdsAdsTeoGeoTesAesTe
50
193





650533
3777
3794
45959
45976
TesmCeoTeoTeoGesmCdsAdsGdsGdsTdsGdsGdsTdsTeoTeoAesmCesAe
24
194





650534
3800
3817
45982
45999
GesTeoGeoAeoAesTdsTdsTdsAdsGdsTdsTdsGdsTeoTeomCesmCesTe
42
195





650535
3823
3840
46005
46022

mCesAcomCeoTeoTesmCdsTdsTdsAdsGdsmCdsAdsGdsGeoAeomCesAesGe

0
196





650536
3859
3876
46041
46058
TesTeomCeomCeomCesAdsAdsTdsTdsAdsGdsTdsAdsAeoAeoAesmCesAe
0
197





650537
3889
3906
46071
46088

mCesmCeoAeoAeoTesAdsGdsTdsTdsTdsAdsAdsAdsTeoAeoTesTesAe

0
198





650538
3916
3933
46098
46115
TesAeomCeoAeoAesAdsTdsTdsAdsTdsAdsmCdsAdsTeoTeoAesGesAe
0
199





650539
3939
3956
46121
46138

mCesTeoGeoTeoAesmCdsAdsTdsAdsmCdsTdsTdsGdsAeoTeomCesmCesmCe

32
200





650540
3962
3979
46144
46161
TesTeoAeoAeoAesmCdsTdsTdsmCdsTdsAdsmCdsTdsAeoGeomCesAesTe
0
201





650541
3985
4002
46167
46184
TesAeoTeoGeoAesAdsAdsGdsTdsGdsGdsTdsAdsTeoTeoTesmCesmCe
26
202





650542
4008
4025
46190
46207
AesTeoTeoAeoAesAdsTdsmCdsmCdsAdsTdsGdsAdsmCeoAeoTesmCesTe
31
203





650543
4045
4062
46227
46244
GesAeoTeoTeoAesAdsmCdsTdsAdsTdsTdsmCdsTdsGeoAeoAesTesTe
28
204





650544
4068
4085
46250
46267
TesAeoGeoAeoTesTdsGdsAdsTdsGdsGdsTdsTdsTeoTeoAesGesAe
23
205





650545
4091
4108
46273
46290
TesTeoAeomCeoAesTdsGdsAdsTdsTdsAdsmCdsmCdsGeoTeoAesAesAe
26
206





650546
4114
4131
46296
46313
AesAeomCeoAeoGesTdsTdsTdsAdsTdsAdsTdsTdsAeomCeoTesGesAe
10
207





650547
4137
4154
46319
46336
GesTeoTeoTeoAesmCdsmCdsTdsGdsmCdsAdsGdsmCdsAeoGeomCesmCesTe
12
208





650548
4160
4177
46342
46359
TesTeoTeoGeoGesmCdsmCdsAdsAdsGdsAdsTdsmCdsmCeoTeoAesGesTe
19
209





650549
4183
4200
46365
46382
AesAeoTeoAeoTesTdsmCdsTdsGdsTdsGdsAdsAdsTeoTeoGesTesAe
23
210





650550
4206
4223
46388
46405
AesAeoAeoAeoAesAdsAdsGdsmCdsAdsmCdsmCdsAdsmCeomCeoTesTesAe
12
211





650551
4247
4264
46429
46446
TesmCeoAeoTeoGesAdsAdsTdsAdsAdsAdsGdsTdsTeoAeoAesGesAe
34
212





650552
4272
4289
46454
46471
GesTeoTeoTeoTesTdsTdsTdsmCdsmCdsTdsmCdsAdsTeoTeoTesAesmCe
10
213





650553
4295
4312
46477
46494

mCesAeoAeoTeoGesAdsTdsAdsmCdsTdsmCdsAdsAdsmCeoTeoGesGesTe

34
214





650554
4318
4335
46500
46517
TesGeoGeoAeomCesTdsAdsmCdsTdsGdsGdsTdsAdsGeoTeoTesTesTe
44
215





650555
4365
4382
46547
46564
TesmCeoTeoGeoAesmCdsTdsGdsAdsAdsAdsTdsAdsAeoAeoAesTesTe
10
216





650556
4388
4405
46570
46587
GesAeomCeoAeoAesTdsmCdsAdsAdsAdsAdsTdsGdsTeoGeoAesTesTe
12
217





650557
4424
4441
46606
46623

mCesAeomCeoTeoAesGdsmCdsAdsTdsGdsAdsTdsTdsTeoTeoAesAesAe

9
218





650558
4645
4662
46827
46844
TesmCeomCeoTeomCesTdsGdsTdsmCdsGdsmCdsmCdsAdsGeoGeoGesTesTe
29
219





650559
4734
4751
46916
46933

mCesAeomCeoTeoAesGdsmCdsAdsTdsGdsAdsTdsTdsTeoTeoTesTesTe

0
220





650560
4758
4775
46940
46957
TesTeoTeoTeoAesAdsGdsAdsAdsTdsTdsTdsAdsGeoTeoAesGesmCe
8
221





650561
4781
4798
46963
46980
TesmCeoTeoGeoTesAdsmCdsAdsGdsGdsTdsmCdsmCdsAeoAeoTesGesGe
6
222





650562
4804
4821
46986
47003
TesTeoAeoTeoGesmCdsAdsmCdsTdsGdsAdsAdsTdsmCeoTeoAesTesTe
16
223





650563
4868
4885
47050
47067

mCesGeoTeoAeoAesGdsAdsAdsTdsTdsTdsAdsAdsAeoAeomCesAesTe

0
224





650564
4892
4909
47074
47091

mCesAeoTeomCeoAesAdsTdsAdsTdsTdsAdsAdsmCdsTeoAeoTesTesGe

0
225





650565
5092
5109
47274
47291
TesGeomCeoGeoAesTdsTdsmCdsTdsTdsAdsGdsmCdsmCeoTeomCesmCesTe
45
226





650566
5128
5145
47310
47327

mCesmCeomCeoTeoTesGdsGdsmCdsAdsmCdsTdsmCdsTdsGeomCeoAesAesmCe

14
227





650567
5167
5184
47349
47366
TesGeoTeomCeoTesmCdsAdsmCdsTdsmCdsTdsGdsTdsTeoGeoGesGesmCe
34
228





650568
5245
5262
47427
47444
TesAeoGeoGeoAesAdsGdsTdsmCdsAdsTdsAdsTdsAeoTeoAesTesAe
0
229





650569
5268
5285
47450
47467

mCesmCeomCeoGeoAesmCdsTdsGdsGdsGdsAdsTdsAdsAeoAeoGesTesTe

1
230





650570
5406
5423
47588
47605
TesAeomCeomCeoTesGdsGdsmCdsTdsTdsAdsAdsGdsTeoTeoTesTesGe
15
231





650571
5551
5568
47733
47750
AesmCeomCeoTeoTesTdsAdsAdsGdsAdsTdsGdsGdsAeoGeoTesTesTe
49
232





650572
5575
5592
47757
47774
TesmCeomCeoGeoGesAdsTdsTdsAdsAdsAdsAdsAdsAeoAeoAesAesmCe
0
233





650573
5602
5619
47784
47801
AesAeoAeoAeoTesAdsGdsmCdsGdsGdsmCdsmCdsmCdsAeoAeomCesGesmCe
11
234





650574
5797
5814
47979
47996
AesAeomCeoAeoAesAdsTdsAdsTdsTdsmCdsGdsmCdsmCeoAeoGesGesTe
8
235





650575
5927
5944
48109
48126
TesGeoGeomCeomCesmCdsAdsAdsGdsGdsmCdsmCdsGdsGeoGeoTesGesTe
7
236





650576
5953
5970
48135
48152

mCesAeoAeomCeoAesAdsAdsmCdsAdsAdsTdsTdsmCdsAeomCeoTesTesTe

8
237





650577
5976
5993
48158
48175
TesAeoTeomCeomCesAdsTdsAdsmCdsTdsTdsAdsAdsGeoGeoAesmCesTe
8
238





650578
5999
6016
48181
48198
GesTeoTeomCeoTesTdsAdsAdsTdsTdsAdsGdsGdsGeoTeomCesAesmCe
57
239





650579
6022
6039
48204
48221
TesGeoAeoTeoTesAdsGdsTdsTdsGdsAdsTdsmCdsmCeoAeoAesTesmCe
32
240





650580
6045
6062
48227
48244
TesAeoAeoAeoGesTdsTdsAdsTdsTdsTdsAdsmCdsAeoTeoTesGesmCe
0
241





650581
6103
6120
48285
48302
GesAeoTeoGeomCesTdsGdsGdsTdsTdsAdsTdsAdsAeoAeoGesGesGe
0
242





650582
6128
6145
48310
48327
GesmCeomCeoAeoGesGdsTdsmCdsAdsTdsTdsTdsTdsTeoTeoAesAesAe
20
243





650583
6158
6175
48340
48357
TesTeoAeoTeoTesAdsTdsGdsTdsTdsTdsAdsAdsGeoAeomCesTesAe
35
244





650584
6188
6205
48370
48387
TesmCeoAeoTeoGesAdsAdsAdsGdsmCdsAdsAdsAdsTeoTeoAesGesAe
0
245





650585
6211
6228
48393
48410

mCesmCeoAeoAeomCesGdsAdsTdsGdsIdsmCdsAdsAdsTeoAeoAesTesmCe

30
246





650586
6285
6302
48467
48484
AesGeoAeomCeomCesAdsmCdsTdsTdsGdsGdsAdsAdsAeoAeoAesAesTe
13
247





650587
6308
6325
48490
48507
TesTeoAeoGeomCesAdsmCdsTdsAdsAdsTdsTdsmCdsTeoTeoAesAesAe
17
248





650588
6331
6348
48513
48530

mCesGeoAeomCeoAesAdsAdsTdsTdsTdsAdsGdsAdsAeoGeoTesTesAe

0
249





650589
6354
6371
48536
48553
TesAeoTeoGeomCesTdsAdsTdsTdsAdsAdsAdsmCdsAeoTeoGesmCesmCe
11
250





650590
6378
6395
48560
48577

mCesmCeoAeomCeoAesGdsGdsmCdsTdsTdsAdsAdsAdsAeoTeoGesTesTe

24
251





650591
6401
6418
48583
48600
TesTeomCeoTeomCesAdsTdsTdsGdsmCdsTdsTdsTdsGeoTeomCesTesAe
15
252





650592
6430
6447
48612
48629
AesGeoGeoAeoAesTdsAdsTdsmCdsmCdsAdsTdsTdsTeoAeoTesAesTe
4
253





650593
6453
6470
48635
48652
AesTeoTeoGeoAesGdsAdsGdsmCdsTdsTdsmCdsmCdsTeoAeoAesAesTe
33
254





650594
6476
6493
48658
48675
TesTeomCeomCeoTesTdsGdsAdsAdsmCdsTdsAdsTdsGeomCeoAesAesGe
9
255





650595
6552
6569
48734
48751
AesTeoTeoAeoGesAdsTdsAdsAdsTdsmCdsAdsmCdsAeoTeoTesTesAe
29
256





650596
6575
6592
48757
48774

mCesmCeoTeoAeoAesTdsAdsGdsmCdsmCdsmCdsAdsGdsTeoGeoTesTesGe

16
257





650597
6606
6623
48788
48805
TesAeoTeoAeomCesAdsGdsAdsAdsmCdsAdsGdsTdsAeoAeoTesTesTe
0
258





650598
6629
6646
48811
48828
TesmCeoTeoGeoTesAdsmCdsTdsTdsGdsAdsAdsTdsTeoTeomCesAesAe
43
259





650599
6659
6676
48841
48858
AesAeoAeomCeoAesAdsmCdsAdsAdsTdsGdsmCdsTdsTeoTeoTesTesGe
0
260





650600
6682
6699
48864
48881

mCesAeomCeoAeoGesTdsGdsmCdsAdsmCdsTdsTdsGdsTeoAeoTesmCesAe

0
261





650601
6705
6722
48887
48904
GesGeoGeoTeomCesmCdsTdsGdsAdsGdsmCdsAdsAdsGeomCeoGesGesmCe
2
262





650602
6728
6745
48910
48927
AesmCeoAeomCeoAesmCdsAdsGdsAdsAdsGdsGdsGdsmCeoTeoGesmCesAe
16
263





650603
6751
6768
48933
48950
GesmCeoAeoAeoAesTdsGdsAdsAdsmCdsTdsTdsAdsAeomCeoGesAesGe
27
264





650604
6774
6791
48956
48973
GesAeoAeoGeoGesmCdsmCdsTdsGdsTdsGdsTdsGdsTeoGeoTesAesAe
6
265





650605
6797
6814
48979
48996

mCesGeoGeomCeoTesTdsTdsTdsmCdsTdsAdsAdsmCdsGeoAeomCesmCesAe

27
266





650606
6808
6825
48990
49007

mCesTeoTeoTeoGesGdsAdsAdsGdsmCdsmCdsmCdsGdsGeomCeoTesTesTe

15
267





650607
6820
6837
49002
49019
TesGeoTeoTeomCesAdsAdsmCdsAdsGdsTdsGdsmCdsTeoTeoTesGesGe
0
268





650608
6843
6860
49025
49042
TesmCeomCeoAeomCesAdsmCdsTdsAdsAdsmCdsAdsAdsmCeoAeoGesAesAe
25
269





650609
6880
6897
49062
49079
AesAeoTeoAeoAesTdsmCdsTdsTdsTdsGdsAdsTdsAeoTeoTesTesAe
0
270





650612
N/A
N/A
13822
13839
GesmCeoAeoTeoTesGdsmCdsTdsTdsAdsTdsAdsAdsmCeomCeoTesGesTe
50
271





650616
N/A
N/A
26677
26694
AesmCeoTeoTeoTesTdsmCdsAdsAdsAdsGdsTdsAdsGeoGeomCesTesTe
4
272





650617
N/A
N/A
26686
26703
AesAeomCeoTeoAesmCdsTdsTdsTdsAdsmCdsTdsTdsTeoTeomCesAesAe
0
273





650625
N/A
N/A
24160
24177
TesGeoGeoAeoAesGdsAdsGdsmCdsmCdsGdsTdsmCdsTeomCeoAesTesTe
15
274





650626
N/A
N/A
24210
24227
TesAeoAeoGeoGesTdsAdsAdsGdsTdsTdsAdsmCdsTeoTeoAesAesAe
0
275





650629
N/A
N/A
24515
24532

mCesmCeoTeoTeoTesGdsmCdsTdsmCdsTdsTdsTdsTdsAeoGeoTesTesGe

9
276





650633
N/A
N/A
28195
28212

mCesmCeoTeoTeomCesAdsTdsmCdsTdsAdsmCdsTdsTdsmCeoTeoGesAesGe

38
277





650634
N/A
N/A
28217
28234
GesAeoTeoGeoTesmCdsAdsGdsmCdsTdsGdsAdsTdsmCeoAeoGesAesAe
25
278





650635
N/A
N/A
28222
28239
AesAcoGeoAeoGesGdsAdsTdsGdsTdsmCdsAdsGdsmCeoTeoGesAesTe
12
279





650640
N/A
N/A
1233
1250

mCesGeomCeomCeoGesGdsGdsmCdsGdsAdsGdsAdsTdsmCeoGeoGesmCesAe

0
280





650641
N/A
N/A
1754
1771

mCesmCeomCeoGeoTesAdsAdsTdsAdsAdsAdsAdsAdsmCeoTeomCesTesTe

8
281





650642
N/A
N/A
1820
1837

mCesTeoAeoAeoAesAdsAdsmCdsAdsAdsAdsGdsmCdsTeoGeoGesmCesmCe

17
282





650643
N/A
N/A
7243
7260
AesTeoAeoGeomCesAdsTdsTdsAdsmCdsTdsAdsTdsTeoTeoGesTesAe
0
283





7283
7300








650644
N/A
N/A
8090
8107

mCesAeoGeoAeoTesGdsTdsTdsmCdsTdsAdsmCdsTdsTeoAeoTesAesTe

8
284





650645
N/A
N/A
9762
9779
TesTeoAeoAeomCesAdsTdsAdsGdsGdsTdsAdsmCdsAeoTeoGesmCesAe
28
285





650646
N/A
N/A
10816
10833
AesAcoGeoTeoGesAdsGdsmCdsmCdsTdsTdsmCdsTdsTeoGeomCesTesAe
0
286





650647
N/A
N/A
10975
10992
AesAeoTeomCeoAesGdsTdsAdsmCdsmCdsTdsGdsTdsAeoAeoAesAesAe
36
287





650648
N/A
N/A
11515
11532
TesTeomCeomCeoAesGdsAdsAdsGdsGdsmCdsTdsGdsmCeoTeoGesTesTe
30
288





650649
N/A
N/A
11609
11626
AesAeoAeoGeoGesmCdsTdsGdsTdsGdsAdsAdsAdsmCeoGeoGesTesGe
35
289





650650
N/A
N/A
11690
11707
AesAeoAeoAeoAesTdsmCdsTdsAdsGdsTdsAdsmCdsTeomCeoTesAesGe
26
290





11984
12001








650651
N/A
N/A
15320
15337
AesGeomCeoTeoGesGdsTdsTdsTdsTdsmCdsAdsAdsTeoAeoAesmCesmCe
23
291





650652
N/A
N/A
16170
16187
AesGeoAeoAeoAesGdsAdsAdsmCdsmCdsAdsAdsmCdsTeoTeoAesGesGe
10
292





16488
16505








650653
N/A
N/A
17193
17210
AesTeoTeoTeoAesAdsmCdsmCdsmCdsAdsmCdsAdsAdsGeoAeoTesAesmCe
2
293





650654
N/A
N/A
17686
17703

mCesAeoTeoGeomCesAdsGdsmCdsTdsmCdsAdsTdsGdsmCeomCeoTesAesTe

8
294





650655
N/A
N/A
17703
17720
TesmCeoAeomCeoTesAdsAdsAdsTdsTdsAdsGdsmCdsTeoGeoGesGesmCe
25
295





650656
N/A
N/A
18799
18816
AesAeoGeoTeoTesAdsGdsTdsGdsTdsAdsTdsAdsTeoTeoAesTesAe
0
296





650657
N/A
N/A
20598
20615
TesmCeoTeomCeoAesGdsmCdsAdsGdsAdsAdsTdsGdsTeoAeoAesmCesGe
16
297





650658
N/A
N/A
23358
23375
AesAeomCeoTeoAesGdsTdsAdsAdsmCdsAdsTdsGdsGeomCeoTesAesAe
16
298





650659
N/A
N/A
24393
24410
AesTeoAeoTeoAesGdsAdsAdsTdsAdsAdsmCdsmCdsTeoAeoAesAesAe
0
299





650660
N/A
N/A
25114
25131
AesAeoGeoGeomCesAdsTdsTdsTdsGdsTdsAdsAdsTeoGeoTesAesAe
22
300





650661
N/A
N/A
26689
26706
AesmCeomCeoAeoAesmCdsTdsAdsmCdsTdsTdsTdsAdsmCeoTeoTesTesTe
0
301





650662
N/A
N/A
26813
26830
TesGeomCeomCeomCesGdsTdsmCdsmCdsTdsAdsTdsTdsTeoGeomCesTesGe
10
302





650663
N/A
N/A
27243
27260
GesTeomCeomCeoTesAdsAdsTdsTdsTdsmCdsAdsTdsTeoTeoTesTesmCe
0
303





650664
N/A
N/A
28181
28198
TesGeoAeoGeoTesTdsGdsTdsGdsAdsmCdsTdsTdsAeoAeoAesAesAe
12
304





650665
N/A
N/A
28226
28243

mCesAeoTeoTeoAesAdsGdsAdsGdsGdsAdsTdsGdsTeomCeoAesGesmCe

16
305





650666
N/A
N/A
28231
28248
TesmCeoTeomCeoAesmCdsAdsTdsTdsAdsAdsGdsAdsGeoGeoAesTesGe
26
306





650667
N/A
N/A
28236
28253
AesAeoAeoTeoAesTdsmCdsTdsmCdsAdsmCdsAdsTdsTeoAeoAesGesAe
12
307





650668
N/A
N/A
28266
28283
AesGeomCeomCeoAesTdsTdsAdsAdsTdsmCdsTdsAdsTeoAeomCesTesGe
57
308





650669
N/A
N/A
35157
35174
AesGeoAeoTeoTesTdsGdsAdsAdsAdsTdsTdsTdsTeoGeoGesAesTe
0
309





650670
N/A
N/A
35981
35998
AesAeoTeoGeoAesGdsTdsGdsTdsTdsGdsGdsTdsTeoTeoAesTesAe
38
310





650671
N/A
N/A
38694
38711
TesAeoGeoAeoAesAdsAdsAdsAdsGdsTdsAdsmCdsmCeoAeoGesTesTe
11
311





650672
N/A
N/A
43232
43249
GesmCeoAeoTeomCesAdsmCdsmCdsTdsGdsTdsTdsGdsGeoGeoAesAesAe
14
312





Subscripts:



erepresents a 2′-MOE nucleoside;




drepresents a 2′-deoxynucleoside;




srepresents a phosphorothioate internucleoside linkage; and




orepresents a phosphodiester internucleoside linkage.



Superscript ‘m’ preceding a ‘C’ indicates that the cytosine is a 5-methylcytosine.






Additional modified oligonucleotide were designed targeting the ATXN3 nucleic acid sequences listed in Table 2.









TABLE 2







ATXN3 nucleic acids











GenBank
Human ATXN3 transcript
SEQ ID



Accession number
variant name
No















NM_001164778.1
transcript variant o, mRNA
3



NM_001127696.1
transcript variant ad, mRNA
4



NM_001164781.1
transcript variant y, mRNA
5



NR_028454.1
transcript variant d, non-coding
6



NM_001164780.1
transcript variant u, mRNA
7



NR_028469.1
transcript variant af, non-coding
8



NM_001164779.1
transcript variant r, mRNA
9



NR_028461.1
transcript variant p, non-coding
10



NR_028466.1
transcript variant x, non-coding
11



NR_028462.1
transcript variant q, non-coding
12



NR_028467.1
transcript variant z, non-coding
13



NR_031765.1
transcript variant c, non-coding
14



NM_001164782.1
transcript variant ae, mRNA
15



NR_028465.1
transcript variant w, non-coding
16



NR_028457.1
transcript variant k, non-coding
17



NM_001164777.1
transcript variant j, mRNA
18



NM_001164774.1
transcript variant b, mRNA
19










Modified oligonucleotides complementary to the ATXN3 nucleic acids from Table 2 were tested for the effect on ATXN3 mRNA according to the protocol described above. The modified oligonucleotides in the table below were designed as 5-8-5 MOE gapmers. The gapmers are 18 nucleosides in length, wherein the central gap segment comprises eight 2′-deoxynucleosides and is flanked by wing segments on both the 5′ end and on the 3′ end comprising five nucleosides each. Each nucleoside in the 5′ wing segment and each nucleoside in the 3′ wing segment comprises a MOE modification. All cytosine residues throughout each gapmer are 5-methylcytosines. The internucleoside linkages are mixed phosphodiester and phosphorothioate linkages. The internucleoside linkages are arranged in order from 5′ to 3′: sooosssssssssooss; wherein (“o”) is phosphodiester and (“s”) is phosphorothioate. “Start site” indicates the 5′-most nucleoside to which the gapmer is targeted in the human gene sequence. “Stop site” indicates the 3′-most nucleoside to which the gapmer is targeted human gene sequence.









TABLE 3







Percent reduction of human ATXN3 mRNA by modified


oligonucleotides relative to control














Target




SEQ


IONIS
SEQ
Start
Stop

%
ID


No
ID No
Site
Site
Sequence (5′ to 3′)
Inhib.
No
















650361
3
443
460

mCesTeoGeoTeomCesTdsGdsTdsTdsTdsTdsmCdsmCdsTeoAeoAesTesTe

1
313





650611
4
248
265
TesTeoAeoTeoAesAdsmCdsmCdsTdsGdsTdsAdsAdsAeoAeoAesmCesGe
48
314





650613
5
87
104
TesTeoGeomCeoTesTdsAdsTdsAdsAdsmCdsTdsTdsTeomCeoTesmCesGe
0
315





650614
6
128
145
TesTeomCeoAeoTesTdsTdsmCdsTdsGdsAdsAdsTdsAeoGeoAesGesAe
8
316





650615
7
87
104
AesTeomCeoTeoTesTdsmCdsAdsTdsTdsTdsTdsTdsTeomCeoTesmCesGe
7
317





650618
8
687
704
GesTeomCeoAeoAesmCdsTdsAdsmCdsTdsTdsTdsAdsmCeoTeoTesTesTe
5
318





650620
9
87
104
AesAeoGeoTeoTesAdsAdsAdsmCdsmCdsAdsTdsTdsTeomCeoTesmCesGe
20
319





650621
10
443
460
TesAeoAeomCeomCesTdsGdsTdsTdsTdsTdsmCdsmCdsTeoAeoAesTesTe
2
320





650622
11
87
104
TesAeoTeoAeoGesAdsAdsTdsAdsAdsmCdsTdsTdsTeomCeoTesmCesGe
3
321





650623
12
443
460

mCesmCeomCeoTeoTesmCdsmCdsTdsGdsTdsTdsGdsTdsAeoAeoTesTesGe

23
322





650619
13
290
307
AesmCeomCeoAeomCesTdsGdsAdsAdsTdsAdsGdsAdsGeoAeoAesAesAe
27
323





650624
13
375
392
AesmCeoTeoTeomCesmCdsTdsGdsTdsTdsGdsTdsAdsAeoTeoTesGesAe
9
324





650627
13
471
488
AesTeomCeoAeomCesmCdsTdsTdsAdsmCdsTdsAdsGdsTeoAeoAesAesGe
9
325





650628
14
87
104
TesTeoTeoTeoAesTdsGdsGdsAdsmCdsTdsTdsTdsTeomCeoTesmCesGe
0
326





650630
15
87
104
TesTeoTeoGeomCesIdsGdsmCdsTdsGdsTdsTdsTdsTeomCeoTesmCesGe
11
327





650631
16
248
265
TesTeomCeoAeoTesTdsTdsmCdsTdsGdsTdsAdsAdsAeoAeoAesmCesGe
17
328





650632
16
794
811
AesTeoTeoTeoTesmCdsAdsAdsAdsGdsTdsAdsGdsGeomCeoTesTesmCe
0
329





650636
16
848
865
TesAeoTeoTeoAesAdsGdsAdsGdsGdsAdsTdsGdsTeomCeoAesGesmCe
6
330





650637
17
535
552
AesAeomCeoTeoTesAdsmCdsTdsAdsGdsTdsAdsAdsAeoGeoTesmCesGe
20
331





650610
18
87
104

mCesmCeoAeoGeoAesAdsGdsGdsmCdsTdsGdsTdsTdsTeomCeoTesmCesGe

0
332





650638
18
125
142

mCesTeoGeoTeomCesTdsGdsAdsAdsTdsAdsGdsAdsGeoAeoAesAesAe

1
333





650639
19
248
265

mCesTeoGeomCeoTesGdsTdsmCdsTdsGdsTdsAdsAdsAeoAeoAesmCesGe

0
334





Subscripts:



erepresents a 2′-MOE nucleoside;




drepresents a 2′-deoxynucleoside;



srepresents a phosphorothioate internucleoside linkage; and



orepresents a phosphodiester internucleoside linkage.



Superscript ‘m’ preceding a ‘C’ indicates that the cytosine is a 5-methylcytosine.






Example 2: Effect of Modified Oligonucleotides on Human ATXN3 In Vitro, Multiple Doses

Modified oligonucleotides selected from Example 1 were also tested at various doses in HepG2 cells in studies of in vitro reduction of human ATXN3 mRNA. The modified oligonucleotides were tested in a series of experiments that had similar culture conditions.


Cells were plated at a density of 20,000 cells per well and transfected using electroporation with 0.11 μM, 0.33 μM, 1.00 μM, 3.00 μM, and 9.00 μM concentrations of modified oligonucleotide, as specified in the table below. After a treatment period of approximately 16 hours, RNA was isolated from the cells and ATXN3 mRNA levels were measured by quantitative real-time PCR. Human ATXN3 primer probe set RTS4392 was used to measure mRNA levels. ATXN3 mRNA levels were adjusted according to total RNA content, as measured by RIBOGREEN®. Results are presented as percent reduction of ATXN3, relative to untreated control cells. “0” indicate that the antisense oligonucleotide did not reduce ATXN3 mRNA levels. The half maximal inhibitory concentration (IC 50) of each oligonucleotide is also presented in the table below.









TABLE 4







Percent reduction of human ATXN3 mRNA by modified


oligonucleotides relative to control













IONIS No
0.11 μM
0.33 μM
1.00 μM
3.00 μM
9.00 μM
IC50 (μM)
















650372
2
24
39
76
80
1.4


650379
6
13
29
52
66
3.2


650410
16
20
42
68
85
1.3


650437
0
32
59
77
90
1.0


650438
8
19
42
68
78
1.5


650466
15
15
45
53
76
1.9


650494
15
17
32
53
82
1.9


650507
9
8
37
59
81
1.9


650512
2
23
46
73
82
1.3


650513
25
42
63
72
84
0.6


650528
8
32
47
68
81
1.2


650532
1
20
31
60
76
2.0


650578
9
24
41
54
64
2.5


650668
1
19
41
65
77
1.7









Example 3: Acute Tolerability of Modified Oligonucleotides Complementary to Human ATXN3 in C57BL/6 Mice

Modified oligonucleotides selected from the examples above were tested in mice to assess tolerability of the oligonucleotides in vivo. Female wild type C57BL/6 mice were divided into treatment groups consisting of four mice. The mice were administered a single intracerebroventricular (ICV) dose of 700 lag of a modified oligonucleotide listed in the table below. One group of four mice was administered a single ICV dose of PBS as a control to which the modified oligonucleotide treated groups was compared.


At 3 hours post injection, each mouse was evaluated according to 7 different criteria. The 7 criteria are (1) the mouse was bright, alert, and responsive; (2) the mouse was standing or hunched without stimuli; (3) the mouse showed any movement without stimuli; (4) the mouse demonstrated forward movement after it was lifted; (5) the mouse demonstrated any movement after it was lifted; (6) the mouse responded to a tail pinch; (7) regular breathing. For each of the 7 different criteria, each mouse was given a sub-score of 0 if it met the criteria or 1 if it did not. After all of the 7 criteria were evaluated, the sub-scores were summed for each mouse and then averaged for each group. For example, if a mouse was bright, alert, and responsive 3 hours after the 700 μg ICV dose, and met all other criteria, it would get a summed score of 0. If another mouse was not bright, alert, and responsive 3 hours after the 700 μg ICV dose but met all other criteria, it would receive a score of 1. The results are presented as the average score for each treatment group.









TABLE 5







Acute tolerability scores










Treatment




(IONIS No)
Score







PBS
0.00



650372
5.25



650410
3.25



650438
6.50



650507
0.75



650512
1.25



650513
6.00



650528
2.50



650668
3.25










Example 4: Acute Tolerability of Modified Oligonucleotides Complementary to Human ATXN3 in Sprague Dawley Rats (3 mg)

Sprague Dawley rats were separated into groups of 4 rats for the experiment presented in the table below. Each rat in each group of rats was administered a single 3 mg intrathecal (IT) dose of an oligonucleotide described in example 1 or example 2 above. At 3 hours after injection, the movement of 7 different parts of the body was evaluated for each rat. The 7 body parts are (1) the rat's tail; (2) the rat's posterior posture; (3) the rat's hind limbs; (4) the rat's hind paws; (5) the rat's forepaws; (6) the rat's anterior posture; (7) the rat's head. For each of the 7 different body parts, each rat was given a sub-score of 0 if the body part was moving or 1 if the body part was paralyzed. After each of the 7 body parts were evaluated, the sub-scores were summed for each rat and then averaged for each group (the functional observational battery score or FOB). For example, if a rat's tail, head, and all other evaluated body parts were moving 3 hours after the 3 mg IT dose, it would get a summed score of 0. If another rat was not moving its tail 3 hours after the 3 mg IT dose but all other evaluated body parts were moving, it would receive a score of 1. Saline treated rats generally receive a score of 0. A score of at the top end of the range would be suggestive of acute toxicity. Results are presented as the average score for each treatment group.









TABLE 6







Acute tolerability scores










Compound
3 hr



ID
FOB







PBS
0.50



650410
3.25



650507
0.25



650512
0.75



650528
1.75



650668
1.75









Claims
  • 1. An oligomeric compound comprising a modified oligonucleotide consisting of 10-30 linked nucleosides and having a nucleobase sequence comprising at least 12, at least 13, at least 14, at least 15, or at least 16 contiguous nucleobases of any of SEQ ID NO: 73-75, wherein the modified oligonucleotide comprises at least one modification selected from a modified sugar moiety and a modified internucleoside linkage.
  • 2. The oligomeric compound of claim 1, wherein the modified oligonucleotide has a nucleobase sequence that is at least 80%, 85%, 90%, 95%, or 100% complementary to the nucleobase sequence of SEQ ID NO: 1, when measured across the entire nucleobase sequence of the modified oligonucleotide.
  • 3. (canceled)
  • 4. The oligomeric compound of claim 1, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a modified sugar moiety.
  • 5. The oligomeric compound of claim 4, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a bicyclic sugar moiety.
  • 6. The oligomeric compound of claim 5, wherein the bicyclic sugar moiety has a 2′-4′ bridge, wherein the 2′-4′ bridge is —O—CH2— or —O—CH(CH3)—.
  • 7. The oligomeric compound of claim 1, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a modified non-bicyclic sugar moiety.
  • 8. The oligomeric compound of claim 7, wherein the non-bicyclic sugar moiety comprises a 2′-MOE or 2′-OMe.
  • 9. (canceled)
  • 10. The oligomeric compound of claim 1, wherein the modified oligonucleotide comprises at least one modified nucleoside comprising a sugar surrogate selected from morpholino and PNA.
  • 11. The oligomeric compound of claim 1, wherein the modified oligonucleotide has a sugar motif comprising: a 5′-region consisting of 1-5 linked 5′-nucleosides;a central region consisting of 6-10 linked central region nucleosides; anda 3′-region consisting of 1-5 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 an unmodified DNA sugar moiety.
  • 12. The oligomeric compound of claim 1, wherein the modified oligonucleotide comprises at least one modified internucleoside linkage.
  • 13. (canceled)
  • 14. The oligomeric compound of claim 12, wherein at least one internucleoside linkage is a phosphorothioate internucleoside linkage.
  • 15. The oligomeric compound of claim 12, wherein the modified oligonucleotide comprises at least one phosphodiester internucleoside linkage.
  • 16. The oligomeric compound of claim 12, wherein each internucleoside linkage is either a phosphodiester internucleoside linkage or a phosphorothioate internucleoside linkage.
  • 17. The oligomeric compound of claim 1, wherein the modified oligonucleotide comprises at least one modified nucleobase.
  • 18. The oligomeric compound of claim 17, wherein the modified nucleobase is a 5-methylcytosine .
  • 19. The oligomeric compound of claim 1, wherein the modified oligonucleotide consists of 12-22, 12-20, 14-20, 16-20, or 18-20 linked nucleosides.
  • 20. (canceled)
  • 21. (canceled)
  • 22. The oligomeric compound of claim 1, comprising a conjugate group comprising a conjugate moiety and a conjugate linker.
  • 23-29. (canceled)
  • 30. The oligomeric compound of claim 1, wherein the oligomeric compound is a singled-stranded oligomeric compound.
  • 31. (canceled)
  • 32. An oligomeric duplex comprising an oligomeric compound of claim 1.
  • 33. (canceled)
  • 34. A modified oligonucleotide consisting of 10-30 linked nucleosides and having a nucleobase sequence comprising at least 12, at least 13, at least 14, at least 15, or at least 16 contiguous nucleobases of any of SEQ ID NO: 73-75, and wherein the modified oligonucleotide comprises at least one modification selected from a modified sugar moiety and a modified internucleoside linkage.
  • 35. An oligomeric compound comprising a modified oligonucleotide consisting of 10-30 linked nucleosides and having a nucleobase sequence comprising a portion of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, or at least 14 contiguous nucleobases 100% complementary to an equal length portion of nucleobases 614-637 of SEQ ID NO: 1, wherein the nucleobase sequence of the modified oligonucleotide is at least 90% complementary to SEQ ID NO: 1 as measured over the entirety of the modified oligonucleotide, and wherein the modified oligonucleotide comprises at least one modification selected from a modified sugar moiety and a modified internucleoside linkage.
  • 36. A pharmaceutical composition comprising an oligomeric compound of claim 1 and a pharmaceutically acceptable carrier or diluent.
  • 37-50. (canceled)
  • 51. A chirally enriched population of oligomeric compounds of claim 1, wherein all of the phosphorothioate internucleoside linkages of the modified oligonucleotide are stereorandom.
  • 52-60. (canceled)
Provisional Applications (1)
Number Date Country
62420294 Nov 2016 US
Continuations (1)
Number Date Country
Parent 16344254 Apr 2019 US
Child 18168004 US