OLIGONUCLEOTIDES FOR MODULATING MYH7 EXPRESSION

Abstract
The present invention relates to antisense oligonucleotides that are capable of modulating expression of MYH7 in a target cell. The oligonucleotides hybridize to MYH7 mRNA. The present invention further relates to conjugates of the oligonucleotide and pharmaceutical compositions and methods for treatment of hypertrophic cardiomyopathy using the oligonucleotide.
Description
FIELD OF INVENTION

The present invention relates to antisense oligonucleotides which target human myosin heavy chain 7 (MYH7) transcript. In some aspects, the oligonucleotides of the invention may be used to selectively inhibit the expression a disease associate allele of MYH7. Inhibition of MYH7 expression is beneficial for a range of medical disorders, including hypertrophic cardiomyopathy.


BACKGROUND

Familial hypertrophic cardiomyopathy (HCM) is a monogenic disease clinically characterized by asymmetrical ventricular hypertrophy, arrhythmias, and progressive heart failure. HCM has a prevalence of 1:500 and about 40% of cases are due to autosomal dominant mutations in the MYH7 gene. MYH7 encodes the β-myosin heavy chain protein that acts as a molecular motor to drive active contraction during cardiac systole. More than 300 missense mutations in MYH7 have been linked to HCM pathology, and these mutations are distributed throughout the gene. There is no common mechanism that links each MYH7 mutation to the HCM phenotype; mutations can affect filament sliding velocity, ATPase rate, force, and calcium sensitivity of activation. Regardless of the exact mutation and its specific effect on actomyosin dynamics, the link between MYH7 mutation and HCM derives from mutant myosin protein that is expressed, stable, and exerts dominant negative effects.


Hundreds of dominant negative myosin mutations have been identified that lead to hypertrophic cardiomyopathy (HCM), and the biomechanical link between mutation and disease is heterogeneous across this patient demographic. This represents a major challenge for therapeutic intervention for the treatment or prevention of hypertrophic cardiomyopathy.


WO2015/042581 discloses a method of preventing or treating hypertrophic cardiomyopathy (HCM) in a subject having in their genome a first MYH7 allele comprising an HCM-causing mutation and a second MYH7 allele that does not comprise the HCM-causing mutation, the method comprising administering to the subject an interfering RNA molecule that selectively inactivates the transcript encoded by the first MYH7 allele compared to the transcript encoded by the second MYH7 allele. siRNAs targeting the T403Q mutation are disclosed.


WO 2015/113004 discloses a method for treating a subject having hypertrophic cardiomyopathy comprising administering a siRNA which selectively down-regulates expression of myosin heavy chain-403Q.


WO2016/149684 discloses a method for down-regulating disease causing alleles using RNAi therapeutics system, where subject samples are sequences to identify deleterious mutation on a particular allele as a common variant in phase with the deleterious mutation, and selecting a RNAi therapeutic targeting the common variant using the RNAi therapeutics system, and applying the selected RNAi therapeutics system utilizing a vector and the RNAi therapeutics system. The RNAi therapeutics system may include a 2′-O-methylated antisense nucleic acid phosphorothioate compound complementary to common variants of the Myh7 gene.


OBJECTIVE OF THE INVENTION

The present invention identifies novel oligonucleotides which modulate MYH7, which may be used for allelic selective inhibition of MYH7.


SUMMARY OF INVENTION

The present invention relates to oligonucleotides targeting a MYH7 nucleic acid which are capable of inhibiting the expression of MYH7.


The invention provides oligonucleotides which target the expression of a MYH7 allelic variant selected from a MYH7 allelic variant which comprises a single nucleotide polymorphism at a position selected from rs2239578, rs2069540, and rs7157716 (RefSNP see dbSNP, NCBI Homo sapiens Annotation Release 109, 2018-03-27, hereby incorporated by reference). These three common SNPs are found in intron 2, exon 3, and exon 24 of MYH7 pre-mRNA respectively, and are referred to as rs223, rs206, and rs715 herein.


In some embodiments the oligonucleotide of the invention selectively inhibits a MYH7 allelic variant, such as an allelic variant at a position of the human MYH7 transcript selected from rs223, rs206 and rs715.


The invention provides an antisense oligonucleotide targeting human myosin heavy chain 7 (Myh7) transcript, wherein said oligonucleotide comprises a contiguous nucleotide sequence of 10-30 nucleotides in length which are at least 90% complementary to a sequence selected from the group consisting of SEQ ID NOs 3-10.


The invention provides an antisense oligonucleotide targeting human myosin heavy chain 7 (Myh7) transcript, wherein said oligonucleotide comprises a contiguous nucleotide sequence of 10-30 nucleotides in length which are at least 90% complementary to a sequence selected from the group consisting of SEQ ID NOs 3 & 4, or SEQ ID NOs 5-10.


The invention provides an antisense oligonucleotide 10-40 nucleotides in length, targeting human myosin heavy chain 7 (Myh7) transcript, wherein said oligonucleotide comprises a contiguous nucleotide sequence of 10-30 nucleotides in length which are at least 90% complementary to a sequence selected from the group consisting of SEQ ID NOs 3 & 4, or SEQ ID NOs 5-10.


In some embodiments, the antisense oligonucleotide is complementary to a region of the sequence selected from SEQ ID NOs 3-10 wherein the region of complementarity comprises the 20th nucleotide from the 5′ end of the sequence selected from SEQ ID NOs 3-10.


In some embodiments, the antisense oligonucleotide is a LNA modified oligonucleotide, such as an LNA gapmer.


The invention provides for a conjugate comprising the oligonucleotide according to the invention and at least one conjugate moiety covalently attached to said oligonucleotide.


The invention provides for a pharmaceutically acceptable salt of the antisense oligonucleotide or the conjugate according to the invention,


The invention provides for a pharmaceutical composition comprising the antisense oligonucleotide or the conjugate of the invention and a pharmaceutically acceptable diluent, solvent, carrier, salt and/or adjuvant.


The invention provides for a method for modulating human myosin heavy chain 7 (Myh7) expression in a target cell which is expressing Myh7, said method comprising administering an oligonucleotide of the invention or the conjugate of the invention or the pharmaceutically acceptable salt of the invention or the pharmaceutical composition of the invention in an effective amount to said cell. In some embodiments the method is in vivo. In some embodiments the method is in vitro.


The invention provides for a method for treating or preventing a disease comprising administering a therapeutically or prophylactically effective amount of an oligonucleotide of the invention or the conjugate of the invention or the pharmaceutically acceptable salt of the invention or the pharmaceutical composition of the invention to a subject suffering from or susceptible to the disease.


In some embodiments the disease is hypertrophic cardiomyopathy.


The invention provides for an oligonucleotide of the invention or the conjugate of the invention or the pharmaceutically acceptable salt of the invention or the pharmaceutical composition of the invention for use in medicine.


The invention provides for an oligonucleotide of the invention or the conjugate of the invention or the pharmaceutically acceptable salt of the invention or the pharmaceutical composition of the invention for use in the treatment or prevention of hypertrophic cardiomyopathy.


The invention provides for the use of the oligonucleotide of the invention or the conjugate of the invention or the pharmaceutically acceptable salt of the invention or the pharmaceutical composition of the invention, for the preparation of a medicament for treatment or prevention of hypertrophic cardiomyopathy.


The invention provides for a method for treatment of a human subject in need to treatment for hypertrophic cardiomyopathy, said treatment comprising the step of:


a. Taking a biological sample from the human subject


b. Sequencing the Myh7 nucleic acid alleles present in the sample of the human subject;


c. Determine the presence of a disease associated Myh7 allelic variant of the Myh7 nucleic acid;


d. Administer a therapeutically effective amount of an antisense oligonucleotide to the human subject which is selective for the disease associated Myh7 allelic variant as compared to a non-disease associate allele, such as the oligonucleotide of the invention or the conjugate of the invention or the pharmaceutically acceptable salt of the invention or the pharmaceutical composition of the invention.





BRIEF DESCRIPTION OF FIGURES


FIG. 1. SNP Targeting strategy a) SNP heterozygosity across five genetic super populations. See http://www.internationalgenome.org/category/population/ for details on population descriptions. b) Developing ASOs for individual HCM mutations is not currently a feasible therapeutic strategy. By targeting SNPs, multiple MYH7 disease-causing mutations can be targeted with a single ASO.



FIG. 2. Evaluation of SNP-selective ASOs from initial library in skeletal muscle myoblast cell lines a) Example of concentration response curves for ASO A181 from the rs223-C sub-library showing high SNP-selectivity. Selectivity is defined as the IC50 in SNP-mismatched cells divided by the IC50 in SNP-matched cells. The vertical dashed lines indicate potencies estimated at 0.27 and 19 μM on matched and mismatched alleles, respectively, resulting in 70-fold selectivity. b-d) Potency and selectivity evaluated at day 10 are plotted for rs715, rs223, and rs206 ASOs from the initial library. ASOs targeting the C and T allele of a given SNP are shown as red and black dots, respectively. ASOs with selectivities >50-fold were all fixed at the same level on the y-axis. In the rs715 ASO plot b), the three diamond symbols indicate the ASOs selected for redesigns.



FIG. 3. Evaluation of SNP-selective ASOs from redesign library targeting the rs715 SNP. Potency and selectivity evaluated in a) human myoblast CC-2580 cells and b) human iPSC-derived cardiomyocytes. ASOs targeting the C and T allele of a given SNP are shown as red and black dots, respectively. Dots in pink and grey are parent ASOs from the initial library. The five diamond symbols indicate the ASOs selected for evaluation in mice. c) Correlation between potencies in CC-2580 cells and iPSC-CM cells. Significance of the correlation was determined by Spearman's rank correlation test.



FIG. 4. Time course study of SNP-selective knockdown. mRNA knockdown in human iPSC-derived cardiomyocytes was evaluated at six time points over a two-week period using allele-specific droplet digital PCR. At day 0, 250 nM of rs715-T targeting ASO A259 was added via gymnosis. SNP-matched knockdown is seen for up to two weeks, while the SNP-mismatched allele does not show knockdown. Data were normalized to the no ASO day 2 time point for each allele. Mean+/−SD from three independent experiments is shown. Significance between T alleles (no ASO vs ASO) was determined by two-way ANOVA followed by Sidak's multiple comparisons test (*p<0.05, ***p<0.001).



FIG. 5. Study of SNP-selective knockdown in mice. a) Allele-specific mRNA quantitation from mouse LV one week following ASO dosing (*p<0.05, **p<0.01, ***p<0.001 comparing C and T allele abundance within a group as determined by t-test). All five compounds significantly reduce the C allele compared to the T allele. Two compounds give significant knockdown of the C allele compared to the C allele in the saline group (###p<0.001 comparing to saline C allele as determined by one-way ANOVA followed by Dunnett's multiple comparisons test). b) ASO concentrations in heart (LV), liver, and kidney. On average, ASO concentration is 37× higher in kidney and 16× higher in liver compared to heart.



FIG. 6. a) 46 LNA gapmer ASOs were designed to various regions of the human MYH7 transcript (i.e. not SNP targeting). A subset of ASOs show robust knockdown at a concentration of 5 uM in 8220 myoblasts, establishing proof of concept that ASOs could be used to reduce MYH7 mRNA levels in vitro. A positive control ASO (S17) was identified from this initial dataset. b) The S17 positive control ASO shows similar knockdown at 5 uM in both 8220 and NH10 human skeletal muscle myoblasts, the two SNP homozygous cell lines used in the QuantiGene screen. This result suggests similar ASO uptake between the cell lines.



FIG. 7a. 102 ASOs were redesigned based on the A250 sequence, which targets the rs715-C allele (TCagcttggcgatgATCT; LNA uppercase, DNA lowercase). The primary sequence was maintained, but the distribution of LNA and DNA bases was varied. SNP-matched (C allele) and SNP-mismatched (T allele) knockdown at 0.5 uM is shown. Data points lying above the dotted line indicate stronger C allele knockdown. A250 data is shown with a larger black circle.



FIG. 7b. 162 ASOs were redesigned based on the A270 sequence, which targets the rs715-T allele (CTtggcaatgatctcATCC; LNA uppercase, DNA lowercase). The primary sequence was maintained, but the distribution of LNA and DNA bases was varied. SNP-matched (T allele) and SNP-mismatched (C allele) knockdown at 0.5 uM is shown. Data points lying below the dotted line indicate stronger T allele knockdown. A270 data is shown with a larger black circle.



FIG. 7c. ASOs were redesigned based on the A249 sequence, which targets the rs715-C allele (CAGcttggcgatgatCT; LNA uppercase, DNA lowercase). The primary sequence was maintained, but the distribution of LNA and DNA bases was varied. SNP-matched (C allele) and SNP-mismatched (T allele) knockdown at 0.5 uM is shown. Data points lying above the dotted line indicate stronger C allele knockdown. A249 data is shown with a larger black circle.



FIG. 8. Quantification of β-MHC in iCell2 hiPSC-CM with and without addition of A259 (rs715-T targeting ASO). β-MHC is not reduced at any timepoint, suggesting protein compensation by the SNP-mismatched allele. Bar graphs from n=3 independent experiments. Protein levels were normalized to the no ASO group at each timepoint.



FIG. 9. A small section of human MYH7 containing the rs715-C SNP and flanking sequence was inserted into one allele of the mouse Myh6 gene. The SNP base is shown in green. The other Myh6 allele was unchanged. This insertion of human sequence did not affect amino acid sequence. Five ASOs targeting the rs715-C allele were tested in these partially humanized mice. Because of the presence of an additional mismatch between human MYH7 and mouse Myh6 near the SNP position, all ASOs have two basepair mismatches between their template sequence and the WT Myh6 sequence.



FIG. 10. Weights and clinical chemistry following MYH7 ASO administration. No differences were seen in body weight change or heart weight/body weight. No difference was seen in the kidney injury marker BUN, but ASO B44 caused increased creatinine compared to vehicle. Liver injury markers (ALT, AST, AlkPhos) were increased following B44 and B56 dosing. *p<0.05, **p<0.01, ***p<0.001 compared to vehicle using one-way ANOVA and Dunnett's multiple comparisons test.





DEFINITIONS

Oligonucleotide


The term “oligonucleotide” as used herein is defined as it is generally understood by the skilled person as a molecule comprising two or more covalently linked nucleosides. Such covalently bound nucleosides may also be referred to as nucleic acid molecules or oligomers. Oligonucleotides are commonly made in the laboratory by solid-phase chemical synthesis followed by purification and isolation. When referring to a sequence of the oligonucleotide, reference is made to the sequence or order of nucleobase moieties, or modifications thereof, of the covalently linked nucleotides or nucleosides. The oligonucleotide of the invention is man-made, and is chemically synthesized, and is typically purified or isolated. The oligonucleotide of the invention may comprise one or more modified nucleosides or nucleotides, such as 2′ sugar modified nucleosides.


Antisense Oligonucleotides


The term “Antisense oligonucleotide” as used herein is defined as oligonucleotides capable of modulating expression of a target gene by hybridizing to a target nucleic acid, in particular to a contiguous sequence on a target nucleic acid. The antisense oligonucleotides are not essentially double stranded and are therefore not siRNAs or shRNAs. Preferably, the antisense oligonucleotides of the present invention are single stranded. It is understood that single stranded oligonucleotides of the present invention can form hairpins or intermolecular duplex structures (duplex between two molecules of the same oligonucleotide), as long as the degree of intra or inter self complementarity is less than 50% across of the full length of the oligonucleotide.


Advantageously, the single stranded antisense oligonucleotide of the invention does not contain RNA nucleosides, since this will decrease nuclease resistance.


Advantageously, the antisense oligonucleotide of the invention comprises one or more modified nucleosides or nucleotides, such as 2′ sugar modified nucleosides. Furthermore, it is advantageous that the nucleosides which are not modified are DNA nucleosides.


Contiguous Nucleotide Sequence


The term “contiguous nucleotide sequence” refers to the region of the oligonucleotide which is complementary to the target nucleic acid. The term is used interchangeably herein with the term “contiguous nucleobase sequence” and the term “oligonucleotide motif sequence”. In some embodiments all the nucleotides of the oligonucleotide constitute the contiguous nucleotide sequence. In some embodiments the oligonucleotide comprises the contiguous nucleotide sequence, such as a F-G-F′ gapmer region, and may optionally comprise further nucleotide(s), for example a nucleotide linker region which may be used to attach a functional group to the contiguous nucleotide sequence. The nucleotide linker region may or may not be complementary to the target nucleic acid.


Nucleotides


Nucleotides are the building blocks of oligonucleotides and polynucleotides, and for the purposes of the present invention include both naturally occurring and non-naturally occurring nucleotides. In nature, nucleotides, such as DNA and RNA nucleotides comprise a ribose sugar moiety, a nucleobase moiety and one or more phosphate groups (which is absent in nucleosides). Nucleosides and nucleotides may also interchangeably be referred to as “units” or “monomers”.


Modified Nucleoside


The term “modified nucleoside” or “nucleoside modification” as used herein refers to nucleosides modified as compared to the equivalent DNA or RNA nucleoside by the introduction of one or more modifications of the sugar moiety or the (nucleo)base moiety. In a preferred embodiment the modified nucleoside comprise a modified sugar moiety. The term modified nucleoside may also be used herein interchangeably with the term “nucleoside analogue” or modified “units” or modified “monomers”. Nucleosides with an unmodified DNA or RNA sugar moiety are termed DNA or RNA nucleosides herein. Nucleosides with modifications in the base region of the DNA or RNA nucleoside are still generally termed DNA or RNA if they allow Watson Crick base pairing.


Modified Internucleoside Linkages


The term “modified internucleoside linkage” is defined as generally understood by the skilled person as linkages other than phosphodiester (PO) linkages, that covalently couples two nucleosides together. The oligonucleotides of the invention may therefore comprise modified internucleoside linkages. In some embodiments, the modified internucleoside linkage increases the nuclease resistance of the oligonucleotide compared to a phosphodiester linkage. For naturally occurring oligonucleotides, the internucleoside linkage includes phosphate groups creating a phosphodiester bond between adjacent nucleosides. Modified internucleoside linkages are particularly useful in stabilizing oligonucleotides for in vivo use, and may serve to protect against nuclease cleavage at regions of DNA or RNA nucleosides in the oligonucleotide of the invention, for example within the gap region of a gapmer oligonucleotide, as well as in regions of modified nucleosides, such as region F and F′.


In an embodiment, the oligonucleotide comprises one or more internucleoside linkages modified from the natural phosphodiester, such one or more modified internucleoside linkages that is for example more resistant to nuclease attack. Nuclease resistance may be determined by incubating the oligonucleotide in blood serum or by using a nuclease resistance assay (e.g. snake venom phosphodiesterase (SVPD)), both are well known in the art. Internucleoside linkages which are capable of enhancing the nuclease resistance of an oligonucleotide are referred to as nuclease resistant internucleoside linkages. In some embodiments at least 50% of the internucleoside linkages in the oligonucleotide, or contiguous nucleotide sequence thereof, are modified, such as at least 60%, such as at least 70%, such as at least 80 or such as at least 90% of the internucleoside linkages in the oligonucleotide, or contiguous nucleotide sequence thereof, are nuclease resistant internucleoside linkages. In some embodiments all of the internucleoside linkages of the oligonucleotide, or contiguous nucleotide sequence thereof, are nuclease resistant internucleoside linkages. It will be recognized that, in some embodiments the nucleosides which link the oligonucleotide of the invention to a non-nucleotide functional group, such as a conjugate, may be phosphodiester.


A preferred modified internucleoside linkage is phosphorothioate.


Phosphorothioate internucleoside linkages are particularly useful due to nuclease resistance, beneficial pharmacokinetics and ease of manufacture. In some embodiments at least 50% of the internucleoside linkages in the oligonucleotide, or contiguous nucleotide sequence thereof, are phosphorothioate, such as at least 60%, such as at least 70%, such as at least 80% or such as at least 90% of the internucleoside linkages in the oligonucleotide, or contiguous nucleotide sequence thereof, are phosphorothioate. In some embodiments all of the internucleoside linkages of the oligonucleotide, or contiguous nucleotide sequence thereof, are phosphorothioate.


Nuclease resistant linkages, such as phosphorothioate linkages, are particularly useful in oligonucleotide regions capable of recruiting nuclease when forming a duplex with the target nucleic acid, such as region G for gapmers. Phosphorothioate linkages may, however, also be useful in non-nuclease recruiting regions and/or affinity enhancing regions such as regions F and F′ for gapmers. Gapmer oligonucleotides may, in some embodiments comprise one or more phosphodiester linkages in region F or F′, or both region F and F′, which the internucleoside linkage in region G may be fully phosphorothioate.


Advantageously, all the internucleoside linkages in the contiguous nucleotide sequence of the oligonucleotide are phosphorothioate linkages.


It is recognized that, as disclosed in EP2 742 135, antisense oligonucleotide may comprise other internucleoside linkages (other than phosphodiester and phosphorothioate), for example alkyl phosphonate/methyl phosphonate internucleosides, which according to EP2 742 135 may for example be tolerated in an otherwise DNA phosphorothioate the gap region.


Nucleobase


The term nucleobase includes the purine (e.g. adenine and guanine) and pyrimidine (e.g. uracil, thymine and cytosine) moiety present in nucleosides and nucleotides which form hydrogen bonds in nucleic acid hybridization. In the context of the present invention the term nucleobase also encompasses modified nucleobases which may differ from naturally occurring nucleobases, but are functional during nucleic acid hybridization. In this context “nucleobase” refers to both naturally occurring nucleobases such as adenine, guanine, cytosine, thymidine, uracil, xanthine and hypoxanthine, as well as non-naturally occurring variants. Such variants are for example described in Hirao et al (2012) Accounts of Chemical Research vol 45 page 2055 and Bergstrom (2009) Current Protocols in Nucleic Acid Chemistry Suppl. 37 1.4.1.


In a some embodiments the nucleobase moiety is modified by changing the purine or pyrimidine into a modified purine or pyrimidine, such as substituted purine or substituted pyrimidine, such as a nucleobased selected from isocytosine, pseudoisocytosine, 5-methyl cytosine, 5-thiozolo-cytosine, 5-propynyl-cytosine, 5-propynyl-uracil, 5-bromouracil 5-thiazolo-uracil, 2-thio-uracil, 2′thio-thymine, inosine, diaminopurine, 6-aminopurine, 2-aminopurine, 2,6-diaminopurine and 2-chloro-6-aminopurine.


The nucleobase moieties may be indicated by the letter code for each corresponding nucleobase, e.g. A, T, G, C or U, wherein each letter may optionally include modified nucleobases of equivalent function. For example, in the exemplified oligonucleotides, the nucleobase moieties are selected from A, T, G, C, and 5-methyl cytosine. Optionally, for LNA gapmers, 5-methyl cytosine LNA nucleosides may be used.


Modified Oligonucleotide


The term modified oligonucleotide describes an oligonucleotide comprising one or more sugar-modified nucleosides and/or modified internucleoside linkages. The term chimeric” oligonucleotide is a term that has been used in the literature to describe oligonucleotides with modified nucleosides.


Complementarity


The term “complementarity” describes the capacity for Watson-Crick base-pairing of nucleosides/nucleotides. Watson-Crick base pairs are guanine (G)-cytosine (C) and adenine (A)—thymine (T)/uracil (U). It will be understood that oligonucleotides may comprise nucleosides with modified nucleobases, for example 5-methyl cytosine is often used in place of cytosine, and as such the term complementarity encompasses Watson Crick base-paring between non-modified and modified nucleobases (see for example Hirao et al (2012) Accounts of Chemical Research vol 45 page 2055 and Bergstrom (2009) Current Protocols in Nucleic Acid Chemistry Suppl. 37 1.4.1).


The term “% complementary” as used herein, refers to the proportion of nucleotides (in percent) of a contiguous nucleotide sequence in a nucleic acid molecule (e.g. oligonucleotide) which across the contiguous nucleotide sequence, are complementary to a reference sequence (e.g. a target sequence or sequence motif). The percentage of complementarity is thus calculated by counting the number of aligned nucleobases that are complementary (from Watson Crick base pair) between the two sequences (when aligned with the target sequence 5′-3′ and the oligonucleotide sequence from 3′-5′), dividing that number by the total number of nucleotides in the oligonucleotide and multiplying by 100. In such a comparison a nucleobase/nucleotide which does not align (form a base pair) is termed a mismatch. Insertions and deletions are not allowed in the calculation of % complementarity of a contiguous nucleotide sequence. It will be understood that in determining complementarity, chemical modifications of the nucleobases are disregarded as long as the functional capacity of the nucleobase to form Watson Crick base pairing is retained (e.g. 5′-methyl cytosine is considered identical to a cytosine for the purpose of calculating % identity).


The term “fully complementary”, refers to 100% complementarity.


Identity


The term “Identity” as used herein, refers to the proportion of nucleotides (expressed in percent) of a contiguous nucleotide sequence in a nucleic acid molecule (e.g. oligonucleotide) which across the contiguous nucleotide sequence, are identical to a reference sequence (e.g. a sequence motif). The percentage of identity is thus calculated by counting the number of aligned nucleobases that are identical (a Match) between two sequences (in the contiguous nucleotide sequence of the compound of the invention and in the reference sequence), dividing that number by the total number of nucleotides in the oligonucleotide and multiplying by 100. Therefore, Percentage of Identity=(Matches×100)/Length of aligned region (e.g. the contiguous nucleotide sequence). Insertions and deletions are not allowed in the calculation the percentage of identity of a contiguous nucleotide sequence. It will be understood that in determining identity, chemical modifications of the nucleobases are disregarded as long as the functional capacity of the nucleobase to form Watson Crick base pairing is retained (e.g. 5-methyl cytosine is considered identical to a cytosine for the purpose of calculating % identity).


Hybridization


The term “hybridizing” or “hybridizes” as used herein is to be understood as two nucleic acid strands (e.g. an oligonucleotide and a target nucleic acid) forming hydrogen bonds between base pairs on opposite strands thereby forming a duplex. The affinity of the binding between two nucleic acid strands is the strength of the hybridization. It is often described in terms of the melting temperature (Tm) defined as the temperature at which half of the oligonucleotides are duplexed with the target nucleic acid. At physiological conditions Tm is not strictly proportional to the affinity (Mergny and Lacroix, 2003, Oligonucleotides 13:515-537). The standard state Gibbs free energy ΔG° is a more accurate representation of binding affinity and is related to the dissociation constant (Kd) of the reaction by ΔG°=−RTIn(Kd), where R is the gas constant and T is the absolute temperature. Therefore, a very low ΔG° of the reaction between an oligonucleotide and the target nucleic acid reflects a strong hybridization between the oligonucleotide and target nucleic acid. ΔG° is the energy associated with a reaction where aqueous concentrations are 1M, the pH is 7, and the temperature is 37° C. The hybridization of oligonucleotides to a target nucleic acid is a spontaneous reaction and for spontaneous reactions ΔG° is less than zero. ΔG° can be measured experimentally, for example, by use of the isothermal titration calorimetry (ITC) method as described in Hansen et al., 1965, Chem. Comm. 36-38 and Holdgate et al., 2005, Drug Discov Today. The skilled person will know that commercial equipment is available for ΔG° measurements. ΔG° can also be estimated numerically by using the nearest neighbor model as described by SantaLucia, 1998, Proc Natl Acad Sci USA. 95: 1460-1465 using appropriately derived thermodynamic parameters described by Sugimoto et al., 1995, Biochemistry 34:11211-11216 and McTigue et al., 2004, Biochemistry 43:5388-5405. In order to have the possibility of modulating its intended nucleic acid target by hybridization, oligonucleotides of the present invention hybridize to a target nucleic acid with estimated ΔG° values below −10 kcal for oligonucleotides that are 10-30 nucleotides in length. In some embodiments the degree or strength of hybridization is measured by the standard state Gibbs free energy ΔG°. The oligonucleotides may hybridize to a target nucleic acid with estimated ΔG° values below the range of −10 kcal, such as below −15 kcal, such as below −20 kcal and such as below −25 kcal for oligonucleotides that are 8-30 nucleotides in length. In some embodiments the oligonucleotides hybridize to a target nucleic acid with an estimated ΔG° value of −10 to −60 kcal, such as −12 to −40, such as from −15 to −30 kcal or −16 to −27 kcal such as −18 to −25 kcal.


Target Nucleic Acid


According to the present invention, the target nucleic acid is a nucleic acid which encodes human MYH7 and may for example be a gene, a RNA, a mRNA, and pre-mRNA, a mature mRNA or a cDNA sequence. The target may therefore be referred to as an MYH7 target nucleic acid. In some embodiments, the target nucleic acid is selected from the group consisting of SEQ ID NO: 1, and SEQ ID NO 2, or naturally occurring variants thereof (e.g. sequences encoding a human MYH7 protein. In some embodiments, the target nucleic acid is an allelic variant of the human MYH7 transcript. In some embodiment


In some embodiments the target nucleic acid is a MYH7 allelic variant which comprises a polymorphism in at a position of the human MYH7 transcript selected from rs223, rs206 and rs715.


In some embodiments the polymorphism is selected from rs223T or rs223C.


In some embodiments the polymorphism is selected from rs206C or rs206T.


In some embodiments the polymorphism is selected from rs715C or rs715T.


In some embodiments the oligonucleotide on the invention selectively inhibits the target nucleic acid as compared to an alternative allelic variant of the target nucleic acid. The target nucleic acid and the alternative allelic variant comprise a single nucleotide polymorphism within the region which is complementary to the oligonucleotide of the invention or contiguous nucleotide sequence thereof. Selective inhibition refers to a higher inhibitory activity (higher potency) against the target nucleic acid as compared to the allelic variant. Selective inhibition can be determined in vitro (IC50) or in vivo (e.g. ED50).


If employing the oligonucleotide of the invention in research or diagnostics the target nucleic acid may be a cDNA or a synthetic nucleic acid derived from DNA or RNA.


For in vivo or in vitro application, the oligonucleotide of the invention is typically capable of inhibiting the expression of the MYH7 target nucleic acid in a cell which is expressing the MYH7 target nucleic acid. The contiguous sequence of nucleobases of the oligonucleotide of the invention is typically complementary to the MYH7 target nucleic acid, as measured across the length of the oligonucleotide, optionally with the exception of one or two mismatches, and optionally excluding nucleotide based linker regions which may link the oligonucleotide to an optional functional group such as a conjugate, or other non-complementary terminal nucleotides (e.g. region D′ or D″). The target nucleic acid may, in some embodiments, be a RNA or DNA, such as a messenger RNA, such as a mature mRNA or a pre-mRNA. In some embodiments the target nucleic acid is a RNA or DNA which encodes mammalian MYH7 protein, such as human MYH7, e.g. the human MYH7 mRNA sequence, such as that disclosed as SEQ ID NO 1 or 2.









TABLE 1







Genome and assembly information for MYH7.









NCBI reference











Genomic coordinates

sequence* accession













Species
Chr.
Strand
Start
End
Assembly
number for mRNA





Human
14
Rv
23412738
23435718
GRCh38
NM_000257





Fwd = forward strand. Rv = reverse strand. The genome coordinates provide the pre-mRNA sequence (genomic sequence). The NCBI reference provides the mRNA sequence (cDNA sequence).


*The National Center for Biotechnology Information reference sequence database is a comprehensive, integrated, non-redundant, well-annotated set of reference sequences including genomic, transcript, and protein. It is hosted at www.ncbi.nlm.nih.gov/refseq.













TABLE 2







Sequence details for human MYH7.












Species
RNA type
Length (nt)
SEQ ID NO















Human
premRNA
1



Human
mRNA
2










Target Sequence


The term “target sequence” as used herein refers to a sequence of nucleotides present in the target nucleic acid which comprises the nucleobase sequence which is complementary to the oligonucleotide of the invention. In some embodiments, the target sequence consists of a region on the target nucleic acid with a nucleobase sequence that is complementary to the contiguous nucleotide sequence of the oligonucleotide of the invention. This region of the target nucleic acid may interchangeably be referred to as the target nucleotide sequence, target sequence or target region. In some embodiments the target sequence is longer than the complementary sequence of a single oligonucleotide, and may, for example represent a preferred region of the target nucleic acid which may be targeted by several oligonucleotides of the invention.


In some embodiments the target sequence is a sequence selected from the group consisting of SEQ ID NO 3-10.









TABLE 3







Human MYH7 SNP regions.










SEQ ID NO
SNP ID
Sequence
Allele













3
rs223-t
AGAAAAGCTGAAGCTAGAGTGTTGAAAATCTAGTAAGAC
REF





4
rs223-c
AGAAAAGCTGAAGCTAGAGCGTTGAAAATCTAGTAAGAC
ALT





5
rs206-c
GCAAAGTCACTGCCGAGACCGAGTATGGCAAGACAGTGA
REF





6
rs206-t
GCAAAGTCACTGCCGAGACTGAGTATGGCAAGACAGTGA
ALT





7
rs206-c-pre
GCAAAGTCACTGCCGAGACCGAGTATGGCAAGGTGGGTG
REF





8
rs206-t-pre
GCAAAGTCACTGCCGAGACTGAGTATGGCAAGGTGGGTG
ALT





9
rs715-t
CTGGGCTGGATGAGATCATTGCCAAGCTGACCAAGGAGA
REF





10
rs715-c
CTGGGCTGGATGAGATCATCGCCAAGCTGACCAAGGAGA
ALT





The SNP positions are underlined.


REF = Reference. ALT = Alternative.






The bold underlined residue identifies a single nucleotide polymorphism (SNP) which the oligonucleotides of the invention may target (either the REF or ALT may be present in the target nucleic acid) REF refers to the designated wildtype allele of the highlighted SNP, ALT refers to an allelic variant. The respective location of SEQ ID NO 3-10 on the human MYH7 transcript sequences SEQ ID NO 1 or 2 are illustrated in table 4:









TABLE 4







Positions of human MYH7 SNP regions in the MYH7 mRNA and pre-mRNA














SEQ ID NO 1
SEQ ID NO 1
SEQ ID NO 2
SEQ ID NO 2


SEQ ID NO
SNP ID
start
end
start
end















3
rs223-t
1529
1567




4
rs223-c
1529
1567


5
rs206-c


301
339


6
rs206-t


301
339


7
rs206-c-pre
2156
2194


8
rs206-t-pre
2156
2194


9
rs715-t
12021
12059
3079
3117


10
rs715-c
12021
12059
3079
3117









The oligonucleotide of the invention comprises a contiguous nucleotide sequence which is complementary to or hybridizes to the target nucleic acid, such as a target sequence described herein, such as a sequence selected from the group consisting of SEQ ID NO 1-10.


The oligonucleotide of the invention comprises a contiguous nucleotide sequence which is complementary to or hybridizes to the target nucleic acid, such as a target sequence described herein, such as a sequence selected from the group consisting of SEQ ID NOs 3 and 4.


The oligonucleotide of the invention comprises a contiguous nucleotide sequence which is complementary to or hybridizes to the target nucleic acid, such as a target sequence described herein, such as a sequence selected from the group consisting of SEQ ID NOs 5 and 6.


The oligonucleotide of the invention comprises a contiguous nucleotide sequence which is complementary to or hybridizes to the target nucleic acid, such as a target sequence described herein, such as a sequence selected from the group consisting of SEQ ID NOs 7-10.


The target sequence to which the oligonucleotide is complementary or hybridizes to generally comprises a contiguous nucleobases sequence of at least 10 nucleotides. The contiguous nucleotide sequence is between 10 to 40 nucleotides, such as 12 to 30, such as 14 to 20, such as 15 to 18 contiguous nucleotides.


Target Cell


The term a “target cell” as used herein refers to a cell which is expressing the target nucleic acid. In some embodiments the target cell may be in vivo or in vitro. In some embodiments the target cell is a mammalian cell such as a human cell. For experimental purposes, the target call may be an animal cell such as a mouse cell which is heterologously expressing the target nucleic acid.


In preferred embodiments the target cell expresses the target nucleic acid MYH7 mRNA, such as the MYH7 pre-mRNA or MYH7 mature mRNA. The poly A tail of MYH7 mRNA is typically disregarded for antisense oligonucleotide targeting.


Naturally Occurring Variant


The term “naturally occurring variant” refers to variants of MYH7 gene or transcripts which originate from the same genetic loci as the target nucleic acid, but may differ for example, by virtue of degeneracy of the genetic code causing a multiplicity of codons encoding the same amino acid, or due to alternative splicing of pre-mRNA, or the presence of polymorphisms, such as single nucleotide polymorphisms (SNPs), and allelic variants. Based on the presence of the sufficient complementary sequence to the oligonucleotide, the oligonucleotide of the invention may therefore target the target nucleic acid and naturally occurring variants thereof.


In some embodiments, the naturally occurring variants have at least 95% such as at least 98% or at least 99% homology or 100% homologous to a mammalian MYH7 target nucleic acid, such as a target nucleic acid selected form the group consisting of SEQ ID NO 1 or SEQ ID NO 2, or a target nucleic acid sequence selected from the group consisting of SEQ ID No 3-10. In some embodiments the naturally occurring variants have at least 99% homology to the human MYH7 target nucleic acid of SEQ ID NO: 1. In some embodiments the naturally occurring variants are the polymorphisms listed in table 3 or 4.


Selectivity


In some aspects it is advantageous that the compounds of the invention have a higher or lower potency against the expression of one allelic variant of MYH7 as compared to the wildtype MYH7 (e.g. SEQ ID NO 1 or 2), for example the allelic variants listed in table 3.


In some aspects it is advantageous that the compounds of the invention have a higher or lower potency against the expression of one allelic variant of MYH7 rs206T as compared to the wildtype MYH7 rs206C.


In some aspects it is advantageous that the compounds of the invention have a higher or lower potency against the expression of one allelic variant of MYH7 rs223C as compared to the wildtype MYH7 rs223T.


In some aspects it is advantageous that the compounds of the invention have a higher or lower potency against the expression of one allelic variant of MYH7 rs715C as compared to the wildtype MYH7 rs715T.


As illustrated in the examples selective inhibition may be determined in vitro in cell lines which are expressing both MYH7 alleles, or in separate cell lines which are each expressing one of the MYH7 allele variants.


Modulation of Expression


The term “modulation of expression” as used herein is to be understood as an overall term for an oligonucleotide's ability to alter the amount of MYH7 when compared to the amount of MYH7 before administration of the oligonucleotide. Alternatively modulation of expression may be determined by reference to a control experiment. It is generally understood that the control is an individual or target cell treated with a saline composition or an individual or target cell treated with a non-targeting oligonucleotide (mock). It may however also be an individual treated with the standard of care.


One type of modulation is the ability of an oligonucleotide to inhibit, down-regulate, reduce, suppress, remove, stop, block, prevent, lessen, lower, avoid or terminate expression of MYH7, e.g. by degradation of mRNA or blockage of transcription.


High Affinity Modified Nucleosides


A high affinity modified nucleoside is a modified nucleotide which, when incorporated into the oligonucleotide enhances the affinity of the oligonucleotide for its complementary target, for example as measured by the melting temperature (Tm). A high affinity modified nucleoside of the present invention preferably result in an increase in melting temperature between +0.5 to +12° C., more preferably between +1.5 to +10° C. and most preferably between +3 to +8° C. per modified nucleoside. Numerous high affinity modified nucleosides are known in the art and include for example, many 2′ substituted nucleosides as well as locked nucleic acids (LNA) (see e.g. Freier & Altmann; Nucl. Acid Res., 1997, 25, 4429-4443 and Uhlmann; Curr. Opinion in Drug Development, 2000, 3(2), 293-213).


Sugar Modifications


The oligomer of the invention may comprise one or more nucleosides which have a modified sugar moiety, i.e. a modification of the sugar moiety when compared to the ribose sugar moiety found in DNA and RNA.


Numerous nucleosides with modification of the ribose sugar moiety have been made, primarily with the aim of improving certain properties of oligonucleotides, such as affinity and/or nuclease resistance.


Such modifications include those where the ribose ring structure is modified, e.g. by replacement with a hexose ring (HNA), or a bicyclic ring, which typically have a biradicle bridge between the C2 and C4 carbons on the ribose ring (LNA), or an unlinked ribose ring which typically lacks a bond between the C2 and C3 carbons (e.g. UNA). Other sugar modified nucleosides include, for example, bicyclohexose nucleic acids (WO2011/017521) or tricyclic nucleic acids (WO2013/154798). Modified nucleosides also include nucleosides where the sugar moiety is replaced with a non-sugar moiety, for example in the case of peptide nucleic acids (PNA), or morpholino nucleic acids.


Sugar modifications also include modifications made via altering the substituent groups on the ribose ring to groups other than hydrogen, or the 2′-OH group naturally found in DNA and RNA nucleosides. Substituents may, for example be introduced at the 2′, 3′, 4′ or 5′ positions.


2′ Sugar Modified Nucleosides


A 2′ sugar modified nucleoside is a nucleoside which has a substituent other than H or —OH at the 2′ position (2′ substituted nucleoside) or comprises a 2′ linked biradicle capable of forming a bridge between the 2′ carbon and a second carbon in the ribose ring, such as LNA (2′-4′ biradicle bridged) nucleosides.


Indeed, much focus has been spent on developing 2′ sugar substituted nucleosides, and numerous 2′ substituted nucleosides have been found to have beneficial properties when incorporated into oligonucleotides. For example, the 2′ modified sugar may provide enhanced binding affinity and/or increased nuclease resistance to the oligonucleotide. Examples of 2′ substituted modified nucleosides are 2′-O-alkyl-RNA, 2′-O-methyl-RNA, 2′-alkoxy-RNA, 2′-O-methoxyethyl-RNA (MOE), 2′-amino-DNA, 2′-Fluoro-RNA, and 2′-F-ANA nucleoside. For further examples, please see e.g. Freier & Altmann; Nucl. Acid Res., 1997, 25, 4429-4443 and Uhlmann; Curr. Opinion in Drug Development, 2000, 3(2), 293-213, and Deleavey and Damha, Chemistry and Biology 2012, 19, 937. Below are illustrations of some 2′ substituted modified nucleosides.




embedded image


In relation to the present invention 2′ substituted sugar modified nucleosides does not include 2′ bridged nucleosides like LNA.


Locked Nucleic Acids (LNA)


A “LNA nucleoside” is a 2′-modified nucleoside which comprises a biradical linking the C2′ and C4′ of the ribose sugar ring of said nucleoside (also referred to as a “2′-4′ bridge”), which restricts or locks the conformation of the ribose ring. These nucleosides are also termed bridged nucleic acid or bicyclic nucleic acid (BNA) in the literature. The locking of the conformation of the ribose is associated with an enhanced affinity of hybridization (duplex stabilization) when the LNA is incorporated into an oligonucleotide for a complementary RNA or DNA molecule. This can be routinely determined by measuring the melting temperature of the oligonucleotide/complement duplex.


Non limiting, exemplary LNA nucleosides are disclosed in WO 99/014226, WO 00/66604, WO 98/039352 , WO 2004/046160, WO 00/047599, WO 2007/134181, WO 2010/077578, WO 2010/036698, WO 2007/090071, WO 2009/006478, WO 2011/156202, WO 2008/154401, WO 2009/067647, WO 2008/150729, Morita et al., Bioorganic & Med. Chem. Lett. 12, 73-76, Seth et al. J. Org. Chem. 2010, Vol 75(5) pp. 1569-81, and Mitsuoka et al., Nucleic Acids Research 2009, 37(4), 1225-1238, and Wan and Seth, J. Medical Chemistry 2016, 59, 9645-9667. Further non limiting, exemplary LNA nucleosides are disclosed in Scheme 1.


Scheme 1:




embedded image


Particular LNA nucleosides are beta-D-oxy-LNA, 6′-methyl-beta-D-oxy LNA such as (S)-6′-methyl-beta-D-oxy-LNA (ScET) and ENA.


A particularly advantageous LNA is beta-D-oxy-LNA.


RNase H Activity and Recruitment


The RNase H activity of an antisense oligonucleotide refers to its ability to recruit RNase H when in a duplex with a complementary RNA molecule. WO01/23613 provides in vitro methods for determining RNaseH activity, which may be used to determine the ability to recruit RNaseH. Typically an oligonucleotide is deemed capable of recruiting RNase H if it, when provided with a complementary target nucleic acid sequence, has an initial rate, as measured in pmol/l/min, of at least 5%, such as at least 10% or more than 20% of the of the initial rate determined when using a oligonucleotide having the same base sequence as the modified oligonucleotide being tested, but containing only DNA monomers with phosphorothioate linkages between all monomers in the oligonucleotide, and using the methodology provided by Example 91-95 of WO01/23613 (hereby incorporated by reference). For use in determining RHase H activity, recombinant human RNase H1 is available from Lubio Science GmbH, Lucerne, Switzerland.


Gapmer


The antisense oligonucleotide of the invention, or contiguous nucleotide sequence thereof may be a gapmer. The antisense gapmers are commonly used to inhibit a target nucleic acid via RNase H mediated degradation. A gapmer oligonucleotide comprises at least three distinct structural regions a 5′-flank, a gap and a 3′-flank, F-G-F′ in the ‘5→3’ orientation. The “gap” region (G) comprises a stretch of contiguous DNA nucleotides which enable the oligonucleotide to recruit RNase H. The gap region is flanked by a 5′ flanking region (F) comprising one or more sugar modified nucleosides, advantageously high affinity sugar modified nucleosides, and by a 3′ flanking region (F′) comprising one or more sugar modified nucleosides, advantageously high affinity sugar modified nucleosides. The one or more sugar modified nucleosides in region F and F′ enhance the affinity of the oligonucleotide for the target nucleic acid (i.e. are affinity enhancing sugar modified nucleosides). In some embodiments, the one or more sugar modified nucleosides in region F and F′ are 2′ sugar modified nucleosides, such as high affinity 2′ sugar modifications, such as independently selected from LNA and 2′-MOE.


In a gapmer design, the 5′ and 3′ most nucleosides of the gap region are DNA nucleosides, and are positioned adjacent to a sugar modified nucleoside of the 5′ (F) or 3′ (F′) region respectively. The flanks may further defined by having at least one sugar modified nucleoside at the end most distant from the gap region, i.e. at the 5′ end of the 5′ flank and at the 3′ end of the 3′ flank. Regions F-G-F′ form a contiguous nucleotide sequence. Antisense oligonucleotides of the invention, or the contiguous nucleotide sequence thereof, may comprise a gapmer region of formula F-G-F′.


The overall length of the gapmer design F-G-F′ may be, for example 12 to 32 nucleosides, such as 13 to 24, such as 14 to 22 nucleosides, Such as from 14 to17, such as 16 to18 nucleosides. By way of example, the gapmer oligonucleotide of the present invention can be represented by the following formulae:





F1-8-G5-16-F′1-8, such as





F1-8-G7-16-F′2-8


with the proviso that the overall length of the gapmer regions F-G-F′ is at least 12, such as at least 14 nucleotides in length.


Regions F, G and F′ are further defined below and can be incorporated into the F-G-F′ formula.


Gapmer—Region G


Region G (gap region) of the gapmer is a region of nucleosides which enables the oligonucleotide to recruit RNaseH, such as human RNase H1, typically DNA nucleosides. RNaseH is a cellular enzyme which recognizes the duplex between DNA and RNA, and enzymatically cleaves the RNA molecule. Suitably gapmers may have a gap region (G) of at least 5 or 6 contiguous DNA nucleosides, such as 5-16 contiguous DNA nucleosides, such as 6-15 contiguous DNA nucleosides, such as 7-14 contiguous DNA nucleosides, such as 8-12 contiguous DNA nucleotides, such as 8-12 contiguous DNA nucleotides in length. The gap region G may, in some embodiments consist of 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 or 16 contiguous DNA nucleosides. One or more cytosine (C) DNA in the gap region may in some instances be methylated (e.g. when a DNA c is followed by a DNA g) such residues are either annotated as 5-methyl-cytosine (meC). In some embodiments the gap region G may consist of 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 or 16 contiguous phosphorothioate linked DNA nucleosides. In some embodiments, all internucleoside linkages in the gap are phosphorothioate linkages. Whilst traditional gapmers have a DNA gap region, there are numerous examples of modified nucleosides which allow for RNaseH recruitment when they are used within the gap region. Modified nucleosides which have been reported as being capable of recruiting RNaseH when included within a gap region include, for example, alpha-L-LNA, C4′ alkylated DNA (as described in PCT/EP2009/050349 and Vester et al., Bioorg. Med. Chem. Lett. 18 (2008) 2296-2300, both incorporated herein by reference), arabinose derived nucleosides like ANA and 2′F-ANA (Mangos et al. 2003 J. AM. CHEM. SOC. 125, 654-661), UNA (unlocked nucleic acid) (as described in Fluiter et al., Mol. Biosyst., 2009, 10, 1039 incorporated herein by reference). UNA is unlocked nucleic acid, typically where the bond between C2 and C3 of the ribose has been removed, forming an unlocked “sugar” residue. The modified nucleosides used in such gapmers may be nucleosides which adopt a 2′ endo (DNA like) structure when introduced into the gap region, i.e. modifications which allow for RNaseH recruitment). In some embodiments the DNA Gap region (G) described herein may optionally contain 1 to 3 sugar modified nucleosides which adopt a 2′ endo (DNA like) structure when introduced into the gap region.


Region G—“Gap-Breaker”


Alternatively, there are numerous reports of the insertion of a modified nucleoside which confers a 3′ endo conformation into the gap region of gapmers, whilst retaining some RNaseH activity. Such gapmers with a gap region comprising one or more 3′endo modified nucleosides are referred to as “gap-breaker” or “gap-disrupted” gapmers, see for example WO2013/022984. Gap-breaker oligonucleotides retain sufficient region of DNA nucleosides within the gap region to allow for RNaseH recruitment. The ability of gapbreaker oligonucleotide design to recruit RNaseH is typically sequence or even compound specific—see Rukov et al. 2015 Nucl. Acids Res. Vol. 43 pp. 8476-8487, which discloses “gapbreaker” oligonucleotides which recruit RNaseH which in some instances provide a more specific cleavage of the target RNA. Modified nucleosides used within the gap region of gap-breaker oligonucleotides may for example be modified nucleosides which confer a 3′endo confirmation, such 2′-O-methyl (OMe) or 2′-O-MOE (MOE) nucleosides, or beta-D LNA nucleosides (the bridge between C2′ and C4′ of the ribose sugar ring of a nucleoside is in the beta conformation), such as beta-D-oxy LNA or ScET nucleosides.


As with gapmers containing region G described above, the gap region of gap-breaker or gap-disrupted gapmers, have a DNA nucleosides at the 5′ end of the gap (adjacent to the 3′ nucleoside of region F), and a DNA nucleoside at the 3′ end of the gap (adjacent to the 5′ nucleoside of region F′). Gapmers which comprise a disrupted gap typically retain a region of at least 3 or 4 contiguous DNA nucleosides at either the 5′ end or 3′ end of the gap region. Exemplary designs for gap-breaker oligonucleotides include





F1-8-[D3-4-E1-D3-4]-F′1-8





F1-8-[D1-4-E1-D3-4]-F′1-8





F1-8-[D3-4-E1-D1-4]-F′1-8


wherein region G is within the brackets [Dn-Er-Dm], D is a contiguous sequence of DNA nucleosides, E is a modified nucleoside (the gap-breaker or gap-disrupting nucleoside), and F and F′ are the flanking regions as defined herein, and with the proviso that the overall length of the gapmer regions F-G-F′ is at least 12, such as at least 14 nucleotides in length. In some embodiments, region G of a gap disrupted gapmer comprises at least 6 DNA nucleosides, such as 6, 7, 8, 9, 10, 11, 12, 13, 14, 15 or 16 DNA nucleosides. As described above, the DNA nucleosides may be contiguous or may optionally be interspersed with one or more modified nucleosides, with the proviso that the gap region G is capable of mediating RNaseH recruitment.


Gapmer—Flanking Regions, F and F′


Region F is positioned immediately adjacent to the 5′ DNA nucleoside of region G. The 3′ most nucleoside of region F is a sugar modified nucleoside, such as a high affinity sugar modified nucleoside, for example a 2′ substituted nucleoside, such as a MOE nucleoside, or an LNA nucleoside.


Region F′ is positioned immediately adjacent to the 3′ DNA nucleoside of region G. The 5′ most nucleoside of region F′ is a sugar modified nucleoside, such as a high affinity sugar modified nucleoside, for example a 2′ substituted nucleoside, such as a MOE nucleoside, or an LNA nucleoside.


Region F is 1-8 contiguous nucleotides in length, such as 2-6, such as 3-4 contiguous nucleotides in length. Advantageously the 5′ most nucleoside of region F is a sugar modified nucleoside. In some embodiments the two 5′ most nucleoside of region F are sugar modified nucleoside. In some embodiments the 5′ most nucleoside of region F is an LNA nucleoside. In some embodiments the two 5′ most nucleoside of region F are LNA nucleosides. In some embodiments the two 5′ most nucleoside of region F are 2′ substituted nucleoside nucleosides, such as two 3′ MOE nucleosides. In some embodiments the 5′ most nucleoside of region F is a 2′ substituted nucleoside, such as a MOE nucleoside.


Region F′ is 2-8 contiguous nucleotides in length, such as 3-6, such as 4-5 contiguous nucleotides in length. Advantageously, embodiments the 3′ most nucleoside of region F′ is a sugar modified nucleoside. In some embodiments the two 3′ most nucleoside of region F′ are sugar modified nucleoside. In some embodiments the two 3′ most nucleoside of region F′ are LNA nucleosides. In some embodiments the 3′ most nucleoside of region F′ is an LNA nucleoside. In some embodiments the two 3′ most nucleoside of region F′ are 2′ substituted nucleoside nucleosides, such as two 3′ MOE nucleosides. In some embodiments the 3′ most nucleoside of region F′ is a 2′ substituted nucleoside, such as a MOE nucleoside.


It should be noted that when the length of region F or F′ is one, it is advantageously an LNA nucleoside.


In some embodiments, region F and F′ independently consists of or comprises a contiguous sequence of sugar modified nucleosides. In some embodiments, the sugar modified nucleosides of region F may be independently selected from 2′-O-alkyl-RNA units, 2′-O-methyl-RNA, 2′-amino-DNA units, 2′-fluoro-DNA units, 2′-alkoxy-RNA, MOE units, LNA units, arabino nucleic acid (ANA) units and 2′-fluoro-ANA units.


In some embodiments, region F and F′ independently comprises both LNA and a 2′ substituted modified nucleosides (mixed wing design).


In some embodiments, region F and F′ consists of only one type of sugar modified nucleosides, such as only MOE or only beta-D-oxy LNA or only ScET. Such designs are also termed uniform flanks or uniform gapmer design.


In some embodiments, all the nucleosides of region F or F′, or F and F′ are LNA nucleosides, such as independently selected from beta-D-oxy LNA, ENA or ScET nucleosides. In some embodiments region F consists of 1-5, such as 2-4, such as 3-4 such as 1, 2, 3, 4 or 5 contiguous LNA nucleosides. In some embodiments, all the nucleosides of region F and F′ are beta-D-oxy LNA nucleosides.


In some embodiments, all the nucleosides of region F or F′, or F and F′ are 2′ substituted nucleosides, such as OMe or MOE nucleosides. In some embodiments region F consists of 1, 2, 3, 4, 5, 6, 7, or 8 contiguous OMe or MOE nucleosides. In some embodiments only one of the flanking regions can consist of 2′ substituted nucleosides, such as OMe or MOE nucleosides. In some embodiments it is the 5′ (F) flanking region that consists 2′ substituted nucleosides, such as OMe or MOE nucleosides whereas the 3′ (F′) flanking region comprises at least one LNA nucleoside, such as beta-D-oxy LNA nucleosides or cET nucleosides. In some embodiments it is the 3′ (F′) flanking region that consists 2′ substituted nucleosides, such as OMe or MOE nucleosides whereas the 5′ (F) flanking region comprises at least one LNA nucleoside, such as beta-D-oxy LNA nucleosides or cET nucleosides.


In some embodiments, all the modified nucleosides of region F and F′ are LNA nucleosides, such as independently selected from beta-D-oxy LNA, ENA or ScET nucleosides, wherein region F or F′, or F and F′ may optionally comprise DNA nucleosides (an alternating flank, see definition of these for more details). In some embodiments, all the modified nucleosides of region F and F′ are beta-D-oxy LNA nucleosides, wherein region F or F′, or F and F′ may optionally comprise DNA nucleosides (an alternating flank, see definition of these for more details).


In some embodiments the 5′ most and the 3′ most nucleosides of region F and F′ are LNA nucleosides, such as beta-D-oxy LNA nucleosides or ScET nucleosides.


In some embodiments, the internucleoside linkage between region F and region G is a phosphorothioate internucleoside linkage. In some embodiments, the internucleoside linkage between region F′ and region G is a phosphorothioate internucleoside linkage. In some embodiments, the internucleoside linkages between the nucleosides of region F or F′, F and F′ are phosphorothioate internucleoside linkages.


LNA Gapmer


An LNA gapmer is a gapmer wherein either one or both of region F and F′ comprises or consists of LNA nucleosides. A beta-D-oxy gapmer is a gapmer wherein either one or both of region F and F′ comprises or consists of beta-D-oxy LNA nucleosides.


In some embodiments the LNA gapmer is of formula: [LNA]1-5-[region G]-[LNA]1-5, wherein region G is as defined in the Gapmer region G definition.


MOE Gapmers


A MOE gapmers is a gapmer wherein regions F and F′ consist of MOE nucleosides. In some embodiments the MOE gapmer is of design [MOE]1-8-[Region G]-[MOE]1-8, such as [MOE]2-7-[Region G]5-16-[MOE]2-7, such as [MOE]3-6-[Region G]-[MOE]3-6, wherein region G is as defined in the Gapmer definition. MOE gapmers with a 5-10-5 design (MOE-DNA-MOE) have been widely used in the art.


Mixed Wing Gapmer


A mixed wing gapmer is an LNA gapmer wherein one or both of region F and F′ comprise a 2′ substituted nucleoside, such as a 2′ substituted nucleoside independently selected from the group consisting of 2′-O-alkyl-RNA units, 2′-O-methyl-RNA, 2′-amino-DNA units, 2′-fluoro-DNA units, 2′-alkoxy-RNA, MOE units, arabino nucleic acid (ANA) units and 2′-fluoro-ANA units, such as a MOE nucleosides. In some embodiments wherein at least one of region F and F′, or both region F and F′ comprise at least one LNA nucleoside, the remaining nucleosides of region F and F′ are independently selected from the group consisting of MOE and LNA. In some embodiments wherein at least one of region F and F′, or both region F and F′ comprise at least two LNA nucleosides, the remaining nucleosides of region F and F′ are independently selected from the group consisting of MOE and LNA. In some mixed wing embodiments, one or both of region F and F′ may further comprise one or more DNA nucleosides. Mixed wing gapmer designs are disclosed in WO2008/049085 and WO2012/109395, both of which are hereby incorporated by reference.


Alternating Flank Gapmers


Oligonucleotides with alternating flanks are LNA gapmer oligonucleotides where at least one of the flanks (F or F′) comprises DNA in addition to the LNA nucleoside(s). In some embodiments at least one of region F or F′, or both region F and F′, comprise both LNA nucleosides and DNA nucleosides. In such embodiments, the flanking region F or F′, or both F and F′ comprise at least three nucleosides, wherein the 5′ and 3′ most nucleosides of the F and/or F′ region are LNA nucleosides.


In some embodiments at least one of region F or F′, or both region F and F′, comprise both LNA nucleosides and DNA nucleosides. In such embodiments, the flanking region F or F′, or both F and F′ comprise at least three nucleosides, wherein the 5′ and 3′ most nucleosides of the F or F′ region are LNA nucleosides, and there is at least one DNA nucleoside positioned between the 5′ and 3′ most LNA nucleosides of region F or F′ (or both region F and F′).


Region D′ or D″ in an Oligonucleotide


The oligonucleotide of the invention may in some embodiments comprise or consist of the contiguous nucleotide sequence of the oligonucleotide which is complementary to the target nucleic acid, such as the gapmer F-G-F′, and further 5′ and/or 3′ nucleosides. The further 5′ and/or 3′ nucleosides may or may not be fully complementary to the target nucleic acid. Such further 5′ and/or 3′ nucleosides may be referred to as region D′ and D″ herein.


The addition of region D′ or D″ may be used for the purpose of joining the contiguous nucleotide sequence, such as the gapmer, to a conjugate moiety or another functional group. When used for joining the contiguous nucleotide sequence with a conjugate moiety is can serve as a biocleavable linker. Alternatively it may be used to provide exonucleoase protection or for ease of synthesis or manufacture.


Region D′ and D″ can be attached to the 5′ end of region F or the 3′ end of region F′, respectively to generate designs of the following formulas D′-F-G-F′, F-G-F′-D″ or D′-F-G-F′-D″. In this instance the F-G-F′ is the gapmer portion of the oligonucleotide and region D′ or D″ constitute a separate part of the oligonucleotide.


Region D′ or D″ may independently comprise or consist of 1, 2, 3, 4 or 5 additional nucleotides, which may be complementary or non-complementary to the target nucleic acid. The nucleotide adjacent to the F or F′ region is not a sugar-modified nucleotide, such as a DNA or RNA or base modified versions of these. The D′ or D′ region may serve as a nuclease susceptible biocleavable linker (see definition of linkers). In some embodiments the additional 5′ and/or 3′ end nucleotides are linked with phosphodiester linkages, and are DNA or RNA. Nucleotide based biocleavable linkers suitable for use as region D′ or D″ are disclosed in WO2014/076195, which include by way of example a phosphodiester linked DNA dinucleotide. The use of biocleavable linkers in poly-oligonucleotide constructs is disclosed in WO2015/113922, where they are used to link multiple antisense constructs (e.g. gapmer regions) within a single oligonucleotide.


In one embodiment the oligonucleotide of the invention comprises a region D′ and/or D″ in addition to the contiguous nucleotide sequence which constitutes the gapmer. In some embodiments, the oligonucleotide of the present invention can be represented by the following formulae:





F-G-F′; in particular F1-8-G5-16-F′2-8





D′-F-G-F′, in particular D′1-3-F1-8-G5-16-F′2-8





F-G-F′-D″, in particular F1-8-G5-16-F′2-8-D″1-3





D′-F-G-F′-D″, in particular D′1-3-F1-8-G5-16-F′2-8-D″1-3


In some embodiments the internucleoside linkage positioned between region D′ and region F is a phosphodiester linkage. In some embodiments the internucleoside linkage positioned between region F′ and region D″ is a phosphodiester linkage.


Conjugate


The term conjugate as used herein refers to an oligonucleotide which is covalently linked to a non-nucleotide moiety (conjugate moiety or region C or third region).


Conjugation of the oligonucleotide of the invention to one or more non-nucleotide moieties may improve the pharmacology of the oligonucleotide, e.g. by affecting the activity, cellular distribution, cellular uptake or stability of the oligonucleotide. In some embodiments the conjugate moiety modify or enhance the pharmacokinetic properties of the oligonucleotide by improving cellular distribution, bioavailability, metabolism, excretion, permeability, and/or cellular uptake of the oligonucleotide. In particular the conjugate may target the oligonucleotide to a specific organ, tissue or cell type and thereby enhance the effectiveness of the oligonucleotide in that organ, tissue or cell type. A the same time the conjugate may serve to reduce activity of the oligonucleotide in non-target cell types, tissues or organs, e.g. off target activity or activity in non-target cell types, tissues or organs.


In an embodiment, the non-nucleotide moiety (conjugate moiety) is selected from the group consisting of carbohydrates, cell surface receptor ligands, drug substances, hormones, lipophilic substances, polymers, proteins, peptides, toxins (e.g. bacterial toxins), vitamins, viral proteins (e.g. capsids) or combinations thereof.


Linkers


A linkage or linker is a connection between two atoms that links one chemical group or segment of interest to another chemical group or segment of interest via one or more covalent bonds.


Conjugate moieties can be attached to the oligonucleotide directly or through a linking moiety (e.g. linker or tether). Linkers serve to covalently connect a third region, e.g. a conjugate moiety (Region C), to a first region, e.g. an oligonucleotide or contiguous nucleotide sequence or gapmer region F-G-F′ (region A).


In some embodiments of the invention the conjugate or oligonucleotide conjugate of the invention may optionally, comprise a linker region (second region or region B and/or region Y) which is positioned between the oligonucleotide or contiguous nucleotide sequence complementary to the target nucleic acid (region A or first region) and the conjugate moiety (region C or third region).


Region B refers to biocleavable linkers comprising or consisting of a physiologically labile bond that is cleavable under conditions normally encountered or analogous to those encountered within a mammalian body. Conditions under which physiologically labile linkers undergo chemical transformation (e.g., cleavage) include chemical conditions such as pH, temperature, oxidative or reductive conditions or agents, and salt concentration found in or analogous to those encountered in mammalian cells. Mammalian intracellular conditions also include the presence of enzymatic activity normally present in a mammalian cell such as from proteolytic enzymes or hydrolytic enzymes or nucleases. In one embodiment the biocleavable linker is susceptible to S1 nuclease cleavage. DNA phosphodiester containing biocleavable linkers are described in more detail in WO 2014/076195 (hereby incorporated by reference)—see also region D′ or D″ herein.


Region Y refers to linkers that are not necessarily biocleavable but primarily serve to covalently connect a conjugate moiety (region C or third region), to an oligonucleotide (region A or first region). The region Y linkers may comprise a chain structure or an oligomer of repeating units such as ethylene glycol, amino acid units or amino alkyl groups. The oligonucleotide conjugates of the present invention can be constructed of the following regional elements A-C, A-B-C, A-B-Y-C, A-Y-B-C or A-Y-C. In some embodiments the linker (region Y) is an amino alkyl, such as a C2-C36 amino alkyl group, including, for example C6 to C12 amino alkyl groups. In a preferred embodiment the linker (region Y) is a C6 amino alkyl group.


Treatment


The term ‘treatment’ as used herein refers to both treatment of an existing disease (e.g. a disease or disorder as herein referred to), or prevention of a disease, i.e. prophylaxis. It will therefore be recognized that treatment as referred to herein may, in some embodiments, be prophylactic.


Pharmaceutically Acceptable Salts


The compound of the invention may be in the form of a pharmaceutically acceptable salt. The term “pharmaceutically acceptable salts” refers to those salts which retain the biological effectiveness and properties of the free bases or free acids, which are not biologically or otherwise undesirable. The salts are formed with inorganic acids such as hydrochloric acid, hydrobromic acid, sulfuric acid, nitric acid, phosphoric acid, particularly hydrochloric acid, and organic acids such as acetic acid, propionic acid, glycolic acid, pyruvic acid, oxalic acid, maleic acid, malonic acid, succinic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, cinnamic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, p-toluenesulfonic acid, salicylic acid, N-acetylcystein. In addition these salts may be prepared form addition of an inorganic base or an organic base to the free acid. Salts derived from an inorganic base include, but are not limited to, the sodium, potassium, lithium, ammonium, calcium, magnesium salts. Salts derived from organic bases include, but are not limited to salts of primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines and basic ion exchange resins, such as isopropylamine, trimethylamine, diethylamine, triethylamine, tripropylamine, ethanolamine, lysine, arginine, N-ethylpiperidine, piperidine, polyamine resins. The compound of formula (I) can also be present in the form of zwitterions. Particularly preferred pharmaceutically acceptable salts of compounds of formula (I) are the salts of hydrochloric acid, hydrobromic acid, sulfuric acid, phosphoric acid and methanesulfonic acid.


Protecting Group


The term “protecting group”, alone or in combination, signifies a group which selectively blocks a reactive site in a multifunctional compound such that a chemical reaction can be carried out selectively at another unprotected reactive site. Protecting groups can be removed. Exemplary protecting groups are amino-protecting groups, carboxy-protecting groups or hydroxy-protecting groups.


DETAILED DESCRIPTION OF THE INVENTION

The Oligonucleotides of the Invention


The invention relates to antisense oligonucleotides capable of inhibiting expression of human myosin heavy chain 7 (Myh7). The invention relates to antisense oligonucleotides which target MYH7. Described herein are antisense oligonucleotides which provide allelic-specific inhibition of polymorphic variants of myosin heavy chain 7 (Myh7). The invention provides oligonucleotides which target the expression of a MYH7 allelic variant selected from a MYH7 allelic variant which comprises a single nucleotide polymorphism at a position selected from rs2239578, rs2069540, and rs7157716. These three common SNPs are found in intron 2, exon 3, and exon 24 of MYH7 pre-mRNA respectively, and are referred to as rs223, rs206, and rs715 herein.


In some embodiments the oligonucleotide of the invention selectively inhibits a MYH7 allelic variant, such as an allelic variant at a position of the human MYH7 transcript selected from rs223, rs206 and rs715.


In some embodiments the oligonucleotide of the invention selectively inhibits a MYH7 allelic variant of the human MYH7 transcript selected from rs223T or rs223C. In some embodiments the oligonucleotide of the invention selectively inhibits the rs223T MYH7 allelic variant of the human MYH7 transcript selected as compared to the rs223C allelic variant. In some embodiments the oligonucleotide of the invention selectively inhibits the rs223C MYH7 allelic variant of the human MYH7 transcript selected as compared to the rs223T allelic variant.


In some embodiments the oligonucleotide of the invention selectively inhibits a MYH7 allelic variant of the human MYH7 transcript selected from rs206C or rs206T. In some embodiments the oligonucleotide of the invention selectively inhibits the rs206T MYH7 allelic variant of the human MYH7 transcript selected as compared to the rs206C allelic variant. In some embodiments the oligonucleotide of the invention selectively inhibits the rs206C MYH7 allelic variant of the human MYH7 transcript selected as compared to the rs206T allelic variant.


In some embodiments the oligonucleotide of the invention selectively inhibits a MYH7 allelic variant of the human MYH7 transcript selected from rs715C or rs715T. In some embodiments the oligonucleotide of the invention selectively inhibits the rs715T MYH7 allelic variant of the human MYH7 transcript selected as compared to the rs715C allelic variant. In some embodiments the oligonucleotide of the invention selectively inhibits the rs715C MYH7 allelic variant of the human MYH7 transcript selected as compared to the rs715T allelic variant.


In some embodiments the oligonucleotides of the invention targets, such as selectively inhibits, a MYH7 allelic variant found within a human MYH7 intron.


The polymorphisms at rs223, rs206, and rs715 are not considered to be disease associated or disease causing, i.e. they are considered to be silent polymorphisms. However, these three polymorphisms have high heterozygosity across broad demographics and designing oligonucleotides to these SNPs enables multiple disease-linked mutations to be targeted with the same antisense compound. Clinically, this approach requires patient haplotyping to determine if the HCM mutation is on the same allele as the SNP being targeted. The results show that ASOs targeting human SNPs can distinguish alleles containing single nucleotide mismatches with both high potency (e.g. <100 nM) and high selectivity (e.g. >20×). This strategy can be applied therapeutically when a patient harbors the pathogenic MYH7 mutation and the SNP of interest on the same transcript.


In some embodiments the antisense oligonucleotide of the invention is capable of modulating the expression of the target by inhibiting or down-regulating it. Preferably, such modulation produces an inhibition of expression of at least 20% compared to the normal expression level of the target, more preferably at least 30%, at least 40%, at least 50%, at least 60%, at least 70%, at least 80%, or at least 90% inhibition compared to the normal expression level of the target. In some embodiments oligonucleotides of the invention may be capable of inhibiting expression levels of MYH7 mRNA by at least 50%, such as at least 60% or at least 70% in vitro using Human iPSC-derived cardiomyocytes (available from Cellular Dynamics International) or human skeletal muscle myoblasts cells, such as 8220 or NH10-637A cells (see the examples for exemplary methodology) .


An aspect of the present invention relates to an antisense oligonucleotide which comprises a contiguous nucleotide sequence of 10 to 30 nucleotides in length with at least 90% complementarity to human MYD7 mature mRNA or pre-mRNA.


In some embodiments, the oligonucleotide comprises a contiguous sequence of 10 to 30 nucleotides in length, which is at least 90% complementary, such as at least 91%, such as at least 92%, such as at least 93%, such as at least 94%, such as at least 95%, such as at least 96%, such as at least 97%, such as at least 98%, or 100% complementary with a region of the target nucleic acid or a target sequence, such as a sequence selected from SEQ ID NO 3-10.


In a preferred embodiment the oligonucleotide of the invention, or contiguous nucleotide sequence thereof is fully complementary (100% complementary) to a region of the target nucleic acid, such as a sequence selected from SEQ ID NO 3-10.


In some embodiments the oligonucleotide comprises a contiguous nucleotide sequence of 10 to 30 nucleotides in length with at least 90% complementary, such as fully (or 100%) complementary, to a region target nucleic acid region present in SEQ ID NO: 1 or SEQ ID NO 2.


In some embodiments the oligonucleotide comprises a contiguous nucleotide sequence of 10 to 30 nucleotides in length with at least 90% complementary, such as fully (or 100%) complementary, to a region target nucleic acid region present in SEQ ID NO: 3-10.


In some embodiments, the oligonucleotide of the invention comprises or consists of 10 to 35 nucleotides in length, such as from 10 to 30, such as 11 to 24, such as from 12 to 22, such as from 14 to 20 or 14 to 18 or 15 to 19 contiguous nucleotides in length.


In some embodiments, the oligonucleotide or contiguous nucleotide sequence thereof comprises or consists of 22 or less nucleotides, such as 20 or less nucleotides, such as 19 or less or 18 or less nucleotides, such as 14, 15, 16 or 17 nucleotides. It is to be understood that any range given herein includes the range endpoints. Accordingly, if an oligonucleotide is said to include from 10 to 30 nucleotides, both 10 and 30 nucleotides are included.


In some embodiments, the contiguous nucleotide sequence comprises or consists of 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29 or 30 contiguous nucleotides in length.


In some embodiments, the oligonucleotide or contiguous nucleotide sequence comprises or consists of a sequence selected from the group consisting of sequences listed in table 5.


Table 5 provides the compound list of the compounds used in the examples, including reference to the SEQ IDs of the compounds, and the gapmer designs of the LNA compounds. In some embodiments, for the compounds listed in table 5, capital letters=LNA nucleosides, lower case letter=DNA nucleosides, and optionally all internucleoside linkages are phosphorothioate. In some embodiments of the listed gapmer compounds, and as used in the examples, capital letters=beta-D-oxy-LNA nucleosides, LNA cytosines=5 methyl cytosine LNA, lower case letters=DNA nucleosides, and all internucleoside linkages between the nucleosides illustrated are phosphorothioate internucleoside linkages.


In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 10 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 11-344. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 12 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 11-344. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 14 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 11-344. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 15 or at least 16 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 11-344. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises a sequence selected from the group consisting of SEQ ID NO 11-344.


Oligonucleotides targeting the rs206c myh7 allele:


In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 10 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 11-85. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 12 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 11-85. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 14 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 11-85. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 16 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 11-85. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises a sequence selected from the group consisting of SEQ ID NO 11-85.


Oligonucleotides targeting the rs206t myh7 allele:


In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 10 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 86-140. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 12 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 86-140. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 14 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 86-140. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 16 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 86-140. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises a sequence selected from the group consisting of SEQ ID NO 86-140.


Oligonucleotides targeting the rs223c myh7 allele:


In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 10 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 141-192. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 12 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 141-192. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 14 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 141-192. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 16 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 141-192. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises a sequence selected from the group consisting of SEQ ID NO 141-192.


Oligonucelotides targeting the rs233t myh7 allele:


In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 10 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 193-251. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 12 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 193-251. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 14 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 193-251. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 16 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 193-251. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises a sequence selected from the group consisting of SEQ ID NO 193-251.


Oligonucleotide targeting the rs715c myh7 allele:


In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 10 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 252-266. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 12 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 252-266. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 14 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 252-266. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 16 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 252-266. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises a sequence selected from the group consisting of SEQ ID NO 252-266.


Oligonucleotide targeting the rs715t myh7 allele:


In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 10 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 267-298. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 12 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 267-298. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 14 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 267-298. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 16 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 267-298. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises a sequence selected from the group consisting of SEQ ID NO 267-298.


Other oligonucleotides targeting human Myh7:


In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 10 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 299-344. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 12 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 299-344. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 14 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 299-344. In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises at least 16 contiguous nucleosides present in a sequence selected from the group consisting of SEQ ID NO 299-344.


In some embodiments, the oligonucleotide of the invention, or contiguous nucleotide sequence thereof, comprises a sequence selected from the group consisting of SEQ ID NO 299-344.


In some embodiments, the oligonucleotide of the invention at least 70% of the internucleoside linkages are phosphorothioate, such as at least 90% of the internucleoside linkages are phosphorothioate. In some embodiments, all the internucleoside linkages between the nucleosides of the contiguous nucleotide sequence of the oligonucleotide of the invention are phosphorothioate internucleoside linkages.


It is understood that the contiguous nucleobase sequences (motif sequence) can be modified to for example increase nuclease resistance and/or binding affinity to the target nucleic acid.


The pattern in which the modified nucleosides (such as high affinity modified nucleosides) are incorporated into the oligonucleotide sequence is generally termed oligonucleotide design.


In some embodiments, the oligonucleotides of the invention are designed with modified nucleosides and DNA nucleosides. Advantageously, high affinity modified nucleosides are used.


In an embodiment, the oligonucleotide or contiguous nuceltoide sequence thereof, comprises at least 1 modified nucleoside, such as at least 2, at least 3, at least 4, at least 5, at least 6, at least 7, at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15 or at least 16 modified nucleosides. In an embodiment the oligonucleotide comprises from 1 to 10 modified nucleosides, such as from 2 to 9 modified nucleosides, such as from 3 to 8 modified nucleosides, such as from 4 to 7 modified nucleosides, such as 6 or 7 modified nucleosides. Suitable modifications are described in the “Definitions” section under “modified nucleoside”, “high affinity modified nucleosides”, “sugar modifications”, “2′ sugar modifications” and Locked nucleic acids (LNA)”.


In an embodiment, the oligonucleotide or contiguous nucleotide sequence thereof, comprises one or more sugar modified nucleosides, such as 2′ sugar modified nucleosides. Preferably the oligonucleotide of the invention comprise one or more 2′ sugar modified nucleoside independently selected from the group consisting of 2′-O-alkyl-RNA, 2′-O-methyl-RNA, 2′-alkoxy-RNA, 2′-O-methoxyethyl-RNA, 2′-amino-DNA, 2′-fluoro-DNA, arabino nucleic acid (ANA), 2′-fluoro-ANA and LNA nucleosides. It is advantageous if one or more of the modified nucleoside(s) is a locked nucleic acid (LNA).


In a further embodiment the oligonucleotide comprises at least one modified internucleoside linkage. Suitable internucleoside modifications are described in the “Definitions” section under “Modified internucleoside linkage”. It is advantageous if at least 75%, such as all, the internucleoside linkages within the contiguous nucleotide sequence are phosphorothioate or boranophosphate internucleoside linkages. In some embodiments all the internucleotide linkages in the contiguous sequence of the oligonucleotide are phosphorothioate linkages.


In some embodiments, the oligonucleotide, or contiguous nuceltoide sequence thereof, of the invention comprises at least one LNA nucleoside, such as 1, 2, 3, 4, 5, 6, 7, or 8 LNA nucleosides, such as from 2 to 6 LNA nucleosides, such as from 3 to 7 LNA nucleosides, 4 to 8 LNA nucleosides or 3, 4, 5, 6, 7 or 8 LNA nucleosides. In some embodiments, at least 75% of the modified nucleosides in the oligonucleotide are LNA nucleosides, such as 80%, such as 85%, such as 90% of the modified nucleosides are LNA nucleosides. In a still further embodiment all the modified nucleosides in the oligonucleotide are LNA nucleosides. In a further embodiment, the oligonucleotide may comprise both beta-D-oxy-LNA, and one or more of the following LNA nucleosides: thio-LNA, amino-LNA, oxy-LNA, ScET and/or ENA in either the beta-D or alpha-L configurations or combinations thereof. In a further embodiment, all LNA cytosine units are 5-methyl-cytosine. It is advantageous for the nuclease stability of the oligonucleotide or contiguous nucleotide sequence to have at least 1 LNA nucleoside at the 5′ end and at least 2 LNA nucleosides at the 3′ end of the nucleotide sequence.


In some embodiments of the invention the oligonucleotide of the invention is capable of recruiting RNase H.


In the current invention an advantageous structural design is a gapmer design as described in the “Definitions” section under for example “Gapmer”, “LNA Gapmer”, “MOE gapmer” and “Mixed Wing Gapmer” “Alternating Flank Gapmer”. The gapmer design includes gapmers with uniform flanks, mixed wing flanks, alternating flanks, and gapbreaker designs. In the present invention it is advantageous if the oligonucleotide of the invention is a gapmer with an F-G-F′ design.


For some embodiments of the invention, the oligonucleotide or contiguous nucleotide sequence thereof, is selected from the group of oligonucleotide compounds with CMP-ID-NO (COMP #) 11-85.


For some embodiments of the invention, the oligonucleotide or contiguous nucleotide sequence thereof, is selected from the group of oligonucleotide compounds with CMP-ID-NO (COMP #) 86-140.


For some embodiments of the invention, the oligonucleotide or contiguous nucleotide sequence thereof, is selected from the group of oligonucleotide compounds with CMP-ID-NO (COMP #) 141-192.


For some embodiments of the invention, the oligonucleotide or contiguous nucleotide sequence thereof, is selected from the group of oligonucleotide compounds with CMP-ID-NO (COMP #) 193-251.


For some embodiments of the invention, the oligonucleotide or contiguous nucleotide sequence thereof, is selected from the group of oligonucleotide compounds with CMP-ID-NO (COMP #) 252-266.


For some embodiments of the invention, the oligonucleotide or contiguous nucleotide sequence thereof, is selected from the group of oligonucleotide compounds with CMP-ID-NO (COMP #) 259,1-259,189.


For some embodiments of the invention, the oligonucleotide or contiguous nucleotide sequence thereof, is selected from the group of oligonucleotide compounds with CMP-ID-NO (COMP #) 260,1-260,101.


For some embodiments of the invention, the oligonucleotide or contiguous nucleotide sequence thereof, is selected from the group of oligonucleotide compounds with CMP-ID-NO (COMP #) 267-298.


For some embodiments of the invention, the oligonucleotide or contiguous nucleotide sequence thereof, is selected from the group of oligonucleotide compounds with CMP-ID-NO (COMP #) 280,1-280,161.


For some embodiments of the invention, the oligonucleotide or contiguous nucleotide sequence thereof, is selected from the group of oligonucleotide compounds with CMP-ID-NO (COMP #) 299-344.


Method of Manufacture


In a further aspect, the invention provides methods for manufacturing the oligonucleotides of the invention comprising reacting nucleotide units and thereby forming covalently linked contiguous nucleotide units comprised in the oligonucleotide. Preferably, the method uses phophoramidite chemistry (see for example Caruthers et al, 1987, Methods in Enzymology vol. 154, pages 287-313). In a further embodiment the method further comprises reacting the contiguous nucleotide sequence with a conjugating moiety (ligand) to covalently attach the conjugate moiety to the oligonucleotide. In a further aspect a method is provided for manufacturing the composition of the invention, comprising mixing the oligonucleotide or conjugated oligonucleotide of the invention with a pharmaceutically acceptable diluent, solvent, carrier, salt and/or adjuvant.


Pharmaceutical Salt


The compounds according to the present invention may exist in the form of their pharmaceutically acceptable salts. The term “pharmaceutically acceptable salt” refers to conventional acid-addition salts or base-addition salts that retain the biological effectiveness and properties of the compounds of the present invention and are formed from suitable non-toxic organic or inorganic acids or organic or inorganic bases. Acid-addition salts include for example those derived from inorganic acids such as hydrochloric acid, hydrobromic acid, hydroiodic acid, sulfuric acid, sulfamic acid, phosphoric acid and nitric acid, and those derived from organic acids such as p-toluenesulfonic acid, salicylic acid, methanesulfonic acid, oxalic acid, succinic acid, citric acid, malic acid, lactic acid, fumaric acid, and the like. Base-addition salts include those derived from ammonium, potassium, sodium and, quaternary ammonium hydroxides, such as for example, tetramethyl ammonium hydroxide. The chemical modification of a pharmaceutical compound into a salt is a technique well known to pharmaceutical chemists in order to obtain improved physical and chemical stability, hygroscopicity, flowability and solubility of compounds. It is for example described in Bastin, Organic Process Research & Development 2000, 4, 427-435 or in Ansel, In: Pharmaceutical Dosage Forms and Drug Delivery Systems, 6th ed. (1995), pp. 196 and 1456-1457. For example, the pharmaceutically acceptable salt of the compounds provided herein may be a sodium salt.


In a further aspect the invention provides a pharmaceutically acceptable salt of the antisense oligonucleotide or a conjugate thereof. In a preferred embodiment, the pharmaceutically acceptable salt is a sodium or a potassium salt.


Pharmaceutical Composition


In a further aspect, the invention provides pharmaceutical compositions comprising any of the aforementioned oligonucleotides and/or oligonucleotide conjugates or salts thereof and a pharmaceutically acceptable diluent, carrier, salt and/or adjuvant. A pharmaceutically acceptable diluent includes phosphate-buffered saline (PBS) and pharmaceutically acceptable salts include, but are not limited to, sodium and potassium salts. In some embodiments the pharmaceutically acceptable diluent is sterile phosphate buffered saline. In some embodiments the oligonucleotide is used in the pharmaceutically acceptable diluent at a concentration of 50-300 μM solution.


Suitable formulations for use in the present invention are found in Remington's Pharmaceutical Sciences, Mack Publishing Company, Philadelphia, Pa., 17th ed., 1985. Fora brief review of methods for drug delivery, see, e.g., Langer (Science 249:1527-1533, 1990). WO 2007/031091 provides further suitable and preferred examples of pharmaceutically acceptable diluents, carriers and adjuvants (hereby incorporated by reference). Suitable dosages, formulations, administration routes, compositions, dosage forms, combinations with other therapeutic agents, pro-drug formulations are also provided in WO2007/031091.


Oligonucleotides or oligonucleotide conjugates of the invention may be mixed with pharmaceutically acceptable active or inert substances for the preparation of pharmaceutical compositions or formulations. Compositions and methods for the formulation of pharmaceutical compositions are dependent upon a number of criteria, including, but not limited to, route of administration, extent of disease, or dose to be administered.


These compositions may be sterilized by conventional sterilization techniques, or may be sterile filtered. The resulting aqueous solutions may be packaged for use as is, or lyophilized, the lyophilized preparation being combined with a sterile aqueous carrier prior to administration. The pH of the preparations typically will be between 3 and 11, more preferably between 5 and 9 or between 6 and 8, and most preferably between 7 and 8, such as 7 to 7.5. The resulting compositions in solid form may be packaged in multiple single dose units, each containing a fixed amount of the above-mentioned agent or agents, such as in a sealed package of tablets or capsules. The composition in solid form can also be packaged in a container for a flexible quantity, such as in a squeezable tube designed for a topically applicable cream or ointment.


In some embodiments, the oligonucleotide or oligonucleotide conjugate of the invention is a prodrug. In particular with respect to oligonucleotide conjugates the conjugate moiety is cleaved of the oligonucleotide once the prodrug is delivered to the site of action, e.g. the target cell.


Applications


The oligonucleotides of the invention may be utilized as research reagents for, for example, diagnostics, therapeutics and prophylaxis.


In research, such oligonucleotides may be used to specifically modulate the synthesis of MYH7 protein in cells (e.g. in vitro cell cultures) and experimental animals thereby facilitating functional analysis of the target or an appraisal of its usefulness as a target for therapeutic intervention. Typically the target modulation is achieved by degrading or inhibiting the mRNA producing the protein, thereby prevent protein formation or by degrading or inhibiting a modulator of the gene or mRNA producing the protein.


If employing the oligonucleotide of the invention in research or diagnostics the target nucleic acid may be a cDNA or a synthetic nucleic acid derived from DNA or RNA.


The present invention provides an in vivo or in vitro method for modulating MYH7 expression in a target cell which is expressing MYH7, said method comprising administering an oligonucleotide of the invention in an effective amount to said cell.


In some embodiments, the target cell, is a mammalian cell in particular a human cell. The target cell may be an in vitro cell culture or an in vivo cell forming part of a tissue in a mammal. In preferred embodiments the target cell is a muscle cell, a skeletal muscle cell, a heart cell, or a cardiomyocyte cell.


In diagnostics the oligonucleotides may be used to detect and quantitate MYH7 expression in cell and tissues by northern blotting, in-situ hybridisation or similar techniques.


For therapeutics, the oligonucleotides may be administered to an animal or a human, suspected of having a disease or disorder, which can be treated by modulating the expression of MYH7.


The invention provides methods for treating or preventing a disease, comprising administering a therapeutically or prophylactically effective amount of an oligonucleotide, an oligonucleotide conjugate or a pharmaceutical composition of the invention to a subject suffering from or susceptible to the disease.


The invention also relates to an oligonucleotide, a composition or a conjugate as defined herein for use as a medicament.


The oligonucleotide, oligonucleotide conjugate or a pharmaceutical composition according to the invention is typically administered in an effective amount.


The invention also provides for the use of the oligonucleotide or oligonucleotide conjugate of the invention as described for the manufacture of a medicament for the treatment of a disorder as referred to herein, or for a method of the treatment of as a disorder as referred to herein.


The disease or disorder, as referred to herein, is associated with expression of MYH7. In some embodiments disease or disorder may be associated with a mutation in the MYH7 gene or a gene whose protein product is associated with or interacts with MYH7. Therefore, in some embodiments, the target nucleic acid is a mutated form of the MYH7 sequence and in other embodiments, the target nucleic acid is a regulator of the MYH7 sequence.


The methods of the invention are preferably employed for treatment or prophylaxis against diseases caused by abnormal levels and/or activity of MYH7.


The invention further relates to use of an oligonucleotide, oligonucleotide conjugate or a pharmaceutical composition as defined herein for the manufacture of a medicament for the treatment of abnormal levels and/or activity of MYH7.


In one embodiment, the invention relates to oligonucleotides, oligonucleotide conjugates or pharmaceutical compositions for use in the treatment of


Administration


The oligonucleotides or pharmaceutical compositions of the present invention may be administered topical (such as, to the skin, inhalation, ophthalmic or otic) or enteral (such as, orally or through the gastrointestinal tract) or parenteral (such as, intravenous, subcutaneous, intra-muscular, intracerebral, intracerebroventricular or intrathecal).


In a preferred embodiment the oligonucleotide or pharmaceutical compositions of the present invention are administered by a parenteral route including intravenous, intraarterial, subcutaneous, intraperitoneal or intramuscular injection or infusion, intrathecal or intracranial, e.g. intracerebral or intraventricular, intravitreal administration. In one embodiment the active oligonucleotide or oligonucleotide conjugate is administered intravenously. In another embodiment the active oligonucleotide or oligonucleotide conjugate is administered subcutaneously.


In some embodiments, the oligonucleotide, oligonucleotide conjugate or pharmaceutical composition of the invention is administered at a dose of 0.1-15 mg/kg, such as from 0.2-10 mg/kg, such as from 0.25-5 mg/kg. The administration can be once a week, every 2nd week, every third week or even once a month.


The invention also provides for the use of the oligonucleotide or oligonucleotide conjugate of the invention as described for the manufacture of a medicament wherein the medicament is in a dosage form for intravenous or subcutaneous administration.


Combination Therapies


In some embodiments the oligonucleotide, oligonucleotide conjugate or pharmaceutical composition of the invention is for use in a combination treatment with another therapeutic agent. The therapeutic agent can for example be the standard of care for the diseases or disorders described above.


Personalized Method of Treatment Using Allelic Specific Compounds Targeting Myh7


The invention provides for a method for treatment of a human subject in need to treatment for hypertrophic cardiomyopathy, said treatment comprising the step of:


a. Taking a biological sample from the human subject


b. Detecting such as sequencing the Myh7 nucleic acid alleles present in the sample of the human subject;


c. Determine the presence of a disease associated Myh7 allelic variant of the Myh7 nucleic acid;


d. Administer a therapeutically effective amount of an antisense oligonucleotide to the human subject which is selective for the disease associated Myh7 allelic variant as compared to a non-disease associate allele, such as the oligonucleotide of the invention or the conjugate of the invention or the pharmaceutically acceptable salt of the invention or the pharmaceutical composition of the invention.


EXAMPLES

Materials and Methods


Oligonucleotide Synthesis


Oligonucleotide synthesis is generally known in the art. Below is a protocol which may be applied. The oligonucleotides of the present invention may have been produced by slightly varying methods in terms of apparatus, support and concentrations used.


Oligonucleotides are synthesized on uridine universal supports using the phosphoramidite approach on an Oligomaker 48 at 1 μmol scale. At the end of the synthesis, the oligonucleotides are cleaved from the solid support using aqueous ammonia for 5-16 hours at 60° C. The oligonucleotides are purified by reverse phase HPLC (RP-HPLC) or by solid phase extractions and characterized by UPLC, and the molecular mass is further confirmed by ESI-MS.


Elongation of the Oligonucleotide:


The coupling of β-cyanoethyl-phosphoramidites (DNA-A(Bz), DNA-G(ibu), DNA-C(Bz), DNA-T, LNA-5-methyl-C(Bz), LNA-A(Bz), LNA-G(dmf), or LNA-T) is performed by using a solution of 0.1 M of the 5′-O-DMT-protected amidite in acetonitrile and DCI (4,5-dicyanoimidazole) in acetonitrile (0.25 M) as activator. For the final cycle a phosphoramidite with desired modifications can be used, e.g. a C6 linker for attaching a conjugate group or a conjugate group as such. Thiolation for introduction of phosphorthioate linkages is carried out by using xanthane hydride (0.01 M in acetonitrile/pyridine 9:1). Phosphordiester linkages can be introduced using 0.02 M iodine in THF/Pyridine/water 7:2:1. The rest of the reagents are the ones typically used for oligonucleotide synthesis.


For post solid phase synthesis conjugation a commercially available C6 aminolinker phorphoramidite can be used in the last cycle of the solid phase synthesis and after deprotection and cleavage from the solid support the aminolinked deprotected oligonucleotide is isolated. The conjugates are introduced via activation of the functional group using standard synthesis methods.


Purification by RP-HPLC:


The crude compounds are purified by preparative RP-HPLC on a Phenomenex Jupiter C18 10μ 150×10 mm column. 0.1 M ammonium acetate pH 8 and acetonitrile is used as buffers at a flow rate of 5 mL/min. The collected fractions are lyophilized to give the purified compound typically as a white solid.


Abbreviations:


DCI: 4,5-Dicyanoimidazole


DCM: Dichloromethane


DMF: Dimethylformamide


DMT: 4,4′-Dimethoxytrityl


THF: Tetrahydrofurane


Bz: Benzoyl


Ibu: Isobutyryl


RP-HPLC: Reverse phase high performance liquid chromatography


Tm Assay:


Oligonucleotide and RNA target (phosphate linked, PO) duplexes are diluted to 3 mM in 500 ml RNase-free water and mixed with 500 ml 2× Tm-buffer (200 mM NaCl, 0.2 mM EDTA, 20 mM Naphosphate, pH 7.0). The solution is heated to 95° C. for 3 min and then allowed to anneal in room temperature for 30 min. The duplex melting temperatures (Tm) is measured on a Lambda 40 UV/VIS Spectrophotometer equipped with a Peltier temperature programmer PTP6 using PE Templab software (Perkin Elmer). The temperature is ramped up from 20° C. to 95° C. and then down to 25° C., recording absorption at 260 nm. First derivative and the local maximums of both the melting and annealing are used to assess the duplex Tm.


ASO Synthesis and Purification


LNA-modified gapmers were designed with fully modified phosphorothioate backbones and were synthesized on a MerMade 192× synthesizer (Bioautomation, Texas) following standard phosphoramidite protocols. The final 5′-dimethoxytrityl (DMT) group was left on the oligonucleotide. After synthesis, the oligonucleotides were cleaved from the solid support using aqueous ammonia and subsequently deprotected at 65° C. for 5 hours. The oligonucleotides were purified by solid phase extraction in TOP DNA cartridges (Agilent, Glostrup, Denmark) using the lipophilic DMT group as a chromatographic retention probe. After eluting impurities, the DMT group was removed by treatment with dichloroacetic acid. As the last step in the purification process, the oligonucleotides were eluted from the cartridge and the eluate was evaporated to dryness. The oligonucleotides were dissolved in phosphate-buffered saline (PBS) and the oligonucleotide concentration in solution determined using Beer-Lambert's law by calculating the extinction coefficient and measuring UV-absorbance. Oligonucleotide identity and purity were determined by reversed-phase Ultra Performance Liquid Chromatography coupled to Mass Spectrometry (UPLC-MS).


Cell Culture


Human skeletal muscle myoblasts (8220 and NH10-637A [9]) were seeded in collagen-coated 96 well plates at a density of 15,000 cells/well. Cells were maintained in SKM-M growth media (ZenBio, North Carolina) until confluence, at which point SKM-D differentiation media was used. Cells were cultured for 1 week in differentiation media to allow for myoblast fusion and differentiation into myotubes, with media exchange every other day. One week after switching to differentiation media, ASOs were added to the cells in the absence of transfection reagents (i.e. gymnotic delivery); biological duplicates were used. Cells were lysed at day 3 or day 6 for single point studies and at day 6 or day 10 for concentration response curves. Human iPSC-derived cardiomyocytes were purchased from Cellular Dynamics International and cultured according to the manufacturer's instructions. Cells were seeded in collagen/fibronectin coated (0.01 mg/ml) 96 well plates at a density of 20,000 cells per well. ASOs dissolved in PBS or water were added 4 days after plating and media was changed every other day until lysis.


QuantiGene


The QuantiGene 2.0 assay (Affymetrix) was used to quantify RNA abundance of MYH7 (QG probe SA-10161) and the endogenous control (Human PPIB probe SA-10003) of each lysate following the manufacturer's protocol. The QG probes are designed to exonic regions of MYH7 and PPIB. Assay signals were background subtracted and normalized to the endogenous control to correct for cell density and lysis efficiency. MYH7 knockdown is reported relative to no ASO negative control.


RNA Purification and ddPCR


Cells were lysed by removal of media followed by addition of 125 μL PureLink©Pro 96 Lysis buffer (Invitrogen 12173.001A) and 125 μL 70% ethanol. RNA was purified according to the manufacture's instruction and eluted in a final volume of 50 μL water resulting in an RNA concentration of 10-20 ng/μl. Droplet digital PCR (ddPCR) was done using BioRad Automatic Droplet Generator (AutoDG) using Automated Droplet Generation Oil for Probes (BioRad) together with the OX200 droplet digital reader. The ddPCR™ Supermix for Probes (No dUTP) (Bio-Rad 1863024) reactions were run according to the manufacturer's instructions with an annealing temperature of 55.5° C. for the human reactions and 55° C. for the mouse reactions. The droplets were read in the OX200 droplet digital reader, and the data were analyzed and quantified using the QuantaSoft™ Analysis Pro Software 1.0.596 (BioRad). The thresholds for defining the different droplet groups in the triplex PCR reaction was set by free hand within the software according to the guidelines. Assays for human SNPs: rs715T (fw_primer CAGAGGAGATGGCTGG, rev_primer TGCAGAGCTTTCTTCTCC (SEQ ID NO 345), probe CAGCTTGGCAATGATCTC HEX_IowaBlack, (SEQ ID NO 346)); rs715C (fw_primer CAGAGGAGATGGCTGG (SEQ ID NO 347), rev_primer TGCAGAGCTTTCTTCTCC (SEQ ID NO 348), probe CAGCTTGGCGATGATCT FAM_IowaBlack (SEQ ID NO 349)); GAPDH (dHsa CPE5031596, FAM_IowaBlack) and (dHsa CPE5031597, HEX_IowaBlack) from BioRad. Assays for humanized mouse model: humanized rs715C myh6 (fw_primer CCTAACAGAGGAGATG (SEQ ID NO 350), rev_primer CTTCTTGCAGAGCTTTCTT (SEQ ID NO 351), probe TGAGATCATCGCCAAGC Hex_IowaBlack (SEQ ID NO 352)); wt myh6 (fw_primer ACCTAACAGAGGAGATG (SEQ ID NO 353), rev_primer CTTCTTGCAGAGCTTTCTT (SEQ ID NO 354), probe TGAAATCATTGCCAAGCTG FAM_IowaBlack (SEQ ID NO 355)); GAPDH (dMmuCPE5195282, FAM_IowaBlack and dMmuCPE5195283, HEX_IowaBlack) from BioRad.


Statistical Analysis of Concentration-Response Curves


Concentration-response curves of RNA levels after treatment with ASO at eight different concentrations were analyzed by nonlinear least squares fitting of the two-parameter logistic function using the R software package drc [10]. For the two-parameter logistic function the lower and upper limits are fixed at 0% and 100%, respectively, and the two parameters estimated from each curve are the IC50 value and Hill coefficient. The maximal possible IC50 value was set to the maximal ASO concentration evaluated.


Mouse Model Generation and In Vivo Study


Since the predominant isoform in mouse heart is Myh6, the human MYH7 sequence (ENSG00000092054) around the rs715-C SNP was inserted into the mouse Myh6 gene (ENSMUSG00000040752) using homologous recombination in C57BL/6J mice (Figure S4). This 57 nucleotide insertion (acagaggagatggctgggctggatgagatcatCgccaagctgaccaaggagaagaaa (SEQ ID NO 356) replacing acagaggagatggctgggctggatgaaatcatTgccaagctgaccaaagagaagaaa, SEQ ID NO 357) is not predicted to affect amino acid sequence (SNP nucleotide shown as uppercase). Mice are homozygous for thymine at the base position that corresponds to the rs715 SNP in humans. Heterozygous mice (human rs715-C)+/− lacking FLP recombinase were used for the in vivo study. Animals were dosed with ASO subcutaneously at 3*30 mg/kg on days 0, 1, and 2 with takedown on day 7. Allele-specific Myh6 mRNA knockdown was measured via droplet digital PCR from RNA isolated from half of the left ventricle. The other half of the left ventricle, in addition to one kidney and a portion of liver, was quick frozen in liquid nitrogen to determine the tissue concentrations of ASO (Oligo ELISA, Exiqon, Denmark). Blood was collected at the time of sacrifice, with subsequent serum quantification of kidney and liver injury markers.


Example 1: SNP Identification

We analyzed the Phase 3 1000 Genomes database [11] to identify SNPs in the human population that occur with high frequency, i.e. genetic coordinates in MYH7 that contain different nucleotides on each allele (i.e. heterozygous base) in a large fraction of people. We found three SNPs with high heterozygosity: rs2239578 (48%), rs2069540 (48%), and rs7157716 (38%) (FIG. 1a). These three common SNPs are found in intron 2, exon 3, and exon 24 of MYH7, respectively, and will be referred to as rs223, rs206, and rs715.


For rs206, the reference nucleotide is cytosine and the SNP is thymine, while for rs223 and rs715 the reference is thymine and the SNP is cytosine (Table 3). The designation of a SNP in these cases is somewhat arbitrary since both the reference and alternate allele are common. No other polymorphisms are found within 25 bases upstream or downstream of each SNP. To each of these SNP regions, locked nucleic acid (LNA) gapmer ASOs were designed and synthesized to selectively knockdown mRNA containing either cytosine or thymine at the SNP coordinate. This strategy depends on the ability of the ASOs to induce robust degradation of the SNP-matched RNA while minimizing degradation of the SNP-mismatched RNA. This allows for multiple disease-linked mutations to be targeted with the same ASO (FIG. 1b). Within each SNP region ASOs were tiled along the transcript, resulting in some ASOs having the position of the SNP in the 5′ end, some in the DNA gap in the middle, and some in the 3′ end. Furthermore, for each position ASOs from 15 to 20 nucleotides in length were designed, with one to four LNA nucleotides in the 5′ end and two to four in the 3′end. Varying the SNP position and ASO structure in this manner resulted in 47 ASOs targeting the rs715 SNP (15-C, 32-T), 111 ASOs targeting the rs223 SNP (52-C, 59-T), and 130 ASOs targeting the rs206 SNP (75-C, 55-T) (Table S1).


Example 2: In Vitro Knockdown

We screened the initial ASO libraries in the QuantiGene 2.0 assay to identify compounds that exhibit good knockdown of MYH7 RNA. Two human skeletal muscle myoblast cell lines were used; both lines were homozygous at each SNP position and the lines were perfectly complementary (e.g. one line had C/C at rs206 and T/T at rs223 and rs715, the other had T/T at rs206 and C/C at rs223 and rs715). ASOs were screened in both cell lines at 5 uM using gymnotic delivery to determine SNP-matched and SNP-mismatched RNA knockdown at a 3 day timepoint. A non-SNP targeting ASO (S17 in FIG. 6) was used as a positive control and showed similar activity in both cell lines (88% and 85% knockdown at 5 uM (FIG. 6). This suggests that ASO uptake is similar between the two human myoblast lines. ASOs that showed mild selectivity (>50% knockdown of MYH7 mRNA in the SNP-matched cell line as well as <25% knockdown in the SNP-mismatched cell line, Table 6) were selected for follow-up potency determination. Additional ASOs that showed good SNP-matched potency but did not meet the selectivity criteria were also progressed to concentration response curves (CRCs). ASO potency values (IC50) were determined from CRCs using the QuantiGene assay in both the SNP-matched and SNP-mismatched cell lines (FIG. 2a). This allows calculation of a selectivity ratio, defined as the ratio of SNP-mismatched potency to SNP-matched potency. FIGS. 2b-2d show that ASOs can be found in all three SNP regions that show good potency and selectivity, highlighting the generalizability of this approach.


Since allele selectivity was shown at all three SNP regions, we decided to focus on ASOs targeting the rs715 SNP region due to sequence homology between human and dog and cynomolgus monkey. We also developed a droplet digital PCR (ddPCR) assay that enabled us to measure allele-specific mRNA knockdown in cells that are heterozygous at the rs715 SNP position (T on one allele, C on the other). This assay used multiplexed PCR reactions to simultaneously measure allele-specific potency in a SNP-heterozygous human myoblast cell line. We generated 450 LNA gapmer redesigns based on ASOs from the initial rs715 library that exhibited good potency and selectivity (two ASOs, A249 and A250, targeting the rs715-C SNP and one, A270, targeting rs715-T). The redesigns are also shown in Table 5. Transcript start site was maintained, but ASO lengths were varied from 17 to 19 nucleotides. Furthermore, the number and position of LNA modifications within each ASO were varied, with LNA and DNA interspersed. All ASOs had between 4 and 15 consecutive DNAs to allow for RNase H binding and cleavage, with the majority of ASOs containing between 5 and 7 consecutive DNAs. These ASOs were tested at 500 nM in human myoblasts that are heterozygous at the rs715 SNP position (CC-2580 cells, Lonza), with mRNA levels determined 6 days after compound addition (FIGS. 7a-7c and Table 7). From this single point data, a subset of ASOs were selected for follow-up potency determinations in two rs715 SNP-heterozygous cell lines: human myoblasts (CC-2580), data shown in Table 8 and human iPSC-derived cardiomyocytes (iCell2, CDI), data shown in Table 9. Potencies and selectivities are summarized in FIG. 3.


To determine if allele-compensation occurs during allele-selective knockdown, we performed a time course study in iCell2 iPSC-CM. These cells are heterozygous at the rs715 SNP position and were treated with 250 nM of ASO A259 (see Table 5 for sequence), a potent and selective ASO targeting the rs715-T SNP. FIG. 4 shows that the ASO does not knockdown the SNP-mismatched allele (rs715-C), but does give strong knockdown of the SNP-matched allele (rs715-T). This experiment shows in vitro allele-selective mRNA knockdown at up to two weeks following ASO addition. These experiments also included replicate cell plates for quantifying the effect of ASO addition on MYH7 protein (β-myosin heavy chain). Protein lysates at all timepoints were probed with an antibody that recognizes β-MHC but not α-MHC (iCell2 cells also contain α-MHC, which is encoded by the MYH6 gene). FIG. 8 shows that reduction in β-MHC was not seen at any timepoint, suggesting compensation by the SNP-mismatched allele at the translation level.


Example 3: In Vivo Knockdown

Further, we were interested in determining if these ASOs could selectively knockdown target mRNA in vivo. We generated a genetically engineered mouse model with the human MYH7 sequence inserted at the rs715 SNP region. Since the predominant myosin isoform in mouse heart is fast α-MHC, the human rs715-C SNP region was inserted into the mouse Myh6 gene. This was a 57 basepair replacement at the rs715 SNP coordinate (i.e. the location of the SNP plus 32 nucleotides upstream and 24 nucleotides downstream; see FIG. 9). This genetic modification did not change the predicted amino acid sequence of mouse α-MHC. This mouse line was heterozygous for the humanized MYH7 fragment, as it contained wildtype Myh6 on the other allele. Five ASOs targeting the rs715-C SNP were tested in vivo in these heterozygous humanized mice. Mouse Myh6 contains a thymine base at the rs715 SNP coordinate, so the rs715-C ASOs are predicted to not target the WT allele. In addition, there is another mismatch six bases upstream of the SNP (guanine in human, adenine in mouse), which gives a two basepair mismatch between the ASO targeting sequences and the wildtype allele (see FIG. 9 for details).


Mice were dosed subcutaneous with 30 mg/kg compound (or saline) on days 0, 1, and 2, and the animals were sacrificed at day 9. Target mRNA knockdown was determined in left ventricular tissue; all five treatment groups had a significant reduction in humanized rs715-C mRNA compared to wildtype Myh6 mRNA (FIG. 5a). In addition, reduction of rs715-C mRNA was significant compared to saline rs715-C in two of the groups (ASOs B82 and B44). This data clearly shows allele-selective knockdown in cardiac tissue. ASO concentrations were determined in left ventricle, kidney, and liver (FIG. 5b) using ASO-specific ELISA assays. As expected, exposure values were significantly higher in kidney and liver. Two of the five compounds were associated with elevation of liver injury markers (AST, ALT, and alkaline phosphatase; FIG. 10).









TABLE 5







Sequences and Compounds





















mRNA
Pre-mRNA


















SEQ ID NO
SEQUENCE
COMP ID NO #
Compound*
Target seqs
match.to.snp.region
start
end
start
end
Example Figure ID




















11
CGGTCTCGGCAGTGAC
11
CGgtctcggcagtGAC
5, 7
rs206-c, rs206-c-pre
306
321
2161
2176
A1





12
TCGGTCTCGGCAGTGAC
12
TCGgtctcggcagtGAC
5, 7
rs206-c, rs206-c-pre
306
322
2161
2177
A2





13
TCGGTCTCGGCAGTGA
13
TCGgtctcggcagtGA
5, 7
rs206-c, rs206-c-pre
307
322
2162
2177
A3





14
CTCGGTCTCGGCAGTGA
14
CTCGgtctcggcagtGA
5, 7
rs206-c, rs206-c-pre
307
323
2162
2178
A4





15
TACTCGGTCTCGGCAGTGA
15
TActcggtctcggcagTGA
5, 7
rs206-c, rs206-c-pre
307
325
2162
2180
A5





16
ATACTCGGTCTCGGCAGTGA
16
AtactcggtctcggcagtGA
5, 7
rs206-c, rs206-c-pre
307
326
2162
2181
A6





17
ATACTCGGTCTCGGCAGTG
17
AtactcggtctcggcagTG
5, 7
rs206-c, rs206-c-pre
308
326
2163
2181
A7





18
CATACTCGGTCTCGGCAGTG
18
CatactcggtctcggcagTG
5, 7
rs206-c, rs206-c-pre
308
327
2163
2182
A8





19
ATACTCGGTCTCGGCAGT
19
ATActcggtctcggcaGT
5, 7
rs206-c, rs206-c-pre
309
326
2164
2181
A9





20
CATACTCGGTCTCGGCAGT
20
CatactcggtctcggcaGT
5, 7
rs206-c, rs206-c-pre
309
327
2164
2182
A10





21
CCATACTCGGTCTCGGCAGT
21
CcatactcggtctcggcaGT
5, 7
rs206-c, rs206-c-pre
309
328
2164
2183
A11





22
TACTCGGTCTCGGCAG
22
TACtcggtctcggcAG
5, 7
rs206-c, rs206-c-pre
310
325
2165
2180
A12





23
ATACTCGGTCTCGGCAG
23
ATActcggtctcggcAG
5, 7
rs206-c, rs206-c-pre
310
326
2165
2181
A13





24
CATACTCGGTCTCGGCAG
24
CatactcggtctcggcAG
5, 7
rs206-c, rs206-c-pre
310
327
2165
2182
A14





25
CCATACTCGGTCTCGGCAG
25
CcatactcggtctcggcAG
5, 7
rs206-c, rs206-c-pre
310
328
2165
2183
A15





26
ATACTCGGTCTCGGCA
26
ATActcggtctcggCA
5, 7
rs206-c, rs206-c-pre
311
326
2166
2181
A16





27
CATACTCGGTCTCGGCA
27
CAtactcggtctcggCA
5, 7
rs206-c, rs206-c-pre
311
327
2166
2182
A17





28
CCATACTCGGTCTCGGCA
28
CcatactcggtctcggCA
5, 7
rs206-c, rs206-c-pre
311
328
2166
2183
A18





29
ATACTCGGTCTCGGC
29
ATActcggtctcgGC
5, 7
rs206-c, rs206-c-pre
312
326
2167
2181
A19





30
CATACTCGGTCTCGGC
30
CAtactcggtctcgGC
5, 7
rs206-c, rs206-c-pre
312
327
2167
2182
A20





31
CCATACTCGGTCTCGGC
31
CcatactcggtctcgGC
5, 7
rs206-c, rs206-c-pre
312
328
2167
2183
A21





32
GCCATACTCGGTCTCGGC
32
GccatactcggtctcgGC
5, 7
rs206-c, rs206-c-pre
312
329
2167
2184
A22





33
TGCCATACTCGGTCTCGGC
33
TgccatactcggtctcgGC
5, 7
rs206-c, rs206-c-pre
312
330
2167
2185
A23





34
TTGCCATACTCGGTCTCGGC
34
TtgccatactcggtctcgGC
5, 7
rs206-c, rs206-c-pre
312
331
2167
2186
A24





35
CATACTCGGTCTCGG
35
CATActcggtctcGG
5, 7
rs206-c, rs206-c-pre
313
327
2168
2182
A25





36
CCATACTCGGTCTCGG
36
CCatactcggtctcGG
5, 7
rs206-c, rs206-c-pre
313
328
2168
2183
A26





37
GCCATACTCGGTCTCGG
37
GcCatactcggtctcGG
5, 7
rs206-c, rs206-c-pre
313
329
2168
2184
A27





38
TGCCATACTCGGTCTCGG
38
TgccatactcggtctcGG
5, 7
rs206-c, rs206-c-pre
313
330
2168
2185
A28





39
TTGCCATACTCGGTCTCGG
39
TtgccatactcggtctcGG
5, 7
rs206-c, rs206-c-pre
313
331
2168
2186
A29





40
CTTGCCATACTCGGTCTCGG
40
CTtgccatactcggtctcGG
5, 7
rs206-c, rs206-c-pre
313
332
2168
2187
A30





41
CCATACTCGGTCTCG
41
CCAtactcggtctCG
5, 7
rs206-c, rs206-c-pre
314
328
2169
2183
A31





42
GCCATACTCGGTCTCG
42
GCcatactcggtctCG
5, 7
rs206-c, rs206-c-pre
314
329
2169
2184
A32





43
TGCCATACTCGGTCTCG
43
TGccatactcggtctCG
5, 7
rs206-c, rs206-c-pre
314
330
2169
2185
A33





44
TTGCCATACTCGGTCTCG
44
TtgccatactcggtctCG
5, 7
rs206-c, rs206-c-pre
314
331
2169
2186
A34





45
CTTGCCATACTCGGTCTCG
45
CttgccatactcggtctCG
5, 7
rs206-c, rs206-c-pre
314
332
2169
2187
A35





46
TGCCATACTCGGTCTC
46
TGccatactcggtcTC
5, 7
rs206-c, rs206-c-pre
315
330
2170
2185
A36





47
TTGCCATACTCGGTCTC
47
TTgccatactcggtcTC
5, 7
rs206-c, rs206-c-pre
315
331
2170
2186
A37





48
CTTGCCATACTCGGTCTC
48
CttgccatactcggtcTC
5, 7
rs206-c, rs206-c-pre
315
332
2170
2187
A38





49
TTGCCATACTCGGTCT
49
TTGccatactcggtCT
5, 7
rs206-c, rs206-c-pre
316
331
2171
2186
A39





50
CTTGCCATACTCGGTCT
50
CttgccatactcggtCT
5, 7
rs206-c, rs206-c-pre
316
332
2171
187
A40





51
CTTGCCATACTCGGTC
51
CTTgccatactcggTC
5, 7
rs206-c, rs206-c-pre
317
332
2172
2187
A41





52
TCTTGCCATACTCGGTCTCG
52
TCTtgccatactcggtctCG
5, 7
rs206-c, rs206-c-pre
314
333
2169
2188
A42 





53
TCTTGCCATACTCGGTCTC
53
TCttgccatactcggtcTC
5, 7
rs206-c, rs206-c-pre
315
333
2170
2188
A43





54
GTCTTGCCATACTCGGTCTC
54
GTCTtgccatactcggtCTC
5
rs206-c
315
334


A44





55
TCTTGCCATACTCGGTCT
55
TCttgccatactcggtCT
5, 7
rs206-c, rs206-c-pre
316
333
2171
2188
A45





56
GTCTTGCCATACTCGGTCT
56
GtcttgccatactcggtCT
5
rs206-c
316
334


A46





57
TGTCTTGCCATACTCGGTCT
57
TGtcttgccatactcggtCT
5
rs206-c
316
335


A47





58
TCTTGCCATACTCGGTC
58
TCttgccatactcggTC
5, 7
rs206-c, rs206-c-pre
317
333
2172
2188
A48





59
GTCTTGCCATACTCGGTC
59
GTCTtgccatactcggTC
5
rs206-c
317
334


A49





60
TCTTGCCATACTCGGT
60
TCTtgccatactcgGT
5, 7
rs206-c, rs206-c-pre
318
333
2173
2188
A50





61
GTCTTGCCATACTCGGT
61
GTCTtgccatactcgGT
5
rs206-c
318
334


A51





62
GTCTTGCCATACTCGG
62
GTCTtgccatactCGG
5
rs206-c
319
334


A52





63
TGTCTTGCCATACTCGG
63
TGtcttgccatacTCGG
5
rs206-c
319
335


A53





64
CTGTCTTGCCATACTCGG
64
CTgtcttgccatactCGG
5
rs206-c
319
336


A54





65
CACTGTCTTGCCATACTCGG
65
CActgtcttgccatactCGG
5
rs206-c
319
338


A55





66
CCTTGCCATACTCGGTCTCG
66
CcttgccatactcggtctCG
5, 7
rs206-c, rs206-c-pre
314
333
2169
2188
A56





67
CCTTGCCATACTCGGTCTC
67
CCttgccatactcggtcTC
5, 7
rs206-c, rs206-c-pre
315
333
2170
2188
A57





68
ACCTTGCCATACTCGGTCTC
68
AccttgccatactcggtcTC
7
rs206-c-pre


2170
2189
A58





69
CCTTGCCATACTCGGTCT
69
CcttgccatactcggtCT
5, 7
rs206-c, rs206-c-pre
316
333
2171
2188
A59





70
ACCTTGCCATACTCGGTCT
70
AccttgccatactcggtCT
7
rs206-c-pre


2171
2189
A60





71
CACCTTGCCATACTCGGTCT
71
CaccttgccatactcggtCT
7
rs206-c-pre


2171
2190
A61





72
CCTTGCCATACTCGGTC
72
CcttgccatactcggTC
5, 7
rs206-c, rs206-c-pre
317
333
2172
2188
A62





73
ACCTTGCCATACTCGGTC
73
AccttgccatactcggTC
7
rs206-c-pre


2172
2189
A63





74
CACCTTGCCATACTCGGTC
74
CaccttgccatactcggTC
7
rs206-c-pre


2172
2190
A64





75
CCACCTTGCCATACTCGGTC
75
CcaccttgccatactcggTC
7
rs206-c-pre


2172
2191
A65





76
CCTTGCCATACTCGGT
76
CCttgccatactcgGT
5, 7
rs206-c, rs206-c-pre
318
333
2173
2188
A66





77
ACCTTGCCATACTCGGT
77
ACcttgccatactcgGT
7
rs206-c-pre


2173
2189
A67





78
CACCTTGCCATACTCGGT
78
CaccttgccatactcgGT
7
rs206-c-pre


2173
2190
A68





79
CCACCTTGCCATACTCGGT
79
CcaccttgccatactcgGT
7
rs206-c-pre


2173
2191
A69





80
CCCACCTTGCCATACTCGGT
80
CccaccttgccatactcgGT
7
rs206-c-pre


2173
2192
A70





81
ACCTTGCCATACTCGG
81
ACcttgccatactCGG
7
rs206-c-pre


2174
2189
A71





82
CACCTTGCCATACTCGG
82
CAccttgccatactcGG
7
rs206-c-pre


2174
2190
A72





83
CCACCTTGCCATACTCGG
83
CcaccttgccatactcGG
7
rs206-c-pre


2174
2191
A73





84
CCCACCTTGCCATACTCGG
84
CccaccttgccatactcGG
7
rs206-c-pre


2174
2192
A74





85
ACCCACCTTGCCATACTCGG
85
AcccaccttgccatactcGG
7
rs206-c-pre


2174
2193
A75





86
TCTTGCCATACTCAGTCT
86
TCTtgccatactcagtCT
6
rs206-t
316
333


A76





87
CCATACTCAGTCTCGGCA
87
CcatactcagtctcggCA
6, 8
rs206-t, rs206-t-pre
311
328
2166
2183
A77





88
TTGCCATACTCAGTCTCG
88
TTgccatactcagtcTCG
6, 8
rs206-t, rs206-t-pre
314
331
2169
2186
A78





89
TCTTGCCATACTCAGTC
89
TCTtgccatactcagTC
6
rs206-t
317
333


A79





90
CCATACTCAGTCTCGGCAGT
90
CcatactcagtctcggcaGT
6, 8
rs206-t, rs206-t-pre
309
328
2164
2183
A80





91
CCATACTCAGTCTCGG
91
CCatactcagtctcGG
6, 8
rs206-t, rs206-t-pre
313
328
2168
2183
A81





92
CTTGCCATACTCAGTCTCG
92
CTtgccatactcagtctCG
6, 8
rs206-t, rs206-t-pre
314
332
2169
2187
A82





93
CTTGCCATACTCAGTCT
93
CTtgccatactcagtCT
6, 8
rs206-t, rs206-t-pre
316
332
2171
2187
A83





94
TTGCCATACTCAGTCTCGGC
94
TtgccatactcagtctcgGC
6, 8
rs206-t, rs206-t-pre
312
331
2167
2186
A84





95
TGCCATACTCAGTCTCGG
95
TGccatactcagtctcGG
6, 8
rs206-t, rs206-t-pre
313
330
2168
2185
A85





96
CTGTCTTGCCATACTCAG
96
CTgtcttgccatactCAG
6
rs206-t
319
336


A86





97
GCCATACTCAGTCTCGG
97
GccatactcagtctcGG
6, 8
rs206-t, rs206-t-pre
313
329
2168
2184
A87





98
CTTGCCATACTCAGTCTC
98
CTtgccatactcagtcTC
6, 8
rs206-t, rs206-t-pre
315
332
2170
2187
A88





99
CTTGCCATACTCAGTCTCGG
99
CTtgccatactcagtctcGG
6, 8
rs206-t, rs206-t-pre
313
332
2168
2187
A89





100
TTGCCATACTCAGTCTCGG
100
TtgccatactcagtctcGG
6, 8
rs206-t, rs206-t-pre
313
331
2168
2186
A90





101
CATACTCAGTCTCGGCAGT
101
CatactcagtctcggcaGT
6, 8
rs206-t, rs206-t-pre
309
327
2164
2182
A91





102
CATACTCAGTCTCGGCAGTG
102
CatactcagtctcggcagTG
6, 8
rs206-t, rs206-t-pre
308
327
2163
2182
A92





103
TGCCATACTCAGTCTCG
103
TGccatactcagtctCG
6, 8
rs206-t, rs206-t-pre
314
330
2169
2185
A93





104
ATACTCAGTCTCGGCAGTG
104
AtactcagtctcggcagTG
6, 8
rs206-t, rs206-t-pre
308
326
2163
2181
A94





105
CCATACTCAGTCTCGGCAG
105
CcatactcagtctcggcAG
6, 8
rs206-t, rs206-t-pre
310
328
2165
2183
A95





106
CCATACTCAGTCTCGGC
106
CcatactcagtctcgGC
6, 8
rs206-t, rs206-t-pre
312
328
2167
2183
A96





107
CACTGTCTTGCCATACTCAG
107
CActgtcttgccatactCAG
6
rs206-t
319
338


A97





108
ATACTCAGTCTCGGCAGT
108
ATActcagtctcggcaGT
6, 8
rs206-t, rs206-t-pre
309
326
2164
2181 
A98





109
GCCATACTCAGTCTCGGC
109
GccatactcagtctcgGC
6, 8
rs206-t, rs206-t-pre
312
329
2167
2184 
A99





110
TCTTGCCATACTCAGTCTCG
110
TCTtgccatactcagtctCG
6
rs206-t
314
333


A100





111
CATACTCAGTCTCGGC
111
CAtactcagtctcgGC
6, 8
rs206-t, rs206-t-pre
312
327
2167
2182
A101





112
TACTCAGTCTCGGCAG
112
TActcagtctcgGcAG
6, 8
rs206 t, rs206-t-pre
310
325
2165
2180
A102





113
GTCTTGCCATACTCAGT
113
GtCTtgccatactCAGT
6
rs206-t
318
334


A103





114
CATACTCAGTCTCGGCA
114
CAtactcagtctcggCA
6, 8
rs206-t, rs206-t-pre
311
327
2166
2182
A104





115
ATACTCAGTCTCGGCAG
115
ATActcagtctcggcAG
6, 8
rs206-t, rs206-t-pre
310
326
2165
2181
A105





116
TGTCTTGCCATACTCAG
116
TGtcttgccatactCAG
6
rs206-t
319
335


A106





117
TGCCATACTCAGTCTCGGC
117
TgccatactcagtctcgGC
6, 8
rs206-t, rs206-t-pre
312
330
2167
2185
A107





118
GCCATACTCAGTCTCG
118
GCcatactcagtctCG
6, 8
rs206-t, rs206-t-pre
314
329
2169
2184
A108





119
TTGCCATACTCAGTCTC
119
TTgccatactcagtCTC
6, 8
rs206-t, rs206-t-pre
315
331
2170
2186
A109





120
TCTTGCCATACTCAGTCTC
120
TCTtgccatactcagtcTC
6
rs206-t
315
333


A110





121
ACTGTCTTGCCATACTCAG
121
ACTgtcttgccatacTCAG
6
rs206-t
319
337


A111





122
ATACTCAGTCTCGGCA
122
ATActcagtctcggCA
6, 8
rs206-t, rs206-t-pre
311
326
2166
2181
A111





123
ATACTCAGTCTCGGCAGTGA
123
AtactcagtctcggcagtGA
6, 8
rs206-t, rs206-t-pre
307
326
2162
2181
A113





124
CATACTCAGTCTCGGCAG
124
CAtactcagtctcggcAG
6, 8
rs206-t, rs206-t-pre
310
327
2165
2182
A114





125
CCTTGCCATACTCAGTCT
125
CCttgccatactcagtCT
8
rs206-t-pre


2171
2188
A115





126
CACCTTGCCATACTCAGT
126
CAccttgccatactCAGT
8
rs206-t-pre


2173
2190
A116





127
CCTTGCCATACTCAGTC
127
CCTtgccatactcagTC
8
rs206-t-pre


2172
2188
A117





128
CCACCTTGCCATACTCAGT
128
CCaccttgccatactCAGT
8
rs206-t-pre


2173
2191
A118





129
ACCTTGCCATACTCAGT
129
ACCTtgccatactcAGT
8
rs206-t-pre


2173
2189
A119





130
CCACCTTGCCATACTCAG
130
CcaccttgccatactcAG
8
rs206-t-pre


2174
2191
A120





131
CACCTTGCCATACTCAG
131
CAccttgccatactcAG
8
rs206-t-pre


2174
2190
A121





132
ACCCACCTTGCCATACTCAG
132
AcccaccttgccatactcAG
8
rs206-t-pre


2174
2193
A122





133
ACCTTGCCATACTCAGTC
133
ACCTtgccatactcagTC
8
rs206-t-pre


2172
2189
A123





134
CACCTTGCCATACTCAGTCT
134
CAccttgccatactcagtCT
8
rs206-t-pre


2171
2190
A124





135
ACCTTGCCATACTCAGTCT
135
AccttgccatactcagtCT
8
rs206-t-pre


2171
2189
A125





136
ACCTTGCCATACTCAGTCTC
136
ACcTtgccatactcagtcTC
8
rs206-t-pre


2170
2189
A126





137
CCTTGCCATACTCAGTCTCG
137
CCTtgccatactcagtctCG
8
rs206-t-pre


2169
2188
A127





138
CCCACCTTGCCATACTCAGT
138
CCcaccttgccatactCAGT
8
rs206-t-pre


2173
2192
A128





139
CCTTGCCATACTCAGTCTC
139
CCTtgccatactcagtcTC
8
rs206-t-pre


2170
2188
A129





140
CCCACCTTGCCATACTCAG
140
CccaccttgccatactcAG
8
rs206-t-pre


2174
2192
A130





141
ATTTTCAACGCTCTAGC
141
ATTTtcaacgctctAGC
4
rs223-c


1541
1557
A131





142
GATTTTCAACGCTCTAGCT
142
GAttttcaacgctctagCT
4
rs223-c


1540
1558
A132





143
GATTTTCAACGCTCTAGCTT
143
GAttttcaacgctctagcTT
4
rs223-c


1539
1558
A133





144
CTAGATTTTCAACGCTCT
144
CTAgattttcaacgctCT
4
rs223-c


1544
1561
A134





145
GATTTTCAACGCTCTAG
145
GATTttcaacgctcTAG
4
rs223-c


1542
1558
A135





146
TCAACGCTCTAGCTTCAG
146
TCAacgctctagcttcAG
4
rs223-c


1536
1553
A136





147
TTTCAACGCTCTAGCTTCA
147
TTtcaacgctctagcttCA
4
rs223-c


1537
1555
A137





148
CTAGATTTTCAACGCTCTAG
148
CTAgattttcaacgctctAG
4
rs223-c


1542
1561
A138





149
GATTTTCAACGCTCTA
149
GATTttcaacgcTCTA
4
rs223-c


1543
1558
A139





150
TACTAGATTTTCAACGCTC
150
TACTagattttcaacgcTC
4
rs223-c


1545
1563
A140





151
CTAGATTTTCAACGCT
151
CTAGattttcaacGCT
4
rs223-c


1546
1561
A141





152
TTTTCAACGCTCTAGCTT
152
TTTtcaacgctctagCTT
4
rs223-c


1539
1556
A142





153
TTTTCAACGCTCTAGCT
153
TTttcaacgctctaGCT
4
rs223-c


1540
1556
A143





154
TAGATTTTCAACGCTCT
154
TAgattttcaacgCTCT
4
rs223-c


1544
1560
A144





155
AGATTTTCAACGCTCTA
155
AGAttttcaacgctCTA
4
rs223-c


1543
1559
A145





156
TACTAGATTTTCAACGCTCT
156
TACtagattttcaacgctCT
4
rs223-c


1544
1563
A146





157
ACTAGATTTTCAACGCTCTA
157
ACtagattttcaacgctCTA
4
rs223-c


1543
1562
A147





158
ACTAGATTTTCAACGC
158
ACTAgattttcaACGC
4
rs223-c


1547
1562
A148





159
TTTCAACGCTCTAGCTT
159
TTTCaacgctctagCTT
4
rs223-c


1539
1555
A149





160
TTACTAGATTTTCAACGCTC
160
TTACtagattttcaacgcTC
4
rs223-c


1545
1564
A150





161
TTACTAGATTTTCAACGCT
161
TTActagattttcaacGCT
4
rs223-c


1546
1564
A151





162
ATTTTCAACGCTCTAGCTTC
162
ATtttcaacgctctagctTC
4
rs223-c


1538
1557
A152





163
TTTCAACGCTCTAGCTTCAG
163
TTtcaacgctctagcttcAG
4
rs223-c


1536
1555
A153





164
AGATTTTCAACGCTCTAGC
164
AGattttcaacgctctaGC
4
rs223-c


1541
1559
A154





165
ACTAGATTTTCAACGCTC
165
ACtagattttcaacGCTC
4
rs223-c


1545
1562
A155





166
AGATTTTCAACGCTCTAG
166
AGattttcaacgctCTAG
4
rs223-c


1542
1559
A156





167
ACTAGATTTTCAACGCTCT
167
ACtagattttcaacgcTCT
4
rs223-c


1544
1562
A157





168
TTTTCAACGCTCTAGCTTC
168
TTttcaacgctctagcTTC
4
rs223-c


1538
1556
A158





169
TTTCAACGCTCTAGCTTC
169
TTTcaacgctctagcTTC
4
rs223-c


1538
1555
A159





170
TTCAACGCTCTAGCTTCA
170
TTcaacgctctagctTCA
4
rs223-c


1537
1554
A160





171
AGATTTTCAACGCTCTAGCT
171
AGattttcaacgctctagCT
4
rs223-c


1540
1559
A161





172
TACTAGATTTTCAACGC
172
TACTagattttcaaCGC
4
rs223-c


1547
1563
A162





173
TTCAACGCTCTAGCTTCAG
173
TTCaacgctctagcttcAG
4
rs223-c


1536
1554
A163





174
TTTTCAACGCTCTAGCTTCA
174
TTTtcaacgctctagcttCA
4
rs223-c


1537
1556
A164





175
TTTTCAACGCTCTAGC
175
TTttcaacgctcTAGC
4
rs223-c


1541
1556
A165





176
CTTACTAGATTTTCAACGC
176
CTtactagattttcaACGC
4
rs223-c


1547
1565
A166





177
ATTTTCAACGCTCTAGCT
177
ATTTtcaacgctctagCT
4
rs223-c


1540
1557
A167





178
TACTAGATTTTCAACGCT
178
TACtagattttcaacGCT
4
rs223-c


1546
1563
A168





179
TTACTAGATTTTCAACGC
179
TTActagattttcaACGC
4
rs223-c


1547
1564
A169





180
GATTTTCAACGCTCTAGC
180
GAttttcaacgctctAGC
4
rs223-c


1541
1558
A170





181
ATTTTCAACGCTCTAGCTT
181
ATTTtcaacgctctagcTT
4
rs223-c


1539
1557
A171





182
CTAGATTTTCAACGCTCTA
182
CTAgattttcaacgctcTA
4
rs223-c


1543
1561
A172





183
CAACGCTCTAGCTTCAG
183
CAacgctctagcttCAG
4
rs223-c


1536
1552
A173





184
TTCAACGCTCTAGCTTC
184
TTcaacgctctagCTTC
4
rs223-c


1538
1554
A174





185
ACTAGATTTTCAACGCT
185
ACtagattttcaaCGCT
4
rs223-c


1546
1562
A175





186
CTTACTAGATTTTCAACGCT
186
CTTactagattttcaacgCT
4
rs223-c


1546
1565
A176





187
TAGATTTTCAACGCTCTA
187
TAgattttcaacgcTCTA
4
rs223-c


1543
1560
A177





188
TAGATTTTCAACGCTCTAG
188
TAgattttcaacgctcTAG
4
rs223-c


1542
1560
A178





189
TAGATTTTCAACGCTCTAGC
189
TAgattttcaacgctctaGC
4
rs223-c


1541
1560
A179





190
TCTTACTAGATTTTCAACGC
190
TCTtactagattttcaacGC
4
rs223-c


1547
1566
A180





191
CTAGATTTTCAACGCTC
191
CTagattttcaacGCTC
4
rs223-c


1545
1561
A181





192
TTCAACGCTCTAGCTT
192
TTCAacgctctagCTT
4
rs223-c


1539
1554
A182





193
CACTaAGCTTCAGCTTTTC
193
CActctagcttcagctttTC
3
rs223-t


1530
1549
A183





194
CACTCTAGCTTCAGCTTT
194
CActctagcttcagCTTT
3
rs223-t


1532
1549
A184





195
CAACACTCTAGCTTCAGCTT
195
CAacactctagcttcagcTT
3
rs223-t


1533
1552
A185





196
ACACTCTAGCTTCAGCT
196
ACActctagcttcagCT
3
rs223-t


1534
1550
A186





197
AACACTCTAGCTTCAGCT
197
AACActctagcttcagCT
3
rs223-t


1534
1551
A187





198
CAACACTCTAGCTTCAGCT
198
CaacactctagcttcagCT
3
rs223-t


1534
1552
A188





199
TCAACACTCTAGCTTCAGCT
199
TCaacactctagcttcagCT
3
rs223-t


1534
1553
A189





200
AACACTCTAGCTTCAGC
200
AACActctagcttcaGC
3
rs223-t


1535
1551
A190





201
CAACACTCTAGCTTCAGC
201
CAacactctagcttcaGC
3
rs223-t


1535
1552
A191





202
TCAACACTCTAGCTTCAGC
202
TCaacactctagcttcaGC
3
rs223-t


1535
1553
A192





203
TTCAACACTCTAGCTTCAGC
203
TtcaacactctagcttcaGC
3
rs223-t


1535
1554
A193





204
TCAACACTCTAGCTTCAG
204
TCAAcactctagcttcAG
3
rs223-t


1536
1553
A194





205
TTCAACACTCTAGCTTCAG
205
TTcaacactctagcttCAG
3
rs223-t


1536
1554
A195





206
TTTCAACACTCTAGCTTCAG
206
TTtcaacactctagcttCAG
3
rs223-t


1536
1555
A196





207
TCAACACTCTAGCTTCA
207
TCaacactctagcTTCA
3
rs223-t


1537
1553
A197





208
TTCAACACTCTAGCTTCA
208
TTcaacactctagcTTCA
3
rs223-t


1537
1554
A198





209
TTTCAACACTCTAGCTTCA
209
TTtcaacactctagcTTCA
3
rs223-t


1537
1555
A199





210
TTTTCAACACTCTAGCTTCA
210
TTttcaacactctagctTCA
3
rs223-t


1537
1556
A200





211
TTCAACACTCTAGCTTC
211
TTCaacactctagCTTC
3
rs223-t


1538
1554
A201





212
TTTCAACACTCTAGCTTC
212
TTTcaacactctagCTTC
3
rs223-t


1538
1555
A202





213
TTTTCAACACTCTAGCTTC
213
TTTTcaacactctagcTTC
3
rs223-t


1538
1556
A203





214
ATTTTCAACACTCTAGCTTC
214
ATTTtcaacactctagctTC
3
rs223-t


1538
1557
A204





215
TTTCAACACTCTAGCTT
215
TTTcaacactctaGCTT
3
rs223-t


1539
1555
A205





216
TTTTCAACACTCTAGCTT
216
TTttcaacactctaGCTT
3
rs223-t


1539
1556
A206





217
ATTTTCAACACTCTAGCTT
217
ATTTtcaacactctagCTT
3
rs223-t


1539
1557
A207





218
GATTTTCAACACTCTAGCTT
218
GAttttcaacactctagCTT
3
rs223-t


1539
1558
A208





219
TTTTCAACACTCTAGCT
219
TTTTcaacactctaGCT
3
rs223-t


1540
1556
A209





220
ATTTTCAACACTCTAGCT
220
ATTttcaacactctaGCT
3
rs223-t


1540
1557
A210





221
GATTTTCAACACTCTAGCT
221
GATtttcaacactctagCT
3
rs223-t


1540
1558
A211





222
AGATTTTCAACACTCTAGCT
222
AGattttcaacactctagCT
3
rs223-t


1540
1559
A212





223
ATTTTCAACACTCTAGC
223
ATTttcaacactcTAGC
3
rs223-t


1541
1557
A213





224
GATTTTCAACACTCTAGC
224
GATTttcaacactctaGC
3
rs223-t


1541
1558
A214





225
AGATTTTCAACACTCTAGC
225
AGattttcaacactctAGC
3
rs223-t


1541
1559
A215





226
TAGATTTTCAACACTCTAGC
226
TAgattttcaacactctaGC
3
rs223-t


1541
1560
A216





227
GATTTTCAACACTCTAG
227
GATTttcaacactCTAG
3
rs223-t


1542
1558
A217





228
AGATTTTCAACACTCTAG
228
AGATtttcaacactcTAG
3
rs223-t


1542
1559
A218





229
TAGATTTTCAACACTCTAG
229
TAgattttcaacactCTAG
3
rs223-t


1542
1560
A219





230
CTAGATTTTCAACACTCTAG
230
CTagattttcaacactcTAG
3
rs223-t


1542
1561
A220





231
AGATTTTCAACACTCTA
231
AGATtttcaacactCTA
3
rs223-t


1543
1559
A221





232
TAGATTTTCAACACTCTA
232
TAGAttttcaacactCTA
3
rs223-t


1543
1560
A222





233
CTAGATTTTCAACACTCTA
233
CTagattttcaacacTCTA
3
rs223-t


1543
1561
A223





234
ACTAGATTTTCAACACTCTA
234
ACtagattttcaacacTCTA
3
rs223-t


1543
1562
A224





235
TAGATTTTCAACACTCT
235
TAGAttttcaacacTCT
3
rs223-t


1544
1560
A225





236
CTAGATTTTCAACACTCT
236
CTAGattttcaacactCT
3
rs223-t


1544
1561
A226





237
ACTAGATTTTCAACACTCT
237
ACtagattttcaacaCTCT
3
rs223-t


1544
1562
A227





238
TACTAGATTTTCAACACTCT
238
TACtagattttcaacacTCT
3
rs223-t


1544
1563
A228





239
TAGATTTTCAACACTC
239
TAGAttttcaacACTC
3
rs223-t


1545
1560
A229





240
CTAGATTTTCAACACTC
240
CTAGattttcaacACTC
3
rs223-t


1545
1561
A230





241
ACTAGATTTTCAACACTC
241
ACTAgattttcaacaCTC
3
rs223-t


1545
1562
A231





242
TACTAGATTTTCAACACTC
242
TACtagattttcaacACTC
3
rs223-t


1545
1563
A232





243
TTACTAGATTTTCAACACTC
243
TTActagattttcaacACTC
3
rs223-t


1545
1564
A233





244
ACTAGATTTTCAACACT
244
ACTAgattttcaaCACT
3
rs223-t


1546
1562
A234





245
TACTAGATTTTCAACACT
245
TACtagattttcaaCACT
3
rs223-t


1546
1563
A235





246
TTACTAGATTTTCAACACT
246
TTActagattttcaaCACT
3
rs223-t


1546
1564
A236





247
CTTACTAGATTTTCAACACT
247
CTTActagattttcaacaCT
3
rs223-t


1546
1565
A237





248
TACTAGATTTTCAACAC
248
TACTagattttcaACAC
3
rs223-t


1547
1563
A238





249
TTACTAGATTTTCAACAC
249
TTACtagattttcaACAC
3
rs223-t


1547
1564
A239





250
CTTACTAGATTTTCAACAC
250
CTTActagattttcaACAC
3
rs223-t


1547
1565
A240





251
TCTTACTAGATTTTCAACAC
251
TCTtactagattttcaACAC
3
rs223-t


1547
1566
A241





252
CAGCTTGGCGATGATCTC
252
CAGCttggcgatgatcTC
10
rs715-c
3090
3107
12032
12049
A242





253
AGCTTGGCGATGATCTCAT
253
AGcttggcgatgatctcAT
10
rs715-c
3088
3106
12030
12048
A243





254
TCAGCTTGGCGATGATC
254
TCagcttggcgatgATC
10
rs715-c
3092
3108
12034
12050
A244





255
CAGCTTGGCGATGATC
255
CAGcttggcgatgATC
10
rs715-c
3092
3107
12034
12049
A245





256
TCAGCTTGGCGATGATCTCA
256
TCAGcttggcgatgatCTCA
10
rs71S-c
3089
3108
12031
12050
A246





257
CAGCTTGGCGATGATCTCAT
257
CAgcttggcgatgatctcAT
10
rs715-c
3088
3107
12030
12049
A247





258
CTTGGCGATGATCTCAT
258
CTTGgcgatgatctcAT
10
rs715-c
3088
3104
12030
12046
A248





259
CAGCTTGGCGATGATCT
259
CAGcttggcgatgatCT
10
rs715-c
3091
3107
12033
12049
A249





260
TCAGCTTGGCGATGATCT
260
TCagcttggcgatgATCT
10
rs715-c
3091
3108
12033
12050
A250





261
TCAGCTTGGCGATGATCTC
261
TCAGcttggcgatgaTCTC
10
rs715-c
3090
3108
12032
12050
A251





262
GCTTGGCGATGATCTCA
262
GCttggcgatgatctCA
10
rs715-c
3089
3105
12031
12047
A252





263
AGCTTGGCGATGATCTC
263
AGCttggcgatgatcTC
10
rs715-c
3090
3106
12032
12048
A253





264
AGCTTGGCGATGATCTCA
264
AGCttggcgatgatctCA
10
rs715-c
3089
3106
12031
12048
A254





265
CAGCTTGGCGATGATCTCA
265
CAGCttggcgatgatctCA
10
rs715-c
3089
3107
12031
12049
A255





266
GCTTGGCGATGATCTCAT
266
GCttggcgatgatctcAT
10
rs715-c
3088
3105
12030
12047
A256





267
CAATGATCTCATCCAGC
267
CAatgatctcatcCAGC
9
rs715-t
3083
3099
12025
12041
A257





268
GCAATGATCTCATCCAGC
268
GcaatgatctcatccaGC
9
rs715-t
3083
3100
12025
12042
A258





269
GGCAATGATCTCATCCAGC
269
GgCAatgatctcatccaGC
9
rs715-t
3083
3101
12025
12043
A259





270
TGGCAATGATCTCATCCAGC
270
TgGcaatgatctcatcCaGC
9
rs715-t
3083
3102
12025
12044
A260





271
GCAATGATCTCATCCAG
271
GCaatgatctcatcCAG
9
rs715-t
3084
3100
12026
12042
A261





272
GGCAATGATCTCATCCAG
272
GGcaatgatctcatcCAG
9
rs715-t
3084
3101
12026
12043
A262





273
TGGCAATGATCTCATCCAG
273
TGGcaatgatctcatcCAG
9
rs715-t
3084
3102
12026
12044
A263





274
GGCAATGATCTCATCCA
274
GGcaatgatctcatcCA
9
rs715-t
3085
3101
12027
12043
A264





275
TGGCAATGATCTCATCCA
275
TGgcaatgatctcatcCA
9
rs715-t
3085
3102
12027
12044
A265





276
TTGGCAATGATCTCATCCA
276
TTGgcaatgatctcatcCA
9
rs715-t
3085
3103
12027
12045
A266





277
CTTGGCAATGATCTCATCCA
277
CTtggcaatgatctcaTCCA
9
rs715-t
3085
3104
12027
12046
A267





278
TGGCAATGATCTCATCC
278
TGgcaatgatctcaTCC
9
rs715-t
3086
3102
12028
12044
A268





279
TTGGCAATGATCTCATCC
279
TTggcaatgatctcATCC
9
rs715-t
3086
3103
12028
12045
A269





280
CTTGGCAATGATCTCATCC
280
CTtggcaatgatctcATCC
9
rs715-t
3086
3104
12028
12046
A270





281
GCTTGGCAATGATCTCATCC
281
GCttggcaatgatctcatCC
9
rs715-t
3086
3105
12028
12047
A271





282
TTGGCAATGATCTCATC
282
TTGGcaatgatctcATC
9
rs715-t
3087
3103
12029
12045
A272





283
CTTGGCAATGATCTCATC
283
CTtggcaatgatctCATC
9
rs715-t
3087
3104
12029
12046
A273





284
GCTTGGCAATGATCTCATC
284
GCttggcaatgatctcATC
9
rs715-t
3087
3105
12029
12047
A274





285
AGCTTGGCAATGATCTCATC
285
AGcttggcaatgatctcATC
9
rs715-t
3087
3106
12029
12048
A275





286
GCTTGGCAATGATCTCAT
286
GCTtggcaatgatctcAT
9
rs715-t
3088
3105
12030
12047
A276





287
AGCTTGGCAATGATCTCAT
287
AGcttggcaatgatctCAT
9
rs715-t
3088
3106
12030
12048
A277





288
CAGCTTGGCAATGATCTCAT
288
CAgcttggcaatgatctcAT
9
rs715-t
3088
3107
12030
12049
A278





289
GCTTGGCAATGATCTCA
289
GCttggcaatgatctCA
9
rs715-t
3089
3105
12031
12047
A279





290
AGCTTGGCAATGATCTCA
290
AGcttggcaatgatctCA
9
rs715-t
3089
3106
12031
12048
A280





291
CAGCTTGGCAATGATCTCA
291
CAgcttggcaatgatctCA
9
rs715-t
3089
3107
12031
12049
A281





292
TCAGCTTGGCAATGATCTCA
292
TCAgcttggcaatgatctCA
9
rs715-t
3089
3108
12031
12050
A282





293
AGCTTGGCAATGATCTC
293
AGcttggcaatgatCTC
9
rs715-t
3090
3106
12032
12048
A283





294
CAGCTTGGCAATGATCTC
294
CAGcttggcaatgatcTC
9
rs715-t
3090
3107
12032
12049
A284





295
TCAGCTTGGCAATGATCTC
295
TCAgcttggcaatgatCTC
9
rs715-t
3090
3108
12032
12050
A285





296
CAGCTTGGCAATGATCT
296
CAgcttggcaatgaTCT
9
rs715-t
3091
3107
12033
12049
A286





297
TCAGCTTGGCAATGATCT
297
TCAgcttggcaatgatCT
9
rs715-t
3091
3108
12033
12050
A287





298
TCAGCTTGGCAATGATC
298
TCagcttggcaatGATC
9
rs715-t
3092
3108
12034
12050
A288





260
TCAGCTTGGCGATGATCT
260,001
TcaGctTgGcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B1





260
TCAGCTTGGCGATGATCT
260,002
TcaGcTtggcgaTgAtCT
10
rs715-c
3091
3108
12033
12050
B2





259
CAGCTTGGCGATGATCT
259,001
CAgcttggCgaTgAtCT
10
rs715-c
3091
3107
12033
12049
B3





259
CAGCTTGGCGATGATCT
259,002
CAGcTtggcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B4





259
CAGCTTGGCGATGATCT
259,003
CAGcttggcgatgATCT
10
rs715-c
3091
3107
12033
12049
B5





259
CAGCTTGGCGATGATCT
259,004
CAgcTtggcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B6





259
CAGCTTGGCGATGATCT
259,005
CaGcTTgGcgatgatCT
10
rs715-c
3091
3107
12033
12049
B7





259
CAGCTTGGCGATGATCT
259,006
CAgcTTggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B8





260
TCAGCTTGGCGATGATCT
260,003
TcAgcTtGgCgatgatCT
10
rs715-c
3091
3108
12033
12050
B9





259
CAGCTTGGCGATGATCT
259,007
CagCttGgcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B10





259
CAGCTTGGCGATGATCT
259,008
CaGcTtggcgaTGatCT
10
rs715-c
3091
3107
12033
12049
B11





260
TCAGCTTGGCGATGATCT
260,004
TCagCttggcgatgatCT
10
rs715-c
3091
3108
12033
12050
B12





259
CAGCTTGGCGATGATCT
259,009
CAGctTggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B13





259
CAGCTTGGCGATGATCT
259,010
CAgCttggcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B14





259
CAGCTTGGCGATGATCT
259,011
CagCttggcgAtGaTCT
10
rs715-c
3091
3107
12033
12049
B15





259
CAGCTTGGCGATGATCT
259,012
CAGCttggcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B16





259
CAGCTTGGCGATGATCT
259,013
CaGcTTgGcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B17





259
CAGCTTGGCGATGATCT
259,014
CAgcttggcgaTgAtCT
10
rs715-c
3091
3107
12033
12049
B18





259
CAGCTTGGCGATGATCT
259,015
CagCttGgcgatGaTCT
10
rs715-c
3091
3107
12033
12049
B19





259
CAGCTTGGCGATGATCT
259,016
CagCTtggCgatgaTCT
10
rs715-c
3091
3107
12033
12049
B20





260
TCAGCTTGGCGATGATCT
260,005
TCagcttGgcgatgATCT
10
rs715-c
3091
3108
12033
12050
B21





259
CAGCTTGGCGATGATCT
259,017
CaGcTTggcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B22





259
CAGCTTGGCGATGATCT
259,018
CaGCttggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B23





259
CAGCTTGGCGATGATCT
259,019
CAgcttggcgAtGaTCT
10
rs715-c
3091
3107
12033
12049
B24





259
CAGCTTGGCGATGATCT
259,020
CaGCTtggcgAtgatCT
10
rs715-c
3091
3107
12033
12049
B25





259
CAGCTTGGCGATGATCT
259,021
CaGCttggcgatgAtCT
10
rs71S-c
3091
3107
12033
12049
B26





260
TCAGCTTGGCGATGATCT
260,006
TCagcttggcgatgATCT
10
rs715-c
3091
3108
12033
12050
B27





259
CAGCTTGGCGATGATCT
259,022
CagCTtggcgaTGatCT
10
rs715-c
3091
3107
12033
12049
B28





260
TCAGCTTGGCGATGATCT
260,007
TcaGcTtGgCgatgatCT
10
rs715-c
3091
3108
12033
12050
B29





260
TCAGCTTGGCGATGATCT
260,008
TCagctTggcgatgATCT
10
rs715-c
3091
3108
12033
12050
B30





259
CAGCTTGGCGATGATCT
259,023
CagcttggcgATgAtCT
10
rs715-c
3091
3107
12033
12049
B31





259
CAGCTTGGCGATGATCT
259,024
CAgCttggcgatgatCT
10
rs715-c
3091
3107
12033
12049
B32





259
CAGCTTGGCGATGATCT
259,025
CAgctTggcgaTgAtCT
10
rs715-c
3091
3107
12033
12049
B33





259
CAGCTTGGCGATGATCT
259,026
CagCttggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B34





260
TCAGCTTGGCGATGATCT
260,009
TcAgCttggcgATgAtCT
10
rs715-c
3091
3108
12033
12050
B35





259
CAGCTTGGCGATGATCT
259,027
CAgcttggcgATGatCT
10
rs715-c
3091
3107
12033
12049
B36





260
TCAGCTTGGCGATGATCT
260,010
TCagCttggcgatGaTCT
10
rs715-c
3091
3108
12033
12050
B37





259
CAGCTTGGCGATGATCT
259,028
CAgcttggcgaTgatCT
10
rs715-c
3091
3107
12033
12049
B38





259
CAGCTTGGCGATGATCT
259,029
CAgCttggcgAtgatCT
10
rs715-c
3091
3107
12033
12049
B39





259
CAGCTTGGCGATGATCT
259,030
CAgcttggCgatgatCT
10
rs715-c
3091
3107
12033
12049
B40





260
TCAGCTTGGCGATGATCT
260,011
TCagcttggCgatgaTCT
10
rs715-c
3091
3108
12033
12050
B41





260
TCAGCTTGGCGATGATCT
260,012
TCAGcttggcgatgATCT
10
rs715-c
3091
3108
12033
12050
B42





259
CAGCTTGGCGATGATCT
259,031
CAgcttggcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B43





260
TCAGCTTGGCGATGATCT
260,013
TCAGcttggcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B44





260
TCAGCTTGGCGATGATCT
260,014
TcAgcTTgGcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B45





259
CAGCTTGGCGATGATCT
259,032
CaGcTtggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B46





259
CAGCTTGGCGATGATCT
259,033
CagCttGgcgatgATCT
10
rs715-c
3091
3107
12033
12049
B47





260
TCAGCTTGGCGATGATCT
260,015
TCagcttggcGatgATCT
10
rs715-c
3091
3108
12033
12050
B48





259
CAGCTTGGCGATGATCT
259,034
CagCtTggcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B49





260
TCAGCTTGGCGATGATCT
260,016
TCAgCttggcgatGaTCT
10
rs715-c
3091
3108
12033
12050
B50





260
TCAGCTTGGCGATGATCT
260,017
TCagcttggcGatgaTCT
10
rs715-c
3091
3108
12033
12050
B51





260
TCAGCTTGGCGATGATCT
260,018
TcaGcTTggcgatgAtCT
10
rs715-c
3091
3108
12033
12050
B52





260
TCAGCTTGGCGATGATCT
260,019
TcaGcTtggcgaTgATCT
10
rs715-c
3091
3108
12033
12050
B53





260
TCAGCTTGGCGATGATCT
260,020
TcAgcTtggcgaTgAtCT
10
rs715-c
3091
3108
12033
12050
B54





260
TCAGCTTGGCGATGATCT
260,021
TCaGcttggcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B55





260
TCAGCTTGGCGATGATCT
260,022
TCAGcttggcgatgatCT
10
rs715-c
3091
3108
12033
12050
B56





260
TCAGCTTGGCGATGATCT
260,023
TcAgCttggcgaTgAtCT
10
rs715-c
3091
3108
12033
12050
B57





259
CAGCTTGGCGATGATCT
259,035
CAgCtTggcGatgatCT
10
rs715-c
3091
3107
12033
12049
B58





259
CAGCTTGGCGATGATCT
259,036
CagCTtggCGatgatCT
10
rs715-c
3091
3107
12033
12049
B59





259
CAGCTTGGCGATGATCT
259,037
CagCttGgcgatGAtCT
10
rs715-c
3091
3107
12033
12049
B60





259
CAGCTTGGCGATGATCT
259,038
CagCttGgcGatgatCT
10
rs715-c
3091
3107
12033
12049
B61





259
CAGCTTGGCGATGATCT
259,039
CAgcttggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B62





260
TCAGCTTGGCGATGATCT
260,024
TcaGcttggcgAtgAtCT
10
rs715-c
3091
3108
12033
12050
B63





259
CAGCTTGGCGATGATCT
259,040
CagCttggcgaTgAtCT
10
rs715-c
3091
3107
12033
12049
B64





259
CAGCTTGGCGATGATCT
259,041
CAgcttggCgatgaTCT
10
rs715-c
3091
3107
12033
12049
B65





259
CAGCTTGGCGATGATCT
259,042
CAgCttggcgaTgatCT
10
rs715-c
3091
3107
12033
12049
B66





259
CAGCTTGGCGATGATCT
259,043
CagCttGgcgatGatCT
10
rs715-c
3091
3107
12033
12049
B67





259
CAGCTTGGCGATGATCT
259,044
CaGcTtggcgatGaTCT
10
rs715-c
3091
3107
12033
12049
B68





260
TCAGCTTGGCGATGATCT
260,025
TcaGcTtGgcgatgATCT
10
rs715-c
3091
3108
12033
12050
B69





259
CAGCTTGGCGATGATCT
259,045
CagCttGgCGatgatCT
10
rs715-c
3091
3107
12033
12049
B70





259
CAGCTTGGCGATGATCT
259,046
CaGCttGgcGatgatCT
10
rs715-c
3091
3107
12033
12049
B71





259
CAGCTTGGCGATGATCT
259,047
CaGCttggcgAtgatCT
10
rs715-c
3091
3107
12033
12049
B72





260
TCAGCTTGGCGATGATCT
260,026
TcAGcTtGgcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B73





259
CAGCTTGGCGATGATCT
259,048
CagCttggCgatgatCT
10
rs715-c
3091
3107
12033
12049
B74





260
TCAGCTTGGCGATGATCT
260,027
TcAGctTggcgatgAtCT
10
rs715-c
3091
3108
12033
12050
B75





259
CAGCTTGGCGATGATCT
259,049
CAgcttggcgatGaTCT
10
rs715-c
3091
3107
12033
12049
B76





259
CAGCTTGGCGATGATCT
259,050
CagCttGgCgatgatCT
10
rs715-c
3091
3107
12033
12049
B77





259
CAGCTTGGCGATGATCT
259,051
CagCttggcgAtgatCT
10
rs715-c
3091
3107
12033
12049
B78





259
CAGCTTGGCGATGATCT
259,052
CaGcTtggcgatGAtCT
10
rs715-c
3091
3107
12033
12049
B79





259
CAGCTTGGCGATGATCT
259,052
CaGcTtggcgatGAtCT
10
rs715-c
3091
3107
12033
12049
B79





259
CAGCTTGGCGATGATCT
259,053
CAgcTtgGcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B80





259
CAGCTTGGCGATGATCT
259,054
CAgcttGgcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B81





260
TCAGCTTGGCGATGATCT
260,028
TCagCttggcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B82





260
TCAGCTTGGCGATGATCT
260,029
TcAgCttGgcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B83





259
CAGCTTGGCGATGATCT
259,055
CAGcTtggcgatgatCT
10
rs715-c
3091
3107
12033
12049
B84





260
TCAGCTTGGCGATGATCT
260,030
TCAgcttggcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B85





259
CAGCTTGGCGATGATCT
259,056
CagCtTggCgatgatCT
10
rs715-c
3091
3107
12033
12049
B86





260
TCAGCTTGGCGATGATCT
260,031
TCAgcttggcgatgATCT
10
rs715-c
3091
3108
12033
12050
B87





260
TCAGCTTGGCGATGATCT
260,032
TcAgcTtGgcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B88





259
CAGCTTGGCGATGATCT
259,057
CagCTtggcgAtGatCT
10
rs715-c
3091
3107
12033
12049
B89





259
CAGCTTGGCGATGATCT
259,058
CaGCttggcgaTgatCT
10
rs715-c
3091
3107
12033
12049
B90





260
TCAGCTTGGCGATGATCT
260,033
TCaGcttggcgatGaTCT
10
rs715-c
3091
3108
12033
12050
B91





259
CAGCTTGGCGATGATCT
259,059
CagCTtggcgaTgaTCT
10
rs715-c
3091
3107
12033
12049
B92





259
CAGCTTGGCGATGATCT
259,060
CaGctTggcgatgATCT
10
rs715-c
3091
3107
12033
12049
B93





259
CAGCTTGGCGATGATCT
259,061
CAgcttggcGatgAtCT
10
rs715-c
3091
3107
12033
12049
B94





259
CAGCTTGGCGATGATCT
259,062
CagCTtggcgAtgatCT
10
rs715-c
3091
3107
12033
12049
B95





259
CAGCTTGGCGATGATCT
259,063
CAgcTtGgcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B96





260
TCAGCTTGGCGATGATCT
260,034
TcAgCTtGgcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B97





260
TCAGCTTGGCGATGATCT
260,035
TcAgcTTggcgatGatCT
10
rs715-c
3091
3108
12033
12050
B98





260
TCAGCTTGGCGATGATCT
260,036
TCagcttggcgatGaTCT
10
rs715-c
3091
3108
12033
12050
B99





259
CAGCTTGGCGATGATCT
259,064
CAgcttggcGatGatCT
10
rs715-c
3091
3107
12033
12049
B100





259
CAGCTTGGCGATGATCT
259,065
CagCTtggcgaTgatCT
10
rs715-c
3091
3107
12033
12049
B101





259
CAGCTTGGCGATGATCT
259,066
CAgCTtggcgaTgatCT
10
rs715-c
3091
3107
12033
12049
B102





259
CAGCTTGGCGATGATCT
259,067
CagCtTggCGatgatCT
10
rs715-c
3091
3107
12033
12049
B103





259
CAGCTTGGCGATGATCT
259,068
CAgcTtggcgatgatCT
10
rs715-c
3091
3107
12033
12049
B104





259
CAGCTTGGCGATGATCT
259,069
CagCTtgGcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B105





259
CAGCTTGGCGATGATCT
259,070
CAgcttggcgaTgaTCT
10
rs715-c
3091
3107
12033
12049
B106





259
CAGCTTGGCGATGATCT
259,071
CagCTTggCgatgatCT
10
rs715-c
3091
3107
12033
12049
B107





259
CAGCTTGGCGATGATCT
259,072
CaGcttggcgATgaTCT
10
rs715-c
3091
3107
12033
12049
B108





260
TCAGCTTGGCGATGATCT
260,037
TcaGctTgGcgatgatCT
10
rs715-c
3091
3108
12033
12050
B109





260
TCAGCTTGGCGATGATCT
260,038
TcaGcTTggCgatgatCT
10
rs715-c
3091
3108
12033
12050
B110





260
TCAGCTTGGCGATGATCT
260,039
TCaGctTggcgatgATCT
10
rs715-c
3091
3108
12033
12050
B111





259
CAGCTTGGCGATGATCT
259,073
CAgctTggcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B112





260
TCAGCTTGGCGATGATCT
260,040
TcAgCttggcgAtGatCT
10
rs715-c
3091
3108
12033
12050
B113





259
CAGCTTGGCGATGATCT
259,074
CAgcTtgGcgatgatCT
10
rs715-c
3091
3107
12033
12049
B114





260
TCAGCTTGGCGATGATCT
260,041
TCagCttggcgAtGatCT
10
rs715-c
3091
3108
12033
12050
B115





259
CAGCTTGGCGATGATCT
259,075
CAgcttggcgAtgAtCT
10
rs715-c
3091
3107
12033
12049
B116





260
TCAGCTTGGCGATGATCT
260,042
TcAGcTtggcgatGatCT
10
rs715-c
3091
3108
12033
12050
B117





259
CAGCTTGGCGATGATCT
259,076
CAgcttggcgatgatCT
10
rs715-c
3091
3107
12033
12049
B118





259
CAGCTTGGCGATGATCT
259,077
CagCTTggcgaTgAtCT
10
rs715-c
3091
3107
12033
12049
B119





259
CAGCTTGGCGATGATCT
259,078
CAGcttggcgaTgAtCT
10
rs715-c
3091
3107
12033
12049
B120





259
CAGCTTGGCGATGATCT
259,079
CaGcttggcgAtGatCT
10
rs715-c
3091
3107
12033
12049
B121





259
CAGCTTGGCGATGATCT
259,080
CAgcTtggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B122





260
TCAGCTTGGCGATGATCT
260,043
TcAgcTtggcgatGAtCT
10
rs715-c
3091
3108
12033
12050
B123





259
CAGCTTGGCGATGATCT
259,081
CAGctTggcgatgatCT
10
rs715-c
3091
3107
12033
12049
B124





259
CAGCTTGGCGATGATCT
259,082
CagCTtGgcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B125





260
TCAGCTTGGCGATGATCT
260,044
TcaGctTggcgatgATCT
10
rs715-c
3091
3108
12033
12050
B126





260
TCAGCTTGGCGATGATCT
260,045
TCagcTtggcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B127





259
CAGCTTGGCGATGATCT
259,083
CAgcttGgcgatgatCT
10
rs715-c
3091
3107
12033
12049
B128





260
TCAGCTTGGCGATGATCT
260,046
TcaGcTTggcgatGatCT
10
rs715-c
3091
3108
12033
12050
B129





259
CAGCTTGGCGATGATCT
259,084
CaGcTtGgCgatgatCT
10
rs715-c
3091
3107
12033
12049
B130





259
CAGCTTGGCGATGATCT
259,085
CagCtTggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B131





259
CAGCTTGGCGATGATCT
259,086
CAgCttGgcgatGatCT
10
rs715-c
3091
3107
12033
12049
B132





259
CAGCTTGGCGATGATCT
259,087
CagCTtGgcgatGatCT
10
rs715-c
3091
3107
12033
12049
B133





259
CAGCTTGGCGATGATCT
259,088
CagCttggCGatgatCT
10
rs715-c
3091
3107
12033
12049
B134





259
CAGCTTGGCGATGATCT
259,089
CagCTTggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B135





259
CAGCTTGGCGATGATCT
259,090
CaGcTtGgcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B136





259
CAGCTTGGCGATGATCT
259,091
CAgCTtGgcGatgatCT
10
rs715-c
3091
3107
12033
12049
B137





259
CAGCTTGGCGATGATCT
259,092
CagCttGgcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B138





260
TCAGCTTGGCGATGATCT
260,047
TcAgcTTggcgatgAtCT
10
rs715-c
3091
3108
12033
12050
B139





259
CAGCTTGGCGATGATCT
259,093
CAgcttggCgatgAtCT
10
rs715-c
3091
3107
12033
12049
B140





260
TCAGCTTGGCGATGATCT
260,048
TCagcttggcgaTgaTCT
10
rs715-c
3091
3108
12033
12050
B141





260
TCAGCTTGGCGATGATCT
260,049
TcaGcTTgGcgatgatCT
10
rs715-c
3091
3108
12033
12050
B142





259
CAGCTTGGCGATGATCT
259,094
CaGcTtGgcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B143





259
CAGCTTGGCGATGATCT
259,095
CaGctTgGcgatgatCT
10
rs715-c
3091
3107
12033
12049
B144





259
CAGCTTGGCGATGATCT
259,096
CagCttggcgATgaTCT
10
rs715-c
3091
3107
12033
12049
B145





259
CAGCTTGGCGATGATCT
259,097
CagCttggcgAtgATCT
10
rs715-c
3091
3107
12033
12049
B146





259
CAGCTTGGCGATGATCT
259,098
CAGcttggcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B147





260
TCAGCTTGGCGATGATCT
260,050
TcaGcTtGgcgatgAtCT
10
rs715-c
3091
3108
12033
12050
B148





259
CAGCTTGGCGATGATCT
259,099
CAgcttggcgatgATCT
10
rs715-c
3091
3107
12033
12049
B149





260
TCAGCTTGGCGATGATCT
260,051
TCaGcttggcgatgATCT
10
rs715-c
3091
3108
12033
12050
B150





259
CAGCTTGGCGATGATCT
259,100
CagCTtgGcgatgatCT
10
rs715-c
3091
3107
12033
12049
B151





260
TCAGCTTGGCGATGATCT
260,052
TcAgCttggcgaTgaTCT
10
rs715-c
3091
3108
12033
12050
B152





259
CAGCTTGGCGATGATCT
259,101
CAGcttggcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B153





259
CAGCTTGGCGATGATCT
259,102
CaGctTggCgatgatCT
10
rs715-c
3091
3107
12033
12049
B154





259
CAGCTTGGCGATGATCT
259,103
CagCttggcgatGaTCT
10
rs715-c
3091
3107
12033
12049
B1S5





260
TCAGCTTGGCGATGATCT
260,053
TCagcttgGcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B156





259
CAGCTTGGCGATGATCT
259,104
CagCTtggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B157





260
TCAGCTTGGCGATGATCT
260,054
TCagCttggcgaTgAtCT
10
rs715-c
3091
3108
12033
12050
B158





259
CAGCTTGGCGATGATCT
259,105
CAgcttgGcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B159





259
CAGCTTGGCGATGATCT
259,106
CagcttggcgATGAtCT
10
rs715-c
3091
3107
12033
12049
B160





259
CAGCTTGGCGATGATCT
259,107
CAgcttGgcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B161





259
CAGCTTGGCGATGATCT
259,108
CAgCTtggcgAtgatCT
10
rs715-c
3091
3107
12033
12049
B162





259
CAGCTTGGCGATGATCT
259,109
CaGCTtggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B163





260
TCAGCTTGGCGATGATCT
260,055
TcaGcttggcgAtgATCT
10
rs715-c
3091
3108
12033
12050
B164





260
TCAGCTTGGCGATGATCT
260,056
TCagcttggCgatgATCT
10
rs715-c
3091
3108
12033
12050
B165





259
CAGCTTGGCGATGATCT
259,110
CagCttggcgATgAtCT
10
rs715-c
3091
3107
12033
12049
B166





259
CAGCTTGGCGATGATCT
259,111
CAgCttggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B167





259
CAGCTTGGCGATGATCT
259,112
CAgCttggcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B168





259
CAGCTTGGCGATGATCT
259,113
CagCTtggcgATgAtCT
10 
rs715-c
3091
3107
12033
12049
B169





259
CAGCTTGGCGATGATCT
259,114
CagCttggcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B170





260
TCAGCTTGGCGATGATCT
260,057
TcAgcTTggCgatgatCT
10
rs715-c
3091
3108
12033
12050
B171





259
CAGCTTGGCGATGATCT
259,115
CAGCttggcgatgatCT
10
rs715-c
3091
3107
12033
12049
B172





259
CAGCTTGGCGATGATCT
259,116
CAgCttggcgaTgAtCT
10
rs715-c
3091
3107
12033
12049
B173





259
CAGCTTGGCGATGATCT
259,117
CagCttggcgaTgATCT
10
rs715-c
3091
3107
12033
12049
B174





260
TCAGCTTGGCGATGATCT
260,058
TCagcttggcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B175





259
CAGCTTGGCGATGATCT
259,118
CAgcttggcGatGAtCT
10
rs715-c
3091
3107
12033
12049
B176





259
CAGCTTGGCGATGATCT
259,119
CAgcTtGgcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B177





259
CAGCTTGGCGATGATCT
259,120
CagCTtGgcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B178





259
CAGCTTGGCGATGATCT
259,121
CaGctTggcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B179





260
TCAGCTTGGCGATGATCT
260,059
TCAgcTtggcgatGaTCT
10
rs715-c
3091
3108
12033
12050
B180





260
TCAGCTTGGCGATGATCT
260,060
TCagcttggcgAtgATCT
10
rs715-c
3091
3108
12033
12050
B181





260
TCAGCTTGGCGATGATCT
260,061
TcaGcTtggcgatGatCT
10
rs715-c
3091
3108
12033
12050
B182





259
CAGCTTGGCGATGATCT
259,122
CagCttggcgATgatCT
10
rs715-c
3091
3107
12033
12049
B183





259
CAGCTTGGCGATGATCT
259,123
CagCTTggcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B184





260
TCAGCTTGGCGATGATCT
260,062
TcAgcTtGgcgatgAtCT
10
rs715-c
3091
3108
12033
12050
B185





259
CAGCTTGGCGATGATCT
259,124
CagCttggcgATGatCT
10
rs715-c
3091
3107
12033
12049
B186





260
TCAGCTTGGCGATGATCT
260,063
TcaGcTtgGcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B187





259
CAGCTTGGCGATGATCT
259,125
CaGcTtggcgaTgAtCT
10
rs715-c
3091
3107
12033
12049
B188





259
CAGCTTGGCGATGATCT
259,126
CAgcttggcgATgAtCT
10
rs715-c
3091
3107
12033
12049
B189





260
TCAGCTTGGCGATGATCT
260,064
TCagcTtggcgatgATCT
10
rs715-c
3091
3108
12033
12050
B190





259
CAGCTTGGCGATGATCT
259,127
CagCtTggcgaTgAtCT
10
rs715-c
3091
3107
12033
12049
B191





259
CAGCTTGGCGATGATCT
259,128
CagCTTggcgaTgatCT
10
rs715-c
3091
3107
12033
12049
B192





260
TCAGCTTGGCGATGATCT
260,065
TCagCttggcgaTgatCT
10
rs715-c
3091
3108
12033
12050
B193





259
CAGCTTGGCGATGATCT
259,129
CAgcttggcgAtgaTCT
10
rs715-c
3091
3107
12033
12049
B194





260
TCAGCTTGGCGATGATCT
260,066
TcaGcTtGgcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B195





260
TCAGCTTGGCGATGATCT
260,067
TcAgcTTgGcgatgatCT
10
rs715-c
3091
3108
12033
12050
B196





259
CAGCTTGGCGATGATCT
259,130
CAgcTtggcgaTgAtCT
10
rs715-c
3091
3107
12033
12049
B197





260
TCAGCTTGGCGATGATCT
260,068
TcAgCttGgcgatgAtCT
10
rs715-c
3091
3108
12033
12050
B198





259
CAGCTTGGCGATGATCT
259,131
CagCTtggcgatGAtCT
10
rs715-c
3091
3107
12033
12049
B199





260
TCAGCTTGGCGATGATCT
260,069
cAgcTtggcgaTgaTCT
10
rs715-c
3091
3108
12033
12050
B200





259
CAGCTTGGCGATGATCT
259,132
CagCttggcgAtgAtCT
10
rs715-c
3091
3107
12033
12049
B201





259
CAGCTTGGCGATGATCT
259,133
CAgCTtggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B202





259
CAGCTTGGCGATGATCT
259,134
CAgcttgGcgatgatCT
10
rs715-c
3091
3107
12033
12049
B203





259
CAGCTTGGCGATGATCT
259,135
CagCttggcgatgatCT
10
rs715-c
3091
3107
12033
12049
B204





260
TCAGCTTGGCGATGATCT
260,070
TcaGcttggcgATgAtCT
10
rs715-c
3091
3108
12033
12050
B205





259
CAGCTTGGCGATGATCT
259,136
CaGcTtggcgaTgaTCT
10
rs715-c
3091
3107
12033
12049
B206





259
CAGCTTGGCGATGATCT
259,137
CaGCttggCgatgatCT
10
rs715-c
3091
3107
12033
12049
B207





259
CAGCTTGGCGATGATCT
259,138
CagCtTggcGatgatCT
10
rs715-c
3091
3107
12033
12049
B208





260
TCAGCTTGGCGATGATCT
260,071
TCagCttggcgatGatCT
10
rs715-c
3091
3108
12033
12050
B209





260
TCAGCTTGGCGATGATCT
260,072
TcaGctTggcgatGatCT
10
rs715-c
3091
3108
12033
12050
B210





260
TCAGCTTGGCGATGATCT
260,073
TCagCttGgcgatgATCT
10
rs715-c
3091
3108
12033
12050
B211





260
TCAGCTTGGCGATGATCT
260,074
TcaGcTTgGcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B212





259
CAGCTTGGCGATGATCT
259,139
CagCttggcgaTgaTCT
10
rs715-c
3091
3107
12033
12049
B213





259
CAGCTTGGCGATGATCT
259,140
CAgcttggcgAtGatCT
10
rs715-c
3091
3107
12033
12049
B214





259
CAGCTTGGCGATGATCT
259,141
CAgcttggcGAtgAtCT
10
rs715-c
3091
3107
12033
12049
B215





259
CAGCTTGGCGATGATCT
259,142
CAgCTtggCgatgatCT
10
rs715-c
3091
3107
12033
12049
B216





259
CAGCTTGGCGATGATCT
259,143
CaGcTTggCgatgatCT
10
rs715-c
3091
3107
12033
12049
B217





259
CAGCTTGGCGATGATCT
259,144
CagCttggcgAtGAtCT
10
rs715-c
3091
3107
12033
12049
B218





259
CAGCTTGGCGATGATCT
259,145
CagCTtggcgatGaTCT
10
rs715-c
3091
3107
12033
12049
B219





260
TCAGCTTGGCGATGATCT
260,075
TcaGcTtggcgatGAtCT
10
rs715-c
3091
3108
12033
12050
B220





260
TCAGCTTGGCGATGATCT
260,076
TcAGctTggcgatGatCT
10
rs715-c
3091
3108
12033
12050
B221





259
CAGCTTGGCGATGATCT
259,146
CaGcTTggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B222





259
CAGCTTGGCGATGATCT
259,147
CAgcTtggcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B223





259
CAGCTTGGCGATGATCT
259,148
CaGcttggcgAtgAtCT
10
rs715-c
3091
3107
12033
12049
B224





259
CAGCTTGGCGATGATCT
259,149
CAgctTggcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B225





259
CAGCTTGGCGATGATCT
259,150
CaGcttggcgATgAtCT
10
rs715-c
3091
3107
12033
12049
B226





260
TCAGCTTGGCGATGATCT
260,077
TcaGcTtggcgaTgaTCT
10
rs715-c
3091
3108
12033
12050
B227





259
CAGCTTGGCGATGATCT
259,151
CAgcttggcGaTgAtCT
10
rs715-c
3091
3107
12033
12049
B228





260
TCAGCTTGGCGATGATCT
260,078
TcaGcTtgGcgatgatCT
10
rs715-c
3091
3108
12033
12050
B229





259
CAGCTTGGCGATGATCT
259,152
CagCttggcgaTgatCT
10
rs715-c
3091
3107
12033
12049
B230





259
CAGCTTGGCGATGATCT
259,153
CAgCttggcgATgatCT
10
rs715-c
3091
3107
12033
12049
B231





259
CAGCTTGGCGATGATCT
259,154
CaGcTtgGcgatgatCT
10
rs715-c
3091
3107
12033
12049
B232





260
TCAGCTTGGCGATGATCT
260,079
TCagcttGgcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B233





259
CAGCTTGGCGATGATCT
259,155
CagCTtggCgatgatCT
10
rs715-c
3091
3107
12033
12049
B234





260
TCAGCTTGGCGATGATCT
260,080
TcaGctTggCgatgatCT
10
rs715-c
3091
3108
12033
12050
B235





260
TCAGCTTGGCGATGATCT
260,081
TCAgCttGgcgatGaTCT
10
rs715-c
3091
3108
12033
12050
B236





259
CAGCTTGGCGATGATCT
259,156
CAgcttggcGAtGatCT
10
rs715-c
3091
3107
12033
12049
B237





259
CAGCTTGGCGATGATCT
259,157
CAgCttggcgAtGatCT
10
rs715-c
3091
3107
12033
12049
B238





260
TCAGCTTGGCGATGATCT
260,082
TCagcttggcgaTgATCT
10
rs715-c
3091
3108
12033
12050
B239





259
CAGCTTGGCGATGATCT
259,158
CAgcttgGcgaTgAtCT
10
rs715-c
3091
3107
12033
12049
B240





259
CAGCTTGGCGATGATCT
259,159
CagCttgGCgatgatCT
10
rs715-c
3091
3107
12033
12049
B241





259
CAGCTTGGCGATGATCT
259,160
CAgcttggcgAtgATCT
10
rs715-c
3091
3107
12033
12049
B242





259
CAGCTTGGCGATGATCT
259,161
CAgcttggCgatGatCT
10
rs715-c
3091
3107
12033
12049
B243





260
TCAGCTTGGCGATGATCT
260,083
TCAgcTtggcgatGatCT
10
rs715-c
3091
3108
12033
12050
B244





259
CAGCTTGGCGATGATCT
259,162
CagCTtGgCgatgatCT
10
rs715-c
3091
3107
12033
12049
B245





259
CAGCTTGGCGATGATCT
259,163
CaGcTtgGcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B246





260
TCAGCTTGGCGATGATCT
260,084
TcAgCttggcgAtgAtCT
10
rs715-c
3091
3108
12033
12050
B247





260
TCAGCTTGGCGATGATCT
260,085
TcAgcTtgGcgatgatCT
10
rs715-c
3091
3108
12033
12050
B248





259
CAGCTTGGCGATGATCT
259,164
CaGctTgGcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B249





259
CAGCTTGGCGATGATCT
259,165
CagCttggcgAtGatCT
10
rs715-c
3091
3107
12033
12049
B250





259
CAGCTTGGCGATGATCT
259,166
CagCttggcgaTGatCT
10
rs715-c
3091
3107
12033
12049
B251





259
CAGCTTGGCGATGATCT
259,167
CAgcttggcgatgAtCT
10
rs715-c
3091
3107
12033
12049
B252





259
CAGCTTGGCGATGATCT
259,168
CAgctTggcgatgatCT
10
rs715-c
3091
3107
12033
12049
B253





260
TCAGCTTGGCGATGATCT
260,086
TCagctTggcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B254





259
CAGCTTGGCGATGATCT
259,169
CAgcttGgcgaTgAtCT
10
rs715-c
3091
3107
12033
12049
B255





259
CAGCTTGGCGATGATCT
259,170
CagCTtggcgaTgAtCT
10
rs715-c
3091
3107
12033
12049
B256





259
CAGCTTGGCGATGATCT
259,171
CagCttggcgatGAtCT
10
rs715-c
3091
3107
12033
12049
B257





260
TCAGCTTGGCGATGATCT
260,087
TcAGcttggcgAtGatCT
10
rs715-c
3091
3108
12033
12050
B258





260
TCAGCTTGGCGATGATCT
260,088
TcAgcTtggcgatGatCT
10
rs715-c
3091
3108
12033
12050
B259





260
TCAGCTTGGCGATGATCT
260,089
TCagcttggcgAtgaTCT
10
rs715-c
3091
3108
12033
12050
B260





259
CAGCTTGGCGATGATCT
259,172
CaGctTggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B261





260
TCAGCTTGGCGATGATCT
260,090
TcAgcTtGgcgatgATCT
10
rs715-c
3091
3108
12033
12050
B262





260
TCAGCTTGGCGATGATCT
260,091
TcaGctTggcgatGAtCT
10
rs715-c
3091
3108
12033
12050
B263





259
CAGCTTGGCGATGATCT
259,173
CAGcTtggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B264





260
TCAGCTTGGCGATGATCT
260,092
TCagCttggcgAtgAtCT
10
rs715-c
3091
3108
12033
12050
B265





259
CAGCTTGGCGATGATCT
259,174
CAgcttgGcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B266





259
CAGCTTGGCGATGATCT
259,175
CAGcttggcgatGatCT
10
rs715-c
3091
3107
12033
12049
B267





260
TCAGCTTGGCGATGATCT
260,093
TCagCTtggcgatGatCT
10
rs715-c
3091
3108
12033
12050
B268





259
CAGCTTGGCGATGATCT
259,176
CagCTtGgcGatgatCT
10
rs715-c
3091
3107
12033
12049
B269





259
CAGCTTGGCGATGATCT
259,177
CagCTtggcgATgatCT
10
rs715-c
3091
3107
12033
12049
B270





259
CAGCTTGGCGATGATCT
259,178
CAGcTtggcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B271





260
TCAGCTTGGCGATGATCT
260,094
TCagcttggcgatgatCT
10
rs715-c
3091
3108
12033
12050
B272





260
TCAGCTTGGCGATGATCT
260,095
TcaGcttggcgAtGatCT
10
rs715-c
3091
3108
12033
12050
B273





260
TCAGCTTGGCGATGATCT
260,096
TCagcttgGcgatgATCT
10
rs715-c
3091
3108
12033
12050
B274





259
CAGCTTGGCGATGATCT
259,179
CAgCttGgcGatgatCT
10
rs715-c
3091
3107
12033
12049
B275





260
TCAGCTTGGCGATGATCT
260,097
TcAgcTtgGcgatgaTCT
10
rs715-c
3091
3108
12033
12050
B276





259
CAGCTTGGCGATGATCT
259,180
CaGctTGgcgatgaTCT
10
rs715-c
3091
3107
12033
12049
B277





259
CAGCTTGGCGATGATCT
259,181
CAgcttggcGatgaTCT
10
rs715-c
3091
3107
12033
12049
B278





260
TCAGCTTGGCGATGATCT
260,098
TCAgcttggcgaTgATCT
10
rs715-c
3091
3108
12033
12050
B279





260
TCAGCTTGGCGATGATCT
260,099
TCaGcTtggcgatgATCT
10
rs715-c
3091
3108
12033
12050
B280





259
CAGCTTGGCGATGATCT
259,182
CAgcttggcGatgatCT
10
rs715-c
3091
3107
12033
12049
B281





259
CAGCTTGGCGATGATCT
259,183
CaGCttggcgatgatCT
10
rs715-c
3091
3107
12033
12049
B282





259
CAGCTTGGCGATGATCT
259,184
CagCtTggcgaTgatCT
10
rs715-c
3091
3107
12033
12049
B283





259
CAGCTTGGCGATGATCT
259,185
CaGcttggcgAtgATCT
10
rs715-c
3091
3107
12033
12049
B284





259
CAGCTTGGCGATGATCT
259,186
CAGCttggcgatgATCT
10
rs715-c
3091
3107
12033
12049
B285





259
CAGCTTGGCGATGATCT
259,187
CAgCttggCgatgatCT
10
rs715-c
3091
3107
12033
12049
B286





259
CAGCTTGGCGATGATCT
259,188
CAgcttggcgAtgatCT
10
rs715-c
3091
3107
12033
12049
B287





259
CAGCTTGGCGATGATCT
259,189
CagCTtggcGatgatCT
10
rs715-c
3091
3107
12033
12049
B288





260
TCAGCTTGGCGATGATCT
260,100
TcaGctTggcgatgAtCT
10
rs715-c
3091
3108
12033
12050
B289





260
TCAGCTTGGCGATGATCT
260,101
TCAGctTggcgatGaTCT
10
rs715-c
3091
3108
12033
12050
B290





280
CTTGGCAATGATCTCATCC
280,001
CTtgGcaatgatCtcATCC
9
rs715-t
3086
3104
12028
12046
B291





280
CTTGGCAATGATCTCATCC
280,002
CtTggCaatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B292





280
CTTGGCAATGATCTCATCC
280,003
CttggcaaTgAtcTcAtCC
9
rs715-t
3086
3104
12028
12046
B293





280
CTTGGCAATGATCTCATCC
280,004
CTTGgcaatgatctcatCC
9
rs715-t
3086
3104
12028
12046
B294





280
CTTGGCAATGATCTCATCC
280,005
CttggCaatgatctCatCC
9
rs715-t
3086
3104
12028
12046
B295





280
CTTGGCAATGATCTCATCC
280,006
CTtggcaatgAtctCaTCC
9
rs715-t
3086
3104
12028
12046
B296





280
CTTGGCAATGATCTCATCC
280,007
CTtggcaaTgATctCatCC
9
rs715-t
3086
3104
12028
12046
B297





280
CTTGGCAATGATCTCATCC
280,008
CTTggcaatgatcTcaTCC
9
rs715-t
3086
3104
12028
12046
B298





280
CTTGGCAATGATCTCATCC
280,009
CttggCaatgatctCAtCC
9
rs715-t
3086
3104
12028
12046
B299





280
CTTGGCAATGATCTCATCC
280,010
CttGgCaatgatCtcatCC
9
rs715-t
3086
3104
12028
12046
B300





280
CTTGGCAATGATCTCATCC
280,011
CTtggcAatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B301





280
CTTGGCAATGATCTCATCC
280,012
CttGgcaatgAtCtcatCC
9
rs715-t
3086
3104
12028
12046
B302





280
CTTGGCAATGATCTCATCC
280,013
CTtggcaatGatctCaTCC
9
rs715-t
3086
3104
12028
12046
B303





280
CTTGGCAATGATCTCATCC
280,014
CTtggcaatGaTctCatCC
9
rs715-t
3086
3104
12028
12046
B304





280
CTTGGCAATGATCTCATCC
280,015
CttgGcaatgatCtcatCC
9
rs715-t
3086
3104
12028
12046
B305





280
CTTGGCAATGATCTCATCC
280,016
CttGgCaatgatctCatCC
9
rs715-t
3086
3104
12028
12046
B306





280
CTTGGCAATGATCTCATCC
280,017
CttggcaAtgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B307





280
CTTGGCAATGATCTCATCC
280,018
CTTggcaatgATctCatCC
9
rs715-t
3086
3104
12028
12046
B308





280
CTTGGCAATGATCTCATCC
280,019
CtTggCaatgatcTcAtCC
9
rs715-t
3086
3104
12028
12046
B309





280
CTTGGCAATGATCTCATCC
280,020
CttggcaATgaTctCatCC
9
rs715-t
3086
3104
12028
12046
B310





280
CTTGGCAATGATCTCATCC
280,021
CttggcaatgAtCtcAtCC
9
rs715-t
3086
3104
12028
12046
B311





280
CTTGGCAATGATCTCATCC
280,022
CttGgcaatgATctCatCC
9
rs715-t
3086
3104
12028
12046
B312





280
CTTGGCAATGATCTCATCC
280,023
CTtggcaatGatcTcaTCC
9
rs715-t
3086
3104
12028
12046
B313





280
CTTGGCAATGATCTCATCC
280,024
CTtggcaAtgatCtcatCC
9
rs715-t
3086
3104
12028
12046
B314





280
CTTGGCAATGATCTCATCC
280,025
CttggcaatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B315





280
CTTGGCAATGATCTCATCC
280,026
CTtggcaatgatctcatCC
9
rs715-t
3086
3104
12028
12046
B316





280
CTTGGCAATGATCTCATCC
280,027
CttggcAatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B317





280
CTTGGCAATGATCTCATCC
280,028
CTtggcaatgatCtCaTCC
9
rs715-t
3086
3104
12028
12046
B318





280
CTTGGCAATGATCTCATCC
280,029
CttggcaatgatCtcATCC
9
rs715-t
3086
3104
12028
12046
B319





280
CTTGGCAATGATCTCATCC
280,030
CtTggcaatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B320





280
CTTGGCAATGATCTCATCC
280,031
CttGgcAatgatCtcatCC
9
rs715-t
3086
3104
12028
12046
B321





280
CTTGGCAATGATCTCATCC
280,032
CTTGgcaatgatctcATCC
9
rs715-t
3086
3104
12028
12046
B322





280
CTTGGCAATGATCTCATCC
280,033
CttggcAatgatCtCatCC
9
rs715-t
3086
3104
12028
12046
B323





280
CTTGGCAATGATCTCATCC
280,034
CTtggcaatgatctCaTCC
9
rs715-t
3086
3104
12028
12046
B324





280
CTTGGCAATGATCTCATCC
280,035
CtTggcaatgATcTcAtCC
9
rs715-t
3086
3104
12028
12046
B325





280
CTTGGCAATGATCTCATCC
280,036
CttGgcaatgaTcTcAtCC
9
rs715-t
3086
3104
12028
12046
B326





280
CTTGGCAATGATCTCATCC
280,037
CTTggCaatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B327





280
CTTGGCAATGATCTCATCC
280,038
CttggcaATgAtcTcAtCC
9
rs715-t
3086
3104
12028
12046
B328





280
CTTGGCAATGATCTCATCC
280,039
CttggcaaTgATcTcAtCC
9
rs715-t
3086
3104
12028
12046
B329





280
CTTGGCAATGATCTCATCC
280,040
CttggcaaTgaTctCatCC
9
rs715-t
3086
3104
12028
12046
B330





280
CTTGGCAATGATCTCATCC
280,041
CttggcaaTgATctCatCC
9
rs715-t
3086
3104
12028
12046
B331





280
CTTGGCAATGATCTCATCC
280,042
CTtggcAatgatctcATCC
9
rs715-t
3086
3104
12028
12046
B332





280
CTTGGCAATGATCTCATCC
280,043
CtTggcAatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B333





280
CTTGGCAATGATCTCATCC
280,044
CTtggcaatgatcTcATCC
9
rs715-t
3086
3104
12028
12046
B334





280
CTTGGCAATGATCTCATCC
280,045
CTtggcAatgatCtCatCC
9
rs715-t
3086
3104
12028
12046
B335





280
CTTGGCAATGATCTCATCC
280,046
CTtggcaatGaTcTcAtCC
9
rs715-t
3086
3104
12028
12046
B336





280
CTTGGCAATGATCTCATCC
280,047
CttggcaAtgAtCtcatCC
9
rs715-t
3086
3104
12028
12046
B337





280
CTTGGCAATGATCTCATCC
280,048
CTtggcaatgAtctcATCC
9
rs715-t
3086
3104
12028
12046
B338





280
CTTGGCAATGATCTCATCC
280,049
CTtggcaAtgatctcATCC
9
rs715-t
3086
3104
12028
12046
B339





280
CTTGGCAATGATCTCATCC
280,050
CttggcaatGatctCAtCC
9
rs715-t
3086
3104
12028
12046
B340





280
CTTGGCAATGATCTCATCC
280,051
CttggcAatgAtCtcatCC
9
rs715-t
3086
3104
12028
12046
B341





280
CTTGGCAATGATCTCATCC
280,052
CTtGgcaatgatctcATCC
9
rs715-t
3086
3104
12028
12046
B342





280
CTTGGCAATGATCTCATCC
280,053
CttggcaatgaTCtcatCC
9
rs715-t
3086
3104
12028
12046
B343





280
CTTGGCAATGATCTCATCC
280,054
CttggcAAtGatCtcatCC
9
rs715-t
3086
3104
12028
12046
B344





280
CTTGGCAATGATCTCATCC
280,055
CTtggcaAtgatcTcaTCC
9
rs715-t
3086
3104
12028
12046
B345





280
CTTGGCAATGATCTCATCC
280,056
CTtgGcaatgatCtCatCC
9
rs715-t
3086
3104
12028
12046
B346





280
CTTGGCAATGATCTCATCC
280,057
CTtggcaatgatcTCaTCC
9
rs715-t
3086
3104
12028
12046
B347





280
CTTGGCAATGATCTCATCC
280,058
CttggcaatGatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B348





280
CTTGGCAATGATCTCATCC
280,059
CtTgGcaatgaTctCatCC
9
rs715-t
3086
3104
12028
12046
B349





280
CTTGGCAATGATCTCATCC
280,060
CTtggcaatGAtcTcAtCC
9
rs715-t
3086
3104
12028
12046
B350





280
CTTGGCAATGATCTCATCC
280,061
CttggcAatgatCtcaTCC
9
rs715-t
3086
3104
12028
12046
B351





280
CTTGGCAATGATCTCATCC
280,062
CttGgcaatgaTcTCatCC
9
rs715-t
3086
3104
12028
12046
B352





280
CTTGGCAATGATCTCATCC
280,063
CttggcAAtgAtCtcatCC
9
rs715-t
3086
3104
12028
12046
B353





280
CTTGGCAATGATCTCATCC
280,064
CttggcaatgatctCAtCC
9
rs715-t
3086
3104
12028
12046
B354





280
CTTGGCAATGATCTCATCC
280,065
CTtggcaaTgatctcATCC
9
rs715-t
3086
3104
12028
12046
B355





280
CTTGGCAATGATCTCATCC
280,066
CTTggCaatgatcTcAtCC
9
rs715-t
3086
3104
12028
12046
B356





280
CTTGGCAATGATCTCATCC
280,067
CtTgGcaatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B357





280
CTTGGCAATGATCTCATCC
280,068
CttggcaaTgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B358





280
CTTGGCAATGATCTCATCC
280,069
CTTGgcaatgatctcaTCC
9
rs715-t
3086
3104
12028
12046
B359





280
CTTGGCAATGATCTCATCC
280,070
CttggcAatgatCtcATCC
9
rs715-t
3086
3104
12028
12046
B360





280
CTTGGCAATGATCTCATCC
280,071
CttggcaAtgatcTCatCC
9
rs715-t
3086
3104
12028
12046
B361





280
CTTGGCAATGATCTCATCC
280,072
CTtgGcaatgatCTcAtCC
9
rs715-t
3086
3104
12028
12046
B362





280
CTTGGCAATGATCTCATCC
280,073
CttGgCaatgatcTCatCC
9
rs715-t
3086
3104
12028
12046
B363





280
CTTGGCAATGATCTCATCC
280,074
CTtggcaaTgAtcTcAtCC
9
rs715-t
3086
3104
12028
12046
B364





280
CTTGGCAATGATCTCATCC
280,075
CTTggcaatGatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B365





280
CTTGGCAATGATCTCATCC
280,076
CTtGgCaatgatcTcAtCC
9
rs715-t
3086
3104
12028
12046
B366





280
CTTGGCAATGATCTCATCC
280,077
CttGgcaatgATcTcAtCC
9
rs715-t
3086
3104
12028
12046
B367





280
CTTGGCAATGATCTCATCC
280,078
CttGgcaatgAtCtcAtCC
9
rs715-t
3086
3104
12028
12046
B368





280
CTTGGCAATGATCTCATCC
280,079
CttggcaAtgAtcTcAtCC
9
rs715-t
3086
3104
12028
12046
B369





280
CTTGGCAATGATCTCATCC
280,080
CttGgcaatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B370





280
CTTGGCAATGATCTCATCC
280,081
CttggcAatgatCtcatCC
9
rs715-t
3086
3104
12028
12046
B371





280
CTTGGCAATGATCTCATCC
280,082
CttggCaatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B372





280
CTTGGCAATGATCTCATCC
280,083
CttgGcaAtgatctCatCC
9
rs715-t
3086
3104
12028
12046
B373





280
CTTGGCAATGATCTCATCC
280,084
CttggcaatgAtCtcatCC
9
rs715-t
3086
3104
12028
12046
B374





280
CTTGGCAATGATCTCATCC
280,085
CtTggcaatgatCTcaTCC
9
rs715-t
3086
3104
12028
12046
B375





280
CTTGGCAATGATCTCATCC
280,086
CttgGcaatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B376





280
CTTGGCAATGATCTCATCC
280,087
CTTggcaatgatctcaTCC
9
rs715-t
3086
3104
12028
12046
B377





280
CTTGGCAATGATCTCATCC
280,088
CTtggcaaTgaTcTcAtCC
9
rs715-t
3086
3104
12028
12046
B378





280
CTTGGCAATGATCTCATCC
280,089
CTtggcaatgaTctcATCC
9
rs715-t
3086
3104
12028
12046
B379





280
CTTGGCAATGATCTCATCC
280,090
CttgGcaatgAtCtcatCC
9
rs715-t
3086
3104
12028
12046
B380





280
CTTGGCAATGATCTCATCC
280,091
CttggcAAtgatcTCatCC
9
rs715-t
3086
3104
12028
12046
B381





280
CTTGGCAATGATCTCATCC
280,092
CTtgGcaatgatcTcaTCC
9
rs715-t
3086
3104
12028
12046
B382





280
CTTGGCAATGATCTCATCC
280,093
CtTggcaatgatctCAtCC
9
rs715-t
3086
3104
12028
12046
B383





280
CTTGGCAATGATCTCATCC
280,094
CTtggcaatGatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B384





280
CTTGGCAATGATCTCATCC
280,095
CttGgcaatgAtcTcAtCC
9
rs715-t
3086
3104
12028
12046
B385





280
CTTGGCAATGATCTCATCC
280,096
CTtggcaatgaTctCaTCC
9
rs715-t
3086
3104
12028
12046
B386





280
CTTGGCAATGATCTCATCC
280,097
CttggcaAtgATctCatCC
9
rs715-t
3086
3104
12028
12046
B387





280
CTTGGCAATGATCTCATCC
280,098
CTtgGcaatgaTctCatCC
9
rs715-t
3086
3104
12028
12046
B388





280
CTTGGCAATGATCTCATCC
280,099
CTtgGcaatgaTcTcAtCC
9
rs715-t
3086
3104
12028
12046
B389





280
CTTGGCAATGATCTCATCC
280,100
CtTggcaatgATctCatCC
9
rs715-t
3086
3104
12028
12046
B390





280
CTTGGCAATGATCTCATCC
280,101
CTtggcaatgatCtcATCC
9
rs715-t
3086
3104
12028
12046
B391





280
CTTGGCAATGATCTCATCC
280,102
CTtggCaatgatcTcaTCC
9
rs715-t
3086
3104
12028
12046
B392





280
CTTGGCAATGATCTCATCC
280,103
CttggcaAtGatCtcatCC
9
rs715-t
3086
3104
12028
12046
B393





280
CTTGGCAATGATCTCATCC
280,104
CTtggCaatgatctcATCC
9
rs715-t
3086
3104
12028
12046
B394





280
CTTGGCAATGATCTCATCC
280,105
CttGgcAatgatctCatCC
9
rs715-t
3086
3104
12028
12046
B395





280
CTTGGCAATGATCTCATCC
280,106
CttggcAatgaTCtcatCC
9
rs715-t
3086
3104
12028
12046
B396





280
CTTGGCAATGATCTCATCC
280,107
CttgGcAatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B397





280
CTTGGCAATGATCTCATCC
280,108
CttggcaAtgatCtcatCC
9
rs715-t
3086
3104
12028
12046
B398





280
CTTGGCAATGATCTCATCC
280,109
CtTggcaatgAtcTcAtCC
9
rs715-t
3086
3104
12028
12046
B399





280
CTTGGCAATGATCTCATCC
280,110
CTtggcaatgaTcTcaTCC
9
rs715-t
3086
3104
12028
12046
B400





280
CTTGGCAATGATCTCATCC
280,111
CttggcAAtgatCtCatCC
9
rs715-t
3086
3104
12028
12046
B401





280
CTTGGCAATGATCTCATCC
280,112
CTtggcaAtgatctCaTCC
9
rs715-t
3086
3104
12028
12046
B402





280
CTTGGCAATGATCTCATCC
280,113
CttGgcaatgatctCAtCC
9
rs715-t
3086
3104
12028
12046
B403





280
CTTGGCAATGATCTCATCC
280,114
CTTggcaatgatctcatCC
9
rs715-t
3086
3104
12028
12046
B404





280
CTTGGCAATGATCTCATCC
280,115
CTtggcaaTgatcTcaTCC
9
rs715-t
3086
3104
12028
12046
B405





280
CTTGGCAATGATCTCATCC
280,116
CttGgCaatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B406





280
CTTGGCAATGATCTCATCC
280,117
CttGgcaatgaTctCatCC
9
rs715-t
3086
3104
12028
12046
B407





280
CTTGGCAATGATCTCATCC
280,118
CttGgCaatgatcTcAtCC
9
rs715-t
3086
3104
12028
12046
B408





280
CTTGGCAATGATCTCATCC
280,119
CTtggcaaTgaTctCatCC
9
rs715-t
3086
3104
12028
12046
B409





280
CTTGGCAATGATCTCATCC
280,120
CTtGgcaatgAtcTcAtCC
9
rs715-t
3086
3104
12028
12046
B410





280
CTTGGCAATGATCTCATCC
280,121
CtTggcaatGaTctCatCC
9
rs715-t
3086
3104
12028
12046
B411





280
CTTGGCAATGATCTCATCC
280,122
CTtggcaatGatctcATCC
9
rs715-t
3086
3104
12028
12046
B412





280
CTTGGCAATGATCTCATCC
280,123
CttggcaatgatCtcatCC
9
rs715-t
3086
3104
12028
12046
B413





280
CTTGGCAATGATCTCATCC
280,124
CTtgGcaatgatctCaTCC
9
rs715-t
3086
3104
12028
12046
B414





280
CTTGGCAATGATCTCATCC
280,125
CttggcAatgatctCaTCC
9
rs715-t
3086
3104
12028
12046
B415





280
CTTGGCAATGATCTCATCC
280,126
CTtGgcaatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B416





280
CTTGGCAATGATCTCATCC
280,127
CTtggcaatgatctcaTCC
9
rs715-t
3086
3104
12028
12046
B417





280
CTTGGCAATGATCTCATCC
280,128
CttggcAAtgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B418





280
CTTGGCAATGATCTCATCC
280,129
CTtggcaaTgatctCaTCC
9
rs715-t
3086
3104
12028
12046
B419





280
CTTGGCAATGATCTCATCC
280,130
CttggcAatgAtCtcAtCC
9
rs715-t
3086
3104
12028
12046
B420





280
CTTGGCAATGATCTCATCC
280,131
CttggcAATgatctCatCC
9
rs715-t
3086
3104
12028
12046
B421





280
CTTGGCAATGATCTCATCC
280,132
CttggcAatGatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B422





280
CTTGGCAATGATCTCATCC
280,133
CTtgGcaatgatCtcATCC
9
rs715-t
3086
3104
12028
12046
B423





280
CTTGGCAATGATCTCATCC
280,134
CTtGgcaatgatcTcaTCC
9
rs715-t
3086
3104
12028
12046
B424





280
CTTGGCAATGATCTCATCC
280,135
CTtGgcaatgatctCaTCC
9
rs715-t
3086
3104
12028
12046
B425





280
CTTGGCAATGATCTCATCC
280,136
CTtggcaatGatCtCatCC
9
rs715-t
3086
3104
12028
12046
B426





280
CTTGGCAATGATCTCATCC
280,137
CtTggcaatGatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B427





280
CTTGGCAATGATCTCATCC
280,138
CTtgGcaatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B428





280
CTTGGCAATGATCTCATCC
280,139
CTtGgcaatgaTctCatCC
9
rs715-t
3086
3104
12028
12046
B429





280
CTTGGCAATGATCTCATCC
280,140
CttggcaaTgaTcTcAtCC
9
rs715-t
3086
3104
12028
12046
B430





280
CTTGGCAATGATCTCATCC
280,141
CttggcaAtgATcTcAtCC
9
rs715-t
3086
3104
12028
12046
B431





280
CTTGGCAATGATCTCATCC
280,142
CTTggcaatgAtcTcAtCC
9
rs715-t
3086
3104
12028
12046
B432





280
CTTGGCAATGATCTCATCC
280,143
CTtGgcaatgaTcTcAtCC
9
rs715-t
3086
3104
12028
12046
B433





280
CTTGGCAATGATCTCATCC
280,144
CTtggcaatgAtcTcaTCC
9
rs715-t
3086
3104
12028
12046
B434





280
CTTGGCAATGATCTCATCC
280,145
CttgGcaatgatctCatCC
9
rs715-t
3086
3104
12028
12046
B435





280
CTTGGCAATGATCTCATCC
280,146
CTTggcaatgatctcATCC
9
rs715-t
3086
3104
12028
12046
B436





280
CTTGGCAATGATCTCATCC
280,147
CttggcaatgatCtcaTCC
9
rs715-t
3086
3104
12028
12046
B437





280
CTTGGCAATGATCTCATCC
280,148
CTtggCaatgatctCaTCC
9
rs715-t
3086
3104
12028
12046
B438





280
CTTGGCAATGATCTCATCC
280,149
CTTggcaatgatctCaTCC
9
rs715-t
3086
3104
12028
12046
B439





280
CTTGGCAATGATCTCATCC
280,150
CttgGcaatgatctCAtCC
9
rs715-t
3086
3104
12028
12046
B440





280
CTTGGCAATGATCTCATCC
280,151
CTtggcaatgatCTcaTCC
9
rs715-t
3086
3104
12028
12046
B441





280
CTTGGCAATGATCTCATCC
280,152
CttGgcAatgatCtcAtCC
9
rs715-t
3086
3104
12028
12046
B442





280
CTTGGCAATGATCTCATCC
280,153
CttggcaatgAtCtCatCC
9
rs715-t
3086
3104
12028
12046
B443





280
CTTGGCAATGATCTCATCC
280,154
CttGgcaAtgatctCatCC
9
rs715-t
3086
3104
12028
12046
B444





280
CTTGGCAATGATCTCATCC
280,155
CTtGgcaatgatCTcaTCC
9
rs715-t
3086
3104
12028
12046
B445





280
CTTGGCAATGATCTCATCC
280,156
CttgGcAAtgatctCatCC
9
rs715-t
3086
3104
12028
12046
B446





280
CTTGGCAATGATCTCATCC
280,157
CTtggcAatgatctCaTCC
9
rs715-t
3086
3104
12028
12046
B447





280
CTTGGCAATGATCTCATCC
280,158
CttggcAAtgatCtcatCC
9
rs715-t
3086
3104
12028
12046
B448





280
CTTGGCAATGATCTCATCC
280,159
CttggCaatgatCtcatCC
9
rs715-t
3086
3104
12028
12046
B449





280
CTTGGCAATGATCTCATCC
280,160
CTtggcAatgatcTcaTCC
9
rs715-t
3086
3104
12028
12046
B450





299
TCGAGGTTAAATGGCTT
299
TCgaggttaaatgGCTT




1049
1065
S1





300
ATCGAGGTTAAATGGCTT
300
ATCGaggttaaatggCTT




1049
1066
S2





301
GGTCAGGGTAATGGTCA
301
GGtcagggtaatggtCA




3374
3390
S3





302
AAACATGAAGGGGATGGA
302
AAACatgaaggggaTGGA




3423
3440
S4





303
GGAAATGTTTCTGAAGGG
303
GGAAatgtttctgaagGG




3533
3550
SS





304
GAATGGGAAATGTTTCTG
304
GAATgggaaatgtttCTG




3538
3555
S6





305
AAGTTGGTAGGGCTGGA
305
AAgttggtagggctgGA




3557
3573
S7





306
AAAGTTGGTAGGGCTGG
306
AAAGttggtagggctGG




3558
3574
S8





307
AAAAGTTGGTAGGGCTGG
307
AAaagttggtagggcTGG




3558
3575
S9





308
AAAAGTTGGTAGGGCTG
308
AAaagttggtaggGCTG




3559
3575
S10





309
GAAAAGTTGGTAGGGCTG
309
GAAaagttggtagggCTG




3559
3576
511





310
GAAAAGTTGGTAGGGCT
310
GAAaagttggtaggGCT




3560
3576
S12





311
GGAAAAGTTGGTAGGGCT
311
GGaaaagttggtagggCT




3560
3577
S13





312
AGAGACTTAAAGAGGAGA
312
AGAgacttaaagaggAGA




4400
4417
S14





313
GGTTGTTGGTGATCAG
313
GGttgttggtgatCAG


1035
1050
5064
5079
S15





314
ATGCATAATCGTAGGG
314
ATGcataatcgtAGGG


1050
1065
5079
5094
S16





315
AAAGGATGTAAGATGCA
315
AAAGgatgtaagaTGCA




5616
5632
S17





316
AAAGGATGTAAGATGC
316
AAAGgatgtaagATGC




5617
5632
S18





317
ACAAAGGATGTAAGATG
317
ACAAaggatgtaaGATG




5618
5634
S19





318
AACAAAGGATGTAAGATG
318
AACAaaggatgtaaGATG




5618
5635
S20





319
CTATTTTGTCTATGGTGT
319
CTATtttgtctatggtGT




7269
7286
S21





320
CTATTTTGTCTATGGTG
320
CTattttgtctatGGTG




7270
7286
S22





321
CAGGTGGTTGTCAAACA
321
CAggtggttgtcaAACA


1786
1802
7901
7917
S23





322
CATTGAAGTGGTGGGGTG
322
CAttgaagtggtggggTG




8208
8225
S24





323
GATGGAGAGAATTCGAGA
323
GATGgagagaattcgaGA




8749
8766
S25





324
CGTACAAAGTGGGGATG
324
CGtacaaagtgggGATG


2127
2143
8894
8910
S26





325
ACGTACAAAGTGGGGATG
325
ACGtacaaagtggggATG


2127
2144
8894
8911
S27





326
CGTACAAAGTGGGGAT
326
CGtacaaagtggGGAT


2128
2143
8895
8910
S28





327
ACGTACAAAGTGGGGA
327
ACGtacaaagtggGGA


2129
2144
8896
8911
S29





328
AACGTACAAAGTGGGG
328
AACGtacaaagtGGGG


2130
2145
8897
8912
S30





329
AGTAGGAGGAGTCTGTGA
329
AGtaggaggagtctgtGA




9605
9622
S31





330
AAGTAGGAGGAGTCTGTG
330
AAGtaggaggagtctgTG




9606
9623
S32





331
GAAGTAGGAGGAGTCTGT
331
GAAgtaggaggagtctGT




9607
9624
S33





332
GGAAGTAGGAGGAGTCTG
332
GGaagtaggaggagtcTG




9608
9625
S34





333
GGAGGGGAAGAGTTTCAG
333
GGaggggaagagtttcAG




11413
11430
S35





334
TCTTGCAGGTAGAGGGAA
334
TCttgcaggtagagggAA




11503
11520
S36





335
GAGTGATAAGTGAGTCA
335
GAGTgataagtgagtCA




12620
12636
S37





336
TTATTAGGGGACTGTGAG
336
TTAttaggggactgtGAG




13243
13260
S38





337
GAAGGCTGTTATTTTCAT
337
GAAggctgttatttTCAT




13794
13811
S39





338
GGAAGGCTGTTATTTTCA
338
GGaaggctgttatttTCA




13795
13812
S40





339
AGGAGGGGATCTGAGAAC
339
AGgaggggatctgagAAC




15987
16004
S41





340
AAGGAGGGGATCTGAGAA
340
AAGgaggggatctgaGAA




15988
16005
S42





341
AGGCGTTCTTGAGTTTG
341
AGgcgttcttgagttTG


4577
4593
18493
18509
S43





342
AAATGATCTGTACCAGG
342
AAAtgatctgtacCAGG




21431
21447
S44





343
AAGTTCTGGAGGGTAGGG
343
AAgttctggagggtagGG




22659
22676
S45





344
TGAGAGGGGTCTGATGG
344
TGagaggggtctgatGG




22756
22772
S46





*For Compounds, capital letters = LNA nucleosides, lower case letter = DNA nucleosides, optionally all internucleoside linkages are phosphorothioate.


In the examples, capital letters = beta-D-oxy-LNA nucleosides, LNA cytosines = 5 methyl cytosine LNA, lower case letters = DNA nucleosides, all internucleoside linkages between the nucleosides illustrated are phosphorothioate internucleoside linkages.













TABLE 6







Knock down of MYH7 RNA in 8820 and NH10 cells following treatment with 5 μM oligos.


RNA was measured using the QuantiGene assay. Both cells types are homozygous for


each SNP. Data presented at % mRNA compared to the level in PBS treated cells.













Perfect match to
Mismatch to
Perfect match to
Mismatch to




c-allele in
t-allele in
t-allele in
c-allele in
Compound ref.


CMP ID
8820 cells
NH10 cells
NH10 cells
8820 cells
used in


NO
(% PBS)
(% PBS)
(% PBS)
(% PBS)
examples















11
112
113


A1


12
102
73


A2


13
102
264


A3


14
118
161


A4


15
132
87


A5


16
117
125


A6


17
124
92


A7


18
136
87


A8


19
106
218


A9


20
100
115


A10


21
121
121


A11


22
100
81


A12


23
101
246


A13


24
121
122


A14


25
115
90


A15


26
99
98


A16


27
99



A17


28
95
154


A18


29
90
115


A19


30
120
153


A20


31
138
85


A21


32
96
98


A22


33
94
82


A23


34
95
139


A24


35
53
137


A25


36
72
136


A26


37
83
84


A27


38
100
106


A28


39
78
150


A29


40
88
79


A30


41
45
132


A31


42
34
58


A32


43
70
75


A33


44
93
117


A34


45
84
90


A35


46
79
131


A36


47
66
70


A37


48
88
83


A38


49
66
81


A39


50
78



A40


51
36
59


A41


52
60
71


A42


53
90
68


A43


54
51
45


A44


55
55
70


A45


56
89
121


A46


57
84
100


A47


58
60
92


A48


59
34
49


A49


60
40
106


A50


61
31
42


A51


62
39
80


A52


63
40
55


A53


64
32
52


A54


65
48
87


A55


66
93
141


A56


67
100
125


A57


68
104
118


A58


69
114
331


A59


70
106
97


A60


71
90
133


A61


72
92
178


A62


73
93
145


A63


74
102
212


A64


75
105
356


A65


76
68
130


A66


77
118
135


A67


78
101
118


A68


79
121
107


A69


80
123
77


A70


81
55
128


A71


82
110
137


A72


83
124
169


A73


84
104
153


A74


85
104
189


A75


86


52
64
A76


87


101
139
A77


88


20
59
A78


89


49

A79


90


97
117
A80


91


85
83
A81


92


90
181
A82


93


74
89
A83


94


132
192
A84


95


65
137
A85


96


51
80
A86


97


124
132
A87


98


71

A88


99


100
139
A89


100


103
196
A90


101


129
146
A91


102


106
154
A92


103


55
94
A93


104


97
171
A94


105


99
131
A95


106


112
128
A96


107


51
84
A97


108


77
128
A98


109


66
116
A99


110


53
133
A100


111


148
123
A101


112


122
159
A102


113


36
56
A103


114


95
164
A104


115


95
126
A105


116


57
140
A106


117


82
128
A107


118


36
89
A108


119


33
60
A109


120


59
73
A110


121


37
109
A111


122


118
136
A112


123


85
131
A113


124


100

A114


125


83
117
A115


126


54
126
A116


127


73
114
A117


128


57
133
A118


129


101
147
A119


130


120
117
A120


131


250
142
A121


132


257
129
A122


133


81
73
A123


134


91
104
A124


135


205
165
A125


136


158
119
A126


137


95
102
A127


138


67
89
A128


139


69
127
A129


140


114
173
A130


141


79
98
A131


142


114
118
A132


143


180
108
A133


144


63
83
A134


145


83
76
A135


146


69
89
A136


147


103
116
A137


148


83
97
A138


149


69
65
A139


150


85
111
A140


151


64
76
A141


152


137
120
A142


153


144
112
A143


154


100
154
A144


155


124
131
A145


156


113
85
A146


157


133
88
A147


158


108
118
A148


159


60
78
A149


160


89
123
A150


161


76
141
A151


162


154
120
A152


163


122
126
A153


164


104
119
A154


165


58
84
A155


166


112
95
A156


167


103
139
A157


168


99
87
A158


169


69
102
A159


170


88
104
A160


171


107
89
A161


172


91
87
A162


173


58
96
A163


174


127
98
A164


175


101
93
A165


176


60
129
A166


177


83
112
A167


178


88
116
A168


179


53
94
A169


180


78
90
A170


181


101
134
A171


182


73
106
A172


183


134
106
A173


184


90
117
A174


185


67
100
A175


186


123
142
A176


187


125
114
A177


188


88
130
A178


189


95
119
A179


190


169
130
A180


191


50
88
A181


192


76
89
A182


193
100
168


A183


194
95
139


A184


195
104
125


A185


196
98
178


A186


197
58
165


A187


198
120
136


A188


199
86
91


A189


200
50
131


A190


201
103
203


A191


202
82
192


A192


203
123
133


A193


204
28
127


A194


205
83
125


A195


206
94
143


A196


207
36
85


A197


208
47
94


A198


209
53
93


A199


210
72
164


A200


211
35
82


A201


212
38
68


A202


213
26
53


A203


214
40
131


A204


215
38
49


A205


216
40
112


A206


217
52
93


A207


218
81
191


A208


219
45
84


A209


220
45
130


A210


221
70
175


A211


222
89
209


A212


223
32
66


A213


224
23
94


A214


225
57
132


A215


226
120
129


A216


227
13
43


A217


228
34
112


A218


229
114
92


A219


230
124
159


A220


231
102
134


A221


232
120
101


A222


233
87
91


A223


234
107
151


A224


235
132
154


A225


236
49
96


A226


237
78
175


A227


238
93
177


A228


239
44
133


A229


240
46
88


A230


241
50
88


A231


242
41
134


A232


243
36
96


A233


244
34
65


A234


245
66
156


A235


246
49
160


A236


247
54
116


A237


248
80
151


A238


249
80
125


A239


250
54
89


A240


251
81
130


A241


252


63
76
A242


253


138
99
A243


254


81
80
A244


255


89
70
A245


256


43
40
A246


257


120
101
A247


258


93
100
A248


259


60
76
A249


260


55
53
A250


261


55
59
A251


262


122
104
A252


263


86
71
A253


264


82
82
A254


265


57
52
A255


266


94
108
A256


267
43
117


A257


268
109
171


A258


269
42
151


A259


270
61
74


A260


271
47
164


A261


272
57
103


A262


273
67
92


A263


274
51
128


A264


275
80
146


A265


276
60
97


A266


277
48
125


A267


278
47
135


A268


279
29
86


A269


280
34
97


A270


281
66
151


A271


282
70
102


A272


283
55
202


A273


284
58
116


A274


285
67
102


A275


286
59
140


A276


287
79



A277


288
79
173


A278


289
59
134


A279


290
80
122


A280


291
72
133


A281


292
73
78


A282


293
51
141


A283


294
45
116


A284


295
33
73


A285


296
41
82


A286


297
47
136


A287


298
58
142


A288


315
15
16
17
13
S17
















TABLE 7







Knock down of MYH7 RNA in CC-2580 cells following 6 days treatment


with 5 μM oligonucleotide. RNA was measured using the ddPCR


assay. The cell line is heterozygous for the Rs715 SNP. Data presented


at % mRNA compared to the level in PBS treated cells.













Perfect match to
Mismatch to
Perfect match to
Mismatch to




c-allele in
t-allele in
t-allele in
c-allele in
Compound ref.


CMP ID
CC-2580 cells
CC-2580 cells
CC-2580 cells
CC-2580 cells
used in


NO
(% PBS)
(% PBS)
(% PBS)
(% PBS)
examples















260.1
30
54


B1


260.2
96
107


B2


259.1
98
100


B3


259.2
66
111


B4


259.3
26
61


B5


259.4
47
91


B6


259.5
110
170


B7


259.6
74
112


B8


260.3
86
111


B9


259.7
60
107


B10


259.8
74
93


B11


260.4
52
79


B12


259.9
75
100


B13


259.1
74
130


B14


259.11
80
81


B15


259.12
42
73


B16


259.13
70
68


B17


259.14
60
78


B18


259.15
132
142


B19


259.16
99
108


B20


260.5
28
51


B21


259.17
89
116


B22


259.18
60
108


B23


259.19
68
83


B24


259.2
51
70


B25


259.21
71
140


B26


260.6
68
125


B27


259.22
91
110


B28


260.7
78
104


B29


260.8
49
80


B30


259.23
53
70


B31


259.24
41
84


B32


259.25
75
84


B33


259.26
65
82


B34


260.9
130
141


B35


259.27
61
70


B36


260.1
49
63


B37


259.28
40
63


B38


259.29
51
78


B39


259.3
61
91


B40


260.11
78
112


B41


260.12
39
75


B42


259.31
33
55


B43


260.13
30
72


B44


260.14
69
84


B45


259.32
79
97


B46


259.33
59
101


B47


260.15
52
54


B48


259.34
79
134


B49


260.16
82
98


B50


260.17
61
73


B51


260.18
82
114


B52


260.19
75
88


B53


260.2
125
142


B54


260.21
20
50


B55


260.22
24
44


B56


260.23
133
160


B57


259.35
101
107


B58


259.36
64
81


B59


259.37
105
139


B60


259.38
103
143


B61


259.39
36
57


B62


260.24
79
79


B63


259.4
86
92


B64


259.41
93
109


B65


259.42
56
84


B66


259.43
60
80


B67


259.44
91
98


B68


260.25
83
129


B69


259.45
127
145


B70


259.46
72
95


B71


259.47
59
88


B72


260.26
70
74


B73


259.48
66
83


B74


260.27
95
135


B75


259.49
51
89


B76


259.5
93
123


B77


259.51
79
96


B78


259.52
73
99


B79


259.53
91
116


B80


259.54
60
114


B81


260.28
34
67


B82


260.29
68
101


B83


259.55
20
67


B84


260.3
22
53


B85


259.56
112
160


B86


260.31
32
48


B87


260.32
70
120


B88


259.57
92
102


B89


259.58
62
80


B90


260.33
41
60


B91


259.59
81
110


B92


259.6
76
114


B93


259.61
95
108


B94


259.62
69
93


B95


259.63
55
114


B96


260.34
65
84


B97


260.35
56
84


B98


260.36
36
45


B99


259.64
81
95


B100


259.65
71
107


B101


259.66
55
69


B102


259.67
87
97


B103


259.68
35
65


B104


259.69
85
109


B105


259.7
41
46


B106


259.71
88
97


B107


259.72
54
72


B108


260.37
67
97


B109


260.38
84
102


B110


260.39
64
89


B111


259.73
79
122


B112


260.4
104
112


B113


259.74
57
101


B114


260.41
79
99


B115


259.75
63
67


B116


260.42
58
97


B117


259.76
57
86


B118


259.77
121
150


B119


259.78
72
94


B120


259.79
91
110


B121


259.8
56
90


B122


260.43
64
81


B123


259.81
25
41


B124


259.82
63
98


B125


260.44
57
97


B126


260.45
64
99


B127


259.83
48
80


B128


260.46
65
92


B129


259.84
117
115


B130


259.85
85
114


B131


259.86
68
107


B132


259.87
113
147


B133


259.88
100
124


B134


259.89
58
88


B135


259.9
63
86


B136


259.91
106
99


B137


259.92
79
125


B138


260.47
92
129


B139


259.93
116
152


B140


260.48
33
45


B141


260.49
56
93


B142


259.94
110
151


B143


259.95
80
141


B144


259.96
84
86


B145


259.97
71
77


B146


259.98
33
64


B147


260.5
75
96


B148


259.99
35
55


B149


260.51
37
80


B150


259.1
65
93


B151


260.52
67
82


B152


259.101
40
87


B153


259.102
57
91


B154


259.103
52
74


B155


260.53
53
77


B156


259.104
50
90


B157


260.54
86
100


B158


259.105
83
125


B159


259.106
101
110


B160


259.107
59
137


B161


259.108
66
84


B162


259.109
58
91


B163


260.55
57
55


B164


260.56
64
66


B165


259.11
82
95


B166


259.111
59
89


B167


259.112
31
68


B168


259.113
78
86


B169


259.114
96
136


B170


260.57
83
97


B171


259.115
34
69


B172


259.116
115
142


B173


259.117
93
116


B174


260.58
36
60


B175


259.118
70
75


B176


259.119
91
133


B177


259.12
73
112


B178


259.121
58
91


B179


260.59
58
89


B180


260.6
69
60


B181


260.61
69
91


B182


259.122
144
136


B183


259.123
70
108


B184


260.62
78
121


B185


259.124
130
130


B186


260.63
72
100


B187


259.125
95
112


B188


259.126
86
82


B189


260.64
56
89


B190


259.127
101
124


B191


259.128
92
128


B192


260.65
65
83


B193


259.129
52
71


B194


260.66
72
124


B195


260.67
69
103


B196


259.13
82
97


B197


260.68
77
106


B198


259.131
62
78


B199


260.69
50
68


B200


259.132
147
175


B201


259.133
58
96


B202


259.134
46
82


B203


259.135
73
98


B204


260.7
86
92


B205


259.136
62
71


B206


259.137
62
107


B207


259.138
88
104


B208


260.71
65
84


B209


260.72
63
89


B210


260.73
81
119


B211


260.74
64
66


B212


259.139
97
101


B213


259.14
74
95


B214


259.141
83
97


B215


259.142
69
97


B216


259.143
117
129


B217


259.144
79
87


B218


259.145
96
121


B219


260.75
97
115


B220


260.76
58
85


B221


259.146
69
83


B222


259.147
61
115


B223


259.148
61
73


B224


259.149
72
96


B225


259.15
62
66


B226


260.77
53
70


B227


259.151
99
101


B228


260.78
73
104


B229


259.152
104
111


B230


259.153
76
87


B231


259.154
72
97


B232


260.79
41
79


B233


259.155
68
98


B234


260.8
63
94


B235


260.81
100
98


B236


259.156
79
71


B237


259.157
96
120


B238


260.82
54
55


B239


259.158
80
85


B240


259.159
77
84


B241


259.16
63
65


B242


259.161
83
102


B243


260.83
56
82


B244


259.162
91
115


B245


259.163
82
97


B246


260.84
95
116


B247


260.85
66
101


B248


259.164
71
97


B249


259.165
89
85


B250


259.166
102
112


B251


259.167
34
54


B252


259.168
53
80


B253


260.86
38
70


B254


259.169
85
95


B255


259.17
72
102


B256


259.171
71
95


B257


260.87
65
76


B258


260.88
69
83


B259


260.89
60
67


B260


259.172
53
75


B261


260.9
75
113


B262


260.91
88
105


B263


259.173
66
104


B264


260.92
137
145


B265


259.174
63
114


B266


259.175
36
54


B267


260.93
74
102


B268


259.176
117
143


B269


259.177
85
88


B270


259.178
29
62


B271


260.94
44
67


B272


260.95
63
68


B273


260.96
42
54


B274


259.179
85
113


B275


260.97
100
145


B276


259.18
50
92


B277


259.181
82
105


B278


260.98
58
64


B279


260.99
89
135


B280


259.182
95
121


B281


259.183
47
88


B282


259.184
78
93


B283


259.185
60
69


B284


259.186
73
96


B285


259.187
77
101


B286


259.188
68
97


B287


259.189
77
98


B288


260.1
76
80


B289


260.101
92
106


B290


280.1


62
92
B291


280.2


75
111
B292


280.3


78
96
B293


280.4


40
55
B294


280.5


28
71
B295


280.6


32
67
B296


280.7


66
90
B297


280.8


20
36
B298


280.9


27
84
B299


280.1


58
103
B300


280.11


45
89
B301


280.12


73
113
B302


280.13


33
57
B303


280.14


37
65
B304


280.15


51
85
B305


280.16


47
97
B306


280.17


42
79
B307


280.18


29
38
B308


280.19


62
115
B309


280.2


74
95
B310


280.21


66
107
B311


280.22


93
102
B312


280.23


46
69
B313


280.24


63
124
B314


280.25


52
82
B315


280.26


55
84
B316


280.27


42
81
B317


280.28


46
91
B318


280.29


46
67
B319


280.3


32
57
B320


280.31


47
96
B321


280.32


39
50
B322


280.33


45
84
B323


280.34


29
65
B324


280.35


76
71
B325


280.36


66
83
B326


280.37


89
118
B327


280.38


114
143
B328


280.39


107
117
B329


280.4


56
73
B330


280.41


57
76
B331


280.42


31
64
B332


280.43


52
85
B333


280.44


17
51
B334


280.45


37
63
B335


280.46


81
109
B336


280.47


55
71
B337


280.48


49
83
B338


280.49


31
55
B339


280.5


55
69
B340


280.51


51
83
B341


280.52


19
40
B342


280.53


68
96
B343


280.54


70
78
B344


280.55


42
85
B345


280.56


102
145
B346


280.57


35
62
B347


280.58


51
91
B348


280.59


104
129
B349


280.6


63
93
B350


280.61


59
102
B351


280.62


44
61
B352


280.63


58
86
B353


280.64


62
108
B354


280.65


17
45
B355


280.66


70
105
B356


280.67


91
119
B357


280.68


50
66
B358


280.69


27
42
B359


280.7


34
64
B360


280.71


43
79
B361


280.72


103
110
B362


280.73


72
101
B363


280.74


60
99
B364


280.75


56
74
B365


280.76


84
104
B366


280.77


114
132
B367


280.78


103
125
B368


280.79


94
116
B369


280.8


41
61
B370


280.81


51
83
B371


280.82


94
133
B372


280.83


55
119
B373


280.84


55
78
B374


280.85


29
56
B375


280.86


78
97
B376


280.87


29
54
B377


280.88


65
95
B378


280.89


48
78
B379


280.9


88
99
B380


280.91


29
74
B381


280.92


47
72
B382


280.93


22
54
B383


280.94


41
64
B384


280.95


86
94
B385


280.96


32
62
B386


280.97


66
83
B387


280.98


154
116
B388


280.99


125
143
B389


280.1


36
53
B390


280.101


23
49
B391


280.102


44
83
B392


280.103


40
68
B393


280.104


16
43
B394


280.105


43
80
B395


280.106


64
98
B396


280.107


71
114
B397


280.108


59
81
B398


280.109


57
86
B399


280.11


48
66
B400


280.111


33
48
B401


280.112


30
64
B402


280.113


19
56
B403


280.114


35
64
B404


280.115


38
70
B405


280.116


121
162
B406


280.117


40
63
B407


280.118


97
128
B408


280.119


52
82
B409


280.12


99
99
B410


280.121


52
67
B411


280.122


51
97
B412


280.123


70
124
B413


280.124


38
74
B414


280.125


25
61
B415


280.126


62
77
B416


280.127


84
135
B417


280.128


76
100
B418


280.129


32
59
B419


280.13


69
78
B420


280.131


71
80
B421


280.132


106
121
B422


280.133


44
89
B423


280.134


36
62
B424


280.135


31
53
B425


280.136


41
66
B426


280.137


67
105
B427


280.138


74
102
B428


280.139


42
55
B429


280.14


63
88
B430


280.141


82
107
B431


280.142


40
65
B432


280.143


61
74
B433


280.144


34
69
B434


280.145


36
63
B435


280.146


11
34
B436


280.147


39
88
B437


280.148


39
77
B438


280.149


15
26
B439


280.15


33
101
B440


280.151


26
51
B441


280.152


54
87
B442


280.153


42
76
B443


280.154


68
122
B444


280.155


42
79
B445


280.156


83
118
B446


280.157


20
53
B447


280.158


43
71
B448


280.159


57
86
B449


280.16


47
96
B450


280


30
61
A270


259
23
58


A249


260
31
50


A250


315
12
11
11
12
S17
















TABLE 8







Knock down of MYH7 RNA in CC-2580 cells following 6 days treatment with various concentration of


oligonucleotide. Allele specific RNA was measured using the ddPCR assay. EC50 values are calculated


for each allele and the selectivity was calculated as the ratio between the two EC50 values.















EC50 for
EC50 for

EC50 for
EC50 for





perfect match
mismatch to
Selectivity
perfect match
mismatch to
Selectivity



to c-allele in
t-allele in
between c- and
to t-allele in
c-allele in
between t- and
Compound


CMP ID
CC-2580 cells
CC-2580 cells
t-allele in
CC-2580 cells
CC-2580 cells
c-allele in
ref. used in


NO
(uM)
(uM)
CC-2580 cells
(uM)
(uM)
CC-2580 cells
examples

















259
0.18
3.67
20.9



A249


260
0.13
0.35
2.6



A250


280



0.12
0.86
7.2
A270


280.91



0.26
5.00
19.2
B381


280.93



0.36
1.95
5.4
B383


280.113



0.13
1.01
7.8
B403


280.15



0.63
5.00
7.9
B440


280.9



0.21
5.00
23.8
B299


280.125



0.15
2.29
15.8
B415


280.5



0.26
5.00
19.2
B295


280.146



0.09
0.29
3.1
B436


280.104



0.09
1.16
12.8
B394


280.65



0.07
0.50
7.2
B355


280.44



0.10
0.54
5.6
B334


280.149



0.07
0.17
2.4
B439


280.157



0.16
1.79
11.1
B447


280.151



0.17
0.95
5.6
B441


280.85



0.22
0.92
4.1
B375


259.112
0.25
1.76
7.0



B168


259.101
0.65
5.00
7.7



B153


259.115
0.32
2.38
7.3



B172


259.55
0.41
3.43
8.3



B84


259.178
0.29
1.45
5.1



B271


259.98
0.15
0.88
5.9



B147


259.3
0.23
1.46
6.4



B5


260.3
0.10
0.69
7.2



B85


260.21
0.22
1.98
9.1



B55


260.28
0.16
1.62
10.2



B82


260.79
0.17
3.33
20.1



B233


260.51
0.26
1.97
7.6



B150


260.5
0.24
1.47
6.1



B21


260.58
0.50
0.51
1.0



B175


260.22
0.07
0.78
11.2



B56


260.13
0.08
0.57
7.6



B44
















TABLE 9







Knock down of MYH7 RNA in hIPSC cardiomyocytes (CMs) following 6 days treatment with various concentration


of oligonucleotide. Allele specific RNA was measured using the ddPCR assay. EC50 values are calculated


for each allele and the selectivity was calculated as the ratio between the two EC50 values.















EC50 for
EC50 for

EC50 for
EC50 for





perfect match
mismatch to
Selectivity
perfect match
mismatch to
Selectivity



to c-allele in
t-allele in
between c- and
to t-allele in
c-allele in
between t- and
Compound


CMP ID
hIPSC-CM cells
hIPSC-CM cells
t-allele in
hIPSC-CM cells
hIPSC-CM cells
c-allele in
ref. used in


NO
(uM)
(uM)
hIPSC-CM cells
(uM)
(uM)
hIPSC-CM cells
examples

















259
0.05
0.28
5.1



A249


260
0.19
0.43
2.2



A250


280



0.11
0.60
5.4
A270


280.91



0.10
0.34
3.5
B381


280.113



0.06
0.26
4.2
B403


280.15



0.09
0.86
9.2
B440


280.9



0.08
0.60
7.7
B299


280.146



0.04
0.10
2.2
B436


280.104



0.06
0.30
4.7
B394


280.65



0.09
0.42
4.5
B355


280.44



0.05
0.18
3.8
B334


259.55
0.12
0.98
7.9



B84


259.3
0.47
5.00
10.7



B5


260.3
0.05
0.21
4.1



B85


260.21
0.09
0.96
11.2



B55


260.28
0.13
1.88
14.5



B82


260.5
0.09
0.66
7.0



B21


260.22
0.03
0.16
5.2



B56


260.13
0.04
0.32
7.3



B44








Claims
  • 1. An antisense oligonucleotide for the inhibition of a human myosin heavy chain 7 (Myh7) transcript, wherein said oligonucleotide comprises a contiguous nucleotide sequence of 10-30 nucleotides in length which are at least 90% complementary to a sequence selected from the group consisting of SEQ ID NOs 3-10.
  • 2. The antisense oligonucleotide according to claim 1, wherein said oligonucleotide comprises a contiguous nucleotide sequence of 13-24 nucleotides in length which are fully complementary to a sequence selected from the group consisting of SEQ ID NOs 3-10.
  • 3. The antisense oligonucleotide according to claim 1, wherein said antisense oligonucleotide is complementary to a region of the sequence selected from SEQ ID NOs 3-10 which comprises the 20th nucleotide from the 5′ end of the sequence selected from SEQ ID NOs 3-10.
  • 4. The antisense oligonucleotide according to claim 1, wherein the contiguous nucleotide sequence of the oligonucleotide is fully complementary to a sequence selected from the group consisting of SEQ ID NO 3 or SEQ ID NO 4.
  • 5. The antisense oligonucleotide according to claim 1, wherein the contiguous nucleotide sequence of the oligonucleotide is fully complementary to a sequence selected from the group consisting of SEQ ID NO 5 or SEQ ID NO 6.
  • 6. The antisense oligonucleotide according to claim 1, wherein the contiguous nucleotide sequence of the oligonucleotide is fully complementary to a sequence selected from the group consisting of SEQ ID NO 7 or SEQ ID NO 8.
  • 7. The antisense oligonucleotide according to claim 1, wherein the contiguous nucleotide sequence of the oligonucleotide is fully complementary to a sequence selected from the group consisting of SEQ ID NO 9 or SEQ ID NO 10.
  • 8. The antisense oligonucleotide according to claim 1, wherein the Myh7 transcript is the human Myh7 mature mRNA or pre-mRNA.
  • 9. The antisense oligonucleotide according to claim 1, wherein the Myh7 transcript originates from a disease associated allele of the human Myh7 gene.
  • 10. The antisense oligonucleotide according to claim 1, wherein the antisense oligonucleotide is selective for Myh7 transcript originating from a disease associated allele of the human Myh7 transcript, as compared to a non-disease associated allele.
  • 11. The antisense oligonucleotide according to claim 9, wherein the Myh7 transcript originating from a disease associated allele comprises one or more disease associated single nucleotide polymorphisms which are present in a region other than the sequence selected from the group consisting of SEQ ID NO 3-10.
  • 12. The antisense oligonucleotide of claims 1, comprising one or more modified nucleosides.
  • 13. The antisense oligonucleotide of claim 12, wherein the one or more modified nucleosides is a 2′ sugar modified nucleoside.
  • 14. The antisense oligonucleotide of claim 13, wherein the one or more 2′ sugar modified nucleoside is independently selected from the group consisting of 2′-O-alkyl-RNA, 2′-O-methyl-RNA, 2′-alkoxy-RNA, 2′-O-methoxyethyl-RNA, 2′-amino-DNA, 2′-fluoro-DNA, arabino nucleic acid (ANA), 2′-fluoro-ANA and LNA nucleosides.
  • 15. The antisense oligonucleotide of claim 12, wherein the one or more modified nucleoside is a LNA nucleoside.
  • 16. The antisense oligonucleotide of claim 1, where the oligonucleotide comprises at least one phosphorothioate internucleoside linkage within the contiguous nucleotide sequence.
  • 17. The antisense oligonucleotide of claim 16, wherein the internucleoside linkages within the contiguous nucleotide sequence are phosphorothioate internucleoside linkages.
  • 18. The antisense oligonucleotide of claim 1, wherein the oligonucleotide is capable of recruiting RNase H.
  • 19. The antisense oligonucleotide of claim 1, wherein the antisense oligonucleotide, or contiguous nucleotide sequence thereof, consists or comprises a gapmer of formula 5′-F-G-F′-3′, where region F and F′ independently comprise 1-8 nucleosides, of which 1-5 are 2′ sugar modified and defines the 5′ and 3′ end of the F and F′ region, and G is a region between 5 and 16 nucleosides which are capable of recruiting RNaseH, such as a region comprising 5-16 DNA nucleosides.
  • 20. The antisense oligonucleotide according to claim 19, wherein region F and F′ comprise at least one LNA nucleoside, and wherein region G comprises 7-14 nucleotides.
  • 21. The antisense oligonucleotide according to claim 1, wherein the antisense oligonucleotide comprises a sequence selected from the group consisting of 11-344.
  • 22. The antisense oligonucleotide according to claim 1, wherein the antisense oligonucleotide consists or comprises of compound ID No 11-344, wherein a capital letter represents a LNA nucleotide, LNA C are LNA 5 methyl cytosine, lower case letters are DNA nucleosides, and optionally all internucleoside linkages are phosphorothioate internucleotides linkages.
  • 23. The antisense oligonucleotide according to claim 1, wherein the antisense oligonucleotide consists or comprises of compound ID No 11-344, wherein a capital letter represents a beta-D-oxy LNA nucleotide, LNA C are LNA 5 methyl cytosine, lower case letters are DNA nucleosides, and all internucleoside linkages are phosphorothioate internucleotides linkages.
  • 24. A conjugate comprising the oligonucleotide according to claim 1, and at least one conjugate moiety covalently attached to said oligonucleotide.
  • 25. A pharmaceutically acceptable salt of the antisense oligonucleotide according to claim 1.
  • 26. A pharmaceutical composition comprising the oligonucleotide of claim 1 and a pharmaceutically acceptable diluent, solvent, carrier, salt and/or adjuvant.
  • 27. An in vivo or in vitro method for modulating human myosin heavy chain 7 (Myh7) expression in a target cell which is expressing Myh7, said method comprising administering an oligonucleotide of claim 1, in an effective amount to said cell.
  • 28. A method for treating or preventing a disease comprising administering a therapeutically or prophylactically effective amount of an oligonucleotide of claim to a subject suffering from or susceptible to the disease.
  • 29. The method of claim 28, wherein the disease is selected from the group consisting of hypertrophic cardiomyopathy.
  • 30. The oligonucleotide of claim 1 for use in medicine.
  • 31. The oligonucleotide of claim 1 for use in the treatment or prevention of hypertrophic cardiomyopathy.
  • 32. Use of the oligonucleotide of claim 1 for the preparation of a medicament for treatment or prevention of hypertrophic cardiomyopathy.
  • 33. A method for treatment of a human subject in need to treatment for hypertrophic cardiomyopathy, said treatment comprising the step of: a. Taking a biological sample from the human subjectb. Sequencing the Myh7 nucleic acid alleles present in the sample of the human subject;c. Determining the presence of a disease associated Myh7 allelic variant of the Myh7 nucleic acid;d. Administering a therapeutically effective amount of an antisense oligonucleotide to the human subject which is selective for the disease associated Myh7 allelic variant as compared to a non-disease associate allele.
  • 34. The method according to claim 33, wherein the antisense oligonucleotide is as according to claim 1.
PCT Information
Filing Document Filing Date Country Kind
PCT/EP2019/061718 5/7/2019 WO 00
Provisional Applications (1)
Number Date Country
62668722 May 2018 US