RNAi Agents of Modulating PLP1

Abstract
Provided are antisense agents, RNAi agents, pharmaceutical compositions, and methods of use for reducing the amount or activity of PLP1 RNA in a cell or subject, and in certain instances reducing the amount of proteolipid protein 1 in a cell or subject. In certain embodiments, also provided herein are oligomeric compounds and oligomeric duplexes for reducing the amount or activity of proteolipid protein 1 (PLP1) RNA in a cell or subject, and in certain instances reducing the amount of proteolipid protein 1 in a cell or subject. Such compounds, methods, and pharmaceutical compositions are useful to ameliorate at least one symptom or hallmark of a leukodystrophy. Such symptoms and hallmarks include hypotonia, nystagmus, optic atrophy, respiratory distress, delay in motor function development, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, choreiform movements, and death. Such leukodystrophies include Pelizaeus-Merzbacher disease.
Description
SEQUENCE LISTING

The present application is being filed along with a Sequence Listing in electronic format. The Sequence Listing is provided as a file entitled BIOL0454SEQ.xml created Mar. 7, 2023, which is 434 kb in size. The information in the electronic format of the sequence listing is incorporated herein by reference in its entirety.


FIELD

Provided are antisense agents, pharmaceutical compositions, and methods of use for reducing the amount or activity of proteolipid protein 1 (PLP1) RNA in a cell or subject, and in certain instances reducing the amount of proteolipid protein 1 in a cell or subject. In certain embodiments, also provided herein are oligomeric compounds and oligomeric duplexes for reducing the amount or activity of protcolipid protein 1 (PLP1) RNA in a cell or subject, and in certain instances reducing the amount of proteolipid protein 1 in a cell or subject. In certain embodiments, further provided herein are RNAi agents for reducing the amount or activity of proteolipid protein 1 (PLP1) RNA in a cell or subject, and in certain instances reducing the amount of proteolipid protein 1 in a cell or subject. Such compounds, methods, and pharmaceutical compositions are useful to ameliorate at least one symptom or hallmark of a leukodystrophy. Such symptoms and hallmarks include hypotonia, nystagmus, optic atrophy, respiratory distress, delay in motor function development, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, choreiform movements, and death. Such leukodystrophies include Pelizaeus-Merzbacher disease (PMD).


BACKGROUND

Pelizaeus-Merzbacher disease (PMD) is a severe and fatal childhood X-linked leukodystrophy, associated with an extensive loss or lack of myelination of the central nervous system, and is caused by duplications or sequence variations in the gene encoding proteolipid protein 1 (PLP1). Hundreds of mutations in PLP1 have been identified, and lead to a toxic gain-of-function due to PLP1 misfolding and dysmyelination (Hobson, G., 2012, Semin. Neurol. 32, 62-67; Nevin, Z. S., 2017, American J. Hum. Genetics 100, 617-634; Sima, A. A. F., et al., 2009, Acta Neuropathologica 118, 431-439). The majority of PMD cases are due to overexpression of otherwise normal PLP1 protein, as a result of duplications or triplications of PLP1 (Inoue, K., 2005, Neurogenetics 6, 1-16; Karim, S. A., 2010, Glia 58, 1727-1738). PLP1 is expressed in myelinating oligodendrocytes and oligodendrocyte progenitor cells (OPCs) in the central nervous system (CNS), where it is responsible for about 50% of the total protein content of myelin and in Schwann cells in the peripheral nervous system (PNS) (Klugman, W., et al., 1997, Neuron 18, 59-70; Harlow, D. E., et al., 2014, J. Neurosci. 34, 1333-1343; Baumann, N., et al., 2001, Physiol. Rev. 81, 871-927).


Because of the genetic heterogeneity associated with PMD, symptoms and hallmarks vary and have been grouped into two main categories: connatal and classic. The connatal form (severe/early onset) of PMD is caused by mutations in PLP1, leading to dysmyelination. This most severe form of PMD leads to mortality in early childhood, typically within the first few years of life, and presents symptoms such as nystagmus and respiratory distress, extrapyramidal signs, laryngeal stridor, feeding difficulties, optic atrophy, seizures, and extreme neonatal hypotonia. The classic form, associated with PLP1 overexpression due to PLP1 duplication or triplication, presents before the first year of age with a constellation of delay in motor function development, hypotonia, nystagmus, and/or motor function delay in early childhood, with the development of progressive spasticity, ataxia, and/or choreiform movements through adolescence and early adulthood. Other PMD phenotypes include the transitional form of PMD, associated with PLP1 overexpression or with PLP1 mutations, which combines clinical features of both the classic and connatal forms. A less severe phenotype. Spastic paraplegia type 2 (SPG2), has a later onset than classic PMD, and is associated with a mild, late-onset spasticity in the legs or assorted mild peripheral neuropathies with minimal CNS deficits. Patients with PLP1 deletions (“null” patients) have significantly milder symptoms than patients with PLP1 mutations or duplications, and can live until 40-60 years old. There are no approved therapies for PMD, with current therapy mainly being limited to palliative symptom management (Nevin, 2017; Inoue, 2005; Madry, J., et al., 2010, Neurol. Neurochir. Pol. 44, 511-515; Osorio. M. J., et al., 2017, Stem Cells 35, 311-315; Wang, P-J, et al., 2001, J. Clin. Neurophys. 18, 25-32).


Currently there is a lack of acceptable options for treating leukodystrophies such as PMD. It is therefore an objective herein to provide compounds, methods, and pharmaceutical compositions for the treatment of such diseases.


SUMMARY OF THE INVENTION

Provided herein are compounds, pharmaceutical compositions, and methods of use for reducing the amount or activity of PLP1 RNA, and in certain embodiments reducing the expression of proteolipid protein 1 in a cell or subject. In certain embodiments, the subject has a disease or disorder associated with overexpression of PLP1 or a mutation in PLP1. In certain embodiments, the subject has a leukodystrophy. In certain embodiments, the subject has Pelizaeus-Merzbacher disease (PMD). In certain embodiments, the subject has connatal PMD, classic PMD, or transitional PMD. In certain embodiments, compounds useful for reducing the amount or activity of PLP1 RNA are oligomeric compounds. In certain embodiments, compounds useful for reducing the amount or activity of PLP1 RNA are oligomeric duplexes or antisense agents. In certain embodiments, compounds useful for reducing the amount or activity of PLP1 RNA are RNAi agents. In certain embodiments, compounds useful for decreasing expression of proteolipid protein 1 are oligomeric compounds. In certain embodiments, compounds useful for decreasing expression of proteolipid protein 1 are oligomeric duplexes or antisense agents. In certain embodiments, compounds useful for decreasing expression of proteolipid protein 1 are RNAi agents.


Also provided are methods useful for ameliorating at least one symptom or hallmark of a leukodystrophy. In certain embodiments, the leukodystrophy is Pelizaeus-Merzbacher disease (PMD). In certain embodiments, the symptom or hallmark includes hypotonia, nystagmus, optic atrophy, respiratory distress, delay in motor function development, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, or choreiform movements.







DETAILED DESCRIPTION OF THE INVENTION

It is to be understood that both the foregoing general description and the following detailed description are exemplary and explanatory only and are not restrictive of the embodiments, as claimed. Herein, the use of the singular includes the plural unless specifically stated otherwise. As used herein, the use of “or” means “and/or” unless stated otherwise. Furthermore, the use of the term “including” as well as other forms, such as “includes” and “included”, is not limiting.


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


Definitions

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


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


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


As used herein, “2′-MOE” means a 2′-OCH2CH2OCH3 group in place of the 2′-OH group of a ribosyl sugar moiety. A “2′-MOE sugar moiety” means a sugar moiety with a 2′-OCH2CH2OCH3 group in place of the 2′-OH group of a ribosyl sugar moiety. Unless otherwise indicated, a 2′-MOE sugar moiety is in the β-D-ribosyl configuration. “MOE” means O-methoxyethyl.


As used herein, “2′-MOE nucleoside” or “2′-OCH2CH2OCH3 nucleoside” means a nucleoside comprising a 2′-MOE sugar moiety (or 2-OCH2CH2OCH3 ribosyl sugar moiety).


As used herein, “2′-OMe” means a 2′-OCH3 group in place of the 2′-OH group of a ribosyl sugar moiety. A “2′-O-methyl sugar moiety” or “2′-OMe sugar moiety” or “2′-O-methylribosyl sugar moiety” means a sugar moiety with a 2′-OCH3 group in place of the 2′-OH group of a ribosyl sugar moiety. Unless otherwise indicated, a 2′-OMe sugar moiety is in the β-D-ribosyl configuration.


As used herein, “2′-OMe nucleoside” or “2′-OMe modified nucleoside” means a nucleoside comprising a 2′-OMe sugar moiety.


As used herein, “2′-F” means a 2′-fluoro group in place of the 2′-OH group of a furanosyl sugar moiety. A “2′-F sugar moiety” means a sugar moiety with a 2′-F group in place of the 2′-OH group of a furanosyl sugar moiety. Unless otherwise indicated, a 2′-F sugar moiety is in the β-D-ribosyl configuration.


As used herein, “2′-F nucleoside” or “2′-F modified nucleoside” means a nucleoside comprising a 2′-F modified sugar moiety.


As used herein, “xylo 2′-F” means a 2′-F sugar moiety in the β-D-xylosyl configuration.


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


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


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


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


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


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


As used herein, “ameliorate” in reference to a treatment means improvement in at least one symptom or hallmark relative to the same symptom or hallmark in the absence of the treatment. In certain embodiments, amelioration is the reduction in the severity or frequency of a symptom or hallmark or the delayed onset or slowing of progression in the severity or frequency of a symptom or hallmark. In certain embodiments, the symptom or hallmark is hypotonia, nystagmus, optic atrophy, respiratory distress, delay in motor function development, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, choreiform movements, or death. The progression or severity of indicators may be determined by subjective or objective measures, which are known to those skilled in the art.


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


As used herein, “antisense agent” means an antisense compound and optionally one or more additional features, such as a sense compound.


As used herein, “antisense compound” means an antisense oligonucleotide and optionally one or more additional features, such as a conjugate group.


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


As used herein, “sense compound” means a sense oligonucleotide and optionally one or more additional features, such as a conjugate group.


As used herein, “sense oligonucleotide” means an oligonucleotide, including the oligonucleotide portion of an oligomeric compound, that is capable of hybridizing to an antisense oligonucleotide. Sense oligonucleotides include, but are not limited to, sense RNAi oligonucleotides.


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


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


As used herein, “blunt” or “blunt ended” in reference to an oligomeric duplex means that there are no terminal unpaired nucleotides (i.e. no overhanging nucleotides). One or both ends of an oligomeric duplex can be blunt.


As used herein, “cell-targeting moiety” means a conjugate group or portion of a conjugate group that is capable of binding to a particular cell type or particular cell types.


As used herein, “cerebrospinal fluid” or “CSF” means the fluid filling the space around the brain and spinal cord. “Artificial cerebrospinal fluid” or “aCSF” means a prepared or manufactured fluid that has certain properties (e.g., osmolarity, pH, and/or electrolytes) similar to cerebrospinal fluid and is biocompatible with CSF.


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


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


As used herein, “complementary region” in reference to an oligonucleotide is the range of nucleobases of the oligonucleotide that is complementary with a second oligonucleotide or target nucleic acid.


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


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


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


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


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


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


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


As used herein, “diluent” means an ingredient in a composition that lacks pharmacological activity, but is pharmaceutically necessary or desirable. For example, the diluent in an injected composition can be a liquid, e.g., aCSF, PBS, or saline solution.


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


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


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


As used herein, “hybridization” means the annealing of oligonucleotides and/or nucleic acids. While not limited to a particular mechanism, the most common mechanism of hybridization involves hydrogen bonding, which may be Watson-Crick, Hoogsteen or reversed Hoogsteen hydrogen bonding, between complementary nucleobases. In certain embodiments, complementary nucleic acid molecules include, but are not limited to, an antisense compound and a nucleic acid target. In certain embodiments, complementary nucleic acid molecules include, but are not limited to, an antisense oligonucleotide and a nucleic acid target.


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


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


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


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


As used herein, “leukodystrophy” means a disorder due to abnormalities in the myelin sheath of neurons.


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


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


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


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


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


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


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


As used herein, “nucleobase sequence” means the order of contiguous nucleobases in a target nucleic acid or oligonucleotide, including such nucleobases that are each optionally independently modified or unmodified, and independent of any sugar or internucleoside linkage modification.


As used herein, “the nucleobase sequence of” a reference SEQ ID NO refers only to the nucleobase sequence provided in such SEQ ID NO and therefore, unless otherwise indicated, includes compounds wherein each nucleobase, each sugar moiety, and each internucleoside linkage, independently, may be modified or unmodified, irrespective of the presence or absence of modifications, indicated in the referenced SEQ ID NO.


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


As used herein, “nucleoside overhang” refers to unpaired nucleosides at either or both ends of an oligomeric duplex formed by hybridization of two oligonucleotides.


As used herein, “oligomeric agent” means an oligomeric compound and optionally one or more additional features, such as a second oligomeric compound. An oligomeric agent may be a single-stranded oligomeric compound or may be an oligomeric duplex formed by two complementary oligomeric compounds.


As used herein, “oligomeric compound” means an oligonucleotide and optionally one or more additional features, such as a conjugate group or terminal group. An oligomeric compound may be paired with a second oligomeric compound that is complementary to the first oligomeric compound or may be unpaired. A “singled-stranded oligomeric compound” is an unpaired oligomeric compound.


As used herein, “oligomeric duplex” means a duplex formed by two oligomeric compounds having complementary nucleobase sequences.


As used herein, “oligonucleotide” means a polymer of linked nucleosides connected via internucleoside linkages, wherein each nucleoside and internucleoside linkage may be modified or unmodified. Unless otherwise indicated, oligonucleotides consist of 8-50 linked nucleosides.


As used herein, “modified oligonucleotide” means an oligonucleotide, wherein at least one nucleoside or internucleoside linkage is modified. As used herein, “unmodified oligonucleotide” means an oligonucleotide that does not comprise any nucleoside modifications or internucleoside modifications.


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


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


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


As used herein, “prodrug” means a therapeutic agent in a first form outside the body that is converted to a second form within a subject or cells thereof. Typically, conversion of a prodrug within the subject is facilitated by the action of an enzymes (e.g., endogenous or viral enzyme) or chemicals present in cells or tissues and/or by physiologic conditions. A prodrug is an inactive or less active form of a compound which, when administered to a subject, is metabolized to form the active, or more active, compound. In certain embodiments, a prodrug comprises a cell-targeting moiety and at least one active compound.


As used herein, “RNA” means an RNA transcript and includes pre-mRNA and mature mRNA unless otherwise specified.


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


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


As used herein, “standard in vitro assay” means the assay described in Example 2 and reasonable variations thereof.


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


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


As used herein, “subject” means a human or non-human animal. In certain embodiments, the subject is a human. The terms “subject” and “animal” are used interchangeable herein.


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


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


As used herein, “symptom” or “hallmark” means any physical feature or test result that indicates the existence or extent of a disease or disorder. In certain embodiments, a symptom is apparent to a subject or to a medical professional examining or testing the subject. In certain embodiments, a hallmark is apparent upon invasive diagnostic testing, including, but not limited to, post-mortem tests. In certain embodiments, a hallmark is apparent on a brain MRI scan. In certain embodiments, symptoms and hallmarks include spongiform changes in the brain, a development of abnormal protein aggregates, neuronal loss, rapidly progressing dementia, or death, or the presence of markers of neuronal loss.


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


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


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


As used herein, “treating” means improving a subject's disease or condition by administering an oligomeric agent, an oligomeric compound, an oligomeric duplex, or an antisense agent described herein.


In certain embodiments, treating a subject improves a symptom relative to the same symptom in the absence of the treatment. In certain embodiments, treatment reduces in the severity or frequency of a symptom, or delays the onset of a symptom, slows the progression of a symptom, or slows the severity or frequency of a symptom.


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


CERTAIN EMBODIMENTS

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

    • Embodiment 1. An oligomeric compound, wherein the oligomeric compound comprises a modified oligonucleotide consisting of 12 to 50 linked nucleosides, wherein the nucleobase sequence of the modified oligonucleotide comprises at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 10-243 and wherein the modified oligonucleotide comprises at least one modification selected from a modified sugar moiety and a modified internucleoside linkage.
    • Embodiment 2. The oligomeric compound of embodiment 1, wherein the nucleobase sequence of the modified oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs: 10-243.
    • Embodiment 3. The oligomeric compound of embodiment 1, wherein the nucleobase sequence of the modified oligonucleotide consists of the nucleobase sequence of any of SEQ ID NOs: 10-243.
    • Embodiment 4. The oligomeric compound of any of embodiments 1-3, wherein the nucleobase sequence of the modified oligonucleotide is at least 80%, at least 85%, at least 90%, at least 95%, or 100% complementary to the nucleobase sequence of an equal length portion of SEQ ID NO: 1 or SEQ ID NO: 2.
    • Embodiment 5. The oligomeric compound of any of embodiments 1-4, wherein the modified oligonucleotide consists of 12 to 20, 12 to 25, 12 to 30, 12 to 50, 13 to 20, 13 to 25, 13 to 30, 13 to 50, 14 to 20, 14 to 25, 14 to 30, 14 to 50, 15 to 20, 15 to 25, 15 to 30, 15 to 50, 16 to 18, 16 to 20, 16 to 25, 16 to 30, 16 to 50, 17 to 20, 17 to 25, 17 to 30, 17 to 50, 18 to 20, 18 to 25, 18 to 30, 18 to 50, 19 to 20, 19 to 25, 19 to 29, 19 to 30, 19 to 50, 20 to 25, 20 to 30, 20 to 50, 21 to 25, 21 to 30, 21 to 50, 22 to 25, 22 to 30, 22 to 50, 23 to 25, 23 to 30, or 23 to 50 linked nucleosides.
    • Embodiment 6. An oligomeric compound, wherein the oligomeric compound comprises a modified oligonucleotide consisting of 12 to 50 linked nucleosides, wherein the nucleobase sequence of the modified oligonucleotide is complementary to at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases of
    • an equal length portion of nucleobases 390-437 of SEQ ID NO: 1 and/or nucleobases 12682-12729 of SEQ ID NO: 2;
    • an equal length portion of nucleobases 1066-1100 of SEQ ID NO: 1 and/or nucleobases 17545-17579 of SEQ ID NO: 2;
    • an equal length portion of nucleobases 1131-1166 of SEQ ID NO: 1 and/or nucleobases 17610-17645 of SEQ ID NO: 2;
    • an equal length portion of nucleobases 1183-1425 of SEQ ID NO: 1 and/or nucleobases 17662-17904 of SEQ ID NO: 2;
    • an equal length portion of nucleobases 1547-1659 of SEQ ID NO: 1 and/or nucleobases 18026-18138 of SEQ ID NO: 2;
    • an equal length portion of nucleobases 1911-1946 of SEQ ID NO: 1 and/or nucleobases 18390-18425 of SEQ ID NO: 2;
    • an equal length portion of nucleobases 1989-2271 of SEQ ID NO: 1 and/or nucleobases 18468-18750 of SEQ ID NO: 2;
    • an equal length portion of nucleobases 2106-2218 of SEQ ID NO: 1 and/or nucleobases 18585-18697 of SEQ ID NO: 2;
    • an equal length portion of nucleobases 2288-2505 of SEQ ID NO: 1 and/or nucleobases 18767-18984 of SEQ ID NO: 2;
    • an equal length portion of nucleobases 2613-2752 of SEQ ID NO: 1 and/or nucleobases 19092-19231 of SEQ ID NO: 2; or
    • an equal length portion of nucleobases 2769-2894 of SEQ ID NO: 1 and/or nucleobases 19248-19373 of SEQ ID NO: 2.
    • Embodiment 7. The oligomeric compound of embodiment 6, wherein the nucleobase sequence of the modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases of a nucleobase sequence selected from:
      • SEQ ID NOs: 123, 154, and 243;
      • SEQ ID NOs: 73 and 161;
      • SEQ ID NOs: 153 and 94;
      • SEQ ID NOs: 223, 42, 92, 59, 19, 136, 142, 24, 65, 182, 95, 72, 122, 200, 60, 208, 146, and 201;
      • SEQ ID NOs: 176, 110, 119, 162, 12, 124, 78, and 237;
      • SEQ ID NOs: 10 and 44;
      • SEQ ID NOs: 221, 180, 112, 143, 238, 192, 151, 202, 120, 61, 147, 213, 23, 133, 126, 144, 193, 15, 29, 152, and 116;
      • SEQ ID NOs: 61, 147, 213, 23, 133, 126, 144, and 193;
      • SEQ ID NOs: 107, 75, 186, 32, 105, 48, 118, 101, 197, 169, 35, 111, 76, 16, 50, and 109;
      • SEQ ID NOs: 54, 96, 141, 86, 62, 74, 150, 63, 46, and 113; and
      • SEQ ID NOs: 39, 100, 103, 219, 173, 85, 33, 52, and 218.
    • Embodiment 8. The oligomeric compound of embodiment 6, wherein the nucleobase sequence of the modified oligonucleotide comprises or consists of the nucleobase sequence selected from:
      • SEQ ID NOs: 123, 154, and 243;
      • SEQ ID NOs: 73 and 161;
      • SEQ ID NOs: 153 and 94;
      • SEQ ID NOs: 223, 42, 92, 59, 19, 136, 142, 24, 65, 182, 95, 72, 122, 200, 60, 208, 146, and 201;
      • SEQ ID NOs: 176, 110, 119, 162, 12, 124, 78, and 237;
      • SEQ ID NOs: 10 and 44;
      • SEQ ID NOs: 221, 180, 112, 143, 238, 192, 151, 202, 120, 61, 147, 213, 23, 133, 126, 144, 193, 15, 29, 152, and 116;
      • SEQ ID NOs: 61, 147, 213, 23, 133, 126, 144, and 193;
      • SEQ ID NOs: 107, 75, 186, 32, 105, 48, 118, 101, 197, 169, 35, 111, 76, 16, 50, and 109;
      • SEQ ID NOs: 54, 96, 141, 86, 62, 74, 150, 63, 46, and 113; and
      • SEQ ID NOs: 39, 100, 103, 219, 173, 85, 33, 52, and 218.
    • Embodiment 9. The oligomeric compound of any of embodiments 1-8, wherein at least one nucleoside of the modified oligonucleotide comprises a modified sugar moiety.
    • Embodiment 10. The oligomeric compound of embodiment 9, wherein the modified sugar moiety comprises a bicyclic sugar moiety.
    • Embodiment 11. The oligomeric compound of embodiment 10, wherein the bicyclic sugar moiety comprises a 2′-4′ bridge, wherein the 2′-4′ bridge is selected from —O—CH2—; and —O—CH(CH3)—.
    • Embodiment 12. The oligomeric compound of embodiment 9, wherein the modified sugar moiety is a non-bicyclic modified sugar moiety.
    • Embodiment 13. The oligomeric compound of embodiment 12, wherein the non-bicyclic modified sugar moiety is a 2′-MOE sugar moiety, a 2′-OMe sugar moiety, or a 2′-F sugar moiety.
    • Embodiment 14. The oligomeric compound of embodiment 9, wherein the modified sugar moiety is a sugar surrogate.
    • Embodiment 15. The oligomeric compound of embodiment 14, wherein the sugar surrogate is selected from morpholino, modified morpholino, glycol nucleic acid (GNA), six-membered tetrahydropyran (THP), and F-hexitol nucleic acid (F-HNA).
    • Embodiment 16. The oligomeric compound of any of embodiments 1-15, wherein the modified oligonucleotide comprises at least one modified internucleoside linkage.
    • Embodiment 17. The oligomeric compound of embodiment 16, wherein the at least one modified internucleoside linkage is a phosphorothioate internucleoside linkage.
    • Embodiment 18. The oligomeric compound of embodiment 16, wherein the at least one modified internucleoside linkage is a mesyl phosphoramidate internucleoside linkage.
    • Embodiment 19. The oligomeric compound of any of embodiments 1-18, wherein each internucleoside linkage of the modified oligonucleotide is independently selected from a phosphorothioate internucleoside linkage, a phosphodiester internucleoside linkage, and a mesyl phosphoramidate internucleoside linkage.
    • Embodiment 20. The oligomeric compound of any of embodiments 1-19, wherein each internucleoside linkage of the modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a phosphorothioate internucleoside linkage.
    • Embodiment 21. The oligomeric compound of any of embodiments 1-19, wherein each internucleoside linkage of the modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a mesyl phosphoramidate internucleoside linkage.
    • Embodiment 22. The oligomeric compound of any of embodiments 1-21, wherein the modified oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage.
    • Embodiment 23. The oligomeric compound of any of embodiments 1-22, wherein the modified oligonucleotide comprises at least one modified nucleobase.
    • Embodiment 24. The oligomeric compound of embodiment 23, wherein the modified nucleobase is 5-methylcytosine.
    • Embodiment 25. The oligomeric compound of embodiment 23 or embodiment 24, wherein each cytosine is a 5-methylcytosine.
    • Embodiment 26. The oligomeric compound of any of embodiments 1-22, wherein one or more cytosine nucleobases of the modified oligonucleotide are unmodified.
    • Embodiment 27. The oligomeric compound of any of embodiments 1-22, wherein cytosine nucleobases of the modified oligonucleotide are unmodified.
    • Embodiment 28. The oligomeric compound of any of embodiments 1-27, wherein the modified oligonucleotide has a sugar motif of 5′-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.
    • Embodiment 29. The oligomeric compound of any of embodiments 1-28, wherein the oligomeric compound comprises a conjugate group.
    • Embodiment 30. The oligomeric compound of embodiment 29, wherein the conjugate group comprises a conjugate moiety and a conjugate linker.
    • Embodiment 31. The oligomeric compound of embodiment 30, wherein the conjugate moiety is a lipophilic group.
    • Embodiment 32. The oligomeric compound of embodiment 30 or embodiment 31, wherein the conjugate moiety is selected from a C22 alkyl, C20 alkyl, C16 alkyl, C10 alkyl, C21 alkyl, C19 alkyl, C18 alkyl, C17 alkyl, C15 alkyl, C14 alkyl, C13 alkyl, C12 alkyl, C11 alkyl, C9 alkyl, C8 alkyl, C7 alkyl, C6 alkyl, C5 alkyl, C22 alkenyl, C20 alkenyl, C16 alkenyl, C10 alkenyl, C21 alkenyl, C19 alkenyl, C18 alkenyl, C17 alkenyl, C15 alkenyl, C14 alkenyl, C13 alkenyl, C12 alkenyl, C11 alkenyl, C9 alkenyl, C8 alkenyl, C7 alkenyl, C6 alkenyl, or C5 alkenyl.
    • Embodiment 33. The oligomeric compound of any of embodiments 30-32, wherein the conjugate linker consists of a single bond.
    • Embodiment 34. The oligomeric compound of any of embodiments 30-33, wherein the conjugate linker is cleavable.
    • Embodiment 35. The oligomeric compound of any of embodiments 1-34, comprising a terminal group.
    • Embodiment 36. The oligomeric compound of embodiment 35, wherein the terminal group is a 5′-stabilized phosphate group.
    • Embodiment 37. The oligomeric compound of embodiment 36, wherein the 5′-stabilized phosphate group is selected from cyclopropylphosphonate and vinylphosphonate.
    • Embodiment 38. The oligomeric compound of any of embodiments 1-37, wherein the modified oligonucleotide is an antisense oligonucleotide.
    • Embodiment 39. The oligomeric compound of any of embodiments 1-38, wherein the modified oligonucleotide is an antisense RNAi oligonucleotide.
    • Embodiment 40. An oligomeric duplex, comprising a first oligomeric compound and a second oligomeric compound comprising a second modified oligonucleotide, wherein the first oligomeric compound is an oligomeric compound of any of embodiments 1-39.
    • Embodiment 41. The oligomeric duplex of embodiment 40, wherein the second oligomeric compound comprises a second modified oligonucleotide consisting of 12 to 50 linked nucleosides, and wherein the nucleobase sequence of the second modified oligonucleotide comprises a complementary region of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 nucleobases that is at least 90% complementary to an equal length portion of the first modified oligonucleotide.
    • Embodiment 42. The oligomeric duplex of embodiment 40, wherein the second oligomeric compound comprises a second modified oligonucleotide consisting of 12 to 50 linked nucleosides, and wherein the nucleobase sequence of the second modified oligonucleotide comprises a complementary region of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 nucleobases that is at least 95% complementary to an equal length portion of the first modified oligonucleotide.
    • Embodiment 43. The oligomeric duplex of embodiment 40, wherein the second oligomeric compound comprises a second modified oligonucleotide consisting of 12 to 50 linked nucleosides, and wherein the nucleobase sequence of the second modified oligonucleotide comprises a complementary region of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 nucleobases that is 100% complementary to an equal length portion of the first modified oligonucleotide.
    • Embodiment 44. The oligomeric duplex of any of embodiments 40-43, wherein at least one nucleoside of the second modified oligonucleotide comprises a modified sugar moiety.
    • Embodiment 45. The oligomeric duplex of embodiment 44, wherein the modified sugar moiety comprises a bicyclic sugar moiety.
    • Embodiment 46. The oligomeric duplex of embodiment 45, wherein the bicyclic sugar moiety comprises a 2′-4′ bridge, wherein the 2′-4′ bridge is selected from —O—CH2—; and —O—CH(CH3)—.
    • Embodiment 47. The oligomeric duplex of embodiment 44, wherein the modified sugar moiety is a non-bicyclic modified sugar moiety.
    • Embodiment 48. The oligomeric duplex of embodiment 47, wherein the non-bicyclic modified sugar moiety is a 2′-MOE sugar moiety, a 2-OMe sugar moiety, or a 2′-F sugar moiety.
    • Embodiment 49. The oligomeric duplex of embodiment 44, wherein the modified sugar moiety is a sugar surrogate.
    • Embodiment 50. The oligomeric duplex of embodiment 49, wherein the sugar surrogate is selected from morpholino, modified morpholino, glycol nucleic acid (GNA), six-membered tetrahydropyran (THP), and F-hexitol nucleic acid (F-HNA).
    • Embodiment 51. The oligomeric duplex of any of embodiments 40-50, wherein the second modified oligonucleotide comprises at least one modified internucleoside linkage.
    • Embodiment 52. The oligomeric duplex of embodiment 51, wherein the at least one modified internucleoside linkage is a phosphorothioate internucleoside linkage.
    • Embodiment 53. The oligomeric duplex of embodiment 51, wherein the at least one modified internucleoside linkage is a mesyl phosphoramidate internucleoside linkage.
    • Embodiment 54. The oligomeric duplex of any of embodiments 40-53, wherein each internucleoside linkage of the second modified oligonucleotide is independently selected from a phosphorothioate internucleoside linkage, a phosphodiester internucleoside linkage, and a mesyl phosphoramidate internucleoside linkage.
    • Embodiment 55. The oligomeric duplex of any of embodiments 40-54, wherein each internucleoside linkage of the second modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a phosphorothioate internucleoside linkage.
    • Embodiment 56. The oligomeric duplex of any of embodiments 40-54, wherein each internucleoside linkage of the second modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a mesyl phosphoramidate internucleoside linkage.
    • Embodiment 57. The oligomeric duplex of any of embodiments 40-56, wherein the second modified oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage.
    • Embodiment 58. The oligomeric duplex of any of embodiments 40-57, wherein the second modified oligonucleotide comprises at least one modified nucleobase.
    • Embodiment 59. The oligomeric duplex of embodiment 58, wherein the modified nucleobase is 5-methylcytosine.
    • Embodiment 60. The oligomeric duplex of embodiment 58 or embodiment 59, wherein each cytosine is a 5-methylcytosine.
    • Embodiment 61. The oligomeric duplex of any of embodiments 40-57, wherein one or more cytosine nucleobases of the second modified oligonucleotide are unmodified.
    • Embodiment 62. The oligomeric duplex of any of embodiments 40-57, wherein cytosine nucleobases of the second modified oligonucleotide are unmodified.
    • Embodiment 63. The oligomeric duplex of any of embodiments 40-62, wherein the second modified oligonucleotide has a sugar motif of 5′-fyfyfyfyfyfyfyfyfyfyf-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.
    • Embodiment 64. An oligomeric duplex comprising:
      • a first oligomeric compound comprising a first modified oligonucleotide consisting of 18 to 30 linked nucleosides, wherein the nucleobase sequence of the first modified oligonucleotide comprises at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 10-243; and
      • a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein the nucleobase sequence of the second modified oligonucleotide comprises a complementary region of at least 8 nucleobases that is at least 90% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide.
    • Embodiment 65. An oligomeric duplex comprising:
      • a first oligomeric compound comprising a first modified oligonucleotide consisting of 18 to 30 linked nucleosides, wherein the nucleobase sequence of the first modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 10-243; and
      • a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein the nucleobase sequence of the second modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 244-477, wherein the nucleobase sequence of the second modified oligonucleotide is at least 90% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide.
    • Embodiment 66. An oligomeric duplex comprising:
      • a first oligomeric compound comprising a first modified oligonucleotide, wherein the first modified oligonucleotide consists of 23 linked nucleosides and has a nucleobase sequence of consisting of the nucleobase sequence of any of SEQ ID NOs: 10-243; and
      • a second oligomeric compound comprising a second modified oligonucleotide, wherein the second modified oligonucleotide consists of 21 linked nucleosides, wherein the second modified oligonucleotide has a nucleobase sequence consisting of the nucleobase sequence of any of SEQ ID NOs: 244-477, and wherein the nucleobase sequence of the second modified oligonucleotide is at least 90% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide.
    • Embodiment 67. The oligomeric duplex of any of embodiments 64-66, wherein the nucleobase sequence of the second modified oligonucleotide is at least 95% or 100% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide.
    • Embodiment 68. The oligomeric duplex of any of embodiments 64-67, wherein the modified oligonucleotide of the first oligomeric compound comprises a 5′-stabilized phosphate group.
    • Embodiment 69. The oligomeric duplex of embodiment 68, wherein the 5′-stabilized phosphate group comprises a cyclopropylphosphonate or a vinylphosphonate.
    • Embodiment 70. The oligomeric duplex of any of embodiments 64-69, wherein at least one nucleoside of the first modified oligonucleotide and at least one nucleoside of the second modified oligonucleotide each independently comprises a modified sugar moiety.
    • Embodiment 71. The oligomeric duplex of embodiment 70, wherein the modified sugar moiety comprises a bicyclic sugar moiety.
    • Embodiment 72. The oligomeric duplex of embodiment 71, wherein the bicyclic sugar moiety comprises a 2′-4′ bridge, wherein the 2′-4′ bridge is selected from —O—CH2—; and —O—CH(CH3)—.
    • Embodiment 73. The oligomeric duplex of any of embodiments 64-72, wherein at least one nucleoside of the first modified oligonucleotide and at least one nucleoside of the second modified oligonucleotide each independently comprises a non-bicyclic modified sugar moiety.
    • Embodiment 74. The oligomeric duplex of embodiment 73, wherein the non-bicyclic modified sugar moiety is a 2′-MOE sugar moiety, a 2′-OMe sugar moiety, or a 2′-F sugar moiety.
    • Embodiment 75. The oligomeric duplex of any of embodiments 64-74, wherein at least one nucleoside of the first modified oligonucleotide or the second modified oligonucleotide each independently comprises a sugar surrogate.
    • Embodiment 76. The oligomeric duplex of embodiment 75, wherein the sugar surrogate is selected from morpholino, modified morpholino, glycol nucleic acid (GNA), six-membered tetrahydropyran (THP), and F-hexitol nucleic acid (F-HNA).
    • Embodiment 77. The oligomeric duplex of any of embodiments 64-76, wherein the first modified oligonucleotide comprises at least one modified internucleoside linkage.
    • Embodiment 78. The oligomeric duplex of any of embodiments 64-77, wherein the second modified oligonucleotide comprises at least one modified internucleoside linkage.
    • Embodiment 79. The oligomeric duplex of embodiment 77 or embodiment 78, wherein the at least one modified internucleoside linkage is a phosphorothioate internucleoside linkage.
    • Embodiment 80. The oligomeric duplex of embodiment 77 or embodiment 78, wherein the at least one modified internucleoside linkage is a mesyl phosphoramidate internucleoside linkage.
    • Embodiment 81. The oligomeric duplex of embodiment 77 or embodiment 79, wherein each internucleoside linkage of the first modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a phosphorothioate internucleoside linkage.
    • Embodiment 82. The oligomeric duplex of embodiment 77 or embodiment 80, wherein each internucleoside linkage of the first modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a mesyl phosphoramidate internucleoside linkage.
    • Embodiment 83. The oligomeric duplex of any of embodiments 77, 78, 79, 81, or 82, wherein each internucleoside linkage of the second modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a phosphorothioate internucleoside linkage.
    • Embodiment 84. The oligomeric duplex of any of embodiments 77, 78, 80, 81, or 82, wherein each internucleoside linkage of the second modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a mesyl phosphoramidate internucleoside linkage.
    • Embodiment 85. The oligomeric duplex of any of embodiments 64-84, wherein the first modified oligonucleotide has an internucleoside linkage motif of 5-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage.
    • Embodiment 86. The oligomeric duplex of any of embodiments 64-85, wherein the second modified oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage.
    • Embodiment 87. The oligomeric duplex of any of embodiments 64-86, wherein the first modified oligonucleotide and the second modified oligonucleotide each independently comprises at least one modified nucleobase.
    • Embodiment 88. The oligomeric duplex of embodiment 87, wherein the at least one modified nucleobase is 5-methylcytosine.
    • Embodiment 89. The oligomeric duplex of embodiment 87 or embodiment 88, wherein each cytosine is a 5-methylcytosine.
    • Embodiment 90. The oligomeric duplex of any of embodiments 64-86, wherein one or more cytosine nucleobases of the first modified oligonucleotide and/or of the second modified oligonucleotide are unmodified.
    • Embodiment 91. The oligomeric duplex of any of embodiments 64-86, wherein cytosine nucleobases of the first modified oligonucleotide or of the second modified oligonucleotide are unmodified.
    • Embodiment 92. The oligomeric duplex of any of embodiments 64-86, wherein cytosine nucleobases of the first modified oligonucleotide and of the second modified oligonucleotide are unmodified.
    • Embodiment 93. The oligomeric duplex of any of embodiments 64-92, wherein at least one nucleoside of the first modified oligonucleotide comprises a 2′-F sugar moiety and the at least one nucleoside is at:
    • position 2 or 14 from the 5′ end;
    • position 2, 6, or 14 from the 5′ end;
    • position 2, 14, or 16 from the 5′ end;
    • position 2, 6, 14, or 16 from the 5′ end; or
    • position 2, 6, 8, 9, 14, or 16 from the 5′ end.
    • Embodiment 94. The oligomeric duplex of any of embodiments 64-93, wherein the nucleosides of the first modified oligonucleotide each comprises a 2′-F sugar moiety and the nucleosides are at:
    • positions 2 and 14 from the 5′ end;
    • positions 2, 6, and 14 from the 5′ end;
    • positions 2, 14, and 16 from the 5′ end;
    • positions 2, 6, 14, and 16 from the 5′ end; or
    • positions 2, 6, 8, 9, 14, and 16 from the 5′ end.
    • Embodiment 95. The oligomeric duplex of any of embodiments 64-94, wherein at least one nucleoside of the second modified oligonucleotide comprises a 2′-F sugar moiety and the at least one nucleoside is at:
    • position 9, 10, or 11 from the 5′ end;
    • position 7, 9, 10, or 11 from the 5′ end;
    • position 11, 12, or 15 from the 5′ end; or
    • position 7, 9, 10, 11, 12, or 15 from the 5′ end.
    • Embodiment 96. The oligomeric duplex of any of embodiments 64-95, wherein the nucleosides of the second modified oligonucleotide each comprises a 2′-F sugar moiety and the nucleosides are at:
    • positions 9, 10, and 11 from the 5′ end; or
    • positions 7, 9, 10, and 11 from the 5′ end.
    • Embodiment 97. The oligomeric duplex of embodiment 93 or embodiment 94, wherein the nucleosides at the remaining positions of the first modified oligonucleotide each comprises a 2′-OMe sugar moiety.
    • Embodiment 98. The oligomeric duplex of any of embodiments 93-97, wherein the nucleosides at the remaining positions of the second modified oligonucleotide each comprises a 2′-OMe sugar moiety.
    • Embodiment 99. The oligomeric duplex of any of embodiments 64-92, wherein the first modified oligonucleotide has a sugar motif of 5′-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.
    • Embodiment 100. The oligomeric duplex of any of embodiments 64-92 and 99, wherein the second modified oligonucleotide has a sugar motif of 5′-fyfyfyfyfyfyfyfyfyfyf-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.
    • Embodiment 101. The oligomeric duplex of any of embodiments 64-100, wherein the second modified oligonucleotide comprises a conjugate group.
    • Embodiment 102. The oligomeric duplex of embodiment 101, wherein the conjugate group comprises a conjugate linker and a conjugate moiety.
    • Embodiment 103. The oligomeric duplex of embodiment 101 or embodiment 102, wherein the conjugate group is attached to the second modified oligonucleotide at the 5′-end of the second modified oligonucleotide.
    • Embodiment 104. The oligomeric duplex of embodiment 101 or embodiment 102, wherein the conjugate group is attached to the second modified oligonucleotide at the 3′-end of the second modified oligonucleotide.
    • Embodiment 105. The oligomeric duplex of embodiment 101 or embodiment 102, wherein the conjugate group is attached to the second modified oligonucleotide at the 2′ position of a furanosyl sugar moiety.
    • Embodiment 106. The oligomeric duplex of embodiment 101 or embodiment 102, wherein the conjugate group is attached to the second modified oligonucleotide through a modified internucleoside linkage.
    • Embodiment 107. The oligomeric duplex of any of embodiments 101-106, wherein the conjugate group comprises a C22 alkyl, C20 alkyl, C16 alkyl, C10 alkyl, C21 alkyl, C19 alkyl, C18 alkyl, C17 alkyl, C15 alkyl, C14 alkyl, C13 alkyl, C12 alkyl, C11 alkyl, C9 alkyl, C8 alkyl, C7 alkyl, C6 alkyl, C5 alkyl, C22 alkenyl, C20 alkenyl, C16 alkenyl, C10 alkenyl, C21 alkenyl, C19 alkenyl, C18 alkenyl, C17 alkenyl, C15 alkenyl, C14 alkenyl, C13 alkenyl, C12 alkenyl, C11 alkenyl, C9 alkenyl, C8 alkenyl, C7 alkenyl, C6 alkenyl, or C5 alkenyl.
    • Embodiment 108. The oligomeric duplex of any of embodiments 40-107, wherein the second modified oligonucleotide comprises a terminal group.
    • Embodiment 109. The oligomeric duplex of embodiment 108, wherein the terminal group is an abasic sugar moiety.
    • Embodiment 110. The oligomeric duplex of any of embodiments 40-109, wherein the second modified oligonucleotide consists of 10 to 25, 10 to 30, 12 to 20, 12 to 25, 12 to 30, 13 to 20, 13 to 25, 13 to 30, 14 to 20, 14 to 25, 14 to 30, 15 to 20, 15 to 25, 15 to 30, 16 to 18, 16 to 20, 16 to 25, 16 to 30, 17 to 20, 17 to 25, 17 to 30, 18 to 20, 18 to 25, 18 to 30, 19 to 20, 19 to 25, 19 to 30, 20 to 25, 20 to 30, 21 to 25, 21 to 30, 22 to 25, 22 to 30, 23 to 25, or 23 to 30 linked nucleosides.
    • Embodiment 111. The oligomeric duplex of any of embodiments 40-65 or 67-110, wherein the first modified oligonucleotide consists of 23 linked nucleosides and the second modified oligonucleotide consists of 21 linked nucleosides.
    • Embodiment 112. An antisense agent, wherein the antisense agent is the oligomeric duplex of any of embodiments 40-111.
    • Embodiment 113. The antisense agent of embodiment 112, wherein the antisense agent is an RNAi agent capable of reducing the amount of PLP1 through the activation of RISC/Ago2.
    • Embodiment 114. A population of oligomeric duplexes of embodiments 40-111, wherein the population is chirally enriched for modified oligonucleotides comprising at least one particular phosphorothioate internucleoside linkage having a particular stereochemical configuration.
    • Embodiment 115. The population of embodiment 114, wherein the population is chirally enriched for modified oligonucleotides having a particular, independently selected stereochemical configuration at each phosphorothioate internucleoside linkage.
    • Embodiment 116. The population of embodiment 114, wherein the population is chirally enriched for modified oligonucleotides having the (Rp) configuration at one particular phosphorothioate internucleoside linkage and the (Sp) configuration at each of the remaining phosphorothioate internucleoside linkages, or the population is chirally enriched for modified oligonucleotides having the (Sp) configuration at each phosphorothioate internucleoside linkage or for modified oligonucleotides having the (Rp) configuration at each phosphorothioate internucleoside linkage.
    • Embodiment 117. A population of oligomeric compounds comprising modified oligonucleotides of any of embodiments 1-39, wherein all of the phosphorothioate internucleoside linkages of the modified oligonucleotides are stereorandom.
    • Embodiment 118. A population of oligomeric duplexes of any of embodiments 40-111, wherein all of the phosphorothioate internucleoside linkages of the modified oligonucleotides of the first oligomeric compound are stereorandom.
    • Embodiment 119. The population of oligomeric duplexes of embodiment 118, wherein all of the phosphorothioate internucleoside linkages of the modified oligonucleotides of the second oligomeric compound are stereorandom.
    • Embodiment 120. A pharmaceutical composition comprising the oligomeric compound of any of embodiments 1-39, the oligomeric duplex of any of embodiments 40-111, the antisense agent of any of embodiments 112-113, or the population of any of embodiments 114-119, and a pharmaceutically acceptable diluent or carrier.
    • Embodiment 121. The pharmaceutical composition of embodiment 120, wherein the pharmaceutically acceptable diluent is phosphate buffered saline (PBS) or artificial cerebrospinal fluid (aCSF).
    • Embodiment 122. The pharmaceutical composition of embodiment 121, wherein the pharmaceutical composition consists essentially of the oligomeric compound of any of embodiments 1-39, the oligomeric duplex of any of embodiments 40-111, the antisense agent of any of embodiments 112-113, or the population of any of embodiments 114-119, and aCSF.
    • Embodiment 123. The pharmaceutical composition of embodiment 121, wherein the pharmaceutical composition consists essentially of the oligomeric compound of any of embodiments 1-39, the oligomeric duplex of any of embodiments 40-111, the antisense agent of any of embodiments 112-113, or the population of any of embodiments 114-119, and PBS.
    • Embodiment 124. A method comprising administering to a subject the oligomeric compound of any of embodiments 1-39, the oligomeric duplex of any of embodiments 40-111, the antisense agent of any of embodiments 112-113, the population of any of embodiments 114-119, or the pharmaceutical composition of any of embodiments 120-123.
    • Embodiment 125. The method of embodiment 124, wherein the subject has a leukodystrophy.
    • Embodiment 126. The method of embodiment 124, wherein the subject has Pelizaeus-Merzbacher disease (PMD).
    • Embodiment 127. The method of embodiment 124, wherein the subject has connatal PMD, classic PMD, or transitional PMD.
    • Embodiment 128. A method of treating a disease or disorder associated with PLP1 comprising administering to a subject having or at risk of developing a disease or disorder associated with PLP1 a therapeutically effective amount of the oligomeric compound of any of embodiments 1-39, the oligomeric duplex of any of embodiments 40-111, the antisense agent of any of embodiments 112-113, the population of any of embodiments 114-119, or the pharmaceutical composition of any of embodiments 120-123, thereby treating the disease or disorder associated with PLP1.
    • Embodiment 129. The method of embodiment 128, wherein the disease or disorder associated with PLP1 is a leukodystrophy.
    • Embodiment 130. The method of embodiment 128 or embodiment 129, wherein the disease or disorder associated with PLP1 is Pelizaeus-Merzbacher disease (PMD).
    • Embodiment 131. The method of embodiment 130, wherein the PMD is any of connatal PMD, classic PMD, or transitional PMD.
    • Embodiment 132. The method of embodiment 130 or embodiment 131, wherein the PMD is caused by an overexpression of proteolipid protein 1.
    • Embodiment 133. The method of embodiment 130 or embodiment 131, wherein the PMD is caused by multiple copies of the PLP1 gene.
    • Embodiment 134. The method of embodiment 130 or embodiment 131, wherein the PMD is caused by the expression of duplicate copies of the PLP1 gene.
    • Embodiment 135. The method of any of embodiments 128-134, wherein at least one symptom or hallmark is ameliorated.
    • Embodiment 136. The method of embodiment 135, wherein the at least one symptom or hallmark is hypotonia, nystagmus, optic atrophy, respiratory distress, delay in motor function development, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, choreiform movements, or death.
    • Embodiment 137. The method of embodiment 135 or embodiment 136, wherein administering the oligomeric compound of any of embodiments 1-39, the oligomeric duplex of any of embodiments 40-111, the antisense agent of any of embodiments 112-113, the population of any of embodiments 114-119, or the pharmaceutical composition of any of embodiments 120-123 reduces or delays the onset or progression of hypotonia, nystagmus, optic atrophy, respiratory distress, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, or choreiform movements, reduces a delay in motor function development, or delays death.
    • Embodiment 138. The method of any of embodiments 124-137, wherein the oligomeric compound of any of embodiments 1-39, the oligomeric duplex of any of embodiments 40-111, the antisense agent of any of embodiments 112-113, the population of any of embodiments 114-119, or the pharmaceutical composition of any of embodiments 120-123 is administered to the central nervous system or systemically.
    • Embodiment 139. The method of any of embodiments 124-138, wherein the oligomeric compound of any of embodiments 1-39, the oligomeric duplex of any of embodiments 40-111, the antisense agent of any of embodiments 112-113, the population of any of embodiments 114-119, or the pharmaceutical composition of any of embodiments 120-123 is administered intrathecally.
    • Embodiment 140. The method of any of embodiments 124-139, wherein the subject is a human.
    • Embodiment 141. A method of reducing PLP1 in a cell comprising contacting the cell with the oligomeric compound of any of embodiments 1-39, the oligomeric duplex of any of embodiments 40-111, the antisense agent of any of embodiments 112-113, the population of any of embodiments 114-119, or the pharmaceutical composition of any of embodiments 120-123.
    • Embodiment 142. A method of reducing proteolipid protein 1 in a cell comprising contacting the cell with the oligomeric compound of any of embodiments 1-39, the oligomeric duplex of any of embodiments 40-111, the antisense agent of any of embodiments 112-113, the population of any of embodiments 114-119, or the pharmaceutical composition of any of embodiments 120-123.
    • Embodiment 143. The method of embodiment 141 or embodiment 142, wherein the cell is an oligodendrocyte, an oligodendrocyte progenitor cell, a Schwann cell, or a Schwann cell progenitor.
    • Embodiment 144. The method of any of embodiments 141-143, wherein the cell is a human cell.
    • Embodiment 145. Use of the oligomeric compound of any of embodiments 1-39, the oligomeric duplex of any of embodiments 40-111, the antisense agent of any of embodiments 112-113, the population of any of embodiments 114-119, or the pharmaceutical composition of any of embodiments 120-123 for treating a disease or disorder associated with PLP1.
    • Embodiment 146. Use of the oligomeric compound of any of embodiments 1-39, the oligomeric duplex of any of embodiments 40-111, the antisense agent of any of embodiments 112-113, the population of any of embodiments 114-119, or the pharmaceutical composition of any of embodiments 120-123 for the manufacture of a medicament for treating a disease or disorder associated with PLP1.
    • Embodiment 147. The use of embodiment 145 or embodiment 146, wherein the disease or disorder associated with PLP1 is a leukodystrophy.
    • Embodiment 148. The use of any of embodiments 145-147, wherein the disease or disorder associated with PLP1 is Pelizaeus-Merzbacher disease (PMD).
    • Embodiment 149. The use of embodiment 148, wherein the PMD is any of connatal PMD, classic PMD, or transitional PMD.
    • Embodiment 150. The use of embodiment 148 or embodiment 149, wherein the PMD is caused by an overexpression of proteolipid protein 1.
    • Embodiment 151. The use of embodiment 148 or embodiment 149, wherein the PMD is caused by multiple copies of the PLP1 gene.
    • Embodiment 152. The use of embodiment 148 or embodiment 149, wherein the PMD is caused by the expression of duplicate copies of the PLP1 gene.
    • Embodiment 153. The use of any of embodiments 145-152, wherein at least one symptom or hallmark is ameliorated.
    • Embodiment 154. The use of embodiment 153, wherein the at least one symptom or hallmark is hypotonia, nystagmus, optic atrophy, respiratory distress, delay in motor function development, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, choreiform movements, or death.
    • Embodiment 155. The use of embodiment 153 or embodiment 154, wherein the use of the oligomeric compound of any of embodiments 1-39, the oligomeric duplex of any of embodiments 40-111, the antisense agent of any of embodiments 112-113, the population of any of embodiments 114-119, or the pharmaceutical composition of any of embodiments 120-123 reduces or delays the onset or progression of hypotonia, nystagmus, optic atrophy, respiratory distress, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, or choreiform movements, reduces a delay in motor function development, or delays death.


I. Certain Oligonucleotides

Provided herein are oligomeric compounds comprising antisense oligonucleotides complementary to a PLP1 RNA and optionally, sense oligonucleotides complementary to the antisense oligonucleotides. Antisense oligonucleotides and sense oligonucleotides typically comprise at least one modified nucleoside and/or at least one modified internucleoside linkage. Certain modified nucleosides and modified internucleoside linkages suitable for use in antisense oligonucleotides and/or sense oligonucleotides are described below.


A. Certain Modified Nucleosides

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


1. Modified Sugar Moieties

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


In certain embodiments, modified sugar moieties are non-bicyclic modified furanosyl sugar moieties comprising one or more acyclic substituent, including, but not limited, to substituents at the 2′, 3′, 4′, and/or 5′ positions. In certain embodiments, the furanosyl sugar moiety is a ribosyl sugar moiety. In certain embodiments, one or more acyclic substituent of non-bicyclic modified sugar moieties is branched.


In certain embodiments, non-bicyclic modified sugar moieties comprise a substituent group at the 2′-position. Examples of substituent groups suitable for the 2′-position of modified sugar moieties include but are not limited to: —F, —OCH3 (“OMe” or “O-methyl”), and —OCH2CH2OCH3 (“MOE”). In certain embodiments, 2-substituent groups are selected from among: halo, allyl, amino, azido, SH, CN, OCN, CF3, OCF3, O—C1-C10 alkoxy, O—C1-C10 substituted alkoxy, O—C1-C10 alkyl, O—C1-C10 substituted alkyl, S-alkyl, N(Rm)-alkyl, O-alkenyl, S-alkenyl, N(Rm)-alkenyl, O-alkynyl, S-alkynyl, N(Rm)-alkynyl, O-alkylenyl-O-alkyl, alkynyl, alkaryl, aralkyl, O-alkaryl, O-aralkyl, O(CH2)2SCH3, O(CH2)2ON(Rm)(Rn) or OCH2C(═O)—N(Rm)(Rn), where each Rm and Rn is, independently, H, an amino protecting group, or substituted or unsubstituted C1-C10 alkyl, —O(CH2)2ON(CH3)2 (“DMAOE”), 2′-O(CH2)20 (CH2)2N(CH3)2 (“DMAEOE”), and the 2′-substituent groups described in Cook et al., U.S. Pat. No. 6,531,584; Cook et al., U.S. Pat. No. 5,859,221; and Cook et al., U.S. Pat. No. 6,005,087. Certain embodiments of these 2′-substituent groups can be further substituted with one or more substituent groups independently selected from among: hydroxyl, amino, alkoxy, carboxy, benzyl, phenyl, nitro (NO2), thiol, thioalkoxy, thioalkyl, halogen, alkyl, aryl, alkenyl and alkynyl.


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


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


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


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


In certain embodiments, modified furanosyl sugar moieties and nucleosides incorporating such modified furanosyl sugar moieties are further defined by isomeric configuration. For example, a 2′-deoxyfuranosyl sugar moiety may be in seven isomeric configurations other than the naturally occurring β-D-deoxyribosyl configuration. Such modified sugar moieties are described in, e.g., WO 2019/157531, incorporated by reference herein. A 2′-modified sugar moiety has an additional stereocenter at the 2′-position relative to a 2′-deoxyfuranosyl sugar moiety; therefore, such sugar moieties have a total of sixteen possible isomeric configurations. Modified furanosyl sugar moieties described herein are in the β-D-ribosyl isomeric configuration unless otherwise specified.


In certain embodiments, non-bicyclic modified sugar moieties comprise a substituent group at the 4′-position. Examples of substituent groups suitable for the 4-position of modified sugar moieties include but are not limited to alkoxy (e.g., methoxy), alkyl, and those described in Manoharan et al., WO 2015/106128.


In certain embodiments, non-bicyclic modified sugar moieties comprise a substituent group at the 3′-position. Examples of substituent groups suitable for the 3′-position of modified sugar moieties include but are not limited to alkoxy (e.g., methoxy), alkyl (e.g., methyl, ethyl).


In certain embodiments, non-bicyclic modified sugar moieties comprise a substituent group at the 5′-position. Examples of substituent groups suitable for the 5′-position of modified sugar moieties include but are not limited to vinyl, alkoxy (e.g., methoxy), alkyl (e.g., methyl (R or S), ethyl).


In certain embodiments, non-bicyclic modified sugar moieties comprise more than one non-bridging sugar substituent, for example, 2′-F-5′-methyl sugar moieties and the modified sugar moieties and modified nucleosides described in Migawa et al., WO 2008/101157 and Rajeev et al., US2013/0203836).


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


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


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

    • wherein:
    • x is 0, 1, or 2;
    • n is 1, 2, 3, or 4;
    • each Ra and Rb is, independently, H, a protecting group, hydroxyl, C1-C12 alkyl, substituted C1-C12 alkyl, C2-C12 alkenyl, substituted C2-C12 alkenyl, C2-C12 alkynyl, substituted C2-C12 alkynyl, C5-C20 aryl, substituted C5-C20 aryl, heterocycle radical, substituted heterocycle radical, heteroaryl, substituted heteroaryl, C5-C7 alicyclic radical, substituted C5-C7alicyclic radical, halogen, OJ1, NJ1J2, SJ1, N3, COOJ1, acyl (C(═O)—H), substituted acyl, CN, sulfonyl (S(═O)2-J1), or sulfoxyl (S(═O)-J1); and
    • each J1 and J2 is, independently, H, C1-C12 alkyl, substituted C1-C12 alkyl, C2-C12 alkenyl, substituted C2-C12 alkenyl, C2-C12 alkynyl, substituted C2-C12 alkynyl, C5-C20 aryl, substituted C5-C20 aryl, acyl (C(═O)—H), substituted acyl, a heterocycle radical, a substituted heterocycle radical, C1-C12 aminoalkyl, substituted C1-C12 aminoalkyl, or a protecting group.


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


In certain embodiments, bicyclic sugar moieties and nucleosides incorporating such bicyclic sugar moieties are further defined by isomeric configuration. For example, an LNA nucleoside (described herein) may be in the α-L configuration or in the β-D configuration.




embedded image


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


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


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


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




embedded image


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




embedded image




    • wherein, independently, for each of said modified THP nucleoside:
      • Bx is a nucleobase moiety;
      • T3 and T4 are each, independently, an internucleoside linking group linking the modified THP nucleoside to the remainder of an oligonucleotide or one of T3 and T4 is an internucleoside linking group linking the modified THP nucleoside to the remainder of an oligonucleotide and the other of T3 and T4 is H, a hydroxyl protecting group, a linked conjugate group, or a 5′ or 3′-terminal group; q1, q2, q3, q4, q5, q6 and q7 are each, independently, H, C1-C6 alkyl, substituted C1-C6 alkyl, C2-C6 alkenyl, substituted C2-C6 alkenyl, C2-C6 alkynyl, or substituted C2-C6 alkynyl; and each of R1 and R2 is independently selected from among: hydrogen, halogen, substituted or unsubstituted alkoxy, NJ1J2, SJ1, N3, OC(═X)J1, OC(═X)NJ1J2, NJ3C(═X)NJ1J2, and CN, wherein X is O, S or NJ1, and each J1, J2, and J3 is, independently, H or C1-C6 alkyl.





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


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




embedded image


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


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


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


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




embedded image




    • where Bx represents any nucleobase.





Many other modified sugar moieties and sugar surrogates are known in the art that can be used in modified nucleosides.


2. Certain Modified Nucleobases

In certain embodiments, oligonucleotides comprise one or more nucleoside comprising a modified nucleobase. In certain embodiments, oligonucleotides comprise one or more inosine nucleosides (i.e., nucleosides comprising a hypoxantine nucleobase).


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


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


3. Certain Modified Internucleoside Linkages

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


In certain embodiments, a modified internucleoside linkage is any of those described in WO/2021/030778, incorporated by reference herein. In certain embodiments, a modified internucleoside linkage comprises the formula:




embedded image




    • wherein independently for each internucleoside linking group of the modified oligonucleotide:
      • X is selected from O or S;
      • R1 is selected from H, C1-C6 alkyl, and substituted C1-C6 alkyl; and
      • T is selected from SO2R2, C(═O) R3, and P(═O) R4R5, wherein:
      • R2 is selected from an aryl, a substituted aryl, a heterocycle, a substituted heterocycle, an aromatic heterocycle, a substituted aromatic heterocycle, a diazole, a substituted diazole, a C1-C6 alkoxy, C1-C6 alkyl, C1-C6 alkenyl, C1-C6 alkynyl, substituted C1-C6 alkyl, substituted C1-C6 alkenyl substituted C1-C6 alkynyl, and a conjugate group;

    • R3 is selected from an aryl, a substituted aryl, CH3, N(CH3)2, OCH3 and a conjugate group;

    • R4 is selected from OCH3, OH, C1-C6 alkyl, substituted C1-C6 alkyl and a conjugate group; and

    • R5 is selected from OCH3, OH, C1-C6 alkyl, and substituted C1-C6 alkyl.





In certain embodiments, a modified internucleoside linkage comprises a mesyl phosphoramidate linking group having a formula:




embedded image


In certain embodiments, a mesyl phosphoramidate internucleoside linkage may comprise a chiral center. In certain embodiments, modified oligonucleotides comprising (Rp) and/or (Sp) mesyl phosphoramidates comprise one or more of the following formulas, respectively, wherein “B” indicates a nucleobase:




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




embedded image


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


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


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




embedded image




    • wherein each Bx independently represents any nucleobase.





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


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


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




embedded image




    • wherein each Bx represents any nucleobase.





B. Antisense Oligonucleotides

In certain embodiments, antisense oligonucleotides comprise a number of linked nucleosides, wherein certain nucleosides and/or linkages are modified.


1. Certain Lengths

In certain embodiments, antisense oligonucleotides consist of 12-30 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 17-25 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 17-23 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 17-21 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 18-30 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 20-30 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 21-30 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 23-30 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 18-25 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 20-22 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 21-23 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 23-24 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 20 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 21 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 22 linked nucleosides. In certain embodiments, antisense oligonucleotides consist of 23 linked nucleosides.


2 Certain Sugar Motifs

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


In certain embodiments, at least one nucleoside comprises a 2′-OMe sugar moiety. In certain embodiments, at least 2 nucleosides comprise 2′-OMe sugar moieties. In certain embodiments, at least 5 nucleosides comprise 2′-OMe sugar moieties. In certain embodiments, at least 8 nucleosides comprise 2′-OMe sugar moieties. In certain embodiments, at least 10 nucleosides comprise 2′-OMe sugar moieties. In certain embodiments, at least 12 nucleosides comprise 2′-OMe sugar moieties. In certain embodiments, at least 13 nucleosides comprise 2′-OMe sugar moieties. In certain embodiments, at least 14 nucleosides comprise 2′-OMe sugar moieties. In certain embodiments, at least 15 nucleosides comprise 2-OMe sugar moieties. In certain embodiments, at least 17 nucleosides comprise 2′-OMe sugar moieties. In certain such embodiments, at least 18 nucleosides comprise 2′-OMe sugar moieties. In certain such embodiments, at least 20 nucleosides comprise 2′-OMe sugar moieties. In certain such embodiments, at least 21 nucleosides comprise 2′-OMe sugar moieties.


In certain embodiments, at least one nucleoside comprises a 2′-F sugar moiety. In certain embodiments, at least 2 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 3 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 4 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 6 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 8 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 10 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 11 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 12 nucleosides comprise 2′-F sugar moieties. In certain embodiments, one, but not more than one nucleoside comprises a 2′-F sugar moiety. In certain embodiments, 1 or 2 nucleosides comprise 2′-F sugar moieties. In certain embodiments, 1-3 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 1-4 nucleosides comprise 2′-F sugar moieties. In certain embodiments, antisense oligonucleotides have a block of 2-4 contiguous 2′-F modified nucleosides. In certain embodiments, 4 nucleosides of an antisense oligonucleotide are 2′-F modified nucleosides and 3 of those 2′-F modified nucleosides are contiguous. In certain such embodiments the remainder of the nucleosides are 2′OMe modified.


In certain embodiments, one nucleoside of an antisense oligonucleotide is a UNA.


In certain embodiments, one nucleoside of an antisense oligonucleotide is a GNA.


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


3. Certain Internucleoside Linkages

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


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


C. Sense Oligonucleotides

In certain embodiments, sense oligonucleotides comprise a number of linked nucleosides, wherein certain nucleosides and/or linkages are modified.


1. Certain Lengths

In certain embodiments, sense oligonucleotides consist of 12-30 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 17-25 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 17-23 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 17-21 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 18-30 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 20-30 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 21-30 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 23-30 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 18-25 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 20-22 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 21-23 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 23-24 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 19 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 20 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 21 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 22 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 23 linked nucleosides. In certain embodiments, sense oligonucleotides consist of 25 linked nucleosides.


2 Certain Sugar Motifs

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


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


In certain embodiments, at least one nucleoside comprises a 2′-F sugar moiety. In certain embodiments, at least 2 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 3 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 4 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 6 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 8 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 10 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 11 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 12 nucleosides comprise 2′-F sugar moieties. In certain embodiments, one, but not more than one nucleoside comprises a 2′-F sugar moiety. In certain embodiments. 1 or 2 nucleosides comprise 2′-F sugar moieties. In certain embodiments. 1-3 nucleosides comprise 2′-F sugar moieties. In certain embodiments, at least 1-4 nucleosides comprise 2′-F sugar moieties. In certain embodiments, sense oligonucleotides have a block of 2-4 contiguous 2′-F modified nucleosides. In certain embodiments. 4 nucleosides of an sense oligonucleotide are 2′-F modified nucleosides and 3 of those 2′-F modified nucleosides are contiguous. In certain such embodiments the remainder of the nucleosides are 2′OMe modified.


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


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


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


3. Certain Internucleoside Linkages

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


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


II. Oligomeric Duplexes

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


In certain embodiments, an oligomeric duplex comprises:

    • a first oligomeric compound comprising a first modified oligonucleotide consisting of 15 to 30 linked nucleosides, wherein the nucleobase sequence of the first modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or at least 23 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 10-243; and
    • a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein the nucleobase sequence of the second modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or at least 21 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 244-477, wherein the nucleobase sequence of the second modified oligonucleotide is at least 90% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide.


In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the nucleobase sequence of the second modified oligonucleotide is at least 95% or 100% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises:

    • a first oligomeric compound comprising a first modified oligonucleotide consisting of 18 to 30 linked nucleosides, wherein the nucleobase sequence of the first modified oligonucleotide comprises at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 10-243; and
    • a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein the nucleobase sequence of the second modified oligonucleotide comprises a complementary region of at least 8 nucleobases that is at least 90% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide.


In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the nucleobase sequence of the second modified oligonucleotide comprises a complementary region of at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 nucleobases that is at least 90% complementary to the nucleobase sequence of an equal portion of the first modified oligonucleotide. In certain embodiments, the nucleobase sequence of the second modified oligonucleotide comprises a complementary region of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 nucleobases that is at least 95% complementary to the nucleobase sequence of an equal portion of the first modified oligonucleotide. In certain embodiments, the nucleobase sequence of the second modified oligonucleotide comprises a complementary region of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 nucleobases that is 100% complementary to the nucleobase sequence of an equal portion of the first modified oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises:

    • a first oligomeric compound comprising a first modified oligonucleotide consisting of 18 to 30 linked nucleosides, wherein the nucleobase sequence of the first modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 10-243; and
    • a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein the nucleobase sequence of the second modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 244-477, wherein the nucleobase sequence of the second modified oligonucleotide is at least 90% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide.


In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the nucleobase sequence of the second modified oligonucleotide is at least 95% or 100% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises:

    • a first oligomeric compound comprising a first modified oligonucleotide, wherein the first modified oligonucleotide consists of 23 linked nucleosides and has a nucleobase sequence of consisting of the nucleobase sequence of any of SEQ ID NOs: 10-243; and
    • a second oligomeric compound comprising a second modified oligonucleotide, wherein the second modified oligonucleotide consists of 21 linked nucleosides, wherein the second modified oligonucleotide has a nucleobase sequence consisting of the nucleobase sequence of any of SEQ ID NOs: 244-477, and wherein the nucleobase sequence of the second modified oligonucleotide is at least 90% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide.


In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the nucleobase sequence of the second modified oligonucleotide is at least 95% or 100% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 15 to 30 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein the nucleobase sequence of the first modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or at least 23 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 10-243 and the nucleobase sequence of the second modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or at least 21 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 244-477. In certain embodiments, the nucleobase sequence of the second modified oligonucleotide is at least 90%, at least 95%, or 100% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 18 to 30 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein the nucleobase sequence of the first modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 10-243 and the nucleobase sequence of the second modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 244-477. In certain embodiments, the nucleobase sequence of the second modified oligonucleotide is at least 90%, at least 95%, or 100% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 18 to 30 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein the nucleobase sequence of the first modified oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs: 10-243 and the nucleobase sequence of the second modified oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs: 244-477. In certain embodiments, the nucleobase sequence of the second modified oligonucleotide is at least 90%, at least 95%, or 100% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide, wherein the first modified oligonucleotide consists of 23 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide, wherein the second modified oligonucleotide consists of 21 linked nucleosides, wherein the nucleobase sequence of the first modified oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs: 10-243 and the nucleobase sequence of the second modified oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs: 244-477. In certain embodiments, the nucleobase sequence of the second modified oligonucleotide is at least 90%, at least 95%, or 100% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 19 to 29 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein the nucleobase sequence of the first modified oligonucleotide and the nucleobase sequence of the second modified oligonucleotide each comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or at least 23 contiguous nucleobases of any of the following pairs of nucleobase sequences recited in SEQ ID NOs: 10/244, 11/245, 155/246, 12/247, 156/248, 13/249, 157/250, 14/251, 15/252, 16/253, 158/254, 17/255, 18/256, 19/257, 20/258, 21/259, 159/260, 22/261, 23/262, 24/263, 160/264, 25/265, 26/266, 27/267, 161/268, 162/269, 28/270, 29/271, 30/272, 163/273, 31/274, 32/275, 33/276, 34/277, 164/278, 35/279, 36/280, 37/281, 38/282, 165/283, 39/284, 166/285, 167/286, 40/287, 168/288, 169/289, 41/290, 170/291, 42/292, 43/293, 171/294, 44/295, 45/296, 46/297, 172/298, 173/299, 47/300, 48/301, 49/302, 174/303, 175/304, 176/305, 50/306, 177/307, 51/308, 52/309, 178/310, 53/311, 54/312, 55/313, 179/314, 180/315, 56/316, 181/317, 57/318, 182/319, 183/320, 184/321, 185/322, 186/323, 58/324, 59/325, 60/326, 187/327, 61/328, 62/329, 63/330, 64/331, 188/332, 65/333, 66/334, 67/335, 189/336, 68/337, 190/338, 191/339, 69/340, 70/341, 71/342, 72/343, 73/344, 192/345, 74/346, 75/347, 76/348, 193/349, 194/350, 77/351, 78/352, 195/353, 79/354, 196/355, 80/356, 197/357, 198/358, 199/359, 81/360, 200/361, 201/362, 82/363, 83/364, 84/365, 202/366, 85/367, 86/368, 87/369, 88/370, 89/371, 203/372, 90/373, 204/374, 91/375, 205/376, 92/377, 93/378, 94/379, 95/380, 96/381, 206/382, 97/383, 207/384, 98/385, 99/386, 100/387, 101/388, 208/389, 209/390, 102/391, 210/392, 103/393, 104/394, 211/395, 212/396, 105/397, 106/398, 107/399, 108/400, 213/401, 109/402, 214/403, 110/404, 111/405, 112/406, 215/407, 216/408, 217/409, 218/410, 113/411, 219/412, 220/413, 114/414, 115/415, 116/416, 117/417, 221/418, 118/419, 119/420, 120/421, 222/422, 223/423, 121/424, 122/425, 123/426, 124/427, 125/428, 126/429, 127/430, 224/431, 128/432, 129/433, 225/434, 226/435, 130/436, 131/437, 132/438, 133/439, 134/440, 135/441, 136/442, 137/443, 138/444, 227/445, 139/446, 140/447, 141/448, 142/449, 143/450, 144/451, 228/452, 229/453, 230/454, 231/455, 232/456, 233/457, 145/458, 234/459, 146/460, 147/461, 148/462, 149/463, 235/464, 236/465, 150/466, 151/467, 152/468, 237/469, 238/470, 239/471, 240/472, 241/473, 242/474, 243/475, 153/476, 154/477, wherein the nucleobase sequence of the first modified oligonucleotide comprises the nucleobase sequence of the first SEQ ID NO recited in the pair and the nucleobase sequence of the second modified oligonucleotide comprises the nucleobase sequence of the second SEQ ID NO recited in the pair. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 19 to 29 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein the nucleobase sequences of the first modified oligonucleotide and second modified oligonucleotide comprise any of the following pairs of nucleobase sequences recited in SEQ ID NOs: 10/244, 11/245, 155/246, 12/247, 156/248, 13/249, 157/250, 14/251, 15/252, 16/253, 158/254, 17/255, 18/256, 19/257, 20/258, 21/259, 159/260, 22/261, 23/262, 24/263, 160/264, 25/265, 26/266, 27/267, 161/268, 162/269, 28/270, 29/271, 30/272, 163/273, 31/274, 32/275, 33/276, 34/277, 164/278, 35/279, 36/280, 37/281, 38/282, 165/283, 39/284, 166/285, 167/286, 40/287, 168/288, 169/289, 41/290, 170/291, 42/292, 43/293, 171/294, 44/295, 45/296, 46/297, 172/298, 173/299, 47/300, 48/301, 49/302, 174/303, 175/304, 176/305, 50/306, 177/307, 51/308, 52/309, 178/310, 53/311, 54/312, 55/313, 179/314, 180/315, 56/316, 181/317, 57/318, 182/319, 183/320, 184/321, 185/322, 186/323, 58/324, 59/325, 60/326, 187/327, 61/328, 62/329, 63/330, 64/331, 188/332, 65/333, 66/334, 67/335, 189/336, 68/337, 190/338, 191/339, 69/340, 70/341, 71/342, 72/343, 73/344, 192/345, 74/346, 75/347, 76/348, 193/349, 194/350, 77/351, 78/352, 195/353, 79/354, 196/355, 80/356, 197/357, 198/358, 199/359, 81/360, 200/361, 201/362, 82/363, 83/364, 84/365, 202/366, 85/367, 86/368, 87/369, 88/370, 89/371, 203/372, 90/373, 204/374, 91/375, 205/376, 92/377, 93/378, 94/379, 95/380, 96/381, 206/382, 97/383, 207/384, 98/385, 99/386, 100/387, 101/388, 208/389, 209/390, 102/391, 210/392, 103/393, 104/394, 211/395, 212/396, 105/397, 106/398, 107/399, 108/400, 213/401, 109/402, 214/403, 110/404, 111/405, 112/406, 215/407, 216/408, 217/409, 218/410, 113/411, 219/412, 220/413, 114/414, 115/415, 116/416, 117/417, 221/418, 118/419, 119/420, 120/421, 222/422, 223/423, 121/424, 122/425, 123/426, 124/427, 125/428, 126/429, 127/430, 224/431, 128/432, 129/433, 225/434, 226/435, 130/436, 131/437, 132/438, 133/439, 134/440, 135/441, 136/442, 137/443, 138/444, 227/445, 139/446, 140/447, 141/448, 142/449, 143/450, 144/451, 228/452, 229/453, 230/454, 231/455, 232/456, 233/457, 145/458, 234/459, 146/460, 147/461, 148/462, 149/463, 235/464, 236/465, 150/466, 151/467, 152/468, 237/469, 238/470, 239/471, 240/472, 241/473, 242/474, 243/475, 153/476, 154/477, wherein the nucleobase sequence of the first modified oligonucleotide comprises the nucleobase sequence of the first SEQ ID NO recited in the pair and the nucleobase sequence of the second modified oligonucleotide comprises the nucleobase sequence of the second SEQ ID NO recited in the pair. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 23 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 21 linked nucleosides, wherein the nucleobase sequences of the first modified oligonucleotide and second modified oligonucleotide consist of any of the following pairs of nucleobase sequences recited in SEQ ID NOs: 10/244, 11/245, 155/246, 12/247, 156/248, 13/249, 157/250, 14/251, 15/252, 16/253, 158/254, 17/255, 18/256, 19/257, 20/258, 21/259, 159/260, 22/261, 23/262, 24/263, 160/264, 25/265, 26/266, 27/267, 161/268, 162/269, 28/270, 29/271, 30/272, 163/273, 31/274, 32/275, 33/276, 34/277, 164/278, 35/279, 36/280, 37/281, 38/282, 165/283, 39/284, 166/285, 167/286, 40/287, 168/288, 169/289, 41/290, 170/291, 42/292, 43/293, 171/294, 44/295, 45/296, 46/297, 172/298, 173/299, 47/300, 48/301, 49/302, 174/303, 175/304, 176/305, 50/306, 177/307, 51/308, 52/309, 178/310, 53/311, 54/312, 55/313, 179/314, 180/315, 56/316, 181/317, 57/318, 182/319, 183/320, 184/321, 185/322, 186/323, 58/324, 59/325, 60/326, 187/327, 61/328, 62/329, 63/330, 64/331, 188/332, 65/333, 66/334, 67/335, 189/336, 68/337, 190/338, 191/339, 69/340, 70/341, 71/342, 72/343, 73/344, 192/345, 74/346, 75/347, 76/348, 193/349, 194/350, 77/351, 78/352, 195/353, 79/354, 196/355, 80/356, 197/357, 198/358, 199/359, 81/360, 200/361, 201/362, 82/363, 83/364, 84/365, 202/366, 85/367, 86/368, 87/369, 88/370, 89/371, 203/372, 90/373, 204/374, 91/375, 205/376, 92/377, 93/378, 94/379, 95/380, 96/381, 206/382, 97/383, 207/384, 98/385, 99/386, 100/387, 101/388, 208/389, 209/390, 102/391, 210/392, 103/393, 104/394, 211/395, 212/396, 105/397, 106/398, 107/399, 108/400, 213/401, 109/402, 214/403, 110/404, 111/405, 112/406, 215/407, 216/408, 217/409, 218/410, 113/411, 219/412, 220/413, 114/414, 115/415, 116/416, 117/417, 221/418, 118/419, 119/420, 120/421, 222/422, 223/423, 121/424, 122/425, 123/426, 124/427, 125/428, 126/429, 127/430, 224/431, 128/432, 129/433, 225/434, 226/435, 130/436, 131/437, 132/438, 133/439, 134/440, 135/441, 136/442, 137/443, 138/444, 227/445, 139/446, 140/447, 141/448, 142/449, 143/450, 144/451, 228/452, 229/453, 230/454, 231/455, 232/456, 233/457, 145/458, 234/459, 146/460, 147/461, 148/462, 149/463, 235/464, 236/465, 150/466, 151/467, 152/468, 237/469, 238/470, 239/471, 240/472, 241/473, 242/474, 243/475, 153/476, 154/477, wherein the nucleobase sequence of the first modified oligonucleotide comprises the nucleobase sequence of the first SEQ ID NO recited in the pair and the nucleobase sequence of the second modified oligonucleotide comprises the nucleobase sequence of the second SEQ ID NO recited in the pair. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In any of the oligomeric duplexes described herein, at least one nucleoside of the first modified oligonucleotide and/or the second modified oligonucleotide can comprise a modified sugar moiety. Examples of suitable modified sugar moieties include, but are not limited to, a bicyclic sugar moiety, such as a 2′-4′ bridge selected from —O—CH2—; and —O—CH(CH3)—, and a non-bicyclic sugar moiety, such as a 2′-MOE sugar moiety, a 2′-F sugar moiety, a 2-OMe sugar moiety, or a 2′-NMA sugar moiety. In certain embodiments, at least one nucleoside of the first modified oligonucleotide and/or the second modified oligonucleotide can comprise an unmodified 2-deoxyribosyl sugar moiety. In certain embodiments, at least 80%, at least 90%, or 100% of the nucleosides of the first modified oligonucleotide and/or the second modified oligonucleotide comprises a modified sugar moiety selected from 2′-F and 2′-OMe. In certain embodiments, one or more 2′-F sugar moieties have a confirmation other than 2′-β-D-ribosyl. In certain embodiments, one or more 2′-F sugar moieties is in the 2′-β-D-xylosyl conformation.


In any of the oligomeric duplexes described herein, at least one nucleoside of the first modified oligonucleotide and/or the second modified oligonucleotide can comprise a sugar surrogate. Examples of suitable sugar surrogates include, but are not limited to, morpholino, hexitol nucleic acid (HNA), fluro-hexitol nucleic acid (F-HNA), the sugar surrogates of glycol nucleic acid (GNA), and unlocked nucleic acid (UNA). In certain embodiments, at least one nucleoside of the first modified oligonucleotide comprises a sugar surrogate, which can be a GNA.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 19 to 29 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein at least one nucleoside of the first modified oligonucleotide and/or the second modified oligonucleotide comprises a modified sugar moiety. In certain embodiments, the modified sugar moiety is a non-bicyclic sugar moiety. In certain embodiment, the non-bicyclic sugar moiety is selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, the first modified oligonucleotide comprises two, three, four, five, six, or more nucleosides comprising non-bicyclic sugar moieties selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, the second modified oligonucleotide comprises two, three, four, or more nucleosides comprising non-bicyclic sugar moieties selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, at least one nucleoside at position 2, 6, 8, 9, 14, or 16 from the 5′ end of the first modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside at position 2, 6, 14, or 16 from the 5′ end of the first modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside at position 2, 6, or 14 from the 5′ end of the first modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside at position 2, 14, or 16 from the 5′ end of the first modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, the nucleoside at position 2 or 14 from the 5′ end of the first modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 2, 6, 8, 9, 14, and 16 from the 5′ end of the first modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 2, 6, 14, and 16 from the 5′ end of the first modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 2, 6, and 14 from the 5′ end of the first modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 2, 14, and 16 from the 5′ end of the first modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 2 and 14 from the 5′ end of the first modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside from the remaining positions of the first modified oligonucleotide comprises a 2′-OMe sugar moiety. In certain embodiments, the nucleosides at the remaining positions of the first modified oligonucleotide each comprises a 2′-OMe sugar moiety. In certain embodiments, at least one nucleoside at position 7, 9, 10, 11, 12, or 15 from the 5′ end of the second modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside at position 7, 9, 10, or 11 from the 5′ end of the second modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside at position 9, 10, or 11 from the 5′ end of the second modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside at position 11, 12, or 15 from the 5′ end of the second modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 7, 9, 10, and 11 from the 5′ end of the second modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 9, 10, and 11 from the 5′ end of the second modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside from the remaining positions of the second modified oligonucleotide comprises a 2′-OMe sugar moiety. In certain embodiments, the nucleosides at the remaining positions of the second modified oligonucleotide each comprises a 2-OMe sugar moiety. In certain embodiments, the nucleobase sequences of the first modified oligonucleotide and second modified oligonucleotide consist of any of the following pairs of nucleobase sequences recited in SEQ ID NOs: 10/244, 11/245, 155/246, 12/247, 156/248, 13/249, 157/250, 14/251, 15/252, 16/253, 158/254, 17/255, 18/256, 19/257, 20/258, 21/259, 159/260, 22/261, 23/262, 24/263, 160/264, 25/265, 26/266, 27/267, 161/268, 162/269, 28/270, 29/271, 30/272, 163/273, 31/274, 32/275, 33/276, 34/277, 164/278, 35/279, 36/280, 37/281, 38/282, 165/283, 39/284, 166/285, 167/286, 40/287, 168/288, 169/289, 41/290, 170/291, 42/292, 43/293, 171/294, 44/295, 45/296, 46/297, 172/298, 173/299, 47/300, 48/301, 49/302, 174/303, 175/304, 176/305, 50/306, 177/307, 51/308, 52/309, 178/310, 53/311, 54/312, 55/313, 179/314, 180/315, 56/316, 181/317, 57/318, 182/319, 183/320, 184/321, 185/322, 186/323, 58/324, 59/325, 60/326, 187/327, 61/328, 62/329, 63/330, 64/331, 188/332, 65/333, 66/334, 67/335, 189/336, 68/337, 190/338, 191/339, 69/340, 70/341, 71/342, 72/343, 73/344, 192/345, 74/346, 75/347, 76/348, 193/349, 194/350, 77/351, 78/352, 195/353, 79/354, 196/355, 80/356, 197/357, 198/358, 199/359, 81/360, 200/361, 201/362, 82/363, 83/364, 84/365, 202/366, 85/367, 86/368, 87/369, 88/370, 89/371, 203/372, 90/373, 204/374, 91/375, 205/376, 92/377, 93/378, 94/379, 95/380, 96/381, 206/382, 97/383, 207/384, 98/385, 99/386, 100/387, 101/388, 208/389, 209/390, 102/391, 210/392, 103/393, 104/394, 211/395, 212/396, 105/397, 106/398, 107/399, 108/400, 213/401, 109/402, 214/403, 110/404, 111/405, 112/406, 215/407, 216/408, 217/409, 218/410, 113/411, 219/412, 220/413, 114/414, 115/415, 116/416, 117/417, 221/418, 118/419, 119/420, 120/421, 222/422, 223/423, 121/424, 122/425, 123/426, 124/427, 125/428, 126/429, 127/430, 224/431, 128/432, 129/433, 225/434, 226/435, 130/436, 131/437, 132/438, 133/439, 134/440, 135/441, 136/442, 137/443, 138/444, 227/445, 139/446, 140/447, 141/448, 142/449, 143/450, 144/451, 228/452, 229/453, 230/454, 231/455, 232/456, 233/457, 145/458, 234/459, 146/460, 147/461, 148/462, 149/463, 235/464, 236/465, 150/466, 151/467, 152/468, 237/469, 238/470, 239/471, 240/472, 241/473, 242/474, 243/475, 153/476, 154/477, wherein the nucleobase sequence of the first modified oligonucleotide comprises the nucleobase sequence of the first SEQ ID NO recited in the pair and the nucleobase sequence of the second modified oligonucleotide comprises the nucleobase sequence of the second SEQ ID NO recited in the pair. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 23 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 21 linked nucleosides, wherein at least one nucleoside of the first modified oligonucleotide and/or the second modified oligonucleotide comprises a modified sugar moiety. In certain embodiments, the modified sugar moiety is a non-bicyclic sugar moiety. In certain embodiment, the non-bicyclic sugar moiety is selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, the first modified oligonucleotide comprises two, three, four, five, six, or more nucleosides comprising non-bicyclic sugar moieties selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, the second modified oligonucleotide comprises two, three, four, or more nucleosides comprising non-bicyclic sugar moieties selected from a 2′-F sugar moiety and a 2-OMe sugar moiety. In certain embodiments, at least one nucleoside at position 2, 6, 8, 9, 14, or 16 from the 5′ end of the first modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside at position 2, 6, 14, or 16 from the 5′ end of the first modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside at position 2, 6, or 14 from the 5′ end of the first modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside at position 2, 14, or 16 from the 5′ end of the first modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, the nucleoside at position 2 or 14 from the 5′ end of the first modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 2, 6, 8, 9, 14, and 16 from the 5′ end of the first modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 2, 6, 14, and 16 from the 5′ end of the first modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 2, 6, and 14 from the 5′ end of the first modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 2, 14, and 16 from the 5′ end of the first modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 2 and 14 from the 5′ end of the first modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside from the remaining positions of the first modified oligonucleotide comprises a 2′-OMe sugar moiety. In certain embodiments, the nucleosides at the remaining positions of the first modified oligonucleotide each comprises a 2′-OMe sugar moiety. In certain embodiments, at least one nucleoside at position 7, 9, 10, 11, 12, or 15 from the 5′ end of the second modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside at position 7, 9, 10, or 11 from the 5′ end of the second modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside at position 9, 10, or 11 from the 5′ end of the second modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside at position 11, 12, or 15 from the 5′ end of the second modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 7, 9, 10, and 11 from the 5′ end of the second modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions 9, 10, and 11 from the 5′ end of the second modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, at least one nucleoside from the remaining positions of the second modified oligonucleotide comprises a 2′-OMe sugar moiety. In certain embodiments, the nucleosides at the remaining positions of the second modified oligonucleotide each comprises a 2′-OMe sugar moiety. In certain embodiments, the nucleobase sequences of the first modified oligonucleotide and second modified oligonucleotide consist of any of the following pairs of nucleobase sequences recited in SEQ ID NOs: 10/244, 11/245, 155/246, 12/247, 156/248, 13/249, 157/250, 14/251, 15/252, 16/253, 158/254, 17/255, 18/256, 19/257, 20/258, 21/259, 159/260, 22/261, 23/262, 24/263, 160/264, 25/265, 26/266, 27/267, 161/268, 162/269, 28/270, 29/271, 30/272, 163/273, 31/274, 32/275, 33/276, 34/277, 164/278, 35/279, 36/280, 37/281, 38/282, 165/283, 39/284, 166/285, 167/286, 40/287, 168/288, 169/289, 41/290, 170/291, 42/292, 43/293, 171/294, 44/295, 45/296, 46/297, 172/298, 173/299, 47/300, 48/301, 49/302, 174/303, 175/304, 176/305, 50/306, 177/307, 51/308, 52/309, 178/310, 53/311, 54/312, 55/313, 179/314, 180/315, 56/316, 181/317, 57/318, 182/319, 183/320, 184/321, 185/322, 186/323, 58/324, 59/325, 60/326, 187/327, 61/328, 62/329, 63/330, 64/331, 188/332, 65/333, 66/334, 67/335, 189/336, 68/337, 190/338, 191/339, 69/340, 70/341, 71/342, 72/343, 73/344, 192/345, 74/346, 75/347, 76/348, 193/349, 194/350, 77/351, 78/352, 195/353, 79/354, 196/355, 80/356, 197/357, 198/358, 199/359, 81/360, 200/361, 201/362, 82/363, 83/364, 84/365, 202/366, 85/367, 86/368, 87/369, 88/370, 89/371, 203/372, 90/373, 204/374, 91/375, 205/376, 92/377, 93/378, 94/379, 95/380, 96/381, 206/382, 97/383, 207/384, 98/385, 99/386, 100/387, 101/388, 208/389, 209/390, 102/391, 210/392, 103/393, 104/394, 211/395, 212/396, 105/397, 106/398, 107/399, 108/400, 213/401, 109/402, 214/403, 110/404, 111/405, 112/406, 215/407, 216/408, 217/409, 218/410, 113/411, 219/412, 220/413, 114/414, 115/415, 116/416, 117/417, 221/418, 118/419, 119/420, 120/421, 222/422, 223/423, 121/424, 122/425, 123/426, 124/427, 125/428, 126/429, 127/430, 224/431, 128/432, 129/433, 225/434, 226/435, 130/436, 131/437, 132/438, 133/439, 134/440, 135/441, 136/442, 137/443, 138/444, 227/445, 139/446, 140/447, 141/448, 142/449, 143/450, 144/451, 228/452, 229/453, 230/454, 231/455, 232/456, 233/457, 145/458, 234/459, 146/460, 147/461, 148/462, 149/463, 235/464, 236/465, 150/466, 151/467, 152/468, 237/469, 238/470, 239/471, 240/472, 241/473, 242/474, 243/475, 153/476, 154/477, wherein the nucleobase sequence of the first modified oligonucleotide comprises the nucleobase sequence of the first SEQ ID NO recited in the pair and the nucleobase sequence of the second modified oligonucleotide comprises the nucleobase sequence of the second SEQ ID NO recited in the pair. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 19 to 29 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein at least one nucleoside of the first modified oligonucleotide and/or the second modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, each nucleoside of the first modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, the nucleosides of the first modified oligonucleotide have an alternating 2′-F/2′-OMe sugar motif with the nucleoside at position 1 from the 5′ end comprising a 2′-OMe sugar moiety. In certain embodiments, each nucleoside of the second modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, the nucleosides of the second modified oligonucleotide have an alternating 2′-F/2′-OMe sugar motif with the nucleoside at position 1 from the 5′ end comprising a 2′-F sugar moiety. In certain embodiments, the nucleobase sequences of the first modified oligonucleotide and second modified oligonucleotide consist of any of the following pairs of nucleobase sequences recited in SEQ ID NOs: 10/244, 11/245, 155/246, 12/247, 156/248, 13/249, 157/250, 14/251, 15/252, 16/253, 158/254, 17/255, 18/256, 19/257, 20/258, 21/259, 159/260, 22/261, 23/262, 24/263, 160/264, 25/265, 26/266, 27/267, 161/268, 162/269, 28/270, 29/271, 30/272, 163/273, 31/274, 32/275, 33/276, 34/277, 164/278, 35/279, 36/280, 37/281, 38/282, 165/283, 39/284, 166/285, 167/286, 40/287, 168/288, 169/289, 41/290, 170/291, 42/292, 43/293, 171/294, 44/295, 45/296, 46/297, 172/298, 173/299, 47/300, 48/301, 49/302, 174/303, 175/304, 176/305, 50/306, 177/307, 51/308, 52/309, 178/310, 53/311, 54/312, 55/313, 179/314, 180/315, 56/316, 181/317, 57/318, 182/319, 183/320, 184/321, 185/322, 186/323, 58/324, 59/325, 60/326, 187/327, 61/328, 62/329, 63/330, 64/331, 188/332, 65/333, 66/334, 67/335, 189/336, 68/337, 190/338, 191/339, 69/340, 70/341, 71/342, 72/343, 73/344, 192/345, 74/346, 75/347, 76/348, 193/349, 194/350, 77/351, 78/352, 195/353, 79/354, 196/355, 80/356, 197/357, 198/358, 199/359, 81/360, 200/361, 201/362, 82/363, 83/364, 84/365, 202/366, 85/367, 86/368, 87/369, 88/370, 89/371, 203/372, 90/373, 204/374, 91/375, 205/376, 92/377, 93/378, 94/379, 95/380, 96/381, 206/382, 97/383, 207/384, 98/385, 99/386, 100/387, 101/388, 208/389, 209/390, 102/391, 210/392, 103/393, 104/394, 211/395, 212/396, 105/397, 106/398, 107/399, 108/400, 213/401, 109/402, 214/403, 110/404, 111/405, 112/406, 215/407, 216/408, 217/409, 218/410, 113/411, 219/412, 220/413, 114/414, 115/415, 116/416, 117/417, 221/418, 118/419, 119/420, 120/421, 222/422, 223/423, 121/424, 122/425, 123/426, 124/427, 125/428, 126/429, 127/430, 224/431, 128/432, 129/433, 225/434, 226/435, 130/436, 131/437, 132/438, 133/439, 134/440, 135/441, 136/442, 137/443, 138/444, 227/445, 139/446, 140/447, 141/448, 142/449, 143/450, 144/451, 228/452, 229/453, 230/454, 231/455, 232/456, 233/457, 145/458, 234/459, 146/460, 147/461, 148/462, 149/463, 235/464, 236/465, 150/466, 151/467, 152/468, 237/469, 238/470, 239/471, 240/472, 241/473, 242/474, 243/475, 153/476, 154/477, wherein the nucleobase sequence of the first modified oligonucleotide comprises the nucleobase sequence of the first SEQ ID NO recited in the pair and the nucleobase sequence of the second modified oligonucleotide comprises the nucleobase sequence of the second SEQ ID NO recited in the pair. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 23 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 21 linked nucleosides, wherein at least one nucleoside of the first modified oligonucleotide and/or the second modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, each nucleoside of the first modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, the nucleosides of the first modified oligonucleotide have an alternating 2′-F/2′-OMe sugar motif with the nucleoside at position 1 from the 5′ end comprising a 2′-OMe sugar moiety. In certain embodiments, each nucleoside of the second modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2-OMe sugar moiety. In certain embodiments, the nucleosides of the second modified oligonucleotide have an alternating 2′-F/2′-OMe sugar motif with the nucleoside at position 1 from the 5′ end comprising a 2′-F sugar moiety. In certain embodiments, the nucleobase sequences of the first modified oligonucleotide and second modified oligonucleotide consist of any of the following pairs of nucleobase sequences recited in SEQ ID NOs: 10/244, 11/245, 155/246, 12/247, 156/248, 13/249, 157/250, 14/251, 15/252, 16/253, 158/254, 17/255, 18/256, 19/257, 20/258, 21/259, 159/260, 22/261, 23/262, 24/263, 160/264, 25/265, 26/266, 27/267, 161/268, 162/269, 28/270, 29/271, 30/272, 163/273, 31/274, 32/275, 33/276, 34/277, 164/278, 35/279, 36/280, 37/281, 38/282, 165/283, 39/284, 166/285, 167/286, 40/287, 168/288, 169/289, 41/290, 170/291, 42/292, 43/293, 171/294, 44/295, 45/296, 46/297, 172/298, 173/299, 47/300, 48/301, 49/302, 174/303, 175/304, 176/305, 50/306, 177/307, 51/308, 52/309, 178/310, 53/311, 54/312, 55/313, 179/314, 180/315, 56/316, 181/317, 57/318, 182/319, 183/320, 184/321, 185/322, 186/323, 58/324, 59/325, 60/326, 187/327, 61/328, 62/329, 63/330, 64/331, 188/332, 65/333, 66/334, 67/335, 189/336, 68/337, 190/338, 191/339, 69/340, 70/341, 71/342, 72/343, 73/344, 192/345, 74/346, 75/347, 76/348, 193/349, 194/350, 77/351, 78/352, 195/353, 79/354, 196/355, 80/356, 197/357, 198/358, 199/359, 81/360, 200/361, 201/362, 82/363, 83/364, 84/365, 202/366, 85/367, 86/368, 87/369, 88/370, 89/371, 203/372, 90/373, 204/374, 91/375, 205/376, 92/377, 93/378, 94/379, 95/380, 96/381, 206/382, 97/383, 207/384, 98/385, 99/386, 100/387, 101/388, 208/389, 209/390, 102/391, 210/392, 103/393, 104/394, 211/395, 212/396, 105/397, 106/398, 107/399, 108/400, 213/401, 109/402, 214/403, 110/404, 111/405, 112/406, 215/407, 216/408, 217/409, 218/410, 113/411, 219/412, 220/413, 114/414, 115/415, 116/416, 117/417, 221/418, 118/419, 119/420, 120/421, 222/422, 223/423, 121/424, 122/425, 123/426, 124/427, 125/428, 126/429, 127/430, 224/431, 128/432, 129/433, 225/434, 226/435, 130/436, 131/437, 132/438, 133/439, 134/440, 135/441, 136/442, 137/443, 138/444, 227/445, 139/446, 140/447, 141/448, 142/449, 143/450, 144/451, 228/452, 229/453, 230/454, 231/455, 232/456, 233/457, 145/458, 234/459, 146/460, 147/461, 148/462, 149/463, 235/464, 236/465, 150/466, 151/467, 152/468, 237/469, 238/470, 239/471, 240/472, 241/473, 242/474, 243/475, 153/476, 154/477, wherein the nucleobase sequence of the first modified oligonucleotide comprises the nucleobase sequence of the first SEQ ID NO recited in the pair and the nucleobase sequence of the second modified oligonucleotide comprises the nucleobase sequence of the second SEQ ID NO recited in the pair. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 19 to 29 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein at least one nucleoside of the first modified oligonucleotide and/or the second modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, each nucleoside of the first modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, the nucleosides at positions 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 22, and 23 from the 5′ end of the first modified oligonucleotide each comprises a 2-OMe sugar moiety. In certain embodiments, the nucleosides at the remaining positions of the first modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, each nucleoside of the second modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2-OMe sugar moiety. In certain embodiments, the nucleosides of the second modified oligonucleotide have an alternating 2′-F/2′-OMe sugar motif with the nucleoside at position 1 from the 5′ end comprising a 2′-F sugar moiety. In certain embodiments, the nucleobase sequences of the first modified oligonucleotide and second modified oligonucleotide consist of any of the following pairs of nucleobase sequences recited in SEQ ID NOs: 10/244, 11/245, 155/246, 12/247, 156/248, 13/249, 157/250, 14/251, 15/252, 16/253, 158/254, 17/255, 18/256, 19/257, 20/258, 21/259, 159/260, 22/261, 23/262, 24/263, 160/264, 25/265, 26/266, 27/267, 161/268, 162/269, 28/270, 29/271, 30/272, 163/273, 31/274, 32/275, 33/276, 34/277, 164/278, 35/279, 36/280, 37/281, 38/282, 165/283, 39/284, 166/285, 167/286, 40/287, 168/288, 169/289, 41/290, 170/291, 42/292, 43/293, 171/294, 44/295, 45/296, 46/297, 172/298, 173/299, 47/300, 48/301, 49/302, 174/303, 175/304, 176/305, 50/306, 177/307, 51/308, 52/309, 178/310, 53/311, 54/312, 55/313, 179/314, 180/315, 56/316, 181/317, 57/318, 182/319, 183/320, 184/321, 185/322, 186/323, 58/324, 59/325, 60/326, 187/327, 61/328, 62/329, 63/330, 64/331, 188/332, 65/333, 66/334, 67/335, 189/336, 68/337, 190/338, 191/339, 69/340, 70/341, 71/342, 72/343, 73/344, 192/345, 74/346, 75/347, 76/348, 193/349, 194/350, 77/351, 78/352, 195/353, 79/354, 196/355, 80/356, 197/357, 198/358, 199/359, 81/360, 200/361, 201/362, 82/363, 83/364, 84/365, 202/366, 85/367, 86/368, 87/369, 88/370, 89/371, 203/372, 90/373, 204/374, 91/375, 205/376, 92/377, 93/378, 94/379, 95/380, 96/381, 206/382, 97/383, 207/384, 98/385, 99/386, 100/387, 101/388, 208/389, 209/390, 102/391, 210/392, 103/393, 104/394, 211/395, 212/396, 105/397, 106/398, 107/399, 108/400, 213/401, 109/402, 214/403, 110/404, 111/405, 112/406, 215/407, 216/408, 217/409, 218/410, 113/411, 219/412, 220/413, 114/414, 115/415, 116/416, 117/417, 221/418, 118/419, 119/420, 120/421, 222/422, 223/423, 121/424, 122/425, 123/426, 124/427, 125/428, 126/429, 127/430, 224/431, 128/432, 129/433, 225/434, 226/435, 130/436, 131/437, 132/438, 133/439, 134/440, 135/441, 136/442, 137/443, 138/444, 227/445, 139/446, 140/447, 141/448, 142/449, 143/450, 144/451, 228/452, 229/453, 230/454, 231/455, 232/456, 233/457, 145/458, 234/459, 146/460, 147/461, 148/462, 149/463, 235/464, 236/465, 150/466, 151/467, 152/468, 237/469, 238/470, 239/471, 240/472, 241/473, 242/474, 243/475, 153/476, 154/477, wherein the nucleobase sequence of the first modified oligonucleotide comprises the nucleobase sequence of the first SEQ ID NO recited in the pair and the nucleobase sequence of the second modified oligonucleotide comprises the nucleobase sequence of the second SEQ ID NO recited in the pair. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 23 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 21 linked nucleosides, wherein at least one nucleoside of the first modified oligonucleotide and/or the second modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, each nucleoside of the first modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2-OMe sugar moiety. In certain embodiments, the nucleosides at positions 1, 3, 5, 7, 9, 11, 13, 15, 17, 19, 21, 22, and 23 from the 5′ end of the first modified oligonucleotide each comprises a 2-OMe sugar moiety. In certain embodiments, the nucleosides at the remaining positions of the first modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, each nucleoside of the second modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, the nucleosides of the second modified oligonucleotide have an alternating 2′-F/2′-OMe sugar motif with the nucleoside at position 1 from the 5′ end comprising a 2′-F sugar moiety. In certain embodiments, the nucleobase sequences of the first modified oligonucleotide and second modified oligonucleotide consist of any of the following pairs of nucleobase sequences recited in SEQ ID NOs: 10/244, 11/245, 155/246, 12/247, 156/248, 13/249, 157/250, 14/251, 15/252, 16/253, 158/254, 17/255, 18/256, 19/257, 20/258, 21/259, 159/260, 22/261, 23/262, 24/263, 160/264, 25/265, 26/266, 27/267, 161/268, 162/269, 28/270, 29/271, 30/272, 163/273, 31/274, 32/275, 33/276, 34/277, 164/278, 35/279, 36/280, 37/281, 38/282, 165/283, 39/284, 166/285, 167/286, 40/287, 168/288, 169/289, 41/290, 170/291, 42/292, 43/293, 171/294, 44/295, 45/296, 46/297, 172/298, 173/299, 47/300, 48/301, 49/302, 174/303, 175/304, 176/305, 50/306, 177/307, 51/308, 52/309, 178/310, 53/311, 54/312, 55/313, 179/314, 180/315, 56/316, 181/317, 57/318, 182/319, 183/320, 184/321, 185/322, 186/323, 58/324, 59/325, 60/326, 187/327, 61/328, 62/329, 63/330, 64/331, 188/332, 65/333, 66/334, 67/335, 189/336, 68/337, 190/338, 191/339, 69/340, 70/341, 71/342, 72/343, 73/344, 192/345, 74/346, 75/347, 76/348, 193/349, 194/350, 77/351, 78/352, 195/353, 79/354, 196/355, 80/356, 197/357, 198/358, 199/359, 81/360, 200/361, 201/362, 82/363, 83/364, 84/365, 202/366, 85/367, 86/368, 87/369, 88/370, 89/371, 203/372, 90/373, 204/374, 91/375, 205/376, 92/377, 93/378, 94/379, 95/380, 96/381, 206/382, 97/383, 207/384, 98/385, 99/386, 100/387, 101/388, 208/389, 209/390, 102/391, 210/392, 103/393, 104/394, 211/395, 212/396, 105/397, 106/398, 107/399, 108/400, 213/401, 109/402, 214/403, 110/404, 111/405, 112/406, 215/407, 216/408, 217/409, 218/410, 113/411, 219/412, 220/413, 114/414, 115/415, 116/416, 117/417, 221/418, 118/419, 119/420, 120/421, 222/422, 223/423, 121/424, 122/425, 123/426, 124/427, 125/428, 126/429, 127/430, 224/431, 128/432, 129/433, 225/434, 226/435, 130/436, 131/437, 132/438, 133/439, 134/440, 135/441, 136/442, 137/443, 138/444, 227/445, 139/446, 140/447, 141/448, 142/449, 143/450, 144/451, 228/452, 229/453, 230/454, 231/455, 232/456, 233/457, 145/458, 234/459, 146/460, 147/461, 148/462, 149/463, 235/464, 236/465, 150/466, 151/467, 152/468, 237/469, 238/470, 239/471, 240/472, 241/473, 242/474, 243/475, 153/476, 154/477, wherein the nucleobase sequence of the first modified oligonucleotide comprises the nucleobase sequence of the first SEQ ID NO recited in the pair and the nucleobase sequence of the second modified oligonucleotide comprises the nucleobase sequence of the second SEQ ID NO recited in the pair. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 19 to 29 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein at least one nucleoside of the first modified oligonucleotide and/or the second modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, each nucleoside of the first modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, the nucleosides of the first modified oligonucleotide have an alternating 2′-F/2′-OMe sugar motif with the nucleoside at position 1 from the 5′ end comprising a 2′-OMe sugar moiety. In certain embodiments, each nucleoside of the second modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, at least one nucleoside at position of 9, 10, or 11 from the 5′ end of the second modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions of 9, 10, and 11 from the 5′ end of the second modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, the remaining nucleosides of the second modified oligonucleotide each comprises a 2′-OMe sugar moiety. In certain embodiments, the nucleobase sequences of the first modified oligonucleotide and second modified oligonucleotide consist of any of the following pairs of nucleobase sequences recited in SEQ ID NOs: 10/244, 11/245, 155/246, 12/247, 156/248, 13/249, 157/250, 14/251, 15/252, 16/253, 158/254, 17/255, 18/256, 19/257, 20/258, 21/259, 159/260, 22/261, 23/262, 24/263, 160/264, 25/265, 26/266, 27/267, 161/268, 162/269, 28/270, 29/271, 30/272, 163/273, 31/274, 32/275, 33/276, 34/277, 164/278, 35/279, 36/280, 37/281, 38/282, 165/283, 39/284, 166/285, 167/286, 40/287, 168/288, 169/289, 41/290, 170/291, 42/292, 43/293, 171/294, 44/295, 45/296, 46/297, 172/298, 173/299, 47/300, 48/301, 49/302, 174/303, 175/304, 176/305, 50/306, 177/307, 51/308, 52/309, 178/310, 53/311, 54/312, 55/313, 179/314, 180/315, 56/316, 181/317, 57/318, 182/319, 183/320, 184/321, 185/322, 186/323, 58/324, 59/325, 60/326, 187/327, 61/328, 62/329, 63/330, 64/331, 188/332, 65/333, 66/334, 67/335, 189/336, 68/337, 190/338, 191/339, 69/340, 70/341, 71/342, 72/343, 73/344, 192/345, 74/346, 75/347, 76/348, 193/349, 194/350, 77/351, 78/352, 195/353, 79/354, 196/355, 80/356, 197/357, 198/358, 199/359, 81/360, 200/361, 201/362, 82/363, 83/364, 84/365, 202/366, 85/367, 86/368, 87/369, 88/370, 89/371, 203/372, 90/373, 204/374, 91/375, 205/376, 92/377, 93/378, 94/379, 95/380, 96/381, 206/382, 97/383, 207/384, 98/385, 99/386, 100/387, 101/388, 208/389, 209/390, 102/391, 210/392, 103/393, 104/394, 211/395, 212/396, 105/397, 106/398, 107/399, 108/400, 213/401, 109/402, 214/403, 110/404, 111/405, 112/406, 215/407, 216/408, 217/409, 218/410, 113/411, 219/412, 220/413, 114/414, 115/415, 116/416, 117/417, 221/418, 118/419, 119/420, 120/421, 222/422, 223/423, 121/424, 122/425, 123/426, 124/427, 125/428, 126/429, 127/430, 224/431, 128/432, 129/433, 225/434, 226/435, 130/436, 131/437, 132/438, 133/439, 134/440, 135/441, 136/442, 137/443, 138/444, 227/445, 139/446, 140/447, 141/448, 142/449, 143/450, 144/451, 228/452, 229/453, 230/454, 231/455, 232/456, 233/457, 145/458, 234/459, 146/460, 147/461, 148/462, 149/463, 235/464, 236/465, 150/466, 151/467, 152/468, 237/469, 238/470, 239/471, 240/472, 241/473, 242/474, 243/475, 153/476, 154/477, wherein the nucleobase sequence of the first modified oligonucleotide comprises the nucleobase sequence of the first SEQ ID NO recited in the pair and the nucleobase sequence of the second modified oligonucleotide comprises the nucleobase sequence of the second SEQ ID NO recited in the pair. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In certain embodiments, an oligomeric duplex comprises a first oligomeric compound comprising a first modified oligonucleotide consisting of 23 linked nucleosides and a second oligomeric compound comprising a second modified oligonucleotide consisting of 21 linked nucleosides, wherein at least one nucleoside of the first modified oligonucleotide and/or the second modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2-OMe sugar moiety. In certain embodiments, each nucleoside of the first modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2-OMe sugar moiety. In certain embodiments, the nucleosides of the first modified oligonucleotide have an alternating 2′-F/2′-OMe sugar motif with the nucleoside at position 1 from the 5′ end comprising a 2′-OMe sugar moiety. In certain embodiments, each nucleoside of the second modified oligonucleotide comprises a modified sugar moiety selected from a 2′-F sugar moiety and a 2′-OMe sugar moiety. In certain embodiments, at least one nucleoside at position of 9, 10, or 11 from the 5′ end of the second modified oligonucleotide comprises a 2′-F sugar moiety. In certain embodiments, the nucleosides at positions of 9, 10, and 11 from the 5′ end of the second modified oligonucleotide each comprises a 2′-F sugar moiety. In certain embodiments, the remaining nucleosides of the second modified oligonucleotide each comprises a 2′-OMe sugar moiety. In certain embodiments, the nucleobase sequences of the first modified oligonucleotide and second modified oligonucleotide consist of any of the following pairs of nucleobase sequences recited in SEQ ID NOs: 10/244, 11/245, 155/246, 12/247, 156/248, 13/249, 157/250, 14/251, 15/252, 16/253, 158/254, 17/255, 18/256, 19/257, 20/258, 21/259, 159/260, 22/261, 23/262, 24/263, 160/264, 25/265, 26/266, 27/267, 161/268, 162/269, 28/270, 29/271, 30/272, 163/273, 31/274, 32/275, 33/276, 34/277, 164/278, 35/279, 36/280, 37/281, 38/282, 165/283, 39/284, 166/285, 167/286, 40/287, 168/288, 169/289, 41/290, 170/291, 42/292, 43/293, 171/294, 44/295, 45/296, 46/297, 172/298, 173/299, 47/300, 48/301, 49/302, 174/303, 175/304, 176/305, 50/306, 177/307, 51/308, 52/309, 178/310, 53/311, 54/312, 55/313, 179/314, 180/315, 56/316, 181/317, 57/318, 182/319, 183/320, 184/321, 185/322, 186/323, 58/324, 59/325, 60/326, 187/327, 61/328, 62/329, 63/330, 64/331, 188/332, 65/333, 66/334, 67/335, 189/336, 68/337, 190/338, 191/339, 69/340, 70/341, 71/342, 72/343, 73/344, 192/345, 74/346, 75/347, 76/348, 193/349, 194/350, 77/351, 78/352, 195/353, 79/354, 196/355, 80/356, 197/357, 198/358, 199/359, 81/360, 200/361, 201/362, 82/363, 83/364, 84/365, 202/366, 85/367, 86/368, 87/369, 88/370, 89/371, 203/372, 90/373, 204/374, 91/375, 205/376, 92/377, 93/378, 94/379, 95/380, 96/381, 206/382, 97/383, 207/384, 98/385, 99/386, 100/387, 101/388, 208/389, 209/390, 102/391, 210/392, 103/393, 104/394, 211/395, 212/396, 105/397, 106/398, 107/399, 108/400, 213/401, 109/402, 214/403, 110/404, 111/405, 112/406, 215/407, 216/408, 217/409, 218/410, 113/411, 219/412, 220/413, 114/414, 115/415, 116/416, 117/417, 221/418, 118/419, 119/420, 120/421, 222/422, 223/423, 121/424, 122/425, 123/426, 124/427, 125/428, 126/429, 127/430, 224/431, 128/432, 129/433, 225/434, 226/435, 130/436, 131/437, 132/438, 133/439, 134/440, 135/441, 136/442, 137/443, 138/444, 227/445, 139/446, 140/447, 141/448, 142/449, 143/450, 144/451, 228/452, 229/453, 230/454, 231/455, 232/456, 233/457, 145/458, 234/459, 146/460, 147/461, 148/462, 149/463, 235/464, 236/465, 150/466, 151/467, 152/468, 237/469, 238/470, 239/471, 240/472, 241/473, 242/474, 243/475, 153/476, 154/477, wherein the nucleobase sequence of the first modified oligonucleotide comprises the nucleobase sequence of the first SEQ ID NO recited in the pair and the nucleobase sequence of the second modified oligonucleotide comprises the nucleobase sequence of the second SEQ ID NO recited in the pair. In certain embodiments, the first oligomeric compound is an antisense compound. In certain embodiments, the first modified oligonucleotide is an antisense oligonucleotide. In certain embodiments, the second oligomeric compound is a sense compound. In certain embodiments, the second modified oligonucleotide is a sense oligonucleotide. In certain embodiments, the first modified oligonucleotide is an antisense RNAi oligonucleotide. In certain embodiments, the second modified oligonucleotide is a sense RNAi oligonucleotide. In certain embodiments, the oligomeric duplex is an antisense agent.


In any of the oligomeric duplexes described herein, at least one internucleoside linkage of the first modified oligonucleotide and/or the second modified oligonucleotide can comprise a modified internucleoside linkage. In certain embodiments, the modified internucleoside linkage is a phosphorothioate internucleoside linkage. In certain embodiments, at least one of the first, second, or third internucleoside linkages from the 5′ end and/or the 3′ end of the first modified oligonucleotide comprises a phosphorothioate linkage. In certain embodiments, at least one of the first, second, or third internucleoside linkages from the 5′ end and/or the 3′ end of the second modified oligonucleotide comprises a phosphorothioate linkage. In certain embodiments, the modified internucleoside linkage is a mesyl phosphoramidate internucleoside linkage. In certain embodiments, at least one of the first or second internucleoside linkages from the 5′ end and/or the 3′ end of the first modified oligonucleotide comprises a mesyl phosphoramidate internucleoside linkage. In certain embodiments, at least one of the first or second internucleoside linkages from the 5′ end and/or the 3′ end of the second modified oligonucleotide comprises a mesyl phosphoramidate internucleoside linkage.


In any of the oligomeric duplexes described herein, at least one internucleoside linkage of the first modified oligonucleotide and/or the second modified oligonucleotide can comprise a phosphodiester internucleoside linkage.


In any of the oligomeric duplexes described herein, each internucleoside linkage of the first modified oligonucleotide and/or the second modified oligonucleotide can be independently selected from a phosphodiester, a phosphorothioate, or a mesyl phosphoramidate internucleoside linkage.


In any of the oligomeric duplexes described herein, each internucleoside linkage of the first modified oligonucleotide and/or the second modified oligonucleotide can be independently selected from a phosphodiester or a phosphorothioate internucleoside linkage.


In any of the oligomeric duplexes described herein, each internucleoside linkage of the first modified oligonucleotide and/or the second modified oligonucleotide can be independently selected from a phosphodiester or a mesyl phosphoramidate internucleoside linkage.


In any of the oligomeric duplexes described herein, the internucleoside linkage motif of the first modified oligonucleotide can be 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage. In any of the oligomeric duplexes described herein, the internucleoside linkage motif of the second modified oligonucleotide can be 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage.


In any of the oligomeric duplexes described herein, at least one nucleobase of the first modified oligonucleotide and/or the second modified oligonucleotide can be modified nucleobase. In certain embodiments, the modified nucleobase is 5-methylcytosine.


In any of the oligomeric duplexes described herein, the first modified oligonucleotide can comprise a stabilized phosphate group attached to the 5′ position of the 5′-most nucleoside. In certain embodiments, the stabilized phosphate group comprises a cyclopropyl phosphonate or an (E)-vinyl phosphonate.


In any of the oligomeric duplexes described herein, the first modified oligonucleotide can comprise a conjugate group. In certain embodiments, the conjugate group comprises a conjugate linker and a conjugate moiety. In certain embodiments, the conjugate group is attached to the first modified oligonucleotide at the 5′-end of the first modified oligonucleotide. In certain embodiments, the conjugate group is attached to the first modified oligonucleotide at the 3′-end of the modified oligonucleotide. In certain embodiments, the conjugate group is attached to the first modified oligonucleotide at an internal position. In certain embodiments, the conjugate group is attached to the first modified oligonucleotide through a 2-modification of a furanosyl sugar moiety. In certain embodiments, the conjugate group is attached to the first modified oligonucleotide through a modified internucleoside linkage. In certain embodiments, the conjugate group comprises N-acetyl galactosamine. In certain embodiments, the conjugate group comprises a cell-targeting moiety having an affinity for transferrin receptor (TfR), also known as TfR1 and CD71. In certain embodiments, the conjugate group comprises an anti-TfR1 antibody or fragment thereof. In certain embodiments, the conjugate group comprises a protein or peptide capable of binding TfR1. In certain embodiments, the conjugate group comprises an aptamer capable of binding TfR1. In certain embodiments, conjugate groups may be selected from any of a C22 alkyl, C20 alkyl, C16 alkyl, C10 alkyl, C21 alkyl, C19 alkyl, C18 alkyl, C17 alkyl, C15 alkyl, C14 alkyl, C13 alkyl, C12 alkyl. C11 alkyl, C9 alkyl, C8 alkyl, C7 alkyl, C6 alkyl, C5 alkyl, C22 alkenyl, C20 alkenyl, C16 alkenyl, C10 alkenyl, C21 alkenyl, C19 alkenyl, C18 alkenyl, C17 alkenyl, C15 alkenyl, C14 alkenyl, C13 alkenyl. C12 alkenyl, C11 alkenyl, C9 alkenyl, C8 alkenyl, C7 alkenyl, C6 alkenyl, or C5 alkenyl. In certain embodiments, conjugate groups may be selected from any of C22 alkyl, C20 alkyl, C16 alkyl, C10 alkyl. C21 alkyl, C19 alkyl, C18 alkyl, C17 alkyl, C15 alkyl, C14 alkyl, C13 alkyl, C12 alkyl, C11 alkyl, C9 alkyl, C8 alkyl, C7 alkyl, C6 alkyl, and C5 alkyl, where the alkyl chain has one or more unsaturated bonds.


In any of the oligomeric duplexes described herein, the second modified oligonucleotide can comprise a conjugate group. In certain embodiments, the conjugate group comprises a conjugate linker and a conjugate moiety. In certain embodiments, the conjugate group is attached to the second modified oligonucleotide at the 5′-end of the second modified oligonucleotide. In certain embodiments, the conjugate group is attached to the second modified oligonucleotide at the 3′-end of the modified oligonucleotide. In certain embodiments, the conjugate group is attached to the second modified oligonucleotide at an internal position. In certain embodiments, the conjugate group is attached to the second modified oligonucleotide through a 2′-modification of a furanosyl sugar moiety. In certain embodiments, the conjugate group is attached to the second modified oligonucleotide through a modified internucleoside linkage. In certain embodiments, the conjugate group comprises N-acetyl galactosamine.


In certain embodiments, the conjugate group comprises a cell-targeting moiety having an affinity for transferrin receptor (TfR), also known as TfR1 and CD71. In certain embodiments, the conjugate group comprises an anti-TfR1 antibody or fragment thereof. In certain embodiments, the conjugate group comprises a protein or peptide capable of binding TfR1. In certain embodiments, the conjugate group comprises an aptamer capable of binding TfR1. In certain embodiments, conjugate groups may be selected from any of a C22 alkyl, C20 alkyl, C16 alkyl, C10 alkyl, C21 alkyl, C19 alkyl, C18 alkyl, C17 alkyl, C15 alkyl, C14 alkyl, C13 alkyl, C12 alkyl, C11 alkyl, C9 alkyl, C8 alkyl, C7 alkyl, C6 alkyl, C5 alkyl, C22 alkenyl, C20 alkenyl, C16 alkenyl, C10 alkenyl, C21 alkenyl, C19 alkenyl, C18 alkenyl, C17 alkenyl, C15 alkenyl, C14 alkenyl, C13 alkenyl, C12 alkenyl, C11 alkenyl, C9 alkenyl, C8 alkenyl, C7 alkenyl, C6 alkenyl, or C5 alkenyl. In certain embodiments, conjugate groups may be selected from any of C22 alkyl, C20 alkyl, C16 alkyl, C10 alkyl, C21 alkyl, C19 alkyl, C18 alkyl, C17 alkyl, C15 alkyl, C14 alkyl, C13 alkyl, C12 alkyl, C11 alkyl, C9 alkyl, C8 alkyl, C7 alkyl, C6 alkyl, and C5 alkyl, where the alkyl chain has one or more unsaturated bonds.


In certain embodiments, an antisense agent comprises an antisense compound, which comprises an oligomeric compound or an oligomeric duplex described herein. In certain embodiments, an antisense agent, which can comprise an oligomeric compound or an oligomeric duplex described herein, is an RNAi agent capable of reducing the amount of PLP1 RNA through the activation of RISC/Ago2.


Certain embodiments provide an oligomeric agent comprising two or more oligomeric duplexes. In certain embodiments, an oligomeric agent comprises two or more of any of the oligomeric duplexes described herein. In certain embodiments, an oligomeric agent comprises two or more of the same oligomeric duplex, which can be any of the oligomeric duplexes described herein. In certain embodiments, the two or more oligomeric duplexes are linked together. In certain embodiments, the two or more oligomeric duplexes are covalently linked together. In certain embodiments, the second modified oligonucleotides of two or more oligomeric duplexes are covalently linked together. In certain embodiments, the second modified oligonucleotides of two or more oligomeric duplexes are covalently linked together at their 3′ ends. In certain embodiments, the two or more oligomeric duplexes are covalently linked together by a glycol linker, such as a tetraethylene glycol linker. Certain such compounds are described in, e.g., Alterman, et al., Nature Biotech., 2019, 37:844-894.


Certain Terminal Groups

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


Certain Conjugated Oligomeric Compounds

In certain embodiments, the oligomeric compounds comprise one or more conjugate groups. Conjugate groups consist of one or more conjugate moiety and a conjugate linker which links the conjugate moiety to an oligonucleotide of an oligomeric compound. Conjugate groups may be attached to either or both ends and/or at any internal position of an oligonucleotide. In certain embodiments, conjugate groups modify one or more properties of oligomeric compound, including, but not limited to, pharmacodynamics, pharmacokinetics, stability, binding, absorption, tissue distribution, cellular distribution, cellular uptake, charge, and clearance.


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


A. Certain Specific Conjugate Groups

Certain conjugate groups and conjugate moieties have been described previously, for example: cholesterol moiety (Letsinger et al., Proc. Natl. Acad. Sci. USA, 1989, 86, 6553-6556), cholic acid (Manoharan et al., Bioorg. Med. Chem. Lett., 1994, 4, 1053-1060), a thioether, e.g., hexyl-S-tritylthiol (Manoharan et al., Ann. N.Y. Acad. Sci., 1992, 660, 306-309; Manoharan et al., Bioorg. Med. Chem. Lett., 1993, 3, 2765-2770), a thiocholesterol (Oberhauser et al., Nucleic Acids Res., 1992, 20, 533-538), an aliphatic chain, e.g., do-decan-diol or undecyl residues (Saison-Behmoaras et al., EMBO J., 1991, 10, 1111-1118; Kabanov et al., FEBS Lett., 1990, 259, 327-330; Svinarchuk et al., Biochimie, 1993, 75, 49-54), a phospholipid, e.g., di-hexadecyl-rac-glycerol or triethyl-ammonium 1, 2-di-O-hexadecyl-rac-glycero-3-H-phosphonate (Manoharan et al., Tetrahedron Lett., 1995, 36, 3651-3654; Shea et al., Nucleic Acids Res., 1990, 18, 3777-3783), a polyamine or a polyethylene glycol chain (Manoharan et al., Nucleosides & Nucleotides, 1995, 14, 969-973), or adamantane acetic, a palmityl moiety (Mishra et al., Biochim. Biophys. Acta, 1995, 1264, 229-237), an octadecylamine or hexylamino-carbonyl-oxycholesterol moiety (Crooke et al., J. Pharmacol. Exp. Ther., 1996, i, 923-937), a tocopherol group (Nishina et al., Mol. Ther. Nucleic Acids, 2015, 4, e220; doi:10.1038/mtna.2014.72 and Nishina et al., Mol. Ther., 2008, 16, 734-740), or a GalNAc cluster (e.g., WO2014/179620).


1. Conjugate Moieties

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


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


2. Conjugate Linkers

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


In certain embodiments, a conjugate linker comprises a pyrrolidine.


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


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


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


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


Herein, linker-nucleosides are not considered to be part of the oligonucleotide. Accordingly, in embodiments in which an oligomeric compound comprises two oligonucleotides each consisting of a specified number or range of linked nucleosides and the antisense oligonucleotide having a specified percent complementarity to a reference nucleic acid, and the oligomeric compound also comprises a conjugate group comprising a conjugate linker comprising linker-nucleosides, those linker-nucleosides are not counted toward the length of the oligonucleotides of an oligomeric compound and are not used in determining the percent complementarity of the antisense oligonucleotide with the reference nucleic acid. Unless otherwise indicated, conjugate linkers comprise no more than 10 linker-nucleosides. In certain embodiments, conjugate linkers comprise no more than 5 linker-nucleosides. In certain embodiments, conjugate linkers comprise no more than 3 linker-nucleosides. In certain embodiments, conjugate linkers comprise no more than 2 linker-nucleosides. In certain embodiments, conjugate linkers comprise no more than 1 linker-nucleoside.


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


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


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


3. Certain Cell-Targeting Conjugate Moieties

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


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


Certain Motifs

Oligomeric duplexes can be described by motif or by specific features. In certain embodiments, an oligomeric duplex having a motif or specific feature described herein is an antisense agent.


In certain embodiments, the oligomeric duplexes described herein comprise:

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


In certain embodiments, the oligomeric duplexes described herein comprise:

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


In certain embodiments, the oligomeric duplexes described herein comprise:

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


In certain embodiments, the oligomeric duplexes described herein comprise:

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


In certain embodiments, the oligomeric duplexes described herein comprise:

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


In certain embodiments, the oligomeric duplexes described herein comprise:

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


In certain embodiments, the oligomeric duplexes described herein comprise:

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


In any of the above embodiments, the conjugate at the 3′-end of the sense oligonucleotide may comprise a targeting moiety. In certain such embodiments, the targeting moiety targets a neurotransmitter receptor. In certain embodiments, the cell targeting moiety targets a neurotransmitter transporter. In certain embodiments, the cell targeting moiety targets a GABA transporter.


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


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


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


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


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


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


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


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


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


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











(I)



5′ np-Na-(X X X)i-Nb-Y Y Y -Nb-(Z Z Z)rNa-nq 3′








    • wherein:

    • i and j are each independently 0 or 1;

    • p and q are each independently 0-6;

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

    • each Nb independently represents 0-10 linked nucleosides;

    • each np and nq independently represent an overhanging nucleoside;

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

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





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


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


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









(II)


5′ nq-Na′-(Z′Z′Z′)K-Nb′-Y′Y′Y′-Nb′-(X′X′X′)l-N′a-





np 3′








    • wherein:

    • k and l are each independently 0 or 1;

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

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

    • each Nb′ independently represents 0-10 linked nucleotides;

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

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

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





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


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


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


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











(IIb)



5′ nq′-Na′-Z′Z′Z′-Nb′-Y′Y′Y′-Na′-np′ 3′;







(IIc)



5′ nq′-Na′-Y′Y′Y′-Nb′-X′X′X′-np′ 3′;



or







(IId)



5′ nq′-Na′-Z′Z′Z′-Nb′-Y′Y′Y′-Nb′-X′X′X′-Na′-







np′ 3′.






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


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


When the antisense oligonucleotide is represented by formula IId, Nb′ represents 0-10, 0-7, 0-5, 0-4, 0-2, or 0 linked nucleosides. Each Na independently represents 2-20, 2-15, or 2-10 linked nucleosides. Preferably, Nb is 0, 1, 2, 3, 4, 5, or 6.


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











(Ia)



5′ np′-Na′-Y′Y′Y′-Na′-nq′ 3′.






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


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


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


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


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


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


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









Sense:


5′ np-Na-(XXX)i-Nb-YYY-Nb-(ZZZ)j-Na-nq 3′





Antisense:


3′ np′-Na′-(X′X′X′)k-Nb′-Y′Y′Y′-Nb′-(Z′Z′Z′)l-Na′-





nq′ 5′








    • wherein:

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

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

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

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

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

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





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


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









(IIIa)


5′ np -Na -Y Y Y -Na-nq 3′





3′ np′-Na′-Y′Y′Y′-Na′nq′ 5′





(IIIb)


5′ np -Na -Y Y Y -Nb -Z Z Z -Na -nq 3′





3′ np′-Na′-Y′Y′Y′-Nb′-Z′Z′Z′-Na′-nq′ 5′





(IIIc)


5′ np -Na- X X X -Nb -Y Y Y -Na -nq 3′





3′ np′-Na′-X′X′X′-Nb′-Y′Y′Y′-Na′-nq′5′





(IIId)


5′ np -Na -X X X -Nb -Y Y Y -Nb -Z Z Z -Na-nq 3′





3′ np′-Na′-X′X′X′-Nb′-Y′Y′Y′-Nb′-Z′Z′Z′-Na-nq′ 5′






When the oligomeric duplex is represented with formula IIIa, each Na independently represents 2-20, 2-15, or 2-10 linked nucleosides.


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


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


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


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


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


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


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


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


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


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


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


III. Antisense Activity

In certain embodiments, oligomeric compounds and oligomeric duplexes are capable of hybridizing to a target nucleic acid, resulting in at least one antisense activity. Such oligomeric compounds and oligomeric duplexes are antisense agents. In certain antisense activities, an antisense agent or a portion of an antisense agent is loaded into an RNA-induced silencing complex (RISC), ultimately resulting in cleavage of the target nucleic acid. For example, certain antisense compounds result in cleavage of the target nucleic acid by Argonaute. Antisense agents having antisense oligonucleotides that are loaded into RISC are RNAi agents. RNAi agents may be double-stranded (siRNA or dsRNAi) or single-stranded (ssRNA).


In certain embodiments. RNAi agents are capable of RISC-mediated modulation of a target nucleic acid in a cell. In certain embodiments, such compounds reduce or inhibit the amount or activity of a target nucleic acid by 25% or more in the standard in vitro assay described in Example 2. In certain embodiments. RNAi agents selectively affect more than one target nucleic acid. Such RNAi agents comprise a nucleobase sequence that hybridizes to more than one target nucleic acid, resulting in more than one desired antisense activity. In certain embodiments, an RNAi agent does not hybridize to one or more non-target nucleic acid or does not hybridize to one or more non-target nucleic acid in such a way that results in significant undesired antisense activity.


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


IV. Certain Target Nucleic Acids

In certain embodiments, antisense agents comprise an antisense oligonucleotide comprising a region that is complementary to a target nucleic acid. In certain embodiments, oligomeric compounds or oligomeric duplexes comprise an antisense oligonucleotide comprising a region that is complementary to a target nucleic acid. In certain embodiments, the target nucleic acid is an endogenous RNA molecule. In certain embodiments, the target nucleic acid encodes a protein. In certain embodiments, the oligomeric compound or oligomeric duplex is an RNAi agent.


A. Target/Duplex Complementarity

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


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


In certain embodiments, antisense oligonucleotides comprise a region complementary to the target nucleic acid. In certain embodiments, the complementary region comprises or consists of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, at least 23, at least 24, or at least 25 contiguous nucleobases. In certain embodiments, the complementary region comprises or consists of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases. In certain embodiments, the complementary region constitutes 70%, 80%, 85%, 90%, or 95% of the nucleosides of the antisense oligonucleotide. In certain embodiments, the complementary region constitutes all of the nucleosides of the antisense oligonucleotide. In certain embodiments, the complementary region of the antisense oligonucleotide is at least 99%. 95%, 90%, 85%, or 80% complementary to the target nucleic acid. In certain embodiments, the complementary region of the antisense oligonucleotide is 100% complementary to the target nucleic acid.


In certain embodiments, an oligomeric duplex comprises a sense oligonucleotide. In certain embodiments, an antisense agent comprises a sense oligonucleotide. In such embodiments, the sense oligonucleotide comprises a region complementary to the antisense oligonucleotide. In certain embodiments, the complementary region comprises or consists of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, at least 23, at least 24, or at least 25 contiguous nucleobases. In certain embodiments, the complementary region comprises or consists of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 contiguous nucleobases. In certain embodiments, the complementary region constitutes 70%, 80%, 85%, 90%, or 95% of the nucleosides of the sense oligonucleotide. In certain embodiments, the complementary region constitutes all of the nucleosides of the sense oligonucleotide. In certain embodiments, the complementary region of the sense oligonucleotide is at least 99%. 95%, 90%, 85%, or 80% complementary to the antisense oligonucleotide. In certain embodiments, the complementary region of the sense oligonucleotide is 100% complementary to the antisense oligonucleotide.


The complementary region of a sense oligonucleotide hybridizes with the antisense oligonucleotide to form a duplex region. In certain embodiments, such duplex region consists of 7 hybridized pairs of nucleosides (one of each pair being on the antisense oligonucleotide and the other of each pair being on the sense oligonucleotide). In certain embodiments, a duplex region comprises least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, at least 23, at least 24, or at least 25 hybridized pairs. In certain embodiments, a duplex region comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 hybridized pairs. In certain embodiments, each nucleoside of antisense oligonucleotide is paired in the duplex region (i.e., the antisense oligonucleotide has no overhanging nucleosides). In certain embodiments, the antisense oligonucleotide includes unpaired nucleosides at the 3′-end and/or the 5 end (overhanging nucleosides). In certain embodiments, each nucleoside of sense oligonucleotide is paired in the duplex region (i.e., the sense oligonucleotide has no overhanging nucleosides). In certain embodiments, the sense oligonucleotide includes unpaired nucleosides at the 3′-end and/or the 5 end (overhanging nucleosides). In certain embodiments, duplexes formed by the antisense oligonucleotide and the sense oligonucleotide do not include any overhangs at one or both ends. Such ends without overhangs are referred to as blunt. In certain embodiments wherein the antisense oligonucleotide has overhanging nucleosides, one or more of those overhanging nucleosides are complementary to the target nucleic acid. In certain embodiments wherein the antisense oligonucleotide has overhanging nucleosides, one or more of those overhanging nucleosides are not complementary to the target nucleic acid.


B. PLP1

In certain embodiments, antisense agents disclosed herein comprise an antisense oligonucleotide comprising a region that is complementary to a target nucleic acid, wherein the target nucleic acid is PLP1 RNA. In certain embodiments, oligomeric compounds or oligomeric duplexes disclosed herein comprise an antisense oligonucleotide comprising a region that is complementary to a target nucleic acid, wherein the target nucleic acid is PLP1 RNA. In each of the embodiments described above, the oligomeric compound, oligomeric duplex, or antisense agent may target PLP1 RNA. In certain embodiments, the oligomeric compound or oligomeric duplex is an RNAi agent. In certain embodiments, the antisense agent is an RNAi agent. In certain embodiments. PLP1 RNA has the sequence of SEQ ID NO: 1 (GENBANK Accession No. NM_001128834.2) or SEQ ID NO: 2 (GENBANK Accession No. NC_000023.11 truncated from nucleotides 103773001 to 103795000). In certain embodiments, contacting a cell with an oligomeric compound comprising or consisting of an antisense oligonucleotide complementary to SEQ ID NO: 1 or SEQ ID NO: 2 reduces the amount of PLP1 RNA, and in certain embodiments, reduces the amount of proteolipid protein 1. In certain embodiments, contacting a cell with an oligomeric duplex comprising an oligomeric compound, in which the oligomeric compound comprises or consists of an antisense oligonucleotide complementary to SEQ ID NO: 1 or SEQ ID NO: 2, reduces the amount of PLP1 RNA, and in certain embodiments reduces the amount of proteolipid protein 1. In certain embodiments, the oligomeric duplex is an antisense agent, and the antisense agent comprises an oligomeric compound that comprises or consists of an antisense oligonucleotide complementary to SEQ ID NO: 1 or SEQ ID NO: 2. In certain embodiments, the oligomeric compound, the oligomeric duplex, or the antisense agent comprises a conjugate group. In certain embodiments, the oligomeric compounds, the oligomeric duplex, or the antisense agent comprises more than one conjugate group.


In certain embodiments, contacting a cell in a subject with an oligomeric compound disclosed herein comprising or consisting of an antisense oligonucleotide complementary to SEQ ID NO: 1 or SEQ ID NO: 2 ameliorates one or more symptoms or hallmarks of a disease associated with PLP1. In certain embodiments, the one or more symptoms or hallmarks is hypotonia, nystagmus, optic atrophy, respiratory distress, delay in motor function development, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, choreiform movements, or death. In certain embodiments, contacting a cell in a subject with an oligomeric compound disclosed herein comprising or consisting of an antisense oligonucleotide complementary to SEQ ID NO: 1 or SEQ ID NO: 2 reduces or delays the onset or progression of hypotonia, nystagmus, optic atrophy, respiratory distress, motor dysfunction, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, or choreiform movements, or delays death.


In certain embodiments, contacting a cell in a subject with an oligomeric duplex disclosed herein comprising an antisense oligonucleotide complementary to SEQ ID NO: 1 or SEQ ID NO: 2 ameliorates one or more symptoms or hallmarks of a disease associated with PLP1. In certain embodiments, the one or more symptoms or hallmarks is hypotonia, nystagmus, optic atrophy, respiratory distress, delay in motor function development, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, choreiform movements, or death. In certain embodiments, contacting a cell in a subject with an oligomeric duplex disclosed herein comprising an antisense oligonucleotide complementary to SEQ ID NO: 1 or SEQ ID NO: 2 reduces or delays the onset or progression of hypotonia, nystagmus, optic atrophy, respiratory distress, motor dysfunction, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, or choreiform movements, or delays death.


In certain embodiments, contacting a cell in a subject with an antisense agent disclosed herein comprising an antisense oligonucleotide complementary to SEQ ID NO: 1 or SEQ ID NO: 2 ameliorates one or more symptoms or hallmarks of a disease associated with PLP1. In certain embodiments, the one or more symptoms or hallmarks is hypotonia, nystagmus, optic atrophy, respiratory distress, delay in motor function development, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, choreiform movements, or death. In certain embodiments, contacting a cell in a subject with an antisense agent disclosed herein comprising an antisense oligonucleotide complementary to SEQ ID NO: 1 or SEQ ID NO: 2 reduces or delays the onset or progression of hypotonia, nystagmus, optic atrophy, respiratory distress, motor dysfunction, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, or choreiform movements, or delays death.


C. Certain Target Nucleic Acids in Certain Tissues

In certain embodiments, oligomeric compounds comprise or consist of an antisense oligonucleotide comprising a region that is complementary to a target nucleic acid, wherein the target nucleic acid is expressed in a pharmacologically relevant tissue. In certain embodiments, oligomeric duplexes comprise an antisense oligonucleotide comprising a region that is complementary to a target nucleic acid, wherein the target nucleic acid is expressed in a pharmacologically relevant tissue. In certain embodiments, the pharmacologically relevant tissues are the cells and tissues that comprise the central nervous system (CNS). Such tissues include the brain and spinal cord. In certain embodiments, the pharmacologically relevant tissues include white matter tracts across the brain and spinal cord, such tissues include the corpus callosum, cortex, cerebellum, hippocampus, brain stem, striatum, and spinal cord. In certain embodiments, the pharmacologically relevant tissues include the cortex, cerebellum, hippocampus, brain stem, and spinal cord. In certain embodiments, the pharmacologically relevant cells are oligodendrocytes and oligodendrocyte progenitor cells. In certain embodiments, the pharmacologically relevant cells are Schwann cells or Schwann cell progenitors. In certain embodiments, the oligomeric compounds or oligomeric duplexes are antisense agents.


V. Certain Methods and Uses

Certain embodiments provided herein relate to methods of inhibiting PLP1 RNA expression or activity, which can be useful for treating or ameliorating a disease or disorder associated with PLP1. In certain embodiments, the disease or disorder associated with PLP1 is leukodystrophy. In certain embodiments, the disease or disorder associated with PLP1 is Pelizaeus-Merzbacher disease (PMD). In certain embodiments, the disease or disorder associated with PLP1 is connatal PMD, classic PMD, or transitional PMD.


In certain embodiments, a method comprises administering to a subject an oligomeric compound, or an oligomeric duplex, any of which having a nucleobase sequence complementary to PLP1. In certain embodiments, the subject has or is at risk for developing a disease or disorder associated with PLP1. In certain embodiments, the subject has or is at risk for developing leukodystrophy. In certain embodiments, the subject has or is at risk for developing PMD. In certain embodiments, the subject has or is at risk for developing connatal PMD, classic PMD, or transitional PMD. In certain embodiments, the oligomeric compound or oligomeric duplex is an antisense agent.


In certain embodiments, a method of treating a disease or disorder associated with PLP1 comprises administering to a subject an oligomeric compound, an oligomeric duplex, or an antisense agent, any of which having a nucleobase sequence complementary to PLP1. In certain embodiments, the subject has or is at risk for developing leukodystrophy. In certain embodiments, the subject has or is at risk for developing PMD. In certain embodiments, the subject has or is at risk for developing connatal PMD, classic PMD, or transitional PMD. In certain embodiments, at least one symptom or hallmark of the disease or disorder associated with PLP1 is ameliorated. In certain embodiments, the at least one symptom or hallmark is hypotonia, nystagmus, optic atrophy, respiratory distress, delay in motor function development, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, choreiform movements, or death. In certain embodiments, administration of the oligomeric compound, the oligomeric duplex, or the antisense agent to the subject reduces or delays the onset or progression of hypotonia, nystagmus, optic atrophy, respiratory distress, motor dysfunction, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, or choreiform movements, or delays death.


In certain embodiments, a method of reducing expression of PLP1 or reducing proteolipid protein 1 in a cell comprises contacting the cell with an oligomeric compound, an oligomeric duplex, or an antisense agent, any of which having a nucleobase sequence complementary to PLP1. In certain embodiments, the cell is an oligodendrocyte or an oligodendrocyte progenitor cell. In certain embodiments, the cell is a Schwann cell or a Schwann cell progenitor. In certain embodiments, the cell is a human cell.


Certain embodiments are drawn to an oligomeric compound, an oligomeric duplex, or an antisense agent, any of which having a nucleobase sequence complementary to PLP1, for use in treating a disease or disorder associated with PLP1 or for use in the manufacture of a medicament for treating a disease or disorder associated with PLP1. In certain embodiments, the disease or disorder associated with PLP1 is leukodystrophy. In certain embodiments, the disease or disorder associated with PLP1 is PMD.


In certain embodiments, the disease or disorder associated with PLP1 is connatal PMD, classic PMD, or transitional PMD.


In any of the methods or uses described herein, the oligomeric compound, the oligomeric duplex, or the antisense agent can be any described herein.


VI. Certain Pharmaceutical Compositions

Oligomeric compounds, oligomeric duplex, or antisense agents described herein may be admixed 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. In certain embodiments, the oligomeric compound or oligomeric duplex is an RNAi agent.


Certain embodiments provide pharmaceutical compositions comprising one or more oligomeric compounds, oligomeric duplexes, or antisense agents, or a salt thereof. In certain such embodiments, the pharmaceutical composition comprises a suitable pharmaceutically acceptable diluent or carrier. In certain embodiments, a pharmaceutical composition comprises a sterile saline solution and one or more oligomeric compounds, oligomeric duplexes, or antisense agents. In certain embodiments, such pharmaceutical composition consists of a sterile saline solution and one or more oligomeric compounds, oligomeric duplexes, or antisense agents. In certain embodiments, the sterile saline is pharmaceutical grade saline. In certain embodiments, a pharmaceutical composition comprises one or more oligomeric compounds, oligomeric duplexes, or antisense agents, and sterile water. In certain embodiments, a pharmaceutical composition consists of one or more oligomeric compounds, oligomeric duplexes, or antisense agents, and sterile water. In certain embodiments, the sterile water is pharmaceutical grade water. In certain embodiments, a pharmaceutical composition comprises one or more oligomeric compounds, oligomeric duplexes, or antisense agents, and phosphate-buffered saline (PBS). In certain embodiments, a pharmaceutical composition consists of one or more oligomeric compounds, oligomeric duplexes, or antisense agents, and sterile PBS. In certain embodiments, the sterile PBS is pharmaceutical grade PBS. In certain embodiments, a pharmaceutical composition consists of cerebrospinal fluid (CSF) and one or more oligomeric compounds, oligomeric duplexes, or antisense agents. In certain embodiments, the oligomeric duplexes or antisense agents comprise a sense oligonucleotide and an antisense oligonucleotide. In certain embodiments, the CSF is artificial CSF (aCSF). 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.


In certain embodiments, a pharmaceutical composition comprises one or more oligomeric compounds, oligomeric duplexes, or antisense agents and artificial cerebrospinal fluid (aCSF). In certain embodiments, a pharmaceutical composition consists of one or more oligomeric compounds, oligomeric duplexes, or antisense agents and artificial cerebrospinal fluid. In certain embodiments, a pharmaceutical composition consists essentially of one or more oligomeric compounds, oligomeric duplexes, or antisense agents and artificial cerebrospinal fluid. In certain embodiments, the artificial cerebrospinal fluid is pharmaceutical grade.


In certain embodiments, aCSF comprises sodium chloride, potassium chloride, sodium dihydrogen phosphate dihydrate, sodium phosphate dibasic anhydrous, calcium chloride dihydrate, and magnesium chloride hexahydrate. In certain embodiments, the pH of an aCSF solution is modulated with a suitable pH-adjusting agent, for example, with acids such as hydrochloric acid and alkalis such as sodium hydroxide, to a range of from about 7.1-7.3, or to about 7.2.


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


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


Pharmaceutical compositions comprising oligomeric compounds, oligomeric duplexes, or antisense agents provided herein encompass any pharmaceutically acceptable salts, esters, or salts of such esters, which, upon administration to an animal, including a human, is capable of providing (directly or indirectly) the biologically active metabolite or residue thereof. Accordingly, for example, the disclosure is also drawn to pharmaceutically acceptable salts of compounds, prodrugs, pharmaceutically acceptable salts of such prodrugs, and other bioequivalents. In certain embodiments, pharmaceutically acceptable salts comprise inorganic salts, such as monovalent or divalent inorganic salts. Suitable pharmaceutically acceptable salts include, but are not limited to, sodium, potassium, calcium, and magnesium salts.


A prodrug can include the incorporation of additional nucleosides at one or both ends of an oligomeric compound, oligomeric duplex, or antisense agent, which are cleaved by endogenous nucleases within the body, to form the active compound.


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


In certain embodiments, pharmaceutical compositions comprise one or more tissue-specific delivery molecules designed to deliver the one or more pharmaceutical agents comprising an oligomeric compound, an oligomeric duplex, or an antisense agent provided herein to specific tissues or cell types. For example, in certain embodiments, pharmaceutical compositions include liposomes coated with a tissue-specific antibody.


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


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


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


VII. Certain Hotspot Regions

1. Nucleobases 390-437 of SEQ ID NO: 1 and/or nucleobases 12682-12729 of SEQ ID NO: 2


In certain embodiments, nucleobases 390-437 of SEQ ID NO: 1 and/or nucleobases 12682-12729 of SEQ ID NO: 2 comprise a hotspot region. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprise antisense oligonucleotides complementary to a portion of nucleobases 390-437 of SEQ ID NO: 1 and/or a portion of nucleobases 12682-12729 of SEQ ID NO: 2. In certain embodiments, the antisense oligonucleotides are 15 to 30 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 17 to 30, 18 to 30, 18 to 25, or 20 to 23 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 23 nucleobases in length. In certain embodiments, the antisense oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage. In certain embodiments, the antisense oligonucleotide has a sugar motif of 5-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.


The nucleobase sequences of SEQ ID NOs: 123, 154, and 243 are complementary to nucleobases 390-437 of SEQ ID NO: 1 and/or nucleobases 12682-12729 of SEQ ID NO: 2. The nucleobase sequences of the antisense oligonucleotides of compound NOs: 1648993, 1649146, and 1649140 are complementary to nucleobases 390-437 of SEQ ID NO: 1 and/or nucleobases 12682-12729 of SEQ ID NO: 2.


In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 390-437 of SEQ ID NO: 1 and/or a portion of nucleobases 12682-12729 of SEQ ID NO: 2 achieve at least 77% reduction of PLP1 RNA in the standard in vitro assay. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 390-437 of SEQ ID NO: 1 and/or a portion of nucleobases 12682-12729 of SEQ ID NO: 2 achieve an average of 81% reduction of PLP1 RNA in the standard in vitro assay.


2. Nucleobases 1066-1100 of SEQ ID NO: 1 and/or nucleobases 17545-17579 of SEQ ID NO: 2


In certain embodiments, nucleobases 1066-1100 of SEQ ID NO: 1 and/or nucleobases 17545-17579 of SEQ ID NO: 2 comprise a hotspot region. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprise antisense oligonucleotides complementary to a portion of nucleobases 1066-1100 of SEQ ID NO: 1 and/or a portion of nucleobases 17545-17579 of SEQ ID NO: 2. In certain embodiments, the antisense oligonucleotides are 15 to 30 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 17 to 30, 18 to 30, 18 to 25, or 20 to 23 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 23 nucleobases in length. In certain embodiments, the antisense oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage. In certain embodiments, the antisense oligonucleotide has a sugar motif of 5-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.


The nucleobase sequences of SEQ ID NOs: 73 and 161 are complementary to nucleobases 1066-1100 of SEQ ID NO: 1 and/or nucleobases 17545-17579 of SEQ ID NO: 2. The nucleobase sequences of the antisense oligonucleotides of compound NOs: 1648747 and 1648519 are complementary to nucleobases 1066-1100 of SEQ ID NO: 1 and/or nucleobases 17545-17579 of SEQ ID NO: 2.


In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 1066-1100 of SEQ ID NO: 1 and/or a portion of nucleobases 17545-17579 of SEQ ID NO: 2 achieve at least 74% reduction of PLP1 RNA in the standard in vitro assay. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 1066-1100 of SEQ ID NO: 1 and/or a portion of nucleobases 17545-17579 of SEQ ID NO: 2 achieve an average of 80% reduction of PLP1 RNA in the standard in vitro assay.


3. Nucleobases 1131-1166 of SEQ ID NO: 1 and/or Nucleobases 17610-17645 of SEQ ID NO: 2


In certain embodiments, nucleobases 1131-1166 of SEQ ID NO: 1 and/or nucleobases 17610-17645 of SEQ ID NO: 2 comprise a hotspot region. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprise antisense oligonucleotides complementary to a portion of nucleobases 1131-1166 of SEQ ID NO: 1 and/or a portion of nucleobases 17610-17645 of SEQ ID NO: 2. In certain embodiments, the antisense oligonucleotides are 15 to 30 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 17 to 30, 18 to 30, 18 to 25, or 20 to 23 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 23 nucleobases in length. In certain embodiments, the antisense oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage. In certain embodiments, the antisense oligonucleotide has a sugar motif of 5′-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.


The nucleobase sequences of SEQ ID NOs: 153 and 94 are complementary to nucleobases 1131-1166 of SEQ ID NO: 1 and/or nucleobases 17610-17645 of SEQ ID NO: 2. The nucleobase sequences of the antisense oligonucleotides of compound NOs: 1649143 and 1648852 are complementary to nucleobases 1131-1166 of SEQ ID NO: 1 and/or nucleobases 17610-17645 of SEQ ID NO: 2.


In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 1131-1166 of SEQ ID NO: 1 and/or a portion of nucleobases 17610-17645 of SEQ ID NO: 2 achieve at least 86% reduction of PLP1 RNA in the standard in vitro assay. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 1131-1166 of SEQ ID NO: 1 and/or a portion of nucleobases 17610-17645 of SEQ ID NO: 2 achieve an average of 88% reduction of PLP1 RNA in the standard in vitro assay.


4. Nucleobases 1183-1425 of SEQ ID NO: 1 and/or Nucleobases 17662-17904 of SEQ ID NO: 2


In certain embodiments, nucleobases 1183-1425 of SEQ ID NO: 1 and/or nucleobases 17662-17904 of SEQ ID NO: 2 comprise a hotspot region. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprise antisense oligonucleotides complementary to a portion of nucleobases 1183-1425 of SEQ ID NO: 1 and/or a portion of nucleobases 17662-17904 of SEQ ID NO: 2. In certain embodiments, the antisense oligonucleotides are 15 to 30 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 17 to 30, 18 to 30, 18 to 25, or 20 to 23 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 23 nucleobases in length. In certain embodiments, the antisense oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage. In certain embodiments, the antisense oligonucleotide has a sugar motif of 5′-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.


The nucleobase sequences of SEQ ID NOs: 223, 42, 92, 59, 19, 136, 142, 24, 65, 182, 95, 72, 122, 200, 60, 208, 146, and 201 are complementary to nucleobases 1183-1425 of SEQ ID NO: 1 and/or nucleobases 17662-17904 of SEQ ID NO: 2. The nucleobase sequences of the antisense oligonucleotides of compound NOs: 1648984, 1648591, 1648846, 1648690, 1648486, 1649041, 1649062, 1648504, 1648714, 1648672, 1648855, 1648744, 1648990, 1648798, 1648693, 1648882, 1649095, and 1648801 are complementary to nucleobases 1183-1425 of SEQ ID NO: 1 and/or nucleobases 17662-17904 of SEQ ID NO: 2.


In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 1183-1425 of SEQ ID NO: 1 and/or a portion of nucleobases 17662-17904 of SEQ ID NO: 2 achieve at least 40% reduction of PLP1 RNA in the standard in vitro assay. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 1183-1425 of SEQ ID NO: 1 and/or a portion of nucleobases 17662-17904 of SEQ ID NO: 2 achieve an average of 75% reduction of PLP1 RNA in the standard in vitro assay.


5. Nucleobases 1547-1659 of SEQ ID NO: 1 and/or Nucleobases 18026-18138 of SEQ ID NO: 2


In certain embodiments, nucleobases 1547-1659 of SEQ ID NO: 1 and/or nucleobases 18026-18138 of SEQ ID NO: 2 comprise a hotspot region. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprise antisense oligonucleotides complementary to a portion of nucleobases 1547-1659 of SEQ ID NO: 1 and/or a portion of nucleobases 18026-18138 of SEQ ID NO: 2. In certain embodiments, the antisense oligonucleotides are 15 to 30 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 17 to 30, 18 to 30, 18 to 25, or 20 to 23 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 23 nucleobases in length. In certain embodiments, the antisense oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “0” is a phosphodiester internucleoside linkage. In certain embodiments, the antisense oligonucleotide has a sugar motif of 5′-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.


The nucleobase sequences of SEQ ID NOs: 176, 110, 119, 162, 12, 124, 78, and 237 are complementary to nucleobases 1547-1659 of SEQ ID NO: 1 and/or nucleobases 18026-18138 of SEQ ID NO: 2. The nucleobase sequences of the antisense oligonucleotides of compound NOs: 1648630, 1648927, 1648975, 1648522, 1648456, 1648996, 1648771, and 1649122 are complementary to nucleobases 1547-1659 of SEQ ID NO: 1 and/or nucleobases 18026-18138 of SEQ ID NO: 2.


In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 1547-1659 of SEQ ID NO: 1 and/or a portion of nucleobases 18026-18138 of SEQ ID NO: 2 achieve at least 66% reduction of PLP1 RNA in the standard in vitro assay. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 1547-1659 of SEQ ID NO: 1 and/or a portion of nucleobases 18026-18138 of SEQ ID NO: 2 achieve an average of 76% reduction of PLP1 RNA in the standard in vitro assay.


6. Nucleobases 1911-1946 of SEQ ID NO: 1 and/or Nucleobases 18390-18425 of SEQ ID NO: 2


In certain embodiments, nucleobases 1911-1946 of SEQ ID NO: 1 and/or nucleobases 18390-18425 of SEQ ID NO: 2 comprise a hotspot region. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprise antisense oligonucleotides complementary to a portion of nucleobases 1911-1946 of SEQ ID NO: 1 and/or a portion of nucleobases 18390-18425 of SEQ ID NO: 2. In certain embodiments, the antisense oligonucleotides are 15 to 30 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 17 to 30, 18 to 30, 18 to 25, or 20 to 23 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 23 nucleobases in length. In certain embodiments, the antisense oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage. In certain embodiments, the antisense oligonucleotide has a sugar motif of 5′-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.


The nucleobase sequences of SEQ ID NOs: 10 and 44 are complementary to nucleobases 1911-1946 of SEQ ID NO: 1 and/or nucleobases 18390-18425 of SEQ ID NO: 2. The nucleobase sequences of the antisense oligonucleotides of compound NOs: 1648447 and 1648600 are complementary to nucleobases 1911-1946 of SEQ ID NO: 1 and/or nucleobases 18390-18425 of SEQ ID NO: 2.


In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 1911-1946 of SEQ ID NO: 1 and/or a portion of nucleobases 18390-18425 of SEQ ID NO: 2 achieve at least 73% reduction of PLP1 RNA in the standard in vitro assay. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 1911-1946 of SEQ ID NO: 1 and/or a portion of nucleobases 18390-18425 of SEQ ID NO: 2 achieve an average of 78% reduction of PLP1 RNA in the standard in vitro assay.


7. Nucleobases 1989-2271 of SEQ ID NO: 1 and/or Nucleobases 18468-18750 of SEQ ID NO: 2


In certain embodiments, nucleobases 1989-2271 of SEQ ID NO: 1 and/or nucleobases 18468-18750 of SEQ ID NO: 2 comprise a hotspot region. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprise antisense oligonucleotides complementary to a portion of nucleobases 1989-2271 of SEQ ID NO: 1 and/or a portion of nucleobases 18468-18750 of SEQ ID NO: 2. In certain embodiments, the antisense oligonucleotides are 15 to 30 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 17 to 30, 18 to 30, 18 to 25, or 20 to 23 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 23 nucleobases in length. In certain embodiments, the antisense oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage. In certain embodiments, the antisense oligonucleotide has a sugar motif of 5′-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.


The nucleobase sequences of SEQ ID NOs: 221, 180, 112, 143, 238, 192, 151, 202, 120, 61, 147, 213, 23, 133, 126, 144, 193, 15, 29, 152, and 116 are complementary to nucleobases 1989-2271 of SEQ ID NO: 1 and/or nucleobases 18468-18750 of SEQ ID NO: 2. The nucleobase sequences of the antisense oligonucleotides of compound NOs: 1648969, 1648660, 1648933, 1649065, 1649125, 1648750, 1649116, 1648813, 1648978, 1648699, 1649098, 1648918, 1648501, 1649032, 1649002, 1649068, 1648762, 1648471, 1648528, 1649119, and 1648963 are complementary to nucleobases 1989-2271 of SEQ ID NO: 1 and/or nucleobases 18468-18750 of SEQ ID NO: 2.


In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 1989-2271 of SEQ ID NO: 1 and/or a portion of nucleobases 18468-18750 of SEQ ID NO: 2 achieve at least 30% reduction of PLP1 RNA in the standard in vitro assay. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 1989-2271 of SEQ ID NO: 1 and/or a portion of nucleobases 18468-18750 of SEQ ID NO: 2 achieve an average of 73% reduction of PLP1 RNA in the standard in vitro assay.


8. Nucleobases 2106-2218 of SEQ ID NO: 1 and/or Nucleobases 18585-18697 of SEQ ID NO: 2


In certain embodiments, nucleobases 2106-2218 of SEQ ID NO: 1 and/or nucleobases 18585-18697 of SEQ ID NO: 2 comprise a hotspot region. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprise antisense oligonucleotides complementary to a portion of nucleobases 2106-2218 of SEQ ID NO: 1 and/or a portion of nucleobases 18585-18697 of SEQ ID NO: 2. In certain embodiments, the antisense oligonucleotides are 15 to 30 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 17 to 30, 18 to 30, 18 to 25, or 20 to 23 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 23 nucleobases in length. In certain embodiments, the antisense oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage. In certain embodiments, the antisense oligonucleotide has a sugar motif of 5′-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.


The nucleobase sequences of SEQ ID NOs: 61, 147, 213, 23, 133, 126, 144, and 193 are complementary to nucleobases 2106-2218 of SEQ ID NO: 1 and/or nucleobases 18585-18697 of SEQ ID NO: 2. The nucleobase sequences of the antisense oligonucleotides of compound NOs: 1648699, 1649098, 1648918, 1648501, 1649032, 1649002, 1649068, and 1648762 are complementary to nucleobases 2106-2218 of SEQ ID NO: 1 and/or nucleobases 18585-18697 of SEQ ID NO: 2.


In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 2106-2218 of SEQ ID NO: 1 and/or a portion of nucleobases 18585-18697 of SEQ ID NO: 2 achieve at least 75% reduction of PLP1 RNA in the standard in vitro assay. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents, comprising antisense oligonucleotides complementary to a portion of nucleobases 2106-2218 of SEQ ID NO: 1 and/or a portion of nucleobases 18585-18697 of SEQ ID NO: 2 achieve an average of 81% reduction of PLP1 RNA in the standard in vitro assay.


9. Nucleobases 2288-2505 of SEQ ID NO: 1 and/or Nucleobases 18767-18984 of SEQ ID NO: 2


In certain embodiments, nucleobases 2288-2505 of SEQ ID NO: 1 and/or nucleobases 18767-18984 of SEQ ID NO: 2 comprise a hotspot region. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprise antisense oligonucleotides complementary to a portion of nucleobases 2288-2505 of SEQ ID NO: 1 and/or a portion of nucleobases 18767-18984 of SEQ ID NO: 2. In certain embodiments, the antisense oligonucleotides are 15 to 30 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 17 to 30, 18 to 30, 18 to 25, or 20 to 23 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 23 nucleobases in length. In certain embodiments, the antisense oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage. In certain embodiments, the antisense oligonucleotide has a sugar motif of 5-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.


The nucleobase sequences of SEQ ID NOs: 107, 75, 186, 32, 105, 48, 118, 101, 197, 169, 35, 111, 76, 16, 50, and 109 are complementary to nucleobases 2288-2505 of SEQ ID NO: 1 and/or nucleobases 18767-18984 of SEQ ID NO: 2. The nucleobase sequences of the antisense oligonucleotides of compound NOs: 1648912, 1648756, 1648684, 1648540, 1648906, 1648618, 1648972, 1648879, 1648786, 1648582, 1648552, 1648930, 1648759, 1648474, 1648633, and 1648921 are complementary to nucleobases 2288-2505 of SEQ ID NO: 1 and/or nucleobases 18767-18984 of SEQ ID NO: 2.


In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 2288-2505 of SEQ ID NO: 1 and/or a portion of nucleobases 18767-18984 of SEQ ID NO: 2 achieve at least 61% reduction of PLP1 RNA in the standard in vitro assay. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 2288-2505 of SEQ ID NO: 1 and/or a portion of nucleobases 18767-18984 of SEQ ID NO: 2 achieve an average of 74% reduction of PLP1 RNA in the standard in vitro assay.


10. Nucleobases 2613-2752 of SEQ ID NO: 1 and/or Nucleobases 19092-19231 of SEQ ID NO: 2


In certain embodiments, nucleobases 2613-2752 of SEQ ID NO: 1 and/or nucleobases 19092-19231 of SEQ ID NO: 2 comprise a hotspot region. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprise antisense oligonucleotides complementary to a portion of nucleobases 2613-2752 of SEQ ID NO: 1 and/or a portion of nucleobases 19092-19231 of SEQ ID NO: 2. In certain embodiments, the antisense oligonucleotides are 15 to 30 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 17 to 30, 18 to 30, 18 to 25, or 20 to 23 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 23 nucleobases in length. In certain embodiments, the antisense oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage. In certain embodiments, the antisense oligonucleotide has a sugar motif of 5′-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.


The nucleobase sequences of SEQ ID NOs: 54, 96, 141, 86, 62, 74, 150, 63, 46, and 113 are complementary to nucleobases 2613-2752 of SEQ ID NO: 1 and/or nucleobases 19092-19231 of SEQ ID NO: 2. The nucleobase sequences of the antisense oligonucleotides of compound NOs: 1648651, 1648858, 1649059, 1648819, 1648702, 1648753, 1649113, 1648705, 1648606, and 1648948 are complementary to nucleobases 2613-2752 of SEQ ID NO: 1 and/or nucleobases 19092-19231 of SEQ ID NO: 2.


In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 2613-2752 of SEQ ID NO: 1 and/or a portion of nucleobases 19092-19231 of SEQ ID NO: 2 achieve at least 22% reduction of PLP1 RNA in the standard in vitro assay. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 2613-2752 of SEQ ID NO: 1 and/or a portion of nucleobases 19092-19231 of SEQ ID NO: 2 achieve an average of 74% reduction of PLP1 RNA in the standard in vitro assay.


11. Nucleobases 2769-2894 of SEQ ID NO: 1 and/or Nucleobases 19248-19373 of SEQ ID NO: 2


In certain embodiments, nucleobases 2769-2894 of SEQ ID NO: 1 and/or nucleobases 19248-19373 of SEQ ID NO: 2 comprise a hotspot region. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprise antisense oligonucleotides complementary to a portion of nucleobases 2769-2894 of SEQ ID NO: 1 and/or a portion of nucleobases 19248-19373 of SEQ ID NO: 2. In certain embodiments, the antisense oligonucleotides are 15 to 30 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 17 to 30, 18 to 30, 18 to 25, or 20 to 23 nucleobases in length. In certain embodiments, the antisense oligonucleotides are 23 nucleobases in length. In certain embodiments, the antisense oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage. In certain embodiments, the antisense oligonucleotide has a sugar motif of 5-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.


The nucleobase sequences of SEQ ID NOs: 39, 100, 103, 219, 173, 85, 33, 52, and 218 are complementary to nucleobases 2769-2894 of SEQ ID NO: 1 and/or nucleobases 19248-19373 of SEQ ID NO: 2. The nucleobase sequences of the antisense oligonucleotides of compound NOs: 1648567, 1648876, 1648894, 1648951, 1648612, 1648816, 1648543, 1648642, and 1648945 are complementary to nucleobases 2769-2894 of SEQ ID NO: 1 and/or nucleobases 19248-19373 of SEQ ID NO: 2.


In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 2769-2894 of SEQ ID NO: 1 and/or a portion of nucleobases 19248-19373 of SEQ ID NO: 2 achieve at least 27% reduction of PLP1 RNA in the standard in vitro assay. In certain embodiments, oligomeric compounds, oligomeric duplexes, or antisense agents comprising antisense oligonucleotides complementary to a portion of nucleobases 2769-2894 of SEQ ID NO: 1 and/or a portion of nucleobases 19248-19373 of SEQ ID NO: 2 achieve an average of 69% reduction of PLP1 RNA in the standard in vitro assay.


NONLIMITING DISCLOSURE AND INCORPORATION BY REFERENCE

Each of the literature and patent publications listed herein is incorporated by reference in its entirety.


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


Although the sequence listing accompanying this filing identifies each sequence as either “RNA” or “DNA” as required, in reality, those sequences may be modified with any combination of chemical modifications. One of skill in the art will readily appreciate that such designation as “RNA” or “DNA” to describe modified oligonucleotides is, in certain instances, arbitrary. For example, an oligonucleotide comprising a nucleoside comprising a 2′-OH sugar moiety and a thymine base could be described as a DNA having a modified sugar (2′-OH in place of one 2′-H of DNA) or as an RNA having a modified base (thymine (methylated uracil) in place of an uracil of RNA). Accordingly, nucleic acid sequences provided herein, including, but not limited to those in the sequence listing, are intended to encompass nucleic acids containing any combination of natural or modified RNA and/or DNA, unless otherwise stated, including, but not limited to such nucleic acids having modified nucleobases. By way of further example and without limitation, an oligomeric compound having the nucleobase sequence “ATCGATCG” encompasses any oligomeric compounds having such nucleobase sequence, whether modified or unmodified, including, but not limited to, such oligomeric compounds comprising RNA bases, such as those having sequence “AUCGAUCG” and those having some DNA bases and some RNA bases such as “AUCGATCG” and oligomeric compounds having other modified nucleobases, such as “ATmCGAUCG,” wherein mC indicates a cytosine base comprising a methyl group at the 5-position. Finally, for clarity, unless otherwise indicated, the phrase “nucleobase sequence of SEQ ID NO: X”, refers only to the sequence of nucleobases in that SEQ ID NO: X, independent of any sugar or internucleoside linkage modifications also described in such SEQ ID.


While effort has been made to accurately describe compounds in the accompanying sequence listing, should there be any discrepancies between a description in this specification and in the accompanying sequence listing, the description in the specification and not in the sequence listing is the accurate description.


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


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


EXAMPLES

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


Example 1: Design of Oligomeric Duplexes that Target a Human PLP1 Nucleic Acid

Oligomeric duplexes comprising antisense oligonucleotides complementary to a human PLP1 nucleic acid, and sense oligonucleotides complementary to the antisense oligonucleotides were designed as follows.


The antisense oligonucleotide in each case is 23 nucleosides in length; has a sugar motif (from 5′ to 3) of: yfyfyfyfyfyfyfyfyfyfyyy; wherein each ‘y’ represents a 2′-OMe sugar moiety and each “f” represents a 2′-F sugar moiety; and an internucleoside linkage motif (from 5′ to 3′) of: ssooooooooooooooooooss; wherein each ‘o’ represents a phosphodiester internucleoside linkage and each ‘s’ represents a phosphorothioate internucleoside linkage. Each cytosine residue is a non-methylated cytosine. Each antisense oligonucleotide has a terminal phosphate at the 5′-end. The antisense oligonucleotides are listed below in Tables 1 and 2.


“Start site” indicates the 5′-most nucleoside to which the antisense oligonucleotide is complementary in the target nucleic acid sequence. “Stop site” indicates the 3′-most nucleoside to which the antisense oligonucleotide is complementary in the target nucleic acid sequence. Each antisense oligonucleoside listed in Table 1 below is 100% complementary to SEQ ID NO: 1 (GENBANK Accession No. NM_001128834.2), to SEQ ID NO: 2 (GENBANK Accession No. NC_000023.11 truncated from nucleotides 103773001 to 103795000), or to both. ‘N/A’ indicates that the antisense oligonucleotide is not 100% complementary to that particular target nucleic acid sequence in the table below.









TABLE 1







Design of antisense oligonucleotides (antisense oligo.)


targeted to human PLP1














SEQ ID
SEQ ID
SEQ ID
SEQ ID




Antisense
NO: 1
NO: 1
NO: 2
NO: 2




oligo.
Antisense
Antisense
Antisense
Antisense

SEQ


Compound
oligo.
oligo.
oligo.
oligo.
Antisense Oligo
ID


No.
Start Site
Stop Site
Start Site
Stop Site
Sequence (5′ to 3′)
NO
















1648445
1911
1933
18390
18412
UUCUAUUCUCAGCUCCUUGGAAA
10





1648448
1105
1127
17584
17606
ACGGGGGAUCAGAACUUGGUGCC
11





1648454
1599
1621
18078
18100
UUUUUUCUUCUAUCUUCAGUGGU
12





1648460
663
685
13651
13673
AAUGAGCUUGAUGUUGGCCUCUG
13





1648466
845
867
14904
14926
AGAGGUCUUGCUGGGGAAGGCAA
14





1648469
2210
2232
18689
18711
UCUGAUGCAACCCCAAAUAAGUA
15





1648472
2457
2479
18936
18958
UAAACCUAACUCUUAACACACCA
16





1648478
182
204
3892
3914
UCUCUCCAGCCUCCUUCUUCGGU
17





1648481
481
503
13469
13491
UAGAUGACAUACUGGAAGGCAUG
18





1648484
1235
1257
17714
17736
UCUCCUUUCUUGUUACACUCAUC
19





1648487
1040
1062
N/A
N/A
AAUCAUGAAGGUGAGCAGGGAAA
20





1648490
260
282
3970
3992
UUUGGGACUCUGACUCCAAUUGU
21





1648496
3081
3103
19560
19582
UUUAUAAAAUACACUUUGUAAGA
22





1648499
2145
2167
18624
18646
AAAUCAAGACCUUCAAAUCACCU
23





1648502
1274
1296
17753
17775
AGGGGAGAGUCCAAAGAGAGACC
24





1648508
2912
2934
19391
19413
UUUGUUAUGUUAUUAAAUCAAAA
25





1648511
715
737
13703
13725
UUGUCGGGAUGUCCUAGCCAUUU
26





1648514
819
841
14878
14900
ACUGGCAGGUGGUCCAGGUGUUG
27





1648523
897
919
N/A
N/A
AUGGGAGAACACCAUACAUUCUG
28





1648526
2223
2245
18702
18724
UUCUCCAGACAUUUCUGAUGCAA
29





1648529
1092
1114
17571
17593
ACUUGGUGCCUCGGCCCAUGAGU
30





1648535
1430
1452
17909
17931
AGAAGAAAUUACUUUCUGAUCCU
31





1648538
2327
2349
18806
18828
UUGUAGAAAAUCCCAAUAGAUUC
32





1648541
2847
2869
19326
19348
UUGGUUUCUUACAAAACAUUUUC
33





1648544
2905
2927
19384
19406
UGUUAUUAAAUCAAAACAAAACA
34





1648550
2418
2440
18897
18919
UAAAAUCAUUUUCCAUUAGCUAG
35





1648553
2977
2999
19456
19478
AACUCUCUUUGUGUGUGUAUAUA
36





1648556
442
464
12734
12756
UACUCAUAGUCUUGGUAGUUUUU
37





1648559
3003
3025
19482
19504
AAUGAAGGAAACACUUUCAGUUG
38





1648565
2769
2791
19248
19270
AGUAUCAAGUGUCUUUUUGUAAA
39





1648574
156
178
3866
3888
UUACUUUUUCUCUCUGAGUAUCU
40





1648583
1742
1764
18221
18243
UUGGCUGAGUUAGGGCUUCAGUA
41





1648589
1196
1218
17675
17697
AGUUGGUGGCAAAGGCAAAGAGU
42





1648592
2886
2908
19365
19387
AACACAAGGUACGGAUUACUUCA
43





1648598
1924
1946
18403
18425
UAAGCUAGUUUCCUUCUAUUCUC
44





1648601
559
581
13547
13569
UGCCUGACUGCGCCGGUGGUGUA
45





1648604
2717
2739
19196
19218
ACCACUUUGGGGGAAAAGAACAA
46





1648613
1690
1712
18169
18191
UUCUGUGGGUGAAAGAUCCUUGC
47





1648616
2353
2375
18832
18854
AAUCUGUUUCUGCAAAGGCAGAA
48





1648619
2574
2596
19053
19075
UAUUCAGGUCUCAAACUCUUUCU
49





1648631
2470
2492
18949
18971
AUAACCUUUAUGUUAAACCUAAC
50





1648637
2899
2921
19378
19400
UAAAUCAAAACAAAACACAAGGU
51





1648640
2860
2882
19339
19361
UCCUUUAUCUUGAUUGGUUUCUU
52





1648646
1807
1829
18286
18308
AGGUGUAAGGCCAGAUGCCCCCU
53





1648649
2613
2635
19092
19114
AAAGUUAACAAAAACAGGAAAAG
54





1648652
3107
3129
19586
19608
ACAUUCUUAAUUUUAUUUUCUUU
55





1648661
1053
1075
17532
17554
UGUAAGUGGCAGCAAUCAUGAAG
56





1648667
2600
2622
19079
19101
ACAGGAAAAGACUGAAAUCUGGG
57





1648685
650
672
13638
13660
UUGGCCUCUGGAACCCCUCCCCU
58





1648688
1222
1244
17701
17723
UACACUCAUCAAGUAAGAAGAGG
59





1648691
1365
1387
17844
17866
UGACUUGCAGUUGGGAAGUCAUC
60





1648697
2106
2128
18585
18607
UAAUACCCCAUGAAAUGAGCACC
61





1648700
2665
2687
19144
19166
UACAAAUCUUUCCUUCAAUUAAA
62





1648703
2704
2726
19183
19205
AAAAGAACAACACAACUCUUUAC
63





1648706
1469
1491
17948
17970
UUCCUUCCACUUUGUUUCCAUCA
64





1648712
1287
1309
17766
17788
AGAGGUACAUAAGAGGGGAGAGU
65





1648715
1118
1140
17597
17619
AAGGGGGAUUUCUACGGGGGAUC
66





1648718
2561
2583
19040
19062
AACUCUUUCUGCCUGUCCUUUUU
67





1648724
3016
3038
19495
19517
AUUCUAUAUCAGAAAUGAAGGAA
68





1648733
871
893
14930
14952
UCAGCACAGAGACUGCCUAUACU
69





1648736
3029
3051
19508
19530
UGUUAAAAUUGCAAUUCUAUAUC
70





1648739
1482
1504
17961
17983
UACCUGAGCAUCUUUCCUUCCAC
71





1648742
1326
1348
17805
17827
AUUUCUAGCAGGAACCAGCUAUG
72





1648745
1066
1088
17545
17567
AGGACGGCAAAGUUGUAAGUGGC
73





1648751
2678
2700
19157
19179
AAAAGAACUGUAGUACAAAUCUU
74





1648754
2301
2323
18780
18802
UAGCCAAUUUUUAAUAUCAUUUG
75





1648757
2444
2466
18923
18945
UAACACACCAAGAUAACAUUGCU
76





1648766
2938
2960
19417
19439
UGAGGUUUUCAGGGAAGGGUUGG
77





1648769
1625
1647
18104
18126
ACGCUCUUAUUGUUUUUCUGACA
78





1648775
1677
1699
18156
18178
AGAUCCUUGCUUUGACCCCCUUC
79





1648781
923
945
15452
15474
ACAAACCUUGCCAGGGAAAGCAU
80





1648793
273
295
N/A
N/A
ACAAGCCCAUGUCUUUGGGACUC
81





1648802
741
763
14800
14822
UCAGGGCAUAGGUGAUGCCCACA
82





1648805
1963
1985
18442
18464
ACCAGCAACUGCUGCUCCUCAGG
83





1648808
1768
1790
18247
18269
UACGCUCCCUUAUGCUGUAAGUA
84





1648814
2834
2856
19313
19335
AAACAUUUUCCCUCUCCUCCUUC
85





1648817
2652
2674
19131
19153
UUCAAUUAAAACCAAUCAGACUU
86





1648820
1508
1530
17987
18009
AGAGGACCAAAGACAUUCCUUCU
87





1648823
299
321
12591
12613
UACCAGACAUCUUGCACAGCACU
88





1648826
2262
2284
18741
18763
AUUUUCCUAGUUUAAAAAACAGU
89





1648832
507
529
13495
13517
AAAGGAAGAAGAAAGAGGCAGUU
90





1648838
338
360
12630
12652
ACACAAUCCAGUGGCCACCAGGG
91





1648844
1209
1231
17688
17710
UAAGAAGAGGGCCAGUUGGUGGC
92





1648847
1534
1556
18013
18035
AAUAUAUUUGGCCCCUAUAGAUG
93





1648850
1144
1166
17623
17645
UGUGGUUAGAGCCUCGCUAUUAG
94





1648853
1313
1335
17792
17814
ACCAGCUAUGAAGCAAAAUGACU
95





1648856
2626
2648
19105
19127
UUUUUUUUAACCCAAAGUUAACA
96





1648862
1027
1049
N/A
N/A
AGCAGGGAAACCAGUGUAGCUGC
97





1648868
2496
2518
18975
18997
UGUUAUGUGAUCUAUAUCAGGAG
98





1648871
1417
1439
17896
17918
UUCUGAUCCUCAGGAGAUGCUUG
99





1648874
2782
2804
19261
19283
UGGUUUGAAAACAAGUAUCAAGU
100





1648877
2379
2401
18858
18880
ACUCAAAUUGAGAUUCAAAUUCA
101





1648886
2548
2570
19027
19049
UGUCCUUUUUCCUGGAAGCUUAC
102





1648892
2795
2817
19274
19296
UUAUCUUGUAUACUGGUUUGAAA
103





1648895
208
230
3918
3940
ACUUUGUUCAGCUGGAAGGAUCC
104





1648904
2340
2362
18819
18841
AAAGGCAGAAUACUUGUAGAAAA
105





1648907
2275
2297
18754
18776
UGCUUAAUGUCCAAUUUUCCUAG
106





1648910
2288
2310
18767
18789
AUAUCAUUUGUGAUGCUUAAUGU
107





1648913
1859
1881
18338
18360
AGGAGAAGGGAGUGAGAAGAUGC
108





1648919
2483
2505
18962
18984
AUAUCAGGAGAAAAUAACCUUUA
109





1648925
1560
1582
18039
18061
UGAAUUCCAUUUUGUACACCAAA
110





1648928
2431
2453
18910
18932
UAACAUUGCUAAGUAAAAUCAUU
111





1648931
2015
2037
18494
18516
AGUUAUCUAUCCUGUGUCUACCA
112





1648946
2730
2752
19209
19231
AAAUAUUGCUGAAACCACUUUGG
113





1648955
1898
1920
18377
18399
UCCUUGGAAACCACAGGGUUGUC
114





1648958
494
516
13482
13504
AGAGGCAGUUCCAUAGAUGACAU
115





1648961
2249
2271
18728
18750
AAAAAACAGUCAUAAUCAAAGAA
116





1648964
221
243
3931
3953
UGCUUUGUGGCUGACUUUGUUCA
117





1648970
2366
2388
18845
18867
UUCAAAUUCACCAAAUCUGUUUC
118





1648973
1573
1595
18052
18074
AGAGAGACCAGAAUGAAUUCCAU
119





1648976
2093
2115
18572
18594
AAUGAGCACCAUUGUGAAGAUAU
120





1648985
676
698
13664
13686
ACCCGCUCCAAAGAAUGAGCUUG
121





1648988
1339
1361
17818
17840
UUAGGCAUUUCCCAUUUCUAGCA
122





1648991
390
412
12682
12704
UGCCAGUGAGGGCUUCAUGUCCA
123





1648994
1612
1634
18091
18113
UUUUCUGACAUUCUUUUUUCUUC
124





1648997
585
607
13573
13595
UGGUGGUCUUGUAGUCGCCAAAG
125





1649000
2171
2193
18650
18672
ACAUGAAAUGUGCAUCAUUCUAA
126





1649003
377
399
12669
12691
UUCAUGUCCACAGCCACAGAACA
127





1649009
1976
1998
18455
18477
UACACCAUUAGCCACCAGCAACU
128





1649012
1781
1803
18260
18282
UCUACACAGAUUCUACGCUCCCU
129





1649021
884
906
14943
14965
AUACAUUCUGGCAUCAGCACAGA
130





1649024
520
542
13508
13530
AGGAGGGCCCCAUAAAGGAAGAA
131





1649027
3062
3084
19541
19563
AAGAUAAGUUUCUAAAAGUUUAU
132





1649030
2158
2180
18637
18659
AUCAUUCUAAAACAAAUCAAGAC
133





1649033
949
971
15478
15500
UUGCAGAUGGACAGAAGGUUGGA
134





1649036
3042
3064
19521
19543
UAUCCUUUAUGUGUGUUAAAAUU
135





1649039
1248
1270
17727
17749
AUCACUGCAAGACUCUCCUUUCU
136





1649042
858
880
14917
14939
UGCCUAUACUGGCAGAGGUCUUG
137





1649045
754
776
14813
14835
AGCCACACAACGGUCAGGGCAUA
138





1649051
3094
3116
19573
19595
UAUUUUCUUUAAUUUUAUAAAAU
139





1649054
N/A
N/A
3840
3862
UCCUCUUCUCCUGCAAUGAAAAG
140





1649057
2639
2661
19118
19140
AAUCAGACUUUUUUUUUUUUUAA
141





1649060
1261
1283
17740
17762
AAGAGAGACCUUAAUCACUGCAA
142





1649063
2028
2050
18507
18529
AUGCUAUCCAAAGAGUUAUCUAU
143





1649066
2184
2206
18663
18685
AACAAACUGGAAUACAUGAAAUG
144





1649087
793
815
14852
14874
UAAAUGUACACAGGCACAGCAGA
145





1649093
1391
1413
17870
17892
AUUCAAUUAGAGCCUCCAUUCCU
146





1649096
2119
2141
18598
18620
AUGACUGAAUGGAUAAUACCCCA
147





1649099
2964
2986
19443
19465
UGUGUAUAUAUGUGUAUGUAUGC
148





1649102
2756
2778
19235
19257
UUUUUGUAAAGCUCUUACAUCUC
149





1649111
2691
2713
19170
19192
AACUCUUUACAACAAAAGAACUG
150





1649114
2067
2089
18546
18568
AGAGGCCAGAGUACACAACUAAU
151





1649117
2236
2258
18715
18737
AAUCAAAGAAUUAUUCUCCAGAC
152





1649141
1131
1153
17610
17632
UCGCUAUUAGAGAAAGGGGGAUU
153





1649144
403
425
12695
12717
AUUAGCUUUUCUGUGCCAGUGAG
154









Each antisense oligonucleoside listed in Table 2 below is complementary to SEQ ID NO: 1 (GENBANK Accession No. NM_001128834.2), to SEQ ID NO: 2 (GENBANK Accession No. NC_000023.11 truncated from nucleotides 103773001 to 103795000), or to both with the exception of a single mismatch at position 1 (from 5′ to 3′) of the antisense oligonucleotide. “Start site” indicates the 5′-most nucleoside to which the antisense oligonucleotide is complementary in the target nucleic acid sequence. “Stop site” indicates the 3′-most nucleoside to which the antisense oligonucleotide is complementary in the target nucleic acid sequence. ‘N/A’ indicates that the antisense oligonucleotide has two or more mismatches to that particular target nucleic acid sequence in the table below.









TABLE 2







Design of antisense oligonucleotides (antisense oligo.)


targeted to human PLP1














SEQ ID
SEQ ID
SEQ ID
SEQ ID




Antisense
NO: 1
NO: 1
NO: 2
NO: 2




oligo.
Antisense
Antisense
Antisense
Antisense

SEQ


Compound
oligo.
oligo.
oligo.
oligo.
Antisense Oligo.
ID


No.
Start Site
Stop Site
Start Site
Stop Site
Sequence (5′ to 3′)
NO
















1648451
1846
1867
18325
18346
AAGAAGAUGCUGACAACACCCUG
155





1648457
1950
1971
18429
18450
ACUCCUCAGGCCAGUCUGUUCUC
156





1648463
1651
1672
18130
18151
AAGCUGCAAUAGGCAGAUUUGGG
157





1648475
637
658
13625
13646
ACCCUCCCCUUCUGGCCCCCUGU
158





1648493
1170
1191
17649
17670
AAUGGGAGACGCAGCAUUGUAGG
159





1648505
936
957
15465
15486
AAAGGUUGGAGCCACAAACCUUG
160





1648517
1079
1100
17558
17579
ACCCAUGAGUUUAAGGACGGCAA
161





1648520
1586
1607
18065
18086
AUUCAGUGGUAAUAGAGAGACCA
162





1648532
318
339
12610
12631
AGGAAGCAAAGGGGGCCCCUACC
163





1648547
624
645
13612
13633
AGCCCCCUGUUACCGUUGCGCUC
164





1648562
351
372
12643
12664
ACACCCCAAAGAAACACAAUCCA
165





1648568
2522
2543
19001
19022
AUGAAUAGCUGAUGACUGGUGCA
166





1648571
975
996
N/A
N/A
AGAAGGUCAUUUGGAACUCAGCU
167





1648577
1521
1542
18000
18021
ACUAUAGAUGGCAAGAGGACCAA
168





1648580
2405
2426
18884
18905
AAUUAGCUAGAAAGAACGAUCAG
169





1648586
702
723
13690
13711
AUAGCCAUUUUCCCAAACAAUGA
170





1648595
143
164
3853
3874
AUGAGUAUCUUUGUCCUCUUCUC
171





1648607
2990
3011
19469
19490
AUUUCAGUUGAUUAACUCUCUUU
172





1648610
2821
2842
19300
19321
AUCCUCCUUCUAUGCAGCCUGGA
173





1648622
1794
1815
18273
18294
AAUGCCCCCUUCGUCUACACAGA
174





1648625
910
931
15439
15460
AGGAAAGCAUUCCAUGGGAGAAC
175





1648628
1547
1568
18026
18047
AUACACCAAAGAGAAUAUAUUUG
176





1648634
1820
1841
18299
18320
AUCUUCCCUAACGAGGUGUAAGG
177





1648643
2743
2764
19222
19243
AUUACAUCUCCUUAAAUAUUGCU
178





1648655
1456
1477
17935
17956
AUUUCCAUCAGUGGAAGUACCCU
179





1648658
2002
2023
18481
18502
AUGUCUACCAGAGGGCCAUCUCA
180





1648664
728
749
N/A
N/A
AAUGCCCACAAACUUGUCGGGAU
181





1648670
1300
1321
17779
17800
AAAAAUGACUAAAAGAGGUACAU
182





1648673
169
190
3879
3900
AUUCUUCGGUCUUUUACUUUUUC
183





1648676
533
554
13521
13542
ACCCUCAGCCAGCAGGAGGGCCC
184





1648679
2509
2530
18988
19009
AACUGGUGCAUUCUGUUAUGUGA
185





1648682
2314
2335
18793
18814
AAAUAGAUUCAACUAGCCAAUUU
186





1648694
1716
1737
18195
18216
AAUCGCCAUCGGGGUCAGUGCUC
187





1648709
286
307
N/A
N/A
ACACAGCACUCUAACAAGCCCAU
188





1648721
572
593
13560
13581
AUCGCCAAAGAUCUGCCUGACUG
189





1648727
1872
1893
18351
18372
AUAGCUGUUAUCAAGGAGAAGGG
190





1648730
312
333
12604
12625
AAAAGGGGGCCCCUACCAGACAU
191





1648748
2054
2075
18533
18554
AACAACUAAUUAACAGAAAAAAA
192





1648760
2197
2218
18676
18697
AAAAUAAGUAAUAAACAAACUGG
193





1648763
806
827
14865
14886
ACAGGUGUUGAAGUAAAUGUACA
194





1648772
1833
1854
18312
18333
AAACACCCUGUUUCUCUUCCCUA
195





1648778
988
1009
16339
16360
ACAAUAAACAGGUGGAAGGUCAU
196





1648784
2392
2413
18871
18892
AAACGAUCAGAUUACUCAAAUUG
197





1648787
1703
1724
18182
18203
AUCAGUGCUCUCUUUCUGUGGGU
198





1648790
767
788
14826
14847
AGCAAACACCAGGAGCCACACAA
199





1648796
1352
1373
17831
17852
AGAAGUCAUCUUCUUAGGCAUUU
200





1648799
1404
1425
17883
17904
AAGAUGCUUGAAAAUUCAAUUAG
201





1648811
2080
2101
18559
18580
AUGAAGAUAUGACAGAGGCCAGA
202





1648829
611
632
13599
13620
AGUUGCGCUCAGGCCCUUGCCGC
203





1648835
2535
2556
19014
19035
AGAAGCUUACCAACUGAAUAGCU
204





1648841
2925
2946
19404
19425
AAAGGGUUGGUUAUUUGUUAUGU
205





1648859
780
801
14839
14860
ACACAGCAGAGCAGGCAAACACC
206





1648865
1014
1035
16365
16386
AUGUAGCUGCAGCCCCCACAAAU
207





1648880
1378
1399
17857
17878
AUCCAUUCCUUUGUGACUUGCAG
208





1648883
598
619
13586
13607
ACCUUGCCGCAGAUGGUGGUCUU
209





1648889
1157
1178
17636
17657
ACAUUGUAGGCUGUGUGGUUAGA
210





1648898
1443
1464
17922
17943
AAAGUACCCUUUGAGAAGAAAUU
211





1648901
2951
2972
19430
19451
AUAUGUAUGCAUGUGAGGUUUUC
212





1648916
2132
2153
18611
18632
AAAAUCACCUACGAUGACUGAAU
213





1648922
1664
1685
18143
18164
AACCCCCUUCUCCCAGCUGCAAU
214





1648934
234
255
3944
3965
AGGCUGGCUAGUCUGCUUUGUGG
215





1648937
247
268
3957
3978
AUCCAAUUGUAGCCGGCUGGCUA
216





1648940
1937
1958
18416
18437
AUCUGUUCUCAUGUAAGCUAGUU
217





1648943
2873
2894
19352
19373
AAUUACUUCACUGUCCUUUAUCU
218





1648949
2808
2829
19287
19308
ACAGCCUGGAAGCUUAUCUUGUA
219





1648952
468
489
N/A
N/A
AGAAGGCAUGGAUCACAUUGAUG
220





1648967
1989
2010
18468
18489
AGCCAUCUCAGGUUACACCAUUA
221





1648979
429
450
12721
12742
AGUAGUUUUUGGAGAAAUAGGUC
222





1648982
1183
1204
17662
17683
AGCAAAGAGUUAAGAUGGGAGAC
223





1649006
3055
3076
19534
19555
AUUUCUAAAAGUUUAUCCUUUAU
224





1649015
325
346
12617
12638
ACCACCAGGGAAGCAAAGGGGGC
225





1649018
455
476
12747
12768
AACAUUGAUGAGAUACUCAUAGU
226





1649048
962
983
N/A
N/A
AAACUCAGCUGUUUUGCAGAUGG
227





1649069
1729
1750
18208
18229
AGCUUCAGUAGUCCAUCGCCAUC
228





1649072
195
216
3905
3926
AGAAGGAUCCUGGUCUCUCCAGC
229





1649075
1495
1516
17974
17995
AAUUCCUUCUCUGUACCUGAGCA
230





1649078
546
567
13534
13555
AGGUGGUGUAGAAGCCCUCAGCC
231





1649081
689
710
13677
13698
AAAACAAUGACACACCCGCUCCA
232





1649084
3068
3089
19547
19568
AUUUGUAAGAUAAGUUUCUAAAA
233





1649090
364
385
12656
12677
ACACAGAACAGUGCCACCCCAAA
234





1649105
2587
2608
19066
19087
AAAAUCUGGGAGCUAUUCAGGUC
235





1649108
1001
1022
16352
16373
ACCCACAAAUGCAGCAAUAAACA
236





1649120
1638
1659
18117
18138
AAGAUUUGGGCAAACGCUCUUAU
237





1649123
2041
2062
18520
18541
AAGAAAAAAAGACAUGCUAUCCA
238





1649126
832
853
14891
14912
AGGAAGGCAAUAGACUGGCAGGU
239





1649129
530
551
13518
13539
AUCAGCCAGCAGGAGGGCCCCAU
240





1649132
1885
1906
18364
18385
AAGGGUUGUCAUGGUAGCUGUUA
241





1649135
1755
1776
18234
18255
ACUGUAAGUAAGGUUGGCUGAGU
242





1649138
416
437
12708
12729
AAAAUAGGUCUCAAUUAGCUUUU
243









The sense oligonucleotide in each case is 21 nucleosides in length; has a sugar motif (from 5′ to 3′) of: fyfyfyfyfyfyfyfyfyfyf, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety; and an internucleoside linkage motif (from 5′ to 3′) of: ssooooooooooooooooss; wherein each ‘o’ represents a phosphodiester internucleoside linkage and each ‘s’ represents a phosphorothioate internucleoside linkage. The sense oligonucleotides are listed below in Table 3.


Each antisense oligonucleotide is complementary to the target nucleic acid (PLP1), and each sense oligonucleotides is complementary to the first of the 21 nucleosides of the antisense oligonucleotide (from 5′ to 3′) wherein the last two 3′-nucleosides of the antisense oligonucleotides are not paired with the sense oligonucleotide (are overhanging nucleosides). The oligomeric duplex compound numbers with the corresponding sense oligonucleotide (sense oligo.) compound numbers and antisense oligonucleotide (antisense oligo.) compound numbers, together with the sense oligonucleotide sequences are listed in Table 3 below.









TABLE 3







Design of sense oligonucleotides and


design of oligomeric duplexes targeted


to human PLP1











Oligo-
Anti-





meric
sense
Sense




duplex
oligo.
oligo.




Com-
Com-
Com-

SEQ


pound
pound
pound
Sense Oligo.
ID


Number
No.
No.
Sequence (5′ to 3′)
NO





1648447
1648445
1621658
UCCAAGGAGCUGAGAAUAGAA
244





1648450
1648448
1621472
CACCAAGUUCUGAUCCCCCGU
245





1648453
1648451
1621643
GGGUGUUGUCAGCAUCUUCUU
246





1648456
1648454
1621586
CACUGAAGAUAGAAGAAAAAA
247





1648459
1648457
1621667
GAACAGACUGGCCUGAGGAGU
248





1648462
1648460
1621370
GAGGCCAACAUCAAGCUCAUU
249





1648465
1648463
1621598
CAAAUCUGCCUAUUGCAGCUU
250





1648468
1648466
1621412
GCCUUCCCCAGCAAGACCUCU
251





1648471
1648469
1621727
CUUAUUUGGGGUUGCAUCAGA
252





1648474
1648472
1621784
GUGUGUUAAGAGUUAGGUUUA
253





1648477
1648475
1621364
AGGGGGCCAGAAGGGGAGGGU
254





1648480
1648478
1621259
CGAAGAAGGAGGCUGGAGAGA
255





1648483
1648481
1621328
UGCCUUCCAGUAUGUCAUCUA
256





1648486
1648484
1621502
UGAGUGUAACAAGAAAGGAGA
257





1648489
1648487
1621457
UCCCUGCUCACCUUCAUGAUU
258





1648492
1648490
1621277
AAUUGGAGUCAGAGUCCCAAA
259





1648495
1648493
1621487
UACAAUGCUGCGUCUCCCAUU
260





1648498
1648496
1621928
UUACAAAGUGUAUUUUAUAAA
261





1648501
1648499
1621712
GUGAUUUGAAGGUCUUGAUUU
262





1648504
1648502
1621511
UCUCUCUUUGGACUCUCCCCU
263





1648507
1648505
1621433
AGGUUUGUGGCUCCAACCUUU
264





1648510
1648508
1621889
UUGAUUUAAUAACAUAACAAA
265





1648513
1648511
1621382
AUGGCUAGGACAUCCCGACAA
266





1648516
1648514
1621406
ACACCUGGACCACCUGCCAGU
267





1648519
1648517
1621466
GCCGUCCUUAAACUCAUGGGU
268





1648522
1648520
1621583
GUCUCUCUAUUACCACUGAAU
269





1648525
1648523
1621424
GAAUGUAUGGUGUUCUCCCAU
270





1648528
1648526
1621730
GCAUCAGAAAUGUCUGGAGAA
271





1648531
1648529
1621469
UCAUGGGCCGAGGCACCAAGU
272





1648534
1648532
1621943
UAGGGGCCCCCUUUGCUUCCU
273





1648537
1648535
1621547
GAUCAGAAAGUAAUUUCUUCU
274





1648540
1648538
1621754
AUCUAUUGGGAUUUUCUACAA
275





1648543
1648541
1621874
AAAUGUUUUGUAAGAAACCAA
276





1648546
1648544
1621937
UUUUGUUUUGAUUUAAUAACA
277





1648549
1648547
1621361
GCGCAACGGUAACAGGGGGCU
278





1648552
1648550
1621775
AGCUAAUGGAAAAUGAUUUUA
279





1648555
1648553
1621904
UAUACACACACAAAGAGAGUU
280





1648558
1648556
1621319
AAACUACCAAGACUAUGAGUA
281





1648561
1648559
1621910
ACUGAAAGUGUUUCCUUCAUU
282





1648564
1648562
1621298
GAUUGUGUUUCUUUGGGGUGU
283





1648567
1648565
1621856
UACAAAAAGACACUUGAUACU
284





1648570
1648568
1621799
CACCAGUCAUCAGCUAUUCAU
285





1648573
1648571
1621442
CUGAGUUCCAAAUGACCUUCU
286





1648576
1648574
1621253
AUACUCAGAGAGAAAAAGUAA
287





1648579
1648577
1621568
GGUCCUCUUGCCAUCUAUAGU
288





1648582
1648580
1621772
GAUCGUUCUUUCUAGCUAAUU
289





1648585
1648583
1621619
CUGAAGCCCUAACUCAGCCAA
290





1648588
1648586
1621379
AUUGUUUGGGAAAAUGGCUAU
291





1648591
1648589
1621493
UCUUUGCCUUUGCCACCAACU
292





1648594
1648592
1621883
AAGUAAUCCGUACCUUGUGUU
293





1648597
1648595
1621250
GAAGAGGACAAAGAUACUCAU
294





1648600
1648598
1621661
GAAUAGAAGGAAACUAGCUUA
295





1648603
1648601
1621346
CACCACCGGCGCAGUCAGGCA
296





1648606
1648604
1621844
GUUCUUUUCCCCCAAAGUGGU
297





1648609
1648607
1621907
AGAGAGUUAAUCAACUGAAAU
298





1648612
1648610
1621868
CAGGCUGCAUAGAAGGAGGAU
299





1648615
1648613
1621607
AAGGAUCUUUCACCCACAGAA
300





1648618
1648616
1621760
CUGCCUUUGCAGAAACAGAUU
301





1648621
1648619
1621811
AAAGAGUUUGAGACCUGAAUA
302





1648624
1648622
1621631
UGUGUAGACGAAGGGGGCAUU
303





1648627
1648625
1621427
UCUCCCAUGGAAUGCUUUCCU
304





1648630
1648628
1621574
AAUAUAUUCUCUUUGGUGUAU
305





1648633
1648631
1621787
UAGGUUUAACAUAAAGGUUAU
306





1648636
1648634
1621637
UUACACCUCGUUAGGGAAGAU
307





1648639
1648637
1621886
CUUGUGUUUUGUUUUGAUUUA
308





1648642
1648640
1621877
GAAACCAAUCAAGAUAAAGGA
309





1648645
1648643
1621850
CAAUAUUUAAGGAGAUGUAAU
310





1648648
1648646
1621634
GGGGCAUCUGGCCUUACACCU
311





1648651
1648649
1621820
UUUCCUGUUUUUGUUAACUUU
312





1648654
1648652
1621934
AGAAAAAAAAUUAAGAAUGU
313





1648657
1648655
1621553
GGUACUUCCACUGAUGGAAAU
314





1648660
1648658
1621679
AGAUGGCCCUCUGGUAGACAU
315





1648663
1648661
1621460
UCAUGAUUGCUGCCACUUACA
316





1648666
1648664
1621385
CCCGACAAGUUUGUGGGCAUU
317





1648669
1648667
1621817
CAGAUUUCAGUCUUUUCCUGU
318





1648672
1648670
1621517
GUACCUCUUUUAGUCAUUUUU
319





1648675
1648673
1621256
AAAAGUAAAAGACCGAAGAAU
320





1648678
1648676
1621340
GCCCUCCUGCUGGCUGAGGGU
321





1648681
1648679
1621796
ACAUAACAGAAUGCACCAGUU
322





1648684
1648682
1621751
AUUGGCUAGUUGAAUCUAUUU
323





1648687
1648685
1621367
GGGAGGGGUUCCAGAGGCCAA
324





1648690
1648688
1621499
UCUUCUUACUUGAUGAGUGUA
325





1648693
1648691
1621532
UGACUUCCCAACUGCAAGUCA
326





1648696
1648694
1621613
GCACUGACCCCGAUGGCGAUU
327





1648699
1648697
1621703
UGCUCAUUUCAUGGGGUAUUA
328





1648702
1648700
1621832
UAAUUGAAGGAAAGAUUUGUA
329





1648705
1648703
1621841
AAAGAGUUGUGUUGUUCUUUU
330





1648708
1648706
1621556
AUGGAAACAAAGUGGAAGGAA
331





1648711
1648709
1621283
GGGCUUGUUAGAGUGCUGUGU
332





1648714
1648712
1621514
UCUCCCCUCUUAUGUACCUCU
333





1648717
1648715
1621475
UCCCCCGUAGAAAUCCCCCUU
334





1648720
1648718
1621808
AAAGGACAGGCAGAAAGAGUU
335





1648723
1648721
1621349
GUCAGGCAGAUCUUUGGCGAU
336





1648726
1648724
1621913
CCUUCAUUUCUGAUAUAGAAU
337





1648729
1648727
1621649
CUUCUCCUUGAUAACAGCUAU
338





1648732
1648730
1621289
GUCUGGUAGGGGCCCCCUUUU
339





1648735
1648733
1621418
UAUAGGCAGUCUCUGUGCUGA
340





1648738
1648736
1621916
UAUAGAAUUGCAAUUUUAACA
341





1648741
1648739
1621559
GGAAGGAAAGAUGCUCAGGUA
342





1648744
1648742
1621523
UAGCUGGUUCCUGCUAGAAAU
343





1648747
1648745
1621463
CACUUACAACUUUGCCGUCCU
344





1648750
1648748
1621691
UUUUUCUGUUAAUUAGUUGUU
345





1648753
1648751
1621835
GAUUUGUACUACAGUUCUUUU
346





1648756
1648754
1621748
AAUGAUAUUAAAAAUUGGCUA
347





1648759
1648757
1621781
CAAUGUUAUCUUGGUGUGUUA
348





1648762
1648760
1621724
AGUUUGUUUAUUACUUAUUUU
349





1648765
1648763
1621403
UACAUUUACUUCAACACCUGU
350





1648768
1648766
1621895
AACCCUUCCCUGAAAACCUCA
351





1648771
1648769
1621592
UCAGAAAAACAAUAAGAGCGU
352





1648774
1648772
1621640
GGGAAGAGAAACAGGGUGUUU
353





1648777
1648775
1621604
AGGGGGUCAAAGCAAGGAUCU
354





1648780
1648778
1621445
GACCUUCCACCUGUUUAUUGU
355





1648783
1648781
1621430
GCUUUCCCUGGCAAGGUUUGU
356





1648786
1648784
1621769
AUUUGAGUAAUCUGAUCGUUU
357





1648789
1648787
1621610
CCACAGAAAGAGAGCACUGAU
358





1648792
1648790
1621394
GUGUGGCUCCUGGUGUUUGCU
359





1648795
1648793
1621280
GUCCCAAAGACAUGGGCUUGU
360





1648798
1648796
1621529
AUGCCUAAGAAGAUGACUUCU
361





1648801
1648799
1621541
AAUUGAAUUUUCAAGCAUCUU
362





1648804
1648802
1621388
UGGGCAUCACCUAUGCCCUGA
363





1648807
1648805
1621670
UGAGGAGCAGCAGUUGCUGGU
364





1648810
1648808
1621625
CUUACAGCAUAAGGGAGCGUA
365





1648813
1648811
1621697
UGGCCUCUGUCAUAUCUUCAU
366





1648816
1648814
1621871
AGGAGGAGAGGGAAAAUGUUU
367





1648819
1648817
1621829
GUCUGAUUGGUUUUAAUUGAA
368





1648822
1648820
1621565
AAGGAAUGUCUUUGGUCCUCU
369





1648825
1648823
1621286
UGCUGUGCAAGAUGUCUGGUA
370





1648828
1648826
1621739
UGUUUUUUAAACUAGGAAAAU
371





1648831
1648829
1621358
GGCAAGGGCCUGAGCGCAACU
372





1648834
1648832
1621334
CUGCCUCUUUCUUCUUCCUUU
373





1648837
1648835
1621802
CUAUUCAGUUGGUAAGCUUCU
374





1648840
1648838
1621295
CUGGUGGCCACUGGAUUGUGU
375





1648843
1648841
1621892
AUAACAAAUAACCAACCCUUU
376





1648846
1648844
1621496
CACCAACUGGCCCUCUUCUUA
377





1648849
1648847
1621571
UCUAUAGGGGCCAAAUAUAUU
378





1648852
1648850
1621481
AAUAGCGAGGCUCUAACCACA
379





1648855
1648853
1621520
UCAUUUUGCUUCAUAGCUGGU
380





1648858
1648856
1621823
UUAACUUUGGGUUAAAAAAAA
381





1648861
1648859
1621397
UGUUUGCCUGCUCUGCUGUGU
382





1648864
1648862
1621454
AGCUACACUGGUUUCCCUGCU
383





1648867
1648865
1621451
UUGUGGGGGCUGCAGCUACAU
384





1648870
1648868
1621793
CCUGAUAUAGAUCACAUAACA
385





1648873
1648871
1621544
AGCAUCUCCUGAGGAUCAGAA
386





1648876
1648874
1621859
UUGAUACUUGUUUUCAAACCA
387





1648879
1648877
1621766
AAUUUGAAUCUCAAUUUGAGU
388





1648882
1648880
1621535
GCAAGUCACAAAGGAAUGGAU
389





1648885
1648883
1621355
GACCACCAUCUGCGGCAAGGU
390





1648888
1648886
1621805
AAGCUUCCAGGAAAAAGGACA
391





1648891
1648889
1621484
UAACCACACAGCCUACAAUGU
392





1648894
1648892
1621862
UCAAACCAGUAUACAAGAUAA
393





1648897
1648895
1621265
AUCCUUCCAGCUGAACAAAGU
394





1648900
1648898
1621550
UUUCUUCUCAAAGGGUACUUU
395





1648903
1648901
1621898
AAACCUCACAUGCAUACAUAU
396





1648906
1648904
1621757
UUCUACAAGUAUUCUGCCUUU
397





1648909
1648907
1621742
AGGAAAAUUGGACAUUAAGCA
398





1648912
1648910
1621745
AUUAAGCAUCACAAAUGAUAU
399





1648915
1648913
1621646
AUCUUCUCACUCCCUUCUCCU
400





1648918
1648916
1621709
UCAGUCAUCGUAGGUGAUUUU
401





1648921
1648919
1621790
AAGGUUAUUUUCUCCUGAUAU
402





1648924
1648922
1621601
UGCAGCUGGGAGAAGGGGGUU
403





1648927
1648925
1621577
UGGUGUACAAAAUGGAAUUCA
404





1648930
1648928
1621778
UGAUUUUACUUAGCAAUGUUA
405





1648933
1648931
1621682
GUAGACACAGGAUAGAUAACU
406





1648936
1648934
1621271
ACAAAGCAGACUAGCCAGCCU
407





1648939
1648937
1621274
GCCAGCCGGCUACAAUUGGAU
408





1648942
1648940
1621664
CUAGCUUACAUGAGAACAGAU
409





1648945
1648943
1621880
AUAAAGGACAGUGAAGUAAUU
410





1648948
1648946
1621847
AAAGUGGUUUCAGCAAUAUUU
411





1648951
1648949
1621865
CAAGAUAAGCUUCCAGGCUGU
412





1648954
1648952
1621325
UCAAUGUGAUCCAUGCCUUCU
413





1648957
1648955
1621655
CAACCCUGUGGUUUCCAAGGA
414





1648960
1648958
1621331
GUCAUCUAUGGAACUGCCUCU
415





1648963
1648961
1621736
CUUUGAUUAUGACUGUUUUUU
416





1648966
1648964
1621268
AACAAAGUCAGCCACAAAGCA
417





1648969
1648967
1621676
AUGGUGUAACCUGAGAUGGCU
418





1648972
1648970
1621763
AACAGAUUUGGUGAAUUUGAA
419





1648975
1648973
1621580
GGAAUUCAUUCUGGUCUCUCU
420





1648978
1648976
1621700
AUCUUCACAAUGGUGCUCAUU
421





1648981
1648979
1621316
CCUAUUUCUCCAAAAACUACU
422





1648984
1648982
1621490
CUCCCAUCUUAACUCUUUGCU
423





1648987
1648985
1621373
AGCUCAUUCUUUGGAGCGGGU
424





1648990
1648988
1621526
CUAGAAAUGGGAAAUGCCUAA
425





1648993
1648991
1621307
GACAUGAAGCCCUCACUGGCA
426





1648996
1648994
1621589
AGAAAAAAGAAUGUCAGAAAA
427





1648999
1648997
1621352
UUGGCGACUACAAGACCACCA
428





1649002
1649000
1621718
AGAAUGAUGCACAUUUCAUGU
429





1649005
1649003
1621304
UUCUGUGGCUGUGGACAUGAA
430





1649008
1649006
1621922
AAAGGAUAAACUUUUAGAAAU
431





1649011
1649009
1621673
UUGCUGGUGGCUAAUGGUGUA
432





1649014
1649012
1621628
GGAGCGUAGAAUCUGUGUAGA
433





1649017
1649015
1621292
CCCCUUUGCUUCCCUGGUGGU
434





1649020
1649018
1621322
UAUGAGUAUCUCAUCAAUGUU
435





1649023
1649021
1621421
UGUGCUGAUGCCAGAAUGUAU
436





1649026
1649024
1621337
CUUCCUUUAUGGGGCCCUCCU
437





1649029
1649027
1621940
AAACUUUUAGAAACUUAUCUU
438





1649032
1649030
1621715
CUUGAUUUGUUUUAGAAUGAU
439





1649035
1649033
1621436
CAACCUUCUGUCCAUCUGCAA
440





1649038
1649036
1621919
UUUUAACACACAUAAAGGAUA
441





1649041
1649039
1621505
AAAGGAGAGUCUUGCAGUGAU
442





1649044
1649042
1621415
AGACCUCUGCCAGUAUAGGCA
443





1649047
1649045
1621391
UGCCCUGACCGUUGUGUGGCU
444





1649050
1649048
1621439
AUCUGCAAAACAGCUGAGUUU
445





1649053
1649051
1621931
UUUAUAAAAUUAAAGAAAAUA
446





1649056
1649054
1621247
UUUCAUUGCAGGAGAAGAGGA
447





1649059
1649057
1621826
AAAAAAAAAAAAAGUCUGAUU
448





1649062
1649060
1621508
GCAGUGAUUAAGGUCUCUCUU
449





1649065
1649063
1621685
AGAUAACUCUUUGGAUAGCAU
450





1649068
1649066
1621721
UUUCAUGUAUUCCAGUUUGUU
451





1649071
1649069
1621616
UGGCGAUGGACUACUGAAGCU
452





1649074
1649072
1621262
UGGAGAGACCAGGAUCCUUCU
453





1649077
1649075
1621562
CUCAGGUACAGAGAAGGAAUU
454





1649080
1649078
1621343
CUGAGGGCUUCUACACCACCU
455





1649083
1649081
1621376
GAGCGGGUGUGUCAUUGUUUU
456





1649086
1649084
1621925
UUAGAAACUUAUCUUACAAAU
457





1649089
1649087
1621400
UGCUGUGCCUGUGUACAUUUA
458





1649092
1649090
1621301
UGGGGUGGCACUGUUCUGUGU
459





1649095
1649093
1621538
GAAUGGAGGCUCUAAUUGAAU
460





1649098
1649096
1621706
GGGUAUUAUCCAUUCAGUCAU
461





1649101
1649099
1621901
AUACAUACACAUAUAUACACA
462





1649104
1649102
1621853
GAUGUAAGAGCUUUACAAAAA
463





1649107
1649105
1621814
CCUGAAUAGCUCCCAGAUUUU
464





1649110
1649108
1621448
UUUAUUGCUGCAUUUGUGGGU
465





1649113
1649111
1621838
GUUCUUUUGUUGUAAAGAGUU
466





1649116
1649114
1621694
UAGUUGUGUACUCUGGCCUCU
467





1649119
1649117
1621733
CUGGAGAAUAAUUCUUUGAUU
468





1649122
1649120
1621595
AAGAGCGUUUGCCCAAAUCUU
469





1649125
1649123
1621688
GAUAGCAUGUCUUUUUUUCUU
470





1649128
1649126
1621409
CUGCCAGUCUAUUGCCUUCCU
471





1649131
1649129
1621946
GGGGCCCUCCUGCUGGCUGAU
472





1649134
1649132
1621652
ACAGCUACCAUGACAACCCUU
473





1649137
1649135
1621622
UCAGCCAACCUUACUUACAGU
474





1649140
1649138
1621313
AAGCUAAUUGAGACCUAUUUU
475





1649143
1649141
1621478
UCCCCCUUUCUCUAAUAGCGA
476





1649146
1649144
1621310
CACUGGCACAGAAAAGCUAAU
477









Example 2: Effect of Oligomeric Duplexes on Human PLP1 RNA In Vitro, Single Dose

Oligomeric duplexes described above are tested in a series of experiments under the same culture conditions.


Cultured SK-MEL-28 cells were treated with oligomeric duplexes at a concentration of 100 nM using RNAiMAX (Thermo Fisher) at a density of 15,000 cells per well. After a treatment period of approximately 48 hours, RNA was isolated from the cells and PLP1 RNA levels were measured by quantitative real-time PCR. PLP1 RNA levels were measured by the human primer probe set RTS35092 (forward sequence CTGATGCCAGAATGTATGGTGT, designated herein as SEQ ID NO: 3; reverse sequence AGGTGGAAGGTCATTTGGAAC, designated herein as SEQ ID NO: 4; probe sequence TGCAGATGGACAGAAGGTTGGAGC, designated herein as SEQ ID NO: 5). PLP1 RNA levels were normalized according to total RNA content, as measured by RIBOGREEN®. Results are presented as percent PLP1 RNA, relative to the amount of PLP1 RNA in untreated control cells (% UTC). The values marked with a “†” indicate that the antisense oligonucleotide is complementary to the amplicon region of the primer probe set. Additional assays may be used to measure the potency and efficacy of the antisense oligonucleotides complementary to the amplicon region.









TABLE 4







Reduction of PLP1 RNA by oligomeric


duplexes in SK-MEL-28 cells











PLP1



Compound
(%



No.
UTC)














1648447
27



1648450
53



1648453
44



1648456
32



1648459
70



1648462
93



1648465
88



1648468
93



1648471
32



1648474
25



1648477
86



1648480
82



1648483
85



1648486
29



1648489
47



1648492
66



1648495
39



1648498
36



1648501
19



1648504
44



1648507
 62†



1648510
36



1648513
96



1648516
83



1648519
26



1648522
29



1648525
 40†



1648528
33



1648531
76



1648534
77



1648537
54



1648540
22



1648543
40



1648546
30



1648549
94



1648552
22



1648555
48



1648558
78



1648561
56



1648564
53



1648567
29



1648570
65



1648573
 47†



1648576
71



1648579
98



1648582
35



1648585
60



1648588
92



1648591
34



1648594
37



1648597
86



1648600
17



1648603
100 



1648606
78



1648609
46



1648612
73



1648615
79



1648618
35



1648621
35



1648624
77



1648627
 22†



1648630
21



1648633
29



1648636
65



1648639
37



1648642
24



1648645
38



1648648
57



1648651
24



1648654
41



1648657
100 



1648660
70



1648663
42



1648666
132 



1648669
33



1648672
31



1648675
91



1648678
123 

















TABLE 5







Reduction of PLP1 RNA by oligomeric


duplexes in SK-MEL-28 cells











PLP1



Compound
(%



No.
UTC)














1648681
23



1648684
23



1648687
113 



1648690
25



1648693
60



1648696
84



1648699
17



1648702
19



1648705
18



1648708
78



1648711
18



1648714
22



1648717
55



1648720
25



1648723
24



1648726
33



1648729
20



1648732
58



1648735
 24†



1648738
35



1648741
14



1648744
12



1648747
15



1648750
39



1648753
15



1648756
29



1648759
15



1648762
12



1648765
39



1648768
35



1648771
25



1648774
26



1648777
70



1648780
 6†



1648783
 66†



1648786
16



1648789
39



1648792
69



1648795
35



1648798
17



1648801
19



1648804
104 



1648807
71



1648810
46



1648813
26



1648816
30



1648819
15



1648822
57



1648825
46



1648828
34



1648831
82



1648834
14



1648837
25



1648840
55



1648843
41



1648846
23



1648849
70



1648852
10



1648855
28



1648858
29



1648861
39



1648864
34



1648867
77



1648870
35



1648873
35



1648876
15



1648879
19



1648882
12



1648885
54



1648888
50



1648891
46



1648894
23



1648897
66



1648900
47



1648903
47



1648906
39



1648909
56



1648912
27

















TABLE 6







Reduction of PLP1 RNA by oligomeric


duplexes in SK-MEL-28 cells











PLP1



Compound
(%



No.
UTC)














1648915
38



1648918
18



1648921
26



1648924
109 



1648927
34



1648930
21



1648933
28



1648936
58



1648939
30



1648942
36



1648945
22



1648948
18



1648951
27



1648954
64



1648957
48



1648960
37



1648963
30



1648966
67



1648969
23



1648972
28



1648975
18



1648978
42



1648981
55



1648984
19



1648987
91



1648990
21



1648993
15



1648996
17



1648999
82



1649002
16



1649005
66



1649008
44



1649011
40



1649014
18



1649017
110 



1649020
19



1649023
 19†



1649026
86



1649029
33



1649032
21



1649035
 81†



1649038
46



1649041
22



1649044
101 



1649047
58



1649050
 12†



1649053
36



1649056
106 



1649059
26



1649062
21



1649065
23



1649068
25



1649071
41



1649074
71



1649077
53



1649080
104 



1649083
87



1649086
42



1649089
54



1649092
61



1649095
20



1649098
21



1649101
45



1649104
35



1649107
36



1649110
 94†



1649113
23



1649116
31



1649119
24



1649122
19



1649125
23



1649128
39



1649131
126 



1649134
79



1649137
27



1649140
23



1649143
14



1649146
20










Example 3: Effect of Oligomeric Duplexes on Human PLP1 In Vitro, Multiple Doses

Oligomeric duplexes described above are tested in a series of experiments under the same culture conditions.


Cultured SK-MEL-28 cells were treated with oligomeric duplexes at various concentrations as indicated in the tables below using RNAiMAX (Thermo Fisher) at a density of 15,000 cells per well. After a treatment period of approximately 48 hours, RNA was isolated from the cells and PLP1 RNA levels were measured by quantitative real-time PCR. PLP1 RNA levels were measured by the human primer probe set RTS35092 (described herein above). PLP1 RNA levels were normalized according to total RNA content, as measured by RiboGreen®. Results are presented as percent PLP1 RNA, relative to the amount of PLP1 RNA in untreated control cells (% UTC). ‘N.D.’ refers to values that were not determined. The values marked with a “†” indicate that the antisense oligonucleotide is complementary to the amplicon region of the primer probe set.









TABLE 7







Dose-dependent reduction of PLP1 RNA by


oligomeric duplexes in SK-MEL-28 cells










PLP1 RNA (% UTC)













Compound
0.0015
0.0222
0.3333
5
IC50


No.
nM
nM
nM
nM
(nM)















1648501
74
47
21
17
0.02


1648540
96
67
29
14
0.09


1648552
100 
56
23
15
0.05


1648600
88
43
19
14
0.02


1648627
112†
 97†
 41†
 1†
0.26


1648630
84
61
24
11
0.05


1648651
117 
68
28
14
0.09


1648672
129 
91
39
14
0.23


1648918
87
57
28
19
0.06


1648948
86
57
26
19
0.05


1648975
89
59
22
17
0.05


1648993
79
55
23
13
0.03


1648996
77
55
24
27
0.04


1649002
85
52
24
N.D.
0.03


1649014
113 
80
39
24
0.22


1649020
113 
90
51
14
0.38


1649023
 76†
 68†
 32†
 10†
0.07†


1649032
75
43
18
14
0.01


1649143
103 
61
23
13
0.05
















TABLE 8







Dose-dependent reduction of PLP1 RNA by


oligomeric duplexes in SK-MEL-28 cells










PLP1 RNA (% UTC)













Compound
0.0015
0.0222
0.3333
5
IC50


No.
nM
nM
nM
nM
(nM)















1648699
82
48
22
15
0.03


1648705
105
61
25
15
0.07


1648711
109
70
28
11
0.10


1648741
88
66
27
12
0.07


1648744
88
60
27
25
0.06


1648747
107
93
43
15
0.28


1648753
109
65
26
16
0.08


1648759
90
48
36
15
0.05


1648762
79
50
23
18
0.02


1648786
85
56
28
14
0.05


1648798
107
74
33
13
0.13


1648801
122
76
27
13
0.11


1648819
79
57
24
12
0.03


1648834
102
68
28
19
0.09


1648852
67
40
14
8
0.01


1648876
77
50
20
10
0.02


1648879
124
88
37
15
0.22


1648882
80
53
22
N.D.
0.03


1649143
92
54
29
14
0.05








Claims
  • 1. An oligomeric compound, wherein the oligomeric compound comprises a modified oligonucleotide consisting of 12 to 50 linked nucleosides, wherein the nucleobase sequence of the modified oligonucleotide comprises at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 10-243 and wherein the modified oligonucleotide comprises at least one modification selected from a modified sugar moiety and a modified internucleoside linkage.
  • 2. The oligomeric compound of claim 1, wherein the nucleobase sequence of the modified oligonucleotide comprises the nucleobase sequence of any of SEQ ID NOs: 10-243.
  • 3. The oligomeric compound of claim 1, wherein the nucleobase sequence of the modified oligonucleotide consists of the nucleobase sequence of any of SEQ ID NOs: 10-243.
  • 4. The oligomeric compound of any of claims 1-3, wherein the nucleobase sequence of the modified oligonucleotide is at least 80%, at least 85%, at least 90%, at least 95%, or 100% complementary to the nucleobase sequence of an equal length portion of SEQ ID NO: 1 or SEQ ID NO: 2.
  • 5. The oligomeric compound of any of claims 1-4, wherein the modified oligonucleotide consists of 12 to 20, 12 to 25, 12 to 30, 12 to 50, 13 to 20, 13 to 25, 13 to 30, 13 to 50, 14 to 20, 14 to 25, 14 to 30, 14 to 50, 15 to 20, 15 to 25, 15 to 30, 15 to 50, 16 to 18, 16 to 20, 16 to 25, 16 to 30, 16 to 50, 17 to 20, 17 to 25, 17 to 30, 17 to 50, 18 to 20, 18 to 25, 18 to 30, 18 to 50, 19 to 20, 19 to 25, 19 to 29, 19 to 30, 19 to 50, 20 to 25, 20 to 30, 20 to 50, 21 to 25, 21 to 30, 21 to 50, 22 to 25, 22 to 30, 22 to 50, 23 to 25, 23 to 30, or 23 to 50 linked nucleosides.
  • 6. An oligomeric compound, wherein the oligomeric compound comprises a modified oligonucleotide consisting of 12 to 50 linked nucleosides, wherein the nucleobase sequence of the modified oligonucleotide is complementary to at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases of an equal length portion of nucleobases 390-437 of SEQ ID NO: 1 and/or nucleobases 12682-12729 of SEQ ID NO: 2; an equal length portion of nucleobases 1066-1100 of SEQ ID NO: 1 and/or nucleobases 17545-17579 of SEQ ID NO: 2;an equal length portion of nucleobases 1131-1166 of SEQ ID NO: 1 and/or nucleobases 17610-17645 of SEQ ID NO: 2;an equal length portion of nucleobases 1183-1425 of SEQ ID NO: 1 and/or nucleobases 17662-17904 of SEQ ID NO: 2;an equal length portion of nucleobases 1547-1659 of SEQ ID NO: 1 and/or nucleobases 18026-18138 of SEQ ID NO: 2;an equal length portion of nucleobases 1911-1946 of SEQ ID NO: 1 and/or nucleobases 18390-18425 of SEQ ID NO: 2;an equal length portion of nucleobases 1989-2271 of SEQ ID NO: 1 and/or nucleobases 18468-18750 of SEQ ID NO: 2;an equal length portion of nucleobases 2106-2218 of SEQ ID NO: 1 and/or nucleobases 18585-18697 of SEQ ID NO: 2;an equal length portion of nucleobases 2288-2505 of SEQ ID NO: 1 and/or nucleobases 18767-18984 of SEQ ID NO: 2;an equal length portion of nucleobases 2613-2752 of SEQ ID NO: 1 and/or nucleobases 19092-19231 of SEQ ID NO: 2; oran equal length portion of nucleobases 2769-2894 of SEQ ID NO: 1 and/or nucleobases 19248-19373 of SEQ ID NO: 2.
  • 7. The oligomeric compound of claim 6, wherein the nucleobase sequence of the modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases of a nucleobase sequence selected from: SEQ ID NOs: 123, 154, and 243;SEQ ID NOs: 73 and 161;SEQ ID NOs: 153 and 94;SEQ ID NOs: 223, 42, 92, 59, 19, 136, 142, 24, 65, 182, 95, 72, 122, 200, 60, 208, 146, and 201;SEQ ID NOs: 176, 110, 119, 162, 12, 124, 78, and 237;SEQ ID NOs: 10 and 44;SEQ ID NOs: 221, 180, 112, 143, 238, 192, 151, 202, 120, 61, 147, 213, 23, 133, 126, 144, 193, 15, 29, 152, and 116;SEQ ID NOs: 61, 147, 213, 23, 133, 126, 144, and 193;SEQ ID NOs: 107, 75, 186, 32, 105, 48, 118, 101, 197, 169, 35, 111, 76, 16, 50, and 109;SEQ ID NOs: 54, 96, 141, 86, 62, 74, 150, 63, 46, and 113; andSEQ ID NOs: 39, 100, 103, 219, 173, 85, 33, 52, and 218.
  • 8. The oligomeric compound of claim 6, wherein the nucleobase sequence of the modified oligonucleotide comprises or consists of the nucleobase sequence selected from: SEQ ID NOs: 123, 154, and 243;SEQ ID NOs: 73 and 161;SEQ ID NOs: 153 and 94;SEQ ID NOs: 223, 42, 92, 59, 19, 136, 142, 24, 65, 182, 95, 72, 122, 200, 60, 208, 146, and 201;SEQ ID NOs: 176, 110, 119, 162, 12, 124, 78, and 237;SEQ ID NOs: 10 and 44;SEQ ID NOs: 221, 180, 112, 143, 238, 192, 151, 202, 120, 61, 147, 213, 23, 133, 126, 144, 193, 15, 29, 152, and 116;SEQ ID NOs: 61, 147, 213, 23, 133, 126, 144, and 193;SEQ ID NOs: 107, 75, 186, 32, 105, 48, 118, 101, 197, 169, 35, 111, 76, 16, 50, and 109;SEQ ID NOs: 54, 96, 141, 86, 62, 74, 150, 63, 46, and 113; andSEQ ID NOs: 39, 100, 103, 219, 173, 85, 33, 52, and 218.
  • 9. The oligomeric compound of any of claims 1-8, wherein at least one nucleoside of the modified oligonucleotide comprises a modified sugar moiety.
  • 10. The oligomeric compound of claim 9, wherein the modified sugar moiety comprises a bicyclic sugar moiety.
  • 11. The oligomeric compound of claim 10, wherein the bicyclic sugar moiety comprises a 2′-4′ bridge, wherein the 2′-4′ bridge is selected from —O—CH2—; and —O—CH(CH3)—.
  • 12. The oligomeric compound of claim 9, wherein the modified sugar moiety is a non-bicyclic modified sugar moiety.
  • 13. The oligomeric compound of claim 12, wherein the non-bicyclic modified sugar moiety is a 2′-MOE sugar moiety, a 2′-OMe sugar moiety, or a 2′-F sugar moiety.
  • 14. The oligomeric compound of claim 9, wherein the modified sugar moiety is a sugar surrogate.
  • 15. The oligomeric compound of claim 14, wherein the sugar surrogate is selected from morpholino, modified morpholino, glycol nucleic acid (GNA), six-membered tetrahydropyran (THP), and F-hexitol nucleic acid (F-HNA).
  • 16. The oligomeric compound of any of claims 1-15, wherein the modified oligonucleotide comprises at least one modified internucleoside linkage.
  • 17. The oligomeric compound of claim 16, wherein the at least one modified internucleoside linkage is a phosphorothioate internucleoside linkage.
  • 18. The oligomeric compound of claim 16, wherein the at least one modified internucleoside linkage is a mesyl phosphoramidate internucleoside linkage.
  • 19. The oligomeric compound of any of claims 1-18, wherein each internucleoside linkage of the modified oligonucleotide is independently selected from a phosphorothioate internucleoside linkage, a phosphodiester internucleoside linkage, and a mesyl phosphoramidate internucleoside linkage.
  • 20. The oligomeric compound of any of claims 1-19, wherein each internucleoside linkage of the modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a phosphorothioate internucleoside linkage.
  • 21. The oligomeric compound of any of claims 1-19, wherein each internucleoside linkage of the modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a mesyl phosphoramidate internucleoside linkage.
  • 22. The oligomeric compound of any of claims 1-21, wherein the modified oligonucleotide has an internucleoside linkage motif of 5-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage.
  • 23. The oligomeric compound of any of claims 1-22, wherein the modified oligonucleotide comprises at least one modified nucleobase.
  • 24. The oligomeric compound of claim 23, wherein the modified nucleobase is 5-methylcytosine.
  • 25. The oligomeric compound of claim 23 or claim 24, wherein each cytosine is a 5-methylcytosine.
  • 26. The oligomeric compound of any of claims 1-22, wherein one or more cytosine nucleobases of the modified oligonucleotide are unmodified.
  • 27. The oligomeric compound of any of claims 1-22, wherein cytosine nucleobases of the modified oligonucleotide are unmodified.
  • 28. The oligomeric compound of any of claims 1-27, wherein the modified oligonucleotide has a sugar motif of 5′-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.
  • 29. The oligomeric compound of any of claims 1-28, wherein the oligomeric compound comprises a conjugate group.
  • 30. The oligomeric compound of claim 29, wherein the conjugate group comprises a conjugate moiety and a conjugate linker.
  • 31. The oligomeric compound of claim 30, wherein the conjugate moiety is a lipophilic group.
  • 32. The oligomeric compound of claim 30 or claim 31, wherein the conjugate moiety is selected from a C22 alkyl, C20 alkyl, C16 alkyl, C10 alkyl, C21 alkyl, C19 alkyl, C18 alkyl, C17 alkyl, C15 alkyl, C14 alkyl, C13 alkyl, C12 alkyl, C11 alkyl, C9 alkyl, C8 alkyl, C7 alkyl, C6 alkyl, C5 alkyl, C22 alkenyl, C20 alkenyl, C16 alkenyl, C10 alkenyl, C21 alkenyl, C19 alkenyl, C18 alkenyl, C17 alkenyl, C15 alkenyl, C14 alkenyl, C13 alkenyl, C12 alkenyl, C11 alkenyl, C9 alkenyl, C8 alkenyl, C7 alkenyl, C6 alkenyl, or C5 alkenyl.
  • 33. The oligomeric compound of any of claims 30-32, wherein the conjugate linker consists of a single bond.
  • 34. The oligomeric compound of any of claims 30-33, wherein the conjugate linker is cleavable.
  • 35. The oligomeric compound of any of claims 1-34, comprising a terminal group.
  • 36. The oligomeric compound of claim 35, wherein the terminal group is a 5′-stabilized phosphate group.
  • 37. The oligomeric compound of claim 36, wherein the 5′-stabilized phosphate group is selected from cyclopropylphosphonate and vinylphosphonate.
  • 38. The oligomeric compound of any of claims 1-37, wherein the modified oligonucleotide is an antisense oligonucleotide.
  • 39. The oligomeric compound of any of claims 1-38, wherein the modified oligonucleotide is an antisense RNAi oligonucleotide.
  • 40. An oligomeric duplex, comprising a first oligomeric compound and a second oligomeric compound comprising a second modified oligonucleotide, wherein the first oligomeric compound is an oligomeric compound of any of claims 1-39.
  • 41. The oligomeric duplex of claim 40, wherein the second oligomeric compound comprises a second modified oligonucleotide consisting of 12 to 50 linked nucleosides, and wherein the nucleobase sequence of the second modified oligonucleotide comprises a complementary region of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 nucleobases that is at least 90% complementary to an equal length portion of the first modified oligonucleotide.
  • 42. The oligomeric duplex of claim 40, wherein the second oligomeric compound comprises a second modified oligonucleotide consisting of 12 to 50 linked nucleosides, and wherein the nucleobase sequence of the second modified oligonucleotide comprises a complementary region of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 nucleobases that is at least 95% complementary to an equal length portion of the first modified oligonucleotide.
  • 43. The oligomeric duplex of claim 40, wherein the second oligomeric compound comprises a second modified oligonucleotide consisting of 12 to 50 linked nucleosides, and wherein the nucleobase sequence of the second modified oligonucleotide comprises a complementary region of at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 nucleobases that is 100% complementary to an equal length portion of the first modified oligonucleotide.
  • 44. The oligomeric duplex of any of claims 40-43, wherein at least one nucleoside of the second modified oligonucleotide comprises a modified sugar moiety.
  • 45. The oligomeric duplex of claim 44, wherein the modified sugar moiety comprises a bicyclic sugar moiety.
  • 46. The oligomeric duplex of claim 45, wherein the bicyclic sugar moiety comprises a 2′-4′ bridge, wherein the 2′-4′ bridge is selected from —O—CH2—; and —O—CH(CH3)—.
  • 47. The oligomeric duplex of claim 44, wherein the modified sugar moiety is a non-bicyclic modified sugar moiety.
  • 48. The oligomeric duplex of claim 47, wherein the non-bicyclic modified sugar moiety is a 2′-MOE sugar moiety, a 2′-OMe sugar moiety, or a 2′-F sugar moiety.
  • 49. The oligomeric duplex of claim 44, wherein the modified sugar moiety is a sugar surrogate.
  • 50. The oligomeric duplex of claim 49, wherein the sugar surrogate is selected from morpholino, modified morpholino, glycol nucleic acid (GNA), six-membered tetrahydropyran (THP), and F-hexitol nucleic acid (F-HNA).
  • 51. The oligomeric duplex of any of claims 40-50, wherein the second modified oligonucleotide comprises at least one modified internucleoside linkage.
  • 52. The oligomeric duplex of claim 51, wherein the at least one modified internucleoside linkage is a phosphorothioate internucleoside linkage.
  • 53. The oligomeric duplex of claim 51, wherein the at least one modified internucleoside linkage is a mesyl phosphoramidate internucleoside linkage.
  • 54. The oligomeric duplex of any of claims 40-53, wherein each internucleoside linkage of the second modified oligonucleotide is independently selected from a phosphorothioate internucleoside linkage, a phosphodiester internucleoside linkage, and a mesyl phosphoramidate internucleoside linkage.
  • 55. The oligomeric duplex of any of claims 40-54, wherein each internucleoside linkage of the second modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a phosphorothioate internucleoside linkage.
  • 56. The oligomeric duplex of any of claims 40-54, wherein each internucleoside linkage of the second modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a mesyl phosphoramidate internucleoside linkage.
  • 57. The oligomeric duplex of any of claims 40-56, wherein the second modified oligonucleotide has an internucleoside linkage motif of 5′-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “0” is a phosphodiester internucleoside linkage.
  • 58. The oligomeric duplex of any of claims 40-57, wherein the second modified oligonucleotide comprises at least one modified nucleobase.
  • 59. The oligomeric duplex of claim 58, wherein the modified nucleobase is 5-methylcytosine.
  • 60. The oligomeric duplex of claim 58 or claim 59, wherein each cytosine is a 5-methylcytosine.
  • 61. The oligomeric duplex of any of claims 40-57, wherein one or more cytosine nucleobases of the second modified oligonucleotide are unmodified.
  • 62. The oligomeric duplex of any of claims 40-57, wherein cytosine nucleobases of the second modified oligonucleotide are unmodified.
  • 63. The oligomeric duplex of any of claims 40-62, wherein the second modified oligonucleotide has a sugar motif of 5′-fyfyfyfyfyfyfyfyfyfyf-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.
  • 64. An oligomeric duplex comprising: a first oligomeric compound comprising a first modified oligonucleotide consisting of 18 to 30 linked nucleosides, wherein the nucleobase sequence of the first modified oligonucleotide comprises at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 10-243; anda second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein the nucleobase sequence of the second modified oligonucleotide comprises a complementary region of at least 8 nucleobases that is at least 90% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide.
  • 65. An oligomeric duplex comprising: a first oligomeric compound comprising a first modified oligonucleotide consisting of 18 to 30 linked nucleosides, wherein the nucleobase sequence of the first modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, at least 21, at least 22, or 23 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 10-243; anda second oligomeric compound comprising a second modified oligonucleotide consisting of 15 to 29 linked nucleosides, wherein the nucleobase sequence of the second modified oligonucleotide comprises at least 8, at least 9, at least 10, at least 11, at least 12, at least 13, at least 14, at least 15, at least 16, at least 17, at least 18, at least 19, at least 20, or 21 contiguous nucleobases of the nucleobase sequence of any of SEQ ID NOs: 244-477, wherein the nucleobase sequence of the second modified oligonucleotide is at least 90% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide.
  • 66. An oligomeric duplex comprising: a first oligomeric compound comprising a first modified oligonucleotide, wherein the first modified oligonucleotide consists of 23 linked nucleosides and has a nucleobase sequence of consisting of the nucleobase sequence of any of SEQ ID NOs: 10-243; anda second oligomeric compound comprising a second modified oligonucleotide, wherein the second modified oligonucleotide consists of 21 linked nucleosides, wherein the second modified oligonucleotide has a nucleobase sequence consisting of the nucleobase sequence of any of SEQ ID NOs: 244-477, and wherein the nucleobase sequence of the second modified oligonucleotide is at least 90% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide.
  • 67. The oligomeric duplex of any of claims 64-66, wherein the nucleobase sequence of the second modified oligonucleotide is at least 95% or 100% complementary to the nucleobase sequence of an equal length portion of the first modified oligonucleotide.
  • 68. The oligomeric duplex of any of claims 64-67, wherein the modified oligonucleotide of the first oligomeric compound comprises a 5′-stabilized phosphate group.
  • 69. The oligomeric duplex of claim 68, wherein the 5′-stabilized phosphate group comprises a cyclopropylphosphonate or a vinylphosphonate.
  • 70. The oligomeric duplex of any of claims 64-69, wherein at least one nucleoside of the first modified oligonucleotide and at least one nucleoside of the second modified oligonucleotide each independently comprises a modified sugar moiety.
  • 71. The oligomeric duplex of claim 70, wherein the modified sugar moiety comprises a bicyclic sugar moiety.
  • 72. The oligomeric duplex of claim 71, wherein the bicyclic sugar moiety comprises a 2′-4′ bridge, wherein the 2′-4′ bridge is selected from —O—CH2—; and —O—CH(CH3)—.
  • 73. The oligomeric duplex of any of claims 64-72, wherein at least one nucleoside of the first modified oligonucleotide and at least one nucleoside of the second modified oligonucleotide each independently comprises a non-bicyclic modified sugar moiety.
  • 74. The oligomeric duplex of claim 73, wherein the non-bicyclic modified sugar moiety is a 2′-MOE sugar moiety, a 2′-OMe sugar moiety, or a 2′-F sugar moiety.
  • 75. The oligomeric duplex of any of claims 64-74, wherein at least one nucleoside of the first modified oligonucleotide or the second modified oligonucleotide each independently comprises a sugar surrogate.
  • 76. The oligomeric duplex of claim 75, wherein the sugar surrogate is selected from morpholino, modified morpholino, glycol nucleic acid (GNA), six-membered tetrahydropyran (THP), and F-hexitol nucleic acid (F-HNA).
  • 77. The oligomeric duplex of any of claims 64-76, wherein the first modified oligonucleotide comprises at least one modified internucleoside linkage.
  • 78. The oligomeric duplex of any of claims 64-77, wherein the second modified oligonucleotide comprises at least one modified internucleoside linkage.
  • 79. The oligomeric duplex of claim 77 or claim 78, wherein the at least one modified internucleoside linkage is a phosphorothioate internucleoside linkage.
  • 80. The oligomeric duplex of claim 77 or claim 78, wherein the at least one modified internucleoside linkage is a mesyl phosphoramidate internucleoside linkage.
  • 81. The oligomeric duplex of claim 77 or claim 79, wherein each internucleoside linkage of the first modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a phosphorothioate internucleoside linkage.
  • 82. The oligomeric duplex of claim 77 or claim 80, wherein each internucleoside linkage of the first modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a mesyl phosphoramidate internucleoside linkage.
  • 83. The oligomeric duplex of any of claim 77, 78, 79, 81, or 82, wherein each internucleoside linkage of the second modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a phosphorothioate internucleoside linkage.
  • 84. The oligomeric duplex of any of claim 77, 78, 80, 81, or 82, wherein each internucleoside linkage of the second modified oligonucleotide is independently selected from a phosphodiester internucleoside linkage and a mesyl phosphoramidate internucleoside linkage.
  • 85. The oligomeric duplex of any of claims 64-84, wherein the first modified oligonucleotide has an internucleoside linkage motif of 5-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “0” is a phosphodiester internucleoside linkage.
  • 86. The oligomeric duplex of any of claims 64-85, wherein the second modified oligonucleotide has an internucleoside linkage motif of 5-ssooooooooooooooooooss-3′, wherein each “s” is a phosphorothioate internucleoside linkage and each “o” is a phosphodiester internucleoside linkage.
  • 87. The oligomeric duplex of any of claims 64-86, wherein the first modified oligonucleotide and the second modified oligonucleotide each independently comprises at least one modified nucleobase.
  • 88. The oligomeric duplex of claim 87, wherein the at least one modified nucleobase is 5-methylcytosine.
  • 89. The oligomeric duplex of claim 87 or claim 88, wherein each cytosine is a 5-methylcytosine.
  • 90. The oligomeric duplex of any of claims 64-86, wherein one or more cytosine nucleobases of the first modified oligonucleotide and/or of the second modified oligonucleotide are unmodified.
  • 91. The oligomeric duplex of any of claims 64-86, wherein cytosine nucleobases of the first modified oligonucleotide or of the second modified oligonucleotide are unmodified.
  • 92. The oligomeric duplex of any of claims 64-86, wherein cytosine nucleobases of the first modified oligonucleotide and of the second modified oligonucleotide are unmodified.
  • 93. The oligomeric duplex of any of claims 64-92, wherein at least one nucleoside of the first modified oligonucleotide comprises a 2′-F sugar moiety and the at least one nucleoside is at: position 2 or 14 from the 5′ end;position 2, 6, or 14 from the 5′ end;position 2, 14, or 16 from the 5′ end;position 2, 6, 14, or 16 from the 5′ end; orposition 2, 6, 8, 9, 14, or 16 from the 5′ end.
  • 94. The oligomeric duplex of any of claims 64-93, wherein the nucleosides of the first modified oligonucleotide each comprises a 2′-F sugar moiety and the nucleosides are at: positions 2 and 14 from the 5′ end;positions 2, 6, and 14 from the 5′ end;positions 2, 14, and 16 from the 5′ end;positions 2, 6, 14, and 16 from the 5′ end; orpositions 2, 6, 8, 9, 14, and 16 from the 5′ end.
  • 95. The oligomeric duplex of any of claims 64-94, wherein at least one nucleoside of the second modified oligonucleotide comprises a 2′-F sugar moiety and the at least one nucleoside is at: position 9, 10, or 11 from the 5′ end;position 7, 9, 10, or 11 from the 5′ end;position 11, 12, or 15 from the 5′ end; orposition 7, 9, 10, 11, 12, or 15 from the 5′ end.
  • 96. The oligomeric duplex of any of claims 64-95, wherein the nucleosides of the second modified oligonucleotide each comprises a 2′-F sugar moiety and the nucleosides are at: positions 9, 10, and 11 from the 5′ end; orpositions 7, 9, 10, and 11 from the 5′ end.
  • 97. The oligomeric duplex of claim 93 or claim 94, wherein the nucleosides at the remaining positions of the first modified oligonucleotide each comprises a 2′-OMe sugar moiety.
  • 98. The oligomeric duplex of any of claims 93-97, wherein the nucleosides at the remaining positions of the second modified oligonucleotide each comprises a 2′-OMe sugar moiety.
  • 99. The oligomeric duplex of any of claims 64-92, wherein the first modified oligonucleotide has a sugar motif of 5′-yfyfyfyfyfyfyfyfyfyfyyy-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.
  • 100. The oligomeric duplex of any of claims 64-92 and 99, wherein the second modified oligonucleotide has a sugar motif of 5′-fyfyfyfyfyfyfyfyfyfyf-3′, wherein each “y” represents a 2′-OMe sugar moiety, and each “f” represents a 2′-F sugar moiety.
  • 101. The oligomeric duplex of any of claims 64-100, wherein the second modified oligonucleotide comprises a conjugate group.
  • 102. The oligomeric duplex of claim 101, wherein the conjugate group comprises a conjugate linker and a conjugate moiety.
  • 103. The oligomeric duplex of claim 101 or claim 102, wherein the conjugate group is attached to the second modified oligonucleotide at the 5′-end of the second modified oligonucleotide.
  • 104. The oligomeric duplex of claim 101 or claim 102, wherein the conjugate group is attached to the second modified oligonucleotide at the 3′-end of the second modified oligonucleotide.
  • 105. The oligomeric duplex of claim 101 or claim 102, wherein the conjugate group is attached to the second modified oligonucleotide at the 2′ position of a furanosyl sugar moiety.
  • 106. The oligomeric duplex of claim 101 or claim 102, wherein the conjugate group is attached to the second modified oligonucleotide through a modified internucleoside linkage.
  • 107. The oligomeric duplex of any of claims 101-106, wherein the conjugate group comprises a C22 alkyl, C20 alkyl, C16 alkyl, C10 alkyl, C21 alkyl, C19 alkyl, C18 alkyl, C17 alkyl, C15 alkyl, C14 alkyl, C13 alkyl, C12 alkyl, C11 alkyl, C9 alkyl, C8 alkyl, C7 alkyl, C6 alkyl, C5 alkyl, C22 alkenyl, C20 alkenyl, C16 alkenyl, C10 alkenyl, C21 alkenyl, C19 alkenyl, C18 alkenyl, C17 alkenyl, C15 alkenyl, C14 alkenyl, C13 alkenyl, C12 alkenyl, C11 alkenyl, C9 alkenyl, C8 alkenyl, C7 alkenyl, C6 alkenyl, or C5 alkenyl.
  • 108. The oligomeric duplex of any of claims 40-107, wherein the second modified oligonucleotide comprises a terminal group.
  • 109. The oligomeric duplex of claim 108, wherein the terminal group is an abasic sugar moiety.
  • 110. The oligomeric duplex of any of claims 40-109, wherein the second modified oligonucleotide consists of 10 to 25, 10 to 30, 12 to 20, 12 to 25, 12 to 30, 13 to 20, 13 to 25, 13 to 30, 14 to 20, 14 to 25, 14 to 30, 15 to 20, 15 to 25, 15 to 30, 16 to 18, 16 to 20, 16 to 25, 16 to 30, 17 to 20, 17 to 25, 17 to 30, 18 to 20, 18 to 25, 18 to 30, 19 to 20, 19 to 25, 19 to 30, 20 to 25, 20 to 30, 21 to 25, 21 to 30, 22 to 25, 22 to 30, 23 to 25, or 23 to 30 linked nucleosides.
  • 111. The oligomeric duplex of any of claim 40-65 or 67-110, wherein the first modified oligonucleotide consists of 23 linked nucleosides and the second modified oligonucleotide consists of 21 linked nucleosides.
  • 112. An antisense agent, wherein the antisense agent is the oligomeric duplex of any of claims 40-111.
  • 113. The antisense agent of claim 112, wherein the antisense agent is an RNAi agent capable of reducing the amount of PLP1 through the activation of RISC/Ago2.
  • 114. A population of oligomeric duplexes of claims 40-111, wherein the population is chirally enriched for modified oligonucleotides comprising at least one particular phosphorothioate internucleoside linkage having a particular stereochemical configuration.
  • 115. The population of claim 114, wherein the population is chirally enriched for modified oligonucleotides having a particular, independently selected stereochemical configuration at each phosphorothioate internucleoside linkage.
  • 116. The population of claim 114, wherein the population is chirally enriched for modified oligonucleotides having the (Rp) configuration at one particular phosphorothioate internucleoside linkage and the (Sp) configuration at each of the remaining phosphorothioate internucleoside linkages, or the population is chirally enriched for modified oligonucleotides having the (Sp) configuration at each phosphorothioate internucleoside linkage or for modified oligonucleotides having the (Rp) configuration at each phosphorothioate internucleoside linkage.
  • 117. A population of oligomeric compounds comprising modified oligonucleotides of any of claims 1-39, wherein all of the phosphorothioate internucleoside linkages of the modified oligonucleotides are stereorandom.
  • 118. A population of oligomeric duplexes of any of claims 40-111, wherein all of the phosphorothioate internucleoside linkages of the modified oligonucleotides of the first oligomeric compound are stereorandom.
  • 119. The population of oligomeric duplexes of claim 118, wherein all of the phosphorothioate internucleoside linkages of the modified oligonucleotides of the second oligomeric compound are stereorandom.
  • 120. A pharmaceutical composition comprising the oligomeric compound of any of claims 1-39, the oligomeric duplex of any of claims 40-111, the antisense agent of any of claims 112-113, or the population of any of claims 114-119, and a pharmaceutically acceptable diluent or carrier.
  • 121. The pharmaceutical composition of claim 120, wherein the pharmaceutically acceptable diluent is phosphate buffered saline (PBS) or artificial cerebrospinal fluid (aCSF).
  • 122. The pharmaceutical composition of claim 121, wherein the pharmaceutical composition consists essentially of the oligomeric compound of any of claims 1-39, the oligomeric duplex of any of claims 40-111, the antisense agent of any of claims 112-113, or the population of any of claims 114-119, and aCSF.
  • 123. The pharmaceutical composition of claim 121, wherein the pharmaceutical composition consists essentially of the oligomeric compound of any of claims 1-39, the oligomeric duplex of any of claims 40-111, the antisense agent of any of claims 112-113, or the population of any of claims 114-119, and PBS.
  • 124. A method comprising administering to a subject the oligomeric compound of any of claims 1-39, the oligomeric duplex of any of claims 40-111, the antisense agent of any of claims 112-113, the population of any of claims 114-119, or the pharmaceutical composition of any of claims 120-123.
  • 125. The method of claim 124, wherein the subject has a leukodystrophy.
  • 126. The method of claim 124, wherein the subject has Pelizaeus-Merzbacher disease (PMD).
  • 127. The method of claim 124, wherein the subject has connatal PMD, classic PMD, or transitional PMD.
  • 128. A method of treating a disease or disorder associated with PLP1 comprising administering to a subject having or at risk of developing a disease or disorder associated with PLP1 a therapeutically effective amount of the oligomeric compound of any of claims 1-39, the oligomeric duplex of any of claims 40-111, the antisense agent of any of claims 112-113, the population of any of claims 114-119, or the pharmaceutical composition of any of claims 120-123, thereby treating the disease or disorder associated with PLP1.
  • 129. The method of claim 128, wherein the disease or disorder associated with PLP1 is a leukodystrophy.
  • 130. The method of claim 128 or claim 129, wherein the disease or disorder associated with PLP1 is Pelizaeus-Merzbacher disease (PMD).
  • 131. The method of claim 130, wherein the PMD is any of connatal PMD, classic PMD, or transitional PMD.
  • 132. The method of claim 130 or claim 131, wherein the PMD is caused by an overexpression of proteolipid protein 1.
  • 133. The method of claim 130 or claim 131, wherein the PMD is caused by multiple copies of the PLP1 gene.
  • 134. The method of claim 130 or claim 131, wherein the PMD is caused by the expression of duplicate copies of the PLP1 gene.
  • 135. The method of any of claims 128-134, wherein at least one symptom or hallmark is ameliorated.
  • 136. The method of claim 135, wherein the at least one symptom or hallmark is hypotonia, nystagmus, optic atrophy, respiratory distress, delay in motor function development, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, choreiform movements, or death.
  • 137. The method of claim 135 or claim 136, wherein administering the oligomeric compound of any of claims 1-39, the oligomeric duplex of any of claims 40-111, the antisense agent of any of claims 112-113, the population of any of claims 114-119, or the pharmaceutical composition of any of claims 120-123 reduces or delays the onset or progression of hypotonia, nystagmus, optic atrophy, respiratory distress, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, or choreiform movements, reduces a delay in motor function development, or delays death.
  • 138. The method of any of claims 124-137, wherein the oligomeric compound of any of claims 1-39, the oligomeric duplex of any of claims 40-111, the antisense agent of any of claims 112-113, the population of any of claims 114-119, or the pharmaceutical composition of any of claims 120-123 is administered to the central nervous system or systemically.
  • 139. The method of any of claims 124-138, wherein the oligomeric compound of any of claims 1-39, the oligomeric duplex of any of claims 40-111, the antisense agent of any of claims 112-113, the population of any of claims 114-119, or the pharmaceutical composition of any of claims 120-123 is administered intrathecally.
  • 140. The method of any of claims 124-139, wherein the subject is a human.
  • 141. A method of reducing PLP1 in a cell comprising contacting the cell with the oligomeric compound of any of claims 1-39, the oligomeric duplex of any of claims 40-111, the antisense agent of any of claims 112-113, the population of any of claims 114-119, or the pharmaceutical composition of any of claims 120-123.
  • 142. A method of reducing proteolipid protein 1 in a cell comprising contacting the cell with the oligomeric compound of any of claims 1-39, the oligomeric duplex of any of claims 40-111, the antisense agent of any of claims 112-113, the population of any of claims 114-119, or the pharmaceutical composition of any of claims 120-123.
  • 143. The method of claim 141 or claim 142, wherein the cell is an oligodendrocyte, an oligodendrocyte progenitor cell, a Schwann cell, or a Schwann cell progenitor.
  • 144. The method of any of claims 141-143, wherein the cell is a human cell.
  • 145. Use of the oligomeric compound of any of claims 1-39, the oligomeric duplex of any of claims 40-111, the antisense agent of any of claims 112-113, the population of any of claims 114-119, or the pharmaceutical composition of any of claims 120-123 for treating a disease or disorder associated with PLP1.
  • 146. Use of the oligomeric compound of any of claims 1-39, the oligomeric duplex of any of claims 40-111, the antisense agent of any of claims 112-113, the population of any of claims 114-119, or the pharmaceutical composition of any of claims 120-123 for the manufacture of a medicament for treating a disease or disorder associated with PLP1.
  • 147. The use of claim 145 or claim 146, wherein the disease or disorder associated with PLP1 is a leukodystrophy.
  • 148. The use of any of claims 145-147, wherein the disease or disorder associated with PLP1 is Pelizaeus-Merzbacher disease (PMD).
  • 149. The use of claim 148, wherein the PMD is any of connatal PMD, classic PMD, or transitional PMD.
  • 150. The use of claim 148 or claim 149, wherein the PMD is caused by an overexpression of proteolipid protein 1.
  • 151. The use of claim 148 or claim 149, wherein the PMD is caused by multiple copies of the PLP1 gene.
  • 152. The use of claim 148 or claim 149, wherein the PMD is caused by the expression of duplicate copies of the PLP1 gene.
  • 153. The use of any of claims 145-152, wherein at least one symptom or hallmark is ameliorated.
  • 154. The use of claim 153, wherein the at least one symptom or hallmark is hypotonia, nystagmus, optic atrophy, respiratory distress, delay in motor function development, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, choreiform movements, or death.
  • 155. The use of claim 153 or claim 154, wherein the use of the oligomeric compound of any of claims 1-39, the oligomeric duplex of any of claims 40-111, the antisense agent of any of claims 112-113, the population of any of claims 114-119, or the pharmaceutical composition of any of claims 120-123 reduces or delays the onset or progression of hypotonia, nystagmus, optic atrophy, respiratory distress, cognitive dysfunction, speech dysfunction, spasticity, ataxia, seizures, or choreiform movements, reduces a delay in motor function development, or delays death.
PCT Information
Filing Document Filing Date Country Kind
PCT/US23/64867 3/23/2023 WO
Provisional Applications (1)
Number Date Country
63323244 Mar 2022 US