Selective antisense compounds and uses thereof

Abstract
The present invention provides oligomeric compounds. Certain such oligomeric compounds are useful for hybridizing to a complementary nucleic acid, including but not limited, to nucleic acids in a cell. In certain embodiments, hybridization results in modulation of the amount, activity, or expression of the target nucleic acid in a cell. In certain embodiments, hybridization results in selective modulation of the amount, activity, or expression of a target Huntingtin gene or Huntingtin transcript in a cell.
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 CORE0109USC4SEQ.txt, created Dec. 8, 2021, which is 392 Kb in size. The information in the electronic format of the sequence listing is incorporated herein by reference in its entirety.


BACKGROUND

Antisense compounds have been used to modulate target nucleic acids. Antisense compounds comprising a variety of chemical modifications and motifs have been reported. In certain instances, such compounds are useful as research tools, diagnostic reagents, and as therapeutic agents. In certain instances antisense compounds have been shown to modulate protein expression by binding to a target messenger RNA (mRNA) encoding the protein. In certain instances, such binding of an antisense compound to its target mRNA results in cleavage of the mRNA. Antisense compounds that modulate processing of a pre-mRNA have also been reported. Such antisense compounds alter splicing, interfere with polyadenlyation or prevent formation of the 5′-cap of a pre-mRNA.


SUMMARY

In certain embodiments, the present invention provides oligomeric compounds comprising oligonucleotides. In certain embodiments, such oligonucleotides comprise a region having a gapmer motif. In certain embodiments, such oligonucleotides consist of a region having a gapmer motif.


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

    • Embodiment 1: A compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides, wherein the linked nucleosides comprise at least 8 contiguous nucleobases of a nucleobase sequence recited in SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
    • Embodiment 2: The compound of embodiment 1, wherein the modified oligonucleotide comprises at least 10 contiguous nucleobases of a nucleobase sequence recited in SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
    • Embodiment 3: The compound of embodiment 1, wherein the modified oligonucleotide comprises at least 12 contiguous nucleobases of a nucleobase sequence recited in SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
    • Embodiment 4: The compound of embodiment 1, wherein the modified oligonucleotide comprises at least 14 contiguous nucleobases of a nucleobase sequence recited in SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
    • Embodiment 5: The compound of embodiment 1, wherein the modified oligonucleotide comprises at least 16 contiguous nucleobases of a nucleobase sequence recited in SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
    • Embodiment 6: The compound of embodiment 1, wherein the modified oligonucleotide comprises a nucleobase sequence selected from among SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
    • Embodiment 7: The compound of embodiment 1, wherein the modified oligonucleotide consists of a nucleobase sequence selected from among SEQ ID NO: 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 52, 53, 54, 55, 56, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 81, 82, 83, 84, 85, 86, 87, 88, 89, 90, 91, 92, 93, 94, 95, 96, 97, 98, 99, 100, 101, 102, 103, 104, 105, 106, 107, 108, 109, 110, 111, 112, 113, 114, 115, 116, 117, 118, 119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 129, 130, 131, 132, 133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143, 144, 145, 146, 147, 148, 149, 150, 151, 152, 153, 154, 155, 156, 157, 158, 159, 160, 161, 162, 163, 164, 165, 166, 167, 168, 169, 170, 171, 172, 173, or 174-573.
    • Embodiment 8: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 14 to 26 linked nucleosides.
    • Embodiment 9: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 15 to 25 linked nucleosides.
    • Embodiment 10: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 16 to 25 linked nucleosides.
    • Embodiment 11: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 17 to 25 linked nucleosides.
    • Embodiment 12: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 15 to 22 linked nucleosides.
    • Embodiment 13: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 15 to 20 linked nucleosides.
    • Embodiment 14: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 16 to 20 linked nucleosides.
    • Embodiment 15: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 14 linked nucleosides.
    • Embodiment 16: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 15 linked nucleosides.
    • Embodiment 17: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 16 linked nucleosides.
    • Embodiment 18: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 17 linked nucleosides.
    • Embodiment 19: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 18 linked nucleosides.
    • Embodiment 20: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 19 linked nucleosides.
    • Embodiment 21: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 20 linked nucleosides.
    • Embodiment 22: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 21 linked nucleosides.
    • Embodiment 23: The compound of any of embodiments 1 to 7, wherein the modified oligonucleotide consists of 22 linked nucleosides.
    • Embodiment 24: The compound of any of embodiments 1 to 23, wherein the nucleobase sequence of the modified oligonucleotide is 90% complementary to SEQ ID NO. 1.
    • Embodiment 25: The compound of any of embodiments 1 to 23, wherein the nucleobase sequence of the modified oligonucleotide is 95% complementary to SEQ ID NO. 1.
    • Embodiment 26: The compound of any of embodiments 1 to 23, wherein the nucleobase sequence of the modified oligonucleotide is 100% complementary to SEQ ID NO. 1.
    • Embodiment 27: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeedk-d7-keee motif.
    • Embodiment 28: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeedk-d7-eeee motif.
    • Embodiment 29: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeedk-d7-keee motif.
    • Embodiment 30: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeedk-d7-kkee motif
    • Embodiment 31: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeee-d9-eeeee motif.
    • Embodiment 32: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeedk-d7-eeeee motif.
    • Embodiment 33: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeeeeek-d7-eee motif
    • Embodiment 34: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeeeek-d7-eeee motif.
    • Embodiment 35: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeek-d7-eee motif.
    • Embodiment 36: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeek-d7-eeeeee motif.
    • Embodiment 37: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeek-d7-kee motif.
    • Embodiment 38: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeeek-d7-kke motif
    • Embodiment 39: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeek-d7-eeee motif.
    • Embodiment 40: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeek-d7-eeeeeee motif.
    • Embodiment 41: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeek-d7-keee motif.
    • Embodiment 42: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeek-d7-keeee motif.
    • Embodiment 43: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeek-d7-kke motif
    • Embodiment 44: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeek-d7-kkee motif.
    • Embodiment 45: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeekk-d3-k-d3-keke motif.
    • Embodiment 46: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeekk-d7-kee motif.
    • Embodiment 47: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeekk-d7-keke motif.
    • Embodiment 48: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeekk-d7-kke motif
    • Embodiment 49: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeeekk-d7-kkee motif.
    • Embodiment 50: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d7-eeeeeeee motif
    • Embodiment 51: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d7-keeeee motif.
    • Embodiment 52: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d7-kkee motif.
    • Embodiment 53: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d7-kkeee motif.
    • Embodiment 54: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d8-kee motif.
    • Embodiment 55: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d9-keee motif
    • Embodiment 56: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeek-d9-keke motif.
    • Embodiment 57: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeekk-d7-eeee motif.
    • Embodiment 58: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeekk-d7-keee motif.
    • Embodiment 59: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeekk-d7-kke motif.
    • Embodiment 60: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeekk-d7-kkee motif
    • Embodiment 61: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eeekk-d7-kkeee motif.
    • Embodiment 62: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eek-d7-eeeeeeeee motif.
    • Embodiment 63: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eek-d7-keeeeee motif.
    • Embodiment 64: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eek-d7-kkeee motif.
    • Embodiment 65: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eek-d8-kkee motif.
    • Embodiment 66: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eekk-d8-kee motif.
    • Embodiment 67: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eekk-d8-kkee motif.
    • Embodiment 68: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an eekk-d8-kkeee motif
    • Embodiment 69: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ek-d7-eeeeeeeeee motif.
    • Embodiment 70: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ek-d8-kkeee motif.
    • Embodiment 71: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ek-d9-kkke motif.
    • Embodiment 72: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekek-d6-k-dd-keke motif.
    • Embodiment 73: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekek-d8-kkeke motif
    • Embodiment 74: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekek-d9-keee motif.
    • Embodiment 75: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekek-d9-keke motif.
    • Embodiment 76: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekekek-d7-keke motif.
    • Embodiment 77: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekekk-d8-keke motif.
    • Embodiment 78: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d7-kkeee motif.
    • Embodiment 79: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d7-kkeeeee motif.
    • Embodiment 80: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d8-kkee motif.
    • Embodiment 81: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d8-kkeee motif.
    • Embodiment 82: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d8-kkeeee motif.
    • Embodiment 83: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d8-kkke motif.
    • Embodiment 84: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekk-d9-kke motif
    • Embodiment 85: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekkdk-d7-kke motif.
    • Embodiment 86: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekkk-d8-kke motif.
    • Embodiment 87: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekkk-d9-ke motif.
    • Embodiment 88: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekkkk-d7-kke motif.
    • Embodiment 89: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has an ekkkk-d7-kkke motif.
    • Embodiment 90: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a kkekk-d9-kkekk motif.
    • Embodiment 91: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a kkkkk-d7-kkkkk motif
    • Embodiment 92: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekkdk-d7-kke motif.
    • Embodiment 93: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekek-d8-kekee motif.
    • Embodiment 94: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-f-d8-kke motif.
    • Embodiment 95: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-z-d8-kke motif.
    • Embodiment 96: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-h-d8-kke motif
    • Embodiment 97: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d2-h-d6-kke motif.
    • Embodiment 98: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d-h-d7-kke motif.
    • Embodiment 99: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d3-f-d5-kke motif.
    • Embodiment 100: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d3-z-d5-kke motif.
    • Embodiment 101: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d3-h-d5-kke motif.
    • Embodiment 102: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d4-h-d4-kke motif.
    • Embodiment 103: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d5-f-d3-kke motif.
    • Embodiment 104: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d5-z-d3-kke motif
    • Embodiment 105: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d5-h-d3-kke motif.
    • Embodiment 106: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d6-f-d2-kke motif.
    • Embodiment 107: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d6-z-d2-kke motif.
    • Embodiment 108: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d6-h-d2-kke motif.
    • Embodiment 109: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d7-f-d-kke motif
    • Embodiment 110: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d7-z-d-kke motif.
    • Embodiment 111: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d7-h-d-kke motif.
    • Embodiment 112: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d8-f-dkke motif.
    • Embodiment 113: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d8-z-kke motif.
    • Embodiment 114: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d8-h-kke motif
    • Embodiment 115: The compound of any of embodiments 1 to 26, wherein the oligonucleotide has a ekk-d9-kke motif.
    • Embodiment 116: The oligomeric compound of any of embodiments 1 to 115 comprising at least one modified internucleoside linkage.
    • Embodiment 117: The oligomeric compound of embodiment 116, wherein each internucleoside linkage is a modified internucleoside linkage.
    • Embodiment 118: The oligomeric compound of embodiment 115 or 116 comprising at least one phosphorothioate internucleoside linkage.
    • Embodiment 119: The oligomeric compound of embodiment 117 wherein each internucleoside linkage is a phosphorothioate internucleoside linkage.
    • Embodiment 120: The oligomeric compound of any of embodiments 1 to 119 comprising at least one methylphosphonate internucleoside linkage.
    • Embodiment 121: The oligomeric compound of any of embodiments 1 to 119 comprising one methylphosphonate internucleoside linkage.
    • Embodiment 122: The oligomeric compound of any of embodiments 1 to 120 comprising two methylphosphonate internucleoside linkages.
    • Embodiment 123: The oligomeric compound of any of embodiments 1 to 120 comprising at least one modified nucleobase.
    • Embodiment 124: The oligomeric compound of embodiment 123, comprising at least one 2-thio-thymidine.
    • Embodiment 125: The oligomeric compound of embodiment 1, having an eeeekk-d7-kke motif and consisting of the nucleobase sequence of SEQ ID NO.: 24.
    • Embodiment 126: The oligomeric compound of any of embodiments 1 to 119 comprising at least one 5′-Me-DNA modification.
    • Embodiment 127: The oligomeric compound of any of embodiments 1 to 119 comprising one 5′-Me-DNA modification.
    • Embodiment 128: The oligomeric compound of embodiment 126 or 127, wherein the 5′-Me-DNA modification is an S-5′-Me-DNA.
    • Embodiment 129: The oligomeric compound of embodiment 126 or 127, wherein the 5′-Me-DNA modification is an R-5′-Me-DNA.
    • Embodiment 130: The oligomeric compound of any of embodiments 126 to 129, wherein the 5′-Me-DNA modification is at position 6 from the 5′-end.
    • Embodiment 131: The oligomeric compound of any of embodiments 126 to 129, wherein the 5′-Me-DNA modification is at position 7 from the 5′-end.
    • Embodiment 132: The oligomeric compound of any of embodiments 126 to 129, consisting of the nucleobase sequence of SEQ ID NO.: 3.
    • Embodiment 133: The oligomeric compound of any of embodiments 1 to 132, having an EC50 for reduction of expression of target that is at least least two-fold lower than its EC50 for reduction of expression of the non-target, when measured in cells.
    • Embodiment 134: The oligomeric compound of any of embodiments 1 to 132, having an ED50 for reduction of expression of target that is at least least two-fold lower than its ED50 for reduction of expression of the non-target, when measured in an animal.
    • Embodiment 135: A compound consisting of ISIS 572772.
    • Embodiment 136: A pharmaceutical composition comprising an oligomeric compound of any of embodiments 1-135 and a pharmaceutically acceptable carrier or diluent.
    • Embodiment 137: A method comprising contacting a cell with an oligomeric compound of any of embodiments 1-136.
    • Embodiment 138: The method of embodiment 137, wherein the cell is in vitro.
    • Embodiment 139: The method of embodiment 137, wherein the cell is in an animal.
    • Embodiment 140: The method of embodiment 137, wherein the animal is a human.
    • Embodiment 141: The method of embodiment 137, wherein the animal is a mouse.
    • Embodiment 142: A method of administering a pharmaceutical composition of embodiment 136 to an animal.
    • Embodiment 143: The method of embodiment 142, wherein the animal is a human.
    • Embodiment 144: The method of embodiment 143, wherein the animal is a mouse.
    • Embodiment 145: Use of an oligomeric compound of any of embodiments 1-136 for the preparation of a medicament for the treatment or amelioration of Huntington's disease.
    • Embodiment 146: A method of ameliorating a symptom of Huntington's disease, comprising administering an oligomeric compound of any of embodiments 1-136 to an animal in need thereof.
    • Embodiment 147: The method of embodiment 146, wherein the animal is a human.
    • Embodiment 148: The method of embodiment 147, wherein the animal is a mouse.
    • Embodiment 149: A method for reducing the rate of progression of a symptom associated with Huntington's Disease, comprising administering to a human in need thereof a compound of any of embodiments 1-136, and thereby reducing the rate of progression a symptom of Huntington's disease in the human.
    • Embodiment 150: A method for reversing degeneration indicated by a symptom associated with Huntington's disease, comprising administering to a human in need thereof a compound of any of embodiments 1-136, and thereby reversing degeneration indicated by a symptom of Huntington's disease in the human.
    • Embodiment 151: A method for treating a human with Huntington's disease comprising identifying the human with the disease and administering to the human a therapeutically effective amount of the compound of any of embodiments 1-136.
    • Embodiment 152: The method of embodiment 149, wherein the treatment reduces at least one of restlessness, lack of coordination, unintentionally initiated motions, unintentionally uncompleted motions, unsteady gait, chorea, rigidity, writhing motions, abnormal posturing, instability, abnormal facial expressions, difficulty chewing, difficulty swallowing, difficulty speaking, seizure, sleep disturbances, impaired planning, impaired flexibility, impaired abstract thinking, impaired rule acquisition, impaired initiation of appropriate actions, impaired inhibition of inappropriate actions, impaired short-term memory, impaired long-term memory, paranoia, disorientation, confusion, hallucination, dementia, a anxiety, depression, blunted affect, egocentrisms, aggression, compulsive behavior, irritability, suicidal ideation, reduced brain mass, muscle atrophy, cardiac failure, impaired glucose tolerance, weight loss, osteoporosis, and testicular atrophy in the human.
    • Embodiment 153: A method for reducing the rate of progression of a symptom associated with Huntington's Disease, comprising administering to a human in need thereof ISIS 572772, and thereby reducing the rate of progression a symptom of Huntington's disease in the human.
    • Embodiment 154: A method for reversing degeneration indicated by a symptom associated with Huntington's disease, comprising administering to a human in need thereof ISIS 572772, and thereby reversing degeneration indicated by a symptom of Huntington's disease in the human.
    • Embodiment 155: A method for treating a human with Huntington's disease comprising identifying the human with the disease and administering to the human a therapeutically effective amount of ISIS 572772.
    • Embodiment 156: The method of embodiment 153, wherein the treatment reduces at least one of restlessness, lack of coordination, unintentionally initiated motions, unintentionally uncompleted motions, unsteady gait, chorea, rigidity, writhing motions, abnormal posturing, instability, abnormal facial expressions, difficulty chewing, difficulty swallowing, difficulty speaking, seizure, sleep disturbances, impaired planning, impaired flexibility, impaired abstract thinking, impaired rule acquisition, impaired initiation of appropriate actions, impaired inhibition of inappropriate actions, impaired short-term memory, impaired long-term memory, paranoia, disorientation, confusion, hallucination, dementia, a anxiety, depression, blunted affect, egocentrisms, aggression, compulsive behavior, irritability, suicidal ideation, reduced brain mass, muscle atrophy, cardiac failure, impaired glucose tolerance, weight loss, osteoporosis, and testicular atrophy in the human.







DETAILED DESCRIPTION

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 invention, 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. Also, terms such as “element” or “component” encompass both elements and components comprising one unit and elements and components that comprise more than one subunit, unless specifically stated otherwise.


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


A. 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. Standard techniques may be used for chemical synthesis, and chemical analysis. Certain such techniques and procedures may be found for example in “Carbohydrate Modifications in Antisense Research” Edited by Sangvi and Cook, American Chemical Society, Washington D.C., 1994; “Remington's Pharmaceutical Sciences,” Mack Publishing Co., Easton, Pa., 21′ edition, 2005; and “Antisense Drug Technology, Principles, Strategies, and Applications” Edited by Stanley T. Crooke, CRC Press, Boca Raton, Florida; and Sambrook et al., “Molecular Cloning, A laboratory Manual,” 2nd Edition, Cold Spring Harbor Laboratory Press, 1989, which are hereby incorporated by reference for any purpose. 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, “nucleoside” means a compound comprising a nucleobase moiety and a sugar moiety. Nucleosides include, but are not limited to, naturally occurring nucleosides (as found in DNA and RNA) and modified nucleosides. Nucleosides may be linked to a phosphate moiety.


As used herein, “chemical modification” means a chemical difference in a compound when compared to a naturally occurring counterpart. Chemical modifications of oligonucleotides include nucleoside modifications (including sugar moiety modifications and nucleobase modifications) and internucleoside linkage modifications. In reference to an oligonucleotide, chemical modification does not include differences only in nucleobase sequence.


As used herein, “furanosyl” means a structure comprising a 5-membered ring comprising four carbon atoms and one oxygen atom.


As used herein, “naturally occurring sugar moiety” means a ribofuranosyl as found in naturally occurring RNA or a deoxyribofuranosyl as found in naturally occurring DNA.


As used herein, “sugar moiety” means a naturally occurring sugar moiety or a modified sugar moiety of a nucleoside.


As used herein, “modified sugar moiety” means a substituted sugar moiety or a sugar surrogate.


As used herein, “substituted sugar moiety” means a furanosyl that is not a naturally occurring sugar moiety. Substituted sugar moieties include, but are not limited to furanosyls comprising substituents at the 2′-position, the 3′-position, the 5′-position and/or the 4′-position. Certain substituted sugar moieties are bicyclic sugar moieties.


As used herein, “2′-substituted sugar moiety” means a furanosyl comprising a substituent at the 2′-position other than H or OH. Unless otherwise indicated, a 2′-substituted sugar moiety is not a bicyclic sugar moiety (i.e., the 2′-substituent of a 2′-substituted sugar moiety does not form a bridge to another atom of the furanosyl ring.


As used herein, “MOE” means —OCH2CH2OCH3.


As used herein, “2′-F nucleoside” refers to a nucleoside comprising a sugar comprising fluoroine at the 2′ position. Unless otherwise indicated, the fluorine in a 2′-F nucleoside is in the ribo position (replacing the OH of a natural ribose).


As used herein, “2′-(ara)-F” refers to a 2′-F substituted nucleoside, wherein the fluoro group is in the arabino position.


As used herein the term “sugar surrogate” means a structure that does not comprise a furanosyl and that is capable of replacing the naturally occurring sugar moiety of a nucleoside, such that the resulting nucleoside sub-units are capable of linking together and/or linking to other nucleosides to form an oligomeric compound which is capable of hybridizing to a complementary oligomeric compound. Such structures include rings comprising a different number of atoms than furanosyl (e.g., 4, 6, or 7-membered rings); replacement of the oxygen of a furanosyl with a non-oxygen atom (e.g., carbon, sulfur, or nitrogen); or both a change in the number of atoms and a replacement of the oxygen. Such structures may also comprise substitutions corresponding to those described for substituted sugar moieties (e.g., 6-membered carbocyclic bicyclic sugar surrogates optionally comprising additional substituents). Sugar surrogates also include more complex sugar replacements (e.g., the non-ring systems of peptide nucleic acid). Sugar surrogates include without limitation morpholinos, cyclohexenyls and cyclohexitols.


As used herein, “bicyclic sugar moiety” means a modified sugar moiety comprising a 4 to 7 membered ring (including but not limited to a furanosyl) comprising a bridge connecting two atoms of the 4 to 7 membered ring to form a second ring, resulting in a bicyclic structure. In certain embodiments, the 4 to 7 membered ring is a sugar ring. In certain embodiments the 4 to 7 membered ring is a furanosyl. In certain such embodiments, the bridge connects the 2′-carbon and the 4′-carbon of the furanosyl.


As used herein, “nucleotide” means a nucleoside further comprising a phosphate linking group. As used herein, “linked nucleosides” may or may not be linked by phosphate linkages and thus includes, but is not limited to “linked nucleotides.” As used herein, “linked nucleosides” are nucleosides that are connected in a continuous sequence (i.e. no additional nucleosides are present between those that are linked).


As used herein, “nucleobase” means a group of atoms that can be linked to a sugar moiety to create a nucleoside that is capable of incorporation into an oligonucleotide, and wherein the group of atoms is capable of bonding with a complementary naturally occurring nucleobase of another oligonucleotide or nucleic acid. Nucleobases may be naturally occurring or may be modified.


As used herein the terms, “unmodified nucleobase” or “naturally occurring nucleobase” means the naturally occurring heterocyclic nucleobases of RNA or DNA: the purine bases adenine (A) and guanine (G), and the pyrimidine bases thymine (T), cytosine (C) (including 5-methyl C), and uracil (U).


As used herein, “modified nucleobase” means any nucleobase that is not a naturally occurring nucleobase.


As used herein, “modified nucleoside” means a nucleoside comprising at least one chemical modification compared to naturally occurring RNA or DNA nucleosides. Modified nucleosides comprise a modified sugar moiety and/or a modified nucleobase.


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


As used herein, “constrained ethyl nucleoside” or “cEt” means a nucleoside comprising a bicyclic sugar moiety comprising a 4′-CH(CH3)—O-2′bridge.


As used herein, “locked nucleic acid nucleoside” or “LNA” means a nucleoside comprising a bicyclic sugar moiety comprising a 4′-CH2—O-2′bridge.


As used herein, “2′-substituted nucleoside” means a nucleoside comprising a substituent at the 2′-position other than H or OH. Unless otherwise indicated, a 2′-substituted nucleoside is not a bicyclic nucleoside.


As used herein, “2′-deoxynucleoside” means a nucleoside comprising 2′-H furanosyl sugar moiety, as found in naturally occurring deoxyribonucleosides (DNA). In certain embodiments, a 2′-deoxynucleoside may comprise a modified nucleobase or may comprise an RNA nucleobase (e.g., uracil).


As used herein, “RNA-like nucleoside” means a modified nucleoside that adopts a northern configuration and functions like RNA when incorporated into an oligonucleotide. RNA-like nucleosides include, but are not limited to 3′-endo furanosyl nucleosides and RNA surrogates.


As used herein, “3′-endo-furanosyl nucleoside” means an RNA-like nucleoside that comprises a substituted sugar moiety that has a 3′-endo conformation. 3′-endo-furanosyl nucleosides include, but are not limited to: 2′-MOE, 2′-F, 2′-OMe, LNA, ENA, and cEt nucleosides.


As used herein, “RNA-surrogate nucleoside” means an RNA-like nucleoside that does not comprise a furanosyl. RNA-surrogate nucleosides include, but are not limited to hexitols and cyclopentanes.


As used herein, “oligonucleotide” means a compound comprising a plurality of linked nucleosides. In certain embodiments, an oligonucleotide comprises one or more unmodified ribonucleosides (RNA) and/or unmodified deoxyribonucleosides (DNA) and/or one or more modified nucleosides.


As used herein “oligonucleoside” means an oligonucleotide in which none of the internucleoside linkages contains a phosphorus atom. As used herein, oligonucleotides include oligonucleosides.


As used herein, “modified oligonucleotide” means an oligonucleotide comprising at least one modified nucleoside and/or at least one modified internucleoside linkage.


As used herein “internucleoside linkage” means a covalent linkage between adjacent nucleosides in an oligonucleotide.


As used herein “naturally occurring internucleoside linkage” means a 3′ to 5′ phosphodiester linkage.


As used herein, “modified internucleoside linkage” means any internucleoside linkage other than a naturally occurring internucleoside linkage.


As used herein, “oligomeric compound” means a polymeric structure comprising two or more sub-structures. In certain embodiments, an oligomeric compound comprises an oligonucleotide. In certain embodiments, an oligomeric compound comprises one or more conjugate groups and/or terminal groups. In certain embodiments, an oligomeric compound consists of an oligonucleotide.


As used herein, “terminal group” means one or more atom attached to either, or both, the 3′ end or the 5′ end of an oligonucleotide. In certain embodiments a terminal group is a conjugate group. In certain embodiments, a terminal group comprises one or more terminal group nucleosides.


As used herein, “conjugate” means an atom or group of atoms bound to an oligonucleotide or oligomeric compound. In general, conjugate groups modify one or more properties of the compound to which they are attached, including, but not limited to pharmacodynamic, pharmacokinetic, binding, absorption, cellular distribution, cellular uptake, charge and/or clearance properties.


As used herein, “conjugate linking group” means any atom or group of atoms used to attach a conjugate to an oligonucleotide or oligomeric compound.


As used herein, “antisense compound” means a compound comprising or consisting of an oligonucleotide at least a portion of which is complementary to a target nucleic acid to which it is capable of hybridizing, resulting in at least one antisense activity.


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.


As used herein, “detecting” or “measuring” means that a test or assay for detecting or measuring is performed. Such detection and/or measuring may result in a value of zero. Thus, if a test for detection or measuring results in a finding of no activity (activity of zero), the step of detecting or measuring the activity has nevertheless been performed.


As used herein, “detectable and/or measureable activity” means a measurable activity that is not zero.


As used herein, “essentially unchanged” means little or no change in a particular parameter, particularly relative to another parameter which changes much more. In certain embodiments, a parameter is essentially unchanged when it changes less than 5%. In certain embodiments, a parameter is essentially unchanged if it changes less than two-fold while another parameter changes at least ten-fold. For example, in certain embodiments, an antisense activity is a change in the amount of a target nucleic acid. In certain such embodiments, the amount of a non-target nucleic acid is essentially unchanged if it changes much less than the target nucleic acid does, but the change need not be zero.


As used herein, “expression” means the process by which a gene ultimately results in a protein. Expression includes, but is not limited to, transcription, post-transcriptional modification (e.g., splicing, polyadenlyation, addition of 5′-cap), and translation.


As used herein, “target nucleic acid” means a nucleic acid molecule to which an antisense compound is intended to hybridize.


As used herein, “non-target nucleic acid” means a nucleic acid molecule to which hybridization of an antisense compound is not intended or desired. In certain embodiments, antisense compounds do hybridize to a non-target, due to homology between the target (intended) and non-target (un-intended).


As used herein, “mRNA” means an RNA molecule that encodes a protein.


As used herein, “pre-mRNA” means an RNA transcript that has not been fully processed into mRNA. Pre-RNA includes one or more intron.


As used herein, “object RNA” means an RNA molecule other than a target RNA, the amount, activity, splicing, and/or function of which is modulated, either directly or indirectly, by a target nucleic acid. In certain embodiments, a target nucleic acid modulates splicing of an object RNA. In certain such embodiments, an antisense compound modulates the amount or activity of the target nucleic acid, resulting in a change in the splicing of an object RNA and ultimately resulting in a change in the activity or function of the object RNA.


As used herein, “microRNA” means a naturally occurring, small, non-coding RNA that represses gene expression of at least one mRNA. In certain embodiments, a microRNA represses gene expression by binding to a target site within a 3′ untranslated region of an mRNA. In certain embodiments, a microRNA has a nucleobase sequence as set forth in miRBase, a database of published microRNA sequences found at http://microrna.sanger.ac.uk/sequences/. In certain embodiments, a microRNA has a nucleobase sequence as set forth in miRBase version 12.0 released September 2008, which is herein incorporated by reference in its entirety.


As used herein, “microRNA mimic” means an oligomeric compound having a sequence that is at least partially identical to that of a microRNA. In certain embodiments, a microRNA mimic comprises the microRNA seed region of a microRNA. In certain embodiments, a microRNA mimic modulates translation of more than one target nucleic acids. In certain embodiments, a microRNA mimic is double-stranded.


As used herein, “differentiating nucleobase” means a nucleobase that differs between two nucleic acids. In certain instances, a target region of a target nucleic acid differs by 1-4 nucleobases from a non-target nucleic acid. Each of those differences is referred to as a differentiating nucleobase. In certain instances, a differentiating nucleobase is a single-nucleotide polymorphism.


As used herein, “target-selective nucleoside” means a nucleoside of an antisense compound that corresponds to a differentiating nucleobase of a target nucleic acid.


As used herein, “allele” means one of a pair of copies of a gene existing at a particular locus or marker on a specific chromosome, or one member of a pair of nucleobases existing at a particular locus or marker on a specific chromosome, or one member of a pair of nucleobase sequences existing at a particular locus or marker on a specific chromosome. For a diploid organism or cell or for autosomal chromosomes, each allelic pair will normally occupy corresponding positions (loci) on a pair of homologous chromosomes, one inherited from the mother and one inherited from the father. If these alleles are identical, the organism or cell is said to be “homozygous” for that allele; if they differ, the organism or cell is said to be “heterozygous” for that allele. “Wild-type allele” refers to the genotype typically not associated with disease or dysfunction of the gene product. “Mutant allele” refers to the genotype associated with disease or dysfunction of the gene product.


As used herein, “allelic variant” means a particular identity of an allele, where more than one identity occurs. For example, an allelic variant may refer to either the mutant allele or the wild-type allele.


As used herein, “single nucleotide polymorphism” or “SNP” means a single nucleotide variation between the genomes of individuals of the same species. In some cases, a SNP may be a single nucleotide deletion or insertion. In general, SNPs occur relatively frequently in genomes and thus contribute to genetic diversity. The location of a SNP is generally flanked by highly conserved sequences. An individual may be homozygous or heterozygous for an allele at each SNP site.


As used herein, “single nucleotide polymorphism site” or “SNP site” refers to the nucleotides surrounding a SNP contained in a target nucleic acid to which an antisense compound is targeted.


As used herein, “targeting” or “targeted to” means the association of an antisense compound to a particular target nucleic acid molecule or a particular region of a target nucleic acid molecule. An antisense compound targets a target nucleic acid if it is sufficiently complementary to the target nucleic acid to allow hybridization under physiological conditions.


As used herein, “nucleobase complementarity” or “complementarity” when in reference to nucleobases means a nucleobase that is capable of base pairing with another nucleobase. For example, in DNA, adenine (A) is complementary to thymine (T). For example, in RNA, adenine (A) is complementary to uracil (U). In certain embodiments, complementary nucleobase means a nucleobase of an antisense compound that is capable of base pairing with a nucleobase of its target nucleic acid. For example, if a nucleobase at a certain position of an antisense compound is capable of hydrogen bonding with a nucleobase at a certain position of a target nucleic acid, then the position of hydrogen bonding between the oligonucleotide and the target nucleic acid is considered to be complementary at that nucleobase pair. Nucleobases comprising certain modifications may maintain the ability to pair with a counterpart nucleobase and thus, are still capable of nucleobase complementarity.


As used herein, “non-complementary” in reference to nucleobases means a pair of nucleobases that do not form hydrogen bonds with one another.


As used herein, “complementary” in reference to oligomeric compounds (e.g., linked nucleosides, oligonucleotides, or nucleic acids) means the capacity of such oligomeric compounds or regions thereof to hybridize to another oligomeric compound or region thereof through nucleobase complementarity under stringent conditions. Complementary oligomeric compounds need not have nucleobase complementarity at each nucleoside. Rather, some mismatches are tolerated. In certain embodiments, complementary oligomeric compounds or regions are complementary at 70% of the nucleobases (70% complementary). In certain embodiments, complementary oligomeric compounds or regions are 80% complementary. In certain embodiments, complementary oligomeric compounds or regions are 90% complementary. In certain embodiments, complementary oligomeric compounds or regions are 95% complementary. In certain embodiments, complementary oligomeric compounds or regions are 100% complementary.


As used herein, “mismatch” means a nucleobase of a first oligomeric compound that is not capable of pairing with a nucleobase at a corresponding position of a second oligomeric compound, when the first and second oligomeric compound are aligned. Either or both of the first and second oligomeric compounds may be oligonucleotides.


As used herein, “hybridization” means the pairing of complementary oligomeric compounds (e.g., an antisense compound and its target nucleic acid). While not limited to a particular mechanism, the most common mechanism of pairing involves hydrogen bonding, which may be Watson-Crick, Hoogsteen or reversed Hoogsteen hydrogen bonding, between complementary nucleobases.


As used herein, “specifically hybridizes” means the ability of an oligomeric compound to hybridize to one nucleic acid site with greater affinity than it hybridizes to another nucleic acid site. In certain embodiments, an antisense oligonucleotide specifically hybridizes to more than one target site.


As used herein, “fully complementary” in reference to an oligonucleotide or portion thereof means that each nucleobase of the oligonucleotide or portion thereof is capable of pairing with a nucleobase of a complementary nucleic acid or contiguous portion thereof. Thus, a fully complementary region comprises no mismatches or unhybridized nucleobases in either strand.


As used herein, “percent complementarity” means the percentage of nucleobases of an oligomeric compound that are complementary to an equal-length portion of a target nucleic acid. Percent complementarity is calculated by dividing the number of nucleobases of the oligomeric compound that are complementary to nucleobases at corresponding positions in the target nucleic acid by the total length of the oligomeric compound.


As used herein, “percent identity” means the number of nucleobases in a first nucleic acid that are the same type (independent of chemical modification) as nucleobases at corresponding positions in a second nucleic acid, divided by the total number of nucleobases in the first nucleic acid.


As used herein, “modulation” means a change of amount or quality of a molecule, function, or activity when compared to the amount or quality of a molecule, function, or activity prior to modulation. For example, modulation includes the change, either an increase (stimulation or induction) or a decrease (inhibition or reduction) in gene expression. As a further example, modulation of expression can include a change in splice site selection of pre-mRNA processing, resulting in a change in the absolute or relative amount of a particular splice-variant compared to the amount in the absence of modulation.


As used herein, “modification motif” means a pattern of chemical modifications in an oligomeric compound or a region thereof. Motifs may be defined by modifications at certain nucleosides and/or at certain linking groups of an oligomeric compound.


As used herein, “nucleoside motif” means a pattern of nucleoside modifications in an oligomeric compound or a region thereof. The linkages of such an oligomeric compound may be modified or unmodified. Unless otherwise indicated, motifs herein describing only nucleosides are intended to be nucleoside motifs. Thus, in such instances, the linkages are not limited.


As used herein, “sugar motif” means a pattern of sugar modifications in an oligomeric compound or a region thereof.


As used herein, “linkage motif” means a pattern of linkage modifications in an oligomeric compound or region thereof. The nucleosides of such an oligomeric compound may be modified or unmodified. Unless otherwise indicated, motifs herein describing only linkages are intended to be linkage motifs. Thus, in such instances, the nucleosides are not limited.


As used herein, “nucleobase modification motif” means a pattern of modifications to nucleobases along an oligonucleotide. Unless otherwise indicated, a nucleobase modification motif is independent of the nucleobase sequence.


As used herein, “sequence motif” means a pattern of nucleobases arranged along an oligonucleotide or portion thereof. Unless otherwise indicated, a sequence motif is independent of chemical modifications and thus may have any combination of chemical modifications, including no chemical modifications.


As used herein, “type of modification” in reference to a nucleoside or a nucleoside of a “type” means the chemical modification of a nucleoside and includes modified and unmodified nucleosides. Accordingly, unless otherwise indicated, a “nucleoside having a modification of a first type” may be an unmodified nucleoside.


As used herein, “differently modified” mean chemical modifications or chemical substituents that are different from one another, including absence of modifications. Thus, for example, a MOE nucleoside and an unmodified DNA nucleoside are “differently modified,” even though the DNA nucleoside is unmodified. Likewise, DNA and RNA are “differently modified,” even though both are naturally-occurring unmodified nucleosides. Nucleosides that are the same but for comprising different nucleobases are not differently modified. For example, a nucleoside comprising a 2′-OMe modified sugar and an unmodified adenine nucleobase and a nucleoside comprising a 2′-OMe modified sugar and an unmodified thymine nucleobase are not differently modified.


As used herein, “the same type of modifications” refers to modifications that are the same as one another, including absence of modifications. Thus, for example, two unmodified DNA nucleoside have “the same type of modification,” even though the DNA nucleoside is unmodified. Such nucleosides having the same type modification may comprise different nucleobases.


As used herein, “pharmaceutically acceptable carrier or diluent” means any substance suitable for use in administering to an animal. In certain embodiments, a pharmaceutically acceptable carrier or diluent is sterile saline. In certain embodiments, such sterile saline is pharmaceutical grade saline.


As used herein, “substituent” and “substituent group,” means an atom or group that replaces the atom or group of a named parent compound. For example a substituent of a modified nucleoside is any atom or group that differs from the atom or group found in a naturally occurring nucleoside (e.g., a modified 2′-substituent is any atom or group at the 2′-position of a nucleoside other than H or OH). Substituent groups can be protected or unprotected. In certain embodiments, compounds of the present invention have substituents at one or at more than one position of the parent compound. Substituents may also be further substituted with other substituent groups and may be attached directly or via a linking group such as an alkyl or hydrocarbyl group to a parent compound.


Likewise, as used herein, “substituent” in reference to a chemical functional group means an atom or group of atoms differs from the atom or a group of atoms normally present in the named functional group. In certain embodiments, a substituent replaces a hydrogen atom of the functional group (e.g., in certain embodiments, the substituent of a substituted methyl group is an atom or group other than hydrogen which replaces one of the hydrogen atoms of an unsubstituted methyl group). Unless otherwise indicated, groups amenable for use as substituents include without limitation, halogen, hydroxyl, alkyl, alkenyl, alkynyl, acyl (—C(O)Raa), carboxyl (—C(O)O—Raa), aliphatic groups, alicyclic groups, alkoxy, substituted oxy (—O—Raa), aryl, aralkyl, heterocyclic radical, heteroaryl, heteroarylalkyl, amino (—N(Rbb)(Rcc)), imino(═NRbb), amido (—C(O)N(Rbb)(Rcc) or —N(Rbb)C(O)Raa), azido (—N3), nitro (—NO2), cyano (—CN), carbamido (—OC(O)N(Rbb)(Rcc) or —N(Rbb)C(O)ORaa), ureido (—N(Rbb)C(O)N(Rbb)(Rcc)), thioureido (—N(Rbb)C(S)N(Rbb)—(Rcc)), guanidinyl (—N(Rbb)C(═NRbb)N(Rbb)(Rcc)), amidinyl (—C(═NRbb)N(Rbb)(Rcc) or —N(Rbb)C(═NRbb)(Raa)), thiol (—SRbb), sulfinyl (—S(O)Rbb), sulfonyl (—S(O)2Rbb) and sulfonamidyl (—S(O)2N(Rbb)(Rcc) or —N(Rbb)S—(O)2Rbb). Wherein each Raa, Rbb and Rcc is, independently, H, an optionally linked chemical functional group or a further substituent group with a preferred list including without limitation, alkyl, alkenyl, alkynyl, aliphatic, alkoxy, acyl, aryl, aralkyl, heteroaryl, alicyclic, heterocyclic and heteroarylalkyl. Selected substituents within the compounds described herein are present to a recursive degree.


As used herein, “alkyl,” as used herein, means a saturated straight or branched hydrocarbon radical containing up to twenty four carbon atoms. Examples of alkyl groups include without limitation, methyl, ethyl, propyl, butyl, isopropyl, n-hexyl, octyl, decyl, dodecyl and the like. Alkyl groups typically include from 1 to about 24 carbon atoms, more typically from 1 to about 12 carbon atoms (C1-C12 alkyl) with from 1 to about 6 carbon atoms being more preferred.


As used herein, “alkenyl,” means a straight or branched hydrocarbon chain radical containing up to twenty four carbon atoms and having at least one carbon-carbon double bond. Examples of alkenyl groups include without limitation, ethenyl, propenyl, butenyl, 1-methyl-2-buten-1-yl, dienes such as 1,3-butadiene and the like. Alkenyl groups typically include from 2 to about 24 carbon atoms, more typically from 2 to about 12 carbon atoms with from 2 to about 6 carbon atoms being more preferred. Alkenyl groups as used herein may optionally include one or more further substituent groups.


As used herein, “alkynyl,” means a straight or branched hydrocarbon radical containing up to twenty four carbon atoms and having at least one carbon-carbon triple bond. Examples of alkynyl groups include, without limitation, ethynyl, 1-propynyl, 1-butynyl, and the like. Alkynyl groups typically include from 2 to about 24 carbon atoms, more typically from 2 to about 12 carbon atoms with from 2 to about 6 carbon atoms being more preferred. Alkynyl groups as used herein may optionally include one or more further substituent groups.


As used herein, “acyl,” means a radical formed by removal of a hydroxyl group from an organic acid and has the general Formula —C(O)—X where X is typically aliphatic, alicyclic or aromatic. Examples include aliphatic carbonyls, aromatic carbonyls, aliphatic sulfonyls, aromatic sulfinyls, aliphatic sulfinyls, aromatic phosphates, aliphatic phosphates and the like. Acyl groups as used herein may optionally include further substituent groups.


As used herein, “alicyclic” means a cyclic ring system wherein the ring is aliphatic. The ring system can comprise one or more rings wherein at least one ring is aliphatic. Preferred alicyclics include rings having from about 5 to about 9 carbon atoms in the ring. Alicyclic as used herein may optionally include further substituent groups.


As used herein, “aliphatic” means a straight or branched hydrocarbon radical containing up to twenty four carbon atoms wherein the saturation between any two carbon atoms is a single, double or triple bond. An aliphatic group preferably contains from 1 to about 24 carbon atoms, more typically from 1 to about 12 carbon atoms with from 1 to about 6 carbon atoms being more preferred. The straight or branched chain of an aliphatic group may be interrupted with one or more heteroatoms that include nitrogen, oxygen, sulfur and phosphorus. Such aliphatic groups interrupted by heteroatoms include without limitation, polyalkoxys, such as polyalkylene glycols, polyamines, and polyimines. Aliphatic groups as used herein may optionally include further substituent groups.


As used herein, “alkoxy” means a radical formed between an alkyl group and an oxygen atom wherein the oxygen atom is used to attach the alkoxy group to a parent molecule. Examples of alkoxy groups include without limitation, methoxy, ethoxy, propoxy, isopropoxy, n-butoxy, sec-butoxy, tert-butoxy, n-pentoxy, neopentoxy, n-hexoxy and the like. Alkoxy groups as used herein may optionally include further substituent groups.


As used herein, “aminoalkyl” means an amino substituted C1-C12 alkyl radical. The alkyl portion of the radical forms a covalent bond with a parent molecule. The amino group can be located at any position and the aminoalkyl group can be substituted with a further substituent group at the alkyl and/or amino portions.


As used herein, “aralkyl” and “arylalkyl” mean an aromatic group that is covalently linked to a C1-C12 alkyl radical. The alkyl radical portion of the resulting aralkyl (or arylalkyl) group forms a covalent bond with a parent molecule. Examples include without limitation, benzyl, phenethyl and the like. Aralkyl groups as used herein may optionally include further substituent groups attached to the alkyl, the aryl or both groups that form the radical group.


As used herein, “aryl” and “aromatic” mean a mono- or polycyclic carbocyclic ring system radicals having one or more aromatic rings. Examples of aryl groups include without limitation, phenyl, naphthyl, tetrahydronaphthyl, indanyl, idenyl and the like. Preferred aryl ring systems have from about 5 to about 20 carbon atoms in one or more rings. Aryl groups as used herein may optionally include further substituent groups.


As used herein, “halo” and “halogen,” mean an atom selected from fluorine, chlorine, bromine and iodine.


As used herein, “heteroaryl,” and “heteroaromatic,” mean a radical comprising a mono- or poly-cyclic aromatic ring, ring system or fused ring system wherein at least one of the rings is aromatic and includes one or more heteroatoms. Heteroaryl is also meant to include fused ring systems including systems where one or more of the fused rings contain no heteroatoms. Heteroaryl groups typically include one ring atom selected from sulfur, nitrogen or oxygen. Examples of heteroaryl groups include without limitation, pyridinyl, pyrazinyl, pyrimidinyl, pyrrolyl, pyrazolyl, imidazolyl, thiazolyl, oxazolyl, isooxazolyl, thiadiazolyl, oxadiazolyl, thiophenyl, furanyl, quinolinyl, isoquinolinyl, benzimidazolyl, benzooxazolyl, quinoxalinyl and the like. Heteroaryl radicals can be attached to a parent molecule directly or through a linking moiety such as an aliphatic group or hetero atom. Heteroaryl groups as used herein may optionally include further substituent groups.


As used herein, “huntingtin transcript” means a transcript transcribed from a huntingtin gene.


As used herein, “Intracerebroventricular” or “ICV” means administration into the ventricular system of the brain.


B. Oligomeric Compounds

In certain embodiments, the present invention provides oligomeric compounds. In certain embodiments, such oligomeric compounds comprise oligonucleotides optionally comprising one or more conjugate and/or terminal groups. In certain embodiments, an oligomeric compound consists of an oligonucleotide. In certain embodiments, oligonucleotides comprise one or more chemical modifications.


Such chemical modifications include modifications of one or more nucleoside (including modifications to the sugar moiety and/or the nucleobase) and/or modifications to one or more internucleoside linkage.


a. Certain Modified Nucleosides


In certain embodiments, provided herein are oligomeric compounds comprising or consisting of oligonucleotides comprising at least one modified nucleoside. Such modified nucleosides comprise a modified sugar moeity, a modified nucleobase, or both a modified sugar moiety and a modified nucleobase.


i. Certain Modified Sugar Moieties


In certain embodiments, oligomeric compounds of the invention comprise one or more modified nucleosides comprising a modified sugar moiety. Such oligomeric compounds comprising one or more sugar-modified nucleosides may have desirable properties, such as enhanced nuclease stability or increased binding affinity with a target nucleic acid relative to oligomeric compounds comprising only nucleosides comprising naturally occurring sugar moieties. In certain embodiments, modified sugar moieties are substituted 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 substituted sugar moieties.


In certain embodiments, modified sugar moieties are substituted sugar moieties comprising one or more substituent, including but not limited to substituents at the 2′ and/or 5′ positions. Examples of sugar substituents suitable for the 2′-position, include, but are not limited to: 2′-F, 2′-OCH3 (“OMe” or “O-methyl”), and 2′-O(CH2)2O CH3 (“MOE”). In certain embodiments, sugar substituents at the 2′ position is selected from allyl, amino, azido, thio, O-allyl, O—C1-C10 alkyl, O—C1-C10 substituted alkyl; O— C1-C10 alkoxy; O— C1-C10 substituted alkoxy, OCF3, O(CH2)2SCH3, O(CH2)2—O—N(Rm)(Rn), and O—CH2—C(═O)—N(Rm)(Rn), where each Rm and Rn is, independently, H or substituted or unsubstituted C1-C10 alkyl. Examples of sugar substituents at the 5′-position, include, but are not limited to: 5′-methyl (R or S); 5′-vinyl, and 5′-methoxy. In certain embodiments, substituted sugars comprise more than one non-bridging sugar substituent, for example, 2′-F-5′-methyl sugar moieties (see, e.g., PCT International Application WO 2008/101157, for additional 5′, 2′-bis substituted sugar moieties and nucleosides).


Nucleosides comprising 2′-substituted sugar moieties are referred to as 2′-substituted nucleosides. In certain embodiments, a 2′-substituted nucleoside comprises a 2′-substituent group selected from halo, allyl, amino, azido, O—C1-C10 alkoxy; O—C1-C10 substituted alkoxy, SH, CN, OCN, CF3, OCF3, O-alkyl, S-alkyl, N(Rm)-alkyl; O-alkenyl, S-alkenyl, or 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)2—O—N(Rm)(Rn) or O—CH2—C(═O)—N(Rm)(Rn), where each Rm and Rn is, independently, H, an amino protecting group or substituted or unsubstituted C1-C10 alkyl. These 2′-substituent groups can be further substituted with one or more substituent groups independently selected from hydroxyl, amino, alkoxy, carboxy, benzyl, phenyl, nitro (NO2), thiol, thioalkoxy (S-alkyl), halogen, alkyl, aryl, alkenyl and alkynyl.


In certain embodiments, a 2′-substituted nucleoside comprises a 2′-substituent group selected from F, NH2, N3, OCF3, O—CH3, O(CH2)3NH2, CH2—CH═CH2, O—CH2—CH═CH2, OCH2CH2OCH3, O(CH2)2SCH3, O—(CH2)2—O—N(Rm)(Rn), O(CH2)2O(CH2)2N(CH3)2, and N-substituted acetamide (O—CH2—C(═O)—N(Rm)(Rn) where each Rm and Rn is, independently, H, an amino protecting group or substituted or unsubstituted C1-C10 alkyl.


In certain embodiments, a 2′-substituted nucleoside comprises a sugar moiety comprising a 2′-substituent group selected from F, OCF3, O—CH3, OCH2CH2OCH3, O(CH2)2SCH3, O—(CH2)2—O—N(CH3)2, —O(CH2)2O(CH2)2N(CH3)2, and O—CH2—C(═O)—N(H)CH3.


In certain embodiments, a 2′-substituted nucleoside comprises a sugar moiety comprising a 2′-substituent group selected from F, O—CH3, and OCH2CH2OCH3.


Certain modified sugar moieties comprise a bridging sugar substituent that forms a second ring resulting in a bicyclic sugar moiety. In certain such embodiments, the bicyclic sugar moiety comprises a bridge between the 4′ and the 2′ furanose ring atoms. Examples of such 4′ to 2′ sugar substituents, include, but are not limited to: —[C(Ra)(Rb)]n—, —[C(Ra)(Rb)]n—O—, —C(RaRb)—N(R)—O— or, —C(RaRb)—O—N(R)—; 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′ (cEt) and 4′-CH(CH2OCH3)—O-2′, and analogs thereof (see, e.g., U.S. Pat. No. 7,399,845, issued on Jul. 15, 2008); 4′-C(CH3)(CH3)—O-2′ and analogs thereof, (see, e.g., WO2009/006478, published Jan. 8, 2009); 4′-CH2—N(OCH3)-2′ and analogs thereof (see, e.g., WO2008/150729, published Dec. 11, 2008); 4′-CH2—O—N(CH3)-2′ (see, e.g., US2004/0171570, published Sep. 2, 2004); 4′-CH2—O—N(R)-2′, and 4′-CH2—N(R)-0-2′-, wherein each R is, independently, H, a protecting group, or C1-C12 alkyl; 4′-CH2—N(R)—O-2′, wherein R is H, C1-C12 alkyl, or a protecting group (see, U.S. Pat. No. 7,427,672, issued on Sep. 23, 2008); 4′-CH2—C(H)(CH3)-2′ (see, e.g., Chattopadhyaya, et al., J. Org. Chem., 2009, 74, 118-134); and 4′-CH2—C(═CH2)-2′ and analogs thereof (see, published PCT International Application WO 2008/154401, published on Dec. 8, 2008).


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)═C(Rb)—, —C(Ra)═N—, —C(═NRa)—, —C(═O)—, —C(═S)—, —O—, —Si(Ra)2—, —S(═O)x—, and —N(Ra)—;

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


Nucleosides comprising bicyclic sugar moieties are referred to as bicyclic nucleosides or BNAs. Bicyclic nucleosides include, but are not limited to, (A) α-L-Methyleneoxy (4′-CH2—O-2′) BNA, (B) β-D-Methyleneoxy (4′-CH2—O-2′) BNA (also referred to as locked nucleic acid or LNA), (C) Ethyleneoxy (4′-(CH2)2—O-2′) BNA, (D) Aminooxy (4′-CH2—O—N(R)-2′) BNA, (E) Oxyamino (4′-CH2—N(R)—O-2′) BNA, (F) Methyl(methyleneoxy) (4′-CH(CH3)—O-2′) BNA (also referred to as constrained ethyl or cEt), (G) methylene-thio (4′-CH2—S-2′) BNA, (H) methylene-amino (4′-CH2—N(R)-2′) BNA, (I) methyl carbocyclic (4′-CH2—CH(CH3)-2′) BNA, (J) propylene carbocyclic (4′-(CH2)3-2′) BNA, and (M) 4′-CH2—O—CH2-2′ as depicted below.




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wherein Bx is a nucleobase moiety and R is, independently, H, a protecting group, or C1-C12 alkyl.


Additional bicyclic sugar moieties are known in the art, for example: 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., Org. Chem., 1998, 63, 10035-10039; Srivastava et al., J. Am. Chem. Soc., 129(26) 8362-8379 (Jul. 4, 2007); 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; U.S. Pat. Nos. 7,053,207, 6,268,490, 6,770,748, 6,794,499, 7,034,133, 6,525,191, 6,670,461, and 7,399,845; WO 2004/106356, WO 1994/14226, WO 2005/021570, and WO 2007/134181; U.S. Patent Publication Nos. US2004/0171570, US2007/0287831, and US2008/0039618; U.S. patent Ser. Nos. 12/129,154, 60/989,574, 61/026,995, 61/026,998, 61/056,564, 61/086,231, 61/097,787, and 61/099,844; and PCT International Applications Nos. PCT/US2008/064591, PCT/US2008/066154, and PCT/US2008/068922.


In certain embodiments, bicyclic sugar moieties and nucleosides incorporating such bicyclic sugar moieties are further defined by isomeric configuration. For example, a nucleoside comprising a 4′-2′ methylene-oxy bridge, may be in the α-L configuration or in the β-D configuration. Previously, α-L-methyleneoxy (4′-CH2—O-2′) bicyclic nucleosides have been incorporated into antisense oligonucleotides that showed antisense activity (Frieden et al., Nucleic Acids Research, 2003, 21, 6365-6372).


In certain embodiments, substituted 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). (see, PCT International Application WO 2007/134181, published on Nov. 22, 2007, wherein LNA is substituted with, for example, a 5′-methyl or a 5′-vinyl group).


In certain embodiments, modified sugar moieties are sugar surrogates. In certain such embodiments, the oxygen atom of the naturally occurring sugar is substituted, e.g., with a sulfur, carbon or nitrogen atom. In certain such embodiments, such modified sugar moiety also comprises bridging and/or non-bridging substituents as described above. For example, certain sugar surrogates comprise a 4′-sulfer atom and a substitution at the 2′-position (see, e.g., published U.S. Patent Application US2005/0130923, published on Jun. 16, 2005) and/or the 5′ position. By way of additional example, carbocyclic bicyclic nucleosides having a 4′-2′ bridge have been described (see, e.g., Freier et al., Nucleic Acids Research, 1997, 25(22), 4429-4443 and Albaek et al., J. Org. Chem., 2006, 71, 7731-7740).


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. 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 Leumann, C J. Bioorg. & Med. Chem. (2002) 10:841-854), fluoro HNA (F-HNA), and those compounds having Formula VII:




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wherein independently for each of said at least one tetrahydropyran nucleoside analog of Formula VII:

    • Bx is a nucleobase moiety;
    • T3 and T4 are each, independently, an internucleoside linking group linking the tetrahydropyran nucleoside analog to the antisense compound or one of T3 and T4 is an internucleoside linking group linking the tetrahydropyran nucleoside analog to the antisense compound 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, the modified THP nucleosides of Formula VII 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, THP nucleosides of Formula VII are provided wherein one of R1 and R2 is F. In certain embodiments, R1 is fluoro and R2 is H, R1 is methoxy and R2 is H, and R1 is methoxyethoxy and R2 is H.


Many other bicyclic and tricyclic sugar and sugar surrogate ring systems are known in the art that can be used to modify nucleosides (see, e.g., review article: Leumann, J. C, Bioorganic & Medicinal Chemistry, 2002, 10, 841-854).


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 oligomeric compounds has been reported (see for example: Braasch et al., Biochemistry, 2002, 41, 4503-4510; and U.S. Pat. Nos. 5,698,685; 5,166,315; 5,185,444; and 5,034,506). As used here, the term “morpholino” means a sugar surrogate having the following structure:




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


Combinations of modifications are also provided without limitation, such as 2′-F-5′-methyl substituted nucleosides (see PCT International Application WO 2008/101157 Published on Aug. 21, 2008 for other disclosed 5′, 2′-bis substituted nucleosides) and replacement of the ribosyl ring oxygen atom with S and further substitution at the 2′-position (see published U.S. Patent Application US2005-0130923, published on Jun. 16, 2005) or alternatively 5′-substitution of a bicyclic nucleic acid (see PCT International Application WO 2007/134181, published on Nov. 22, 2007 wherein a 4′-CH2—O-2′ bicyclic nucleoside is further substituted at the 5′ position with a 5′-methyl or a 5′-vinyl group). The synthesis and preparation of carbocyclic bicyclic nucleosides along with their oligomerization and biochemical studies have also been described (see, e.g., Srivastava et al., J. Am. Chem. Soc. 2007, 129(26), 8362-8379).


In certain embodiments, the present invention provides oligonucleotides comprising modified nucleosides. Those modified nucleotides may include modified sugars, modified nucleobases, and/or modified linkages. The specific modifications are selected such that the resulting oligonucleotides possess desirable characteristics. In certain embodiments, oligonucleotides comprise one or more RNA-like nucleosides. In certain embodiments, oligonucleotides comprise one or more DNA-like nucleotides.


ii. Certain Modified Nucleobases


In certain embodiments, nucleosides of the present invention comprise one or more unmodified nucleobases. In certain embodiments, nucleosides of the present invention comprise one or more modified nucleobases.


In certain embodiments, modified nucleobases are selected from: universal bases, hydrophobic bases, promiscuous bases, size-expanded bases, and fluorinated bases as defined herein. 5-substituted pyrimidines, 6-azapyrimidines and N-2, N-6 and 0-6 substituted purines, including 2-aminopropyladenine, 5-propynyluracil; 5-propynylcytosine; 5-hydroxymethyl cytosine, xanthine, hypoxanthine, 2-aminoadenine, 6-methyl and other alkyl derivatives of adenine and guanine, 2-propyl and other alkyl derivatives of adenine and guanine, 2-thiouracil, 2-thiothymine and 2-thiocytosine, 5-halouracil and cytosine, 5-propynyl CH3) uracil and cytosine and other alkynyl derivatives of pyrimidine bases, 6-azo uracil, cytosine and thymine, 5-uracil (pseudouracil), 4-thiouracil, 8-halo, 8-amino, 8-thiol, 8-thioalkyl, 8-hydroxyl and other 8-substituted adenines and guanines, 5-halo particularly 5-bromo, 5-trifluoromethyl and other 5-substituted uracils and cytosines, 7-methylguanine and 7-methyladenine, 2-F-adenine, 2-amino-adenine, 8-azaguanine and 8-azaadenine, 7-deazaguanine and 7-deazaadenine, 3-deazaguanine and 3-deazaadenine, universal bases, hydrophobic bases, promiscuous bases, size-expanded bases, and fluorinated bases as defined herein. Further modified nucleobases include tricyclic pyrimidines such as phenoxazine cytidine([5,4-b][1,4]benzoxazin-2(3H)-one), phenothiazine cytidine (1H-pyrimido[5,4-b][1,4]benzothiazin-2(3H)-one), G-clamps such as a substituted phenoxazine cytidine (e.g. 9-(2-aminoethoxy)-H-pyrimido[5,4-b][1,4]benzoxazin-2(3H)-one), carbazole cytidine (2H-pyrimido[4,5-b]indol-2-one), pyridoindole cytidine (H-pyrido[3′,2′:4,5]pyrrolo[2,3-d]pyrimidin-2-one). 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 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; those disclosed by Englisch et al., Angewandte Chemie, International Edition, 1991, 30, 613; and those disclosed by Sanghvi, Y. S., Chapter 15, Antisense Research and Applications, Crooke, S. T. and Lebleu, B., Eds., CRC Press, 1993, 273-288.


Representative United States patents that teach the preparation of certain of the above noted modified nucleobases as well as other modified nucleobases include without limitation, U.S. Pat. Nos. 3,687,808; 4,845,205; 5,130,302; 5,134,066; 5,175,273; 5,367,066; 5,432,272; 5,457,187; 5,459,255; 5,484,908; 5,502,177; 5,525,711; 5,552,540; 5,587,469; 5,594,121; 5,596,091; 5,614,617; 5,645,985; 5,681,941; 5,750,692; 5,763,588; 5,830,653 and 6,005,096, certain of which are commonly owned with the instant application, and each of which is herein incorporated by reference in its entirety.


a. Certain Internucleoside Linkages


In certain embodiments, nucleosides may be linked together using any internucleoside linkage to form oligonucleotides. 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 (P═O), phosphotriesters, methylphosphonates, phosphoramidate, and phosphorothioates (P═S). Representative non-phosphorus containing internucleoside linking groups include, but are not limited to, methylenemethylimino (—CH2—N(CH3)—O—CH2—), thiodiester (—O—C(O)—S—), thionocarbamate (—O—C(O)(NH)—S—); siloxane (—O—Si(H)2—O—); and N,N′-dimethylhydrazine (—CH2—N(CH3)—N(CH3)—). Modified linkages, compared to natural phosphodiester linkages, can be used to alter, typically increase, nuclease resistance of the oligonucleotide. In certain embodiments, internucleoside linkages having a chiral atom can be prepared as a racemic mixture, or as separate enantiomers. Representative chiral linkages include, but are not limited to, alkylphosphonates and phosphorothioates. Methods of preparation of phosphorous-containing and non-phosphorous-containing internucleoside linkages are well known to those skilled in the art.


The oligonucleotides described herein contain one or more asymmetric centers and thus give rise to enantiomers, diastereomers, and other stereoisomeric configurations that may be defined, in terms of absolute stereochemistry, as (R) or (S), α or β such as for sugar anomers, or as (D) or (L) such as for amino acids etc. Included in the antisense compounds provided herein are all such possible isomers, as well as their racemic and optically pure forms.


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′), 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.


iii. 3′-Endo Modifications


In one aspect of the present disclosure, oligomeric compounds include nucleosides synthetically modified to induce a 3′-endo sugar conformation. A nucleoside can incorporate synthetic modifications of the heterocyclic base moiety, the sugar moiety or both to induce a desired 3′-endo sugar conformation. These modified nucleosides are used to mimic RNA like nucleosides so that particular properties of an oligomeric compound can be enhanced while maintaining the desirable 3′-endo conformational geometry. There is an apparent preference for an RNA type duplex (A form helix, predominantly 3′-endo) as a requirement of RNA interference which is supported in part by the fact that duplexes composed of 2′-deoxy-2′-F-nucleosides appear efficient in triggering RNAi response in the C. elegans system. Properties that are enhanced by using more stable 3′-endo nucleosides include but aren't limited to modulation of pharmacokinetic properties through modification of protein binding, protein off-rate, absorption and clearance; modulation of nuclease stability as well as chemical stability; modulation of the binding affinity and specificity of the oligomer (affinity and specificity for enzymes as well as for complementary sequences); and increasing efficacy of RNA cleavage. The present invention provides oligomeric compounds having one or more nucleosides modified in such a way as to favor a C3′-endo type conformation.




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Nucleoside conformation is influenced by various factors including substitution at the 2′, 3′ or 4′-positions of the pentofuranosyl sugar. Electronegative substituents generally prefer the axial positions, while sterically demanding substituents generally prefer the equatorial positions (Principles of Nucleic Acid Structure, Wolfgang Sanger, 1984, Springer-Verlag.) Modification of the 2′ position to favor the 3′-endo conformation can be achieved while maintaining the 2′-OH as a recognition element, as exemplified in Example 35, below (Gallo et al., Tetrahedron (2001), 57, 5707-5713. Harry-O'kuru et al., J. Org. Chem., (1997), 62(6), 1754-1759 and Tang et al., J. Org. Chem. (1999), 64, 747-754.) Alternatively, preference for the 3′-endo conformation can be achieved by deletion of the 2′-OH as exemplified by 2′deoxy-2′F-nucleosides (Kawasaki et al., J. Med. Chem. (1993), 36, 831-841), which adopts the 3′-endo conformation positioning the electronegative fluorine atom in the axial position. Other modifications of the ribose ring, for example substitution at the 4′-position to give 4′-F modified nucleosides (Guillerm et al., Bioorganic and Medicinal Chemistry Letters (1995), 5, 1455-1460 and Owen et al., J. Org. Chem. (1976), 41, 3010-3017), or for example modification to yield methanocarba nucleoside analogs (Jacobson et al., J. Med. Chem. Lett. (2000), 43, 2196-2203 and Lee et al., Bioorganic and Medicinal Chemistry Letters (2001), 11, 1333-1337) also induce preference for the 3′-endo conformation. Some modifications actually lock the conformational geometry by formation of a bicyclic sugar moiety e.g. locked nucleic acid (LNA, Singh et al, Chem. Commun. (1998), 4, 455-456), and ethylene bridged nucleic acids (ENA, Morita et al, Bioorganic & Medicinal Chemistry Letters (2002), 12, 73-76.)


b. Certain Motifs


In certain embodiments, oligomeric compounds comprise or consist of oligonucleotides. In certain embodiments, such oligonucleotides comprise one or more chemical modification. In certain embodiments, chemically modified oligonucleotides comprise one or more modified sugars. In certain embodiments, chemically modified oligonucleotides comprise one or more modified nucleobases. In certain embodiments, chemically modified oligonucleotides comprise one or more modified internucleoside linkages. In certain embodiments, the chemical modifications (sugar modifications, nucleobase modifications, and/or linkage modifications) define a pattern or motif. In certain embodiments, the patterns of chemical modifications of sugar moieties, internucleoside linkages, and nucleobases are each independent of one another. Thus, an oligonucleotide may be described by its sugar modification motif, internucleoside linkage motif and/or nucleobase modification motif (as used herein, nucleobase modification motif describes the chemical modifications to the nucleobases independent of the sequence of nucleobases).


iv. Certain Sugar Motifs


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


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


v. Certain Nucleobase Modification Motifs


In certain embodiments, oligonucleotides comprise chemical modifications to nucleobases arranged along the oligonucleotide or region thereof in a defined pattern or nucleobases modification motif. In certain embodiments, each nucleobase is modified. In certain embodiments, none of the nucleobases is chemically modified.


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


In certain embodiments, nucleobase modifications are a function of the natural base at a particular position of an oligonucleotide. For example, in certain embodiments each purine or each pyrimidine in an oligonucleotide is modified. In certain embodiments, each adenine is modified. In certain embodiments, each guanine is modified. In certain embodiments, each thymine is modified. In certain embodiments, each cytosine is modified. In certain embodiments, each uracil is modified.


In certain embodiments, oligonucleotides comprise one or more nucleosides comprising a modified nucleobase. In certain embodiments, oligonucleotides having a gapmer sugar motif comprise a nucleoside comprising a modified nucleobase. In certain such embodiments, one nucleoside comprising a modified nucleobases is in the central gap of an oligonucleotide having a gapmer sugar motif. In certain embodiments, the sugar is an unmodified 2′deoxynucleoside. In certain embodiments, the modified nucleobase is selected from: a 2-thio pyrimidine and a 5-propyne pyrimidine


In certain embodiments, some, all, or none of the cytosine moieties in an oligonucleotide are 5-methyl cytosine moieties. Herein, 5-methyl cytosine is not a “modified nucleobase.” Accordingly, unless otherwise indicated, unmodified nucleobases include both cytosine residues having a 5-methyl and those lacking a 5 methyl. In certain embodiments, the methylation state of all or some cytosine nucleobases is specified.


vi. Certain Nucleoside Motifs


In certain embodiments, oligonucleotides comprise nucleosides comprising modified sugar moieties and/or nucleosides comprising modified nucleobases. Such motifs can be described by their sugar motif and their nucleobase motif separately or by their nucleoside motif, which provides positions or patterns of modified nucleosides (whether modified sugar, nucleobase, or both sugar and nucleobase) in an oligonucleotide.


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


vii. Certain 5′-Wings


In certain embodiments, the 5′-wing of a gapmer consists of 1 to 6 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 1 to 5 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 2 to 5 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 3 to 5 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 4 or 5 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 1 to 4 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 1 to 3 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 1 or 2 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 2 to 4 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 2 or 3 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 3 or 4 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 1 nucleoside. In certain embodiments, the 5′-wing of a gapmer consists of 2 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 3 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 4 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 5 linked nucleosides. In certain embodiments, the 5′-wing of a gapmer consists of 6 linked nucleosides.


In certain embodiments, the 5′-wing of a gapmer comprises at least one bicyclic nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least two bicyclic nucleosides. In certain embodiments, the 5′-wing of a gapmer comprises at least three bicyclic nucleosides. In certain embodiments, the 5′-wing of a gapmer comprises at least four bicyclic nucleosides. In certain embodiments, the 5′-wing of a gapmer comprises at least one constrained ethyl nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one LNA nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a bicyclic nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a constrained ethyl nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a LNA nucleoside.


In certain embodiments, the 5′-wing of a gapmer comprises at least one non-bicyclic modified nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one 2′-substituted nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one 2′-MOE nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one 2′-OMe nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a non-bicyclic modified nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a 2′-substituted nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a 2′-MOE nucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a 2′-OMe nucleoside.


In certain embodiments, the 5′-wing of a gapmer comprises at least one 2′-deoxynucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a 2′-deoxynucleoside. In a certain embodiments, the 5′-wing of a gapmer comprises at least one ribonucleoside. In certain embodiments, each nucleoside of the 5′-wing of a gapmer is a ribonucleoside. In certain embodiments, one, more than one, or each of the nucleosides of the 5′-wing is an RNA-like nucleoside.


In certain embodiments, the 5′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one non-bicyclic modified nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-substituted nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-MOE nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-OMe nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-deoxynucleoside.


In certain embodiments, the 5′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one non-bicyclic modified nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-substituted nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-MOE nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-OMe nucleoside. In certain embodiments, the 5′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-deoxynucleoside.


In certain embodiments, the 5′-wing of a gapmer has a nucleoside motif selected from among the following: ADDA; ABDAA; ABBA; ABB; ABAA; AABAA; AAABAA; AAAABAA; AAAAABAA; AAABAA; AABAA; ABAB; ABADB; ABADDB; AAABB; AAAAA; ABBDC; ABDDC; ABBDCC; ABBDDC; ABBDCC; ABBC; AA; AAA; AAAA; AAAAB; AAAAAAA; AAAAAAAA; ABBB; AB; ABAB; AAAAB; AABBB; AAAAB; and AABBB, wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type, each C is a modified nucleoside of a third type, and each D is an unmodified deoxynucleoside.


In certain embodiments, the 5′-wing of a gapmer has a nucleoside motif selected from among the following: AB, ABB, AAA, BBB, BBBAA, AAB, BAA, BBAA, AABB, AAAB, ABBW, ABBWW, ABBB, ABBBB, ABAB, ABABAB, ABABBB, ABABAA, AAABB, AAAABB, AABB, AAAAB, AABBB, ABBBB, BBBBB, AAABW, AAAAA, BBBBAA, and AAABW; wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type, and each W is a modified nucleoside of either the first type, the second type or a third type.


In certain embodiments, the 5′-wing of a gapmer has a nucleoside motif selected from among the following: ABB; ABAA; AABAA; AAABAA; ABAB; ABADB; AAABB; AAAAA; AA; AAA; AAAA; AAAAB; ABBB; AB; and ABAB; wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type, and each W is a modified nucleoside of either the first type, the second type or a third type.


In certain embodiments, an oligonucleotide comprises any 5′-wing motif provided herein. In certain such embodiments, the oligonucleotide is a 5′-hemimer (does not comprise a 3′-wing). In certain embodiments, such an oligonucleotide is a gapmer. In certain such embodiments, the 3′-wing of the gapmer may comprise any nucleoside motif.


In certain embodiments, the 5′-wing of a gapmer has a sugar motif selected from among those listed in the following non-limiting tables:









TABLE 1





Certain 5′-Wing Sugar Motifs


Certain 5′-Wing Sugar Motifs



















AAAAA
ABCBB
BABCC
BCBBA
CBACC





AAAAB
ABCBC
BACAA
BCBBB
CBBAA





AAAAC
ABCCA
BACAB
BCBBC
CBBAB





AAABA
ABCCB
BACAC
BCBCA
CBBAC





AAABB
ABCCC
BACBA
BCBCB
CBBBA





AAABC
ACAAA
BACBB
BCBCC
CBBBB





AAACA
ACAAB
BACBC
BCCAA
CBBBC





AAACB
ACAAC
BACCA
BCCAB
CBBCA





AAACC
ACABA
BACCB
BCCAC
CBBCB





AABAA
ACABB
BACCC
BCCBA
CBBCC





AABAB
ACABC
BBAAA
BCCBB
CBCAA





AABAC
ACACA
BBAAB
BCCBC
CBCAB





AABBA
ACACB
BBAAC
BCCCA
CBCAC





AABBB
ACACC
BBABA
BCCCB
CBCBA





AABBC
ACBAA
BBABB
BCCCC
CBCBB





AABCA
ACBAB
BBABC
CAAAA
CBCBC





AABCB
ACBAC
BBACA
CAAAB
CBCCA





AABCC
ACBBA
BBACB
CAAAC
CBCCB





AACAA
ACBBB
BBACC
CAABA
CBCCC





AACAB
ACBBC
BBBAA
CAABB
CCAAA





AACAC
ACBCA
BBBAB
CAABC
CCAAB





AACBA
ACBCB
BBBAC
CAACA
CCAAC





AACBB
ACBCC
BBBBA
CAACB
CCABA





AACBC
ACCAA
BBBBB
CAACC
CCABB





AACCA
ACCAB
BBBBC
CABAA
CCABC





AACCB
ACCAC
BBBCA
CABAB
CCACA





AACCC
ACCBA
BBBCB
CABAC
CCACB





ABAAA
ACCBB
BBBCC
CABBA
CCACC





ABAAB
ACCBC
BBCAA
CABBB
CCBAA





ABAAC
ACCCA
BBCAB
CABBC
CCBAB





ABABA
ACCCB
BBCAC
CABCA
CCBAC





ABABB
ACCCC
BBCBA
CABCB
CCBBA





ABABC
BAAAA
BBCBB
CABCC
CCBBB





ABACA
BAAAB
BBCBC
CACAA
CCBBC





ABACB
BAAAC
BBCCA
CACAB
CCBCA





ABACC
BAABA
BBCCB
CACAC
CCBCB





ABBAA
BAABB
BBCCC
CACBA
CCBCC





ABBAB
BAABC
BCAAA
CACBB
CCCAA





ABBAC
BAACA
BCAAB
CACBC
CCCAB





ABBBA
BAACB
BCAAC
CACCA
CCCAC





ABBBB
BAACC
BCABA
CACCB
CCCBA





ABBBC
BABAA
BCABB
CACCC
CCCBB





ABBCA
BABAB
BCABC
CBAAA
CCCBC





ABBCB
BABAC
BCACA
CBAAB
CCCCA





ABBCC
BABBA
BCACB
CBAAC
CCCCB





ABCAA
BABBB
BCACC
CBABA
CCCCC





ABCAB
BABBC
BCBAA
CBABB






ABCAC
BABCA
BCBAB
CBABC






ABCBA
BABCB
BCBAC
CBACA
















TABLE 2





Certain 5′-Wing Sugar Motifs


Certain 5′-Wing Sugar Motifs



















AAAAA
BABC
CBAB
ABBB
BAA





AAAAB
BACA
CBAC
BAAA
BAB





AAABA
BACB
CBBA
BAAB
BBA





AAABB
BACC
CBBB
BABA
BBB





AABAA
BBAA
CBBC
BABB
AA





AABAB
BBAB
CBCA
BBAA
AB





AABBA
BBAC
CBCB
BBAB
AC





AABBB
BBBA
CBCC
BBBA
BA





ABAAA
BBBB
CCAA
BBBB
BB





ABAAB
BBBC
CCAB
AAA
BC





ABABA
BBCA
CCAC
AAB
CA





ABABB
BBCB
CCBA
AAC
CB





ABBAA
BBCC
CCBB
ABA
CC





ABBAB
BCAA
CCBC
ABB
AA





ABBBA
BCAB
CCCA
ABC
AB





ABBBB
BCAC
CCCB
ACA
BA





BAAAA
ABCB
BCBA
ACB






BAAAB
ABCC
BCBB
ACC






BAABA
ACAA
BCBC
BAA






BAABB
ACAB
BCCA
BAB






BABAA
ACAC
BCCB
BAC






BABAB
ACBA
BCCC
BBA






BABBA
ACBB
CAAA
BBB






BABBB
ACBC
CAAB
BBC






BBAAA
ACCA
CAAC
BCA






BBAAB
ACCB
CABA
BCB






BBABA
ACCC
CABB
BCC






BBABB
BAAA
CABC
CAA






BBBAA
BAAB
CACA
CAB






BBBAB
BAAC
CACB
CAC






BBBBA
BABA
CACC
CBA






BBBBB
BABB
CBAA
CBB






AAAA
AACC
CCCC
CBC






AAAB
ABAA
AAAA
CCA






AAAC
ABAB
AAAB
CCB






AABA
ABAC
AABA
CCC






AABB
ABBA
AABB
AAA






AABC
ABBB
ABAA
AAB






AACA
ABBC
ABAB
ABA






AACB
ABCA
ABBA
ABB









In certain embodiments, each A, each B, and each C located at the 3′-most 5′-wing nucleoside is a modified nucleoside. For example, in certain embodiments the 5′-wing motif is selected from among ABB, BBB, and CBB, wherein the underlined nucleoside represents the 3′-most 5′-wing nucleoside and wherein the underlined nucleoside is a modified nucleoside. In certain embodiments, the the 3′-most 5′-wing nucleoside comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, the the 3′-most 5′-wing nucleoside comprises a bicyclic sugar moiety selected from among cEt and LNA. In certain embodiments, the the 3′-most 5′-wing nucleoside comprises cEt. In certain embodiments, the the 3′-most 5′-wing nucleoside comprises LNA.


In certain embodiments, each A comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each A comprises a modified sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety selected from among F, ara-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each A comprises a bicyclic sugar moiety. In certain embodiments, each A comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each A comprises a modified nucleobase. In certain embodiments, each A comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne uridine nucleoside. In certain embodiments, each A comprises an HNA. In certain embodiments, each A comprises a F-HNA. In certain embodiments, each A comprises a 5′-substituted sugar moiety selected from among 5′-Me DNA, and 5′-(R)-Me DNA.


In certain embodiments, each B comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each B comprises a modified sugar moiety. In certain embodiments, each B comprises a 2′-substituted sugar moiety. In certain embodiments, each B comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each B comprises a bicyclic sugar moiety. In certain embodiments, each B comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each B comprises a modified nucleobase. In certain embodiments, each B comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne urindine nucleoside. In certain embodiments, each B comprises an HNA. In certain embodiments, each B comprises a F-HNA. In certain embodiments, each B comprises a 5′-substituted sugar moiety selected from among 5′-Me DNA, and 5′-(R)-Me DNA.


In certain embodiments, each A comprises a 2′-substituted sugar moiety selected from among F, ara-F, OCH3 and O(CH2)2—OCH3 and each B comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each A comprises O(CH2)2—OCH3 and each B comprises cEt.


In certain embodiments, each C comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each C comprises a modified sugar moiety. In certain embodiments, each C comprises a 2′-substituted sugar moiety. In certain embodiments, each C comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each C comprises a 5′-substituted sugar moiety. In certain embodiments, each C comprises a 5′-substituted sugar moiety selected from among 5′-Me DNA, and 5′-(R)-Me DNA. In certain embodiments, each C comprises a bicyclic sugar moiety. In certain embodiments, each C comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each C comprises a modified nucleobase. In certain embodiments, each C comprises a modified nucleobase selected from among 2-thio-thymidine and 5-propyne uridine. In certain embodiments, each C comprises a 2-thio-thymidine nucleoside. In certain embodiments, each C comprises an HNA. In certain embodiments, each C comprises an F-HNA.


viii. Certain 3′-Wings


In certain embodiments, the 3′-wing of a gapmer consists of 1 to 6 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 1 to 5 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 2 to 5 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 3 to 5 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 4 or 5 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 1 to 4 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 1 to 3 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 1 or 2 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 2 to 4 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 2 or 3 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 3 or 4 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 1 nucleoside. In certain embodiments, the 3′-wing of a gapmer consists of 2 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 3 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 4 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 5 linked nucleosides. In certain embodiments, the 3′-wing of a gapmer consists of 6 linked nucleosides.


In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a bicyclic nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a constrained ethyl nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a LNA nucleoside.


In certain embodiments, the 3′-wing of a gapmer comprises at least one non-bicyclic modified nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least two non-bicyclic modified nucleosides. In certain embodiments, the 3′-wing of a gapmer comprises at least three non-bicyclic modified nucleosides. In certain embodiments, the 3′-wing of a gapmer comprises at least four non-bicyclic modified nucleosides. In certain embodiments, the 3′-wing of a gapmer comprises at least one 2′-substituted nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one 2′-MOE nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one 2′-OMe nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a non-bicyclic modified nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a 2′-substituted nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a 2′-MOE nucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a 2′-OMe nucleoside.


In certain embodiments, the 3′-wing of a gapmer comprises at least one 2′-deoxynucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a 2′-deoxynucleoside. In a certain embodiments, the 3′-wing of a gapmer comprises at least one ribonucleoside. In certain embodiments, each nucleoside of the 3′-wing of a gapmer is a ribonucleoside. In certain embodiments, one, more than one, or each of the nucleosides of the 5′-wing is an RNA-like nucleoside.


In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one non-bicyclic modified nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-substituted nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-MOE nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-OMe nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside and at least one 2′-deoxynucleoside.


In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one non-bicyclic modified nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-substituted nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-MOE nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-OMe nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside and at least one 2′-deoxynucleoside.


In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside and at least one non-bicyclic modified nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside and at least one 2′-substituted nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside and at least one 2′-MOE nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside and at least one 2′-OMe nucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside and at least one 2′-deoxynucleoside.


In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside, at least one non-bicyclic modified nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside, at least one non-bicyclic modified nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside, at least one non-bicyclic modified nucleoside, and at least one 2′-deoxynucleoside.


In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside, at least one 2′-substituted nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside, at least one 2′-substituted nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside, at least one 2′-substituted nucleoside, and at least one 2′-deoxynucleoside.


In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside, at least one 2′-MOE nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside, at least one 2′-MOE nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside, at least one 2′-MOE nucleoside, and at least one 2′-deoxynucleoside.


In certain embodiments, the 3′-wing of a gapmer comprises at least one bicyclic nucleoside, at least one 2′-OMe nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one constrained ethyl nucleoside, at least one 2′-OMe nucleoside, and at least one 2′-deoxynucleoside. In certain embodiments, the 3′-wing of a gapmer comprises at least one LNA nucleoside, at least one 2′-OMe nucleoside, and at least one 2′-deoxynucleoside.


In certain embodiments, the 3′-wing of a gapmer has a nucleoside motif selected from among the following: ABB, ABAA, AAABAA, AAAAABAA, AABAA, AAAABAA, AAABAA, ABAB, AAAAA, AAABB, AAAAAAAA, AAAAAAA, AAAAAA, AAAAB, AAAA, AAA, AA, AB, ABBB, ABAB, AABBB; wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type. In certain embodiments, an oligonucleotide comprises any 3′-wing motif provided herein. In certain such embodiments, the oligonucleotide is a 3′-hemimer (does not comprise a 5′-wing). In certain embodiments, such an oligonucleotide is a gapmer. In certain such embodiments, the 5′-wing of the gapmer may comprise any nucleoside motif.


In certain embodiments, the 3′-wing of a gapmer has a nucleoside motif selected from among the following: BBA, AAB, AAA, BBB, BBAA, AABB, WBBA, WAAB, BBBA, BBBBA, BBBB, BBBBBA, ABBBBB, BBAAA, AABBB, BBBAA, BBBBA, BBBBB, BABA, AAAAA, BBAAAA, AABBBB, BAAAA, and ABBBB, wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type, and each W is a modified nucleoside of either the first type, the second type or a third type.


In certain embodiments, the 3′-wing of a gapmer has a nucleoside motif selected from among the following: ABB; AAABAA; AABAA; AAAABAA; AAAAA; AAABB; AAAAAAAA; AAAAAAA; AAAAAA; AAAAB; AB; ABBB; and ABAB, wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type, and each W is a modified nucleoside of either the first type, the second type or a third type.


In certain embodiments, the 3′-wing of a gapmer has a sugar motif selected from among those listed in the following non-limiting tables:









TABLE 3





Certain 3′-Wing Sugar Motifs


Certain 3′-Wing Sugar Motifs



















AAAAA
ABCBB
BABCC
BCBBA
CBACC





AAAAB
ABCBC
BACAA
BCBBB
CBBAA





AAAAC
ABCCA
BACAB
BCBBC
CBBAB





AAABA
ABCCB
BACAC
BCBCA
CBBAC





AAABB
ABCCC
BACBA
BCBCB
CBBBA





AAABC
ACAAA
BACBB
BCBCC
CBBBB





AAACA
ACAAB
BACBC
BCCAA
CBBBC





AAACB
ACAAC
BACCA
BCCAB
CBBCA





AAACC
ACABA
BACCB
BCCAC
CBBCB





AABAA
ACABB
BACCC
BCCBA
CBBCC





AABAB
ACABC
BBAAA
BCCBB
CBCAA





AABAC
ACACA
BBAAB
BCCBC
CBCAB





AABBA
ACACB
BBAAC
BCCCA
CBCAC





AABBB
ACACC
BBABA
BCCCB
CBCBA





AABBC
ACBAA
BBABB
BCCCC
CBCBB





AABCA
ACBAB
BBABC
CAAAA
CBCBC





AABCB
ACBAC
BBACA
CAAAB
CBCCA





AABCC
ACBBA
BBACB
CAAAC
CBCCB





AACAA
ACBBB
BBACC
CAABA
CBCCC





AACAB
ACBBC
BBBAA
CAABB
CCAAA





AACAC
ACBCA
BBBAB
CAABC
CCAAB





AACBA
ACBCB
BBBAC
CAACA
CCAAC





AACBB
ACBCC
BBBBA
CAACB
CCABA





AACBC
ACCAA
BBBBB
CAACC
CCABB





AACCA
ACCAB
BBBBC
CABAA
CCABC





AACCB
ACCAC
BBBCA
CABAB
CCACA





AACCC
ACCBA
BBBCB
CABAC
CCACB





ABAAA
ACCBB
BBBCC
CABBA
CCACC





ABAAB
ACCBC
BBCAA
CABBB
CCBAA





ABAAC
ACCCA
BBCAB
CABBC
CCBAB





ABABA
ACCCB
BBCAC
CABCA
CCBAC





ABABB
ACCCC
BBCBA
CABCB
CCBBA





ABABC
BAAAA
BBCBB
CABCC
CCBBB





ABACA
BAAAB
BBCBC
CACAA
CCBBC





ABACB
BAAAC
BBCCA
CACAB
CCBCA





ABACC
BAABA
BBCCB
CACAC
CCBCB





ABBAA
BAABB
BBCCC
CACBA
CCBCC





ABBAB
BAABC
BCAAA
CACBB
CCCAA





ABBAC
BAACA
BCAAB
CACBC
CCCAB





ABBBA
BAACB
BCAAC
CACCA
CCCAC





ABBBB
BAACC
BCABA
CACCB
CCCBA





ABBBC
BABAA
BCABB
CACCC
CCCBB





ABBCA
BABAB
BCABC
CBAAA
CCCBC





ABBCB
BABAC
BCACA
CBAAB
CCCCA





ABBCC
BABBA
BCACB
CBAAC
CCCCB





ABCAA
BABBB
BCACC
CBABA
CCCCC





ABCAB
BABBC
BCBAA
CBABB






ABCAC
BABCA
BCBAB
CBABC






ABCBA
BABCB
BCBAC
CBACA
















TABLE 4





Certain 3′-Wing Sugar Motifs


Certain 3′-Wing Sugar Motifs



















AAAAA
BABC
CBAB
ABBB
BAA





AAAAB
BACA
CBAC
BAAA
BAB





AAABA
BACB
CBBA
BAAB
BBA





AAABB
BACC
CBBB
BABA
BBB





AABAA
BBAA
CBBC
BABB
AA





AABAB
BBAB
CBCA
BBAA
AB





AABBA
BBAC
CBCB
BBAB
AC





AABBB
BBBA
CBCC
BBBA
BA





ABAAA
BBBB
CCAA
BBBB
BB





ABAAB
BBBC
CCAB
AAA
BC





ABABA
BBCA
CCAC
AAB
CA





ABABB
BBCB
CCBA
AAC
CB





ABBAA
BBCC
CCBB
ABA
CC





ABBAB
BCAA
CCBC
ABB
AA





ABBBA
BCAB
CCCA
ABC
AB





ABBBB
BCAC
CCCB
ACA
BA





BAAAA
ABCB
BCBA
ACB






BAAAB
ABCC
BCBB
ACC






BAABA
ACAA
BCBC
BAA






BAABB
ACAB
BCCA
BAB






BABAA
ACAC
BCCB
BAC






BABAB
ACBA
BCCC
BBA






BABBA
ACBB
CAAA
BBB






BABBB
ACBC
CAAB
BBC






BBAAA
ACCA
CAAC
BCA






BBAAB
ACCB
CABA
BCB






BBABA
ACCC
CABB
BCC






BBABB
BAAA
CABC
CAA






BBBAA
BAAB
CACA
CAB






BBBAB
BAAC
CACB
CAC






BBBBA
BABA
CACC
CBA






BBBBB
BABB
CBAA
CBB






AAAA
AACC
CCCC
CBC






AAAB
ABAA
AAAA
CCA






AAAC
ABAB
AAAB
CCB






AABA
ABAC
AABA
CCC






AABB
ABBA
AABB
AAA






AABC
ABBB
ABAA
AAB






AACA
ABBC
ABAB
ABA






AACB
ABCA
ABBA
ABB









In certain embodiments, each A, each B, and each C located at the 5′-most 3′-wing region nucleoside is a modified nucleoside. For example, in certain embodiments the 3′-wing motif is selected from among ABB, BBB, and CBB, wherein the underlined nucleoside represents the the 5′-most 3′-wing region nucleoside and wherein the underlined nucleoside is a modified nucleoside.


In certain embodiments, each A comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each A comprises a modified sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety selected from among F, ara-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each A comprises a bicyclic sugar moiety. In certain embodiments, each A comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each A comprises a modified nucleobase. In certain embodiments, each A comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne uridine nucleoside. In certain embodiments, each A comprises a 5′-substituted sugar moiety selected from among 5′-Me DNA, and 5′-(R)-Me DNA.


In certain embodiments, each B comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each B comprises a modified sugar moiety. In certain embodiments, each B comprises a 2′-substituted sugar moiety. In certain embodiments, each B comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each B comprises a bicyclic sugar moiety. In certain embodiments, each B comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each B comprises a modified nucleobase. In certain embodiments, each B comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne urindine nucleoside. In certain embodiments, each B comprises an HNA. In certain embodiments, each B comprises an F-HNA. In certain embodiments, each B comprises a 5′-substituted sugar moiety selected from among 5′-Me DNA, and 5′-(R)-Me DNA.


In certain embodiments, each A comprises a 2′-substituted sugar moiety selected from among F, ara-F, OCH3 and O(CH2)2—OCH3 and each B comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each A comprises O(CH2)2—OCH3 and each B comprises cEt.


In certain embodiments, each C comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each C comprises a modified sugar moiety. In certain embodiments, each C comprises a 2′-substituted sugar moiety. In certain embodiments, each C comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each C comprises a 5′-substituted sugar moiety. In certain embodiments, each C comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me. In certain embodiments, each C comprises a bicyclic sugar moiety. In certain embodiments, each C comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each C comprises a modified nucleobase. In certain embodiments, each C comprises a modified nucleobase selected from among 2-thio-thymidine and 5-propyne uridine. In certain embodiments, each C comprises a 2-thio-thymidine nucleoside. In certain embodiments, each C comprises an HNA. In certain embodiments, each C comprises an F-HNA.


ix. Certain Central Regions (Gaps)


In certain embodiments, the gap of a gapmer consists of 6 to 20 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 to 15 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 to 12 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 to 10 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 to 9 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 to 8 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 or 7 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 7 to 10 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 7 to 9 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 7 or 8 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 8 to 10 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 8 or 9 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 6 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 7 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 8 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 9 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 10 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 11 linked nucleosides. In certain embodiments, the gap of a gapmer consists of 12 linked nucleosides.


In certain embodiments, each nucleoside of the gap of a gapmer is a 2′-deoxynucleoside. In certain embodiments, the gap comprises one or more modified nucleosides. In certain embodiments, each nucleoside of the gap of a gapmer is a 2′-deoxynucleoside or is a modified nucleoside that is “DNA-like.” In such embodiments, “DNA-like” means that the nucleoside has similar characteristics to DNA, such that a duplex comprising the gapmer and an RNA molecule is capable of activating RNase H. For example, under certain conditions, 2′-(ara)-F have been shown to support RNase H activation, and thus is DNA-like. In certain embodiments, one or more nucleosides of the gap of a gapmer is not a 2′-deoxynucleoside and is not DNA-like. In certain such embodiments, the gapmer nonetheless supports RNase H activation (e.g., by virtue of the number or placement of the non-DNA nucleosides).


In certain embodiments, gaps comprise a stretch of unmodified 2′-deoxynucleoside interrupted by one or more modified nucleosides, thus resulting in three sub-regions (two stretches of one or more 2′-deoxynucleosides and a stretch of one or more interrupting modified nucleosides). In certain embodiments, no stretch of unmodified 2′-deoxynucleosides is longer than 5, 6, or 7 nucleosides. In certain embodiments, such short stretches is achieved by using short gap regions. In certain embodiments, short stretches are achieved by interrupting a longer gap region.


In certain embodiments, the gap comprises one or more modified nucleosides. In certain embodiments, the gap comprises one or more modified nucleosides selected from among cEt, FHNA, LNA, and 2-thio-thymidine. In certain embodiments, the gap comprises one modified nucleoside. In certain embodiments, the gap comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me. In certain embodiments, the gap comprises two modified nucleosides. In certain embodiments, the gap comprises three modified nucleosides. In certain embodiments, the gap comprises four modified nucleosides. In certain embodiments, the gap comprises two or more modified nucleosides and each modified nucleoside is the same. In certain embodiments, the gap comprises two or more modified nucleosides and each modified nucleoside is different.


In certain embodiments, the gap comprises one or more modified linkages. In certain embodiments, the gap comprises one or more methyl phosphonate linkages. In certain embodiments the gap comprises two or more modified linkages. In certain embodiments, the gap comprises one or more modified linkages and one or more modified nucleosides. In certain embodiments, the gap comprises one modified linkage and one modified nucleoside. In certain embodiments, the gap comprises two modified linkages and two or more modified nucleosides.


In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DDDDXDDDDD; DDDDDXDDDDD; DDDXDDDDD; DDDDXDDDDDD; DDDDXDDDD; DDXDDDDDD; DDDXDDDDDD; DXDDDDDD; DDXDDDDDDD; DDXDDDDD; DDXDDDXDDD; DDDXDDDXDDD; DXDDDXDDD; DDXDDDXDD; DDXDDDDXDDD; DDXDDDDXDD; DXDDDDXDDD; DDDDXDDD; DDDXDDD; DXDDDDDDD; DDDDXXDDD; and DXXDXXDXX; wherein each D is an unmodified deoxynucleoside; and each X is a modified nucleoside or a substituted sugar moiety.


In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DDDDDDDDD; DXDDDDDDD; DDXDDDDDD; DDDXDDDDD; DDDDXDDDD; DDDDDXDDD; DDDDDDXDD; DDDDDDDXD; DXXDDDDDD; DDDDDDXXD; DDXXDDDDD; DDDXXDDDD; DDDDXXDDD; DDDDDXXDD; DXDDDDDXD; DXDDDDXDD; DXDDDXDDD; DXDDXDDDD; DXDXDDDDD; DDXDDDDXD; DDXDDDXDD; DDXDDXDDD; DDXDXDDDD; DDDXDDDXD; DDDXDDXDD; DDDXDXDDD; DDDDXDDXD; DDDDXDXDD; and DDDDDXDXD, wherein each D is an unmodified deoxynucleoside; and each X is a modified nucleoside or a substituted sugar moiety.


In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DDDDXDDDD, DXDDDDDDD, DXXDDDDDD, DDXDDDDDD, DDDXDDDDD, DDDDXDDDD, DDDDDXDDD, DDDDDDXDD, and DDDDDDDXD, wherein each D is an unmodified deoxynucleoside; and each X is a modified nucleoside or a substituted sugar moiety.


In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DDDDDDDD, DXDDDDDD, DDXDDDDD, DDDXDDDD, DDDDXDDD, DDDDDXDD, DDDDDDXD, DXDDDDXD, DXDDDXDD, DXDDXDDD, DXDXDDDD, DXXDDDDD, DDXXDDDD, DDXDXDDD, DDXDDXDD, DXDDDDXD, DDDXXDDD, DDDXDXDD, DDDXDDXD, DDDDXXDD, DDDDXDXD, and DDDDDXXD, wherein each D is an unmodified deoxynucleoside; and each X is a modified nucleoside or a substituted sugar moiety.


In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DXDDDDD, DDXDDDD, DDDXDDD, DDDDXDD, DDDDDXD, DXDDDXD, DXDDXDD, DXDXDDD, DXXDDDD, DDXXDDD, DDXDXDD, DDXDDXD, DDDXXDD, DDDXDXD, and DDDDXXD, wherein each D is an unmodified deoxynucleoside; and each X is a modified nucleoside or a substituted sugar moiety.


In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DXDDDD, DDXDDD, DDDXDD, DDDDXD, DXXDDD, DXDXDD, DXDDXD, DDXXDD, DDXDXD, and DDDXXD, wherein each D is an unmodified deoxynucleoside; and each X is a modified nucleoside or a substituted sugar moiety.


In certain embodiments, the gap comprises a nucleoside motif selected from among the following: DXDDDD, DDXDDD, DDDXDD, DDDDXD, DXDDDDD, DDXDDDD, DDDXDDD, DDDDXDD, DDDDDXD, DXDDDDDD, DDXDDDDD, DDDXDDDD, DDDDXDDD, DDDDDXDD, DDDDDDXD, DXDDDDDDD; DDXDDDDDD, DDDXDDDDD, DDDDXDDDD, DDDDDXDDD, DDDDDDXDD, DDDDDDDXD, DXDDDDDDDD, DDXDDDDDDD, DDDXDDDDDD, DDDDXDDDDD, DDDDDXDDDD, DDDDDDXDDD, DDDDDDDXDD, and DDDDDDDDXD, wherein each D is an unmodified deoxynucleoside; and each X is a modified nucleoside or a substituted sugar moiety.


In certain embodiments, each X comprises an unmodified 2′-deoxyfuranose sugar moiety. In certain embodiments, each X comprises a modified sugar moiety. In certain embodiments, each X comprises a 2′-substituted sugar moiety. In certain embodiments, each X comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each X comprises a 5′-substituted sugar moiety. In certain embodiments, each X comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me. In certain embodiments, each X comprises a bicyclic sugar moiety. In certain embodiments, each X comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, LNA, ENA and 2′-thio LNA. In certain embodiments, each X comprises a modified nucleobase. In certain embodiments, each X comprises a modified nucleobase selected from among 2-thio-thymidine and 5-propyne uridine. In certain embodiments, each X comprises a 2-thio-thymidine nucleoside. In certain embodiments, each X comprises an HNA. In certain embodiments, each C comprises an F-HNA. In certain embodiments, X represents the location of a single differentiating nucleobase.


x. Certain Gapmer Motifs


In certain embodiments, a gapmer comprises a 5′-wing, a gap, and a 3′ wing, wherein the 5′-wing, gap, and 3′ wing are independently selected from among those discussed above. For example, in certain embodiments, a gapmer has a 5′-wing, a gap, and a 3′-wing having features selected from among any of those listed in the tables above and any 5′-wing may be paired with any gap and any 3′-wing. For example, in certain embodiments, a 5′-wing may comprise AAABB, a 3′-wing may comprise BBA, and the gap may comprise DDDDDDD. For example, in certain embodiments, a gapmer has a 5′-wing, a gap, and a 3′-wing having features selected from among those listed in the following non-limiting table, wherein each motif is represented as (5′-wing)-(gap)-(3′-wing), wherein each number represents the number of linked nucleosides in each portion of the motif, for example, a 5-10-5 motif would have a 5′-wing comprising 5 nucleosides, a gap comprising 10 nucleosides, and a 3′-wing comprising 5 nucleosides:









TABLE 5





Certain Gapmer Sugar Motifs


Certain Gapmer Sugar Motifs




















2-10-2
3-10-2
4-10-2
5-10-2



2-10-3
3-10-3
4-10-3
5-10-3



2-10-4
3-10-4
4-10-4
5-10-4



2-10-5
3-10-5
4-10-5
5-10-5



2-9-2
3-9-2
4-9-2
5-9-2



2-9-3
3-9-3
4-9-3
5-9-3



2-9-4
3-9-4
4-9-4
5-9-4



2-9-5
3-9-5
4-9-5
5-9-5



2-11-2
3-11-2
4-11-2
5-11-2



2-11-3
3-11-3
4-11-3
5-11-3



2-11-4
3-11-4
4-11-4
5-11-4



2-11-5
3-11-5
4-11-5
5-11-5



2-8-2
3-8-2
4-8-2
5-8-2



2-8-3
3-8-3
4-8-3
5-8-3



2-8-4
3-8-4
4-8-4
5-8-4



2-8-5
3-8-5
4-8-5
5-8-5









In certain embodiments, a gapmer comprises a 5′-wing, a gap, and a 3′ wing, wherein the 5′-wing, gap, and 3′ wing are independently selected from among those discussed above. For example, in certain embodiments, a gapmer has a 5′-wing, a gap, and a 3′-wing having features selected from among those listed in the following non-limiting tables:









TABLE 6







Certain Gapmer Nucleoside Motifs











5′-wing

3′-wing



region
Central gap region
region






ADDA
DDDDDD
ABB






ABBA
DDDADDDD
ABAA






AAAAAAA
DDDDDDDDDDD
AAA






AAAAABB
DDDDDDDD
BBAAAAA






ABB
DDDDADDDD
ABB






ABB
DDDDBDDDD
BBA






ABB
DDDDDDDDD
BBA






AABAA
DDDDDDDDD
AABAA






ABB
DDDDDD
AABAA






AAABAA
DDDDDDDDD
AAABAA






AAABAA
DDDDDDDDD
AAB






ABAB
DDDDDDDDD
ABAB






AAABB
DDDDDDD
BBA






ABADB
DDDDDDD
BBA






ABA
DBDDDDDDD
BBA






ABA
DADDDDDDD
BBA






ABAB
DDDDDDDD
BBA






AA
DDDDDDDD
BBBBBBBB






ABB
DDDDDD
ABADB






AAAAB
DDDDDDD
BAAAA






ABBB
DDDDDDDDD
AB






AB
DDDDDDDDD
BBBA






ABBB
DDDDDDDDD
BBBA






AB
DDDDDDDD
ABA






ABB
DDDDWDDDD
BBA






AAABB
DDDWDDD
BBAAA






ABB
DDDDWWDDD
BBA






ABADB
DDDDDDD
BBA






ABBDC
DDDDDDD
BBA






ABBDDC
DDDDDD
BBA






ABBDCC
DDDDDD
BBA






ABB
DWWDWWDWW
BBA






ABB
DWDDDDDDD
BBA






ABB
DDWDDDDDD
BBA






ABB
DWWDDDDDD
BBA






AAABB
DDWDDDDDD
AA






BB
DDWDWDDDD
BBABBBB






ABB
DDDD(ND)DDDD
BBA






AAABB
DDD(ND)DDD
BBAAA






ABB
DDDD(ND)(ND)DDD
BBA






ABB
D(ND)(ND)D(ND)(ND)D(ND)(ND)
BBA






ABB
D(ND)DDDDDDD
BBA






ABB
DD(ND)DDDDDD
BBA






ABB
D(ND)(ND)DDDDDD
BBA






AAABB
DD(ND)DDDDDD
AA






BB
DD(ND)D(ND)DDDD
BBABBBB






ABAB
DDDDDDDDD
BABA
















TABLE 7







Certain Gapmer Nucleoside Motifs











5′-wing

3′-wing



region
Central gap region
region






ABBW
DDDDDDDD
BBA






ABB
DWDDDDDDD
BBA






ABB
DDWDDDDDD
BBA






ABB
DDDWDDDDD
BBA






ABB
DDDDWDDDD
BBA






ABB
DDDDDWDDD
BBA






ABB
DDDDDDWDD
BBA






ABB
DDDDDDDWD
BBA






ABB
DDDDDDDD
WBBA






ABBWW
DDDDDDD
BBA






ABB
DWWDDDDDD
BBA






ABB
DDWWDDDDD
BBA






ABB
DDDWWDDDD
BBA






ABB
DDDDWWDDD
BBA






ABB
DDDDDWWDD
BBA






ABB
DDDDDDWWD
BBA






ABB
DDDDDDD
WWBBA






ABBW
DDDDDDD
WBBA






ABBW
DDDDDDWD
BBA






ABBW
DDDDDWDD
BBA






ABBW
DDDDWDDD
BBA






ABBW
DDDWDDDD
BBA






ABBW
DDWDDDDD
BBA






ABBW
DWDDDDDD
BBA






ABB
DWDDDDDD
WBBA






ABB
DWDDDDDWD
BBA






ABB
DWDDDDWDD
BBA






ABB
DWDDDWDDD
BBA






ABB
DWDDWDDDD
BBA






ABB
DWDWDDDDD
BBA






ABB
DDWDDDDD
WBBA






ABB
DDWDDDDWD
BBA






ABB
DDWDDDWDD
BBA






ABB
DDWDDWDDD
BBA






ABB
DDWDWDDDD
BBA






ABB
DDWWDDDDD
BBA






ABB
DDDWDDDD
WBBA






ABB
DDDWDDDWD
BBA






ABB
DDDWDDWDD
BBA






ABB
DDDWDWDDD
BBA






ABB
DDDWWDDDD
BBA






ABB
DDDDWDDD
WBBA






ABB
DDDDWDDWD
BBA






ABB
DDDDWDWDD
BBA






ABB
DDDDWWDDD
BBA






ABB
DDDDDWDD
WBBA






ABB
DDDDDWDWD
BBA






ABB
DDDDDWWDD
BBA






ABB
DDDDDDWD
WBBA
















TABLE 8







Certain Gapmer Nucleoside Motifs









5′-wing region
Central gap region
3′-wing region





ABBB
DDDDDDDD
BBA





ABB
DBDDDDDDD
BBA





ABB
DDBDDDDDD
BBA





ABB
DDDBDDDDD
BBA





ABB
DDDDBDDDD
BBA





ABB
DDDDDBDDD
BBA





ABB
DDDDDDBDD
BBA





ABB
DDDDDDDBD
BBA





ABB
DDDDDDDD
BBBA





ABBBB
DDDDDDD
BBA





ABB
DBBDDDDDD
BBA





ABB
DDBBDDDDD
BBA





ABB
DDDBBDDDD
BBA





ABB
DDDDBBDDD
BBA





ABB
DDDDDBBDD
BBA





ABB
DDDDDDBBD
BBA





ABB
DDDDDDD
BBBBA





ABBB
DDDDDDD
BBBA





ABB
DDDDDDBD
BBA





ABBB
DDDDDBDD
BBA





ABBB
DDDDBDDD
BBA





ABBB
DDDBDDDD
BBA





ABBB
DDBDDDDD
BBA





ABBB
DBDDDDDD
BBA





ABB
DBDDDDDD
BBBA





ABB
DBDDDDDBD
BBA





ABB
DBDDDDBDD
BBA





ABB
DBDDDBDDD
BBA





ABB
DBDDBDDDD
BBA





ABB
DBDBDDDDD
BBA





ABB
DDBDDDDD
BBBA





ABB
DDBDDDDBD
BBA





ABB
DDBDDDBDD
BBA





ABB
DDBDDBDDD
BBA





ABB
DDBDBDDDD
BBA





ABB
DDBBDDDDD
BBA





ABB
DDDBDDDD
BBBA





ABB
DDDBDDDBD
BBA





ABB
DDDBDDBDD
BBA





ABB
DDDBDBDDD
BBA





ABB
DDDBBDDDD
BBA





ABB
DDDDBDDD
BBBA





ABB
DDDDBDDBD
BBA





ABB
DDDDBDBDD
BBA





ABB
DDDDBBDDD
BBA





ABB
DDDDDBDD
BBBA





ABB
DDDDDBDBD
BBA





ABB
DDDDDBBDD
BBA





ABB
DDDDDDBD
BBBA
















TABLE 9







Certain Gapmer Nucleoside Motifs









5′-wing region
Central gap region
3′-wing region





ABB
DDDDDDDDD
BBA





AB
DBDDDDDDDD
BBA





AB
DDBDDDDDDD
BBA





AB
DDDBDDDDDD
BBA





AB
DDDDBDDDDD
BBA





AB
DDDDDBDDDD
BBA





AB
DDDDDDBDDD
BBA





AB
DDDDDDDBDD
BBA





AB
DDDDDDDDBD
BBA





AB
DDDDDDDDD
BBBA





ABBB
DDDDDDDD
BBA





AB
DBBDDDDDDD
BBA





AB
DDBBDDDDDD
BBA





AB
DDDBBDDDDD
BBA





AB
DDDDBBDDDD
BBA





AB
DDDDDBBDDD
BBA





AB
DDDDDDBBDD
BBA





AB
DDDDDDDBBD
BBA





AB
DDDDDDDD
BBBBA





ABBBB
DDDDDDD
BBA





AB
DBBBDDDDDD
BBA





AB
DDBBBDDDDD
BBA





AB
DDDBBBDDDD
BBA





AB
DDDDBBBDDD
BBA





AB
DDDDDBBBDD
BBA





AB
DDDDDDBBBD
BBA





AB
DDDDDDD
BBBBBA





AB
DDDDDDDDD
BBBA





AB
DDDDDDDBD
BBBA





AB
DDDDDBDD
BBBA





AB
DDDDBDDD
BBBA





AB
DDDBDDDD
BBBA





AB
DDBDDDDD
BBBA





AB
DBDDDDDD
BBBA





AB
DDDDDBD
BBBBA





AB
DDDDBDD
BBBBA





AB
DDDBDDD
BBBBA





AB
DDBDDDD
BBBBA





AB
DBDDDDD
BBBBA





AB
DDDDBD
BBBBBA





AB
DDDBDD
BBBBBA





AB
DDBDDD
BBBBBA





AB
DBDDDD
BBBBBA
















TABLE 10







Certain Gapmer Nucleoside Motifs









5′-wing region
Central gap region
3′-wing region





AAAAAA
DDDDDDD
BABA





AAAAAB
DDDDDDD
BABA





AAAABA
DDDDDDD
BABA





AAABAA
DDDDDDD
BABA





AABAAA
DDDDDDD
BABA





ABAAAA
DDDDDDD
BABA





BAAAAA
DDDDDDD
BABA





ABAAAB
DDDDDDD
BABA





ABAABA
DDDDDDD
BABA





ABABAA
DDDDDDD
BABA





ABBAAA
DDDDDDD
BABA





AABAAB
DDDDDDD
BABA





AABABA
DDDDDDD
BABA





AABBAA
DDDDDDD
BABA





AAABAB
DDDDDDD
BABA





AAABBA
DDDDDDD
BABA





AAAABB
DDDDDDD
BABA





BAAAAB
DDDDDDD
BABA





BAAABA
DDDDDDD
BABA





BAABAA
DDDDDDD
BABA





BABAAA
DDDDDDD
BABA





BBAAAA
DDDDDDD
BABA





BBBAAA
DDDDDDD
BABA





BBABAA
DDDDDDD
BABA





BBAABA
DDDDDDD
BABA





BBAAAB
DDDDDDD
BABA





ABABAB
DDDDDDD
BABA





BBBBAA
DDDDDDD
BABA





BBBABA
DDDDDDD
BABA





BBBAAB
DDDDDDD
BABA





BBBBBA
DDDDDDD
BABA





BBBBAB
DDDDDDD
BABA





AAABBB
DDDDDDD
BABA





AABABB
DDDDDDD
BABA





ABAABB
DDDDDDD
BABA





BAAABB
DDDDDDD
BABA





AABBBB
DDDDDDD
BABA





ABABBB
DDDDDDD
BABA





BAABBB
DDDDDDD
BABA





ABBBBB
DDDDDDD
BABA





BABBBB
DDDDDDD
BABA





BBBBBB
DDDDDDD
BABA
















TABLE 11







Certain Gapmer Nucleoside Motifs









5′-wing region
Central gap region
3′-wing region





AAAAA
DDDDDDD
AAAAA





AAAAB
DDDDDDD
AAAAA





AAABA
DDDDDDD
AAAAA





AAABB
DDDDDDD
AAAAA





AABAA
DDDDDDD
AAAAA





AABAB
DDDDDDD
AAAAA





AABBA
DDDDDDD
AAAAA





AABBB
DDDDDDD
AAAAA





ABAAA
DDDDDDD
AAAAA





ABAAB
DDDDDDD
AAAAA





ABABA
DDDDDDD
AAAAA





ABABB
DDDDDDD
AAAAA





ABBAA
DDDDDDD
AAAAA





ABBAB
DDDDDDD
AAAAA





ABBBA
DDDDDDD
AAAAA





ABBBB
DDDDDDD
AAAAA





BAAAA
DDDDDDD
AAAAA





BAAAB
DDDDDDD
AAAAA





BAABA
DDDDDDD
AAAAA





BAABB
DDDDDDD
AAAAA





BABAA
DDDDDDD
AAAAA





BABAB
DDDDDDD
AAAAA





BABBA
DDDDDDD
AAAAA





BABBB
DDDDDDD
AAAAA





BBAAA
DDDDDDD
AAAAA





BBAAB
DDDDDDD
AAAAA





BBABA
DDDDDDD
AAAAA





BBABB
DDDDDDD
AAAAA





BBBAA
DDDDDDD
AAAAA





BBBAB
DDDDDDD
AAAAA





BBBBA
DDDDDDD
AAAAA





BBBBB
DDDDDDD
AAAAA





AAAAA
DDDDDDD
BAAAA





AAAAB
DDDDDDD
BAAAA





AAABA
DDDDDDD
BAAAA





AAABB
DDDDDDD
BAAAA





AABAA
DDDDDDD
BAAAA





AABAB
DDDDDDD
BAAAA





AABBA
DDDDDDD
BAAAA





AABBB
DDDDDDD
BAAAA





ABAAA
DDDDDDD
BAAAA





ABAAB
DDDDDDD
BAAAA





ABABA
DDDDDDD
BAAAA





ABABB
DDDDDDD
BAAAA





ABBAA
DDDDDDD
BAAAA





ABBAB
DDDDDDD
BAAAA





ABBBA
DDDDDDD
BAAAA





ABBBB
DDDDDDD
BAAAA





BAAAA
DDDDDDD
BAAAA





BAAAB
DDDDDDD
BAAAA





BAABA
DDDDDDD
BAAAA





BAABB
DDDDDDD
BAAAA





BABAA
DDDDDDD
BAAAA





BABAB
DDDDDDD
BAAAA





BABBA
DDDDDDD
BAAAA





BABBB
DDDDDDD
BAAAA





BBAAA
DDDDDDD
BAAAA





BBAAB
DDDDDDD
BAAAA





BBABA
DDDDDDD
BAAAA





BBABB
DDDDDDD
BAAAA





BBBAA
DDDDDDD
BAAAA





BBBAB
DDDDDDD
BAAAA





BBBBA
DDDDDDD
BAAAA





BBBBB
DDDDDDD
BAAAA





AAAAA
DDDDDDD
BBAAA





AAAAB
DDDDDDD
BBAAA





AAABA
DDDDDDD
BBAAA





AAABB
DDDDDDD
BBAAA





AABAA
DDDDDDD
BBAAA





AABAB
DDDDDDD
BBAAA





AABBA
DDDDDDD
BBAAA





AABBB
DDDDDDD
BBAAA





ABAAA
DDDDDDD
BBAAA





ABAAB
DDDDDDD
BBAAA





ABABA
DDDDDDD
BBAAA





ABABB
DDDDDDD
BBAAA





ABBAA
DDDDDDD
BBAAA





ABBAB
DDDDDDD
BBAAA





ABBBA
DDDDDDD
BBAAA





ABBBB
DDDDDDD
BBAAA





BAAAA
DDDDDDD
BBAAA





BAAAB
DDDDDDD
BBAAA





BAABA
DDDDDDD
BBAAA





BAABB
DDDDDDD
BBAAA





BABAA
DDDDDDD
BBAAA





BABAB
DDDDDDD
BBAAA





BABBA
DDDDDDD
BBAAA





BABBB
DDDDDDD
BBAAA





BBAAA
DDDDDDD
BBAAA





BBAAB
DDDDDDD
BBAAA





BBABA
DDDDDDD
BBAAA





BBABB
DDDDDDD
BBAAA





BBBAA
DDDDDDD
BBAAA





BBBAB
DDDDDDD
BBAAA





BBBBA
DDDDDDD
BBAAA





BBBBB
DDDDDDD
BBAAA





AAAAA
DDDDDDD
BBBAA





AAAAB
DDDDDDD
BBBAA





AAABA
DDDDDDD
BBBAA





AAABB
DDDDDDD
BBBAA





AABAA
DDDDDDD
BBBAA





AABAB
DDDDDDD
BBBAA





AABBA
DDDDDDD
BBBAA





AABBB
DDDDDDD
BBBAA





ABAAA
DDDDDDD
BBBAA





ABAAB
DDDDDDD
BBBAA





ABABA
DDDDDDD
BBBAA





ABABB
DDDDDDD
BBBAA





ABBAA
DDDDDDD
BBBAA





ABBAB
DDDDDDD
BBBAA





ABBBA
DDDDDDD
BBBAA





ABBBB
DDDDDDD
BBBAA





BAAAA
DDDDDDD
BBBAA





BAAAB
DDDDDDD
BBBAA





BAABA
DDDDDDD
BBBAA





BAABB
DDDDDDD
BBBAA





BABAA
DDDDDDD
BBBAA





BABAB
DDDDDDD
BBBAA





BABBA
DDDDDDD
BBBAA





BABBB
DDDDDDD
BBBAA





BBAAA
DDDDDDD
BBBAA





BBAAB
DDDDDDD
BBBAA





BBABA
DDDDDDD
BBBAA





BBABB
DDDDDDD
BBBAA





BBBAA
DDDDDDD
BBBAA





BBBAB
DDDDDDD
BBBAA





BBBBA
DDDDDDD
BBBAA





BBBBB
DDDDDDD
BBBAA





AAAAA
DDDDDDD
BBBBA





AAAAB
DDDDDDD
BBBBA





AAABA
DDDDDDD
BBBBA





AAABB
DDDDDDD
BBBBA





AABAA
DDDDDDD
BBBBA





AABAB
DDDDDDD
BBBBA





AABBA
DDDDDDD
BBBBA





AABBB
DDDDDDD
BBBBA





ABAAA
DDDDDDD
BBBBA





ABAAB
DDDDDDD
BBBBA





ABABA
DDDDDDD
BBBBA





ABABB
DDDDDDD
BBBBA





ABBAA
DDDDDDD
BBBBA





ABBAB
DDDDDDD
BBBBA





ABBBA
DDDDDDD
BBBBA





ABBBB
DDDDDDD
BBBBA





BAAAA
DDDDDDD
BBBBA





BAAAB
DDDDDDD
BBBBA





BAABA
DDDDDDD
BBBBA





BAABB
DDDDDDD
BBBBA





BABAA
DDDDDDD
BBBBA





BABAB
DDDDDDD
BBBBA





BABBA
DDDDDDD
BBBBA





BABBB
DDDDDDD
BBBBA





BBAAA
DDDDDDD
BBBBA





BBAAB
DDDDDDD
BBBBA





BBABA
DDDDDDD
BBBBA





BBABB
DDDDDDD
BBBBA





BBBAA
DDDDDDD
BBBBA





BBBAB
DDDDDDD
BBBBA





BBBBA
DDDDDDD
BBBBA





BBBBB
DDDDDDD
BBBBA





AAAAA
DDDDDDD
BBBBB





AAAAB
DDDDDDD
BBBBB





AAABA
DDDDDDD
BBBBB





AAABB
DDDDDDD
BBBBB





AABAA
DDDDDDD
BBBBB





AABAB
DDDDDDD
BBBBB





AABBA
DDDDDDD
BBBBB





AABBB
DDDDDDD
BBBBB





ABAAA
DDDDDDD
BBBBB





ABAAB
DDDDDDD
BBBBB





ABABA
DDDDDDD
BBBBB





ABABB
DDDDDDD
BBBBB





ABBAA
DDDDDDD
BBBBB





ABBAB
DDDDDDD
BBBBB





ABBBA
DDDDDDD
BBBBB





ABBBB
DDDDDDD
BBBBB





BAAAA
DDDDDDD
BBBBB





BAAAB
DDDDDDD
BBBBB





BAABA
DDDDDDD
BBBBB





BAABB
DDDDDDD
BBBBB





BABAA
DDDDDDD
BBBBB





BABAB
DDDDDDD
BBBBB





BABBA
DDDDDDD
BBBBB





BABBB
DDDDDDD
BBBBB





BBAAA
DDDDDDD
BBBBB





BBAAB
DDDDDDD
BBBBB





BBABA
DDDDDDD
BBBBB





BBABB
DDDDDDD
BBBBB





BBBAA
DDDDDDD
BBBBB





BBBAB
DDDDDDD
BBBBB





BBBBA
DDDDDDD
BBBBB





BBBBB
DDDDDDD
BBBBB
















TABLE 12







Certain Gapmer Nucleoside Motifs









5′-wing region
Central gap region
3′-wing region





AAAW
DDDDDDDD
BBA





AABW
DDDDDDDD
BBA





ABAW
DDDDDDDD
BBA





ABBW
DDDDDDDD
BBA





BAAW
DDDDDDDD
BBA





BABW
DDDDDDDD
BBA





BBAW
DDDDDDDD
BBA





BBBW
DDDDDDDD
BBA





ABB
DDDDDDDD
WAAA





ABB
DDDDDDDD
WAAB





ABB
DDDDDDDD
WABA





ABB
DDDDDDDD
WABB





ABB
DDDDDDDD
WBAA





ABB
DDDDDDDD
WBAB





ABB
DDDDDDDD
WBBA





ABB
DDDDDDDD
WBBB





AAAWW
DDDDDDD
BBA





AABWW
DDDDDDD
BBA





ABAWW
DDDDDDD
BBA





ABBWW
DDDDDDD
BBA





BAAWW
DDDDDDD
BBA





BABWW
DDDDDDD
BBA





BBAWW
DDDDDDD
BBA





BBBWW
DDDDDDD
BBA





ABB
DDDDDDD
WWAAA





ABB
DDDDDDD
WWAAB





ABB
DDDDDDD
WWABA





ABB
DDDDDDD
WWABB





ABB
DDDDDDD
WWBAA





ABB
DDDDDDD
WWBAB





ABB
DDDDDDD
WWBBA





ABB
DDDDDDD
WWBBB





AAAAW
DDDDDDD
BBA





AAABW
DDDDDDD
BBA





AABAW
DDDDDDD
BBA





AABBW
DDDDDDD
BBA





ABAAW
DDDDDDD
BBA





ABABW
DDDDDDD
BBA





ABBAW
DDDDDDD
BBA





ABBBW
DDDDDDD
BBA





BAAAW
DDDDDDD
BBA





BAABW
DDDDDDD
BBA





BABAW
DDDDDDD
BBA





BABBW
DDDDDDD
BBA





BBAAW
DDDDDDD
BBA





BBABW
DDDDDDD
BBA





BBBAW
DDDDDDD
BBA





BBBBW
DDDDDDD
WAAAA





ABB
DDDDDDD
WAAAB





ABB
DDDDDDD
WAABA





ABB
DDDDDDD
WAABB





ABB
DDDDDDD
WABAA





ABB
DDDDDDD
WABAB





ABB
DDDDDDD
WABBA





ABB
DDDDDDD
WABBB





ABB
DDDDDDD
WBAAA





ABB
DDDDDDD
WBAAB





ABB
DDDDDDD
WBABA





ABB
DDDDDDD
WBABB





ABB
DDDDDDD
WBBAA





ABB
DDDDDDD
WBBAB





ABB
DDDDDDD
WBBBA





ABB
DDDDDDD
WBBBB










wherein each A is a modified nucleoside of a first type, each B is a modified nucleoside of a second type and each W is a modified nucleoside or nucleobase of either the first type, the second type or a third type, each D is a nucleoside comprising an unmodified 2′deoxy sugar moiety and unmodified nucleobase, and ND is modified nucleoside comprising a modified nucleobase and an unmodified 2′deoxy sugar moiety.


In certain embodiments, each A comprises a modified sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety selected from among F, ara-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each A comprises a bicyclic sugar moiety. In certain embodiments, each A comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each A comprises a modified nucleobase. In certain embodiments, each A comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne uridine nucleoside. In certain embodiments, each A comprises an HNA. In certain embodiments, each A comprises an F-HNA. In certain embodiments, each A comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me.


In certain embodiments, each B comprises a modified sugar moiety. In certain embodiments, each B comprises a 2′-substituted sugar moiety. In certain embodiments, each B comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each B comprises a bicyclic sugar moiety. In certain embodiments, each B comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each B comprises a modified nucleobase. In certain embodiments, each B comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne urindine nucleoside. In certain embodiments, each B comprises an HNA. In certain embodiments, each B comprises an F-HNA. In certain embodiments, each B comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me.


In certain embodiments, each C comprises a modified sugar moiety. In certain embodiments, each C comprises a 2′-substituted sugar moiety. In certain embodiments, each C comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each C comprises a 5′-substituted sugar moiety. In certain embodiments, each C comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me. In certain embodiments, each C comprises a bicyclic sugar moiety. In certain embodiments, each C comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each C comprises a modified nucleobase. In certain embodiments, each C comprises a modified nucleobase selected from among 2-thio-thymidine and 5-propyne uridine. In certain embodiments, each C comprises a 2-thio-thymidine nucleoside. In certain embodiments, each C comprises an HNA. In certain embodiments, each C comprises an F-HNA.


In certain embodiments, each W comprises a modified sugar moiety. In certain embodiments, each W comprises a 2′-substituted sugar moiety. In certain embodiments, each W comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each W comprises a 5′-substituted sugar moiety. In certain embodiments, each W comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me. In certain embodiments, each W comprises a bicyclic sugar moiety. In certain embodiments, each W comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each W comprises a sugar surrogate. In certain embodiments, each W comprises a sugar surrogate selected from among HNA and F-HNA. In certain embodiments, each W comprises a 2-thio-thymidine nucleoside.


In certain embodiments, at least one of A or B comprises a bicyclic sugar moiety, and the other comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-MOE sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-MOE sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-MOE sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-F sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-F sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-F sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-(ara)-F sugar moiety.


In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-substituted sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-substituted sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-substituted sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-substituted sugar moiety.


In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-MOE sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-MOE sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-MOE sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-MOE sugar moiety.


In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-F sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-F sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-F sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-F sugar moiety.


In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-(ara)-F sugar moiety.


In certain embodiments, B comprises a bicyclic sugar moiety, and A comprises a 2′-MOE sugar moiety. In certain embodiments, B is an LNA nucleoside and A comprises a 2′-MOE sugar moiety. In certain embodiments, B is a cEt nucleoside and A comprises a 2′-MOE sugar moiety. In certain embodiments, B is an α-L-LNA nucleoside and A comprises a 2′-MOE sugar moiety.


In certain embodiments, B comprises a bicyclic sugar moiety, and A comprises a 2′-F sugar moiety. In certain embodiments, B is an LNA nucleoside and A comprises a 2′-F sugar moiety. In certain embodiments, B is a cEt nucleoside and A comprises a 2′-F sugar moiety. In certain embodiments, B is an α-L-LNA nucleoside and A comprises a 2′-F sugar moiety.


In certain embodiments, B comprises a bicyclic sugar moiety, and A comprises a 2′-(ara)-F sugar moiety. In certain embodiments, B is an LNA nucleoside and A comprises a 2′-(ara)-F sugar moiety. In certain embodiments, B is a cEt nucleoside and A comprises a 2′-(ara)-F sugar moiety. In certain embodiments, B is an α-L-LNA nucleoside and A comprises a 2′-(ara)-F sugar moiety.


In certain embodiments, at least one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-substituted sugar moiety and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and C comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a modified nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises 2-thio-thymidine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and C comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and C comprises a 5-propyne uridine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and C comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5-propyne uridine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar HNA surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety.


In certain embodiments, at least two of A, B or W comprises a 2′-substituted sugar moiety, and the other comprises a bicyclic sugar moiety. In certain embodiments, at least two of A, B or W comprises a bicyclic sugar moiety, and the other comprises a 2′-substituted sugar moiety. In certain embodiments, a gapmer has a sugar motif other than: E-K-K-(D)9-K-K-E; E-E-E-E-K-(D)9-E-E-E-E-E; E-K-K-K-(D)9-K-K-K-E; K-E-E-K-(D)9-K-E-E-K; K-D-D-K-(D)9-K-D-D-K; K-E-K-E-K-(D)9-K-E-K-E-K; K-D-K-D-K-(D)9-K-D-K-D-K; E-K-E-K-(D)9-K-E-K-E; E-E-E-E-E-K-(D)9-E-E-E-E-E; or E-K-E-K-E-(D)9-E-K-E-K-E, E-E-E-K-K-(D)7-E-E-K, E-K-E-K-K-K-(D)7-K-E-K-E, E-K-E-K-E-K-(D)7-K-E-K-E, wherein K is a nucleoside comprising a cEt sugar moiety and E is a nucleoside comprising a 2′-MOE sugar moiety.


In certain embodiments a gapmer comprises a A-(D)4-A-(D)4-A-(D)4-AA motif. In certain embodiments a gapmer comprises a B-(D)4-A-(D)4-A-(D)4-AA motif. In certain embodiments a gapmer comprises a A-(D)4-B-(D)4-A-(D)4-AA motif. In certain embodiments a gapmer comprises a A-(D)4-A-(D)4-B-(D)4-AA motif. In certain embodiments a gapmer comprises a A-(D)4-A-(D)4-A-(D)4-BA motif. In certain embodiments a gapmer comprises a A-(D)4-A-(D)4-A-(D)4-BB motif. In certain embodiments a gapmer comprises a K-(D)4-K-(D)4-K-(D)4-K-E motif


xi. Certain Internucleoside Linkage Motifs


In certain embodiments, oligonucleotides comprise modified internucleoside linkages arranged along the oligonucleotide or region thereof in a defined pattern or modified internucleoside linkage motif. In certain embodiments, internucleoside linkages are arranged in a gapped motif, as described above for nucleoside motif. In such embodiments, the internucleoside linkages in each of two wing regions are different from the internucleoside linkages in the gap region. In certain embodiments the internucleoside linkages in the wings are phosphodiester and the internucleoside linkages in the gap are phosphorothioate. The nucleoside motif is independently selected, so such oligonucleotides having a gapped internucleoside linkage motif may or may not have a gapped nucleoside motif and if it does have a gapped nucleoside motif, the wing and gap lengths may or may not be the same.


In certain embodiments, oligonucleotides comprise a region having an alternating internucleoside linkage motif. In certain embodiments, oligonucleotides of the present invention comprise a region of uniformly modified internucleoside linkages. In certain such embodiments, the oligonucleotide comprises a region that is uniformly linked by phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide is uniformly linked by phosphorothioate. In certain embodiments, each internucleoside linkage of the oligonucleotide is selected from phosphodiester and phosphorothioate. In certain embodiments, each internucleoside linkage of the oligonucleotide is selected from phosphodiester and phosphorothioate and at least one internucleoside linkage is phosphorothioate.


In certain embodiments, the oligonucleotide comprises at least 6 phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide comprises at least 8 phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide comprises at least 10 phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide comprises at least one block of at least 6 consecutive phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide comprises at least one block of at least 8 consecutive phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide comprises at least one block of at least 10 consecutive phosphorothioate internucleoside linkages. In certain embodiments, the oligonucleotide comprises at least block of at least one 12 consecutive phosphorothioate internucleoside linkages. In certain such embodiments, at least one such block is located at the 3′ end of the oligonucleotide. In certain such embodiments, at least one such block is located within 3 nucleosides of the 3′ end of the oligonucleotide.


In certain embodiments, oligonucleotides comprise one or more methylphosponate linkages. In certain embodiments, oligonucleotides having a gapmer nucleoside motif comprise a linkage motif comprising all phosphorothioate linkages except for one or two methylphosponate linkages. In certain embodiments, one methylphosponate linkage is in the central gap of an oligonucleotide having a gapmer nucleoside motif.


xii. Certain Modification Motifs


Modification motifs define oligonucleotides by nucleoside motif (sugar motif and nucleobase motif) and linkage motif. For example, certain oligonucleotides have the following modification motif:

    • AsAsAsDsDsDsDs(ND)sDsDsDsDsBsBsB;


      wherein each A is a modified nucleoside comprising a 2′-substituted sugar moiety; each D is an unmodified 2′-deoxynucleoside; each B is a modified nucleoside comprising a bicyclic sugar moiety; ND is a modified nucleoside comprising a modified nucleobase; and s is a phosphorothioate internucleoside linkage. Thus, the sugar motif is a gapmer motif. The nucleobase modification motif is a single modified nucleobase at 8th nucleoside from the 5′-end. Combining the sugar motif and the nucleobase modification motif, the nucleoside motif is an interrupted gapmer where the gap of the sugar modified gapmer is interrupted by a nucleoside comprising a modified nucleobase. The linkage motif is uniform phosphorothioate. The following non-limiting Table further illustrates certain modification motifs:









TABLE 13







Certain Modification Motifs









5′-wing




region
Central gap region
3′-wing region





BsBs

sDsDsDsDsDsDsDsDsDs

AsAsAsAsAsAsAsA





AsBsBs
DsDsDsDsDsDsDsDsDs
BsBsA





AsBsBs
DsDsDsDs(ND)sDsDsDs
BsBsA



Ds






AsBsBs
DsDsDsDsAsDsDsDsDs
BsBsA





AsBsBs
DsDsDsDsBsDsDsDsDs
BsBsA





AsBsBs
DsDsDsDsWsDsDsDsDs
BsBsA





AsBsBsBs
DsDsDsDsDsDsDsDsDs
BsBsAsBsB





AsBsBs
DsDsDsDsDsDsDsDsDs
BsBsAsBsB





BsBsAsBsBs
DsDsDsDsDsDsDsDsDs
BsBsA





AsBsBs
DsDsDsDsDsDsDsDsDs
BsBsAsBsBsBsB





AsAsBsAsAs
DsDsDsDsDsDsDsDsDs
BsBsA





AsAsAsBsAsAs
DsDsDsDsDsDsDsDsDs
BsBsA





AsAsBsAsAs
DsDsDsDsDsDsDsDsDs
AsAsBsAsA





AsAsAsBsAsAs
DsDsDsDsDsDsDsDsDs
AsAsBsAsAsA





AsAsAsAsBsAs
DsDsDsDsDsDsDsDsDs
BsBsA


As







AsBsAsBs
DsDsDsDsDsDsDsDsDs
BsAsBsA





AsBsAsBs
DsDsDsDsDsDsDsDsDs
AsAsBsAsAs





AsBsBs
DsDsDsDsDsDsDsDsDs
BsAsBsA





BsBsAsBsBsBs
DsDsDsDsDsDsDsDsDs
BsAsBsA


B







AsAsAsAsAs
DsDsDsDsDsDsDsDsDs
AsAsAsAsA





AsAsAsAsAs
DsDsDsDsDsDsDs
AsAsAsAsA





AsAsAsAsAs
DsDsDsDsDsDsDsDsDs
BsBsAsBsBsBsB





AsAsAsBsBs
DsDsDsDsDsDsDs
BsBsA





AsBsAsBs
DsDsDsDsDsDsDsDs
BsBsA





AsBsAsBs
DsDsDsDsDsDsDs
AsAsAsBsBs





AsAsAsAsBs
DsDsDsDsDsDsDs
BsAsAsAsA





BsBs
DsDsDsDsDsDsDsDs
AsA





AsAs
DsDsDsDsDsDsDs
AsAsAsAsAsAsAsA





AsAsAs
DsDsDsDsDsDsDs
AsAsAsAsAsAsA





AsAsAs
DsDsDsDsDsDsDs
AsAsAsAsAsA





AsBs
DsDsDsDsDsDsDs
BsBsBsA





AsBsBsBs
DsDsDsDsDsDsDsDsDs
BsA





AsBs
DsDsDsDsDsDsDsDsDs
BsBsBsA





AsAsAsBsBs
DsDsDs(ND)sDsDsDs
BsBsAsAsA





AsAsAsBsBs
DsDsDsAsDsDsDs
BsBsAsAsA





AsAsAsBsBs
DsDsDsBsDsDsDs
BsBsAsAsA





AsAsAsAsBs
DsDsDsDsDsDsDs
BsAsAsAsA





AsAsBsBsBs
DsDsDsDsDsDsDs
BsBsBsAsA





AsAsAsAsBs
DsDsDsDsDsDsDs
AsAsAsAsAs





AsAsAsBsBs
DsDsDsDsDsDsDs
AsAsAsAsAs





AsAsBsBsBs
DsDsDsDsDsDsDs
AsAsAsAsAs





AsAsAsAsAs
DsDsDsDsDsDsDs
BsAsAsAsAs





AsAsAsAsAs
DsDsDsDsDsDsDs
BsBsAsAsAs





AsAsAsAsAs
DsDsDsDsDsDsDs
BsBsBsAsAs





AsBsBs
DsDsDsDs(N)s(N)sDsDs
BsBsA



Ds






AsBsBs
Ds(ND)s(ND)sDs(ND)s
BsBsA



(ND)sDs(ND)s(ND)s






AsBsBs
Ds(ND)sDsDsDsDsDsDs
BsBsA



Ds






AsBsBs
DsDs(ND)sDsDsDsDsDs
BsBsA



Ds






AsBsBs
Ds(ND)s(ND)sDsDsDsDs
BsBsA



DsDs






AsBsBs
DsDs(D)zDsDsDsDsDsDs
BsBsA





AsBsBs
Ds(D)zDsDsDsDsDsDsDs
BsBsA





AsBsBs
(D)zDsDsDsDsDsDsDsDs
BsBsA





AsBsBs
DsDsAsDsDsDsDsDsDs
BsBsA





AsBsBs
DsDsBsDsDsDsDsDsDs
BsBsA





AsBsBs
AsDsDsDsDsDsDsDsDs
BsBsA





AsBsBs
BsDsDsDsDsDsDsDsDs
BsBsA





AsBsAsBs
DsDs(D)zDsDsDsDsDsDs
BsBsBsAsAs





AsAsAsBsBs
DsDs(ND)sDsDsDsDsDs
AsA



Ds






AsBsBsBs
Ds(D)zDsDsDsDsDsDsDs
AsAsAsBsBs





AsBsBs
DsDsDsDsDsDsDsDs(D)z
BsBsA





AsAsBsBsBs
DsDsDsAsDsDsDs
BsBsBsAsA





AsAsBsBsBs
DsDsDsBsDsDsDs
BsBsBsAsA





AsBsAsBs
DsDsDsAsDsDsDs
BsBsAsBsBsBsB





AsBsBsBs
DsDsDsDs(D)zDsDsDsDs
BsA





AsAsBsBsBs
DsDsAsAsDsDsDs
BsBsA





AsBsBs
DsDsDsDs(D)zDsDsDsDs
BsBsBsA





BsBs
DsDs(ND)sDs(ND)sDsDs
BsBsAsBsBsBsB



DsDs










wherein each A and B are nucleosides comprising differently modified sugar moieties, each D is a nucleoside comprising an unmodified 2′deoxy sugar moiety, each W is a modified nucleoside of either the first type, the second type or a third type, each ND is a modified nucleoside comprising a modified nucleobase, s is a phosphorothioate internucleoside linkage, and z is a non-phosphorothioate internucleoside linkage.


In certain embodiments, each A comprises a modified sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety. In certain embodiments, each A comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each A comprises a bicyclic sugar moiety. In certain embodiments, each A comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each A comprises a modified nucleobase. In certain embodiments, each A comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne uridine nucleoside. In certain embodiments, each B comprises a modified sugar moiety. In certain embodiments, each B comprises a 2′-substituted sugar moiety. In certain embodiments, each B comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each B comprises a bicyclic sugar moiety. In certain embodiments, each B comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each B comprises a modified nucleobase. In certain embodiments, each B comprises a modified nucleobase selected from among 2-thio-thymidine nucleoside and 5-propyne urindine nucleoside. In certain embodiments, each A comprises an HNA. In certain embodiments, each A comprises an F-HNA.


In certain embodiments, each W comprises a modified sugar moiety. In certain embodiments, each W comprises a 2′-substituted sugar moiety. In certain embodiments, each W comprises a 2′-substituted sugar moiety selected from among F, (ara)-F, OCH3 and O(CH2)2—OCH3. In certain embodiments, each W comprises a 5′-substituted sugar moiety. In certain embodiments, each W comprises a 5′-substituted sugar moiety selected from among 5′-Me, and 5′-(R)-Me. In certain embodiments, each W comprises a bicyclic sugar moiety. In certain embodiments, each W comprises a bicyclic sugar moiety selected from among cEt, cMOE, LNA, α-L-LNA, ENA and 2′-thio LNA. In certain embodiments, each W comprises a sugar surrogate. In certain embodiments, each W comprises a sugar surrogate selected from among HNA and F-HNA.


In certain embodiments, at least one of A or B comprises a bicyclic sugar moiety, and the other comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-substituted sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-MOE sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-MOE sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-MOE sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-F sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-F sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-F sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside and the other of A or B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside and the other of A or B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside and the other of A or B comprises a 2′-(ara)-F sugar moiety.


In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-substituted sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-substituted sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-substituted sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-substituted sugar moiety.


In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-MOE sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-MOE sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-MOE sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-MOE sugar moiety.


In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-F sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-F sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-F sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-F sugar moiety.


In certain embodiments, A comprises a bicyclic sugar moiety, and B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, A is an LNA nucleoside and B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, A is a cEt nucleoside and B comprises a 2′-(ara)-F sugar moiety. In certain embodiments, A is an α-L-LNA nucleoside and B comprises a 2′-(ara)-F sugar moiety.


In certain embodiments, B comprises a bicyclic sugar moiety, and A comprises a 2′-MOE sugar moiety. In certain embodiments, B is an LNA nucleoside and A comprises a 2′-MOE sugar moiety. In certain embodiments, B is a cEt nucleoside and A comprises a 2′-MOE sugar moiety. In certain embodiments, B is an α-L-LNA nucleoside and A comprises a 2′-MOE sugar moiety.


In certain embodiments, B comprises a bicyclic sugar moiety, and A comprises a 2′-F sugar moiety. In certain embodiments, B is an LNA nucleoside and A comprises a 2′-F sugar moiety. In certain embodiments, B is a cEt nucleoside and A comprises a 2′-F sugar moiety. In certain embodiments, B is an α-L-LNA nucleoside and A comprises a 2′-F sugar moiety.


In certain embodiments, B comprises a bicyclic sugar moiety, and A comprises a 2′-(ara)-F sugar moiety. In certain embodiments, B is an LNA nucleoside and A comprises a 2′-(ara)-F sugar moiety. In certain embodiments, B is a cEt nucleoside and A comprises a 2′-(ara)-F sugar moiety. In certain embodiments, B is an α-L-LNA nucleoside and A comprises a 2′-(ara)-F sugar moiety.


In certain embodiments, at least one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-substituted sugar moiety and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and C comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a modified nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a modified nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a modified nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a modified nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-substituted sugar moiety, and W comprises a 2-thio-thymidine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 2-thio-thymidine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 2-thio-thymidine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises 2-thio-thymidine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and C comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and C comprises a 5-propyne uridine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and C comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5-propyne uridine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5-propyne uridine nucleobase.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a HNA sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a sugar HNA surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a HNA sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a F-HNA sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a F-HNA sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a F-HNA sugar surrogate.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5 ‘-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2’-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5 ‘-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2’-MOE sugar moiety, and W comprises a 5′-Me DNA sugar moiety.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-Me DNA sugar moiety.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-MOE sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety.


In certain embodiments, one of A or B comprises a bicyclic sugar moiety, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is a cEt nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety. In certain embodiments, one of A or B is an α-L-LNA nucleoside, another of A or B comprises a 2′-(ara)-F sugar moiety, and W comprises a 5′-(R)-Me DNA sugar moiety.


In certain embodiments, at least two of A, B or W comprises a 2′-substituted sugar moiety, and the other comprises a bicyclic sugar moiety. In certain embodiments, at least two of A, B or W comprises a bicyclic sugar moiety, and the other comprises a 2′-substituted sugar moiety.


c. Certain Overall Lengths


In certain embodiments, the present invention provides oligomeric compounds including oligonucleotides of any of a variety of ranges of lengths. In certain embodiments, the invention provides oligomeric compounds or oligonucleotides consisting of X to Y linked nucleosides, where X represents the fewest number of nucleosides in the range and Y represents the largest number of nucleosides in the range. In certain such embodiments, X and Y are each independently selected from 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, and 50; provided that X≤Y. For example, in certain embodiments, the invention provides oligomeric compounds which comprise oligonucleotides consisting of 8 to 9, 8 to 10, 8 to 11, 8 to 12, 8 to 13, 8 to 14, 8 to 15, 8 to 16, 8 to 17, 8 to 18, 8 to 19, 8 to 20, 8 to 21, 8 to 22, 8 to 23, 8 to 24, 8 to 25, 8 to 26, 8 to 27, 8 to 28, 8 to 29, 8 to 30, 9 to 10, 9 to 11, 9 to 12, 9 to 13, 9 to 14, 9 to 15, 9 to 16, 9 to 17, 9 to 18, 9 to 19, 9 to 20, 9 to 21, 9 to 22, 9 to 23, 9 to 24, 9 to 25, 9 to 26, 9 to 27, 9 to 28, 9 to 29, 9 to 30, 10 to 11, 10 to 12, 10 to 13, 10 to 14, 10 to 15, 10 to 16, 10 to 17, 10 to 18, 10 to 19, 10 to 20, 10 to 21, 10 to 22, 10 to 23, 10 to 24, 10 to 25, 10 to 26, 10 to 27, 10 to 28, 10 to 29, 10 to 30, 11 to 12, 11 to 13, 11 to 14, 11 to 15, 11 to 16, 11 to 17, 11 to 18, 11 to 19, 11 to 20, 11 to 21, 11 to 22, 11 to 23, 11 to 24, 11 to 25, 11 to 26, 11 to 27, 11 to 28, 11 to 29, 11 to 30, 12 to 13, 12 to 14, 12 to 15, 12 to 16, 12 to 17, 12 to 18, 12 to 19, 12 to 20, 12 to 21, 12 to 22, 12 to 23, 12 to 24, 12 to 25, 12 to 26, 12 to 27, 12 to 28, 12 to 29, 12 to 30, 13 to 14, 13 to 15, 13 to 16, 13 to 17, 13 to 18, 13 to 19, 13 to 20, 13 to 21, 13 to 22, 13 to 23, 13 to 24, 13 to 25, 13 to 26, 13 to 27, 13 to 28, 13 to 29, 13 to 30, 14 to 15, 14 to 16, 14 to 17, 14 to 18, 14 to 19, 14 to 20, 14 to 21, 14 to 22, 14 to 23, 14 to 24, 14 to 25, 14 to 26, 14 to 27, 14 to 28, 14 to 29, 14 to 30, 15 to 16, 15 to 17, 15 to 18, 15 to 19, 15 to 20, 15 to 21, 15 to 22, 15 to 23, 15 to 24, 15 to 25, 15 to 26, 15 to 27, 15 to 28, 15 to 29, 15 to 30, 16 to 17, 16 to 18, 16 to 19, 16 to 20, 16 to 21, 16 to 22, 16 to 23, 16 to 24, 16 to 25, 16 to 26, 16 to 27, 16 to 28, 16 to 29, 16 to 30, 17 to 18, 17 to 19, 17 to 20, 17 to 21, 17 to 22, 17 to 23, 17 to 24, 17 to 25, 17 to 26, 17 to 27, 17 to 28, 17 to 29, 17 to 30, 18 to 19, 18 to 20, 18 to 21, 18 to 22, 18 to 23, 18 to 24, 18 to 25, 18 to 26, 18 to 27, 18 to 28, 18 to 29, 18 to 30, 19 to 20, 19 to 21, 19 to 22, 19 to 23, 19 to 24, 19 to 25, 19 to 26, 19 to 29, 19 to 28, 19 to 29, 19 to 30, 20 to 21, 20 to 22, 20 to 23, 20 to 24, 20 to 25, 20 to 26, 20 to 27, 20 to 28, 20 to 29, 20 to 30, 21 to 22, 21 to 23, 21 to 24, 21 to 25, 21 to 26, 21 to 27, 21 to 28, 21 to 29, 21 to 30, 22 to 23, 22 to 24, 22 to 25, 22 to 26, 22 to 27, 22 to 28, 22 to 29, 22 to 30, 23 to 24, 23 to 25, 23 to 26, 23 to 27, 23 to 28, 23 to 29, 23 to 30, 24 to 25, 24 to 26, 24 to 27, 24 to 28, 24 to 29, 24 to 30, 25 to 26, 25 to 27, 25 to 28, 25 to 29, 25 to 30, 26 to 27, 26 to 28, 26 to 29, 26 to 30, 27 to 28, 27 to 29, 27 to 30, 28 to 29, 28 to 30, or 29 to 30 linked nucleosides. In embodiments where the number of nucleosides of an oligomeric compound or oligonucleotide is limited, whether to a range or to a specific number, the oligomeric compound or oligonucleotide may, nonetheless further comprise additional other substituents. For example, an oligonucleotide comprising 8-30 nucleosides excludes oligonucleotides having 31 nucleosides, but, unless otherwise indicated, such an oligonucleotide may further comprise, for example one or more conjugates, terminal groups, or other substituents. In certain embodiments, a gapmer oligonucleotide has any of the above lengths.


Further, where an oligonucleotide is described by an overall length range and by regions having specified lengths, and where the sum of specified lengths of the regions is less than the upper limit of the overall length range, the oligonucleotide may have additional nucleosides, beyond those of the specified regions, provided that the total number of nucleosides does not exceed the upper limit of the overall length range.


d. Certain Oligonucleotides


In certain embodiments, oligonucleotides of the present invention are characterized by their modification motif and overall length. In certain embodiments, such parameters are each independent of one another. Thus, unless otherwise indicated, each internucleoside linkage of an oligonucleotide having a gapmer sugar motif may be modified or unmodified and may or may not follow the gapmer modification pattern of the sugar modifications. For example, the internucleoside linkages within the wing regions of a sugar-gapmer may be the same or different from one another and may be the same or different from the internucleoside linkages of the gap region. Likewise, such sugar-gapmer oligonucleotides may comprise one or more modified nucleobase independent of the gapmer pattern of the sugar modifications. One of skill in the art will appreciate that such motifs may be combined to create a variety of oligonucleotides. Herein if a description of an oligonucleotide or oligomeric compound is silent with respect to one or more parameter, such parameter is not limited. Thus, an oligomeric compound described only as having a gapmer sugar motif without further description may have any length, internucleoside linkage motif, and nucleobase modification motif. Unless otherwise indicated, all chemical modifications are independent of nucleobase sequence.


e. Certain Conjugate Groups


In certain embodiments, oligomeric compounds are modified by attachment of one or more conjugate groups. In general, conjugate groups modify one or more properties of the attached oligomeric compound including but not limited to pharmacodynamics, pharmacokinetics, stability, binding, absorption, cellular distribution, cellular uptake, charge and clearance. Conjugate groups are routinely used in the chemical arts and are linked directly or via an optional conjugate linking moiety or conjugate linking group to a parent compound such as an oligomeric compound, such as an oligonucleotide. Conjugate groups includes without limitation, intercalators, reporter molecules, polyamines, polyamides, polyethylene glycols, thioethers, polyethers, cholesterols, thiocholesterols, cholic acid moieties, folate, lipids, phospholipids, biotin, phenazine, phenanthridine, anthraquinone, adamantane, acridine, fluoresceins, rhodamines, coumarins and dyes. Certain conjugate groups 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. Let., 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. Let., 1993, 3, 2765-2770), a thiocholesterol (Oberhauser et al., Nucl. Acids Res., 1992, 20, 533-538), an aliphatic chain, e.g., do-decan-diol or undecyl residues (Saison-Behmoaras et al., EMBO J., 1991, 10, 1111-1118; Kabanov et al., FEBS Lett., 1990, 259, 327-330; Svinarchuk et al., Biochimie, 1993, 75, 49-54), a phospholipid, e.g., di-hexadecyl-rac-glycerol or triethyl-ammonium 1,2-di-O-hexadecyl-rac-glycero-3-H-phosphonate (Manoharan et al., Tetrahedron Lett., 1995, 36, 3651-3654; Shea et al., Nucl. Acids Res., 1990, 18, 3777-3783), a polyamine or a polyethylene glycol chain (Manoharan et al., Nucleosides & Nucleotides, 1995, 14, 969-973), or adamantane acetic acid (Manoharan et al., Tetrahedron Lett., 1995, 36, 3651-3654), a palmityl moiety (Mishra et al., Biochim. Biophys. Acta, 1995, 1264, 229-237), or an octadecylamine or hexylamino-carbonyl-oxycholesterol moiety (Crooke et al., J. Pharmacol. Exp. Ther., 1996, 277, 923-937).


In certain embodiments, a conjugate group comprises an active drug substance, for example, aspirin, warfarin, phenylbutazone, ibuprofen, suprofen, fen-bufen, ketoprofen, (S)-(+)-pranoprofen, carprofen, dansylsarcosine, 2,3,5-triiodobenzoic acid, 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.


In certain embodiments, conjugate groups are directly attached to oligonucleotides in oligomeric compounds. In certain embodiments, conjugate groups are attached to oligonucleotides by a conjugate linking group. In certain such embodiments, conjugate linking groups, including, but not limited to, bifunctional linking moieties such as those known in the art are amenable to the compounds provided herein. Conjugate linking groups are useful for attachment of conjugate groups, such as chemical stabilizing groups, functional groups, reporter groups and other groups to selective sites in a parent compound such as for example an oligomeric compound. In general a bifunctional linking moiety comprises a hydrocarbyl moiety having two functional groups. One of the functional groups is selected to bind to a parent molecule or compound of interest and the other is selected to bind essentially any selected group such as chemical functional group or a conjugate group. In some embodiments, the conjugate linker comprises a chain structure or an oligomer of repeating units such as ethylene glycol or amino acid units. Examples of functional groups that are routinely 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 some embodiments, bifunctional linking moieties include amino, hydroxyl, carboxylic acid, thiol, unsaturations (e.g., double or triple bonds), and the like.


Some nonlimiting examples of conjugate linking moieties include pyrrolidine, 8-amino-3,6-dioxaoctanoic acid (ADO), succinimidyl 4-(N-maleimidomethyl) cyclohexane-1-carboxylate (SMCC) and 6-aminohexanoic acid (AHEX or AHA). Other linking groups include, but are not limited to, substituted 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.


Conjugate groups may be attached to either or both ends of an oligonucleotide (terminal conjugate groups) and/or at any internal position.


In certain embodiments, conjugate groups are at the 3′-end of an oligonucleotide of an oligomeric compound. In certain embodiments, conjugate groups are near the 3′-end. In certain embodiments, conjugates are attached at the 3′end of an oligomeric compound, but before one or more terminal group nucleosides. In certain embodiments, conjugate groups are placed within a terminal group.


In certain embodiments, the present invention provides oligomeric compounds. In certain embodiments, oligomeric compounds comprise an oligonucleotide. In certain embodiments, an oligomeric compound comprises an oligonucleotide and one or more conjugate and/or terminal groups. Such conjugate and/or terminal groups may be added to oligonucleotides having any of the motifs discussed above. Thus, for example, an oligomeric compound comprising an oligonucleotide having region of alternating nucleosides may comprise a terminal group.


C. Antisense Compounds

In certain embodiments, oligomeric compounds provided herein are antisense compounds. Such antisense compounds are capable of hybridizing to a target nucleic acid, resulting in at least one antisense activity. In certain embodiments, antisense compounds specifically hybridize to one or more target nucleic acid. In certain embodiments, a specifically hybridizing antisense compound has a nucleobase sequence comprising a region having sufficient complementarity to a target nucleic acid to allow hybridization and result in antisense activity and insufficient complementarity to any non-target so as to avoid non-specific hybridization to any non-target nucleic acid sequences under conditions in which specific hybridization is desired (e.g., under physiological conditions for in vivo or therapeutic uses, and under conditions in which assays are performed in the case of in vitro assays).


In certain embodiments, the present invention provides antisense compounds comprising oligonucleotides that are fully complementary to the target nucleic acid over the entire length of the oligonucleotide. In certain embodiments, oligonucleotides are 99% complementary to the target nucleic acid. In certain embodiments, oligonucleotides are 95% complementary to the target nucleic acid. In certain embodiments, such oligonucleotides are 90% complementary to the target nucleic acid.


In certain embodiments, such oligonucleotides are 85% complementary to the target nucleic acid. In certain embodiments, such oligonucleotides are 80% complementary to the target nucleic acid. In certain embodiments, an antisense compound comprises a region that is fully complementary to a target nucleic acid and is at least 80% complementary to the target nucleic acid over the entire length of the oligonucleotide. In certain such embodiments, the region of full complementarity is from 6 to 14 nucleobases in length.


a. Certain Antisense Activities and Mechanisms


In certain antisense activities, hybridization of an antisense compound results in recruitment of a protein that cleaves of the target nucleic acid. For example, certain antisense compounds result in RNase H mediated cleavage of target nucleic acid. RNase H is a cellular endonuclease that cleaves the RNA strand of an RNA:DNA duplex. The “DNA” in such an RNA:DNA duplex, need not be unmodified DNA. In certain embodiments, the invention provides antisense compounds that are sufficiently “DNA-like” to elicit RNase H activity. Such DNA-like antisense compounds include, but are not limited to gapmers having unmodified deoxyfuronose sugar moieties in the nucleosides of the gap and modified sugar moieties in the nucleosides of the wings.


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


In certain embodiments, compounds comprising oligonucleotides having a gapmer nucleoside motif described herein have desirable properties compared to non-gapmer oligonucleotides or to gapmers having other motifs. In certain circumstances, it is desirable to identify motifs resulting in a favorable combination of potent antisense activity and relatively low toxicity. In certain embodiments, compounds of the present invention have a favorable therapeutic index (measure of activity divided by measure of toxicity).


b. Certain Selective Antisense Compounds


In certain embodiments, antisense compounds provided are selective for a target relative to a non-target nucleic acid. In certain embodiments, the nucleobase sequences of the target and non-target nucleic acids differ by no more than 4 differentiating nucleobases in the targeted region. In certain embodiments, the nucleobase sequences of the target and non-target nucleic acids differ by no more than 3 differentiating nucleobases in the targeted region. In certain embodiments, the nucleobase sequences of the target and non-target nucleic acids differ by no more than 2 differentiating nucleobases in the targeted region. In certain embodiments, the nucleobase sequences of the target and non-target nucleic acids differ by a single differentiating nucleobase in the targeted region. In certain embodiments, the target and non-target nucleic acids are transcripts from different genes. In certain embodiments, the target and non-target nucleic acids are different alleles for the same gene. In certain embodiments, the introduction of a mismatch between an antisense compound and a non-target nucleic acid may alter the RNase H cleavage site of a target nucleic acid compared to a non-target nucleic acid. In certain embodiments, the target and non-target nucleic acids are not functionally related to one another (e.g., are transcripts from different genes). In certain embodiments, the target and not-target nucleic acids are allelic variants of one another. In certain embodiments, the allelic variant contains a single nucleotide polymorphism (SNP). In certain embodiments, a SNP is associated with a mutant allele. In certain embodiments, a mutant SNP is associated with a disease. In certain embodiments a mutant SNP is associated with a disease, but is not causative of the disease. In certain embodiments, mRNA and protein expression of a mutant allele is associated with disease.


Selectivity of antisense compounds is achieved, principally, by nucleobase complementarity. For example, if an antisense compound has no mismatches for a target nucleic acid and one or more mismatches for a non-target nucleic acid, some amount of selectivity for the target nucleic acid will result. In certain embodiments, provided herein are antisense compounds with enhanced selectivity (i.e. the ratio of activity for the target to the activity for non-target is greater). For example, in certain embodiments, a selective nucleoside comprises a particular feature or combination of features (e.g., chemical modification, motif, placement of selective nucleoside, and/or self-complementary region) that increases selectivity of an antisense compound compared to an antisense compound not having that feature or combination of features. In certain embodiments, such feature or combination of features increases antisense activity for the target. In certain embodiments, such feature or combination of features decreases activity for the target, but decreases activity for the non-target by a greater amount, thus resulting in an increase in selectivity.


Without being limited by mechanism, enhanced selectivity may result from a larger difference in the affinity of an antisense compound for its target compared to its affinity for the non-target and/or a larger difference in RNase H activity for the resulting duplexes. For example, in certain embodiments, a selective antisense compound comprises a modified nucleoside at that same position as a differentiating nucleobase (i.e., the selective nucleoside is modified). That modification may increase the difference in binding affinity of the antisense compound for the target relative to the non-target. In addition or in the alternative, the chemical modification may increase the difference in RNAse H activity for the duplex formed by the antisense compound and its target compared to the RNase activity for the duplex formed by the antisense compound and the non-target. For example, the modification may exaggerate a structure that is less compatible for RNase H to bind, cleave and/or release the non-target.


In certain embodiments, an antisense compound binds its intended target to form a target duplex. In certain embodiments, RNase H cleaves the target nucleic acid of the target duplex. In certain such embodiments, there is a primary cleavage site between two particular nucleosides of the target nucleic acid (the primary target cleavage site), which accounts for the largest amount of cleavage of the target nucleic acid. In certain embodiments, there are one or more secondary target cleavage sites. In certain embodiments, the same antisense compound hybridizes to a non-target to form a non-target duplex. In certain such embodiments, the non-target differs from the target by a single nucleobase within the target region, and so the antisense compound hybridizes with a single mismatch. Because of the mismatch, in certain embodiments, RNase H cleavage of the non-target may be reduced compared to cleavage of the target, but still occurs. In certain embodiments, though, the primary site of that cleavage of the non-target nucleic acid (primary non-target cleavage site) is different from that of the target. That is; the primary site is shifted due to the mismatch. In such a circumstance, one may use a modification placed in the antisense compound to disrupt RNase H cleavage at the primary non-target cleavage site. Such modification will result in reduced cleavage of the non-target, but will result little or no decrease in cleavage of the target. In certain embodiments, the modification is a modified sugar, nucleobase and/or linkage.


In certain embodiments, the primary non-target cleavage site is towards the 5′-end of the antisense compound, and the 5′-end of an antisense compound may be modified to prevent RNaseH cleavage. In this manner, it is thought that one having skill in the art may modify the 5′-end of an antisense compound, or modify the nucleosides in the gap region of the 5′-end of the antisense compound, or modify the the 3′-most 5′-region nucleosides of the antisense compound to selectively inhibit RNaseH cleavage of the non-target nucleic acid duplex while retaining RNase H cleavage of the target nucleic acid duplex. In certain embodiments, 1-3 of the 3′-most 5′-region nucleosides of the antisense compound comprises a bicyclic sugar moiety.


For example, in certain embodiments the target nucleic acid may have an allelic variant, e.g. a non-target nucleic acid, containing a single nucleotide polymorphism. An antisense compound may be designed having a single nucleobase mismatch from the non-target nucleic acid, but which has full complementarity to the target nucleic acid. The mismatch between the antisense compound and the non-target nucleic acid may destabilize the antisense compound non-target nucleic acid duplex, and consequently the cleavage site of RNaseH may shift upstream towards the 5′-end of the antisense compound. Modification of the 5′-end of the antisense compound or the gap region near the 5′-end of the antisense compound, or one or more of the 3′-most nucleosides of the 5′-wing region, will then prevent RNaseH cleavage of the non-target nucleic acid. Since the target nucleic acid is fully complementary to the antisense compound, the antisense compound and the target nucleic acid will form a more stabilized antisense compound-target nucleic acid duplex and the cleavage site of RnaseH will be more downstream, towards the 3′ end of the antisense compound. Accordingly, modifications at the 5′-end of the antisense compound will prevent RNaseH cleavage of the non-target nucleic acid, but will not substantially effect RNaseH cleavage of the target nucleic acid, and selectivity between a target nucleic acid and its allelic variant may be achieved. In certain embodiments, one or more of the 3′-most nucleosides of the 5′-wing region comprises a bicyclic sugar moiety. In certain embodiments, one or more of the 3′-most nucleosides of the 5′-wing region comprises a bicyclic sugar moiety selected from cEt and LNA. In certain embodiments, one or more of the 3′-most nucleosides of the 5′-wing region comprises cEt. In certain embodiments, one or more of the 3′-most nucleosides of the 5′-wing region comprises LNA.


In certain embodiments, the introduction of a mismatch between an antisense compound and a target nucleic acid may alter the RNase H cleavage site of a target nucleic acid compared to a non-target nucleic acid by shifting the RNaseH cleavage site downstream from the mismatch site and towards the 3′-end of the antisense compound. In certain embodiments where the cleavage site of a target nucleic acid compared to a non-target nucleic acid has shifted downstream towards the 3′-end of the antisense compound, the 3′-end of an antisense compound may be modified to prevent RNaseH cleavage. In this manner, it is thought that one having skill in the art may modify the 3′-end of an antisense compound, or modify the nucleosides in the gap region near the 3′-end of antisense compound, to selectively inhibit RNaseH cleavage of the non-target nucleic acid while retaining RNase H cleavage of the target nucleic acid.


For example, in certain embodiments the target nucleic acid may have an allelic variant, e.g. a non-target nucleic acid, containing a single nucleotide polymorphism. An antisense compound may be designed having a single nucleobase mismatch from the non-target nucleic acid, but which has full complementarity to target nucleic acid. The mismatch between the antisense compound and the non-target nucleic acid may destabilize the antisense compound-non-target nucleic acid duplex, and consequently the cleavage site of RNaseH may shift downstream towards the 3′-end of the antisense compound. Modification of the 3′-end of the antisense compound, or one or more of the the 5′-most nucleosides of the 3′-wing region, or the gap region of the antisense compound near the 3′-end will then prevent RNaseH cleavage of the non-target nucleic acid. Since the target nucleic acid is fully complementary to the antisense compound, the antisense compound and the target nucleic acid will form a more stabilized antisense compound-target nucleic acid duplex and the cleavage site of RnaseH will be more upstream, towards the 5′ end of the antisense compound. Accordingly, modifications at the 3′-end of the antisense compound will prevent RNaseH cleavage of the non-target nucleic acid, but will not substantially effect RNaseH cleavage of the target nucleic acid, and selectivity between a target nucleic acid and its allelic variant may be achieved. In certain embodiments, one or more of the 5′-most nucleosides of the 3′-wing region comprises a bicyclic sugar moiety. In certain embodiments, one or more of the 5′-most nucleosides of the 3′-wing region comprises a bicyclic sugar moiety selected from cEt and LNA. In certain embodiments, one or more of the 5′-most nucleosides of the 3′-wing region comprises cEt. In certain embodiments, one or more of the 5′-most nucleosides of the 3′-wing region comprises LNA.


In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of one or more bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of two or more bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of one bicyclic nucleoside at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of two bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of three bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of four bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of five bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments discussed above, the bicyclic nucleosides at the 3′-most 5′-wing nucleoside are selected from among cEt, cMOE, LNA, α-LNA, ENA and 2′-thio LNA. In certain embodiments discussed above, the bicyclic nucleosides at the 3′-most 5′-wing nucleoside comprise cEt. In certain embodiments discussed above, the bicyclic nucleosides at the 3′-most 5′-wing nucleoside comprise LNA.


In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of one or more bicyclic nucleosides at the 3′-most 5′-wing nucleoside and the addition of one or more bicyclic nucleosides at the 5′-most 3′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of two or more bicyclic nucleosides at the 3′-most 5′-wing nucleoside and the addition of one or more bicyclic nucleosides at the 5′-most 3′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of one bicyclic nucleoside at the 3′-most 5′-wing nucleoside and the addition of one or more bicyclic nucleosides at the 5′-most 3′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of two bicyclic nucleosides at the 3′-most 5′-wing nucleoside and the addition of one or more bicyclic nucleosides at the 5′-most 3′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of three bicyclic nucleosides at the 3′-most 5′-wing nucleoside and the addition of one or more bicyclic nucleosides at the 5′-most 3′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of four bicyclic nucleosides at the 3′-most 5′-wing nucleoside and the addition of one or more bicyclic nucleosides at the 5′-most 3′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or longer, may be improved by the addition of four bicyclic nucleosides at the 3′-most 5′-wing nucleoside and the addition of one or more bicyclic nucleosides at the 5′-most 3′-wing nucleoside.


In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of one or more bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of two or more bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of one bicyclic nucleoside at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of two bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of three bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of four bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments, the selectivity of antisense compounds having certain gaps, e.g. gaps of 7 nucleosides or shorter, may be improved by the addition of five bicyclic nucleosides at the 3′-most 5′-wing nucleoside. In certain embodiments discussed above, the bicyclic nucleosides at the 3′-most 5′-wing nucleoside are selected from among cEt, cMOE, LNA, α-LNA, ENA and 2′-thio LNA. In certain embodiments discussed above, the bicyclic nucleosides at the 3′-most 5′-wing nucleoside comprise cEt. In certain embodiments discussed above, the bicyclic nucleosides at the 3′-most 5′-wing nucleoside comprise LNA.


Antisense compounds having certain specified motifs have enhanced selectivity, including, but not limited to motifs described above. In certain embodiments, enhanced selectivity is achieved by oligonucleotides comprising any one or more of:

    • a modification motif comprising a long 5′-wing (longer than 5, 6, or 7 nucleosides);
    • a modification motif comprising a long 3′-wing (longer than 5, 6, or 7 nucleosides);
    • a modification motif comprising a short gap region (shorter than 8, 7, or 6 nucleosides); and
    • a modification motif comprising an interrupted gap region (having no uninterrupted stretch of unmodified 2′-deoxynucleosides longer than 7, 6 or 5).


      i. Certain Selective Nucleobase Sequence Elements


In certain embodiments, selective antisense compounds comprise nucleobase sequence elements. Such nucleobase sequence elements are independent of modification motifs. Accordingly, oligonucleotides having any of the motifs (modification motifs, nucleoside motifs, sugar motifs, nucleobase modification motifs, and/or linkage motifs) may also comprise one or more of the following nucleobase sequence elements.


ii. Alignment of Differentiating Nucleobase/Target-Selective Nucleoside


In certain embodiments, a target region and a region of a non-target nucleic acid differ by 1-4 differentiating nucleobase. In such embodiments, selective antisense compounds have a nucleobase sequence that aligns with the non-target nucleic acid with 1-4 mismatches. A nucleoside of the antisense compound that corresponds to a differentiating nucleobase of the target nucleic acid is referred to herein as a target-selective nucleoside. In certain embodiments, selective antisense compounds having a gapmer motif align with a non-target nucleic acid, such that a target-selective nucleoside is positioned in the gap. In certain embodiments, a target-selective nucleoside is the 1st nucleoside of the gap from the 5′ end. In certain embodiments, a target-selective nucleoside is the 2nd nucleoside of the gap from the 5′ end. In certain embodiments, a target-selective nucleoside is the 3rd nucleoside of the gap from the 5′-end. In certain embodiments, a target-selective nucleoside is the 4th nucleoside of the gap from the 5′-end. In certain embodiments, a target-selective nucleoside is the 5th nucleoside of the gap from the 5′-end. In certain embodiments, a target-selective nucleoside is the 6rd nucleoside of the gap from the 5′-end. In certain embodiments, a target-selective nucleoside is the 8th nucleoside of the gap from the 3′-end. In certain embodiments, a target-selective nucleoside is the 7th nucleoside of the gap from the 3′-end. In certain embodiments, a target-selective nucleoside is the 6th nucleoside of the gap from the 3′-end. In certain embodiments, a target-selective nucleoside is the 5th nucleoside of the gap from the 3′-end. In certain embodiments, a target-selective nucleoside is the 4th nucleoside of the gap from the 3′-end. In certain embodiments, a target-selective nucleoside is the 3rd nucleoside of the gap from the 3′-end. In certain embodiments, a target-selective nucleoside is the 2nd nucleoside of the gap from the 3′-end.


In certain embodiments, a target-selective nucleoside comprises a modified nucleoside. In certain embodiments, a target-selective nucleoside comprises a modified sugar. In certain embodiments, a target-selective nucleoside comprises a sugar surrogate. In certain embodiments, a target-selective nucleoside comprises a sugar surrogate selected from among HNA and F-HNA. In certain embodiments, a target-selective nucleoside comprises a sugar surrogate selected from among F-CeNA, FRNA, and FANA. In certain embodiments, a target-selective nucleoside comprises a 2′-substituted sugar moiety. In certain embodiments, a target-selective nucleoside comprises a 2′-substituted sugar moiety selected from among MOE, F and (ara)-F. In certain embodiments, a target-selective nucleoside comprises a 5′-substituted sugar moiety. In certain embodiments, a target-selective nucleoside comprises a 5′-substituted sugar moiety selected from 5′-(R)-Me DNA. In certain embodiments, a target-selective nucleoside comprises a 5′-substituted sugar moiety selected from 5′-(S)-Me DNA. In certain embodiments, a target-selective nucleoside comprises a bicyclic sugar moiety. In certain embodiments, a target-selective nucleoside comprises a bicyclic sugar moiety selected from among cEt, and α-L-LNA. In certain embodiments, a target-selective nucleoside comprises a modified nucleobase. In certain embodiments, a target-selective nucleoside comprises a modified nucleobase selected from among 2-thio-thymidine and 5-propyne uridine.


In certain embodiments, a modification at position 4 from the 5′-end increases selectivity. In certain embodiments, a modification at position 5 from the 5′-end increases selectivity. In certain embodiments, a modification at position 7 from the 5′-end increases selectivity. In certain embodiments, a modification at position 8 from the 5′-end increases potency and selectivity. In certain embodiments, a modification at position 9 from the 5′-end increases potency. In certain embodiments, a modification at position 10 from the 5′-end increases selectivity. In certain embodiments, a modification at position 11 from the 5′-end increases selectivity. In certain embodiments, a modification at position 12 from the 5′-end increases potency. In certain embodiments, an S-5′-Me-DNA modification increases allele selectivity.


iii. Mismatches to the Target Nucleic Acid


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


iv. Self Complementary Regions


In certain embodiments, selective antisense compounds comprise a region that is not complementary to the target. In certain embodiments, such region is complementary to another region of the antisense compound. Such regions are referred to herein as self-complementary regions. For example, in certain embodiments, an antisense compound has a first region at one end that is complementary to a second region at the other end. In certain embodiments, one of the first and second regions is complementary to the target nucleic acid. Unless the target nucleic acid also includes a self-complementary region, the other of the first and second region of the antisense compound will not be complementary to the target nucleic acid. For illustrative purposes, certain antisense compounds have the following nucleobase motif:

    • ABCXXXXXXXXXC′B′A′;
    • ABCXXXXXXX(X/C′)(X/B′)(X/A′);
    • (X/A)(X/B)(X/C)XXXXXXXXXC′B′A′


      where each of A, B, and C are any nucleobase; A′, B′, and C′ are the complementary bases to A, B, and C, respectively; each X is a nucleobase complementary to the target nucleic acid; and two letters in parentheses (e.g., (X/C′)) indicates that the nucleobase is complementary to the target nucleic acid and to the designated nucleoside within the antisense oligonucleotide.


Without being bound to any mechanism, in certain embodiments, such antisense compounds are expected to form self-structure, which is disrupted upon contact with a target nucleic acid. Contact with a non-target nucleic acid is expected to disrupt the self-structure to a lesser degree, thus increasing selectivity compared to the same antisense compound lacking the self-complementary regions.


v. Combinations of Features


Though it is clear to one of skill in the art, the above motifs and other elements for increasing selectivity may be used alone or in combination. For example, a single antisense compound may include any one, two, three, or more of: self-complementary regions, a mismatch relative to the target nucleic acid, a short nucleoside gap, an interrupted gap, and specific placement of the selective nucleoside.


D. Certain Target Nucleic Acids

In certain embodiments, antisense compounds comprise or consist of an oligonucleotide comprising a region that is complementary to a target nucleic acid. In certain embodiments, the target nucleic acid is an endogenous RNA molecule. In certain embodiments, the target nucleic acid is a non-coding RNA. In certain such embodiments, the target non-coding RNA is selected from: a long-non-coding RNA, a short non-coding RNA, an intronic RNA molecule, a snoRNA, a scaRNA, a microRNA (including pre-microRNA and mature microRNA), a ribosomal RNA, and promoter directed RNA. In certain embodiments, the target nucleic acid encodes a protein. In certain such embodiments, the target nucleic acid is selected from: an mRNA and a pre-mRNA, including intronic, exonic and untranslated regions. In certain embodiments, oligomeric compounds are at least partially complementary to more than one target nucleic acid. For example, antisense compounds of the present invention may mimic microRNAs, which typically bind to multiple targets.


In certain embodiments, the target nucleic acid is a nucleic acid other than a mature mRNA. In certain embodiments, the target nucleic acid is a nucleic acid other than a mature mRNA or a microRNA. In certain embodiments, the target nucleic acid is a non-coding RNA other than a microRNA. In certain embodiments, the target nucleic acid is a non-coding RNA other than a microRNA or an intronic region of a pre-mRNA. In certain embodiments, the target nucleic acid is a long non-coding RNA. In certain embodiments, the target RNA is an mRNA. In certain embodiments, the target nucleic acid is a pre-mRNA. In certain such embodiments, the target region is entirely within an intron. In certain embodiments, the target region spans an intron/exon junction. In certain embodiments, the target region is at least 50% within an intron. In certain embodiments, the target nucleic acid is selected from among non-coding RNA, including exonic regions of pre-mRNA. In certain embodiments, the target nucleic acid is a ribosomal RNA (rRNA). In certain embodiments, the target nucleic acid is a non-coding RNA associated with splicing of other pre-mRNAs. In certain embodiments, the target nucleic acid is a nuclear-retained non-coding RNA.


In certain embodiments, antisense compounds described herein are complementary to a target nucleic acid comprising a single-nucleotide polymorphism. In certain such embodiments, the antisense compound is capable of modulating expression of one allele of the single-nucleotide polymorphism-containing-target nucleic acid to a greater or lesser extent than it modulates another allele. In certain embodiments an antisense compound hybridizes to a single-nucleotide polymorphism-containing-target nucleic acid at the single-nucleotide polymorphism site. In certain embodiments, the target nucleic acid is a Huntingtin gene transcript. In certain embodiments, the target nucleic acid is a single-nucleotide polymorphism-containing-target nucleic acid of a Huntingtin gene transcript. In certain embodiments, the target nucleic acid is not a Huntingtin gene transcript. In certain embodiments, the target nucleic acid is a single-nucleotide polymorphism-containing-target nucleic acid of a gene transcript other than Huntingtin. In certain embodiments, the target nucleic acid is any nucleic acid other than a Huntingtin gene transcript.


a. Single-Nucleotide Polymorphism


In certain embodiments, the invention provides selective antisense compounds that have greater activity for a target nucleic acid than for a homologous or partially homologous non-target nucleic acid. In certain such embodiments, the target and non-target nucleic acids are not functionally related to one another (e.g., are transcripts from different genes). In certain embodiments, the target and not-target nucleic acids are allelic variants of one another. Certain embodiments of the present invention provide methods, compounds, and compositions for selectively inhibiting mRNA and protein expression of an allelic variant of a particular gene or DNA sequence. In certain embodiments, the allelic variant contains a single nucleotide polymorphism (SNP). In certain embodiments, a SNP is associated with a mutant allele. In certain embodiments, a mutant SNP is associated with a disease. In certain embodiments a mutant SNP is associated with a disease, but is not causative of the disease. In certain embodiments, mRNA and protein expression of a mutant allele is associated with disease.


In certain embodiments, the expressed gene product of a mutant allele results in aggregation of the mutant proteins causing disease. In certain embodiments, the expressed gene product of a mutant allele results in gain of function causing disease. In certain embodiments, genes with an autosomal dominant mutation resulting in a toxic gain of function of the protein are the APP gene encoding amyloid precursor protein involved in Alzheimer's disease (Gene, 371: 68, 2006); the PrP gene encoding prion protein involved in Creutzfeldt-Jakob disease and in fatal familial insomnia (Nat. Med. 1997, 3: 1009); GFAP gene encoding glial fibrillary acidic protein involved in Alexander disease (J. Neurosci. 2006, 26:111623); alpha-synuclein gene encoding alpha-synuclein protein involved in Parkinson's disease (J. Clin. Invest. 2003, 111: 145); SOD-1 gene encoding the SOD-1 protein involved in amyotrophic lateral sclerosis (Science 1998, 281: 1851); atrophin-1 gene encoding atrophin-1 protein involved in dentato-rubral and pallido-luysian atrophy (DRPA) (Trends Mol. Med. 2001, 7: 479); SCA1 gene encoding ataxin-1 protein involved in spino-cerebellar ataxia-1 (SCA1) (Protein Sci. 2003, 12: 953); PLP gene encoding proteolipid protein involved in Pelizaeus-Merzbacher disease (NeuroMol Med. 2007, 4: 73); DYT1 gene encoding torsinA protein involved in Torsion dystonia (Brain Res. 2000, 877: 379); and alpha-B crystalline gene encoding alpha-B crystalline protein involved in protein aggregation diseases, including cardiomyopathy (Cell 2007, 130: 427); alpha1-antitrypsin gene encoding alpha1-antitrypsin protein involved in chronic obstructive pulmonary disease (COPD), liver disease and hepatocellular carcinoma (New Engl J Med. 2002, 346: 45); Ltk gene encoding leukocyte tyrosine kinase protein involved in systemic lupus erythematosus (Hum. Mol. Gen. 2004, 13: 171); PCSK9 gene encoding PCSK9 protein involved in hypercholesterolemia (Hum Mutat. 2009, 30: 520); prolactin receptor gene encoding prolactin receptor protein involved in breast tumors (Proc. Natl. Assoc. Sci. 2008, 105: 4533); CCLS gene encoding the chemokine CCLS involved in COPD and asthma (Eur. Respir. J. 2008, 32: 327); PTPN22 gene encoding PTPN22 protein involved in Type 1 diabetes, Rheumatoid arthritis, Graves disease, and SLE (Proc. Natl. Assoc. Sci. 2007, 104: 19767); androgen receptor gene encoding the androgen receptor protein involved in spinal and bulbar muscular atrophy or Kennedy's disease (J Steroid Biochem. Mol. Biol. 2008, 108: 245); CHMP4B gene encoding chromatin modifying protein-4B involved in progressive childhood posterior subcapsular cataracts (Am. J. Hum. Genet 2007, 81: 596); FXR/NR1H4 gene encoding Farnesoid X receptor protein involved in cholesterol gallstone disease, arthrosclerosis and diabetes (Mol. Endocrinol. 2007, 21: 1769); ABCA1 gene encoding ABCA1 protein involved in cardiovascular disease (Transl. Res. 2007, 149: 205); CaSR gene encoding the calcium sensing receptor protein involved in primary hypercalciuria (Kidney Int. 2007, 71: 1155); alpha-globin gene encoding alpha-globin protein involved in alpha-thallasemia (Science 2006, 312: 1215); httlpr gene encoding HTTLPR protein involved in obsessive compulsive disorder (Am. J. Hum. Genet. 2006, 78: 815); AVP gene encoding arginine vasopressin protein in stress-related disorders such as anxiety disorders and comorbid depression (CNS Neurol. Disord. Drug Targets 2006, 5: 167); GNAS gene encoding G proteins involved in congenital visual defects, hypertension, metabolic syndrome (Trends Pharmacol. Sci. 2006, 27: 260); APAF1 gene encoding APAF1 protein involved in a predisposition to major depression (Mol. Psychiatry 2006, 11: 76); TGF-beta1 gene encoding TGF-beta1 protein involved in breast cancer and prostate cancer (Cancer Epidemiol. Biomarkers Prev. 2004, 13: 759); AChR gene encoding acetylcholine receptor involved in congential myasthenic syndrome (Neurology 2004, 62: 1090); P2Y12 gene encoding adenosine diphosphate (ADP) receptor protein involved in risk of peripheral arterial disease (Circulation 2003, 108: 2971); LQT1 gene encoding LQT1 protein involved in atrial fibrillation (Cardiology 2003, 100: 109); RET protooncogene encoding RET protein involved in sporadic pheochromocytoma (J. Clin. Endocrinol. Metab. 2003, 88: 4911); filamin A gene encoding filamin A protein involved in various congenital malformations (Nat. Genet. 2003, 33: 487); TARDBP gene encoding TDP-43 protein involved in amyotrophic lateral sclerosis (Hum. Mol. Gene.t 2010, 19: 671); SCA3 gene encoding ataxin-3 protein involved in Machado-Joseph disease (PLoS One 2008, 3: e3341); SCAT gene encoding ataxin-7 protein involved in spino-cerebellar ataxia-7 (PLoS One 2009, 4: e7232); and HTT gene encoding huntingtin protein involved in Huntington's disease (Neurobiol Dis. 1996, 3:183); and the CA4 gene encoding carbonic anhydrase 4 protein, CRX gene encoding cone-rod homeobox transcription factor protein, FSCN2 gene encoding retinal fascin homolog 2 protein, IMPDH1 gene encoding inosine monophosphate dehydrogenase 1 protein, NR2E3 gene encoding nuclear receptor subfamily 2 group E3 protein, NRL gene encoding neural retina leucine zipper protein, PRPF3 (RP18) gene encoding pre-mRNA splicing factor 3 protein, PRPF8 (RP13) gene encoding pre-mRNA splicing factor 8 protein, PRPF31 (RP11) gene encoding pre-mRNA splicing factor 31 protein, RDS gene encoding peripherin 2 protein, ROM1 gene encoding rod outer membrane protein 1 protein, RHO gene encoding rhodopsin protein, RP1 gene encoding RP1 protein, RPGR gene encoding retinitis pigmentosa GTPase regulator protein, all of which are involved in Autosomal Dominant Retinitis Pigmentosa disease (Adv Exp Med Biol. 2008, 613:203)


In certain embodiments, the mutant allele is associated with any disease from the group consisting of Alzheimer's disease, Creutzfeldt-Jakob disease, fatal familial insomnia, Alexander disease, Parkinson's disease, amyotrophic lateral sclerosis, dentato-rubral and pallido-luysian atrophy DRPA, spino-cerebellar ataxia, Torsion dystonia, cardiomyopathy, chronic obstructive pulmonary disease (COPD), liver disease, hepatocellular carcinoma, systemic lupus erythematosus, hypercholesterolemia, breast cancer, asthma, Type 1 diabetes, Rheumatoid arthritis, Graves disease, SLE, spinal and bulbar muscular atrophy, Kennedy's disease, progressive childhood posterior subcapsular cataracts, cholesterol gallstone disease, arthrosclerosis, cardiovascular disease, primary hypercalciuria, alpha-thallasemia, obsessive compulsive disorder, Anxiety, comorbid depression, congenital visual defects, hypertension, metabolic syndrome, prostate cancer, congential myasthenic syndrome, peripheral arterial disease, atrial fibrillation, sporadic pheochromocytoma, congenital malformations, Machado-Joseph disease, Huntington's disease, and Autosomal Dominant Retinitis Pigmentosa disease.


i. Certain Huntingtin Targets


In certain embodiments, an allelic variant of huntingtin is selectively reduced. Nucleotide sequences that encode huntingtin include, without limitation, the following: GENBANK Accession No. NT_006081.18, truncated from nucleotides 1566000 to 1768000 (replaced by GENBANK Accession No. NT_006051), incorporated herein as SEQ ID NO: 1, and NM_002111.6, incorporated herein as SEQ ID NO: 574.


Table 14 provides SNPs found in the GM04022, GM04281, GM02171, and GM02173B cell lines. Also provided are the allelic variants found at each SNP position, the genotype for each of the cell lines, and the percentage of HD patients having a particular allelic variant. For example, the two allelic variants for SNP rs6446723 are T and C. The GM04022 cell line is heterozygous TC, the GM02171 cell line is homozygous CC, the GM02173 cell line is heterozygous TC, and the GM04281 cell line is homozygous TT. Fifty percent of HD patients have a Tat SNP position rs6446723.









TABLE 14







Allelic Variations for SNPs Associated with HD














SNP
Variation
GM04022
GM02171
GM02173
GM04281
TargetPOP
allele

















rs6446723
T/C
TC
CC
TC
TT
0.50
T


rs3856973
A/G
AG
AA
AG
GG
0.50
G


rs2285086
A/G
AG
GG
AG
AA
0.50
A


rs363092
A/C
AC
AA
AC
CC
0.49
C


rs916171
C/G
GC
GG
GC
CC
0.49
C


rs6844859
T/C
TC
CC
TC
TT
0.49
T


rs7691627
A/G
AG
AA
AG
GG
0.49
G


rs4690073
A/G
AG
AA
AG
GG
0.49
G


rs2024115
A/G
AG
GG
AG
AA
0.48
A


rs11731237
T/C
CC
CC
TC
TT
0.43
T


rs362296
A/C
CC
AC
AC
AC
0.42
C


rs10015979
A/G
AA
AA
AG
GG
0.42
G


rs7659144
C/G
CG
CG
CG
CC
0.41
C


rs363096
T/C
CC
CC
TC
TT
0.40
T


rs362273
A/G
AA
AG
AG
AA
0.39
A


rs16843804
T/C
CC
TC
TC
CC
0.38
C


rs362271
A/G
GG
AG
AG
GG
0.38
G


rs362275
T/C
CC
TC
TC
CC
0.38
C


rs3121419
T/C
CC
TC
TC
CC
0.38
C


rs362272
A/G
GG

AG
GG
0.38
G


rs3775061
A/G
AA
AG
AG
AA
0.38
A


rs34315806
T/C
CC
TC
TC
CC
0.38
C


rs363099
T/C
CC
TC
TC
CC
0.38
C


rs2298967
T/C
TT
TC
TC
TT
0.38
T


rs363088
A/T
AA
TA
TA
AA
0.38
A


rs363064
T/C
CC
TC
TC
CC
0.35
C


rs363102
A/G
AG
AA
AA
AA
0.23
G


rs2798235
A/G
AG
GG
GG
GG
0.21
A


rs363080
T/C
TC
CC
CC
CC
0.21
T


rs363072
A/T
TA
TA
AA
AA
0.13
A


rs363125
A/C
AC
AC
CC
CC
0.12
C


rs362303
T/C
TC
TC
CC
CC
0.12
C


rs362310
T/C
TC
TC
CC
CC
0.12
C


rs10488840
A/G
AG
AG
GG
GG
0.12
G


rs362325
T/C
TC
TC
TT
TT
0.11
T


rs35892913
A/G
GG
GG
GG
GG
0.10
A


rs363102
A/G
AG
AA
AA
AA
0.09
A


rs363096
T/C
CC
CC
TC
TT
0.09
C


rs11731237
T/C
CC
CC
TC
TT
0.09
C


rs10015979
A/G
AA
AA
AG
GG
0.08
A


rs363080
T/C
TC
CC
CC
CC
0.07
C


rs2798235
A/G
AG
GG
GG
GG
0.07
G


rs1936032
C/G
GC
CC
CC
CC
0.06
C


rs2276881
A/G
GG
GG
GG
GG
0.06
G


rs363070
A/G
AA
AA
AA
AA
0.06
A


rs35892913
A/G
GG
GG
GG
GG
0.04
G


rs12502045
T/C
CC
CC
CC
CC
0.04
C


rs6446723
T/C
TC
CC
TC
TT
0.04
C


rs7685686
A/G
AG
GG
AG
AA
0.04
G


rs3733217
T/C
CC
CC
CC
CC
0.03
C


rs6844859
T/C
TC
CC
TC
TT
0.03
C


rs362331
T/C
TC
CC
TC
TT
0.03
C









E. Certain Indications

In certain embodiments, provided herein are methods of treating an animal or individual comprising administering one or more pharmaceutical compositions as described herein. In certain embodiments, the individual or animal has Huntington's disease.


In certain embodiments, compounds targeted to huntingtin as described herein may be administered to reduce the severity of physiological symptoms of Huntington's disease. In certain embodiments, compounds targeted to huntingtin as described herein may be administered to reduce the rate of degeneration in an individual or an animal having Huntington's disease. In certain embodiments, compounds targeted to huntingtin as described herein may be administered regeneration function in an individual or an animal having Huntington's disease. In certain embodiments, symptoms of Huntingtin's disease may be reversed by treatment with a compound as described herein.


In certain embodiments, compounds targeted to huntingtin as described herein may be administered to ameliorate one or more symptoms of Huntington's disease. In certain embodiments administration of compounds targeted to huntingtin as described herein may improve the symptoms of Huntington's disease as measured by any metric known to those having skill in the art. In certain embodiments, administration of compounds targeted to huntingtin as described herein may improve a rodent's rotarod assay performance. In certain embodiments, administration of compounds targeted to huntingtin as described herein may improve a rodent's plus maze assay. In certain embodiments, administration of compounds targeted to huntingtin as described herein may improve a rodent's open field assay performance.


Accordingly, provided herein are methods for ameliorating a symptom associated with Huntington's disease in a subject in need thereof. In certain embodiments, provided is a method for reducing the rate of onset of a symptom associated with Huntington's disease. In certain embodiments, provided is a method for reducing the severity of a symptom associated with Huntington's disease. In certain embodiments, provided is a method for regenerating neurological function as shown by an improvement of a symptom associated with Huntington's disease. In such embodiments, the methods comprise administering to an individual or animal in need thereof a therapeutically effective amount of a compound targeted to a huntingtin nucleic acid.


Huntington's disease is characterized by numerous physical, neurological, psychiatric, and/or peripheral symptoms. Any symptom known to one of skill in the art to be associated with Huntington's disease can be ameliorated or otherwise modulated as set forth above in the methods described above. In certain embodiments, the symptom is a physical symptom selected from the group consisting of restlessness, lack of coordination, unintentionally initiated motions, unintentionally uncompleted motions, unsteady gait, chorea, rigidity, writhing motions, abnormal posturing, instability, abnormal facial expressions, difficulty chewing, difficulty swallowing, difficulty speaking, seizure, and sleep disturbances. In certain embodiments, the symptom is a cognitive symptom selected from the group consisting of impaired planning, impaired flexibility, impaired abstract thinking, impaired rule acquisition, impaired initiation of appropriate actions, impaired inhibition of inappropriate actions, impaired short-term memory, impaired long-term memory, paranoia, disorientation, confusion, hallucination and dementia. In certain embodiments, the symptom is a psychiatric symptom selected from the group consisting of anxiety, depression, blunted affect, egocentrisms, aggression, compulsive behavior, irritability and suicidal ideation. In certain embodiments, the symptom is a peripheral symptom selected from the group consisting of reduced brain mass, muscle atrophy, cardiac failure, impaired glucose tolerance, weight loss, osteoporosis, and testicular atrophy.


In certain embodiments, the symptom is restlessness. In certain embodiments, the symptom is lack of coordination. In certain embodiments, the symptom is unintentionally initiated motions. In certain embodiments, the symptom is unintentionally uncompleted motions. In certain embodiments, the symptom is unsteady gait. In certain embodiments, the symptom is chorea. In certain embodiments, the symptom is rigidity. In certain embodiments, the symptom is writhing motions. In certain embodiments, the symptom is abnormal posturing. In certain embodiments, the symptom is instability. In certain embodiments, the symptom is abnormal facial expressions. In certain embodiments, the symptom is difficulty chewing. In certain embodiments, the symptom is difficulty swallowing. In certain embodiments, the symptom is difficulty speaking. In certain embodiments, the symptom is seizures. In certain embodiments, the symptom is sleep disturbances.


In certain embodiments, the symptom is impaired planning. In certain embodiments, the symptom is impaired flexibility. In certain embodiments, the symptom is impaired abstract thinking. In certain embodiments, the symptom is impaired rule acquisition. In certain embodiments, the symptom is impaired initiation of appropriate actions. In certain embodiments, the symptom is impaired inhibition of inappropriate actions. In certain embodiments, the symptom is impaired short-term memory. In certain embodiments, the symptom is impaired long-term memory. In certain embodiments, the symptom is paranoia. In certain embodiments, the symptom is disorientation. In certain embodiments, the symptom is confusion. In certain embodiments, the symptom is hallucination. In certain embodiments, the symptom is dementia.


In certain embodiments, the symptom is anxiety. In certain embodiments, the symptom is depression. In certain embodiments, the symptom is blunted affect. In certain embodiments, the symptom is egocentrism. In certain embodiments, the symptom is aggression. In certain embodiments, the symptom is compulsive behavior. In certain embodiments, the symptom is irritability. In certain embodiments, the symptom is suicidal ideation.


In certain embodiments, the symptom is reduced brain mass. In certain embodiments, the symptom is muscle atrophy. In certain embodiments, the symptom is cardiac failure. In certain embodiments, the symptom is impaired glucose tolerance. In certain embodiments, the symptom is weight loss. In certain embodiments, the symptom is osteoporosis. In certain embodiments, the symptom is testicular atrophy.


In certain embodiments, symptoms of Huntington's disease may be quantifiable. For example, osteoporosis may be measured and quantified by, for example, bone density scans. For such symptoms, in certain embodiments, the symptom may be reduced by about 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95 or 99%, or a range defined by any two of these values.


In certain embodiments, provided are methods of treating an individual comprising administering one or more pharmaceutical compositions as described herein. In certain embodiments, the individual has Huntington's disease.


In certain embodiments, administration of an antisense compound targeted to a huntingtin nucleic acid results in reduction of huntingtin expression by at least about 15, 20, 25, 30, 35, 40, 45, 50, 55, 60, 65, 70, 75, 80, 85, 90, 95 or 99%, or a range defined by any two of these values.


In certain embodiments, pharmaceutical compositions comprising an antisense compound targeted to huntingtin are used for the preparation of a medicament for treating a patient suffering or susceptible to Huntington's disease.


F. Certain Pharmaceutical Compositions

In certain embodiments, the present invention provides pharmaceutical compositions comprising one or more antisense compound. In certain embodiments, such 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 antisense compound. In certain embodiments, such pharmaceutical composition consists of a sterile saline solution and one or more antisense compound. In certain embodiments, the sterile saline is pharmaceutical grade saline. In certain embodiments, a pharmaceutical composition comprises one or more antisense compound and sterile water. In certain embodiments, a pharmaceutical composition consists of one or more antisense compound and sterile water. In certain embodiments, the sterile saline is pharmaceutical grade water. In certain embodiments, a pharmaceutical composition comprises one or more antisense compound and phosphate-buffered saline (PBS). In certain embodiments, a pharmaceutical composition consists of one or more antisense compound and sterile phosphate-buffered saline (PBS). In certain embodiments, the sterile saline is pharmaceutical grade PBS.


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


Pharmaceutical compositions comprising antisense compounds encompass any pharmaceutically acceptable salts, esters, or salts of such esters. In certain embodiments, pharmaceutical compositions comprising antisense compounds comprise one or more oligonucleotide 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 antisense compounds, prodrugs, pharmaceutically acceptable salts of such prodrugs, and other bioequivalents. Suitable pharmaceutically acceptable salts include, but are not limited to, sodium and potassium salts.


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


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


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


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


G. Administration

In certain embodiments, the compounds and compositions as described herein are administered parenterally.


In certain embodiments, parenteral administration is by infusion. Infusion can be chronic or continuous or short or intermittent. In certain embodiments, infused pharmaceutical agents are delivered with a pump. In certain embodiments, parenteral administration is by injection.


In certain embodiments, compounds and compositions are delivered to the CNS. In certain embodiments, compounds and compositions are delivered to the cerebrospinal fluid. In certain embodiments, compounds and compositions are administered to the brain parenchyma. In certain embodiments, compounds and compositions are delivered to an animal by intrathecal administration, or intracerebroventricular administration. Broad distribution of compounds and compositions, described herein, within the central nervous system may be achieved with intraparenchymal administration, intrathecal administration, or intracerebroventricular administration.


In certain embodiments, parenteral administration is by injection. The injection may be delivered with a syringe or a pump. In certain embodiments, the injection is a bolus injection. In certain embodiments, the injection is administered directly to a tissue, such as striatum, caudate, cortex, hippocampus and cerebellum.


Therefore, in certain embodiments, delivery of a compound or composition described herein can affect the pharmacokinetic profile of the compound or composition. In certain embodiments, injection of a compound or composition described herein, to a targeted tissue improves the pharmacokinetic profile of the compound or composition as compared to infusion of the compound or composition. In a certain embodiment, the injection of a compound or composition improves potency compared to broad diffusion, requiring less of the compound or composition to achieve similar pharmacology. In certain embodiments, similar pharmacology refers to the amount of time that a target mRNA and/or target protein is down-regulated (e.g. duration of action). In certain embodiments, methods of specifically localizing a pharmaceutical agent, such as by bolus injection, decreases median effective concentration (EC50) by a factor of about 50 (e.g. 50 fold less concentration in tissue is required to achieve the same or similar pharmacodynamic effect). In certain embodiments, methods of specifically localizing a pharmaceutical agent, such as by bolus injection, decreases median effective concentration (EC50) by a factor of 20, 25, 30, 35, 40, 45 or 50. In certain embodiments the pharmaceutical agent in an antisense compound as further described herein. In certain embodiments, the targeted tissue is brain tissue. In certain embodiments the targeted tissue is striatal tissue. In certain embodiments, decreasing EC50 is desirable because it reduces the dose required to achieve a pharmacological result in a patient in need thereof.


In certain embodiments, an antisense oligonucleotide is delivered by injection or infusion once every month, every two months, every 90 days, every 3 months, every 6 months, twice a year or once a year.


H. Certain Combination Therapies

In certain embodiments, one or more pharmaceutical compositions are co-administered with one or more other pharmaceutical agents. In certain embodiments, such one or more other pharmaceutical agents are designed to treat the same disease, disorder, or condition as the one or more pharmaceutical compositions described herein. In certain embodiments, such one or more other pharmaceutical agents are designed to treat a different disease, disorder, or condition as the one or more pharmaceutical compositions described herein. In certain embodiments, such one or more other pharmaceutical agents are designed to treat an undesired side effect of one or more pharmaceutical compositions as described herein. In certain embodiments, one or more pharmaceutical compositions are co-administered with another pharmaceutical agent to treat an undesired effect of that other pharmaceutical agent. In certain embodiments, one or more pharmaceutical compositions are co-administered with another pharmaceutical agent to produce a combinational effect. In certain embodiments, one or more pharmaceutical compositions are co-administered with another pharmaceutical agent to produce a synergistic effect.


In certain embodiments, one or more pharmaceutical compositions and one or more other pharmaceutical agents are administered at the same time. In certain embodiments, one or more pharmaceutical compositions and one or more other pharmaceutical agents are administered at different times. In certain embodiments, one or more pharmaceutical compositions and one or more other pharmaceutical agents are prepared together in a single formulation. In certain embodiments, one or more pharmaceutical compositions and one or more other pharmaceutical agents are prepared separately.


In certain embodiments, pharmaceutical agents that may be co-administered with a pharmaceutical composition of include antipsychotic agents, such as, e.g., haloperidol, chlorpromazine, clozapine, quetapine, and olanzapine; antidepressant agents, such as, e.g., fluoxetine, sertraline hydrochloride, venlafaxine and nortriptyline; tranquilizing agents such as, e.g., benzodiazepines, clonazepam, paroxetine, venlafaxin, and beta-blockers; mood-stabilizing agents such as, e.g., lithium, valproate, lamotrigine, and carbamazepine; paralytic agents such as, e.g., Botulinum toxin; and/or other experimental agents including, but not limited to, tetrabenazine (Xenazine), creatine, conezyme Q10, trehalose, docosahexanoic acids, ACR16, ethyl-EPA, atomoxetine, citalopram, dimebon, memantine, sodium phenylbutyrate, ramelteon, ursodiol, zyprexa, xenasine, tiapride, riluzole, amantadine, [123I]MNI-420, atomoxetine, tetrabenazine, digoxin, detromethorphan, warfarin, alprozam, ketoconazole, omeprazole, and minocycline.


Nonlimiting Disclosure and Incorporation by Reference

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 for the natural 2′-H of DNA) or as an RNA having a modified base (thymine (methylated uracil) for natural uracil of RNA).


Accordingly, nucleic acid sequences provided herein, including, but not limited to those in the sequence listing, are intended to encompass nucleic acids containing any combination of natural or modified RNA and/or DNA, including, but not limited to such nucleic acids having modified nucleobases. By way of further example and without limitation, an oligomeric compound having the nucleobase sequence “ATCGATCG” encompasses any oligomeric compounds having such nucleobase sequence, whether modified or unmodified, including, but not limited to, such compounds comprising RNA bases, such as those having sequence “AUCGAUCG” and those having some DNA bases and some RNA bases such as “AUCGATCG” and oligomeric compounds having other modified or naturally occurring bases, such as “ATmeCGAUCG,” wherein meC indicates a cytosine base comprising a methyl group at the 5-position.


EXAMPLES

The following examples illustrate certain embodiments of the present invention 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

Single Nucleotide Polymorphisms (SNPs) in the Huntingtin (HTT) Gene Sequence


SNP positions (identified by Hayden et al, WO/2009/135322) associated with the HTT gene were mapped to the HTT genomic sequence, designated herein as SEQ ID NO: 1 (NT_006081.18 truncated from nucleotides 1566000 to 1768000). Table 15 provides SNP positions associated with the HTT gene. Table 15 provides a reference SNP ID number from the Entrez SNP database at the National Center for Biotechnology Information (NCBI, http://www.ncbi.nlm.nih.gov/sites/entrez?db=snp), incorporated herein by reference. Table 15 furnishes further details on each SNP. The ‘Reference SNP ID number’ or ‘RS number’ is the number designated to each SNP from the Entrez SNP database at NCBI, incorporated herein by reference. ‘SNP position’ refers to the nucleotide position of the SNP on SEQ ID NO: 1. ‘Polymorphism’ indicates the nucleotide variants at that SNP position. ‘Major allele’ indicates the nucleotide associated with the major allele, or the nucleotide present in a statistically significant proportion of individuals in the human population. ‘Minor allele’ indicates the nucleotide associated with the minor allele, or the nucleotide present in a relatively small proportion of individuals in the human population.









TABLE 15







Single Nuclear Polymorphisms (SNPs)


and their positions on SEQ ID NO: 1











RS No.
SNP position
Polymorphism
Major allele
Minor allele














rs2857936
1963
C/T
C
T


rs12506200
3707
A/G
G
A


rs762855
14449
A/G
G
A


rs3856973
19826
G/A
G
A


rs2285086
28912
G/A
A
G


rs7659144
37974
C/G
C
G


rs16843804
44043
C/T
C
T


rs2024115
44221
G/A
A
G


rs10015979
49095
A/G
A
G


rs7691627
51063
A/G
G
A


rs2798235
54485
G/A
G
A


rs4690072
62160
G/T
T
G


rs6446723
66466
C/T
T
C


rs363081
73280
G/A
G
A


rs363080
73564
T/C
C
T


rs363075
77327
G/A
G
A


rs363064
81063
T/C
C
T


rs3025849
83420
A/G
A
G


rs6855981
87929
A/G
G
A


rs363102
88669
G/A
A
G


rs11731237
91466
C/T
C
T


rs4690073
99803
A/G
G
A


rs363144
100948
T/G
T
G


rs3025838
101099
C/T
C
T


rs34315806
101687
A/G
G
A


rs363099
101709
T/C
C
T


rs363096
119674
T/C
T
c


rs2298967
125400
C/T
T
c


rs2298969
125897
A/G
G
A


rs6844859
130139
C/T
T
c


rs363092
135682
C/A
C
A


rs7685686
146795
A/G
A
G


rs363088
149983
A/T
A
T


rs362331
155488
C/T
T
C


rs916171
156468
G/C
C
G


rs362322
161018
A/G
A
G


rs362275
164255
T/C
C
T


rs362273
167080
A/G
A
G


rs2276881
171314
G/A
G
A


rs3121419
171910
T/C
C
T


rs362272
174633
G/A
G
A


rs362271
175171
G/A
G
A


rs3775061
178407
C/T
C
T


rs362310
179429
A/G
G
A


rs362307
181498
T/C
C
T


rs362306
181753
G/A
G
A


rs362303
181960
T/C
C
T


rs362296
186660
C/A
C
A


rs1006798
198026
A/G
A
G









Example 2

Modified Oligonucleotides Targeting Huntingtin (HTT) Single Nucleotide Polymorphisms (SNP)


A series of modified oligonucleotides were designed. These modified oligonucleotides were designed to target SNP positions associated with the HTT gene. In the tables, the 1′ subscript indicates an (S)-cEt modification; ‘e’ subscript indicates MOE modification; ‘g’ subscript indicates a 3′-fluoro-HNA modification; ‘f’ subscript indicates 2′-alpha-fluoro-2′-deoxyribose; ‘m’ before the cytosine residue indicates a 5-methylcytosine; ‘x’ before the thymine residue indicates a 2-thiothymine; number along with ‘d’ indicates a the number of deoxyribose nucleosides; the ‘o’ subscript after the sugar modification subscripts indicates a phosphate ester linkage; ‘mp’ subscript after the nucleoside indicates a methylphosphonate full linker; ‘s’ subscript after the nucleoside indicates a phosphorothioate internucleoside linkages. The underlined nucleoside indicates the position on the modified oligonucleotide opposite to the SNP position.









TABLE 16







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs2024115















SEQ


Isis No.
SEQUENCE
SNP
Motif
ID. NO.














589567
Tes mCes Aks Aks Gds mCds Tds Ads Gds Tds Ads Ads mCks
rs2024115
eekk-d8-kkeee
 37



Gks Aes Tes Ge








607448
mCes Aks Aks Gds mCdsTds Ads Gds Tds Ads Ads mCks Gks
rs2024115
ekk-d8-kkeee
102



Aes Tes Ge








607441
Tes mCes Aks Aks Gds mCdsTds Ads Gds Tds Ads Ads mCks
rs2024115
eekk-d8-kkee
103



Gks AesTe








607455
Aes Aks Gds mCdsTds Ads Gds Tds Ads Ads mCks Gks Aes
rs2024115
ek-d8-kkeee
104



TesGe








607462
mCes Aes Aks Gds mCdsTds Ads Gds Tds Ads Ads mCks Gks
rs2024115
eek-d8-kkee
105



AesTe








607469
Tes mCes Aes Aks Gds mCdsTds Ads Gds Tds Ads Ads mCks
rs2024115
eeek-d8-kee
106



Ges Ae



















TABLE 17







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs6446723















SEQ


Isis No.
SEQUENCE
SNP
Motif
ID. NO.














589450
Tes Aes Aes Tks Tks Tds Tds mCds TdsAds Gds Ads mCks
rs6446723
eeekk-d7-kkeee
 32



Tks Tes Tes Ae








589546
Tes Aes Aks Tks Tds Tds Tds mCds TdsAds Gds Ads mCks
rs6446723
eekk-d8-kkeee
 35



Tks Tes Tes Ae








589547
Aes Aes Tks Tks Tds Tds mCds TdsAds Gds Ads mCds Tks
rs6446723
eekk-d8-kkeee
 36



Tks Tes Aes Te








589718
Tes Aks Aes Tks Tds Tds Tds mCds TdsAds Gds Ads mCks
rs6446723
ekek-d8-kekee
 44



Tes Tks Tes Ae








617104
Tes Aes Aeo Tko Tks Tds Tds mCds Tds Ads Gds Ads mCko
rs6446723
eeekk-d7-kkeee
 84



Tko Tes Tes Ae








617106
Tes Aeo Ako Tks Tds Tds mCds Tds mCds Tds Ads Gds Ads
rs6446723
eekk-d8-kkeee
 85



mCko Tko Tes Tes Ae








617108
Tes Ako Aeo Tks Tds Tds mCds Tds mCds Tds Ads Gds Ads
rs6446723
ekek-d8-kekee
 86



mCko Teo Tks Tes Ae








617109
Aes Aeo Tko Tks Tds Tds mCds Tds mCds Tds Ads Gds Ads
rs6446723
eekk-d8-kkeee
 87



Tko Tko Tes Aes Te








607446
Aes Aks Tks Tds Tds Tds mCds Tds Ads Gds Ads mCks Tks
rs6446723
ekk-d8-kkeee
 92



Tes Tes Ae








607439
TesAes Aks Tks Tds Tds Tds mCds Tds Ads Gds Ads mCks
rs6446723
eekk-d8-kkee
 93



Tks Tes Te








607453
Aes Tks Tds Tds Tds mCds Tds Ads Gds Ads mCks Tks Tes
rs6446723
ek-d8-kkeee
 94



Tes Ae








607460
Aes Aks Tks Tds Tds Tds mCds Tds Ads Gds Ads mCks Tks
rs6446723
ekk-d8-kkee
 95



Tes Te








607467
Tes Aes Aks Tks Tds Tds Tds mCds Tds Ads Gds Ads mCks
rs6446723
eekk-d8-kee
 96



Tes Te








607447
Aes Tks Tks Tds Tds mCds Tds Ads Gds Ads mCds Tks Tks
rs6446723
ekk-d8-kkeee
 97



Tes Aes Te








607440
Aes Aes Tks Tks Tds Tds mCds Tds Ads Gds Ads mCds Tks
rs6446723
eekk-d8-kkee
 98



Tks Tes Ae








607454
Tes Tks Tds Tds mCds Tds Ads Gds Ads mCds Tks Tks Tes
rs6446723
ek-d8-kkeee
 99



Aes Te








607461
Aes Tks Tks Tds Tds mCds Tds Ads Gds Ads mCds Tks Tks
rs6446723
ekk-d8-kkee
100



Tes Ae








607468
Aes Aes Tes Tks Tds Tds mCds Tds Ads Gds Ads mCds Tks
rs6446723
eeek-d8-kee
101



Tes Te








607474
Aes Aes Tes Tks Tds Tds mCds Tds Ads Gds Ads mCks Tks
rs6446723
eeek-d7-kkeee
127



Tes Tes Ae








607475
Tes Aes Aes Tks Tds Tds Tds mCds Tds Ads Gds Aks mCks
rs6446723
eeek-d7-kkeee
128



Tes Tes Te








607476
Aes Tes Tks Tds Tds mCds Tds Ads Gds Ads mCks Tks Tes
rs6446723
eek-d7-kkeee
129



Tes Ae








607477
Aes Aes Tes Tks Tds Tds mCds Tds Ads Gds Ads mCks Tks
rs6446723
eeek-d7-kkee
130



Tes Te








607478
Tes Aes Aes Tes Tks Tds Tds mCds Tds Ads Gds Ads mCks
rs6446723
eeeek-d7-kke
131



Tks Te



















TABLE 18







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs363080















SEQ


Isis No.
SEQUENCE
SNP
Motif
ID. NO.














609234
Aes Gks Aks Gds Ads Ads mCds Ads Ads Gds Ads Aks Gks
rs363080
ekk-d8-kkee
156



Ges mCe








609235
Ges Aks Gks Ads Ads mCds Ads Ads Gds Ads Ads Gks Gks
rs363080
ekk-d8-kkee
157



mCes Te








609236
Aes Gks Aks Ads mCds Ads Ads Gds Ads Ads Gds Gks
rs363080
ekk-d8-kkee
158



mCks Tes mCe








609237
Ges Aks Aks mCds Ads Ads Gds Ads Ads Gds Gds mCks
rs363080
ekk-d8-kkee
159



Tks mCes mCe








609238
Aes Gks Aks Gds Ads Ads mCds Ads Ads Gds Ads Aks
rs363080
ekk-d8-kkeee
160



Gks Ges mCes Te








609239
Ges Aks Gks Ads Ads mCds Ads Ads Gds Ads Ads Gks Gks
rs363080
ekk-d8-kkeee
161



mCes Tes mCe








609240
Aes Gks Aks Ads mCds Ads Ads Gds Ads Ads Gds Gks
rs363080
ekk-d8-kkeee
162



mCks Tes mCes mCe








609241
Ges Aks Aks mCds Ads Ads Gds Ads Ads Gds Gds mCks
rs363080
ekk-d8-kkeee
163



Tks mCes mCes Ae



















TABLE 19







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs363064















SEQ


Isis No.
SEQUENCE
SNP
Motif
ID. NO.





589532
Ges Aes Aes Tks AkS mCds Gds Gds Gds Tds Ads Ads mCks
rs363064
eeekk-d7-kkeee
 33



Aks Tes Tes Te








589645
Ges Aes Aks Tks Ads mCds Gds Gds Gds Tds Ads Ads mCks
rs363064
eekk-d8-kkeee
 42



Aks Tes Tes Te








589646
Aes Aes Tks Aks mCdsGds Gds Gds Tds Ads Ads mCds Aks
rs363064
eekk-d8-kkeee
 43



Tks Tes Tes Te








617107
Aes Aeo Tko Aks mCds Gds Gds Gds Tds Ads Ads mCds Ako
rs363064
eekk-d8-kkeee
 88



Tko Tes Tes Te








617110
Ges Aes Aeo Tko Aks mCds Gds Gds Gds Tds Ads Ads mCko
rs363064
eeekk-d7-kkeee
 89



Tko Tes Tes Te








607449
Aes Tks Aks mCds Gds Gds Gds Tds Ads Ads mCds Aks Tks
rs363064
ekk-d8-kkeee
107



Tes Tes Te








607442
Aes Aes Tks Aks mCds Gds Gds Gds Tds Ads Ads mCds Aks
rs363064
eekk-d8-kkee
108



Tks Tes Te








607456
Tes Aks mCds Gds Gds Gds Tds Ads Ads mCds Aks Tks Tes
rs363064
ek-d8-kkeee
109



Tes Te








607463
Aes Tes Aks mCds Gds Gds Gds Tds Ads Ads mCds Aks Tks
rs363064
eek-d8-kkee
110



Tes Te








607470
Aes Aes Tes Aks mCds Gds Gds Gds Tds Ads Ads mCds Aks
rs363064
eeek-d8-kee
111



Tes Te








607450
Aes Aks Tks Ads mCds Gds Gds Gds Tds Ads Ads mCks Aks
rs363064
ekk-d8-kkeee
112



Tes Tes Te








607443
Ges Aes Aks Tks Ads mCds Gds Gds Gds Tds Ads Ads mCks
rs363064
eekk-d8-kkee
113



Aks Tes Te








607457
Aes Tks Ads mCds Gds Gds Gds Tds Ads Ads mCks Aks Tes
rs363064
ek-d8-kkeee
114



Tes Te








607464
Aes Aks Tks Ads mCds Gds Gds Gds Tds Ads Ads mCks Aks
rs363064
ekk-d8-kkee
115



Tes Te








607471
Ges Aes Aes Tks Ads mCds Gds Gds Gds Tds Ads Ads mCks
rs363064
eeek-d8-kee
116



Aes Te



















TABLE 20







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs7685686















SEQ


Isis No.
SEQUENCE
SNP
Motif
ID. NO.














460209
Tes Aks Aks Ads Tds Tds Gds Tds mCds Ads Tds mCds Aks mCks
rs7685686
ekk-d9-kke
 3



mCe








476333
Aes Tks Aes Aks Ads Tds Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
ekek-d9-keke
 4



mCes mCks Ae








540083
Aes Aks Tks Tks Gds Tds mCds Ads Tds mCds Ads mCds mCds
rs7685686
ekkk-d9-ke
 7



Aks Ge








540094
Tes Tks Gds Tds mCds Ads Tds mCds Ads mCds mCds Aks Gks
rs7685686
ek-d9-kkke
 8



Aks Ae








540095
Aes Tks Tds Gds Tds mCds Ads Tds mCds Ads mCds mCks Aks
rs7685686
ek-d9-kkke
 9



Gks Ae








540096
Aes Aks Tds Tds Gds Tds mCds Ads Tds mCds Ads mCks mCks
rs7685686
ek-d9-kkke
10



Aks Ge








540108
Aes Tes Aes Aks Aks Tds Tds Gds Tds mCds Ads Tds mCks Aks
rs7685686
eeekk-d7-kkeee
11



mCes mCes Ae








550913
Aks Aks Tes Aks Aks Ads Tds Tds Gds Tds mCds Ads Tds mCds
rs7685686
kkekk-d9-kkekk
12



Aks mCks mCes Tks Tk








551429
Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeekk-d7-kke
13



mCks mCe








556845
Tes Aks Aks Ads xTds Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
ekk-d9-kke
14



mCks mCe








558257
Tes Aks Aks Ads Tds Tdmp Gds Tds mCds Ads Tds mCds Aks
rs7685686
ekk-d9-kke
15



mCks mCe








566267
Tes Aks Aks Ads Tgs Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
ekkdk-d7-kke
16



mCks mCe








568876
Aks Tks Aks Aks Aks Tds Tds Gds Tds mCds Ads Tds mCks Aks
rs7685686
kkkkk-d7-kkkkk
17



mCks mCks Ak








571036
Aes Tks Aes Aks Aes Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
ekekek-d7-keke
18



mCes mCks Ae








571037
Aes Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeeekk-d7-keke
19



mCes mCks Ae








571039
Aes Tks Aes Aks Ads xTds Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
ekek-d9-keke
20



mCes mCks Ae








571069
Aes Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeeekk-d7-kkee
21



mCks mCes Ae








571171
Aes Tks Aes Aks Ads Tds Tdmp Gds Tds mCds Ads Tds mCds Aks
rs7685686
ekek-d9-keke
22



mCes mCks Ae








572771
Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeekk-d7-kkee
23



mCks mCes Ae








572772
Aes Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeeekk-d7-kke
24



mCks mCe








575007
Tes Aks Aks Ads Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
ekkdk-d7-kke
25



mCks mCe








575008
Tes Aks Aks Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
ekkkk-d7-kke
26



mCks mCe








585246
Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeekk-d7-kkeee
31



mCks mCes Aes Ge








589537
Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Ads mCks
rs7685686
eekk-d8-kkeee
34



mCks Aes Ges Ae








593199
Tes Aes Aeo Ako Tks Tds Gds Tds mCds Ads Tds mCds Ako Cks
rs7685686
eeekk-d7-kke
47



Ce








593200
Aes Tks Tds Gds Tds mCAds Tds mCds Ads mCds mCko Ako
rs7685686
ek-d9-kkke
48



Gks Ae








593201
Aes Tko Aes Ako Aes Tks Tds Gds Tds mCds Ads Tds mCds Ako
rs7685686
ekekek-d7-keke
49



mCes mCks Ae








593202
Aes Tko Ako Ako Aks Tks Tds Gds Tds mCds Ads Tds mCds Ako
rs7685686
ekkkk-d7-kkke
50



mCko mCks Ae








593203
Tks Ako Ako Ako Tks Tds Gds Tds mCds Ads Tds mCds Ako
rs7685686
kkkkk-d7-kkkkk
51



mCko mCko Aks Gk








593204
Aks Tko Ako Ako Ako Tds Tds Gds Tds mCds Ads Tds mCko Ako
rs7685686
kkkkk-d7-kkkkk
52



mCko mCko Ak








598229
Aes Tes Aes Aes Aks Tks Tds Gds Tds mCks Ads Tds mCds Aks
rs7685686
eeeekk-d3-k-d3-keke
53



mCes mCks Ae








598299
Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks mCes
rs7685686
eeekk-d7-keee
54



mCes Ae








598300
Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aes mCes
rs7685686
eeekk-d7-eeee
55



mCes Ae








598301
Tes Aes Aes Aes Tks Tds Gds Tds mCds Ads Tds mCds Aks mCks
rs7685686
eeeek-d7-kkee
56



mCes Ae








598302
Tes Aes Aes Aes Tks Tds Gds Tds mCds Ads Tds mCds Aks mCes
rs7685686
eeeek-d7-keee
57



mCes Ae








598303
Tes Aes Aes Aes Tks Tds Gds Tds mCds Ads Tds mCds Aes mCes
rs7685686
eeeek-d7-eeee
58



mCes Ae








598304
Tes Aes Aes Ads Tks Tds Gds Tds mCds Ads Tds mCds Aks mCes
rs7685686
eeedk-d7-keee
59



mCes Ae








598305
Aes Tes Aes Aes Ads Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeeedk-d7-kkee
60



mCks mCes Ae








598306
Aes Tes Aes Aes Ads Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeeedk-d7-keee
61



mCes mCes Ae








598307
Aes Tes Aes Aes Ads Tks Tds Gds Tds mCds Ads Tds mCds Aes
rs7685686
eeeedk-d7-eeee
62



mCes mCes Ae








598308
Tes Aeo Aeo Aes Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeeek-d7-keeee
63



mCeo mCeo Aes Ge








598309
Aes Aeo Aeo Tks Tds Gds Tds mCds Ads Tds mCds Aks mCes
rs7685686
eeek-d7-keeeee
64



mCeo Aeo Ges Ae








598310
Aes Aeo Tks Tds Gds Tds mCds Ads Tds mCds Aks mCes mCes
rs7685686
eek-d7-keeeeee
65



Aeo Geo Aes Ae








606560
Aes Tes Aes Aks Ads xTds Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeek-d9-keke
66



mCes mCks Ae








606561
Aes Tks Aes Aks Ads xTds Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
ekek-d9-keee
67



mCes mCes Ae








606562
Aes Tes Aes Aks Ads xTds Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeek-d9-keee
68



mCes mCes Ae








606578
Aes Tks Aes Aks Ads Tds Tds Gds Tds mCds Afs Tds mCds Aks
rs7685686
ekek-d6-k-dd-keke
69



mCes mCks Ae








617115
Aes Tes Aes Aes Aes Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeeeek-d7-kke
70



mCks mCe








617116
Aes Tes Aes Aes Aks Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeeekk-d7-kee
71



mCes mCe








617117
Aes Tes Aes Aes Aes Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeeeek-d7-kee
72



mCes mCe








617118
Aes Teo Aeo Aeo Aeo Tks Tds Gds Tds mCds Ads Tds mCds Aks
rs7685686
eeeeek-d7-kee
73



mCes mCe








617119
Aes Teo Aeo Aeo Aeo Tks Tds Gds Tds mCds Ads Tds mCds Aes
rs7685686
eeeeek-d7-eee
74



mCes mCe








617425
Aes Tes Aes Aes Aes Tks Tds Gds Tds mCds Ads Tds mCds Aes
rs7685686
eeeeek-d7-eee
75



mCes mCe








613581
Aes Aeo Teo Aeo Aes Ads Tks Tds Gds Tds mCds Ads Tds
rs7685686
eeeeedk-d7-eeeee
76



mCds Aeo mCeo mCes Aes Ge








613582
Aes Tes Aeo Aeo Aes Tks Tds Gds Tds mCds Ads Tds mCds
rs7685686
eeeeek-d7-eeeeee
77



Aeo mCeo mCeo Aes Ges Ae








613583
Tes Aeo Aeo Aes Tks Tds Gds Tds mCds Ads Tds mCds Aes
rs7685686
eeeek-d7-eeeeeee
78



mCeo mCeo Aeo Ges Aes Ae








613584
Aes Aeo Aes Tks Tds Gds Tds mCds Ads Tds mCds Aes mCeo
rs7685686
eeek-d7-eeeeeeee
79



mCeo Aeo Geo Aes Aes Ae








613585
Aes Aeo Tks Tds Gds Tds mCds Ads Tds mCds Aes mCes
rs7685686
eek-d7-eeeeeeeee
80



mCeo Aeo Geo Aeo Aes Aes Ae








613586
Aes Tks Tds Gds Tds mCds Ads Tds mCds Aes mCes mCeo
rs7685686
ek-d7-eeeeeeeeee
81



Aeo Geo Aeo Aeo Aes Aes Ae








613588
Tes Aes Aeo Teo Aeo Aeo Aes Tks Tds Gds Tds mCds Ads Tds
rs7685686
eeeeeeek-d7-eeee
82



mCds Aeo mCes mCes Ae








613589
Tes Tes Aeo Aeo Teo Aeo Aeo Aes Tks Tds Gds Tds mCds Ads
rs7685686
eeeeeeeek-d7-eee
83



Tds mCds Aes mCes mCe








617105
Aes Aeo Ako Tks Tds Gds Tds mCds Ads Tds mCds Ads mCko
rs7685686
eekk-d8-kkeee
90



mCko Aes Ges Ae








617111
Aes Tko Aeo Aks Ads xTds Tds Gds Tds mCds Ads Tds mCds Ako
rs7685686
ekek-d9-keke
91



mCes mCks Ae
















TABLE 21







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs363088











Isis No.
SEQUENCE
SNP
Motif
SEQ ID. NO.





435871
Tes mCes Aes mCes Aes Gds mCds Tds Ads
rs363088
eeeee-d9-eeeee
 2




Tds mCds Tds Tds mCds Tes mCes Aes Tes







mCe








525366
mCes Aks mCes Aks Gds mCds Tds AdsTds
rs363088
ekek-d9-keke
 5



mCds Tds Tds mCds Tks mCes Ads Te








525368
Aks mCes Aks Gks mCds Tds AdsTds mCds
rs363088
kekk-d8-keke
 6



Tds Tds mCds Tks mCes Aks Te








575172
Aes mCks Aks Gks mCds Tds AdsTds mCds
rs363088
ekkk-d8-kke
27



Tds Tds mCds Tks mCks Ae








575175
Aes mCks Aks Gds mCds Tds AdsTds mCds
rs363088
ekk-d8-kkke
28



Tds Tds mCks Tks mCks Ae








582658
mCes Aks mCes Aks Gks mCds Tds AdsTds
rs363088
ekekk-d8-keke
29



mCds Tds Tds mCds Tks mCes Aks Te








582661
Ces Aks mCes Aks Gds mCds Tds AdsTds
rs363088
ekek-d8-kkeke
30



mCds Tds Tds mCks Tks mCes Aks Te








589595
mCes Aes mCks Aks Gds mCds Tds AdsTds
rs363088
eekk-d8-kkeee
38



mCds Tds Tds mCks Tks mCes Aes Te








589596
Aes mCes Aks Gks mCds Tds AdsTds mCds
rs363088
eekk-d8-kkeee
39



Tds Tds mCds Tks mCks Aes Tes mCe








591416
mCes Aes mCes Aks Gks mCds Tds AdsTds
rs363088
eeekk-d8-kkee
46



mCds Tds Tds mCds Tks mCks Aes Te



















TABLE 22







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs362307











Isis No.
SEQUENCE
SNP
Motif
SEQ ID. NO.





609230
Ges Gks Gks mCds Ads mCds Ads Gds Ads
rs362307
ekk-d8-kkee
148



mCds Tds Tks mCks mCes Ae








609231
Aes Gks Gks Gds mCds Ads mCds Ads Gds
rs362307
ekk-d8-kkee
149



Ads mCds Tks Tks mCes mCe








609232
Aes Aks Gks Gds Gds mCds Ads mCds Ads
rs362307
ekk-d8-kkee
150



Gds Ads mCks Tks Tes mCe








609233
mCes Aks Aks Gds Gds Gds mCds Ads mCds
rs362307
ekk-d8-kkee
151



Ads Gds Aks mCks Tes Te








609242
Ges Gks Gks mCds Ads mCds Ads Gds Ads
rs362307
ekk-d8-kkeee
152



mCds Tds Tks mCks mCes Aes Ae








609243
Aes Gks Gks Gds mCds Ads mCds Ads Gds
rs362307
ekk-d8-kkeee
153



Ads mCds Tks Tks mCes mCes Ae








609244
Aes Aks Gks Gds Gds mCds Ads mCds Ads
rs362307
ekk-d8-kkeee
154



Gds Ads mCks Tks Tes mCes mCe








609245
mCes Aks Aks Gds Gds Gds mCds Ads mCds
rs362307
ekk-d8-kkeee
155



Ads Gds Aks mCks Tes Tes mCe



















TABLE 22







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs7685686 (G)


As described above in Example 1, certain SNPs may have two or more allelic


variants. For example, the two allelic variants for SNP rs7685686 are A and


G. In certain embodiments, antisense oligonucleotides can be designed


that target either allelic variant. In certain embodiments, a higher percentage


of the population may have a particular allelic variant. Modified oligonucleotides


were designed to target the G allelic variant of rs7685686. These modified


oligonucleotides are described further in Table 22 below.











Isis No.
SEQUENCE
SNP
Motif
SEQ ID. NO.





609274
Tes Aks Aks Ads Tds Tds Gds mCds mCds Ads Tks
rs7685686
ekk-d7-kkeee
132



mCks Aes mCes mCe
(G)







609226
Tes Aks Aks Ads Tds Tds Gds mCds mCds Ads Tds
rs7685686
ekk-d8-kkee
136



mCks Aks mCes mCes
(G)







609266
Tes Aks Aks Ads Tds Tds Gds mCds mCds Ads Tks
rs7685686
ekk-d7-kkeeeee
140



mCks Aes mCes mCes Aes Ge
(G)







609270
Tes Aks Aks Ads Tds Tds Gds mCds mCds Ads Tds
rs7685686
ekk-d8-kkeeee
144



mCks Aks mCes mCes Aes Ge
(G)







611714
TesAesAesAksTksTdsGdsmCdsmCdsAdsTdsmCdsAksmCksmCe
rs7685686
eeekk-d7-kke
164




(G)







611715
Aes Tks Aes AksAds xTds Tds Gds mCds mCds Ads
rs7685686
ekek-d9-keke
165



Tds mCds Aks mCes mCks Ae
(G)







611716
Aes Tks Aes Aks Ads Tds Tdx Gds mCds mCds Ads
rs7685686
ekek-d9-keke
166



Tds mCds AksmCes mCksAe
(G)







611717
Aes TesAesAesAksTksTds Gds mCds mCdsAds Tds
rs7685686
eeeekk-d7-kke
167



mCdsAksmCks mCe
(G)







611718
TeAksAksAds TksTds Gds mCds mCds Ads Tds mCdsAks
rs7685686
ekk-d-k-d7-kke
168



mCksmCe
(G)







611719
TeAksAksAksTksTdsGdsmCdsmCdsAdsTds mCdsAksmCksmCe
rs7685686
ekkkk-d7-kke
169




(G)







611720
AeTksTdsGdsmCdsmCds Ads TdsmCdsAds mCds
rs7685686
ek-d9-kkke
170



mCkoAkoGksAe
(G)







611721
TesAesAesAesTksTksdGdsmCdsmCdsAdsTds mCdsAksmCes
rs7685686
eeeek-d7-keee
171



mCesAes
(G)







611722
Aes Tes Aes Aes Ads Tks Tds Gds mCds mCds Ads
rs7685686
eeee-d-k-d7-keee
172



Tds mCds Aks mCesmCes Ae
(G)







611723
Tes Aeo Aeo Aes Tks Tds GdsmCdsmCdsAdsTds mCds
rs7685686
eeeek-d7-keeee
173



AksmCeomCeoAesGe
(G)







609275
Aes Aks Aks Tds Tds Gds mCds mCds Ads Tds mCks
rs7685686
ekk-d7-kkeee
133



Aks mCes mCes Ae
(G)







609227
Aes Aks Aks Tds Tds Gds mCds mCds Ads Tds mCds
rs7685686
ekk-d8-kkee
137



Aks mCks mCes Ae
(G)







609267
Aes Aks Aks Tds Tds Gds mCds mCds Ads Tds mCks
rs7685686
ekk-d7-kkeeeee
141



Aks mCes mCes Aes Ges Ae
(G)







609271
Aes Aks Aks Tds Tds Gds mCds mCds Ads Tds mCds
rs7685686
ekk-d8-kkeeee
145



Aks mCks mCes Aes Ges Ae
(G)







609276
Aes Aks Tks Tds Gds mCds mCds Ads Tds mCds Aks
rs7685686
ekk-d7-kkeee
134



mCks mCes Aes Ge
(G)







609228
Aes Aks Tks Tds Gds mCds mCds Ads Tds mCds Ads
rs7685686
ekk-d8-kkee
138



mCks mCks Aes Ge
(G)







609268
Aes Aks Tks Tds Gds mCds mCds Ads Tds mCds Aks
rs7685686
ekk-d7-kkeeeee
142



mCks mCes Aes Ges Aes Ae
(G)







609272
Aes Aks Tks Tds Gds mCds mCds Ads Tds mCds Ads
rs7685686
ekk-d8-kkeeee
146



mCks mCks Aes Ges Aes Ae
(G)







609277
Aes Tks Tks Gds mCds mCds Ads Tds mCds Ads mCks
rs7685686
ekk-d7-kkeee
135



mCks Aes Ges Ae
(G)







609229
Aes Tks Tks Gds mCds mCds Ads Tds mCds Ads mCds
rs7685686
ekk-d8-kkee
139



mCks Aks Ges Ae
(G)







609269
Aes Tks Tks Gds mCds mCds Ads Tds mCds Ads mCds
rs7685686
ekk-d7-kkeeeee
143



mkss Aes Ges Aes Aes Ae
(G)







609273
Aes Tks Tks Gds mCds mCds Ads Tds mCds Ads mCds
rs7685686
ekk-d8-kkeeee
147



mCks Aks Ges Aes Aes Ae
(G)


















TABLE 23







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs362273











Isis No.
SEQUENCE
SNP
Motif
SEQ ID. NO.





589601
Tes Tes Gks Aks Tds mCds Tds Gds Tds Ads
rs362273
eekk-d8-kkeee
 40



Gds mCds Aks Gks mCes Aes Ge








589602
Tes Ges Aks Tks mCds Tds Gds Tds Ads Gds
rs362273
eekk-d8-kkeee
 41



mCds Ads Gks mCks Aes Ges mCe








589737
Tes Tks Ges Aks Tds mCds Tds Gds Tds Ads
rs362273
ekek-d8-kekee
 45



Gds mCds Aks Ges mCks Aes Ge








607451
Ges Aks Tks mCds Tds Gds Tds Ads Gds
rs362273
ekk-d8-kkeee
117



mCds Ads Gks mCks Aes Ges mCe








607452
Tes Gks Aks Tds mCds Tds Gds Tds Ads Gds
rs362273
ekk-d8-kkeee
122



mCds Aks Gks mCes Aes Ge



















TABLE 24







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs362274











Isis No.
SEQUENCE
SNP
Motif
SEQ ID. NO.





607444
Tes Ges Aks Tks mCds Tds Gds Tds Ads Gds
rs362274
eekk-d8-kkee
118



mCds Ads Gks mCks Aes Ge








607445
Tes Tes Gks Aks Tds mCds Tds Gds Tds Ads
rs362274
eekk-d8-kkee
123



Gds mCds Aks Gks mCes Ae



















TABLE 25







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs362275











Isis No.
SEQUENCE
SNP
Motif
SEQ ID. NO.





607458
Aes Tks mCds Tds Gds Tds Ads Gds mCds
rs362275
ek-d8-kkeee
119



Ads Gks mCks Aes Ges mCe








607459
Ges Aks Tds mCds Tds Gds Tds Ads Gds
rs362275
ek-d8-kkeee
124



mCds Aks Gks mCes Aes Ge



















TABLE 25







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs362276











Isis No.
SEQUENCE
SNP
Motif
SEQ ID. NO.





607465
Ges Aes Tks mCds Tds Gds Tds Ads Gds
rs362276
eek-d8-kkee
120



mCds Ads Gks mCks Aes Ge








607466
Tes Ges Aks Tds mCds Tds Gds Tds Ads
rs362276
eek-d8-kkee
125



Gds mCds Aks Gks mCes Ae



















TABLE 26







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs362277











Isis No.
SEQUENCE
SNP
Motif
SEQ ID. NO.





607472
Tes Ges Aes Tks mCds Tds Gds Tds Ads Gds
rs362276
eeek-d8-kee
121



mCds Ads Gks mCes Ae








607473
Tes Tes Ges Aks Tds mCds Tds Gds Tds Ads
rs362276
eeek-d8-kee
126



Gds mCds Aks Ges mCe












Example 3: Modified Oligonucleotides Targeting Huntingtin (HTT) Single Nucleotide Polymorphisms (SNP)

A series of modified oligonucleotides targeting Huntingtin (HTT) were designed. These modified oligonucleotides were designed to target SNP positions associated with the HTT gene. The table below provides the sequence and motif for each modified oligonucleotide. The motifs indicate certain 2′-modifications to the nucleobases in the nucleobase sequences. In the table below, ‘k’ indicates an (S)-cEt modification; ‘e’ indicates a MOE modification; a number along with ‘d’ indicates the number of deoxyribose nucleosides. For example, a compound having an ekk-d9-kke motif would have the following structure: NeNkNkNdNdNdNdNdNdNdNdNdNkNkNe, wherein each N represents a nucleobase and wherein each subscript represents a nucleobase modification according to the examples described above. All internucleoside linkages are phosphorothioate unless otherwise indicated.
















Isis No.
SNP
SEQUENCE (5′ to 3′)
MOTIF (5′to 3′)
SEQ ID NO.







460207
rs362332
ACACAGTAGATGAGG
ekk-d9-kke
174





460218
rs362332
GCACACAGTAGATGAGGGA
eeeee-d3-k-d5-eeeee
175





460026
rs2298969
AAGGGATGCTGACTTGGGC
eeee-d9-eeeee
176





460208
rs4690072
CAGTGCTACCCAACC
ekk-d9-kke
177





525364
rs4690072
ACAGTGCTACCCAACCT
ekek-d9-keke
178





435331
rs2024115
TTCAAGCTAGTAACGATGC
eeeee-d9-eeeee
179





525365
rs2024115
CTTCAAGCTAGTAACGA
ekek-d9-keke
180





525368
rs363088
ACAGCTATCTTCTCA
ekk-d9-kke
181





460065
rs7685686
ATAAATTGTCATCACCAG
eeee-d9-eeeee
182





435879
rs7685686
AATAAATTGTCATCACCAG
eeeee-d9-eeeee
183





460085
rs7685686
ATAAATTGTCATCACCA
eeeee-d7-eeeee
184





435870
rs362331
GCACACAGTAGATGAGGGA
eeeee-d9-eeeee
185





460071
rs362331
GCACACAGTAGATGAGGGA
eeeee-d10-eeee
186





460212
rs362331
GCACACAGTAGATGAGGGA
eeeee-d4-k-d4-eeeee
187





460231
rs362331
ACAGTAGATGAGGGAGCAG
eeeee-k-d8-eeeee
188





474892
rs362331
CACACAGTAGATGAGGG
kekk-d9-kkek
189





435890
rs2298969
AAGGGATGCTGACTTGGGC
eeeee-d9-eeeee
190





460210
rs2298969
GGGATGCTGACTTGG
ekk-d9-kke
191





474871
rs7685686
ATAAATTGTCATCACCA
ekkk-d9-kkke
192





474891
rs7685686
ATAAATTGTCATCACCA
kekk-d9-kkek
193





474919
rs7685686
AATAAATTGTCATCACCAG
kekek-d9-kekek
194





474923
rs7685686
AATAAATTGTCATCACCAG
kdkdk-d9-kdkdk
195





476337
rs7685686
AATAAATTGTCATCACCAG
ekeke-d9-ekeke
196





460012
rs4690072
ACAGTGCTACCCAACCT
eee-d9-eeeee
197





525367
rs2024115
TTCAAGCTAGTAACG
ekk-d9-kke
198





435869
rs362306
GAGCAGCTGCAACCTGGCA
eeeee-d9-eeeee
199





460069
rs362306
GAGCAGCTGCAACCTGGCA
eeeee-d10-eeee
200





460206
rs362306
GCAGCTGCAACCTGG
ekk-d9-kke
201





463571
rs362273
TTGATCTGTAGCAGCAGCT
eeeee-d9-eeeee
202





476444
rs6844859
CCTTCCTCACTGAGGATGA
eeeee-d9-eeeee
203





435330
rs3856973
TAACACTCGATTAACCCTG
eeeee-d9-eeeee
204





435868
rs362275
AAGAAGCCTGATAAAATCT
eeeee-d9-eeeee
205





491416
rs7685686
TGCTTCAGAGCTGAGCAGAA
eeeee-d10-eeeee
206





553748

ACCACAACGGCGATT
ekk-d9-kke
207





553751

TACCTAAGAGCACAT
ekk-d9-kke
208





553752
rs2285086
TAGTTCATCCCAGTG
ekk-d9-kke
209





553754
rs2798235
GAGGAGGTATACTGT
ekk-d9-kke
210





553762
rs362303
TGGTGCCGGGTGTCT
ekk-d9-kke
211





553764
rs362310
AAACGGCGCAGCGGG
ekk-d9-kke
212





553765

CGCCTATACCATACA
ekk-d9-kke
213





553767

GATAATATCCTATCA
ekk-d9-kke
214





553768
rs363080
AGAGAACAAGAAGGC
ekk-d9-kke
215





553769
rs363092
AACCACTGTGGGATG
ekk-d9-kke
216





553772
rs363102
CTAAAACTAACTTGA
ekk-d9-kke
217





553773

CGTTGAAGTACTGTC
ekk-d9-kke
218





553775
rs3856973
TAACACTCGATTAAC
ekk-d9-kke
219





553776
rs4690073
CCTAAATCAATCTAC
ekk-d9-kke
220





553777
rs6446723
ATTTTCTAGACTTTA
ekk-d9-kke
221





553778
rs6844859
CTTCCTCACTGAGGA
ekk-d9-kke
222





553779
rs7659144
GAAATGGGTTTTTCC
ekk-d9-kke
223





553780
rs7691627
TAAGAAACACAATCA
ekk-d9-kke
224





553781
rs916171
GAACAAACAGAAGAA
ekk-d9-kke
225





553782
rs362303
TGGTGCCAGGTGTCT
ekk-d9-kke
226





553784
rs362310
AAACGGCACAGCGGG
ekk-d9-kke
227





435295
rs2024115
ACTTCAAGCTAGTAACGAT
eeeee-d9-eeeee
228





553742

ACACCACAACGGCGATTTG
eeeee-d9-eeeee
229





553743

CTTACCTAAGAGCACATTT
eeeee-d9-eeeee
230





435864
rs2285086
GCTAGTTCATCCCAGTGAG
eeeee-d9-eeeee
231





435910
rs2798235
CAGAGGAGGTATACTGTAT
eeeee-d9-eeeee
232





435311
rs362303
AATGGTGCCGGGTGTCTAG
eeeee-d9-eeeee
233





435309
rs362310
AGAAACGGCGCAGCGGGAA
eeeee-d9-eeeee
234





553744

TCCGCCTATACCATACAAT
eeeee-d9-eeeee
235





553745

ATGATAATATCCTATCAAA
eeeee-d9-eeeee
236





435911
rs363080
AGAGAGAACAAGAAGGCTC
eeeee-d9-eeeee
237





435872
rs363092
CAAACCACTGTGGGATGAA
eeeee-d9-eeeee
238





435300
rs363102
ATCTAAAACTAACTTGAGA
eeeee-d9-eeeee
239





553746

AGCGTTGAAGTACTGTCCC
eeeee-d9-eeeee
240





435294
rs3856973
GTTAACACTCGATTAACCC
eeeee-d9-eeeee
241





435301
rs4690073
TCCCTAAATCAATCTACAA
eeeee-d9-eeeee
242





435875
rs6446723
TAATTTTCTAGACTTTATG
eeeee-d9-eeeee
243





435876
rs6844859
ACCTTCCTCACTGAGGATG
eeeee-d9-eeeee
244





435878
rs7659144
TGGAAATGGGTTTTTCCAC
eeeee-d9-eeeee
245





435880
rs7691627
AATAAGAAACACAATCAAA
eeeee-d9-eeeee
246





435906
rs916171
CAGAACAAACAGAAGAATT
eeeee-d9-eeeee
247





435329
rs362303
AATGGTGCCAGGTGTCTAG
eeeee-d9-eeeee
248





435327
rs362310
AGAAACGGCACAGCGGGAA
eeeee-d9-eeeee
249





553766
rs363064
AGAATACGGGTAACA
ekk-d9-kke
250





553771
rs363099
CTGAGCGGAGAAACC
ekk-d9-kke
251





553770
rs363096
TTCCCTAAAAACAAA
ekk-d9-kke
252





553753
rs2298967
CTTTTCTATTGTCTG
ekk-d9-kke
253





553758
rs362272
TAGAGGACGCCGTGC
ekk-d9-kke
254





553783
rs363096
TTCCCTAGAAACAAA
ekk-d9-kke
255





553763
rs362307
CAAGGGCACAGACTT
ekk-d9-kke
256





553750
rs16843804
TAACCGTGGCATGGG
ekk-d9-kke
257





553755
rs3121419
GACTATAGCACCCAG
ekk-d9-kke
258





553757
rs362271
GTGTGTACAGAACCT
ekk-d9-kke
259





553760
rs362275
GAAGCCTGATAAAAT
ekk-d9-kke
260





553774
rs3775061
TTCAGAATGCCTCAT
ekk-d9-kke
261





553761
rs362296
GGACAGGGTGTGCTC
ekk-d9-kke
262





553747
rs10015979
AGCTAGGCTAAAGAG
ekk-d9-kke
263





553749
rs11731237
TGGGCAGAAAGGACT
ekk-d9-kke
264





553759
rs362273
TGATCTGTAGCAGCA
ekk-d9-kke
265





553756
rs34315806
CTTTTCCGTGCTGTT
ekk-d9-kke
266





435298
rs363064
GGAGAATACGGGTAACATT
eeeee-d9-eeeee
267





435303
rs363099
GGCTGAGCGGAGAAACCCT
eeeee-d9-eeeee
268





435304
rs363096
GATTCCCTAAAAACAAAAA
eeeee-d9-eeeee
269





435305
rs2298967
TGCTTTTCTATTGTCTGTC
eeeee-d9-eeeee
270





435308
rs362272
CATAGAGGACGCCGTGCAG
eeeee-d9-eeeee
271





435322
rs363096
GATTCCCTAGAAACAAAAA
eeeee-d9-eeeee
272





435328
rs362307
CACAAGGGCACAGACTTCC
eeeee-d9-eeeee
273





435863
rs16843804
TTTAACCGTGGCATGGGCA
eeeee-d9-eeeee
274





435866
rs3121419
GAGACTATAGCACCCAGAT
eeeee-d9-eeeee
275





435867
rs362271
ACGTGTGTACAGAACCTGC
eeeee-d9-eeeee
276





435873
rs3775061
TGTTCAGAATGCCTCATCT
eeeee-d9-eeeee
277





435882
rs362296
GGGGACAGGGTGTGCTCTC
eeeee-d9-eeeee
278





435887
rs10015979
GCAGCTAGGCTAAAGAGTC
eeeee-d9-eeeee
279





435909
rs11731237
GGTGGGCAGAAAGGACTGA
eeeee-d9-eeeee
280





463566
rs362273
GTTGATCTGTAGCAGCAGC
eeeee-d9-eeeee
281





463567
rs34315806
AACTTTTCCGTGCTGTTCT
eeeee-d9-eeeee
282





589448
rs3856973
AACACTCGATTAACCCT
eeekk-d7-kkeee
283





589447
rs3856973
TAACACTCGATTAACCC
eeekk-d7-kkeee
284





589163
rs3856973
TTAACACTCGATTAACC
eeekk-d7-kkeee
285





589446
rs3856973
GTTAACACTCGATTAAC
eeekk-d7-kkeee
286





589445
rs3856973
AGTTAACACTCGATTAA
eeekk-d7-kkeee
287





589669
rs3856973
AACACTCGATTAACCCT
eekek-d7-kekee
288





589668
rs3856973
TAACACTCGATTAACCC
eekek-d7-kekee
289





589667
rs3856973
TTAACACTCGATTAACC
eekek-d7-kekee
290





589666
rs3856973
GTTAACACTCGATTAAC
eekek-d7-kekee
291





589665
rs3856973
AGTTAACACTCGATTAA
eekek-d7-kekee
292





589544
rs3856973
ACACTCGATTAACCCTG
eekk-d8-kkeee
293





589543
rs3856973
AACACTCGATTAACCCT
eekk-d8-kkeee
294





589542
rs3856973
TAACACTCGATTAACCC
eekk-d8-kkeee
295





589541
rs3856973
TTAACACTCGATTAACC
eekk-d8-kkeee
296





589540
rs3856973
GTTAACACTCGATTAAC
eekk-d8-kkeee
297





589539
rs3856973
AGTTAACACTCGATTAA
eekk-d8-kkeee
298





589716
rs3856973
ACACTCGATTAACCCTG
ekek-d8-kekee
299





589715
rs3856973
AACACTCGATTAACCCT
ekek-d8-kekee
300





589714
rs3856973
TAACACTCGATTAACCC
ekek-d8-kekee
301





589713
rs3856973
TTAACACTCGATTAACC
ekek-d8-kekee
302





589712
rs3856973
GTTAACACTCGATTAAC
ekek-d8-kekee
303





589711
rs3856973
AGTTAACACTCGATTAA
ekek-d8-kekee
304





589444
rs7685686
AAATTGTCATCACCAGA
eeekk-d7-kkeee
305





589443
rs7685686
AATAAATTGTCATCACC
eeekk-d7-kkeee
306





589442
rs7685686
TAATAAATTGTCATCAC
eeekk-d7-kkeee
307





589664
rs7685686
AAATTGTCATCACCAGA
eekek-d7-kekee
308





589663
rs7685686
TAAATTGTCATCACCAG
eekek-d7-kekee
309





589662
rs7685686
ATAAATTGTCATCACCA
eekek-d7-kekee
310





589661
rs7685686
AATAAATTGTCATCACC
eekek-d7-kekee
311





589660
rs7685686
TAATAAATTGTCATCAC
eekek-d7-kekee
312





589538
rs7685686
AATTGTCATCACCAGAA
eekk-d8-kkeee
313





589536
rs7685686
TAAATTGTCATCACCAG
eekk-d8-kkeee
314





589535
rs7685686
ATAAATTGTCATCACCA
eekk-d8-kkeee
315





589534
rs7685686
AATAAATTGTCATCACC
eekk-d8-kkeee
316





589533
rs7685686
TAATAAATTGTCATCAC
eekk-d8-kkeee
317





589710
rs7685686
AATTGTCATCACCAGAA
ekek-d8-kekee
318





589709
rs7685686
AAATTGTCATCACCAGA
ekek-d8-kekee
319





589708
rs7685686
TAAATTGTCATCACCAG
ekek-d8-kekee
320





589707
rs7685686
ATAAATTGTCATCACCA
ekek-d8-kekee
321





589706
rs7685686
AATAAATTGTCATCACC
ekek-d8-kekee
322





589705
rs7685686
TAATAAATTGTCATCAC
ekek-d8-kekee
323





589468
rs2024115
TCAAGCTAGTAACGATG
eeekk-d7-kkeee
324





589467
rs2024115
TTCAAGCTAGTAACGAT
eeekk-d7-kkeee
325





589466
rs2024115
CTTCAAGCTAGTAACGA
eeekk-d7-kkeee
326





589465
rs2024115
ACTTCAAGCTAGTAACG
eeekk-d7-kkeee
327





589464
rs2024115
AACTTCAAGCTAGTAAC
eeekk-d7-kkeee
328





589568
rs2024115
CAAGCTAGTAACGATGC
eekk-d8-kkeee
329





589566
rs2024115
TTCAAGCTAGTAACGAT
eekk-d8-kkeee
330





589565
rs2024115
CTTCAAGCTAGTAACGA
eekk-d8-kkeee
331





589564
rs2024115
ACTTCAAGCTAGTAACG
eekk-d8-kkeee
332





589563
rs2024115
AACTTCAAGCTAGTAAC
eekk-d8-kkeee
333





589453
rs6446723
TTTTCTAGACTTTATGA
eeekk-d7-kkeee
334





589452
rs6446723
ATTTTCTAGACTTTATG
eeekk-d7-kkeee
335





589451
rs6446723
AATTTTCTAGACTTTAT
eeekk-d7-kkeee
336





589449
rs6446723
TTAATTTTCTAGACTTT
eeekk-d7-kkeee
337





589674
rs6446723
TTTTCTAGACTTTATGA
eekek-d7-kekee
338





589673
rs6446723
ATTTTCTAGACTTTATG
eekek-d7-kekee
339





589672
rs6446723
AATTTTCTAGACTTTAT
eekek-d7-kekee
340





589671
rs6446723
TAATTTTCTAGACTTTA
eekek-d7-kekee
341





589670
rs6446723
TTAATTTTCTAGACTTT
eekek-d7-kekee
342





589550
rs6446723
TTTCTAGACTTTATGAT
eekk-d8-kkeee
343





589549
rs6446723
TTTTCTAGACTTTATGA
eekk-d8-kkeee
344





589548
rs6446723
ATTTTCTAGACTTTATG
eekk-d8-kkeee
345





589545
rs6446723
TTAATTTTCTAGACTTT
eekk-d8-kkeee
346





589722
rs6446723
TTTCTAGACTTTATGAT
ekek-d8-kekee
347





589721
rs6446723
TTTTCTAGACTTTATGA
ekek-d8-kekee
348





589720
rs6446723
ATTTTCTAGACTTTATG
ekek-d8-kekee
349





589719
rs6446723
AATTTTCTAGACTTTAT
ekek-d8-kekee
350





589717
rs6446723
TTAATTTTCTAGACTTT
ekek-d8-kekee
351





589463
rs6844859
TTCCTCACTGAGGATGA
eeekk-d7-kkeee
352





589462
rs6844859
CTTCCTCACTGAGGATG
eeekk-d7-kkeee
353





589461
rs6844859
CCTTCCTCACTGAGGAT
eeekk-d7-kkeee
354





589460
rs6844859
ACCTTCCTCACTGAGGA
eeekk-d7-kkeee
355





589459
rs6844859
CACCTTCCTCACTGAGG
eeekk-d7-kkeee
356





590761
rs6844859
TTCCTCACTGAGGATGA
eekek-d7-kekee
357





590760
rs6844859
CTTCCTCACTGAGGATG
eekek-d7-kekee
358





590759
rs6844859
CCTTCCTCACTGAGGAT
eekek-d7-kekee
359





590758
rs6844859
ACCTTCCTCACTGAGGA
eekek-d7-kekee
360





590757
rs6844859
CACCTTCCTCACTGAGG
eekek-d7-kekee
361





589562
rs6844859
TCCTCACTGAGGATGAA
eekk-d8-kkeee
362





589561
rs6844859
TTCCTCACTGAGGATGA
eekk-d8-kkeee
363





589560
rs6844859
CTTCCTCACTGAGGATG
eekk-d8-kkeee
364





589559
rs6844859
CCTTCCTCACTGAGGAT
eekk-d8-kkeee
365





589558
rs6844859
ACCTTCCTCACTGAGGA
eekk-d8-kkeee
366





589557
rs6844859
CACCTTCCTCACTGAGG
eekk-d8-kkeee
367





590767
rs6844859
TCCTCACTGAGGATGAA
ekek-d8-kekee
368





590766
rs6844859
TTCCTCACTGAGGATGA
ekek-d8-kekee
369





590765
rs6844859
CTTCCTCACTGAGGATG
ekek-d8-kekee
370





590764
rs6844859
CCTTCCTCACTGAGGAT
ekek-d8-kekee
371





590763
rs6844859
ACCTTCCTCACTGAGGA
ekek-d8-kekee
372





590762
rs6844859
CACCTTCCTCACTGAGG
ekek-d8-kekee
373





589483
rs363092
ACCACTTTGGGATGAAT
eeekk-d7-kkeee
374





589482
rs363092
AACCACTTTGGGATGAA
eeekk-d7-kkeee
375





589481
rs363092
AAACCACTTTGGGATGA
eeekk-d7-kkeee
376





589480
rs363092
CAAACCACTTTGGGATG
eeekk-d7-kkeee
377





589479
rs363092
GCAAACCACTTTGGGAT
eeekk-d7-kkeee
378





589586
rs363092
CCACTTTGGGATGAATA
eekk-d8-kkeee
379





589585
rs363092
ACCACTTTGGGATGAAT
eekk-d8-kkeee
380





589584
rs363092
AACCACTTTGGGATGAA
eekk-d8-kkeee
381





589583
rs363092
AAACCACTTTGGGATGA
eekk-d8-kkeee
382





589582
rs363092
CAAACCACTTTGGGATG
eekk-d8-kkeee
383





589581
rs363092
GCAAACCACTTTGGGAT
eekk-d8-kkeee
384





589458
rs2285086
AGTTCATCCCAGTGAGA
eeekk-d7-kkeee
385





589457
rs2285086
TAGTTCATCCCAGTGAG
eeekk-d7-kkeee
386





589456
rs2285086
CTAGTTCATCCCAGTGA
eeekk-d7-kkeee
387





589455
rs2285086
GCTAGTTCATCCCAGTG
eeekk-d7-kkeee
388





589454
rs2285086
TGCTAGTTCATCCCAGT
eeekk-d7-kkeee
389





589679
rs2285086
AGTTCATCCCAGTGAGA
eekek-d7-kekee
390





589678
rs2285086
TAGTTCATCCCAGTGAG
eekek-d7-kekee
391





589677
rs2285086
CTAGTTCATCCCAGTGA
eekek-d7-kekee
392





589676
rs2285086
GCTAGTTCATCCCAGTG
eekek-d7-kekee
393





589675
rs2285086
TGCTAGTTCATCCCAGT
eekek-d7-kekee
394





589556
rs2285086
GTTCATCCCAGTGAGAA
eekk-d8-kkeee
395





589555
rs2285086
AGTTCATCCCAGTGAGA
eekk-d8-kkeee
396





589554
rs2285086
TAGTTCATCCCAGTGAG
eekk-d8-kkeee
397





589553
rs2285086
CTAGTTCATCCCAGTGA
eekk-d8-kkeee
398





589552
rs2285086
GCTAGTTCATCCCAGTG
eekk-d8-kkeee
399





589551
rs2285086
TGCTAGTTCATCCCAGT
eekk-d8-kkeee
400





589728
rs2285086
GTTCATCCCAGTGAGAA
ekek-d8-kekee
401





589727
rs2285086
AGTTCATCCCAGTGAGA
ekek-d8-kekee
402





589726
rs2285086
TAGTTCATCCCAGTGAG
ekek-d8-kekee
403





589725
rs2285086
CTAGTTCATCCCAGTGA
ekek-d8-kekee
404





589724
rs2285086
GCTAGTTCATCCCAGTG
ekek-d8-kekee
405





589723
rs2285086
TGCTAGTTCATCCCAGT
ekek-d8-kekee
406





589473
rs2798235
AGGAGGCATACTGTATT
eeekk-d7-kkeee
407





589472
rs2798235
GAGGAGGCATACTGTAT
eeekk-d7-kkeee
408





589471
rs2798235
AGAGGAGGCATACTGTA
eeekk-d7-kkeee
409





589470
rs2798235
CAGAGGAGGCATACTGT
eeekk-d7-kkeee
410





589469
rs2798235
ACAGAGGAGGCATACTG
eeekk-d7-kkeee
411





589574
rs2798235
GGAGGCATACTGTATTT
eekk-d8-kkeee
412





589573
rs2798235
AGGAGGCATACTGTATT
eekk-d8-kkeee
413





589572
rs2798235
GAGGAGGCATACTGTAT
eekk-d8-kkeee
414





589571
rs2798235
AGAGGAGGCATACTGTA
eekk-d8-kkeee
415





589570
rs2798235
CAGAGGAGGCATACTGT
eekk-d8-kkeee
416





589569
rs2798235
ACAGAGGAGGCATACTG
eekk-d8-kkeee
417





589478
rs363080
GAGAACGAGAAGGCTCC
eeekk-d7-kkeee
418





589477
rs363080
AGAGAACGAGAAGGCTC
eeekk-d7-kkeee
419





589476
rs363080
GAGAGAACGAGAAGGCT
eeekk-d7-kkeee
420





589475
rs363080
AGAGAGAACGAGAAGGC
eeekk-d7-kkeee
421





589474
rs363080
AAGAGAGAACGAGAAGG
eeekk-d7-kkeee
422





589580
rs363080
AGAACGAGAAGGCTCCA
eekk-d8-kkeee
423





589579
rs363080
GAGAACGAGAAGGCTCC
eekk-d8-kkeee
424





589578
rs363080
AGAGAACGAGAAGGCTC
eekk-d8-kkeee
425





589577
rs363080
GAGAGAACGAGAAGGCT
eekk-d8-kkeee
426





589576
rs363080
AGAGAGAACGAGAAGGC
eekk-d8-kkeee
427





589575
rs363080
AAGAGAGAACGAGAAGG
eekk-d8-kkeee
428





589497
rs362273
GATCTGTAGCAGCAGCT
eeekk-d7-kkeee
429





589496
rs362273
TGATCTGTAGCAGCAGC
eeekk-d7-kkeee
430





589495
rs362273
TTGATCTGTAGCAGCAG
eeekk-d7-kkeee
431





589494
rs362273
GTTGATCTGTAGCAGCA
eeekk-d7-kkeee
432





589493
rs362273
GGTTGATCTGTAGCAGC
eeekk-d7-kkeee
433





589689
rs362273
GATCTGTAGCAGCAGCT
eekek-d7-kekee
434





589688
rs362273
TGATCTGTAGCAGCAGC
eekek-d7-kekee
435





589687
rs362273
TTGATCTGTAGCAGCAG
eekek-d7-kekee
436





589686
rs362273
GTTGATCTGTAGCAGCA
eekek-d7-kekee
437





589685
rs362273
GGTTGATCTGTAGCAGC
eekek-d7-kekee
438





589604
rs362273
ATCTGTAGCAGCAGCTT
eekk-d8-kkeee
439





589603
rs362273
GATCTGTAGCAGCAGCT
eekk-d8-kkeee
440





589600
rs362273
GTTGATCTGTAGCAGCA
eekk-d8-kkeee
441





589599
rs362273
GGTTGATCTGTAGCAGC
eekk-d8-kkeee
442





589740
rs362273
ATCTGTAGCAGCAGCTT
ekek-d8-kekee
443





589739
rs362273
GATCTGTAGCAGCAGCT
ekek-d8-kekee
444





589738
rs362273
TGATCTGTAGCAGCAGC
ekek-d8-kekee
445





589736
rs362273
GTTGATCTGTAGCAGCA
ekek-d8-kekee
446





589735
rs362273
GGTTGATCTGTAGCAGC
ekek-d8-kekee
447





589492
rs363088
CAGCTATCTTCTCATCA
eeekk-d7-kkeee
448





589491
rs363088
ACAGCTATCTTCTCATC
eeekk-d7-kkeee
449





575481
rs363088
CACAGCTATCTTCTCAT
eeekk-d7-kkeee
450





589490
rs363088
TCACAGCTATCTTCTCA
eeekk-d7-kkeee
451





589489
rs363088
TTCACAGCTATCTTCTC
eeekk-d7-kkeee
452





589684
rs363088
CAGCTATCTTCTCATCA
eekek-d7-kekee
453





589683
rs363088
ACAGCTATCTTCTCATC
eekek-d7-kekee
454





589682
rs363088
CACAGCTATCTTCTCAT
eekek-d7-kekee
455





589681
rs363088
TCACAGCTATCTTCTCA
eekek-d7-kekee
456





589680
rs363088
TTCACAGCTATCTTCTC
eekek-d7-kekee
457





589598
rs363088
AGCTATCTTCTCATCAA
eekk-d8-kkeee
458





589597
rs363088
CAGCTATCTTCTCATCA
eekk-d8-kkeee
459





589594
rs363088
TCACAGCTATCTTCTCA
eekk-d8-kkeee
460





589593
rs363088
TTCACAGCTATCTTCTC
eekk-d8-kkeee
461





589734
rs363088
AGCTATCTTCTCATCAA
ekek-d8-kekee
462





589733
rs363088
CAGCTATCTTCTCATCA
ekek-d8-kekee
463





589732
rs363088
ACAGCTATCTTCTCATC
ekek-d8-kekee
464





589731
rs363088
CACAGCTATCTTCTCAT
ekek-d8-kekee
465





589730
rs363088
TCACAGCTATCTTCTCA
ekek-d8-kekee
466





589729
rs363088
TTCACAGCTATCTTCTC
ekek-d8-kekee
467





589502
rs362271
TGTGTACAGAACCTGCC
eeekk-d7-kkeee
468





589501
rs362271
GTGTGTACAGAACCTGC
eeekk-d7-kkeee
469





589500
rs362271
CGTGTGTACAGAACCTG
eeekk-d7-kkeee
470





589499
rs362271
ACGTGTGTACAGAACCT
eeekk-d7-kkeee
471





589498
rs362271
CACGTGTGTACAGAACC
eeekk-d7-kkeee
472





589694
rs362271
TGTGTACAGAACCTGCC
eekek-d7-kekee
473





589693
rs362271
GTGTGTACAGAACCTGC
eekek-d7-kekee
474





589692
rs362271
CGTGTGTACAGAACCTG
eekek-d7-kekee
475





589691
rs362271
ACGTGTGTACAGAACCT
eekek-d7-kekee
476





589690
rs362271
CACGTGTGTACAGAACC
eekek-d7-kekee
477





589610
rs362271
GTGTACAGAACCTGCCG
eekk-d8-kkeee
478





589609
rs362271
TGTGTACAGAACCTGCC
eekk-d8-kkeee
479





589608
rs362271
GTGTGTACAGAACCTGC
eekk-d8-kkeee
480





589607
rs362271
CGTGTGTACAGAACCTG
eekk-d8-kkeee
481





589606
rs362271
ACGTGTGTACAGAACCT
eekk-d8-kkeee
482





589605
rs362271
CACGTGTGTACAGAACC
eekk-d8-kkeee
483





589746
rs362271
GTGTACAGAACCTGCCG
ekek-d8-kekee
484





589745
rs362271
TGTGTACAGAACCTGCC
ekek-d8-kekee
485





589744
rs362271
GTGTGTACAGAACCTGC
ekek-d8-kekee
486





589743
rs362271
CGTGTGTACAGAACCTG
ekek-d8-kekee
487





589742
rs362271
ACGTGTGTACAGAACCT
ekek-d8-kekee
488





589741
rs362271
CACGTGTGTACAGAACC
ekek-d8-kekee
489





589517
rs363099
TGAGCGGAGAAACCCTC
eeekk-d7-kkeee
490





589516
rs363099
CTGAGCGGAGAAACCCT
eeekk-d7-kkeee
491





589515
rs363099
GCTGAGCGGAGAAACCC
eeekk-d7-kkeee
492





589514
rs363099
GGCTGAGCGGAGAAACC
eeekk-d7-kkeee
493





589513
rs363099
AGGCTGAGCGGAGAAAC
eeekk-d7-kkeee
494





589628
rs363099
GAGCGGAGAAACCCTCC
eekk-d8-kkeee
495





589627
rs363099
TGAGCGGAGAAACCCTC
eekk-d8-kkeee
496





589626
rs363099
CTGAGCGGAGAAACCCT
eekk-d8-kkeee
497





589625
rs363099
GCTGAGCGGAGAAACCC
eekk-d8-kkeee
498





589624
rs363099
GGCTGAGCGGAGAAACC
eekk-d8-kkeee
499





589623
rs363099
AGGCTGAGCGGAGAAAC
eekk-d8-kkeee
500





589531
rs363064
AGAATACGGGTAACATT
eeekk-d7-kkeee
501





589530
rs363064
GAGAATACGGGTAACAT
eeekk-d7-kkeee
502





589529
rs363064
GGAGAATACGGGTAACA
eeekk-d7-kkeee
503





589528
rs363064
TGGAGAATACGGGTAAC
eeekk-d7-kkeee
504





589644
rs363064
AGAATACGGGTAACATT
eekk-d8-kkeee
505





589643
rs363064
GAGAATACGGGTAACAT
eekk-d8-kkeee
506





589642
rs363064
GGAGAATACGGGTAACA
eekk-d8-kkeee
507





589522
rs16843804
AACCGTGGCATGGGCAG
eeekk-d7-kkeee
508





589521
rs16843804
TAACCGTGGCATGGGCA
eeekk-d7-kkeee
509





589520
rs16843804
TTAACCGTGGCATGGGC
eeekk-d7-kkeee
510





589519
rs16843804
TTTAACCGTGGCATGGG
eeekk-d7-kkeee
511





589518
rs16843804
CTTTAACCGTGGCATGG
eeekk-d7-kkeee
512





589634
rs16843804
ACCGTGGCATGGGCAGT
eekk-d8-kkeee
513





589633
rs16843804
AACCGTGGCATGGGCAG
eekk-d8-kkeee
514





589632
rs16843804
TAACCGTGGCATGGGCA
eekk-d8-kkeee
515





589631
rs16843804
TTAACCGTGGCATGGGC
eekk-d8-kkeee
516





589630
rs16843804
TTTAACCGTGGCATGGG
eekk-d8-kkeee
517





589629
rs16843804
CTTTAACCGTGGCATGG
eekk-d8-kkeee
518





589512
rs3121419
ACTATAGCACCCAGATT
eeekk-d7-kkeee
519





589511
rs3121419
GACTATAGCACCCAGAT
eeekk-d7-kkeee
520





589510
rs3121419
AGACTATAGCACCCAGA
eeekk-d7-kkeee
521





589509
rs3121419
GAGACTATAGCACCCAG
eeekk-d7-kkeee
522





589508
rs3121419
AGAGACTATAGCACCCA
eeekk-d7-kkeee
523





589704
rs3121419
ACTATAGCACCCAGATT
eekek-d7-kekee
524





589703
rs3121419
GACTATAGCACCCAGAT
eekek-d7-kekee
525





589702
rs3121419
AGACTATAGCACCCAGA
eekek-d7-kekee
526





589701
rs3121419
GAGACTATAGCACCCAG
eekek-d7-kekee
527





589700
rs3121419
AGAGACTATAGCACCCA
eekek-d7-kekee
528





589622
rs3121419
CTATAGCACCCAGATTT
eekk-d8-kkeee
529





589621
rs3121419
ACTATAGCACCCAGATT
eekk-d8-kkeee
530





589620
rs3121419
GACTATAGCACCCAGAT
eekk-d8-kkeee
531





589619
rs3121419
AGACTATAGCACCCAGA
eekk-d8-kkeee
532





589618
rs3121419
GAGACTATAGCACCCAG
eekk-d8-kkeee
533





589617
rs3121419
AGAGACTATAGCACCCA
eekk-d8-kkeee
534





589758
rs3121419
CTATAGCACCCAGATTT
ekek-d8-kekee
535





589757
rs3121419
ACTATAGCACCCAGATT
ekek-d8-kekee
536





589756
rs3121419
GACTATAGCACCCAGAT
ekek-d8-kekee
537





589755
rs3121419
AGACTATAGCACCCAGA
ekek-d8-kekee
538





589754
rs3121419
GAGACTATAGCACCCAG
ekek-d8-kekee
539





589753
rs3121419
AGAGACTATAGCACCCA
ekek-d8-kekee
540





589527
rs2298967
TTTTCTATTGTCTGTCC
eeekk-d7-kkeee
541





589526
rs2298967
CTTTTCTATTGTCTGTC
eeekk-d7-kkeee
542





589525
rs2298967
GCTTTTCTATTGTCTGT
eeekk-d7-kkeee
543





589524
rs2298967
TGCTTTTCTATTGTCTG
eeekk-d7-kkeee
544





589523
rs2298967
TTGCTTTTCTATTGTCT
eeekk-d7-kkeee
545





589640
rs2298967
TTTCTATTGTCTGTCCC
eekk-d8-kkeee
546





589639
rs2298967
TTTTCTATTGTCTGTCC
eekk-d8-kkeee
547





589638
rs2298967
CTTTTCTATTGTCTGTC
eekk-d8-kkeee
548





589637
rs2298967
GCTTTTCTATTGTCTGT
eekk-d8-kkeee
549





589636
rs2298967
TGCTTTTCTATTGTCTG
eekk-d8-kkeee
550





589635
rs2298967
TTGCTTTTCTATTGTCT
eekk-d8-kkeee
551





589507
rs34315806
TTTTCCGTGCTGTTCTG
eeekk-d7-kkeee
552





589506
rs34315806
CTTTTCCGTGCTGTTCT
eeekk-d7-kkeee
553





589505
rs34315806
ACTTTTCCGTGCTGTTC
eeekk-d7-kkeee
554





589504
rs34315806
AACTTTTCCGTGCTGTT
eeekk-d7-kkeee
555





589503
rs34315806
AAACTTTTCCGTGCTGT
eeekk-d7-kkeee
556





589699
rs34315806
TTTTCCGTGCTGTTCTG
eekek-d7-kekee
557





589698
rs34315806
CTTTTCCGTGCTGTTCT
eekek-d7-kekee
558





589697
rs34315806
ACTTTTCCGTGCTGTTC
eekek-d7-kekee
559





589696
rs34315806
AACTTTTCCGTGCTGTT
eekek-d7-kekee
560





589695
rs34315806
AAACTTTTCCGTGCTGT
eekek-d7-kekee
561





589616
rs34315806
TTTCCGTGCTGTTCTGA
eekk-d8-kkeee
562





589615
rs34315806
TTTTCCGTGCTGTTCTG
eekk-d8-kkeee
563





589614
rs34315806
CTTTTCCGTGCTGTTCT
eekk-d8-kkeee
564





589613
rs34315806
ACTTTTCCGTGCTGTTC
eekk-d8-kkeee
565





589612
rs34315806
AACTTTTCCGTGCTGTT
eekk-d8-kkeee
566





589611
rs34315806
AAACTTTTCCGTGCTGT
eekk-d8-kkeee
567





589752
rs34315806
TTTCCGTGCTGTTCTGA
ekek-d8-kekee
568





589751
rs34315806
TTTTCCGTGCTGTTCTG
ekek-d8-kekee
569





589750
rs34315806
CTTTTCCGTGCTGTTCT
ekek-d8-kekee
570





589749
rs34315806
ACTTTTCCGTGCTGTTC
ekek-d8-kekee
571





589748
rs34315806
AACTTTTCCGTGCTGTT
ekek-d8-kekee
572





589747
rs34315806
AAACTTTTCCGTGCTGT
ekek-d8-kekee
573









Example 4: 300 μg ICV Bolus 8 Week Study with Mice

Oligos were screened in human patient fibroblasts (either GM4022 or GM2173B) at 4 μM with electroporation (2 mm multiwell, 115V, 6 mS, 1 pulse, 3.5e5 cells per well). Target message was measured with an allele specific ABI primer probe set 24-hours post electroporation. Results were normalized to Ribogreen. The half maximal inhibitory concentration (IC50) of each oligonucleotide is presented in the Table below and was calculated by plotting the concentrations of oligonucleotides used versus the percent inhibition of HTT mRNA expression achieved at each concentration, and noting the concentration of oligonucleotide at which 50% inhibition of HTT mRNA expression was achieved compared to the control. The IC50 at which each oligonucleotide inhibits the mutant HTT mRNA expression is denoted as ‘mut IC50’. The IC50 at which each oligonucleotide inhibits the wild-type HTT mRNA expression is denoted as ‘wt IC50’. “ND” means data not available.


Mice were separated into groups of 4 mice. Each mouse in each group of mice was administered a single 300 μg ICV dose of each of the oligonucleotides in the table below. At 3 hours post injection, each mouse was evaluated according to 7 different criteria. The 7 criteria are (1) the mouse was bright, alert, and responsive; (2) the mouse was standing or hunched without stimuli; (3) the mouse shows any movement without stimuli (4) the mouse demonstrates forward movement after it is lifted; (5) the mouse demonstrates any movement after it is lifted; (6) the mouse responds to a tail pinch; (7) the mouse has a regular respiratory rate. For each of the 7 different criteria, each mouse was given a sub-score of 0 if it met the criteria or 1 if it did not. After each of the 7 criteria were evaluated, the sub-scores were summed for each mouse and then averaged for each group. For example, if a mouse was bright, alert, and responsive 3 hours after the 300 μg ICV dose, and met all other other criteria, it would get a summed score of 0. If another mouse was not bright, alert, and responsive 3 hours after the 300 μg ICV dose but met all other criteria, it would receive a score of 1. Saline treated mice generally receive a score of 0. A score of at the top end of the range would be suggestive of acute toxicity. In the table below, a subscript 1′ indicates an (S)-cEt modification; a subscript ‘e’ indicates a MOE modification; a subscript indicates a 2′-deoxynucleoside and an “N” without a subscript also indicates a 2′-deoxynucleoside. In the table below, an “x” represents a 2-thiothymine. Subscripts “s” and “o” refer to phosphorothioate and phosphodiester internucleoside bonds, respectively.


Each mouse was then evaluated weekly by a trained observer for 8 weeks and examined for adverse events. Adverse events are defined as any behavior not typical in a naive matched control animal. Animals were evaluated for adverse events including, but not limited to: limb clasping, abnormal limb splay, abnormal gait, tremors, abnormal respiration, paralysis, spasticity, impaired righting reflex, hyperactivity and lethargy. For each group, the number of animals that exhibited any adverse events during any of the 8 weekly observations was calculated. For example, a group of animals where no animals exhibited any adverse events is given a score of 0.









TABLE 28







300 μg ICV Bolus 8 Week Study With Mice

















# of Mice







in group with




Mut
Wt
Score at
one or more




IC50
IC50
3 hours
adverse events


Isis No.
SNP
(μM)
(μM)
post injection
for 8 weeks















540083
rs7685686
ND
ND
ND
4


540094
rs7685686
0.31
4.8
4.3
2


540095
rs7685686
0.69
8.3
6
4


540096
rs7685686
0.65
10
3.5
2


540108
rs7685686
0.41
>10
0.8
4


550913
rs7685686
0.12
0.6
2
3


551429
rs7685686
0.24
>10
0.3
0


566267
rs7685686
0.34
>15
1.5
0


568876
rs7685686
0.1
>10
1.3
4


571036
rs7685686
0.17
>10
1
4


571037
rs7685686
0.11
>10
0
4


575007
rs7685686
0.67
>10
1.8
0


585246
rs7685686
0.6
>10
4.5
4


571069
rs7685686
0.29
>10
0
4


572771
rs7685686
0.54
>10
0
3


572772
rs7685686
0.57
>10
0
0


575008
rs7685686
0.18
>10
0
1


460209
rs7685686
0.34
1.7
1.3
0


476333
rs7685686
0.32
1.6
0
1


540108
rs7685686
0.41
>10
0.3
2


593199
rs7685686
ND
ND
0
3


593200
rs7685686
ND
ND
0.5
0


593201
rs7685686
ND
ND
0
4


593202
rs7685686
ND
ND
0
4


593203
rs7685686
ND
ND
0
3


593204
rs7685686
ND
ND
0
4


558257
rs7685686
0.6
>10
0
ND


571039
rs7685686
0.34
>10
2.5
ND


598229
rs7685686
ND
ND
0
ND


598300
rs7685686
ND
ND
1.3
ND


598301
rs7685686
ND
ND
2.3
ND


598302
rs7685686
ND
ND
0.3
ND


598303
rs7685686
ND
ND
1.5
ND


598304
rs7685686
ND
ND
1.5
ND


598305
rs7685686
ND
ND
0
ND


598306
rs7685686
ND
ND
0.5
ND


598307
rs7685686
ND
ND
0.8
ND


598308
rs7685686
ND
ND
1.8
ND


606560
rs7685686
ND
ND
1.5
ND


606578
rs7685686
ND
ND
2.8
ND


435871
rs363088
ND
ND
4.8
3


525366
rs363088
0.6
2.88
ND
4


525368
rs363088
0.8
6.88
.3
4


575172
rs363088
0.9
5.0
0
4


575175
rs363088
0.4
2.64
0
4


582658
rs363088
0.8
6.9
0
4


582661
rs363088
0.4
3.0
0
4


589595
rs363088
1.2
9.6
0
4


589596
rs363088
1.4
>10
0
4


591416
rs363088
ND
ND
0
3


589450
rs6446723
1.3
>10
3.8
0


589532
rs363064
2.5
>10
5.8
2


589537
rs7685686
0.8
4.8
2.8
2


589546
rs6446723
1.3
>10
1.8
0


589547
rs6446723
1.5
>10
2.3
1


589567
rs6446723
0.8
9.6
6
3


589601
rs362273
1.3
7
6
4


589602
rs362273
1.4
>10
6
3


589645
rs363088
1.5
>10
5.7
2


589646
rs363088
3.2
>10
4.3
0


589718
rs6446723
1.4
>10
3.3
1


589737
rs363088
1.3
4.8
5.8
4


556845
rs7685686
ND
ND
3
ND


598309
rs7685686
ND
ND
0.5
ND


598310
rs7685686
ND
ND
0.3
ND


606561
rs7685686
ND
ND
1.5
ND


606562
rs7685686
ND
ND
2.3
ND


598299
rs7685686
ND
ND
1
ND









Example 5: 300 μg ICV Bolus Study with Mice

Additional oligonucleotides, shown in the table below, were administered to mice at a single 300 μg ICV dose. The mice were evaluated according to the procedures in Example 4 above.









TABLE 29







300 μg ICV Bolus Study With Mice
















Score at







3 hours







post
SEQ


ISIS NO.
SNP
Sequence (5′ to 3′)
Sugar Motif
injection
ID NO















551429
rs7685686
TeAeAeAkTkTGTCATCAkCkCe
5-7-3
.3
  3





571037
rs7685686
AeTeAeAeAkTkTGTmCATmCAkmCemCkAe
6-7-4
0
 11





540108
rs7685686
AeTeAeAkAkTTGTmCATmCkAkmCemCeAe
5-7-5
.3
 11





571036
rs7685686
AeTkAeAkAeTkTGTmCATmCAkmCemCkAe
6-7-4
1
 11





568876
rs7685686
AkAkAkAkAkTTGTCATCkAkCkCkAk
5-7-5
1.3
 11





566267
rs7685686
TeAkAkATzTGTmCATmCAkmCkmCe
3-9-3 or 5-7-3
1.5
  3





575007
rs7685686
TeAkAkATkTGTmCATmCAkmCkmCe
3-9-3 or 5-7-3
1.8
  3





550913
rs7685686

AkAkTeAkAkATTGTCATCAkCkCeTkTk

5-9-5
2
 12





540096
rs7685686
AeAkTTGTCATCACkCkAkGe
2-9-4
3.5
  7





585246
rs7685686
TeAeAeAkTkTGTCATCAkCkCeAeGe
5-7-5
4.5
 31





540094
rs7685686
TeTkGTmCATmCA mCmCAkGkAkAe
2-9-4
4.3
  8





540095
rs7685686
AeTkTGTCATCACCkAkGkAe
2-9-4
6
 48





540083
rs7685686
AeAkTkTkGTCATCACCAkGe
4-9-2
ND
  7





593200
rs7685686
Aes Tks Tds GdsTds mCAds Tds mCds Ads mCds
2-9-4
0.5
 48




mCko Ako Gks Ae








593202
rs7685686
Aes Tko Ako Ako Aks Tks Tds GdsTds mCds Ads
6-7-4
0
 4




Tas mCds Ako mCko mCks Ae








476333
rs7685686
Aes Tks Aes Aks Ads Tds Tds GdsTds mCds Ads Tds
4-9-4
0
  4




mCds Aks mCes mCks Ae








571039
rs7685686
Aes Tks Aes Aks Ads xTds Tds GdsTds mCds Ads
4-9-4
2.5
  4




Tds mCds Aks mCes mCks Ae








598229
rs7685686
Aes Tes Aes Aes Aks Tks Tds GdsTds mCks Ads
6-7-4
0
  4




Tds mCds Aks mCes mCks Ae








593203
rs7685686
Tks Ako Ako Ako Tks Tds GdsTds mCds Ads Tds
5-7-5
0
 31




mCds Ako mCko mCko Aks Gk








593204
rs7685686
Aks Tko Ako Ako Ako Tds Tds GdsTds mCds Ads
5-7-5
0
  4




TdsmCko Ako mCko mCko Ak








598305
rs7685686
Aes Tes Aes Aes Ads Tks Tds GdsTds mCds Ads Tds
4-9-4 or
0
  4




mCds Aks mCks mCes Ae
6-7-4







598306
rs7685686
Aes Tes Aes Aes Ads Tks Tds GdsTds mCds Ads Tds
4-9-4 or
0.5
 4




mCds Aks mCes mCes Ae
6-7-4







598307
rs7685686
Aes Tes Aes Aes Ads Tks Tds GdsTds mCds Ads Tds
4-9-4 or
0.8
  4




mCds Aes mCes mCes Ae
6-7-4







606560
rs7685686
Aes Tes Aes Aks Ads xTds Tds GdsTds mCds Ads
4-9-4
1.5
  4




Tds mCds Aks mCes mCks Ae








606561
rs7685686
Aes Tks Aes Aks Ads XTds Tds Gds Tds mCds Ads
4-9-4
1.5
  4




Tas mCds Aks mCes mCes Ae








606562
rs7685686
Aes Tes Aes Aks Ads xTds Tds Gds Tds mCds Ads
4-9-4
2.3
  4




Tas mCds Aks mCes mCes Ae








606578
rs7685686
Aes Tks Aes Aks Ads Tds Tds GdsTds mCds Afs Tds
4-9-4
2.8
  4




mCds Aks mCes mCks Ae








617107
rs363064
Aes Aeo Tko Aks mCdsGds Gds Gds Tds Ads Ads
4-8-5
1.25
108




mCds Ako Tko Tes Tes Te








617110
rs363064
Ges Aes Aeo Tko Aks mCdsGds Gds Gds Tds Ads
5-7-5
1.75
 89




Adsm Cko Tko Tes Tes Te












Example 6: Modified Oligonucleotides Targeting HTT SNP Rs7685686 or Rs6446723

The modified oligonucleotides described in the previous examples were tested in vitro targeting HTT SNP rs7685686 or rs6446723. Human patient fibroblasts GM04022 cell line was used. Cultured GM04022 cells at a density of 35,000 cells per well were transfected using electroporation at 130V with 0.37, 1.1, 3.3 and 10 μM concentrations of modified oligonucleotides. After a treatment period of approximately 24 hours, RNA was isolated from the cells and mRNA levels were measured by quantitative real-time PCR using ABI assay C_2229297_10 which measures at dbSNP rs362303. The HTT mRNA levels were adjusted according to total RNA content, as measured by RIBOGREEN and the results are presented in Table 30.


The IC50 of each modified oligonucleotide is presented in the table below and was calculated by plotting the concentrations of oligonucleotides used versus the percent inhibition of HTT mRNA expression achieved at each concentration, and noting the concentration of oligonucleotide at which 50% inhibition of HTT mRNA expression was achieved compared to the control. The IC50 at which each oligonucleotide inhibits the mutant HTT mRNA expression is denoted as ‘mut IC50’. The IC50 at which each oligonucleotide inhibits the wild-type HTT mRNA expression is denoted as ‘wt IC50’. Selectivity was calculated by dividing the IC50 for inhibition of the wild-type HTT versus the IC50 for inhibiting expression of the mutant HTT mRNA.


ISIS 141923 (CeCeTeTeCeCCTGAAGGTTCeCeTeCeCe, 5-10-5 MOE (SEQ ID NO: 575)) was included in the study as a negative control and is denoted as “neg control”. A non-allele specific antisense oligonucleotide, ISIS 387916 (TeCeTeCeTeATTGCACATTCeCeAeAeGe, 5-10-5 MOE (SEQ ID NO: 576)) was used as a positive control and is denoted as “pos control”. ISIS 460209 or 572772 was also included in the study for comparison.









TABLE 30







Modified oligonucleotides targeting Huntingtin (HTT) SNP rs7685686 or rs6446723














IC50 (μM)
Selectivity















Isis No.
SNP
Mut
Wt
(wt vs mut)
Motif
SEQ ID. NO.
















 4602091
rs7685686
<0.4
2.25
5.6
ekk-d9-kke
  3





 5727722
rs7685686
0.27
>10
>37
eeeekk-d7-kke
 24





551429
rs7685686
<0.4
>10
>25
eeekk-d7-kke
 13





556845
rs7685686
<0.4
>10
>25
ekk-d9-kke
 14





617425
rs7685686
1.3
>10
>8
eeeeek-d7-eee
 75





617115
rs7685686
<0.4
>10
>25
eeeeek-d7-kke
 70





617116
rs7685686
<0.4
>10
>25
eeeekk-d7-kee
 71





617117
rs7685686
0.7
>10
>14
eeeeek-d7-kee
 72





617118
rs7685686
0.4
>10
>25
eeeeek-d7-kee
 73





617119
rs7685686
0.8
>10
>13
eeeeek-d7-eee
 74





617111
rs7685686
<0.4
>10
>25
ekek-d9-keke
 91





613581
rs7685686
0.9
>10
>11
eeeeedk-d7-eeeee
 76





613582
rs7685686
0.4
>10
>25
eeeeek-d7-eeeeee
 77





613583
rs7685686
0.7
>10
>14
eeeek-d7-eeeeeee
 78





613584
rs7685686
0.4
>10
>25
eeek-d7-eeeeeeee
 79





613585
rs7685686
0.4
>10
>25
eek-d7-eeeeeeeee
 80





613586
rs7685686
0.7
>10
>14
ek-d7-eeeeeeeeee
 81





613588
rs7685686
0.7
>10
>14
eeeeeeek-d7-eeee
 82





613589
rs7685686
1.2
>10
>8
eeeeeeeek-d7-eee
 83





617105
rs7685686
<0.4
5.9
15
eekk-d8-kkeee
 90





606561
rs7685686
<4
>10
25
ekek-d9-keee
 67





606562
rs7685686
0.7
>10
25
eeek-d9-keee
 68





611714
rs7685686
0.6
4.7
8
eeekk-d7-kke
164



(G)










611715
rs7685686
0.6
5.6
9
ekek-d9-keke
165



(G)










611717
rs7685686
0.8
4.7
6
eeeekk-d7-kke
167



(G)










611718
rs7685686
0.8
7.0
9
ekk-d-k-d7-kke
168



(G)










611719
rs7685686
0.9
3.2
4
ekkkk-d7-kke
169



(G)










611720
rs7685686
<0.4
2.5
6
ek-d9-kkke
170



(G)










611721
rs7685686
0.9
>10
>11
eeeek-d7-keee
171



(G)










611722
rs7685686
1.5
>10
>7
eeee-d-k-d7-keee
172



(G)










611723
rs7685686
2.7
9.6
4
eeeek-d7-keeee
173



(G)










617104
rs6446723
<0.4
6.8
17
eeekk-d7-kkeee
 84





617106
rs6446723
<0.4
5.7
14
eekk-d8-kkeee
 85





617108
rs6446723
<0.4
5.8
14
ekek-d8-kekee
 86






1IC50 measured from average of 2 independent assays




2IC50 measured from average of 3 independent assays







Example 7: Modified Oligonucleotides Targeting HTT SNP Rs7685686

The modified oligonucleotides were designed to target SNP positions associated with the HTT gene. In Table 31, the ‘k’ subscript indicates an (S)-cEt modification; ‘e’ subscript indicates MOE modification; the ‘y’ subscript indicates a tricyclo DNA (tcDNA) modification; the ‘z’ subscript indicates a 2′-(ara)-F modification; the ‘f’ subscript indicates a 2′-F modification; ‘m’ before the cytosine residue indicates a 5-methylcytosine; number along with ‘d’ indicates the number of deoxyribose nucleosides; ‘s’ subscript after the nucleoside indicates a phosphorothioate internucleoside linkage. The underlined nucleoside indicates the position on the modified oligonucleotide opposite to the SNP position.









TABLE 31







Modified oligonucleotides targeting HTT SNP rs7685686












Isis No.
SNP
Sequence (5′ to 3′)
Gap Chemistry
Motif
SEQ ID NO





460209
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Full deoxy
ekk-d9-kke
  3




Ads Tds mCds Aks mCks mCe








582670
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Full deoxy
ekk-d7-kkeee
  3




Ads Tks mCks Aes mCes mCe








566270
rs7685686
Tes Aks Aks Ads Tzs Tds GdsTds mCds
Deoxy/2′-(ara)-F
ekk-d-z-d7-kke
  3




Ads Tds mCds Aks mCks mCe








566271
rs7685686
Tes Aks Aks Ads Tds Tzs GdsTds mCds
Deoxy/2′-(ara)-F
ekk-d2-z-d6-kke
  3




Ads Tds mCds Aks mCks mCe








581400
rs7685686
Tes Aks Aks Ads Ufs Tds GdsTds mCds
Deoxy/2′-F
ekk-d-f-d7-kke
577




Ads Tds mCds Aks mCks mCe








581401
rs7685686
Tes Aks Aks Ads Tds Ufs GdsTds mCds
Deoxy/2′-F
ekk-d2-f-d6-kke
578




Ads Tds mCds Aks mCks mCe








539557
rs7685686
Tes Aks Aks Ads Tds Tds GdsTys mCds
Deoxy/Tricyclo
ekk-d4-y-d4-kke
  3




Ads Tds mCds Aks mCks mCe
DNA (tcDNA)











Example 8: Selectivity of Modified Oligonucleotides Targeting HTT SNP Rs7685686

Several modified oligonucleotides presented in Table 31 were tested in vitro targeting HTT SNP rs7685686. Heterozygous fibroblast GM04022 cell line was used (from Coriell Institute). Cultured GM04022 cells at a density of 400,000 cells per well were transfected using electroporation (Harvard Apparatus ECM830, 115 V, 6 ms) with 0.06, 0.19, 0.56, 1.7, 5.0 and 15 μM concentrations of ISIS 460209, 566270, 566271, 581400, or 581401 or 0.027, 0.082, 0.25, 0.7, 2.2, 6.7 and 20 μM concentrations of ISIS 582670. Treated cells were maintained at 37° C. and 5% CO2 in minimal essential medium containing 15% fetal bovine serum, non-essential amino acids and penicillin/streptomycin. Approximately 24 hours post-transfection, the cells were washed with DPBS buffer and lysed. RNA was extracted using the Qiagen RNeasy96 kit and levels of the human HTT mRNA alleles were determined using the qPCR assay C_2231945_10 at SNP rs362331 from Life Technologies. The mutant and wild-type HTT mRNA levels were measured simultaneously by using two different fluorophores, FAM for mutant allele and VIC for wild-type allele. Quantitative RT-PCR reactions were run on the ABI 7900HT instrument using the Quantitect Probe RT-PCR kit following the manufacturer's instructions. The HTT mRNA levels were normalized to total RNA content, as measured by RIBOGREEN. The IC50 and selectivity were calculated using methods described previously in Example 6 and the results are presented in Table 32. ISIS 460209 was included in the study for comparison.









TABLE 32







Selectivity of modified oligonucleotides targeting Huntingtin (HTT) SNP rs7685686














Mut IC50
Selectivity

SEQ


Isis No.
SNP
(μM)
(wt vs mut)
Motif
ID No.















460209
rs7685686
0.29
6.9
ekk-d9-kke
  3





566270
rs7685686
0.14
7.4
ekk-d7-kkeee
  3





566271
rs7685686
0.11
7.1
ekk-d-z-d7-kke
  3





581400
rs7685686
0.6
>25
ekk-d2-z-d6-kke
577





581401
rs7685686
0.77
>19
ekk-d-f-d7-kke
  3





582670
rs7685686
0.42
>47
ekk-d7-kkeee
  3









Example 9: Tm and Selectivity of Modified Oligonucleotide Containing Tricyclo DNA (tcDNA) Modification Targeting HTT SNP Rs7685686

ISIS 539557 from Table 31 was tested for thermal stability. Its potency and selectivity targeting HTT SNP rs7685686 were also evaluated in vitro. ISIS 460209 was included in the study for comparison.


Thermal Stability Assay


The Tm for ISIS 539557 was measured using the method described herein. The modified oligonucleotide and RNA was mixed in a 1:1 ratio (4 μM duplex) in buffer containing 10 mM phosphate, 100 mM NaCl and 10 mM EDTA at pH 7.0. The duplex was denatured at 85° C. and slowly cooled to the starting temperature of the experiment (15° C.). Thermal denaturation temperatures (Tm values) were measured in quartz cuvettes (pathlength 1.0 cm) on a Cary 100 UV/VIS spectrophotometer equipped with a Peltier temperature controller. Absorbance at 260 nm was measured as a function of temperature using a temperature ramp of 0.5° C. per min. Tm value was determined using the hyperchromicity method incorporated into the instrument software. The results for Tm versus matched and mismatched RNA are presented in Table 33.


Cell Culture, Transfection and Selectivity Analysis


Heterozygous fibroblast GM04022 cell line was used (from Coriell Institute). Cultured GM04022 cells at a density of 400,000 cells per well were transfected using electroporation (Harvard Apparatus ECM830, 115 V, 6 ms) with 2 μM concentrations of ISIS 460209 or 539557. Treated cells were maintained at 37° C. and 5% CO2 in minimal essential medium containing 15% fetal bovine serum, non-essential amino acids and penicillin/streptomycin. Approximately 24 hours post-transfection, the cells were washed with DPBS buffer and lysed. RNA was extracted using the Qiagen RNeasy96 kit and levels of the human HTT mRNA alleles were determined using the qPCR assay C_2231945_10 at SNP rs362331 from Life Technologies. The mutant and wild-type HTT mRNA levels were measured simultaneously by using two different fluorophores, FAM for mutant allele and VIC for wild-type allele. Quantitative RT-PCR reactions were run on the ABI 7900HT instrument using the Quantitect Probe RT-PCR kit following the manufacturer's instructions. The HTT mRNA levels were normalized to total RNA content, as measured by RIBOGREEN. The percent of HTT mRNA reduction, relative to untreated control levels was measured. The results for selectivity in Table 33 are presented as the ratio of wt HTT/mut HTT mRNA reduction in GM4022 fibroblasts.









TABLE 33







Tm and selectivity of ISIS 582670 targeting HTT SNP rs7685686 in GM4022 cells
















mut Tm
wt Tm
 Δ Tm
Ratio

SEQ


Isis No.
SNP
(° C.)
(° C.)
mut-wt
(wt vs mut)
Motif
ID NO

















460209
rs7685686
53.7
52.2
1.5
2.6
ekk-d9-kke
3





582670
rs7685686
53.8
51.7
2.1
3.3
ekk-d7-kkeee
3









Example 10: Duration of Action of Modified Oligonucleotides

Mice were given a single ICV injection of modified oligonucleotides targeted to mutant HTT nucleic acid transcripts. The modified oligonucleotides had either 2′-MOE modifications or cEt modifications. After the initial ICV injection, mice from each group were sacrificed at 1, 2, 4, 8, 12, and 16 weeks and the among of mutant HTT protein was analyzed. It was found that the modified oligonucleotides having cEt modifications reduced mutant HTT protein for up to 16 weeks after a single ICV dose. It was found that 2′-MOE modified oligonucleotides reduced mutant HTT protein for 4-8 weeks, after which point in time mutant HTT levels began to rise and approach mutant HTT levels found in animals treated with PBS control. This example shows that a single dose of modified oligonucleotides targeted to mutant huntingtin transcript can inhibit mutant HTT protein expression for greater than 16 weeks.


Example 11: Modified Oligonucleotides Targeting HTT SNP Rs7685686

The modified oligonucleotides were designed to target SNP positions associated with the HTT gene. In Table 31, the ‘k’ subscript indicates an (S)-cEt modification; ‘e’ subscript indicates MOE modification; the ‘y’ subscript indicates a tricyclo DNA (tcDNA) modification; the ‘z’ subscript indicates a 2′-(ara)-F modification (shown below); the ‘f’ subscript indicates a 2′-F modification in the ribo orientation (shown below); the ‘h’ subscript indicates a F-CeNA modification; ‘m’ before the cytosine residue indicates a 5-methylcytosine; number along with ‘d’ indicates the number of deoxyribose nucleosides; ‘s’ subscript after the nucleoside indicates a phosphorothioate internucleoside linkage; ‘s5’ before a residue indicates an S-5′-Me-DNA modification, e.g. “s5T”; “r5” before a residue indicates an S-5′-Me-DNA modification, e.g. “r5T.” The underlined nucleoside indicates the position on the modified oligonucleotide opposite to the SNP position.


Examples of the 2′-(ribo)-fluoro (f), 2′-(ara)-fluor (z), and F-CeNA (h) modifications are provided below:




embedded image


Examples of R-5 ‘-Me-DNA and S-5’-Me-DNA modifications are provided below:




embedded image









TABLE 34







Modified oligonucleotides targeting HTT SNP rs7685686












Isis No.
SNP
Sequence (5′ to 3′)
Gap Chemistry
Motif
SEQ ID NO





460209
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Full deoxy
ekk-d9-kke
  3




Ads Tds mCds Aks mCks mCe








582670
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Full deoxy
ekk-d7-kkeee
  3




Ads Tks mCks Aes mCes mCe








566270
rs7685686
Tes Aks Aks Ads Tzs Tds GdsTds mCds
Deoxy/2′-(ara)-F
ekk-d-z-d7-kke
  3




Ads Tds mCds Aks mCks mCe








566271
rs7685686
Tes Aks Aks Ads Tds Tzs GdsTds mCds
Deoxy/2′-(ara)-F
ekk-d2-z-d6-kke
  3




Ads Tds mCds Aks mCks mCe








581400
rs7685686
Tes Aks Aks Ads Ufs Tds GdsTds mCds
Deoxy/2′-F
ekk-d-f-d7-kke
577




Ads Tds mCds Aks mCks mCe








581401
rs7685686
Tes Aks Aks Ads Tds Ufs GdsTds mCds
Deoxy/2′-F
ekk-d2-f-d6-kke
578




Ads Tds mCds Aks mCks mCe








539557
rs7685686
Tes Aks Aks Ads Tds Tds GdsTys mCds
Deoxy/Tricyclo
ekk-d4-y-d4-kke
  3




Ads Tds mCds Aks mCks mCe
DNA (tcDNA)







575837
rs7685686
Tes Aks Aks Afs Tds Tds GdsTds mCds
Deoxy/2′-F
ekk-f-d8-kke
  3




Ads Tds mCds Aks mCks mCe








575831
rs7685686
Tes Aks Aks Azs Tds Tds GdsTds mCds
Deoxy/2′-(ara)-F
ekk-z-d8-kke
  3




Ads Tds mCds Aks mCks mCe








XXXX1
rs7685686
Tes Aks Aks Ahs Tds Tds GdsTds mCds
Deoxy/F-CeNA
ekk-h-d8-kke
  3




Ads Tds mCds Aks mCks mCe








582981
rs7685686
Tes Aks Aks Ads Tds Ths GdsTds mCds
Deoxy/F-CeNA
ekk-d2-h-d6-kke
  3




Ads Tds mCds Aks mCks mCe








582980
rs7685686
Tes Aks Aks Ads Ths Tds GdsTds mCds
Deoxy/F-CeNA
ekk-d-h-d7-kke
  3




Ads Tds mCds Aks mCks mCe








575840
rs7685686
Tes Aks Aks Ads Tds Tds GfsTds mCds
Deoxy/2′-F
ekk-d3-f-d5-kke
  3




Ads Tds mCds Aks mCks mCe








566272
rs7685686
Tes Aks Aks Ads Tds Tds GzsTds mCds
Deoxy/2′-(ara)-F
ekk-d3-z-d5-kke
  3




Ads Tds mCds Aks mCks mCe








XXXX2
rs7685686
Tes Aks Aks Ads Tds Tds GhsTds mCds
Deoxy/F-CeNA
ekk-d3-h-d5-kke
  3




Ads Tds mCds Aks mCks mCe








586156
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Deoxy/F-CeNA
ekk-d4-h-d4-kke
  3




Ads Tds mCds Aks mCks mCe








581402
rs7685686
Tes Aks Aks Ads Tds Tds GdsThs mCfs
Deoxy/2′-F
ekk-d5-f-d3-kke
  3




Ads Tds mCds Aks mCks mCe








566273
rs7685686
Tes Aks Aks Ads Tds Tds GdsTzs mCds
Deoxy/2′-(ara)-F
ekk-d5-z-d3-kke
  3




Ads Tds mCds Aks mCks mCe








582982
rs7685686
Tes Aks Aks Ads Tds Tds GdsThs mCds
Deoxy/F-CeNA
ekk-d5-h-d3-kke
  3




Ads Tds mCds Aks mCks mCe








575842
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Deoxy/2′-F
ekk-d6-f-d2-kke
  3




AfS Tds mCds Aks mCks mCe








566274
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Deoxy/2′-(ara)-F
ekk-d6-z-d2-kke
  3




Azs Tds mCds Aks mCks mCe








XXXX3
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Deoxy/F-CeNA
ekk-d6-h-d2-kke
  3




Ais Tds mCds Aks mCks mCe








581403
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Deoxy/2′-F
ekk-d7-f-d-kke
579




Ads Aks mCds Aks mCks mCe








566275
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Deoxy/2′-(ara)-F
ekk-d7-z-d-kke
  3




Ads Tzs mCds Aks mCks mCe








582983
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Deoxy/F-CeNA
ekk-d7-h-d-kke
  3




Ads Aks mCds Aks mCks mCe








581404
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Deoxy/2′-F
ekk-d8-f-dkke
  3




Ads Tds mCfs Aks mCks mCe








578228
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Deoxy/2′-(ara)-F
ekk-d8-z-kke
  3




Ads Tds mCzs Aks mCks mCe








582984
rs7685686
Tes Aks Aks Ads Tds Tds GdsTds mCds
Deoxy/F-CeNA
ekk-d8-h-kke
  3




Ads Tds mCds Aks mCks mCe








XXXX4
rs7685686
Tes Aks Aks Adsr5Tds Tds GdsTds mCds
Deoxy/R-5′-Me
ekk-d9-kke
  3




Ads Tds mCds Aks mCks mCe
DNA







XXXX5
rs7685686
Tes Aks Aks Adss5TdsTds GdsTds mCds
Deoxy/S-5′-Me
ekk-d9-kke
  3




Ads Tds mCds Aks mCks mCe
DNA







XXXX6
rs7685686
Tes Aks Aks Ads Tdsr5Tds GdsTds mCds
Deoxy/R-5′-Me
ekk-d9-kke
  3




Ads Tds mCds Aks mCks mCe
DNA







XXXX7
rs7685686
Tes Aks Aks Ads Tdss5Tds GdsTds mCds
Deoxy/S-5′-Me
ekk-d9-kke
  3




Ads Tds mCds Aks mCks mCe
DNA











Example 12: Selectivity of Modified Oligonucleotides Targeting HTT SNP Rs7685686

Several modified oligonucleotides presented in Table 31 were tested in vitro targeting HTT SNP rs7685686. Heterozygous fibroblast GM04022 cell line was used (from Coriell Institute). Cultured GM04022 cells at a density of 400,000 cells per well or 450,000 cells per well were transfected using electroporation (Harvard Apparatus ECM830, 115 V, 6 ms) with 0.06, 0.19, 0.56, 1.7, 5.0 and 15 μM concentrations of the modified oligonucleotides presented in Table 31, except for ISIS 582670, in which concentrations of 0.027, 0.082, 0.25, 0.7, 2.2, 6.7 and 20 μM were used. Treated cells were maintained at 37° C. and 5% CO2 in minimal essential medium containing 15% fetal bovine serum, non-essential amino acids and penicillin/streptomycin. Approximately 24 hours post-transfection, the cells were washed with DPBS buffer and lysed. RNA was extracted using the Qiagen RNeasy96 kit and levels of the human HTT mRNA alleles were determined using the qPCR assay C_2231945_10 at SNP rs362331 from Life Technologies. The mutant and wild-type HTT mRNA levels were measured simultaneously by using two different fluorophores, FAM for mutant allele and VIC for wild-type allele. Quantitative RT-PCR reactions were run on the ABI 7900HT instrument using the Quantitect Probe RT-PCR kit following the manufacturer's instructions. The HTT mRNA levels were normalized to total RNA content, as measured by RIBOGREEN. The IC50 and selectivity were calculated using methods described previously in Example 6 and the results are presented in Table 32. ISIS 460209 was included in the study for comparison.


In certain embodiments, a modification at position 4 from the 5′-end increases selectivity. In certain embodiments, a modification at position 5 from the 5′-end increases selectivity. In certain embodiments, a modification at position 7 from the 5′-end increases selectivity. In certain embodiments, a modification at position 8 from the 5′-end increases potency and selectivity. In certain embodiments, a modification at position 9 from the 5′-end increases potency. In certain embodiments, a modification at position 10 from the 5′-end increases selectivity. In certain embodiments, a modification at position 11 from the 5′-end increases selectivity. In certain embodiments, a modification at position 12 from the 5′-end increases potency. In certain embodiments, an S-5′-Me-DNA modification increases allele selectivity.









TABLE 35







Selectivity of modified oligonucleotides targeting


Huntingtin (HTT) SNP rs7685686














Mut IC50
Selectivity




Isis No.
SNP
(MM)
(wt vs mut)
Motif
SEQ ID No.















460209
rs7685686
.31
9
ekk-d9-kke
  3





575837
rs7685686
.28
15
ekk-f-d8-kke
  3





575831
rs7685686
.21
19
ekk-z-d8-kke
  3





XXXX1
rs7685686
ND
ND
ekk-h-d8-kke
  3





582981
rs7685686
.35
>29
ekk-d2-h-d6-kke
  3





582980
rs7685686
.34
7
ekk-d-h-d7-kke
  3





575840
rs7685686
.94
>11
ekk-d3-f-d5-kke
  3





566272
rs7685686
.07
27
ekk-d3-z-d5-kke
  3





XXXX2
rs7685686
ND
ND
ekk-d3-h-d5-kke
  3





586156
rs7685686
.39
5
ekk-d4-h-d4-kke
  3





581402
rs7685686
.16
5
ekk-d5-f-d3-kke
  3





566273
rs7685686
.09
18
ekk-d5-z-d3-kke
  3





582982
rs7685686
.23
13
ekk-d5-h-d3-kke
  3





575842
rs7685686
.20
50
ekk-d6-f-d2-kke
  3





566274
rs7685686
.20
>50
ekk-d6-z-d2-kke
  3





XXXX3
rs7685686
ND
ND
ekk-d6-h-d2-kke
  3





581403
rs7685686
.35
18
ekk-d7-f-d-kke
579





566275
rs7685686
.22
28
ekk-d7-z-d-kke
  3





582983
rs7685686
.30
17
ekk-d7-h-d-kke
  3





581404
rs7685686
.07
18
ekk-d8-f-dkke
  3





578228
rs7685686
.10
32
ekk-d8-z-kke
  3





582984
rs7685686
.06
10
ekk-d8-h-kke
  3





XXXX4
rs7685686
.15
6.9
ekk-d9-kke
  3





XXXX5
rs7685686
.38
16.3
ekk-d9-kke
  3





XXXX6
rs7685686
.31
5.7
ekk-d9-kke
  3





XXXX7
rs7685686
.40
>38
ekk-d9-kke
  3








Claims
  • 1. A compound comprising a modified oligonucleotide consisting of 12 to 30 linked nucleosides, wherein the nucleobase sequence of the modified oligonucleotide comprises at least 8 contiguous nucleobases of the nucleobase sequence recited in SEQ ID NOs: 251, 268, or 490-500, and wherein the modified oligonucleotide has a sugar motif selected from eeeee-d9-eeeee, ekk-d9-kke, eekk-d8-kkeee, ekek-d8-kekee, ekk-d8-kkeee, eeekk-d7-kkeee, or eekek-d7-kekee; wherein k is a cEt sugar moiety, e is a 2′-OCH2CH2OCH3 ribosyl sugar moiety, and d is a 2′-deoxyribosyl sugar moiety.
  • 2. The compound of claim 1, wherein the nucleobase sequence of the modified oligonucleotide is 100% complementary to SEQ ID NO: 1.
  • 3. The compound of claim 1, wherein the modified oligonucleotide has a eeeee-d9-eeeee sugar motif.
  • 4. The compound of claim 1, wherein the modified oligonucleotide has a ekk-d9-kke sugar motif.
  • 5. The compound of claim 1, wherein the modified oligonucleotide has a eekk-d8-kkeee sugar motif.
  • 6. The compound of claim 1, wherein the modified oligonucleotide has a ekek-d8-kekee sugar motif.
  • 7. The compound of claim 1, wherein the modified oligonucleotide has a ekk-d8-kkeee sugar motif.
  • 8. The compound of claim 1, wherein the modified oligonucleotide has a eeekk-d7-kkeee sugar motif.
  • 9. The compound of claim 1, wherein the modified oligonucleotide has a eekek-d7-kekee sugar motif.
  • 10. The compound of claim 1, wherein the modified oligonucleotide comprises at least one phosphorothioate internucleoside linkage.
  • 11. The compound of claim 1, wherein the compound is conjugated.
  • 12. A pharmaceutical composition comprising the compound of claim 1 and a pharmaceutically acceptable carrier or diluent.
  • 13. The pharmaceutical composition of claim 12, wherein the pharmaceutically acceptable diluent is phosphate-buffered saline (PBS).
  • 14. A method of ameliorating a symptom of Huntington's disease, comprising administering the compound of claim 1 to a subject in need thereof.
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Related Publications (1)
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20230002763 A1 Jan 2023 US
Provisional Applications (3)
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61840722 Jun 2013 US
61760596 Feb 2013 US
61713459 Oct 2012 US
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Parent 16793119 Feb 2020 US
Child 17586175 US
Parent 16141781 Sep 2018 US
Child 16793119 US
Parent 15468489 Mar 2017 US
Child 16141781 US
Parent 14434885 US
Child 15468489 US